ICT 4D CONFERENCE
Title: Mobile Digital Diagnosis and
Data Management
By:
Dr. Elias K. Sory,
Director, Fio Health Ghana Ltd.
FIO HEALTH GHANA
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Fio Health Ghana Ltd. has partnered with Fio Corporation of Canada to use Fionet in
Ghana’s health care delivery system to enable high impact, high quality diagnosis of
infectious diseases and real-time readily accessible data for health managers.

Directors:
Dr. Elias K. Sory, MD – Former Dir. Gen. Of GHS
Dr. Edem Adzogenu, MD – Sr. Adv. to Ministry of Health
Fionet Validation
Fionet Accra Phase – GHS
 Luminary deployment with GHS
 over 150 health workers trained
 over 50 sites deployed and functioning
 over 20,000 patient encounters
Fionet Clinical Field Validation
 US NIH Center of Excellence in Malaria, Colombia
 The Global Fund, Colombian NIH, MOH
 US Department of Defense, KEMRI
 Ifakara Health Institute, Tanzania
Experience
 7,500 patient sessions, 50 health workers, 30 sites
 4 countries
 Consistently successful
Two of the Biggest Infectious Disease Mgmt Problems
Clinical Workflow
Data Aggregation
Health
Workers
Managers, Administrators,
Funders, Public Health, Industry
Inadequate Care
Inadequate Data
Monitoring and
Data Mining
Diagnostic Testing
Data Capture &
Transmission
Health Worker
Guidance
 Incomplete, inaccurate, untimely data
 Error-prone diagnostic testing
 Ineffective tracking and direction of resources,
 Ineffective clinical work-up and therapy
 Negligible data capture and transmission, results, performance, epidemiology,
demography, surveillance, accountability, …
despite enormous information access
 Blind spending and investment
Cloud
Aggregates data, continually and automatically uploaded from
Fio smart-devices at point of care
Delivers information services via web portal to managers,
administrators, workers, funders, health agencies, patients
via local cell networks
Readers, Tablets, Phones
for health workers at point of care
Automated diagnostic interpretation,
workflow guidance, data capture
via standard browsers
Web Portal
for managers & data stakeholders, anywhere
Gateway: for data mining, analyzing, reporting;
and, for remotely managing health workers
Digital Diagnosis:
Consistent, Accurate RDT Results
RDT
Identification
RDT
Processing QC
Auto-detecting
RDT make/model
Accepting or
rejecting RDT
processing
Incubation
Timing
Enabling accurate
multiple patient
throughput
Interpreting
RDT Results
Digitally analyzing
RDT results
Capturing Records, Connecting Anywhere
Clinical Patient
Demographics
Easy-to-use
Data Entry
…via any Android device
Custom Health
Forms/Surveys
Deki Reader
Workflow
Guidance
Deki Tablet
Alerts /
Messaging
Training
Deki Phone
Health worker connectivity:
Remote Configuration/Communication with Deki
Deki
Management
Via Spiri, managers track/administer their fleets of Deki devices:
 Locations, activities, configurations, problems, user permissions, alerts, …
 Shut down, reset, or group Deki devices
 Multidirectional communication for managers and health workers via Deki devices & Spiri
Process Improvement:
Automated Reporting of Point-of-Care Data
Data
Reports
Reports can be flexibly
configured to present data
about devices, users,
diagnostic results,
demographics, surveys,
time, geo-location, ...
Process Standardization
Example: Monitoring service delivery
RDT image captured in the record
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
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Managers identify deviations from protocol, correlate diagnostic activity to drug dispensing
Managers track worker activity and performance patterns over time
RDT images are captured and routinely included as part of the record
Managers assess RDT processing skills of healthcare workers and over-read RDTs if necessary
Pricing Model
 Deki : no capital equipment barrier; rental pegged to usage
 Spiri: fee per dataset upload for information services; uploads pegged to usage
-
“dataset” is the data associated with one patient session, which is uploaded at once
-
fees organized to fit into existing data budgets… not from diagnostic budget
-
pricing model designed for sustainability
 Purchase order a three-year contract