OneHEALTH - CHITS

Electronic Health Records for Local Health Centers

Dr. Raymond SarmientoCoordinator for R&DUP Manila - National Telehealth Center

Overview

• Introduction to ONeHEALTH• ONeHEALTH vis-a-vis DOH F1 and

MDGs• OneHEALTH's 3Es• eRecords Features• Requirements• Next Steps

ONeHEALTH

• UP Manila's contribution to DOH Fourmula ONE Program– Good Governance– Health Financing– Service delivery– Health Regulation

• Millenium Development Goals– maternal and child health

OneHEALTH Components

• electronic health records (or eRecords)• eLearning• telemedicine (or eMedicine)

OneHEALTH eRecords

• Community Health Information Tracking System (CHITS)

• an open source, web-based patient tracking system custom designed for government health centers

• committed to comply with current and future DOH requirements (eg. FHSIS 2008, PHIC OPB reports, etc)

CHITS

• Developed by Dr. Herman Tolentino• Composed of the following parts

– infrastructure (hardware and network)– software– training and certification

CHITS Features

• Master patient index• Consult history• Special modules

– Maternal care– Child care (including EPI)– National Tuberculosis Programme– General services

• Generate reports required by FHSIS

Patient

Family

Barangay

Child Care

Maternal Care

Philhealth

Family Planning

Leprosy

Filariasis

Schisto

Overworked,underpaid, demoralizedgovernment

health worker

What quality of data will we get? Will it be good enough for decision making?

Vertical Programs Disintegrating at the Health Center Level

Benefits of CHITS

• faster record retrieval• less record loss• more efficient data entry/storage• data analysis/mining• helps with completeness• can streamline workflow• resource management• time management (appointment system)

Family

Barangay

Patient

DEMOGRAPHICSCONSULTS TODAY

CHITSCONSULTS TODAY

CHITS

Notifiable Diseases

Immunization

Maternal Care

Immunization

Child Care

DOTS

PhilHealth

Maternal Care

Immunization

Child Care

DOTS

PhilHealth

MODULESUSERINTERFACE

VERTICALPROGRAMS

Maternal and Child Health

Immunization

Notifiable Diseases

REPORTS

CORE MODULES

Integrating health information through data modeling and business process re-engineering

CHITS Requirements

• Infrastructure• Training and certification• Software

CHITS Components

• Infrastructure– 3 computers [P 50,000]– local networking [P 5000]– Internet connection [P 36,000 per year]

CHITS Components

• Training and Certification– 15,000 per 5 pax

CHITS Components

• Subscription– P 2000 per facility per month– includes back-up and restore services– email support– free updates

Costs

• First year: P 115,000 to 150,000 (depending on number of trainees)

• Subsequent year: P 60,000 (Internet and subscription)

More Benefits

• Data for decision making– Quick access to patient records– Integrated view for frontliners (TB,

vaccination, maternal care, etc) – Vertical view for program managers

• Especially PhilHealth (important for reimbursement and possible source of funds for sustainability)

Fig. 1: Consults Page

Registration page

SCREENSHOTS

Fig. 2: Patient Record

Individual Treatment Record

SCREENSHOTS

Fig. 3: NTP Module

National Tuberculosis Program

SCREENSHOTS

Fig. 4: Maternal Care Module

Maternal Care

SCREENSHOTS

Fig. 5: Child Care Development Module

Expanded Program on Immunization

SCREENSHOTS

Fig. 6: PhilHealth Module

PhilHealth

SCREENSHOTS

Fig. 7: Appointments Page

Appointments

SCREENSHOTS

Fig. 8: Appointment Per Patient

Appointments

SCREENSHOTS

Fig. 9: Daily Service Report

Standard Daily Reports

SCREENSHOTS

Fig. 10: EPI Weekly Monitoring Report

Special Program Reports (EPI)

SCREENSHOTS

Fig. 11: EPI Target Client List (TCL)

Target Client List

RHU/ CHITS

RHU/ CHITS

RHU/ CHITS

CHO/PHO

LCE DOH

CHITS Ideal Set-up

Pasay - 2004

Marikina - 2005

Alabat Island - 2006

Cavite, Zamboanga and Batanes - 2008

Capiz - 2007

CHITS is a Finalist in the 2006

Stockholm Challenge!!!

The only Filipino entry in the health category

www.stockholmchallenge.se

Next Steps:

Try out the demo at http://demo.chits.ph

Show your local health center/mayor the benefits of eHealth and/or telemedicine (and see if they would like to use CHITS)

Help them if they decide to proceed

Contact Info

Dr. Alvin B. Marcelo

CHITS Project Manager

National Telehealth Center

PGH, Taft Avenue, Manila

Tel: 525-6502

Email: alvin.marcelo@telehealth.ph

http://demo.chits.ph (user1/user1)

Salamat po!

Pangkaraniwang Araw sa Lagrosa Health Center, Pasay City