Two years ago, using Windows XP and OpenEMR/XAMPP 4.1.2, I created a server and wireless network environment for St. Paul's Clinic, in El Rosario Honduras. The Clinic is a free clinic that serves a poor community near Tegucigalpa, the capital of Honduras. People queue up in the morning before the Clinic opens, waiting for care. The medical staff of the Clinic includes a doctor, dentist, nurse, and it includes a free pharmacy; and the Clinic operates much like an emergency care center (emergency room in a hospital). Twice a year, a team of doctors, nurses and other volunteers goes to Honduras to help, and there may be several hundred people queued up at a site where a clinic is set up temporarily. In January 2016 care was offered to over 1600 people in 4 working days, and in July 2015 over 6000 people were seen in less than a week.
Consequently, there are essentially no appointments and given that it is a free clinic, there is no insurance, and no billing. So, many of the facilities in OpenEMR will never be used and are "overwhelming" to the clinic staff and volunteers -- and consequently the system has been largely unused, in spite of its potential.
(The issues are largely cultural and how medicine is practiced in that environment. And, there is NO budget to hire a solution to the problem. A solution will have to be based upon volunteer efforts.)
So, my initial questions are:
1) Does the OpenEMR system include different operating modes so that the user interface would be more like an emergency care environment -- triage nurse in charge of incoming patients, vital signs are taken, initial records established and the patients are assigned to the first doctor (or practitioner) available with the appropriate skills vs. a doctor's office, front desk, appointments, ...; and
2) Can the Insurance interfaces be "hidden" since there is no insurance to pay for care ...??
What I would hope for is a set of "global variables" that could be used to tailor the interface so that only the interfaces needed could be used.
If necessary, I will initiate a customization of the user interfaces to simplify them so that ONLY information that is necessary and useful in the Clinic's operating environment are displayed and collected, but that creates an issue with respect to maintenance and future releases.
If these issues have been addressed by someone else, then I would appreciate information regarding configuration and global values to accomplish what I want to achieve. Any other advise offered will be considered.
Thank you for your consideration and advise.
Jerry Linn, for St. Paul's Clinic in El Rosario, Honduras.