*What*: Nancy Puttkammer: Development of an Electronic Medical Record
Based Alert for Risk of HIV Treatment Failure in a Low-Resource Setting
*When:* Tuesday, Jan 27 at 12pm
*Where:* The Allen Center, CSE 203
Please join us for this week’s Change Seminar. This week Nancy
Puttkammer, MPH, PhD will be talking about development of an alert to
signal patients at risk of HIV antiretroviral therapy (ART) failure,
within the iSanté electronic medical record system in Haiti.
Please note that this quarter we will be meeting every other Tuesday so
the next meeting will not be until Tuesday Feb 10.
*Abstract:*
The scale up of electronic medical record (EMR) systems in
resource-limited settings can help clinicians monitor patients’
adherence to HIV antiretroviral therapy (ART) and identify patients at
risk of future ART failure, allowing resources to be targeted to those
most at risk. Our study involved the iSanté EMR in Haiti, a large-scale
system implemented in more than 100 sites in Haiti. We identified a
simple prediction model for ART failure based on ART adherence measures
and other patient characteristics. The selected prediction model was
used to generate a risk score, and its ability to differentiate ART
failure risk was tested. This risk score could be used as the basis for
an automated ART adherence alert within the iSanté EMR. Such an alert
could help clinicians identify patients at high risk of ART failure so
that they can be targeted with adherence support interventions, before
ART failure occurs.
*About the speaker:*
Nancy Puttkammer, MPH, PhD is a health services researcher with a strong
interest in strengthening health information systems in low resource
settings. Dr. Puttkammer serves as a Research and Evaluation Advisor at
the International Training and Education Center for Health (I-TECH)
within the UW Department of Global Health. In this capacity, she
oversees evaluation of projects in Haiti and Kenya for national scale-up
of electronic medical records and laboratory information systems. Her
research has involved use of patient-level data from electronic medical
records at multiple levels, including data use by clinicians for
improved patient management, data use by program managers to guide
facility-level quality improvement strategies, and data use by policy
makers to guide national planning and resource allocation. She has also
participated in cost evaluation for health information systems. Dr.
Puttkammer has worked within HIV care and treatment programs for more
than 20 years in the US, Africa, and the Caribbean region.
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