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Improvedsmartcare Artsystempresentationv6 231005225647 3c748cb9
Improvedsmartcare Artsystempresentationv6 231005225647 3c748cb9
Improvedsmartcare Artsystempresentationv6 231005225647 3c748cb9
0 Software Training
ART Software
Adama, Ethiopia
April, 2019
June 2022
Outline of the Presentation
o Brief presentation on:-
Training Objectives
Health Information System and HIV program
HIV/AIDS HMIS and MER indicators
o Rationale for Improving the Version 5.0EMR-ART software
o Features of EMR-ART V6.0 System
DashBoard
Add Patient
HIV Testing Service
Provider View
Treatment and Follow-up
Viral load
Exposure Prophylaxis
Report and analytics
Administration
Data quality assurance
Help
Log Out
Quit
o Summary
o Get Started with EMR-ART software
Brief presentation on Training Objectives, Information Revolution, Health
Information System, and HIV Program
Objective
o Describe EMR-ART Module’s core functionalities and features.
• Add Patient feature
• Follow up feature
• New Features: Differentiated Service Delivery, Advanced HIV Diseases, Monthly Visit List and HVL SMS
Consented Client List, Pediatrics Age Out and ETORRS Notifications
• Report feature
o Understand how EMR-ART System serve as data source for HIV/AIDS HMIS and MER indicators
o Understand EMR-ART System data exchange capability with other system: VL-EID and DHIS2 Systems
Health System Building Blocks
Health information system (HIS)
• HIS refers to any system that captures, stores, manages or transmits information related to the health of
individuals or the activities of organizations, which will improve health care management decisions at
all levels of the health system
• In general, all functions of the health system rely on the availability of timely, accurate and dependable
information for decision making.
Health information system in the context of HIV Program
• Ethiopia has endorsed the UNAIDS 95-95-95 HIV targets and is currently working towards meeting
them.
• HIS are critical for monitoring the implementation of HIV/AIDS programs, tracking progress
towards these targets, and conducting robust surveillance.
• The use of electronic data management systems for HIV programs reduces the resources needed for
manual data entry and management, and improves data quality and data use.
HIV/AIDS and related Indicators
HMIS-HIV Indicators
Federal Ministry of Health has adopted standardized HMIS in the past
decade.
According to the National FMOH HMIS indicator guide 2021.
• HIV/AIDS and Viral Hepatitis program is represented by
15 HIV indicators and
• 2 TB/HIV indicators
HIV/AIDS and Hepatitis related Indicators…
HIV HMIS (National) Indicators/ Green Color-New Included Indicators
1. Percentage of people living with HIV who know their status
2. Number of people living with HIV currently receiving ART
3. Number of adults and children with HIV infection newly started on ART
4. ART retention rate
5. Number of ART Clients that interrupted Treatment
6. Viral load Suppression
7. Number of individuals receiving Pre-Exposure Prophylaxis
8. Number of persons provided with Post-Exposure prophylaxis
9. Proportion of clinically undernourished People Living with HIV (PLHIV) who received therapeutic or supplementary
food
10. Proportion of STI cases tested for HIV
11. Percentage of non-pregnant women in the reproductive age living with HIV on ART using a modern family planning
method
12. Proportion of patients enrolled in HIV Care who were screened for TB
13. Proportion of HIV positive women (15+) on ART screened for Cervical Ca
14. Number of individuals tested for Hepatitis
15. Proportion of diagnosed Hepatitis B and C patients who received treatment
HIV/AIDS and related Indicators…
To address complaints raised by the system users at various levels of the health system
and gap identified through LGA.
• Because of National & PEPFAR indicator changes in HIV/AIDS program
• To Incorporate new features data management changes in HIV/AIDS program
• Improve the role of care providers by providing patient level data for
completeness improvement and use of data for clinical care quality
improvement
• Initiate the involvement of patients on own care provision
Rationale for improving the existing EMR-ART…
• Personal information
• Family Index Case
Contacts
• Partner Index Case
Contacts
Post-Exposure Prophylaxis
Post-Exposure Prophylaxis:
• Exposed person information
• Exposure detail
• Exposed person follow-up
Pre-Exposure Prophylaxis
Pre-Exposure
Prophylaxis:
• Use to capture PrEP
data for FSW and
Discordant Couples
Treatment and Follow-up
Sub-functionalities under Treatment
and Follow-up :
• General
• Nutrition, Pregnancy & FP
• TB Screening, OI and Pain Management
• CTX preventive therapy & lab results
• ARV drugs/TO Management
• HIV prevention plan
• DSD
• Cervical Cancer
2 Three Months ARV In the three months ARV dispensing model, clients who are eligible but not willing to
Dispensing (3MMD) be enrolled in 6 MMD (ASM) will be appointed every three months for both clinical
visit and medication refill.
