APMIS: Nigeria’s Connected Healthcare Platform

The All Purpose Medical Information System (APMIS) is Nigeria’s connected healthcare platform.

APMIS is a simple means to capture, store, exchange and utilize healthcare data/information easily, transparently, securely in an affordable low cost (cost effective) manner using information technology. It solves the problems associated with data/information/knowledge for hospital owner, healthcare professionals, care givers, patients, government, health maintenance organization and other healthcare stakeholder.

APMIS is more than just an electronic health records(EHR) system or a hospital management software (HMS), it is an innovative Health Information System (HIS) that connects all stakeholders together on a single platform to harness the value that is inherent in our connectedness either for health service delivery, education, research or administration.

APMIS solves health information needs irrespective of location on the value chain as patient, clinician, hospital manger, state government or even the minister of health. It is built to scale up to be a national platform and subsequently a sub-regional platform for health because health and disease knows no geographic boundaries neither is it a respecter of persons.

APMIS helps hospital owners and managers increases profitability significantly, reducing operational cost and overhead while improving significantly the quality of care and patient satisfaction with service delivery and increasing efficiency of care process.

APMIS empowers the patient by ensuring that the patient or client is able to enjoy continuity of care irrespective of the health institution or entity that provides that care whether it is a rural hospital, a private facility, a state general hospital or a tertiary hospital in the city center, to an international consultation. It provides for the patient access to a lifelong medical record while promoting real time multidisciplinary care provision.

It is wholly 100% indigenous application built by medical personnel to solve healthcare information challenges in resource constrained healthcare environment like Nigeria.

It is backed up with over 25 years of health informatics research and a 10 year development cycle. It is standard based using international standards such as ICD 10 cm, ICD 10 PCS, LOINC, SNOMED CT, ICPN, RxNorm etc.

It consist of  modules focused on clinical care namely user management (inclusive of human resource module), setup, health records, clinic management, ward management, clinical documentation, pharmacy, laboratory, radiology inclusive of a PACS and RIS, inventory (inclusive of medical consumables), telemedicine, payment (e-payment),health insurance, communication (sms, email, voice calls and intra-application alerts), theatre, immunization and blood bank.

It is extremely user friendly with great user experience.

APMIS can definitely be scale down to fit any hospital or other health entity-pharmacy, laboratory or imaging center.

APMIS would allow health institutions institution to be connected to Nigeria finest and best health care institutions and have access to expert consultant in the country or even an international expert consultation irrespective of the health facility’s geographical locations.

APMIS is offered based on subscription based model for support and implementation to help lower the barrier to transforming your healthcare delivery organisation.

It is deployed within the context of a full Health –IT implementation consisting of about 7 cost centers viz:1)User assessment, training and support 2)Hardware: client devices and server 3) network 4) software 5) power 6)digitization of health records 7) soft skills: project management/consultancy.

We are currently implementing in Nigeria largest and most complex health Institution, University College Hospital (UCH) Ibadan. A 955 bed hospital, 750 physicians,250+ consultants, 33 clinical departments, 4200 work staff with an annual patient load of over 165,000 outpatients and over 14000 inpatient admission with over 45 wards and over 10 outpatient clinics as well as other healthcare facilities across the country.

It is indeed the rebirth of excellence for Nigerian healthcare.

APMIS: Transforming Nigeria’s Healthcare …speedily!

Online resources for APMIS include

e-brochure: www.sabaothtechnologies.com/brochure
online demo: www.sabaothtechnologies.com/onlinedemo
video: www.sabaothtechnologies.com/videos
Implementation cost Model: www.sabaothtechnologies.com/cost
Sign up @ www.sabaothtechnologies.com/signup

facebook page: www.facebook.com/apmis.ng

You are an Expert? Help Provide Telemedicine Service to Nigerians!

We Need Experts!!

Without doubt Telemedicine is a veritable tool in transforming healthcare delivery in Nigeria. Telemedicine enables clients to access healthcare expertise/resources without the expert and the client needing to travel to enjoy this service. It has the capabilities to save time,money and space.

