Consultancy for Expanding Existing Electronic Medical Record Platform (EMR) to Include... Tender

Procurement Summary

Country : Rwanda

Summary : Consultancy for Expanding Existing Electronic Medical Record Platform (EMR) to Include MNCH/ FP-ASRH and Nutrition Modules in Rwanda

Deadline : 24 May 2019

Other Information

Notice Type : Tender

TOT Ref.No.: 32909754

Document Ref. No. :

Competition : ICB

Financier : United Nations Secretariat

Purchaser Ownership : -

Tender Value : Refer Document

Purchaser's Detail

Purchaser : UNITED NATIONS CHILDREN'S FUND
Immeuble EBENIZER Boulevard de l'Umuganda, Kacyiru Kigali Tel: 78816 2700 - Switchboard Fax: +250788162810
Rwanda
Email :kigali@unicef.org
URL :http://www.unicef.org/

Tender Details

Tenders are invited for Consultancy for Expanding Existing Electronic Medical Record Platform (EMR) to Include MNCH/ FP-ASRH and Nutrition Modules in Rwanda, 6 Months.

UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.

Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.

And we never give up.

For every child, Access to Healthy

How can you make a difference?

Background and Purpose

Through partnership with UNICEF, MCH program outlined key highlights and recommendations for improving the service delivery by expanding existing Medical record platform to a comprehensive, holistic and integrated system that encompasses the entire MNCH and nutrition programs. Further, the review recommended leveraging this platform towards achieving results along the continuum of care using a cascade approach from hospital, health center and community levels. The EMR is currently implemented in 340 health facilities, and is limited to only a few modules including the HIV package, eHealth Management System eHMS (also referred to as the primary care package) now implemented in 37 hospitals for billing and registration and Bushenge is the only hospital implementing additional modules in EMR including registration, lab, clinical notes, pharmacy and billing. By implementing EMR with comprehensive MNCH/ FP-ASRH and Nutrition modules, the government of Rwanda would like to address problems related to continuity and quality of care at health facilities and community.

The Government of Rwanda took a decision to adopt the Open Medical Record (EMR) system as a national system to support health care services within hospital and health centers across the country. EMR was created in 2004 as an open source medical record system platform for developing countries. OpenMRS is a software platform and a reference application, which enables design of customized medical records. The system is based on a conceptual database structure, which is not dependent on the actual types of medical information required to be collected, or on particular data collection forms and so can be customized for different uses. This system is based on the principle that information should be stored in a way that makes it easy to analyse and summarize and i.e., minimal use of free text and maximum use of coded information.

This far, some hospitals and health centres in Rwanda and elsewhere have already started using the EMR, however, the benefits so far are immeasurable. Great interest has shown in the health sector to embrace technologies as such and its capabilities to strengthen MNCH, FP, ASRH and nutrition service delivery across the continuum of care and supporting innovative interventions towards achieving the results. Additionally, Rwanda Ministry of Health is committed to achieving the Sustainable Development Goals (SDGs) 2030. The maternal and child health program Plan 2030 and key policy and program documents reaffirm the commitment to the SDGs. The Maternal and child Health program is spearheading several policy and program strategies towards achieving the health targets for the national and global overarching goals.

Justification

Although currently, various data elements are entered into existing EMR separately and exist in virtual silos, clinicians are required to fill out different and mutually exclusive forms, exacerbating strains on a system facing a scarcity of health professionals. Quality of clinical care depends on the knowledge and practice of the health care provider and there is a high degree of variance among providers.

An integrated electronic patient management registry system (EMR) at point of care will be able to guide providers to ensure a minimum standard of quality. Moreover, data for cohort analysis is not available at real time to inform MNCH/ FP-ASRH and nutrition programmes monitoring, management, planning and policy decisions. The system-level improvement is expected to resolve many of these issues, but much more work is necessary to successfully upgrade the existing EMR version, including a possibility to enable the new MNCH/ FP-ASRH and nutrition modules/forms functioning and enhanced to interoperate with existing EMR modules, existing and new eHealth platforms.

The EMR will Strengthen MNCH/ FP-ASRH and nutrition service delivery platforms and ensure equity in coverage and quality which are critical components integral to achieving maternal, newborn, child and adolescent health targets.

