• Current HIV research · Jan 2017

    Review

    Development and Implementation of the DHAPP Military eHealth Information Network System.

    • Mary Kratz, Anne Thomas, Ricardo Hora, Delphis Vera, Mickey Lutz, and Mark D Johnson.
    • Department of Defense HIV/AIDS Prevention Program, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106. United States.
    • Curr. HIV Res. 2017 Jan 1; 15 (2): 102-108.

    BackgroundAs the Joint United Nations Programme on HIV/AIDS, the Global Fund, and the US President's 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.MethodsSince 2008, the US Department of Defense HIV/AIDS 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.ResultsThe 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.ConclusionWhile 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.Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

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