As part of our initiative to transform the Nigeria Healthcare space and improve the quality of care to Nigerians, irrespective of their location through information technology, Sabaoth Technologies Ltd have teamed up with Telemedicine and Ehealth In Nigeria (TEN), a non-governmental organization that shares a common focus and objective to provide telemedicine services in a sustainable manner to Nigerians.

We are currently putting final touches to the technical platform and we believe the time is set to build up the supply side of the equation: Finding Experts who are willing to devote their time and energy to help clients in Nigeria who critically need their service without the necessity of them travelling to meet the client or the client travelling to meet them (at least in the first instance). We would bridge the distance using our technology platform with APMIS at the core.

The services provision would include

1) Teleconsultation: This is a a clinical service session which can be done in real time (sysnchronous) or in a store and forward manner (asynchronous) wherein the client information is uploaded in a secure manner and you get to review and make your recommendation as required. Please note that this service includes both laboratory, radiology, pharmceutical, physiotherapy and other allied service as well as core medical consultation.

2) Tele-education service: There is a dearth of clinical expertise across all profession within the healthcare domain. Through this service, you teach a cohort of audience in a manner convenient to you. This again could be done in real time or in an asynchronous manner.

We believe this medium would provide opportunities for colleagues especially those in the diaspora who would like to contribute their quota in helping transform the healthcare indices of this country within the shortest possible  time without the burden to physically travel to Nigeria.

We would be able to stem the tide of medical tourism in a significant manner as our services grows and become mainstream. This service would be offered in collaboration with various hospitals within the country as well as via direct patient enagement.

You would have the choice to decide whether you want to offer your service under a “paid for” arrangement  or pro bono.

If you are interested in participating as an expert, please take a moment to fill the form here:
Sign up !

Please help spread the word and encourage as many experts as you know to sign up for this service.

We look forward to working with you in transforming healthcare in Nigeria.

Thank you

Dr Simpa Dania
Linkedin Profile !
PS: we would be working with the NMA, the various colleges and various diaspora medical organization to promote this platform sequel to our presentation at MANSAG and engagement with ANPA. Please if you do have contact to organization that can assist and also provide a filter of experts enrolling on our platform

lets discuss this here


Nigerian Telemedicine and E-health Network

- solving the nation’s healthcare challenges speedily through ICT
The overriding purpose of the National Telemedicine and E-health Network is to provide access to knowledge, expertise and other healthcare resources in a timely, convenient and cost effective manner using information communication technology tools . The network would provide resources across four domains: Health service delivery, education, administration as well as research.

The network is envisaged in five tracks operating in a mesh like system:
- Tertiary Care track: This involves the tertiary hospitals in the country. There are about 60 hospitals.
- Secondary Care Track: This involves the state specialist hospitals and the private hospitals. over 7000 in number.
- Primary Care Track: This involves the primary healthcare facilities. About 774 centers.
- Mobile Care Track : This involves telemedicine enabled vans, boats and tricycles.
- M-health Care Track: This involves mobile phone based healthcare initiative.for the teeming 150 million Nigerians, providing a means of offering personalized healthcare.

The Nigeria Telemedicine And E-Health Network is an ecosystem of solutions operating in “the cloud” from which service is consumed by various healthcare stakeholders. This is the most cost effective means of getting service to everyone, irrespective of location.

The central cloud computing platform would offer:
- An Electronic Health Information System platform that can support multiple applications (APMIS). APMIS is the All Purpose Medical Information System that is patient-centric,offering secure, lifelong, comprehensive, prospective, computable healthcare records that are scalable to a National Health Information System. It is based on the open source specification: openEHR.org. The openEHR has become the basis for the various ISO and CEN EHR standards.
A web conferencing and video conferencing environment that operates under low bandwidth consumption. Thus offering point to point (teleconsultation) and point to multipoint (web conferencing) capabilities. we are working with Vsee.com to enable his platform.
An E-learning and training environment based on the open source MOODLE.
A Collaborative discussion environment.
- A Voice over internet protocol (VoIP) environment 

Some of the current projects being developed to run on this platform initiated by various specialists include:
1) National Tele-consultation system ( second opinion, referral etc )
2) International tele-consultation and tele-education with renowned healthcare center
3) National Tele-pathology/ tele-oncology Network
4) National Health Informatics training and certification (up to MSc) program.
5) Expert Obstetrics and Gynecology Support for National Midwife Scheme
6) Community screening for common treatable causes of blindness.
7) Screening for Chronic Kidney disease.
8 ) Nationwide CME program for Medical Doctors, Nurses and Physiotherapist etc

The concept is to allow the initiating specialty organization or professional to own and control the program that run on this platform. The network is just an enabling environment to make such projects a reality.

