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Goals for CDSS 2011

  1. Continue supporting the existing implementations of decision support systems at AMPATH HIV sites.
  2. Complete the roll-out of the decision support functionality to the remaining AMPATH HIV clinics.
  3. Offer decision support services to other patient categories, including HIV-negative children, TB patients, and patients with diabetes and hypertension.
    1. pMTCT summary
      • We need to find out what kind of forms they are using to capture the data - Ali currently working on them.  In the meantime, we will use adult initial and adult return
      • [ ] In the future, we might have to restrict generation by particular responses within the trigger encounter forms - but this is very low priority.
    2. TB summary
    3. Primary care summary (maybe)
  4. How to we harmonize our templates (BIG JOB)
    • We think XML is not a good approach
    • We need a page to design the templates itself
    • Potentially moving away from the XML templating mechanism
    • This is our biggest challenge right now.  Most of the summaries elements are either:
      • Individual value (concepts, patient attributes)
      • List (chronological)
      • Flowsheet (not necessarily chronological)
    • [ ] Win needs to learn drag and drop technologies
  5. ACCOMODATE NEW LOGIC MODULE CHANGES - Win
  6. Make available real-time display of patient data, through a flowsheet module, for sites that have access to a computer and the central server - Burke/Martin
  7. Expand our ability to offer summaries with reminders on mobile devices (smart-phones and tablets).  This is becoming more relevant as we use community health workers - Yaw / Win / Martin
  8. Improve compliance to decision support-generated care recommendations by making it easier for providers to implement these recommendations - Yaw / Win / Martin (IMPORTANT)
  9. Creating a module where information entered is triaged by a data person - e.g. changes to drugs and changes to problem list
  10. Support oversight functions and task-shifting at clinic and provider levels by making available aggregated sets of care suggestions to relevant providers and supervisors.  As an example, we intend to provide community health workers with a list of patients who have not appeared to clinic for follow-up, give clinic supervisors a sense of how their clinic are performing in terms of quality of care, and offer them the opportunity to correct any identified areas of care deficiency
  11. Prioritizing reminder
  12. Stopping reminders after a certain number of times.
    1. Need to capture when the reminder is triggered
    2. Need to specify for how many encounter a reminder life will be
  13. Figure out how best to use and develop the logging module