“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...
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