The critical point would be CONNECTIVITY, because indeed if you can see the cloud you can participate in network.
Our solution is to create a dedicated healthcare network with the following components:
-A Low cost mobile communication solution in partnership with a national GSM company to offer a dedicated healthcare communication network that allows for unlimited free calls and sms for healthcare purposes.The network would be sustained through a low cost monthly subscription.
- A Nationwide VSAT network working in partnership with Intelsat and I-direct as well as Immersat BGAN. By hosting our own hub and buying bulk bandwidth we would be able to achieve redundancy and offer access at a very low cost per head.
-A National Mobile Internet access. Again working in partnership with a national GSM company we intend to leverage their data service across their network within the country.
- A National Fibreoptic Network: leveraging on the increased fibreoptic network that is currently expanding in the country we are working to deliver broadband connectivity to various institutions. The current Internet 2 project would be a great leverage to our bandwidth requirement.
- A National 4G connectivity: Negotiation is also ongoing to leverage available spectrum for 4G connectivity for healthcare.

Various stakeholders would be able to connect to the central platform using any means of connectivity with peripheral units such as laptops, slate type computing devices(cisco cius, ipad, android galaxy etc), mobile phones etc. The web browser would be the medium for interaction with the central platform thus have a zero software footprint.
The dedicated telemedicine peripheral device would include
1) Telemedicine Portable: This is a laptop based telemedicine system with ability for both real time and store and forward telemedicine procedures.
2) Telemedicine Units: Cart based telemedicine and tele-educational system
3) Telemedicine Centers: Dedicated telemedicine facilities
4) Telemedicine Mobile: Dedicated telemedicine van, boats and tricycles of various functional construct.

The concept is to have all these service manned by the private sector and offering service to the public sector, thus running a public -private partnership model. This model is based on the reoccurring failure of sustainability and efficiency of service delivery within the public sector as well as a dearth of expertise within the system.

The role of the government with this relationship would be largely as a regulator and a creator of an enabling environment. They would assist in providing and setting in place a regulatory framework for telemedicine and e-health to flourish within the country as well as helping coordinate the engagement with various stakeholders .
Governance of the network would be entrenched in stratified advisory councils that are all inclusive of various stakeholders within the healthcare at various levels.

These advisory councils would exist as follows:
- 40+ medical specialty advisory councils
- 774 local government Advisory councils ( target: primary care )
- 37 state advisory councils ( target: secondary care )
- 1 tertiary advisory council ( target: tertiary care). Committee of Chief Executives of Tertiary Hospitals is working currently on this role.
- A central National Steering council

Stakeholders Engagement
We have already begun engagement with various stakeholders within the healthcare industry with a lot of positive feedback. Most of the activity has been with institution in the tertiary care tracks. Not less than 30 of the 53 Chief Medical directors of the nation’s tertiary hospitals have indicated willingness and have signed up to participate at the institutional level.The Chief Medical Director of the University College Hospital, Ibadan Prof Abiodun Ilesanmi initiated the discussion and has driven the interaction among his colleagues.
Discussions are ongoing with various programs such as the National Cancer Control Program and the National Blood Transfusion Service.
Discussions with the project team of the National Space Development and Research Agency has led to the participation and adoption of the core of my presentation in the Telemedicine Roadmap initiative of the agency of which I was part of the expert committee.
We have also made presentation to the National Postgraduate Medical College with very encouraging response as well.
We have also began to engage various national professional bodies within the country as well as the top level executives of the Federal Ministry of Health. Contact has being made with various state governments so as to engage them as well in the process.
This network concept is also endorsed by the Society for Telemedicine and e-health in Nigeria ( SFTeHIN ) , an affiliate of the International Society for Telemedicine and E-health as a viable means of implementing telemedicine and e-health in Nigeria.