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Implementation Plan for EMR Upgrades and Coordination Activities (2010-2011)

This document outlines the implementation plan for enhancing Electronic Medical Records (EMR) systems, focusing on roles, responsibilities, and timelines for various stakeholders. Starting January 2010, activities include reviewing conclusions and recommendations, suggesting an implementation timeline, identifying lead agencies, and addressing potential challenges. Key actions encompass workshops, evaluations, training, and regional sensitization initiatives to ensure EMR readiness at decentralized levels. The overall objective is to strengthen coordination and build human resource capacity for effective EMR utilization.

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Implementation Plan for EMR Upgrades and Coordination Activities (2010-2011)

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  1. Group 4 Members: Irene - DOD Marystella - FHI Winnie - EGPAF Steven - ITECH Tom – CDC

  2. To do • Review conclusions and recommendations and confirm if all activities have been captured in draft implementation plan. • How should the proposed functions be implemented? Serially or concurrently. • Suggest implementation timeline starting Jan 2010. • ID lead agencies to take up responsibilities for proposed activities. • Challenges that may hamper implementation of any of the activities • Additional comments

  3. Situation analysis for EMR • Inventory – completed • Mapping – completed. • Summary of basic specs – completed. • Drafting basic specs – lead agencies NASCOP/HMIS/HS20/20/I-TECH – Jan 2010 • Facilitate a workshop and finalize report – can be done concurrently Feb 2010 - NASCOP/HMIS/HS20/20/I-TECH

  4. Upgrade of EMR S/W, H/W, HRM, Clinical Care Processes • Analysis and development of plan for upgrade/new installation if necessary of existing ART/EMR – Start in Mar 2010 – NASCOP/HMIS/I-TECH/TWG. • Facilitate a w/shop to review upgrade plan – Mar-Apr 2010 – NASCOP/HMIS/ITECH/HS2020 • Finalize and submit EMR eval. report… - Apr 2010 – May 2010 • Facilitate upgrade… - May – Oct 2010 – ITECH/NASCOP/HMIS

  5. Upgrade of EMR S/W, H/W, HRM, Clinical Care Processes • Facilitate w/shop to review stds – Mar-Apr 2010 • Facilitate a w/shop to adapt HRM processes… - May – Oct 2010 (due to gaps identified) – NASCOP/HMIS/ITECH/HS2020 Assumptions and remarks: Due to lack of specific work activities, broad gestimatesesp on time have been made. Due to multiple systems, the support mechanisms esp from a central gov agency will have to be thought out very clearly.

  6. Upgrade of EMR S/W, H/W, HRM, Clinical Care Processes • Facilitate a w/shop to develop mechanism for alignment… - (clinical should be reviewed in concurrence with set EMR stds) – change the activity to read “alignment of EMR stds with GCP or clinical care procedures” – Jan – Feb 2010 – NASCOP/HMIS/KMA/ART-Tech Team • Facilitate a w/shop to review HR… - integrated with bullet 5

  7. Strengthening EMR Coordination • Facilitate TC meetings… - Feb 2010 (should happen before stakeholders meeting) • Facilitate a w/shop to draft nat policy… - engage a consultant to draft this policy that should be then be reviewed in a w/shop. – Apr – Jun 2010 • Facilitate a nat stakeholder w/shop… - Feb 2010 – NASCOP/HMIS/HS2020/ITECH

  8. Strengthening EMR Coordination • Est multi-sectoral… - Now! (Nov 2009) – HIS/NASCOP • Facilitate a formal… - Jan 2010 (ensure guidelines are ready) – ITECH/NASCOP/HIS/HS2020

  9. EMR Readiness for Decentralized Levels • Facilitate regional sensitization… - Oct – Nov 2010 – HIS/ITECH/NASCOP • Facilitate regional w/shops to develop plans… - Oct – Nov 2010 (should be combined with above) • Facilitate annual regional w/shops to review progress… - Oct 2011 – NASCOP/HIS/Partners • Facilitate district planning w/shop for change… Oct-Nov 2010 – PASCO/HIS/ITECH/P/DHMT/partners

  10. EMR Readiness for Decentralized Levels • Facilitate procurement for EMR as per…- there should be a clearly stated activity for assessment of infrastructure readiness – should start as soon as EMR standards are approved. • Facilitate site based planning… - Nov 2010 – HIS/ITECH/p/dHMT/partners • Facilitate quarterly district meetings…- integrate into quarterly meetings – dHMTs/partners

  11. Human Resource Capacity Building • Evaluation of national training curricula…- Jan 2010, ITECH/HS2020 • Facilitate a w/shop…-Apr 2010 – MOMS, MOPHS/ITECH/HS2020 • Develop EMR procedures… - Start May 2010 - Nov 2010 – ITECH/HIS/HS2020 • Facilitate consultation w/shop…- Nov 2010 – HIS/ITECH/HS2020 • Finalize and print EMR…- Jan-Feb 2011

  12. Human Resource Capacity Building • Upgrade, pre-test…- Mar 2011 HIS/ITECH • Develop user/health…- Jan-Feb 2011 – HIS/ITECH • Facilitate consultation w/shop…- Jan-Feb 2011 – HIS/ITECH/HS2020 • Finalize and print EMR…- Mar-Apr 2011 – HIS/ITECH/NASCOP/HS2020 • Train TOTs on EMR…- May-Jul 2011 – ITECH/HIS/HS2020

  13. Human Resource Capacity Building • Facilitate refresher training… - after annual progress review 2011 – Nov d/pHMTs/Partners/ITECH/HIS/NASCOP • Facilitate quarterly mentorship…- continuous • Facilitate EMR initial training – should happen after TOT training in May-Aug 2011 • Facilitate monthly mentorship…- continuous process

  14. EMR Supervision and Performance Audits • Development and pre-test…- should also be integrated into already existing supervisory structures • Conduct DHMT/PHMT…-

  15. Challenges • Time estimation without very clear and specific WBS. • Assigning very specific roles and responsibilities – we are doing that now, but there also needs to be a clear coordinating mechanism. • Format of the draft implementation plan as categorized by function makes it difficult to plan – should preferably done in MS Project or OWB • What should the END DATE be?

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