Introduction to knowledge management in healthcare ... - GHDonline

“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...