Background 
              •  Electronic medical records critical in strengthening health system decision making and program 
                 performance. 
              •  Timeliness, accuracy and completeness of data is important to inform data quality improvement. 
              •  2017 national HIV services data quality audit highlighted gaps in viral load documentation in both 
                 paper and EMR based sites. 
              •  IQCare EMR implemented to bridge these gaps in the CHAK-HIV Program 
              •  Provides care and treatment to over 48,000 patients
              •  Supported by robust data quality audits, data demand and information use processes to drive 
                 quality improvement activities. 
     Study Objective 
     To demonstrate improved accuracy, timeliness and completeness of VL data through the use of 
     IQCare EMR in CHAK-HIV Program.
              Methods (1) 
              •  Study design: Retrospective dynamic cohort
              •  Study Period: January 2015-September 2018
              •  Study Location: 79 facilities supported by CHAK-HIV Program,Kenya
              •  Data: De-identified patient level data 
              •  Data source: Medical records from IQCare EMR , using SQL queries.  
              •  Inclusion-all records of patients in care 
              •  Study variables-VL results duration to entry, completeness of entry
              •  Sample size-37435, 39075, 41856 and 43518 records were reviewed for year 2015, 2016, 2017 
                 and 2018 respectively
              Methods (2) 
              • Data analysis
                    •  ANOVA between annual time periods 
                    •  Post hoc comparisons to compare the effect of use of EMR on accuracy and timeliness of VL 
                       documentation
                    •  Two sample t test to compare percentage erroneous entries between study years compared to 
                       baseline year.
       Results 1: Timeliness and 
       Accuracy of Documentation  
                                          SUM OF        MEAN               PROBABILIT
       SOURCE OF VARIATION     DF        SQUARES       SQUARES     F RATIO     Y
            BETWEEN           3.00       360644.50    120214.80    165.09    0.0000
             WITHIN         130650.00   5139088.00      728.20
              TOTAL         130653.00   5499736.00
       Significant effect of the use of EMR on improving timeliness and accuracy of documentation for the four 
       time periods [F (3, 130650) = 165.09, p<0.001].