Mammoth system. Mammoth Challenges.
Building this huge system meant grappling with a huge patient base, complex moving parts, diverse systems and a plethora of vendors. How did we tackle these challenges?
#1 Developed a Shared Vision with Collaboration
The Thoughtworks team collaborated with numerous application vendors, departments of the Ministry of Health and medical facilities, in partnership with UKAID, to form a shared goal and create the HIE platform.
#2 Synced Patient Information across Facilities
To do this, Thoughtworks built the Shared Health Record (SHR) system, core to patient care. When a patient’s clinical information is captured by a healthcare provider at any point of care, it is synced to the central SHR system. The SHR processes and aggregates information before submitting to the national reporting and analysis systems. One of the main thrusts of SHR is that any system will be able to integrate with it using global standard interfaces, creating a seamless system for which any provider can access a patient record, regardless of their provider’s location (within Bangladesh) or designation (public, private, faith-based, CHW, etc).
#3 Integrated seamlessly with a Technically Interoperable Platform
While the DGHS already had a few existing systems, there was a need for the development team to build other essential systems. The team created a patient identification system and a clinical terminology management system, which was integrated with DGHS’s existing system. Using standards and techniques from OpenHIE, the team built a custom and interoperable HIE platform, consisting of interconnected systems and tools. A remarkable aspect of the HIE is that it is agnostic of the point of care systems that are already in place, and it ensures integration of all systems. For example, the team is collaborating with an open source community clinic application provider to integrate it with the HIE.