Vecna Cares CliniPAK
Vecna Cares CliniPAK 6.0 is a solar-powered server and power management system used for electronic health records in low resource environments.
Vecna Cares CliniPAK is a streamlined electronic medical record, data capture, and reporting system that allows users to register patients, capture key clinical and demographic data at the point of care, and manage patient flow. It is an mHealth reporting system that uniquely has hardware and software components to allow centralized offline data collection. The software component builds from the robust and open source standard Open Data Kit (ODK). The hardware component allows for several tablets to sync data wirelessly that can later be uploaded.
Liberia, Kenya, Nigeria, Haiti, Zanzibar
The current version of the CliniPAK node is sold at retail price for $3500 USD with discounts at high volume. Each system is deployed with implementation services (training, infrastructure and power assessment, etc.) that vary in cost depending on the use case.Interview with representative The next version (6.0) will be released in 2017 and the cost of this version is yet to be determined.Interview with representative
Goal 3: Good health and well-being
Health ministries, clinics, community health workers
The CliniPAK Node is manufactured in-house in Massachusetts (USA). The CliniPAK Node is manufactured in small batches.Interview with representative
The software is licensed and the patent filing paperwork is being finalized for the hardware.Interview with representative
Vecna Cares partners with interested NGOs, government agencies, and nonprofit organizations to deploy the CliniPAK. Individuals interested in CliniPAK can email firstname.lastname@example.org for more information.
57 CliniPAK Node units have been distributed as of September 2016.Interview with representative Experts note that this is a relatively small number of distributed units which may be due to the age of the product (developed in 2009). Data has been collected for over 200,000 unique patient visits using CliniPAK.Interview with representative
Connectivity requirement for the product/service to work (mobile internet, SMS, voice, fixed internet, Wi-Fi, other [specify]).
Coverage required for the product/service to work (2G, 3G, 4G, LTE, broadband, dial-up, other [specify]).
Device features required for the product/service to work (bluetooth, Wi-Fi, camera, IVR, GPS, accelerometers/motion sensors, physiologic biosensors, biometric identifiers, SIM, memory card (e.g microSD), other [specify]).
Device(s) type required for the product/service to work (smartphone, feature phone, computer, tablet, other [specify]).
Connectivity requirement for the product/service to work. Some apps/services can work offline. If no, specify if network connectivity is needed at any point (e.g connectivity needed for download).
Is the product/service able to receive and send back information to the user?
Rates of user vs downloads/subscriptions – Compliance rate for the eHealth service
Support according to the literacy level required from the user. If yes, specify type of literacy support. If no, the user is intended to be literate.
Operating system required and software version (Android, IOs, Windows, other [specify])
Power supply required for the product/service to work (uninterrupted prower supply (UPS), ocassional power supply [minimum time required], other).
Education and behavior change, human resource management, decision support, data collection & analytics, electronic medical records, Healthcare provider- CHW training, telemedicine/remote diagnostic, stock management, disease surveillance and reporting
The CiniPAK system consists of the CliniPAK Node and CliniPAK software.
The CliniPAK Node allows providers to access and share patient information with built-in wifi/local area network (LAN). The data is collected and stored in a password-protected database on the CliniPAK Node.Interview with representative
The CliniPAK Node also has input/output ports including USB data, USB charging, and Ethernet. Data collected with CliniPAK can be shared and synchronized across other CliniPAK units using Ethernet or 3G network.The server is water and dust resistant and supports up to 100 Wi-Fi enabled devices. The CliniPAK emits a wifi network with a 50m radius, but access points can be added and powered from the CliniPAK to extend the network to approximately 75-100 meters.Interview with representative Multiple access points can be daisy chained together to create a larger network. The biggest factor that impacts the wifi range is the composition of walls and other structures.Interview with representative
CliniPAK requires a constant supply of power. CliniPAK can run on 110/240 AC, solar, or 12V DC power. CliniPAK hardware units are also equipped with USB and 12V ports to charge mobile devices, laptops, or power a light source. Additional materials that are required to use the CliniPAK Node include surge protector (if powering CliniPAK Node with AC power), switch power cord, power over Ethernet, power over Ethernet access point, Ethernet cable, USB stick, USB mouse, USB Keyboard, and USB Ethernet adaptor.
CliniPAK software enables data collection either through a local server with CliniPAK Node or centrally in a cloud. The CliniPAK system is designed so that can be integrated with Vecna Cares’ customized software or another electronic medical records software such as OpenMRS or CommCare. CliniPAK software allows users to utilize CliniPAK’s library of workflow modules or create their own. The software can be accessed through any browser enabled device on any operating system. CliniPAK cloud-based hosted solutions utilize a SAAS model to allow for total data and reporting access online. When connectivity is not available, the Android app can be used for offline data collection and synced with the cloud later.
Vecna Cares uses a train-the-trainer model of training to ensure sufficient local support for CliniPAK. This training model takes less than one week to complete. The cost of training varies depending on the type of training requested.Interview with representative Vecna Cares also has a network of country program managers to provide support.
Vecna Cares supports clients in monitoring ICT indicators to ensure local uptake of technology of the system. In addition, hardware, software, and data analysis support services can be tailored to each project.
The CliniPAK Node is not comprised of customized parts so that replacement parts can be serviced locally. However, the system is designed to be rugged and therefore requires minimal servicing.Interview with representative
The oldest CliniPAK Node units in the field are four years old and are still actively being used.Interview with representative
CliniPAK relieves health workers of up to three days of tallying register entries.
In-house validation has been conducted by Vecna Cares to confirm that the CliniPAK Node is rugged. For example, software was uploaded to CliniPAK Node to ensure the hardware would not overheat. Vecna Cares is in the process of conducting additional controlled testing.Interview with representative Experts note that they would like to see further validation of the device’s physical robustness. Vecna Cares reports a low failure rate in the field.Interview with representative
Grant proposals to perform academic research to validate the CliniPAK system are pending.Interview with representative
Otu, A., Ebenso, B., Okuzu, O., and Osifo-Dawodu, E., 2016, Using a mHealth Tutorial Application to Change Knowledge and Attitude of Frontline Health Workers to Ebola Virus Disease in Nigeria: a Before-and-After Study, Human resources for health, 14(1), 5.
West, D. M., 2015, Using Mobile Technology to Improve Maternal Health and Fight Ebola: A Case Study of Mobile Innovation in Nigeria, Center for Technological Innovation at Brookings, 19, pp. 308-312.
CliniPAK supports integration with OpenMRS, ODK Collect, CommCare, DHIS2, and HMIS. Industry standard encryption via https is used when transmitting data from the tablets to the Node.Interview with representative
Vecna Cares requires pilot programs to demonstrate that certain critical metrics and milestones are met prior to scaling up the project. These metrics include reliable infrastructure, strong partnerships with local providers and government stakeholders, competence in the use of technology by healthcare workers and administrators, and reporting meeting defined expectations.
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