lessons from deploying an emr in rural india
TRANSCRIPT
LESSONS FROM DEPLOYING AN EMR IN RURAL INDIAGurpreet Luthra - Community Lead (Bahmni)
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_zenx_
LOCATIONS IN INDIA
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LOCATIONS IN INDIA
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LOCATIONS IN INDIA
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SEARCH
LOCATIONS IN INDIA
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SEARCH
LBP Hemalkasa
JSS, BILASPUR
4http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/
JSS, BILASPUR
5http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/
• 30 Beds • Two Operating Theatres • Fully equipped Lab • 300 patients for OPD • 800,000 people from 2500 villages • 150 - 200 health care workers • 10 doctors • 3 day waiting period!
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JSS, BILASPUR
JSS, BILASPUR
7http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/
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CHALLENGES
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• On-site BAs
• Internet for Deployment?
• Agile without Showcases?
• Software as a bottleneck?
• What if the system breaks down? Backup?
• UX Challenges
• Low Cost Devices
• Training people who have never operated a computer
FIRST DEPLOYMENT AT JSS (JUNE-2013)
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THE STORY OF THE SLOW MACHINEA true story of an incident that occurred at JSS
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JSS, BILASPUR
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SEARCH, GADCHIROLI
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SEARCH, GADCHIROLI
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SEARCH, GADCHIROLI
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SEARCH, GADCHIROLI
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SEARCH, GADCHIROLI
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SEARCH, GADCHIROLI
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SEARCH, GADCHIROLI
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• Dr Abhay Bang and his wife Dr Rani Bang
• Dec 1985
• 50% drop in Infant Mortality Rate
• Masters in Public Health from John Hopkins University
SEARCH, GADCHIROLI
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• S.E.A.R.C.H: Society for Education, Action and Research in Community Health
• 25,000 patients each year
• 20 bed indoor facility
• 450+ surgeries each year (special camps)
SEARCH, GADCHIROLI
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• Excel Based Registration since 2011
• 65000 rows
• Research
• Study & Control Areas
• Surveys
SEARCH, GADCHIROLI (2 MONTH PRE-DEPLOYMENT)
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• Made Bahmni configurable (not just JSS!)
• Lots of Jasper Reports
• Patient Registration Card
• Migration Scripts
• Krishna font transformer
KRISHNA FONT
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Chitra
िचत्रा
fpRzk
KRISHNA FONT
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https://github.com/Bhamni/bahmni-java-utils/blob/master/font-transformer/src/test/java/org/bahmni/fonttransform/KrishnaFontTransformerTest.java
SEARCH - 20 DAY DEPLOYMENT
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SEARCH - 20 DAY DEPLOYMENT
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SEARCH - DEPLOYMENT CHALLENGES
• Mobile !? • Electricity !? • Internet !? • LAN !? • Data Errors
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SEARCH - DEPLOYMENT CHALLENGES
• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?
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LEARNINGS
• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?
• Local YUM Repo • Carry QA Database • Scripts for one click Backup and Deploy • Infra skills • EasyNetMonitor • Local Language support (non-trivial) • Phased Rollouts (for validation) • Carry everything! (keyboards, extension chords,
network cables, stickies, boards, etc)
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LEARNINGS
• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?
• Real System, Real Feedback • Team Viewer • Migrations on SSD / Vagrant • Single view of system status • Daily Dairy • Local Stackoverflow?? • Training/Backup Laptop • Games for Learning Computers • Pay attention to Reports • Need for Offline support
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A HAPPY DAY!
• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?
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RELATED LINKS
• https://www.thoughtworks.com/insights/blog/dr-prakash-amtes-lok-biradari-brotherhood-people
• http://jssbilaspur.org • http://www.searchgadchiroli.org/ • http://lokbiradariprakalp.org/ • https://www.thoughtworks.com/global-health
Join the community. Implement Bahmni.
Gurpreet Luthra Community Lead (Bahmni)
@_zenx_
www.bahmni.org
THANK YOU