Development and Implementation of the DHAPP Military eHealth Information Network System
OSTP Journal Article
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA SAN DIEGO United States
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Background As the Joint United Nations Programme on HIVAIDS, the Global Fund, and the US Presidents Emergency Plan for AIDS Relief focus on reaching 90-90-90 goals, military health systems are scaling up to meet the data demands of these ambitious objectives.Methods Since 2008, the US Department of Defense HIVAIDS Prevention Program DHAPP has been working with military partners in 14 countries on implementation and adoption of a Military eHealth Information Network MeHIN. Each country implementation plan followed a structured process using international eHealth standards. DHAPP worked with the private sector to develop a commercial-off-the-shelf COTS electronic medical record EMR for the collection of data, including patient demographic information, clinical notes for general medical care, HIV encounters, voluntary medical male circumcision, and tuberculosis screening information.Results The COTS software approach provided a zero-dollar software license and focused on sharing a single version of the EMR across countries, so that all countries could benefit from software enhancements and new features over time. DHAPP also worked with the public sector to modify open source disease surveillance tools and open access of HIV training materials. Important lessons highlight challenges to eHealth implementation, including a paucity of technology infrastructure, military leadership rotations, and the need for basic computer skills building. Conclusion While not simple, eHealth systems can be built and maintained with requisite security, flexibility, and reporting capabilities that provide critical information to improve the health of individuals and organizations.
- Medicine and Medical Research
- Computer Systems