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Table 4 Business use case, challenges, and outcomes after implementation of Health Information Mediator

From: One country's journey to interoperability: Tanzania's experience developing and implementing a national health information exchange

Business use case

Challenge

Organizations

Sending systems

Receiving systems

System benefits of HIM

Programmatic benefits

Improving access and visualization of data from specialized hospitals

It was difficult to get data from large hospitals, since they do not report through DHIS2. There was a need to track the performance in these hospitals on a regular basis, looking at hospital performance indicators, such as, bed occupancy, services delivered, deaths occurring, and revenue collected

Ocean Road Cancer Institute

HINAYA

HDR and dashboard

Currently, 5 hospital EMRs electronically submit data to the HDR. It is a central client level data repository with records from all hospitals

Regular analysis of key indicators such as bed occupancy, deaths, services delivered, revenue collected, clients exempted and reimbursements from insurance. This is helpful in generating analytic insights on hospital performance

  

Mirembe Mental Health Hospital

AfyaCare

   
  

Muungano Gateway Mbeya Zonal

Muungano Gateway

   
  

Referral Hospital Kibongoto

eMedical

   
  

Infectious Diseases Hospital

Care2x

   
  

Jakaya Kikwete Cardiac Institute

MEDPro

   
  

Muhimbili Orthopedic Institute

MEDPro

   
  

Muhimbili National Hospital

JEEVA

   

Ability to analyze commodity data (eLMIS) alongside service delivery data (DHIS2)

No systematic analysis of services delivered (dhis2) and commodities consumed (eLMIS)

MOHCDGEC

eLMIS HRHIS

DHIS2

Automated data exchange from eLMIS to dhis2 every month by facility

Provides an analytical tool for managers to allow routine analysis by health facility and districts

Sharing key health facility details and status from the Health Facility Registry (HFR) with other information systems

Health facility details are constantly changing, such as, status from open to close or change in type, etc. All other systems need to have a list of all operational facilities to ensure supply and receive reports, etc. Every update had to be manually managed for all systems

MOHCDGEC

HFR

DHIS2, eLMIS, VIMS, HRHIS

One-to-many connection. The HFR only needs to be updated once and all updates to other systems are send electronically via the HIM

Health facility updates made in HFR are electronically sent to DHIS2, Vaccine Information Management System, electronic Logistics Management Information System, or eLMIS, and others

Facilitating the exchange of health commodities stock status from Medical Store Department (MSD) Epicor 9 to eLMIS

Epicor 9 and eLMIS are commodity management systems, however, it was difficult to see stock availability at MSD using Epicor 9 in eLMIS

MSD

E9

eLMIS

 

Managers can easily use eLMIS and see of commodities are available at MSD to fulfill requests submitted by health facilities