Electronnic Logistic Management Information System (eLMIS) Upgrading

I. Background:

In Vietnam, as PEPFAR is transitioning out of Direct Service Delivery support, it is time for the country to take ownership of financing and managing HIV/AIDS programs. The Social Health Insurance (SHI) fund, managed by Vietnam Social Security (VSS), is the single most important financing mechanism for the sustainable HIV response. According to VAAC’s plan, 160,000 out of approximately 171,000 patients currently on ARVs received ARVs through the SHI scheme in 2023. This situation requires more detailed and consistent monitoring and management of HIV patients under the SHI system, thereby improving data accuracy, comprehensiveness, and timeliness. However, when PLHIV receives medical services through the SHI scheme, the VSS e-claim system currently captures only information as with those of other diseases but not specific information for HIV treatment program management. Meanwhile, each health facility uses its own Health Information System (HIS) to collect this information. Thus, there are substantial variabilities in the name, definition, and calculation of ARV treatment-related variables across health facilities.

To address the barrier, the establishment of standardized, common HIV treatment management indicators/variables to be integrated into the VSS e-claim to monitor HIV patients under the SHI scheme are urgently needed.

During 2021 and 2022, LHSS worked with DHI and VAAC to revise Decision 4210 on standard data outputs in management, verification, and payment for medical services covered by the SHI fund to include HIV treatment indicators. As a result, on January 18, 2023, MOH enacted Decision 130 on output data standards for management, verification, and payment for medical services covered by the SHI fund, including HIV data standard outputs, that replaces Decision 4210.

From September 1, 2023, onward, all health medical and examination facilities will send treatment data (Extensible Markup Language - XML) based on information structures in decision 130/Q?-BYT to an insurance information gateway at https://gdbhyt.baohiemxahoi.gov.vn.

So far, the gateway of the VAAC has not yet been ready to receive the data from the facilities. On the other hand, the eLMIS system, which is currently maintained and under management by VSS, is proven a strong ability to consolidate and export HIV data from the e-claim system for program management purposes in an effective way. Therefore, as part of the support for the government in the implementation of Decision 130, LHSS plan to support VSS in developing a function to retrieve and store the database of the HIV patient treatment program management indicators following Decision 130 that integrate into the current eLMIS system, while the VAAC gateway is not ready to receive these databases. LHSS project will seek an IT company to conduct this assignment..

II. Objectives:

• To redesign the eLMIS system to create new functions of auto-retrieving,  consolidating, and storing all HIV, TB, OIs, Hepatitis B, and Hepatitis C claim data by each HIV patient visit from the SHI e-claim system to formulate HIV patient database in the VSS system with variables speculated in the Decision 4210 and the new Decision 130 to meet requirements of HIV treatment program management.
• Re-design the current functions and the dashboard of the current eLMIS to make its interface more user-friendly and interactive as well as enhance user experiences.
• Develop the mobile application to demonstrate the program management indicators through the dashboard on mobile devices.

III. Tasks:

• Develop functions and technical specifications of each user functions to retrieve HIV & TB data from the e-claim system following Decision 130 and existing Decision 4210.
• Develop the function to store the HIV, TB, OIs, and hepatitis B, and C data from the e-claim system following Decision 4210 and Decision 130
• Update the current functions and re-design the dashboard of the current eLMIS to capture variables speculated in Decision 4210 and Decision 130 and meet the data requirements for HIV treatment program management
• Ensure the open function that allows the  HIV data could be imported into other systems
• Develop the mobile application to demonstrate the program management indicators through the dashboard on the mobile devices.

IV. Deliverables:

#	DELIVERABLE
1	Technical design documents of demand analysis and specific system design including: (1).  Technical specification document on the above-mentioned functions, (2).  Analysis of data flow requirements, and (3).  Solutions to allow the HIV database could be imported to other systems via XML files or APIs
2	Demo version of the eLMIS system, including new/upgraded functions and an updated dashboard
3	Completed upgraded eLMIS system
4	Completed mobile app for iOS and Android OS
5	Handover documents including: (1).  Source code of the system (both web app and mobile app) (2).  Guidance on the installation and user guide (3).  Training Manual (4).  Confirmation of acceptance by VSS and LHSS

V. Requirements for capacity and human resources:

• Experienced with HIV/AIDS program, TB program, and reporting requirements.
• Experienced with developing tools or the Hospital Health Information System (HIS) based on Decision 4210/QD-BYT and knowledge of Decision 130/QD-BYT.
• Basic understanding of the health insurance information system, hospital information system, and data treatment store.
• Experience with iterative or agile development methods.
• Experience working closely with the business owner to solve problems and guide the direction of development.
• Experience in developing mobile apps for Android and iOS.
• Competent in communicating in English.

VI. Submission timeline and contact point:

The LHSS Vietnam project, funded by USAID and implemented by Abt Associates, will assist VSS to upgrade the eLMIS system. Thus, we are looking for a professional company specializing in software development to do this job. Any professional company is interested in providing this service, please contact us at [email protected] to receive detailed Term of References (TORs). Deadline for submitting the company’s credentials, technical and financial proposals: 25 May 2023.

Organization: Abt Associates
Location:
Application deadline: 2023-05-25
Send application to: [email protected]