tools to maximize a national investment in the genexpert july 22, 2013

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Tools to Maximize a National Investment in the GeneXpert July 22, 2013

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Tools to Maximize a National Investment in the GeneXpert July 22, 2013. There Are Four Stable, Scaling-up Data Services Around the GeneXpert. GxAlert Open source, dev in 2012 by Abt Associates using their own money Incorporates diagnostics for TB and flu ( GeneXpert ) and HIV (PIMA) - PowerPoint PPT Presentation

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Page 1: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Tools to Maximize a National Investment

in the GeneXpertJuly 22, 2013

Page 2: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Abt Associates

GxAlert– Open source, dev in 2012 by Abt Associates using their own money– Incorporates diagnostics for TB and flu (GeneXpert) and HIV (PIMA)– Active in India and Nigeria; early stage in 5 countries

TBGxMonitor– Developed in 2011 by Univ. of Witwatersand in South Africa– Active in South Africa; early stage in 13 countries

XpertSMS– Open source, dev in 2011 by IRD Pakistan under one-time grant– Active in Pakistan, Nepal, Kenya, Zimbabwe; early stage in 5 countries

RemoteXpert– Being developed now by Cepheid, estimated launch December 2013– Pilot tested in South Africa

There Are Four Stable, Scaling-up Data Services Around the GeneXpert

The first three were developed out of necessity… teams just wanted the data. It turns out, others wanted

the data too. So these developed into software

products.

There is some overlap, but generally each tool fits a

different set of needs.

Page 3: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Abt Associates

What Does Each Software Do?

Disease Management Case+Population level Management Indicator reporting MDR treatment Drug demand / supply Integration into existing National

Health Information Systems MOH messaging Clinic / lab messaging Patient messaging

Instrument Operations Errors and error rate (by user,

module, and machine) External Quality Assurance (EQA) Instrument Verification Pre-analytical, analytical and

post-analytical evaluation

Supply Chain Management Cartridge expirations Stockout management Utilization vs. disease load Deployment planning Procurement, warranty, and service

planning

Page 4: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Abt Associates

A Look Inside…GxAlert

Page 5: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Abt Associates

Each is Relatively Inexpensive to Bring to National Scale GxAlert ~$25,000 Yr1 to roll out nationwide and tech support existing

software; Yr2 ~$10,000

XpertSMS ~$25,000 Yr1 to roll out nationwide and tech support existing software; Yr2 ~$10,000

TBGxMonitor available to complement NHLS/Wits DCS EQA program. Independent use cost TBD.

Cepheid’s RemoteXpert, cost TBD, Dec 2013

Organizations can pay for customizations if desired, but

not necessaryBy leveraging these tools, you can:

1) Shorten diagnostic response time from months to seconds, getting patients into treatment faster

2) Reduce waste, operating costs, and stockouts3) Dramatically improve data quality

Each of these software is capable of communicating

with the others so installing a mix of software is relatively

easy and inexpensive

Page 6: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Abt Associates

Why Include These Tools in Your GeneXpert Implementation?1. Shorten diagnostic response time from months to seconds, getting

patients into treatment faster

2. Reduce waste, operating costs, and stockouts

3. Dramatically improve data quality

4. Identify drug resistance patterns of TB strains

5. Measure program adherence to the TB algorithms

6. Order cartridges based on real-time demand forecasts

7. …

Page 7: Tools to Maximize a National  Investment in the  GeneXpert July 22,  2013

Better patient treatmentFaster response to MDR-TB

More efficient TB logistics

Prepared by:Martha Benezet [email protected] Takle [email protected]

Download slide deck @ www.GxAlert.com