Date: Thu, 28 Mar 2024 22:45:22 +0000 (UTC)
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This meeting continued the conversat=
ion from previous meetings that have dug deeper into the w=
orking model which was first introduced in the March =
2021 community meeting. The June meeting focus was on missed appointment re=
minders and we were joined by team membe=
rs from CIDRZ - Zambia, AMPATH - Kenya, and the Rwanda Biomed=
ical Center=
to speak about their approaches for this touchpoint interactio=
n.
These three presentations shared on the foll=
owing:
- Santiana Munezero from the Rwanda Biomedical Center sh=
ared their appointment management strategy. This team utilizes an EMR syste=
m structure through OpenMRS to maintain patient information from registrati=
on through follow-ups and retention practices. The appointment management f=
or HIV patients includes a model for scheduling and the process following a=
missed appointment: 1) Identification, 2) contact tracing, and 3) updating=
records. A few challenges were also noted; the appointment module is not i=
deal in meeting requirements for HIV appointments, only paper tools are use=
d by providers for A.R.T. pickup, and local servers at facilities have not =
been easy to use.
- Evelyn Too from AMPATH - Kenya share=
d they have found that clients miss appointments due to forgetting the appo=
intment, self-transferring, transit-related challenges, and a busy work sch=
edule. There are also times where a patient is deceased and it is not noted=
in their management system. A team of experts planned how they could autom=
ate their processes including developing reports, automating the defaulter =
tracing registers that were formerly paper-based, and training retention st=
aff on accessing AMRS and generating missed appointments daily. Evelyn also=
shared the missed appointment management process.
- Jacob Mutale and Komba Sikombe from CIDRZ - Zambia pre=
sented on a project called "Leveraging Person-Centered Public Health for HI=
V Treatment in Zambia (PCPH)". In facility interviews, the team found that =
those who had missed appointments were related often related to clinic-base=
d barriers and structural barriers. Through other survey data, there were o=
ther reasons for missed appointments they dug deeper into like patient's ex=
perience with staff.
Following these presentations was a Q&A to dive deeper into programs=
shared by the speakers. We have posted the slides and recording of this me=
eting to this wiki page for more details on the presentations and the full meet=
ing.
Don't forget to attend our upcoming DUC Debrief on June 15 from 9 to 10 a.m. (EDT). This debrief will be an informal, open forum=
to continue the conversation from this month's community meeting. An invit=
e will be sent your way to join in on the discussion!
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