Presentation on theme: "“ INITIAL FINDINGS: Faster Response to MDR-TB through GxAlert"— Presentation transcript:
1 “ INITIAL FINDINGS: Faster Response to MDR-TB through GxAlert Cepheid has made possible what has never been possible before in TB…real time national-scale insight into the results, errors, and logistics. This is an amazing advance. That we find inefficiencies in our processes is neither surprising nor a deterrent. It is an expected and natural evolution of discovery. The future looks like better patient results, faster diagnosis and faster treatment, and more efficient use of funds and logistics.INITIAL FINDINGS:Faster Response to MDR-TB through GxAlert15-18 April 20135th Global Laboratory Initiative (GLI) Partners MtgLes Pensieres, Veyrier-du-Lac, FrancePresented by: Jeff Takle, Director of Innovations
2 Special Acknowledgements NTBLCP NigeriaKNCV / TBCAREWHODOD NigeriaMSHCepheid
3 What is GxAlert? Per Device Costs USB modem $20 SIM $4 Data/yr ~$5-$10/yrSecure the data (as appropriate)VPN/yr $5Antivirus, $0-$20/yrFirewall, $0Disk encryption, $50-$100Insert movie, lasts 1m46sSaw aReturn on Investmentin the first 2 weeks(see spoilage report)
4 The Objectives of GxAlert Slow the spread of MDR-TB byGetting the MDR patient into treatment faster Get the right drugs to patients faster. Refer patients to the right facilities. Reduce transmission.Improving data qualitySpeeding up reportingCreating real-time disease surveillance
5 One of the GxAlerts… MTB+ Rif Resistant National TB Program Core details“Trigger”Diagnosis isMTB+ Rif ResistantGxAlert: New Rif+ NIMR Lagos Apr 8, 12:39pm. Initiate recruitment process. Expect call from State Coord. Move quickly, save lives!National TB ProgramGxAlert: New Rif+ NIMR Apr 8, 12:39pm. Get biodata from Facility. Call NTP ASAP. Recruit patient w/in 24hrs to improve their chances!Emotional appealState Control OfficerGxAlert: New Rif+ Patient. Apr 8, 12:39pm. Call State ASAP to inform w/patient biodata. Get patient to recruitment w/in 24hrs to improve their chances!Call to actionLab Manager
6 MOH Can Forecast Cartridge Needs By Observing Consumption Trends Avg. # tests/yrper device438Avg. Utilizationper device18%Est. Overpurchasein Year 1-$103,114
7 MOH Can Better Allocate Inventory By Monitoring Cartridge Expirations Avg Mo. Useful Life Left2 ½Kuje GH is doing the best at managing their aging inventory…how?
8 MOH Can Identify Malfunctions Earlier and Reduce Patient Re-visits Number of Error Results, by ModuleA serious outlierPossible alert thresholdError Codes
9 MOH Can Set Thresholds for Errors: Above = Alert to Supervisor Focus attention where needed mostOpportunity to identify “best practices”Possible alert threshold
10 Partnership ModelGxAlert isn’t a parallel system; it connects the data in existing systems faster, cheaper, with better qualityeTB Manager – Already compatible w/GxAlertOpenMRS – In progressWHO data collection tool – In progressGitHub site – Complete
11 What About Security? Data at rest Data in transit GxAlert Servers Norton360 anti-virus & firewallSymantec Whole Disk EncryptionData in transitGlo VPN and APN at the SIM card levelHamachi VPN at the machine levelGxAlert ServersAmazon GovCloud, FISMA Moderate and HIPAA compliant.Secure API
12 At What Stage Is GxAlert? Going to national scale in Nigeria. Covers 25% of Nigeria GeneXperts as of April 17, Covering 80% by June. (DOD)Collecting data and evidence, sending SMS text alerts, data-driven insights to the National TB Program4 countries in very early stages of adoptionBeginning to integrate PL-HIV systems, OpenMRS, othersCost model proven/proving – will be made available onSecurity model proven – documentation on
13 Better patient treatment Faster response to MDR-TB More efficient TB logisticsPrepared by:Martha BenezetJeff TakleDownload slide
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