2. 2
OpenClinic software
Integrated hospital information management
– Patient identification
– Patient administration
– Financial / health insurance management
– Health record management
– Paraclinical information (Lab, Imaging/PACS,
Physiotherapy)
– Pharmacy management
– Statistics & epidemiology
– Human resource management
– Asset management
3. 3
OpenClinic software (2)
Open technologies
– Java/jsp web application
– Multi operating system (Windows, Linux, Mac)
– Database independence (MS SQLServer,
MySQL, Oracle, Postgresql)
– Multi-webbrowser (Internet Explorer, Firefox,
Opera, Safari)
4. 4
OpenClinic software (3)
Open source licensing (no license fees)
Unlimited # users
Unlimited # patients
Unlimited # beds
Highly customizable to local requirements
– Regulations
– Documents
– Health system organisation
5. 5
OpenClinic implementations in
Rwanda
CHUK (Kigali)
– Hospital admissions & consultations
– Administrative and clinical procedures
Patient identification
Archiving
Invoicing
Medical record
– Patient tracking
Admission, discharge and transfer management
Electronic Agenda
– International standards based clinical encoding
Diagnoses: ICD10, ICPC2, KPGS
3BT clinical theasaurus
National Military Hospital of Kanombe (Kigali)
– Third level reference hospital (full implementation)
6. 6
OpenClinic in Rwanda (2)
District hospitals
– Full implementation coverage (functional analysis -> user
training)
– Sites
Rutongo
Nyamata
Kibagabaga
Muhima
Rwamagana
Gihundwe
Mental health
– Psychiatric reference hospital Ndera + 3 peripherical sites
– DSM-4 integration
7. 7
OpenClinic in Rwanda (3)
Private clinics / hospitals
– Polyclinique du Carrefour
– Polyclinique Bien Naître
– Polyclinique La Médicale
– Hôpital de la Croix du Sud
– Biomedical Center
Universities and training centers
– University of Rwanda, College of Medicine & Health Sciences
Rockefeller e-Health Center of Excellence
– Kigali Health Institute (KHI)
Master in Health Informatics
Rwanda Medical and Dental Council
– Identification of health professionals
8. 8
Kigali City Interhospital Network
Interconnects all OpenClinic based health facilities in
Kigali (OpenClinic datacenter based)
– Secure virtual private network
– Exchange of information
Patient related
Bed occupancy
Centralised clinical statistics
– Research and resource planning
– Integrating private health sector
– Integrating health insurances (RAMA)
9. 9
OpenClinic in DRC & Tanzania
RDC
– First OpenClinic project in 1990 in Dondo (vaccination
management in Northern Ubangi region)
– University teaching hospitals (EU-funded eb@le-
sante project)
• CHU Kinshasa
• CHU Lubumbashi
• CHU Kisangani
• HPGR Bukavu
Tanzania
– CCBRT Disability Hospital if Dar es Salaam
• Reference disability Hospital
10. 10
OpenClinic in Burundi
Centre Médico-Chirurgical de Kinindo (CMCK)
– Feasability test (2008)
– Complete implementation started in 2011
Military hospital of Kamenge (Bujumbura)
– Reference site
Clinique de l’oeuil
– Private ophtalmology clinic
CISNU
– United Nations Integrated Services medical center
Handicap International
– National Disability Center at Gitega
University Teaching Hospital of Kamenge
– Third level reference hospital
Clinique Prince Louis Rwagasore
– Third level reference hospital
11. 11
OpenClinic in Burundi (2)
Hôpital Prince Régent Charles
– Complete implementation (administration → clinical)
Hôpital Autonome de Ngozi
– Complete implementation (administration → clinical)
Hôpital de district de Muramvya
– Complete implementation (administration → clinical)
Hôpital de district de Kirundo
– Complete implementation (administration → clinical)
Hôpital de Ruyigi
– Private reference hospital
Hôpital KIRA
– Private reference hospital
12. 12
OpenClinic in Mali
National Agency of Telemedicine and Medical Informatics (ANTIM)
Association of ‘Médecins de campagne’ (AMC)
– 20 health centers
Health profession councils
– Physicians
– Pharmacists
– Nurses
– Midwives
University Teaching Hospital Gabriel Touré (Bamako, 2012)
University Ophtalmology Teaching Hospital IOTA (Bamako 2013)
National Centre for Blood Transfusion (CNTS)
– OpenClinic Blood Bank Edition
Provincial reference hospital of Ségou
District hospitals Commune 2,3 and 4 of Bamako
13. 13
OpenClinic in Ivory Coast, Senegal,
Congo Brazzaville and Gabon
Senegal
– University Teaching Hospital Aristide le Dantec (Dakar)
• LIMS implementation
– Centres de Santé de Référence (DH)
• Sokone + 2 Postes de Santé (HC)
• Foundiougne + 2 Postes de Santé (HC)
• Koungheul + 2 Postes de Santé (HC)
• Passy + 2 Postes de Santé (HC)
Congo Brazzaville
– ELIKIA private hospital
Gabon
– Occupational Health Clinic Mandji (Port Gentil)
14. 14
OpenClinic support network
Virtual Private Network
– Remote assistance (Kigali, Bujumbura, Belgium)
– Remote updates setup
– Information exchange (inter hospital networking)
– All OpenClinic sites connected via Internet
– Vital element
Quick response to intervention requests
Low cost (no traveling ex-pats involved)
15. 15
OpenClinic Datacenter edition
Central merging of health information from different sites (The
Global Health Barometer, http://www.globalhealthbarometer.net)
– Administrative
– Financial
– Medical / epidemiological
Centralized activity analysis, performance monitoring & reporting
– Mortality
– (Co)morbidity
– Cost of care, disease cost calculation
– Health insurance statistics
– Clinical activity monitoring
– Bed occupancy, workload
DHIS2 integration (DXF2 message format)