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DEVELOPING A GENERIC CLINICAL WORKFLOW TO GUIDE EMRS IMPLEMENTATION AT PUBLIC HEALTH FACILITIES IN KENYA

Fellow's Name: 
Samuel G. Kang’a
Fellows Track: 
Health Informatics
Fellows Cohort: 
Second Cohort

Based on the results of the countrywide EMRs review exercise the Ministries of Health (MoH) identified and recommended four EMRs for adoption and implementation at public health facilities in Kenya.

 The process of EMRs implementation calls for a need to identify and understand the clinical workflows at the respective health facilities to guide the EMRs implementation. Presence of diverse clinical workflows made it cumbersome to implement EMRs and called for a common point of reference.  This was made possible through assessment of the existing clinical workflows to identify their unique aspects and processes. The areas of convergence in the different workflows’ aspects and processes were then identified towards the realization of a generic clinical workflow that could guide EMRs implementation at health facilities at any level. As a result there will be reduced EMR implementation time, improved efficiency in clinical workflows and easy identification of the required skills from the EMRs end users and hence aid in skills audit.

 MoH identified 15 health facilities in collaboration with my host institution (I-TECH Kenya) that shall act as model sites for the implementation of the identified EMRs. During this process, the developed generic clinical workflow shall provide part of the guidance in the customization of the EMRs to the needs of the identified 15 health facilities and the implementation of the resultant system logic.