Topics

Background of TIER.Net & Guiding Principles

1. TB/HIV system

THIS Integration: The processes to integrate the HIV/ART and DS-TB data management and reporting processes into a single in-facility data management system and a single data flow. In addition, the TB/HIV information system integration term refers to the technical working group team responsible for the transition project.

2. TIER.Net:

Three Interlinked Electronic register TIER.Net is a non-networked electronic programme containing TB/HIV patient information. It is a tool used to support patient management and provides data used to report routine programme performance data into the webDHIS.

  • TIER.Net is the software application that is part of the wider TB/HIV information system initiative

  • The TIER.Net application supports clinical governance, service delivery and programme management

  • TIER.Net is only as good as the extent to which it is managed, curated and maintained

  • As defined in the SOP and other critical guidance materials

  • Software application updates based on evidence-based feedback, policy and guideline updates/changes

  • Software application evolves to align with programme and policy updates

Guiding Principles

  • Action taken by the facility on the TIER.Net line lists support patient management, retentionefforts, and data cleaning activities.

  • Robust, comprehensive and accurate clinical recording keeping practices are a critical component of the TB/HIV information system.

  • All information (clinical stationery, results etc) are to be filed together in a single patient folder in accordance with the Ideal Clinic prescript of ’one patient, one folder, one folder number’2.

  • Facilities are to maintain printed and signed copies of submitted reports for reference and auditing purposes. In the event that a facility is unable to print the reports, an electronic file containing the reports is to be maintained for reference and audit purposes.

  • Integration of TB/HIV data into a single data flow process (via clinical recording, data capturing, and patient folder flow) facilitates data use at the facility and the reporting of data from facility to (sub)district, province, and national levels.

  • The line lists and programmatic reports are to be used at the facility-level to support clinical, patient, operational and programme management

  • Access to data (electronic or paper) is granted only to those authorised employees of the Department of Health. Anyone outside of the DOH requiring access to patients records (electronic or paper), must receive written approval by the district office and facility manager.

Scenario 1

You have appointment with AG in your facility and he/she identifies gaps in TB/HIV data management. One of the recommendations is to provide capacity building of staff on the identified gaps.

What are the guiding documents/Guidelines( including the versions) that you can use to prepare your capacity building exercise.

Data flow &Timelines