Introduction and Background

This user guide provides directions for access and use of KenyaEMR+ system deployed in health facilities in Kenya. It details clinical workflows by a provider using KenyaEMR+ to facilitate efficient service delivery. KenyaEMR+ covers various service points including: registration, triage, Out-Patient Department (OPD), In-Patient Department (IPD), Specialist Clinics and other support services like billing. The guide also details how a user may retrieve various reports from the system for efficient clinical decision making.

This user guide targets all users of KenyaEMR+ system including but not limited to the following;

1. Sub- County and county Human Resources for Health (HRH) (including Health Records Information Officers (HRIOs), Medical Superintendents, Doctors, Nurses, Clinical Officers, Pharmacists, Radiologists, Lab technicians)

2. County staff ICT officers, records officers, cashiers, accountants

3. NGOs working in the health industry.

4. Ministry of Health.

The HealthIT is a USAID funded digital health mechanism whose overall purpose is to strengthen national policies, strategies, standards and reporting related to Kenya’s Health Information System (KHIS), so as to ultimately support county and national level health service provision. The main aim is to enhance achievements towards evidence-based decision making at both the national and county levels, through the adoption of HIS policies, standards and guidelines. Ultimately this contributes to the achievement of systems interoperability and best practice.

The HealthIT’s implementation strategy is to work with; Kenya Ministry of Health (MOH),County Governments, County Proximate Universities (CPU), Service Delivery Implementing Partners (SDIP) and Digital Health and Strategic Information Partners to deploy, expand, enhance and implement electronic health records with Kenya EMR as the core clinical service module to provide a facility- wide electronic system.

KenyaEMR+is a tailored distribution of OpenMRS that follows the principles of digital development:

1. It is designed with the patient at the center of development

2. Understanding that in the current Kenyan healthcare Ecosystem there are several EHR systems, KenyaEMR+ has implemented data exchange and interoperability standards to allow for interoperability.

3. The system is modular, allowing for scalability

4. KenyaEMR+is based on OpenMRS which an open-source software

5. With OpenMRS being open source, it allows for continuous improvement

KenyaEMR+ platform is a patient centric electronic health record tool that is flexible, interoperable and scalable. It supports facility-wide functions of: clinical management, data management, clinical decision support reporting, lab information system, and inventory, billing and system management.