Maternal Concept Lab HST.S14 Project Feb 2012 Jonathan Payne, MS Director, Maternal Concept Lab mHealth Informa?cs Coordinator, Partners in Health 1
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World’s best prac?ces within MNCH available in highly accessible, standards-­‐based formats –  High-­‐quality MNCH content reused across mul?ple projects, organiza?ons and countries. 2
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MDG 4 – Reduce by two-­‐thirds the under-­‐5 mortality rate –  U5MR (under-­‐5 mortality rate) –  IMR (infant morality rate) •
MDG 5 – Reduce by three-­‐quarters the maternal mortality ra?o; Achieve universal access to reproduc?ve health –  MMR (maternal mortality rate) –  Births aXended by skilled health personnel –  Contracep?ve prevalence –  Antenatal care coverage 3
Interven9ons are known! Chart of packages of interventions for pregnancy care removed due to copyright restrictions.
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MNCH Best Prac9ces… Before pregnancy
Pregnancy
Birth
Postpartum
Newborn
Maternal health
Infancy
Childhood
Image by MIT OpenCourseWare.
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PAHO, Perinatal Clinical Record UNICEF/USAID, Community Integrated Management for Childhood Illness FHI, Family Planning Protocols 5
PAHO Perinatal Clinical Record Clinical record removed due to copyright restrictions.
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…standards-­‐based formats… •
Medical Terminology –  Concept dic?onary with 200,000 terms mapped to interna?onal reference terminologies •  SNOMED •  ICD-­‐10 •  HL7 •  LOINC •  RxNorm –  Partnership with Columbia University Interna?onal eHealth Laboratory –  Data à Informa?on à Indicators 7
Concept Search Tool −
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Mul?ple Dic?onaries Concept ID Concept Synonyms Concept Set Descrip?ons Ques?on/Answer Sets Class and Dataype Mappings Concept Lists List Highligh?ng Advanced Filters MCL Search Example 8
Concept Mapping 9
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…highly accessible formats… •
Compa?ble with Common Plaborms –  JavaRosa Compa?ble Xforms –  OpenMRS –  DHIS2 – SDMX-­‐HD •
Packaged for re-­‐use 11
The Project Prepare selected MNCH best prac?ces for re-­‐use while contribu?ng to the development of a plaborm and processes for use of standard interface terminologies. 1.
Map selected MNCH best prac?ces to the dic?onary 2.
Develop core dataset and link to WHO Indicators 3.
Select and design delivery plaborm (paper, mobile, OpenMRS, etc.) 4.
Design relevant reports, tools, processes to support delivery of the tool 5.
Package for reuse 12
MIT OpenCourseWare
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HST.S14 Health Information Systems to Improve Quality of Care in Resource-Poor Settings
Spring 2012
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