Bahmni - an open source hospital system

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This document discusses Bahmni, an open source hospital management system. It describes implementations of Bahmni at JSS Hospital in Bilaspur which serves 800,000 people from 2500 villages with 70 beds and 150-200 healthcare workers. The origin and challenges of Bahmni are discussed. The first deployment at JSS Hospital in June 2013 and the story of issues with a slow machine are described. Additional implementations at SEARCH in Gadchiroli which serves 25,000 patients per year are also summarized along with learnings from deployments.

Logiciels

AN OPEN SOURCE
HOSPITAL SYSTEM
Gurpreet Luthra - Community Lead (Bahmni)
1
_zenx_

JSS, BILASPUR
4
http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

JSS, BILASPUR
5http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

• 70 Beds
• Two Operating Theatres
• Fully equipped Lab
• 300 patients for OPD
• 800,000 people from 2500 villages
• 150 - 200 health care workers
• 10 doctors
• 3 day waiting period!
6
JSS, BILASPUR

JSS, BILASPUR
7http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/
7

CHALLENGES
9
9
• On-site BAs
• Internet for Deployment?
• Agile without Showcases?
• Software as a bottleneck?
• What if the system breaks down?
Backup?
• UX Challenges
• Low Cost Devices
• Training people who have never
operated a computer

FIRST DEPLOYMENT AT JSS (JUNE-2013)
10
10

THE STORY OF THE
SLOW MACHINE
A true story of an incident that occurred at JSS
11

JSS, BILASPUR
16
VIDEO: https://www.dropbox.com/s/p3a7nevlnjjixj8/
Amplifying_our_Impact_JSS_1080%20.mov?dl=0

UPCOMING FEATURES IN BAHMNI
17
• Oﬄine Application for CHW
• Ansible based installer
• Decision Support System
• Implementers UI / Form Designer
• Reporting Tool
• Upgrades for Security
http://tiny.cc/bahmni-roadmap

HOW CAN YOU HELP?
21
Finding a local customer
Help Answer FAQ/IRC Chat
Improve documentation
Write / review blogs, and stories
Create demos / Videos
Participate in Design Process
Evaluate and Provide feedback on Bahmni
Perform Security Assessment
Contribute to OpenMRS
Contribute to Bahmni (Warning! Its not easy)
Help Drive Adoption Help Improve Quality
Help Build Bahmni

OSCI / GLOBAL HEALTH
22
https://www.thoughtworks.com/insights/blog/team-bahmni-openmrs-worldwide-summit-2015
INTERMISSION

SEARCH, GADCHIROLI
29
• Dr Abhay Bang and his wife
Dr Rani Bang
• Dec 1985
• 50% drop in Infant Mortality
Rate
• Masters in Public Health
from John Hopkins
University

SEARCH, GADCHIROLI
30
• S.E.A.R.C.H: Society for Education, Action and Research in
Community Health
• 25,000 patients each year
• 20 bed indoor facility
• 450+ surgeries each year (special camps)

SEARCH, GADCHIROLI
31
• Excel Based Registration
since 2011
• 65000 rows
• Research
• Study & Control Areas
• Surveys

KRISHNA FONT
33
https://github.com/Bhamni/bahmni-java-utils/blob/master/font-transformer/src/test/java/org/bahmni/fonttransform/KrishnaFontTransformerTest.java

35
SEARCH - DEPLOYMENT CHALLENGES
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?
• LAN / Electricity Issues

36
LEARNINGS
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?
• Local YUM Repo
• Carry QA Database
• Scripts for one click Backup and Deploy
• Infra skills
• EasyNetMonitor
• Local Language support (non-trivial)
• Phased Rollouts (for validation)
• Carry everything! (keyboards, extension chords,
network cables, stickies, boards, etc)

37
LEARNINGS
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?
• Real System, Real Feedback
• Team Viewer
• Migrations on SSD / Vagrant
• Single view of system status
• Daily Diary
• Local Stackoverﬂow??
• Training/Backup Laptop
• Games for Learning Computers
• Pay attention to Reports
• Need for Oﬄine support

38
A HAPPY DAY!
• Krishna Font to Unicode Errors
• Linux !?
• Backups !?
• 32 bit machine?
• Remote Support?
THANK YOU

39
RELATED LINKS
• http://bahmni.org
• https://bahmni.atlassian.net/wiki/display/BAH/Presentations
• http://medium.com/bahmni-blog
• https://talk.openmrs.org/c/software/bahmni
• https://www.thoughtworks.com/insights/blog/dr-prakash-amtes-
lok-biradari-brotherhood-people
• https://www.thoughtworks.com/global-health
• https://www.thoughtworks.com/insights/serving-the-social-sector

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Bahmni - an open source hospital system

