Tobin, this is an interesting conversation as it is the exact path Bill Tierney, myself and others took in Eldoret Kenya that ultimately led to the amazing OpenMRS project with the gifted, sharing Implementers group. The issues here is to show the CDS work "with the technologies available"-e.g. MSAccess. Now as part of the OpenMRS community your progress should be significant. To illustrate where we came from see below.
Hannan, T.J., et al., The Mosoriot medical record system: design and initial implementation of an outpatient electronic record system in rural Kenya. Int J Med Inform, 2000. 60(1): p. 21-8. Hannan, T.J., et al., The MOSORIOT medical record system (MMRS) phase I to phase II implementation: an outpatient computer-based medical record system in rural Kenya. Stud Health Technol Inform, 2001. 84(Pt 1): p. 619-22. Rotich, J.K., et al., Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System. J Am Med Inform Assoc, 2003. 10(4): p. 295-303. Dr Terry J. Hannan MBBS;FRACP;FACHI;FACMI Consultant Physician Clinical Associate Professor School of Human Health Sciences, University of Tasmania Department of Medicine, Launceston General Hospital Charles Street Launceston 7250 President Australasian College of Health Informatics(2007-9) Visiting Professor, Universita di Modena, e reggio emelia, Italy (Sept-Nov 2010) Ph. 61 3 6348 7578 Mob. 0417 144 881 Fax 61 3 6348 7577 Email [email protected] Web/Blog: www.austemrs.com.au -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Tobin Greensweig Sent: Thursday, 15 September 2011 8:40 AM To: [email protected] Subject: [OPENMRS-IMPLEMENTERS] Introduction Dear OpenMRS Implementers, My name is Tobin Greensweig and I am a medical student at the Medical School for International Health in Be'er Sheva, Israel. I am somewhat new to the OpenMRS community and wanted to introduce myself before joining the Implementers Forum tomorrow. I've been spending a lot of time reading the wiki and archives and am so impressed by the remarkable work contributed by all. A bit about my background: Last summer (2010) I spent two months at the Village Health Works clinic in Burundi and designed/implemented an Access Database for EMR and pharmacy management. It's used in both point of care settings and as a "backup" to paper charts that we simultaneously implemented. Today it contains records for more than 15,000 patients and has become an integral part of the clinical operations and M&E. While constructing the database, I visited PIH Rwinkwavu for feedback from the EMR team and to feel better about committing what felt to be a treasonous act implementing a custom solution when OpenMRS was available. After the visit (and great education), I felt and still feel today that Access was the better fit, mainly due to IT support constraints and the learning curve involved with OpenMRS. That said, I think with some small tweaks and additional resources, OpenMRS would likely have been a far superior solution. As I did a year ago, I strongly believe in the OpenMRS model and think that the exact same challenges which restricted implementing OpenMRS in Burundi also exist many other places. I think that some simple solutions could be easily incorporated into the community resources and software to overcome these barriers. I am interested in contributing to this effort with the hopes of making OpenMRS more accessible for even the most basic, resource strapped clinics. I have ideas ranging from expanded YouTube tutorials to more turn-key software distributions....I'm very interested to hear what others are working on! Looking forward to meeting everyone tomorrow and perhaps in Kigali, Tobin ----- Tobin Greensweig, MS-2 Medical School for International Health, Ben Gurion University of the Negev _________________________________________ To unsubscribe from OpenMRS Implementers' mailing list, send an e-mail to [email protected] with "SIGNOFF openmrs-implement-l" in the body (not the subject) of your e-mail. [mailto:[email protected]?body=SIGNOFF%20openmrs-implement-l] Want to Get Healthy? The Tasmania Government's Get Healthy Information and Coaching Service provides free information and coaching support to Tasmanian adults who would like to learn healthier eating habits, be more active or achieve and maintain a healthy weight. Call 1300 806 258 between 8am and 8pm, Monday to Friday or visit www.gethealthy.tas.gov.au for more information. 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