Transcript 20130904_Project Work-in-Progress

“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…..
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Referrer data
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Rwandan Government Priorities
Anticipated Solution
Architecture...
Critical steps:
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Sender submits an sms with patient case details; structured format: ID patient no,
content
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The filter application makes verification actions i.e format rules
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The intermediary filter application re-shapes text sms’s into readable web based or
emails formats and sent to the operator/moderator.
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Moderator reads case details and decides the final decision or which specialist(s) most
appropriate to the case in question
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An automatic email sent to the specialist or sender
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Specialists logs in the server, reads the case history and provides a response to the
moderator and the sender
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Referrer reads response from the operator/moderator
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The referrer reports action being taken (transfer details)
Work-in-Progress…
Blue Binder
Checklist &
Bottlenecks...
Critical Control Factors:
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Field workers trained
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Professional buy-in
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Efficient moderator/playing a vital role/important factor
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Organizational set-up
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Create specific interests for the cause
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Impact measurements for the patient and health facilities (hospitals)
/demonstration of specific community interests
Work-in-Progress…
Blue Binder
Checklist &
Bottlenecks...
Benefits:
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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.
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Improve access to health care;
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Enhance the quality of service delivery;
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Improve the effectiveness of public health and primary care interventions;
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Improve the global shortage of health professionals through collaboration and training