Haiti Patient Management

Data Use Community Meeting

March 29, 2023�

Improve the ability to provide high quality care to patients who move between services, facilities, and networks.�

• Between services -> Need data availability across care, labs, pharmacy
• Between facilities -> Need data availability across sites
• Between networks -> Need data transportable and translatable across systems
• For all -> Patient Identification

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OVERVIEW�PROJECT GOALS

CURRENT NATIONAL ARCHITECTURE

KEY CLINICAL CHALLENGE

EMR, Consolidated Server

• Tried and True Technologies
• Aging Technologies and Patterns = Difficult to Upgrade, Extend, Scale
• Bundling of functions
• Gap in workforce to support

Continuity of Care for HIV

• Lost to follow up
• Lab Results
• HIV Regimens

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HAITI, What are we working with?

2008 Implementation, no major technological or pattern updates since

2020 iSante EMR updated to OpenMRS RefApp, called iSantePlus

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Implementation Details

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• Use FHIR-based Client Registry Workflows based on PIXm and PDQm IHE Profiles
• Implement OpenCR (Intrahealth) for the Client Registry
• Utilize biometrics and demographics for resolving patient identity and cross-referencing across systems

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Patient Identity Management in Haiti

Current Status

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• Pilot Phase
• Support for Patient Search
• Support for Patient Registration
• Support for Continuum of Care Workflows (Shared Health Record)

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Patient Identity Management in Haiti

Challenges