leadership, management & governance: technology innovation for better health management
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Leadership, Management & Governance: Technology Innovation for Better Health Management. e-health Records in a Public Hospital: Kapkatet District Hospital Presenter: Dr. Kenneth Sigilai Medical Superintendent. KAPKATET DISTRICT HOSPITAL. In The Beginning. - PowerPoint PPT PresentationTRANSCRIPT
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e-health Records in a Public Hospital:
Kapkatet District Hospital
Presenter: Dr. Kenneth Sigilai
Medical Superintendent
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KAPKATET DISTRICT HOSPITAL
Location: Bureti district, Kericho county, Rift Valley province.
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In The BeginningAll our Medical records were Manual: Patients carried OPD Books.
(OPD Card system collapsed long ago)Patients Registered Manually as they came
Multiple registers maintained at every pointMR Receipt books used to collect cost-
sharing revenue.
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Medical Files archives
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The Problem with manual systemOPD Book :
Got lost, torn & tattered.Easily Landed on the wrong hands
RegistersGot tornDifficult to trace RecordsConsumed lots of stationary
MR receipts:Money Disappeared
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Our SolutionHospital commissioned an integrated
Hospital Management system. ( year 2006)Tasked local vendors to develop a system
tailored to GOK-MOH Data capture, clerkship and accounting norms
Development phased depending on funding ability. Funded largely using cost-sharing funds.
Currently covers the whole of Outpatient services and part of in-patient services
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OPD Registration Desk
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What Does It Do?Register PatientsUsed by outpatient clinicians for clerkshipUsed by diagnostic services to post resultsUsed by pharmacy staff to dispenseRevenue collectionGenerates reports for sectional heads &
hospital managers
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System modules• Out patient:• Registration• Clinic Officer• Laboratory• Payments• Pharmacy
• In patient:• Admission• Ward Attendance• Payments• Discharge
• RevenueReceipts and payments
• Laboratory laboratory test, results and
reports• Pharmacy
Purchases, stock control & dispensing
• Maternitymaternity information
• ReportsMOH standard reports
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INFORMATION FLOW CHART
Reg. CO. Lab
Revenue.
Pharmacy.
Dismissed
Admission.
Patient-File.
Pharmacy.
Billing.
Discharge.
OUT PATIENT PROCESS
IN PATIENT PROCESS
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Milestones OPD fully functionalLearning curve complete: most staff members
now conversant and compliantOver 50 computer terminals activeFuture plans:
Roll out the system to cover all in-patient services
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Paperless OPD
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Impact Waiting time drastically reduced in
OPD Reception/Registration area (2 minutes)OPD Clinics (7 minutes)Pharmacy (4 minutes)Revenue office. (5 minutes)
Medical records trace-ableOPD reports instant and real timeIncreased demand for service (more clients)Revenue has increased 10 times (from 0.5
million in 2006 to 4.5 million, 2012 / month)
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Lessons learntIts possible to apply technology in resource
constraint settingsE-records significantly assist hospital
managementIncreased work-load and reduced revenue
leakages leads to more resources for improving hospital environment, infrastructure and services
It requires visionary leadership to innovate
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RecommendationsMOH should embrace IT, e-records &
electronic HMSThere is need of standardization Central sourcing of software could greatly
cut cost and allow smaller facilities access e-records