> **From:** Dr. Lucía Peña <lucia.pena@clinicaesperanza.do> > **Subject:** Fwd: RE: Digital records system -- clinic network > > -- Forwarded message -- > **From:** Carlos Reyes <carlos.reyes@fundacionesperanza.do> > **To:** Dr. Lucía Peña > **Subject:** RE: Digital records system -- clinic network > > Lucía, > > The board approved the budget for a patient records system. We can allocate $4,000 USD for development. I'm forwarding you the contact for a developer who was recommended by Dr. Villanueva at the Santiago public health office. > > Please work with them directly. My only requirements: patient data stays in-country, and I want monthly reporting on patient volumes per clinic. > > Carlos > Board Chair, Fundación Esperanza > > -- Original message -- > > Carlos, > > Thank you. Here's what we need and why. > > We run three clinics -- Santiago, Jarabacoa, and Constanza. Right now, patient records are paper. When María from Constanza comes to the Santiago clinic because she's closer to town for the market, we don't have her records. The nurse calls Jarabacoa and hopes someone finds the folder. Last month we prescribed a medication that interacted with something Dr. Martínez had already prescribed at the other clinic. Nobody was hurt, but it scared me. > > What I need: > - A system where any clinic can pull up a patient's records > - Different access levels for different staff -- doctors see clinical notes, nurses see care plans, admin sees scheduling > - Secure -- this is medical data > - Simple -- our community health workers are excellent at their jobs but not with computers > > The Jarabacoa clinic has unreliable internet -- the system needs to handle that somehow. > > This has been a problem for three years. I'm ready to solve it. > > Lucía