Introduction to knowledge management in healthcare ... - GHDonline

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6 Νοε 2013 (πριν από 3 χρόνια και 9 μήνες)

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“SMS BASED, PATIENT
REFERRAL SYSTEM”


Enock

Rukundo

Project

Stretch

goal

Kigali

Health

Institute

(KHI)

Kigali,

Rwanda




Project Background…short story!

My Dad and 6
transfers..

Purpose driven goal…)


My poor Dad received 6 different medical transfers



From the HC


To the District Hospital


Then Provincial Hospital


To the Military Hospital


The Referral Hospital


To the High
-
level Private Hospital (Rich..)


And finally to the Military Hospital again (Mutual de Santé support laboratory exams).

Problem Statement...

Under

Construction

..


Referrer

data



Rwandan

Government

Priorities


Anticipated Solution
Architecture...

Critical

steps
:



Sender

submits

an

sms

with

patient

case

details
;

structured

format
:

ID

patient

no,

content


The

filter

application

makes

verification

actions

i
.
e

format

rules


The

intermediary

filter

application

re
-
shapes

text

sms’s

into

readable

web

based

or

emails

formats

and

sent

to

the

operator/moderator
.


Moderator

reads

case

details

and

decides

the

final

decision

or

which

specialist(s)

most

appropriate

to

the

case

in

question



An

automatic

email

sent

to

the

specialist

or

sender


Specialists

logs

in

the

server,

reads

the

case

history

and

provides

a

response

to

the

moderator

and

the

sender



Referrer

reads

response

from

the

operator/moderator


The

referrer

reports

action

being

taken

(transfer

details)




Work
-
in
-
Progress…

Critical Control Factors:



Field workers trained


Professional buy
-
in


Efficient moderator/playing a vital role/important factor


Organizational set
-
up


Create specific interests for the cause


Impact measurements for the patient and health facilities (hospitals)
/demonstration of specific community interests








Blue Binder
Checklist &
Bottlenecks...






Work
-
in
-
Progress…

Benefits:



First and foremost this referral system is a network of people who trust each other and
want to collaborate, capacity building and social engineering are thus very important.


Improve access to health care;


Enhance the quality of service delivery;


Improve the effectiveness of public health and primary care interventions;


Improve the global shortage of health professionals through collaboration and training








Blue Binder
Checklist &
Bottlenecks...