PMID- 27435952 OWN - NLM STAT- MEDLINE DCOM- 20171121 LR - 20181202 IS - 1872-8243 (Electronic) IS - 1386-5056 (Linking) VI - 93 DP - 2016 Sep TI - Open-source LIMS in Vietnam: The path toward sustainability and host country ownership. PG - 92-102 LID - S1386-5056(16)30139-3 [pii] LID - 10.1016/j.ijmedinf.2016.06.010 [doi] AB - OBJECTIVE: The objectives of this case report are as follows: to describe the process of establishing a national laboratory information management system (LIMS) program for clinical and public health laboratories in Vietnam; to evaluate the outcomes and lessons learned; and to present a model for sustainability based on the program outcomes that could be applied to diverse laboratory programs. METHODS: This case report comprises a review of program documentation and records, including planning and budgetary records of the donor, monthly reports from the implementer, direct observation, and ad-hoc field reports from technical advisors and governmental agencies. Additional data on program efficacy and user acceptance were collected from routine monitoring of laboratory policies and operational practices. RESULTS: LIMS software was implemented at 38 hospital, public health and HIV testing laboratories in Vietnam. This LIMS was accepted by users and program managers as a useful tool to support laboratory processes. Implementation cost per laboratory and average duration of deployment decreased over time, and project stakeholders initiated transition of financing (from the donor to local institutions) and of system maintenance functions (from the implementer to governmental and site-level staff). Collaboration between the implementer in Vietnam and the global LIMS user community was strongly established, and knowledge was successfully transferred to staff within Vietnam. CONCLUSION: Implementing open-sourced LIMS with local development and support was a feasible approach towards establishing a sustainable laboratory informatics program that met the needs of health laboratories in Vietnam. Further effort to institutionalize IT support capacity within key government agencies is ongoing. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Landgraf, Kenneth M AU - Landgraf KM AD - The QED Group LLC, assigned to the Centers for Disease Control and Prevention, Viet Nam. Electronic address: yci8@cdc.gov. FAU - Kakkar, Reshma AU - Kakkar R AD - The Association of Public Health Laboratories, United States. FAU - Meigs, Michelle AU - Meigs M AD - The Association of Public Health Laboratories, United States. FAU - Jankauskas, Paul T AU - Jankauskas PT AD - The Association of Public Health Laboratories, United States. FAU - Phan, Thi Thu Huong AU - Phan TT AD - The Vietnam Agency for HIV/Aids Control, Viet Nam. FAU - Nguyen, Viet Nga AU - Nguyen VN AD - The Vietnam Agency for HIV/Aids Control, Viet Nam. FAU - Nguyen, Duy Thai AU - Nguyen DT AD - VAAC-US.CDC Project, Viet Nam. FAU - Duong, Thanh Tung AU - Duong TT AD - Ho Chi Minh City Aids Committee, Viet Nam. FAU - Nguyen, Thi Hoa AU - Nguyen TH AD - Centers for Disease Control and Prevention, United States. FAU - Bond, Kyle B AU - Bond KB AD - Centers for Disease Control and Prevention, United States. LA - eng GR - U2G GH001097/GH/CGH CDC HHS/United States GR - PEPFAR/PEPFAR/United States PT - Journal Article DEP - 20160623 PL - Ireland TA - Int J Med Inform JT - International journal of medical informatics JID - 9711057 SB - IM MH - Clinical Laboratory Information Systems/*standards MH - Data Collection/*standards MH - Government Agencies MH - Humans MH - Laboratories/*standards MH - Ownership MH - Program Evaluation MH - Quality Assurance, Health Care MH - Research Design MH - *Software MH - Vietnam OTO - NOTNLM OT - Development OT - FLOSS OT - Health OT - Information systems OT - LIMS OT - LIS OT - Laboratory OT - Medical informatics OT - OSS OT - Open source OT - PEPFAR OT - Resource-constrained OT - Sustainability EDAT- 2016/07/21 06:00 MHDA- 2017/11/29 06:00 CRDT- 2016/07/21 06:00 PHST- 2016/02/02 00:00 [received] PHST- 2016/06/17 00:00 [revised] PHST- 2016/06/18 00:00 [accepted] PHST- 2016/07/21 06:00 [entrez] PHST- 2016/07/21 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] AID - S1386-5056(16)30139-3 [pii] AID - 10.1016/j.ijmedinf.2016.06.010 [doi] PST - ppublish SO - Int J Med Inform. 2016 Sep;93:92-102. doi: 10.1016/j.ijmedinf.2016.06.010. Epub 2016 Jun 23.