Bobby Jefferson, Senior Health

Informatics Advisor

Company Statistics

• Independent, privately owned, for-profit

• Founded in 1971

• Headquartered in Washington, DC USA

• 467 staff worldwide

• Operating in 30+ countries

• Largest country presence, by staff count – USA

– India

– Afghanistan

– Kenya

– South Africa

– Tanzania

Global Organizational Structure

Futures Group Global, LLC

Chris LeGrand, MS Chief Executive Officer

Center for Policy & Advocacy

Sarah Clark, PhD

Vice President

Center for Health Systems & Solutions

Shannon Hader, MD, MPH

Vice President

Finance & Administration

Timothy Schur Chief Financial Officer

Technical

Farley R. Cleghorn, MD, MPH Senior Vice President & Chief Technical Officer

Human Resources

Operations

Ed Abel, MPA Senior Vice President & Chief Operating Officer

F&A

Financial Mgmt

Tax & Compliance

Contracts

Pricing

Organizational Dev

Benefits

Recruiting

Employee Relations

Business Development

Program Ops

Facilities Mgmt

IT Support

Knowledge Svcs

Corp Communications

Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti

Guyana, Ethiopia , 10 Countries, 244 Hospital Facilities + 112 Satellites

Clinics , 535 Antenatal Care - PMTCT sites

Rural, remote, faith based mission hospitals “serving poorest of poor”

No power, intermittent power, No IT staff, No internet, Sparse mobile coverage

Nurses, Clinicians, Adherence Counselors, need health data, M&E program

data in knowledge repository

Lack of referrals or linkage to existing technology systems

Cost effectiveness and sustainability -- no funds for proprietary licenses, or

yearly maintenance fees

Health Informatics Portfolio

Futures Group eHealth mHealth approach

creative common approach Use of freely available, reusable, tools, “coded in country”

Offline Solutions, Disconnected model

Reusable software and technology across countries and programs

Programmers and IT staff in country

Low costs, Inexpensive $250-$350 Netbooks Solar mobile phones, SMS

Health IT Solutions

Collectively referred to as IQSolutions

1. Electronic medical records

1. IQCare - Reviewed by CDC, WHO, USAID

2. IQChart - French language

2. Visual Dashboards

3. Monitoring & Evaluation Electronic reporting

4. GIS and GPS related IQGeo

5. Mobile Phone solution (SMS technology)

6. SQL Training, Virus Remediation Training

•

Futures Health Informatics Team • 3 Regional Software Development Offices (Kenya -7, South Africa-6, India-

12) 25 local IT Programmers , Coded in-country, local support,

• Agile methodology, Designing System Architecture, Apps Development, ICT4Development

• Training of software programmers for sustainability and transition

• Kenya HMIS prime EMR, Data Warehouse, DHIS 2.0, Mobile phone

• Subcontract with ICAP Columbia University and Elizabeth Glazier Paediatric Foundation for IT and Programming support

• DOD HIV AIDS Program DHAPP – accomplished EMR SQL training, virus remediation training in Lesotho Military hospital

• DOD Walter Reed – MOU to support 28 Hospitals in Kenya with EMR

Niche area:

• HIV, TB, Orphans Vulnerable Children , (OVC), Most At Risk Population (MARPS), Maternal Child Health (MNH)

• In-country local software development, Infrastructure support , training, EMR, knowledge transfer to Ministry of Health, First line support, technical help desk for regional and rural sites in 10 countries

Futures Health Informatics Team

Web Browser interface IQCare is available to all computers connected on the hospital network. No need to install or reinstall to

client computers -Scalable

Physician conducts consultation with data already in IQCare

Lab scientist retrieves ordered tests from IQCare, conducts tests and enters results into database

Universal registration form

EMR System IQCare

(Facility Level)

Donors OGAC, CDC, HRSA, USAID MOH National Reports

(Kenya , Uganda, Nigeria,)

Pharmacy , Supply Chain Management Sciences Health,

ARV dispensing tool (ADT)

