mhis – port elizabeth a collaborative project to extend health information to the point of care
TRANSCRIPT
Mobile Health Information System
1. identify need
2. identify content to meet need
3. identify delivery device
4. identify delivery service
5. train users
6. train support system
7. evaluate impact
does access to quality health and medical information at the point of care improve practice?
can we make the provision of quality information at the point of care affordable, accessible and relevant?
do cell phones provide a viable option for the delivery of content for use at the point of care ?
will nurses use information on a cell phone to improve their work?
Study questions:
Put a mobile library of local and international content on a cell phone and update that content regularly; allow nurses to access other content via the web and email; cap monthly usage (costs).
Needs assessment conducted – over 700 responses – top issues:
• extreme multiple drug resistant tuberculosis (TB) (76.4%)
• HIV/AIDS (72.8%)
• multiple drug resistant TB (72.1%)
• ARV (71.2%)
• PMTCT (53%)
• non-communicable diseases/ chronic diseases of lifestyle (52.2%)
• STIs (43.4%), Malaria (42.6%), public health legislation (40.4%)
• Clinical content identified, packaged (GUIDE)
• 50 PEHC nurses trained
• IT dept staff trained
• Refresher training
• Tech/User Support - 3-tier model (peer-to-peer, - weekly meetings, IT support, MTN and ADE-SATELLIFE)
Evaluation(Conducted by NMMU, Nursing Sciences Department – Dr. Ricks et al)
0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%
Internet Explorer
MS Outlook
MS Power Point
MS Excel
Note Pad
Yes
No
No response
73% of nurses aged 45-60 years
68% with little or no computer training
89% reported improved nursing practice through information access
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
Update knowledge on patient
care
Provide relevant
information to patients
Provide up to date
information to patients
Provide correct
information to patients
Empower patients
with knowledge
of illness
Enhance knowledge of drug side
effects
Yes
No
No Response
0%
10%
20%
30%
40%
50%
60%
Essential drug list
Eastern Cape Disease Directory
Standard treatment guidelines
Medical calculator
81% found it extremely easy to easy to find and read content on the mobile device
cost elements:
smart phoneair timetrainingcontent conversionlocal server and internet access
evaluationprogram management
100% will continue to use cell phone post project92% said it was helpful to carry the phone to access content while at work92% would be willing to buy their own phone 82% felt their practice improved
Partners:
• AED-SATELLIFE
• Port Elizabeth Hospital Complex
• South Africa Partners
• Qualcomm
• Department of Health for the Eastern Cape
• Nelson Mandela Metropolitan University
• MTN-South Africa
Health care workers want and use content to improve decision making
Cell phones are viable delivery tools and the cell network can deliver customized content
Next Steps:
1. Expand to the full province2. Use cell phones to collect data and provide continuing
education, job aids and reference tools