Bahmni - an open source hospital system

AN OPEN SOURCE HOSPITAL SYSTEMGurpreet Luthra - Community Lead (Bahmni)

1

_zenx_

2http://bahmni.org

IMPLEMENTATIONS

3

JSS, BILASPUR

4http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

JSS, BILASPUR

5http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

• 70 Beds • Two Operating Theatres • Fully equipped Lab • 300 patients for OPD • 800,000 people from 2500 villages • 150 - 200 health care workers • 10 doctors • 3 day waiting period!

6

JSS, BILASPUR

JSS, BILASPUR

7http://www.tompietrasik.com/2013/01/07/jss-india-public-healthcare-film/

7

THE ORIGIN OF BAHMNI

8

OCT 2012

CHALLENGES

9

9

• On-site BAs

• Internet for Deployment?

• Agile without Showcases?

• Software as a bottleneck?

• What if the system breaks down? Backup?

• UX Challenges

• Low Cost Devices

• Training people who have never operated a computer

FIRST DEPLOYMENT AT JSS (JUNE-2013)

10

10

THE STORY OF THE SLOW MACHINEA true story of an incident that occurred at JSS

11

SCREENSHOTS

12

SCREENSHOTS

13

SCREENSHOTS

14

`

15

JSS, BILASPUR

16

VIDEO: https://www.dropbox.com/s/p3a7nevlnjjixj8/Amplifying_our_Impact_JSS_1080%20.mov?dl=0

UPCOMING FEATURES IN BAHMNI

17

• Offline Application for CHW

• Ansible based installer

• Decision Support System

• Implementers UI / Form Designer

• Reporting Tool

• Upgrades for Security

http://tiny.cc/bahmni-roadmap

BAHMNI ECOSYSTEM

18

BAHMNI WIKI

19

ONLINE FORUMS AND IRC CHANNEL

20

HOW CAN YOU HELP?

21

Finding a local customer Help Answer FAQ/IRC Chat

Improve documentation Write / review blogs, and stories

Create demos / Videos Participate in Design Process

Evaluate and Provide feedback on Bahmni Perform Security Assessment

Contribute to OpenMRS Contribute to Bahmni (Warning! Its not easy)

Help Drive Adoption Help Improve Quality

Help Build Bahmni

OSCI / GLOBAL HEALTH

22

https://www.thoughtworks.com/insights/blog/team-bahmni-openmrs-worldwide-summit-2015

INTERMISSION

SEARCH, GADCHIROLI

23

SEARCH, GADCHIROLI

24

SEARCH, GADCHIROLI

25

SEARCH, GADCHIROLI

26

SEARCH, GADCHIROLI

27

SEARCH, GADCHIROLI

28

SEARCH, GADCHIROLI

29

• Dr Abhay Bang and his wife Dr Rani Bang

• Dec 1985

• 50% drop in Infant Mortality Rate

• Masters in Public Health from John Hopkins University

SEARCH, GADCHIROLI

30

• S.E.A.R.C.H: Society for Education, Action and Research in Community Health

• 25,000 patients each year

• 20 bed indoor facility

• 450+ surgeries each year (special camps)

SEARCH, GADCHIROLI

31

• Excel Based Registration since 2011

• 65000 rows

• Research

• Study & Control Areas

• Surveys

KRISHNA FONT

32

Chitra

िचत्रा

fpRzk

KRISHNA FONT

33

https://github.com/Bhamni/bahmni-java-utils/blob/master/font-transformer/src/test/java/org/bahmni/fonttransform/KrishnaFontTransformerTest.java

34

SEARCH - 20 DAY DEPLOYMENT

35

SEARCH - DEPLOYMENT CHALLENGES

• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support? • LAN / Electricity Issues

36

LEARNINGS

• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?

• Local YUM Repo • Carry QA Database • Scripts for one click Backup and Deploy • Infra skills • EasyNetMonitor • Local Language support (non-trivial) • Phased Rollouts (for validation) • Carry everything! (keyboards, extension chords,

network cables, stickies, boards, etc)

37

LEARNINGS

• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?

• Real System, Real Feedback • Team Viewer • Migrations on SSD / Vagrant • Single view of system status • Daily Diary • Local Stackoverflow?? • Training/Backup Laptop • Games for Learning Computers • Pay attention to Reports • Need for Offline support

38

A HAPPY DAY!

• Krishna Font to Unicode Errors • Linux !? • Backups !? • 32 bit machine? • Remote Support?

THANK YOU

39

RELATED LINKS

• http://bahmni.org • https://bahmni.atlassian.net/wiki/display/BAH/Presentations • http://medium.com/bahmni-blog • https://talk.openmrs.org/c/software/bahmni • https://www.thoughtworks.com/insights/blog/dr-prakash-amtes-

lok-biradari-brotherhood-people • https://www.thoughtworks.com/global-health • https://www.thoughtworks.com/insights/serving-the-social-sector