Business Strategy Elements
Organizational Strategy Elements
Information Strategy Elements
Ministry of Health governed the public health systems
AID/HIV is the leading cause of death in Uganda
Less than 10% of Ugandans have access to electricity
60% of population sought care from spiritual or herbal healers
Fragmented Humanitarian aid was the primary source of health care
Most healthcare facilities did not have access to computers, electricity or personnel with proficiency of computer use
Underreporting was common
Private and Public health facilities were responsible for collecting the data
Mosoriot Medical Records System
68% of facilities reported to the MOH on time
Most health care facilities recorded patient medical records, history on paper
AMPATH Medical Records System
Dr Bosco 500 Paper Patient Files spreadsheet
PIH-EMR and AMRS work together to build better program
In 2004 launch of OpenMRS-Open source, minimal programming skills
Pepfar Funding
ART begins offering free treatment
Real time online chat Internet Relay Chat (IRC)
None of the facility physicians were trained specifically in HIV/AIDS
Three medical officers left ISS clinics for other facilities
Clinicians relied on medical records to prescribe care
Impacts between the elements:
All of the factors were a major impact on the failure of an electronic medical records system. Many related to the limited resources in Uganda affected the Technology, Business and operation strategy which continuously challenged the implementation. The challenges faced were difficult and caused staff to seek other employment or stay. The constant change in software and staff made it difficult for the program to develop and provide the necessary data to better assist these patiemts.
Industry Strategy Elements
Industry Organizational Strategy Elements
Industry IT Strategy Elements
Too collect patient data for research and