medical records for haiti

Partners in Health worked to create Open MRS, an open-source, medical record database designed specifically for the two-thirds world. This program was developed keeping in mind a preferential option for the poor for medical record keeping and medical care, but furthermore, in order to assist in providing accountability for the sake of receiving PEPFAR grants and so on; most clinics and hospitals in Africa are using Open MRS, keeping several million people in the system. So far in Haiti, Partners in Health uses it, and so does Hospital Albert Schweitzer. Being that the Gates Foundation expects its grant recipients to be run like little businesses: data matters, and Open MRS has helped to provide this sort of accountability.

In Haiti, prevention and treatment of HIV/AIDS demands efficient information management, so at my hospital near Miragoane, we are using Open MRS. Today I worked with the President of our Board, Dr. Tom, to discuss ways of making it most efficacious, based upon what we need to track. I suggested that we add a field for how people arrive to the hospital. Basically, - fast donkey or slow donkey? Knowing that paper is a problem in Haiti, I told Dr. Tom that Open MRS is a necessity because we are going to be treating and saving more lives than exist in Haiti pieces of paper. He reminded me that this record keeping is something we must keep in the back of our minds, not in the forefront. When a child is dying of beri-beri in front of me because of a vitamin B deficiency, I need not be yelling at the doctors about getting on their lap tops to log this in. Charting the CD4 counts on women in our HIV / AIDS program will always be secondary to providing care.

Theresa Patterson, my boss, has been very excited about tonight because on "60 Minutes" her friend- - and the founder of Partners in Health, Paul Farmer, was featured for his work in Haiti.