eHealth TABLET: A Developing Country Perspective in Managing the Development and Deployment of a Mobile - Cloud Electronic Medical Record for Local Government Units Ma. Regina Estuar School of Science and Engineering Ateneo de Manila University Philippines restuar@ateneo.edu Dennis Batangan Institute of Philippine Culture Philippines dennis.batangan@gmail.com Andrei Coronel School of Science and Engineering Ateneo de Manila University Philippines acoronel@ateneo.edu Francisco Enrique Vicente Castro School of Science and Engineering Ateneo de Manila University Philippines fgcastro@ateneo.edu Anna Christine Amarra Ateneo Java Wireless Competency Center Ateneo de Manila University Philippines camarra@ateneo.edu Rose Ann Camille Caliso Institute of Philippine Culture Ateneo de Manila University Philippines rcaliso@ateneo.edu John Paul Vergara School of Science and Engineering Ateneo de Manila University Philippines jpvergara@ateneo.edu Abstract—In January 2013, the eHealth TABLET (Technol- ogy Assisted Boards for Local government unit Efficiency and Transparency) project began with a two-fold objective of: 1) creating a tablet based system that will integrate existing health information systems to address the national objective of a unified health information management system by 2015 and 2) to create a transparency layer at the local government units such that communication lines between municipal health officers and the mayor are monitored. Bottom up approach was used to ensure that all features requested by multi-stakeholders are included in the design of the system. The end product was a mobile - web based system with the mobile application having three main components: the electronic medical record (EMR) application which comprises of the patient record and diagnosis module, the requests/approval application, and the dashboard application for data visualization. Responding to the needs of intended users, the web based application provides the following features: web auxiallry entry, aggregated disease report application and usage monitoring . Regular usage monitoring increased usage over time. For ICT development projects in public health, iteratve involvement of multi-stakeholders is necessary to ensure higher acceptance and adoption. From a design perspective, technologies should be designed to be interoperable such that interfacing with existing systems will be seamless. I. I NTRODUCTION The national eHealth Framework of the Philippine govern- ment calls for the interfacing of several existing systems and databases in order to achieve its goal of unification. As of this writing, there are over 50 information systems related to health with around 5 systems directly being used by local government units in their health centers and barangays. However, the prob- lem is that data redundancy exists because existing systems, having the same patients, do not speak with one another. With this premise, we began exploring the possibility of creating a tablet based system which will interface with existing systems such that there is only one data entry point. To address the issue of efficiency, the proposed system was designed to use web and cloud services so that real time health data can be accessed anytime and anywhere. In January 2013, the eHealth Technology Assisted Boards for Local Government Unit and Transparency (eHealth TABLET) project began with the objective of designing and implementing a tablet based electronic medical record system for municipal health officers as well as a transparency communication module between the Mayor and the health officer. After one year, eTABLET has been deployed in 10 municipalities nationwide with over 7000 health records after a 6 month deployment timeframe. This paper discusses management in three perspectives: design, development and deployment of a mobile - web application within the context of developing countries where low cost but high adoption and acceptance solutions are relevant. II. RELATED LITERATURE Public health delivery has been evidently improved with the employment of Information and Communications Technology (ICT) in the systems and processes of the health sector [1]. Through ICT-enabled health sector services, geographic and fi- nancial barriers of delivering health-related needs to the public are minimized. This is especially true for developing countries where healthcare systems face inefficiencies and relatively high transaction costs [2]. In particular, the implementation of 2014 IEEE 15th International Conference on Mobile Data Management 978-1-4799-5705-7/14 $31.00 © 2014 IEEE DOI 10.1109/MDM.2014.44 329