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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