Objectives

The main objectives of this consultancy are;

§ Review and update the new MNCH/ FP-ASRH and nutrition system development road map, and functional requirements,

§ Develop MNCH/ FP-ASRH and nutrition electronic modules/Forms and make them available to interface with other existing EMR Modules and existing eHealth platforms like HMIS (DHIS2), components of OpenHIE, CRVS software, and others

§ Â Enhance the new MNCH/ FP-ASRH and nutrition EMR system with interoperability solutions to communicate through SMS platforms with enrolled mothers, newborns and children within their catchment villages

§ Support MCH Program and Quality Assurance departments to assess and document best approach to develop, test and implement the various software modules in Rwanda EMR.

§ Assist to enhance functionality, test and pilot new developed MNCH/ FP-ASRH and nutrition software modules in the best and most efficient way in few health facilities

§ Capacity Building and Knowledge Transfer share material knowledge for an effective knowledge transfer by working closely with RBC team of developers and implementers while developing, testing, installation and piloting the new expanded MNCH/ FP-ASRH and nutrition EMR system in health facilities.

The project owner, RBC holds full ownership rights of the work undertaken on the project as well as the right to distribute the work among the stakeholders. Knowledge sharing and dissemination is very important to ensure sustainability and functionality of the EMR system at the end of contract.

Key responsibilities / tasks

The Consultant (Senior Analyst and Developer) will support the upgrading/expanding of existing application and data, development, integration, deployment and training phases of this project. This approach must be in line with internationally accepted best practices. During the execution phase of this project, the Senior Analyst and Developer will participate in the validation of the correctness of the software specifications and source-code. The Senior Analyst and Developer will advise and assist a team of RBC software developers in two phases as explained below;

Deliverable 1: A comprehensive requirement specification report is submitted that includes the updated integrated EMR System development road map with clear functional requirements documented. The report will also comprise description on how other existing EMR modules (HIV, primary care, etc) will be integrated with the MNCH/FP-ASRH modules, interoperability with existing and new eHealth platforms(including OpenHIE), and highlight the architectural differences between version 1.6, 1.9 and 2.4 of OpenMRS in terms of the data model, API, procedures and user Interfaces and development options for the upgrade. This will include the review and update of documents on MNCH/ FP-ASRH and nutrition business analysis and MNCH/ FP-ASRH and nutrition requirement specifications, user centred design, program design and reporting and analytics.

Deliverable 2: A new EMR system integrating all exiting modules including HIV, primary care instances, the new MNCH/ FP-ASRH and nutrition modules and able to interoperate with existing and new eHealth platforms (e.g. SMS platform, HMIS/DHIS-2, CRVS platform, and components of OpenHIE) is designed and developed, approved by MoH and handed over to Government and a draft detailed technical documentation describing the architecture for MNCH/ FP-ASRH and nutrition modules/forms is prepared and presented to MoH/RBC, UNICEF and government for comments.

Deliverable 3: A fully tested and upgraded integrated EMR that is ready to be implemented in a limited number of facilities is presented to RBC/MoH, UNICEF and other key partners/stakeholders for final review, inputs and validation.

Deliverable 4: i) A final fully functional and enhanced integrated version of the EMR (after fixing issues identified in the implementation at limited number of facilities) as per the specifications from the analysis team that is ready to be scaled up to the rest of the country is handed over to MoH/RBC; and

ii) A final technical documentation that can enable further development, usage, maintenance and growth of the system is handed over to MoH/RBC.

§ All deliverables need to be developed in consultation with and approved by RBC/MOH and UNICEF.

Potential types of reports and technical documents to be prepared and submitted to UNICEF, as part of the deliverables are:

§ Report on system development road map with clear and comprehensive functional requirements specifications

§ A report with new EMR system integrating all exiting modules and draft detailed technical documentation

§ A report on fully tested and upgraded EMR

§ A report with final fully functional and enhanced version of the EMR, and a final technical documentation

§ Progress Reports and Minutes of Meetings

§ Mission Reports

§ Technical Reports

§ Draft and Final Report

§ Training material

§ Presentations

§ Workshop/training evaluation reports

Desired competencies, technical background and experience

§ The Software Developer must have at least a master's degree in Computer Science/Information Technology OR a bachelor's degree with more than eigh

Documents

 Tender Notice