Development and Implementation of a Diabetes Electronic Health Record in Ghana

2.50
Hdl Handle:
http://hdl.handle.net/10755/307976
Category:
Abstract
Type:
Presentation
Title:
Development and Implementation of a Diabetes Electronic Health Record in Ghana
Author(s):
Melkus, Gail D'Eramo; Kurth, Ann E.; Newlin Lew, Kelley; Amoah, Albert G.B.; Ogedegbe, Gbenga
Lead Author STTI Affiliation:
Non-member
Author Details:
Gail D'Eramo Melkus, EdD, C-NP, FAAN, gail.melkus@nyu.edu; Ann E. Kurth, PhD, RN, FAAN; Kelley Newlin Lew, DNSc, ARNP-C, CDE; Albert G.B. Amoah, MD, FRCPE, PhD; Gbenga Ogedegbe, MD, MS, MPH, FACP
Abstract:

Session presented on: Sunday, November 17, 2013

Purpose: To develop an electronic health record (EHR) for diabetes patients receiving care at the Ghana National Diabetes Center (NDC). An open-source EHR for the NDC with extensibility to clinics throughout Ghana, will provide significant benefit for diabetes management and research to improve prevention and care of diabetes, a growing source of morbidity and premature mortality in Ghana and other developing countries.

Methods: Leveraging expertise at the Korle Bu Hospital National Diabetes Center, NYU diabetes care and research experts worked collaboratively with Ghanaian diabetes experts to conduct a needs assessment for EHR development by observation of the clinical setting, medical records area, and laboratory data repository. Currently used data-gathering patient forms were reviewed, as were EHR elements used in diabetes management in Kenya and the US.  Specifications for the EHR were provided to the Ghanaian software developer.

Results:The laboratory database contained 3,886 of 5,000 patients. Clinic data consisted primarily of demographics, physiologic data from laboratory assays, and clinical anthropometric measurements. The IT team connected all hospital and NatiNDC laboratory auto-analyzers to a main data warehouse supported by a server with extensive back-up system. Programming of the EHR is now underway and we will report on implementation.

Conclusions: Current paper-based data gathering has not resulted in 100% of patient data being entered into the NDC database. An EHR will provide a mechanism for direct entry of clinical data thereby capturing all diabetes patients receiving care. The software platform, used on clinician laptops and whereby clinical visit data is exported and merged with laboratory data warehoused in a local server, is the first step in the EHR implementation. Once the process is further refined, e-connectivity established at the hospital, and NDC staff trained to implement the EHR, this open-source web-based tool can be extended to other diabetes clinics throughout Ghana/regionally.

Keywords:
workforce; research; Global health
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDevelopment and Implementation of a Diabetes Electronic Health Record in Ghanaen_GB
dc.contributor.authorMelkus, Gail D'Eramoen_GB
dc.contributor.authorKurth, Ann E.en_GB
dc.contributor.authorNewlin Lew, Kelleyen_GB
dc.contributor.authorAmoah, Albert G.B.en_GB
dc.contributor.authorOgedegbe, Gbengaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsGail D'Eramo Melkus, EdD, C-NP, FAAN, gail.melkus@nyu.edu; Ann E. Kurth, PhD, RN, FAAN; Kelley Newlin Lew, DNSc, ARNP-C, CDE; Albert G.B. Amoah, MD, FRCPE, PhD; Gbenga Ogedegbe, MD, MS, MPH, FACPen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307976-
dc.description.abstract<p>Session presented on: Sunday, November 17, 2013</p><i>Purpose</i>: To develop an electronic health record (EHR) for diabetes patients receiving care at the Ghana National Diabetes Center (NDC). An open-source EHR for the NDC with extensibility to clinics throughout Ghana, will provide significant benefit for diabetes management and research to improve prevention and care of diabetes, a growing source of morbidity and premature mortality in Ghana and other developing countries. <p class="Body1"><i>Methods</i>: Leveraging expertise at the Korle Bu Hospital National Diabetes Center, NYU diabetes care and research experts worked collaboratively with Ghanaian diabetes experts to conduct a needs assessment for EHR development by observation of the clinical setting, medical records area, and laboratory data repository. Currently used data-gathering patient forms were reviewed, as were EHR elements used in diabetes management in Kenya and the US.  Specifications for the EHR were provided to the Ghanaian software developer. <p class="Body1"><i>Results:</i>The laboratory database contained 3,886 of 5,000 patients. Clinic data consisted primarily of demographics, physiologic data from laboratory assays, and clinical anthropometric measurements. The IT team connected all hospital and NatiNDC laboratory auto-analyzers to a main data warehouse supported by a server with extensive back-up system. Programming of the EHR is now underway and we will report on implementation. <p><i>Conclusions:</i> Current paper-based data gathering has not resulted in 100% of patient data being entered into the NDC database. An EHR will provide a mechanism for direct entry of clinical data thereby capturing all diabetes patients receiving care. The software platform, used on clinician laptops and whereby clinical visit data is exported and merged with laboratory data warehoused in a local server, is the first step in the EHR implementation. Once the process is further refined, e-connectivity established at the hospital, and NDC staff trained to implement the EHR, this open-source web-based tool can be extended to other diabetes clinics throughout Ghana/regionally.en_GB
dc.subjectworkforceen_GB
dc.subjectresearchen_GB
dc.subjectGlobal healthen_GB
dc.date.available2013-12-19T17:24:54Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:54Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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