,

Clinical/Medical Partners

School of Medicine, Faith Based Orgs Mennonite Christian Charities

In-country CHAK, IMA Health Indicators

Immunization, Well Baby, WHO -3ILPMS

Integrated HIV, TB, PMTCT

Community Mobile health solutions

Dimagi, mHealth Alliance,

Financial Mgmt Partners Pastel Software,

Tableau Dashboard CMMB

Laboratory Partners OpenELIS Bika Labs

TherapyEdge

Interoperability

Intel, Netbooks, low cost,

low power

District Indicators, DHIS v2.0 software,

Next Gen Indicators (NGI),

HIV/QUAL, HEALQUAL

HL7 v2.5

Other EMR (OpenMRS,Baobab Careware Migration )

SDMX-HD

mHealth

IQCare 3.0 Beyond HIV

• TB Forms • Immunization • Well Baby Indicators

• Integrated HIV, TB, PMTCT

• Malaria

• MOH, NACA, NASCOP Forms

From: Duncan C. Kirui @Walter Reed Program

Sent: Tuesday, August 09, 2011 11:24 AM

Subject: Appreciation IQCare

This is to sincerely thank you for having come to our users’ training that was held at Baraton from 1st – 5th August 2011. We had a successful

meeting attended by 60 users from South Rift, Kisumu West and KDoD. From their feedback, they liked the IQCare because of its

robustness, ease of use and especially the way it captures our forms. We shall be having more of this especially refresher courses in future

after we have rolled out IQCare. As of now we are confident on the system and ready to implement the system. We shall also be calling you

once in a while especially during data migration, one site visit and commissioning of IQCare System on one site.

Duncan Kirui

SRV-IT Officer

IQSMS – Mobile Phone Reporting by Health Workers

Excel

PMTCT MONTHLY REPORT PMTCT Antenatal Clinic (ANC) Monthly

Summary Form

ANC 01. New ANC clients this month

118

8 ANC 02. Previously known to be HIV

positive 17

ANC 03. Total number tasted 574 ANC 04. Number of new client had HIV test

at ANC 277

ANC 05. Tested HIV-Positive 37 ANC 06. Post-test counseled for positive

and negative 574

ANC 07. Number of partners tested for HIV 16

ANC 08. Tested HIV-Positive 4

Orphans Vulnerable Children (OVC), Most At Risk Population (MARPS), Maternal Child Health (MNH)

Ms Access Database

PDA device

Web Internet Desktop

Excel Only

M&E Electronic Reporting System Solar Power Cell phones

Site Capacity Dashboard

Futures Group

“After successful assessment, the IQ Care system developed and supported by the Futures

Group and Catholic Relief Services came up top in terms of overall features (technical and non

technical) and also in terms of largest number of installations “

WHO sponsored EMR Assessment Report ,

Kenya May 2009

Rwanda

ICAP Columbia University 44 sites

Intra Health International 17 sites

Elizabeth Glaser EGPAF 16 sites

Family Health Inter FHI 45 sites

Catholic Relief Services 13 sites

Kenya

Catholic Relief Services - 32

Pathfinder International

Gertrude Children Hospital

DOD Walter Reed - 28

Catholic Relief Services

John Snow International

Rakai Health Services Vaccine Research

Uganda

Intra Health International

Southern Sudan

Mennonite Christian Charities

Catholic Relief Services

Nigeria

ICT for Development – Best PC Security Practices

IQHealth KIT

• Ecosystem Provider: Futures Group International

• How Used: – Rural Clinic, Hospital, Mobile

Field Worker

– AIDS PMTCT, Malaria

• Countries: Nigeria, Kenya, Uganda, Tanzania, Rwanda, Zambia, South Africa, Haiti , Guyana, Ethiopia (Total: 244 ART sites 112, Satellites 532, PMTCT sites)

28

Futures Group Thank You

Bobby Jefferson bjefferson @ futuresgroup

Lanette Burrows lburrows @ futuresgroup

Futures SI Advisor in-country

www.futuresgroup.com

www.iqstrategy.net