1. Towards an effective eHealth in Kenya: Evolving role of Public Health Partnerships in the Tele-Health Revolution Steven Wanyee, MSc

2. I-TECH International Training and Education Centre for Health I-TECH – a collaboration between the University of Washington and University of California, San Francisco I-TECH Kenya established in 2009 Providing support for the Health Information Systems activities in Kenya –including EMR and LIS Implementations Technical Assistance / Support with the aim of building in-country capacity –Strengthening capacity of MOH and partners to collect, manage exchange and use health data

3. I-TECH SCOPE OF WORK Development of HIS standards and guidelines EMR system implementations and upgrade Laboratory Information System implementations Capacity building and training

4. I-TECH SCOPE OF WORK Standards-based Interoperability of health information systems Collaborative Development of a gender-based violence information system ( National Unique Patient Identifiers (NUPI) - +ve patient ID for Continuity of Care Data Quality and Patient Monitoring –RDQA, data use initiatives

5. REGIONS OF OPERATIONS CentralNorth RiftNyanzaWestern KiambuBaringoHoma bayBungoma NyeriWest PokotKisiiBusia Murang’aNandiKisumuKakamega KirinyangaTrans NzoiaMigoriVihiga NyandaruaTurkanaNyamira Uasin GishuSiaya Elgeyo Marakwet

6. HIGH HIV BURDEN COUNTIES Nairobi Homabay Kisumu Siaya Migori Nakuru Kisii Kakamega Mombasa Kiambu Turkana Muranga Machakos Bungoma Uasin Gishu Bomet Kilifi TransNzoia Kericho

7. KENYAEMR IMPLEMENTATION PROGRESS 208 POC implementations 133 RDE implementations 341 KenyaEMR Implementations  We were mandated to implement 300 EMRs by September 2014  The BIG question is, will these 341 EMR implementations result to Improved patient care, improved quality, improved reporting etc?

8. KENYAEMR IMPLEMENTATIONS ACROSS REGIONS (N=341) KenyaEMR Implementations Nyanza (n=131) Western (n=82) Central (n=48) Rift-Valley (n=80)

9. http://demo.kenyaemr.org:8080/openmrs/login.htm

10. KenyaLISe - http://54.191.189.60:8080/KenyaOpenElis/LoginPage.do

11. KenyaLISb - https://54.201.196.142/blis-kenya/htdocs/login.php?prompt

12. How to get Involved Local professional Association – KeHIA www.kehia.org Open source Electronic Medical Records System – OpenMRS Kenya Community - https://talk.openmrs.org/c/local/kenya Open source Lab Information System I-TECH Kenya

13. After EMR & LIS implementations, After training and mentorship on system use & navigations, After legacy data migration …….…………........ WHAT NEXT?

14. WHAT NEXT………………………………….  Institutionalization of capacity through continued OJTs and mentorships  Data quality assurance, data quality control  Meaningful use of data  Improved reporting  Improved patient care & management

15. COLLABORATING WITH OTHER MOH AND PARNERS –EMR & LIS Readiness Assessments –Data reconstruction –Data migration –Security upgrades –Regional TWG meeting –Routine Data Quality Assessments –Mentorships and capacity institutionalization

16. ALL THESE ARE KEY BUILDING BLOCKS FOR THE REVOLUTION + KEY BACKBONE…

17. HIE Architecture

18. Interop-Detail

19. Interop-High Level

20. Revolution with IMPACT! Revolutions are great, but; 1.Need sound & solid leadership with a PLAN 2.Need awareness, inclusivity & Responsiveness 3.Need learning and adaptation

21. THANKS