The AMPATH medical record system: Creating, implementing, and sustaining an electronic medical record system to support Hiv/AIDS care in western Kenya

William M. Tierney, Joseph K. Rotich, Terry J. Hannan, Abraham M. Siika, Paul Biondich, Burke W. Mamlin, Winstone M. Nyandiko, Sylvester Kimaiyo, Kara Wools-Kaloustian, John Sidle, Chrispinus Simiyu, Erika Kigotho, Beverly Musick, Joseph Mamlin, Robert Einterz

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Providing high-quality HIV/AIDS care requires high-quality, accessible data on individual patients and visits. These data can also drive strategic decision-making by health systems, national programs, and funding agencies. One major obstacle to HIV/AIDS care in developing countries is lack of electronic medical record systems (EMRs) to collect, manage, and report clinical data. In 2001, we implemented a simple primary care EMR at a rural health centre in western Kenya. This EMR evolved into a comprehensive, scalable system serving 19 urban and rural health centres. To date, the AMPATH Medical Record System contains 10 million observations from 400,000 visit records on 45,000 patients. Critical components include paper encounter forms for adults and children, technicians entering/managing data, and modules for patient registration, scheduling, encounters, clinical observations, setting user privileges, and a concept dictionary. Key outputs include patient summaries, care reminders, and reports for program management, operating ancillary services (e.g., tracing patients who fail to return for appointments), strategic planning (e.g., hiring health care providers and staff), reports to national AIDS programs and funding agencies, and research.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Pages372-376
Number of pages5
Volume129
StatePublished - 2007
Event12th World Congress on Medical Informatics, MEDINFO 2007 - Brisbane, QLD, Australia
Duration: Aug 20 2007Aug 24 2007

Other

Other12th World Congress on Medical Informatics, MEDINFO 2007
CountryAustralia
CityBrisbane, QLD
Period8/20/078/24/07

Keywords

  • acquired immunodeficiency syndrome
  • Africa south of the Sahara
  • developing countries
  • HIV
  • Kenya
  • medical record systems, computerized

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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  • Cite this

    Tierney, W. M., Rotich, J. K., Hannan, T. J., Siika, A. M., Biondich, P., Mamlin, B. W., Nyandiko, W. M., Kimaiyo, S., Wools-Kaloustian, K., Sidle, J., Simiyu, C., Kigotho, E., Musick, B., Mamlin, J., & Einterz, R. (2007). The AMPATH medical record system: Creating, implementing, and sustaining an electronic medical record system to support Hiv/AIDS care in western Kenya. In Studies in Health Technology and Informatics (Vol. 129, pp. 372-376)