3 Fast Track ARV Drugs Refill Fast Track ARV drugs Refill (FTAR) is one of the facility based Differentiated Service
Model Delivery Models of HIV care where patients categorized as stable make clinical visit
once every six months but collect their medication every three months from
pharmacy.
4 Health Extension Professional Community ART refill groups (CAGs) are groups comprising of stable clients on ART
Managed Community ART living in the same community/locality that have a shared understanding. This model is
refill group (HEP_CAG) managed by health extension professionals (HEPs) who already have roles in HIV
testing and other HIV service provision as one of their packages.
Treatment and Follow-up: Different DSD Model
No DSD Model Type Description
5 Peer lead community based ART The peer led Community based ART distribution (PCAD) groups are groups of PLHIV comprising
distribution/Group (PCAD/G) of stable clients living in the same community/ locality. In PCAD, group members will take turns
to pick up ARVs at the health facility and distribute among the other group members in the
community.
6 Health care worker managed DSD DSD for adolescents has three core elements which include ART refill, clinical consultation and
Model for adolescent living with HIV psychosocial support. This model is coordinated by trained health care workers (HCWs), and
(DSD for ALHIV) regularly meet on weekends and share psychosocial supports.
7 DSD for key population (for In Ethiopia there are efforts to make public and private facilities KP friendly by building the
FSWs) capacity of providers and arranging service delivery approach to match their needs.
8 MCH _DSD Mothers living with HIV and their infants are important target population for differentiated
service model (DSD).
9 DSD for Adolescent DSD for adolescent is categorized under more intensive models assuming that most of
the adolescents require close follow up and adherence support.
10 DSD-Others
Treatment and Follow-up : Tracing
Facility Lab DC
Provider
P
o Runner
s
t
a
HMIS/DHIS2
Old
HMIS/DHIS2 from the drop-
down content (this form is
preserved to get previous
data)
Report and Analytics: DATIM
DATIM: Enables the users to
generate and export DATIM report
Report and Analytics Line list: Lost/Dropped
Lost
Status
Report and Analytics Line list: Lost/Dropped
Dropped
Status
Report and Analytics Line list: TX_CURR Report Analysis
Summary Report: Enable users
to generate Summary report with:-
• PreviousMonth Tx_Current • Traced Back
• To • Restart
• Lost • TI
• Drop • Newly Initiated
• Dead • CurrentMonth
• Not Updated Tx_Current
• Tx_Current Net
Increment
Report and Analytics: Cohort
Cohort:Enable users to
generate and export Cohort
report
Report and Analytics: Custom Report
Custom Report Enable users to
generate and export Custom report
Helps to :-
• To display clients’, follow up based
on their ART Start Date
• To display patient information
• To display clients last follow up
aggregate report grouped by
follow-up status
• To display custom report based on
filter criteria of “HIV Confirm
Date”
Data Quality
Defined as “fitness for use.”
• Data are fit for their intended uses in operations, decision making, and
planning.
• Data reflect real value or true performance.
• Data meet reasonable standards when checked against criteria for quality.
Dimensions of Data Quality
Accuracy
and
validity
Accessibilit
Reliability
y
Data
Quality
Completene Legibility
ss
Timeliness
Possible Reasons for poor data quality in HIV related information
Systems
• Completeness
• Consistency/Validation
• Deleted Duplication
EMR-ART System Implementation Status
Summary
Data entry validation thus improved data quality
Assisted Searching
Tracing
TO management and notification
Computations
Appointment/Scheduled Visit
Generates:
Aggregated report(HMIS, DATIM)
Line list report
Cohort report
Custom report
Get Started
Improved EMR-ART software
Get Started Improved EMR-ART System
Live Demo
Thank You!!!