1. AN OPEN SOURCE HOSPITAL SYSTEM Gurpreet Luthra - Community Lead (Bahmni) 1 _zenx_

2. 2http://bahmni.org

3. IMPLEMENTATIONS 3

4. JSS, BILASPUR 4 http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

5. JSS, BILASPUR 5http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

6. • 70 Beds • Two Operating Theatres • Fully equipped Lab • 300 patients for OPD • 800,000 people from 2500 villages • 150 - 200 health care workers • 10 doctors • 3 day waiting period! 6 JSS, BILASPUR

7. JSS, BILASPUR 7http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/ 7

8. THE ORIGIN OF BAHMNI 8 OCT 2012

9. CHALLENGES 9 9 • On-site BAs • Internet for Deployment? • Agile without Showcases? • Software as a bottleneck? • What if the system breaks down? Backup? • UX Challenges • Low Cost Devices • Training people who have never operated a computer

10. FIRST DEPLOYMENT AT JSS (JUNE-2013) 10 10

11. THE STORY OF THE SLOW MACHINE A true story of an incident that occurred at JSS 11

12. SCREENSHOTS 12

13. SCREENSHOTS 13

14. SCREENSHOTS 14

15. ` 15

16. JSS, BILASPUR 16 VIDEO: https://www.dropbox.com/s/p3a7nevlnjjixj8/ Amplifying_our_Impact_JSS_1080%20.mov?dl=0

17. UPCOMING FEATURES IN BAHMNI 17 • Oﬄine Application for CHW • Ansible based installer • Decision Support System • Implementers UI / Form Designer • Reporting Tool • Upgrades for Security http://tiny.cc/bahmni-roadmap

18. BAHMNI ECOSYSTEM 18

19. BAHMNI WIKI 19

20. ONLINE FORUMS AND IRC CHANNEL 20

21. HOW CAN YOU HELP? 21 Finding a local customer Help Answer FAQ/IRC Chat Improve documentation Write / review blogs, and stories Create demos / Videos Participate in Design Process Evaluate and Provide feedback on Bahmni Perform Security Assessment Contribute to OpenMRS Contribute to Bahmni (Warning! Its not easy) Help Drive Adoption Help Improve Quality Help Build Bahmni

22. OSCI / GLOBAL HEALTH 22 https://www.thoughtworks.com/insights/blog/team-bahmni-openmrs-worldwide-summit-2015 INTERMISSION

23. SEARCH, GADCHIROLI 23

24. SEARCH, GADCHIROLI 24

25. SEARCH, GADCHIROLI 25

26. SEARCH, GADCHIROLI 26

27. SEARCH, GADCHIROLI 27

28. SEARCH, GADCHIROLI 28

29. SEARCH, GADCHIROLI 29 • Dr Abhay Bang and his wife Dr Rani Bang • Dec 1985 • 50% drop in Infant Mortality Rate • Masters in Public Health from John Hopkins University

30. SEARCH, GADCHIROLI 30 • S.E.A.R.C.H: Society for Education, Action and Research in Community Health • 25,000 patients each year • 20 bed indoor facility • 450+ surgeries each year (special camps)

31. SEARCH, GADCHIROLI 31 • Excel Based Registration since 2011 • 65000 rows • Research • Study & Control Areas • Surveys

32. KRISHNA FONT 32 Chitra िचत्रा fpRzk

33. KRISHNA FONT 33 https://github.com/Bhamni/bahmni-java-utils/blob/master/font-transformer/src/test/java/org/bahmni/fonttransform/KrishnaFontTransformerTest.java

34. 34 SEARCH - 20 DAY DEPLOYMENT

35. 35 SEARCH - DEPLOYMENT CHALLENGES • Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support? • LAN / Electricity Issues

36. 36 LEARNINGS • Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support? • Local YUM Repo • Carry QA Database • Scripts for one click Backup and Deploy • Infra skills • EasyNetMonitor • Local Language support (non-trivial) • Phased Rollouts (for validation) • Carry everything! (keyboards, extension chords, network cables, stickies, boards, etc)

37. 37 LEARNINGS • Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support? • Real System, Real Feedback • Team Viewer • Migrations on SSD / Vagrant • Single view of system status • Daily Diary • Local Stackoverﬂow?? • Training/Backup Laptop • Games for Learning Computers • Pay attention to Reports • Need for Oﬄine support

38. 38 A HAPPY DAY! • Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support? THANK YOU

39. 39 RELATED LINKS • http://bahmni.org • https://bahmni.atlassian.net/wiki/display/BAH/Presentations • http://medium.com/bahmni-blog • https://talk.openmrs.org/c/software/bahmni • https://www.thoughtworks.com/insights/blog/dr-prakash-amtes- lok-biradari-brotherhood-people • https://www.thoughtworks.com/global-health • https://www.thoughtworks.com/insights/serving-the-social-sector

Bahmni - an open source hospital system

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