1. Gilbert UWAYEZU, Health informatics specialist. martuwagil@gmail.com MINISTRY OF HEALTH MINISTRY OF HEALTH E-Health in Rwanda

2. E-Health as a pillar for addressing healthcare challenges

3. Rwanda Health Enterprise Architecture Framework.

4. OpenMRS system in Rwanda

5. STACK OF DATA KEPT ON PAPER-FORMS: UNMANAGEABLE

6. Electronic patient registration (Musha Health Center)

7. Direct EMR Access

8. Some of the benefits that the system is offering are : Universal chart access, Easier compliance with chart requests, Improved external communication, Improved intra-office communication, Higher quality documentation, Built-in protocols and reminders, Improved medication management, Patient education and involvement. Automated reports needed at central level. Value Proposition

9. National EMR roll out is being led by Ministry of Health in collaboration with its partners so far 30 sites are using the system ( 17 sites in Eastern, 3 in Kigali city, 2 in south and 10 in North province). OpenMRS being open source system and is being used by other countries (more than 30) across the globe depending on their needs. It is planned that by the end of 2012 over 100 health centers and 20 hospitals will be using the system in their clinical practices. Geography / Location:

10. The EMR system is divided into 3 packages that support the management of different health programs : HIV Care package : VCT, PMTCT and HIV patients follow up and data management. Primary care package : Outpatient data management including billing, lab, pharmacy and other health center clinical services. Hospital package : In/outpatient data management including billing, lab, pharmacy, specialties, Administration, assets and other clinical services. Business Model

11. The system can be customized to fit in any health organization needs and having a group of programmers who got a good training that enabled them to work on advanced modules to fit in health facilities justifies system sustainability. The ministry of health is implementing the system in public health facilities and recommends private health facilities to follow the same so that the shared health records among all health entities in Rwanda can be possible. Business Model (Continued)

12. E-health department was created to oversee Health information systems development and implementations in health sector. There is a steering committee that meets every week and discuss e-health initiatives. E-health strategic plan was developed Standards and policies have been and are being developed to guide systems development and implementations for future systems interoperability. Strong teams that support the development, deployment and maintenance of health information systems. E-Health governance

13. MURAKOZE