general aehs presentation published june 2016
TRANSCRIPT
Africa eHealth SolutionsMaking quality health available to all by
leveraging the power of ICT
AeHS
Andrew Muga and Nic MoensDirectors AeHS
www.africaehs.org
+255745240818 (Tz)- +31630433472 (NL) [email protected] st Floor, The Arcade Building, Old Bagamoyo Road, Dar es Salaam (Tz) | Mulderslaan 17 Veenendaal (NL)
AeHS is a network of impact driven, social
businesses that develops and maintains new software
solutions and services for curative and preventive
health services.
Main activity:
Installation of eHIS in
hospitals (based on
Afya Pro software)
Other activities:- Preventive health
- Data base systems for result
based financing programmes
- Telemedicine
- New business development
Outpatient
dep’t
Surgical
ward
Finance
Maternity
dep’t
Pharmacy
Children’s
ward
Health
reporting
Medical
ward
Admin.
laboratory
& x-ray
AeHS focus on ICT solutions for health facilities (most hospitals) with the eHIS
software called Afya Pro and to a lesser extend on preventive health, data
management and telemedicine.
Software Afya Pro covers:
AeHS present in:
Tanzania: AfyaPro has been integrated in
the daily operations of 28 facilities. Number of
users (health professionals) 1320, number of
patients served about 1,4 million. AeHS-Tz is joint
venture between NPK Technologies and Christian
Social Services Commission.
Zimbabwe: AfyaPro is the central system in a wider Results-
based Financing solution financed by the World Bank and
deployed at 6 facilities. AeHS-Zimbabwe is based on ICT
Warehouse.
Malawi: Afya Pro is used in 7 health facilities. The AeHS-
Malawi partner is a young company called Hyper Tech.
AeHS-International has a significant network in all yellow
marked countries ( ), based on joint projects in the
countries over past 15 years.
r 1 14 5
r 2 18 22 -
r 3 19 16 10
r 4 20 19 -
r 5 22 15 -
r 6 18 19 -
r 7 15 17 -
r 8 18 19 10
r 0 20 20 10
-
Use Case: Nyakahanga District Hospital
Lutheran Church Hospital, providing, preventive
services and curative services (including: laboratory,
radiology, pharmacy, etc. and outreach
services/clinics). Permanent staff 254 and hospital
capacity is 224 patients’ beds.
Since 2013, the hospital started to use Afya Pro, which
is now completely implemented and covering all
services.
The impact study states: The doctor in charge of
Nyakahanga hospital, together with his board has a
strong positive attitude toward the eHIS AfyaPro.
What it meant in Nyakahanga
• More income, better data, better management and
quality of care. Other benefits:• At the start the staff was computer illiterate, now they are
competent.
• Intransparent/corrupt behaviour replaced by renumeration for
performance.
• Only payment of drugs actual received.
• No confusion on payments (was a big point of unrest in the
community).
• Proper management of stocks and timely re-supply
• Better use of time and capacity.
• An old nurse notes:
“After exposure to the computer through Afya Pro, I decided to learn more and
so I bought my own laptop. My children and husband respect me because I
have learnt to use a computer at my advanced age. We use the laptop at home
and I am able to help my children with the basics”.
• Accurate data is rare
In all participating facilities staff members and managers state that AfyaPro enabled them to have immediate and accurate data. This resulted in better reporting, decision-making, planning and management of the health facility.
And through accurate data, better negotiationwith government is possible.
• Heavy income losses due to
intransparancies/under the counter
payments With Afya Pro the revenues from cash
payments by patients increase by 50- 200%.
• Losses from stocks, no control on staffPharmacy module controls stocks.
Staff performance can be traced.
Less errors in patient files and more time
for treatment improves quality of care.
• Business case: payback between 1-2 years!
The problems solved by Afya Pro also take away main
causes of a poor health system in Africa:
Strong points of AeHS:• Strong international network, exchanging
solutions, best practices, and
programming/implementation capacity;
• Highly interoperable software. Active
collaboration and connecting software of third
parties
• Semi-open source, international exchange of
software solutions
• Blending local development and programming
capacity with the latest technology insights;
• Robust and practical solutions in view of local
circumstances;
• Long track record with succesfull and
sustainable implementations;
• Scientific community to generate best practices
and research on (social) impact
• AeHS is an engine for innovation
Business case AeHS-International:
- Income from enrollment fees and
subscription fees
- Income from tenders and new business
development
- Social through pro-poor activities, knowledge
sharing and health systems strengthening
Business case national member organizations:
- Consultancy fees for implementation,
maintenance and additional services.
More solutions and users
More affordable
More best practices
More capacity
More practical
innovation
This creates a reinforcingloop in terms of functionalities, affordability, maintenance and numberof users!
A goal for AeHS is to be able to fully support the local setting with
interoperable eHealth applications; Smart Community Health
Community health
Telemedicine
District Health M & E
Info and prevention
Referral
Local logistics
Hospital as center withreach-out and feedback
DESIGNPRINCIPLES
Afya Pro will be powered by the VitalHealth
Platform (based on corporate social responsibility)
OPENCONFIGURE
APPS
MODEL BASED
HEALTHCAREONLY
CLOUDBASED
XMLDRIVEN
Wide variety of integration options
HL7 vs 2, 3 FHIRR, CCD, DICOM, …
Decoupling of design and runtime
Data and context are kept together
Multi tenantPrivate and public cloud
Amazon, Azure, Enovation, …
No code development earlier results
Quickly adapt to changes
Continuous change management
Designed for globalhealthcare market
Archetypes, ICD, Snowmed, LOINC, …
Vital Health is a collaboration between Mayo Clinics (USA) and Noabor Foundation (NL)
AeHS
Thank you