Government of Tanzania Health Management Information System

Health Management Information System for hospitals

1. Government of Tanzania – Health Operations Management Information System ( GoTHOMIS ) October, 2019

2. The Government of Tanzania, Health Operations Management Information System ( GoTHOMIS ) is an electronic information system intended to:- Collect and report facility level clinical information (basic patient level clinical dataset), and Support Health Facilities in service delivery management . GoTHOMIS

3. The system has progressively evolved to encompass various requirements defined in the Tanzania Integrated Health Facility Electronic Management Systems ( iHFeMS ) guideline. GoTHOMIS

4. GoTHOMIS Development Path 4PAY 2012 GoTHOMIS V1 2015 GoTHOMIS V2 2016 72 Facilities GoTHOMIS V3 2017 320 Facilities UNIFIED SOLUTION 2018 Registration Future Plan : Mobile Health, Use of Artificial Intelligence, Paperless medical records Point of sales Pharmacy Registration Payments Pharmacy Opd & Ipd Diagnostic Special clinics Registration Payments Pharmacy Opd & Ipd Diagnostic Special clinics Registration Payments Pharmacy Opd & Ipd Diagnostic Special clinics Payments Pharmacy Opd & Ipd Diagnostic Registration Special clinics Vertical programs Improved GoTHOMIS 2019 Vertical programs Linked to Muungano gateway Vertical programs Integrated with gepg,dhis2,elmis,nhif Integrated with gepg,dhis2,elmis,nhif Application re-engineering to adapt to facility level for better performance and reporting

5. Patient Registration, OPD/IPD, Pharmacy, Billing, Laboratory, Internal Referrals, Vertical Programs ( TB,CTC,RCH ), ... GoTHOMIS

6. The system incorporates various core functionality modules to serve the purpose:- Electronic Medical Record (EMR), Laboratory Information System, Medical Supplies Inventory (Pharmacy), Billing and Revenue Reporting, Practitioner Performance Tracking, HMIS (DHIS) Reporting GoTHOMIS

7. As of September, 2019, 460 Health Facilities have been installed with the system. These comprise of 26 Regional Referral Hospitals, 75 District Hospitals, 215 Health Centers, 128 Dispensaries and 16 FBO Facilities GoTHOMIS COVERAGE

8. INTEGRATION WITH OTHER SYSTEMS - GePG :- for service payments and hence pave ground for cashless environment at Health Facilities

9. NHIF :- :- GoTHOMIS links with the NHIF MIS for card verification, visit authorization and claim submission. The claim functionality saves a great deal of workforce in manual transcription of F. 2A & B INTEGRATION WITH OTHER SYSTEMS

10. DHIS2 :- GoTHOMIS automatically collects HMIS statistics and forward to DHIS hence avoid erroneous manual tallying and entries eLMIS :- GoTHOMIS tracks the usage of medical supplies at health facilities and hence facilitate correct Reporting and Requisition ( RnR ) details required by the eLMIS INTEGRATION WITH OTHER SYSTEMS

11. Slow adoption due to infrastructure costs Low Basic Computer skills for targeted Health Workers Power outages Unreliable connectivity causing the system to operate in silos hence failing to achieve full centralization for a single patient identifier GOTHOMIS CHALLENGES

12. Bringing onboard more facilities Enabling more facilities to better control user-fees through GePG Integration Revamping the application using lessons learned and better practices 9started May, 2019) 2019 GoTHOMIS ACTIVITIES

13. LONG TERM PLANS FOR GOTHOMIS Going Green Electronic Copy of Medical Records Electronic Payment (Cashless) Over the wire reporting The Green Concept: Removal of reliance on Paper Based Records, with great reduction on production and running costs

14. 14 Asante