*What*: Nancy Puttkammer: Development of an Electronic Medical Record Based Alert for Risk of HIV Treatment Failure in a Low-Resource Setting *When:* Tuesday, Jan 27 at 12pm *Where:* The Allen Center, CSE 203 Please join us for this week’s Change Seminar. This week Nancy Puttkammer, MPH, PhD will be talking about development of an alert to signal patients at risk of HIV antiretroviral therapy (ART) failure, within the iSanté electronic medical record system in Haiti. Please note that this quarter we will be meeting every other Tuesday so the next meeting will not be until Tuesday Feb 10. *Abstract:* The scale up of electronic medical record (EMR) systems in resource-limited settings can help clinicians monitor patients’ adherence to HIV antiretroviral therapy (ART) and identify patients at risk of future ART failure, allowing resources to be targeted to those most at risk. Our study involved the iSanté EMR in Haiti, a large-scale system implemented in more than 100 sites in Haiti. We identified a simple prediction model for ART failure based on ART adherence measures and other patient characteristics. The selected prediction model was used to generate a risk score, and its ability to differentiate ART failure risk was tested. This risk score could be used as the basis for an automated ART adherence alert within the iSanté EMR. Such an alert could help clinicians identify patients at high risk of ART failure so that they can be targeted with adherence support interventions, before ART failure occurs. *About the speaker:* Nancy Puttkammer, MPH, PhD is a health services researcher with a strong interest in strengthening health information systems in low resource settings. Dr. Puttkammer serves as a Research and Evaluation Advisor at the International Training and Education Center for Health (I-TECH) within the UW Department of Global Health. In this capacity, she oversees evaluation of projects in Haiti and Kenya for national scale-up of electronic medical records and laboratory information systems. Her research has involved use of patient-level data from electronic medical records at multiple levels, including data use by clinicians for improved patient management, data use by program managers to guide facility-level quality improvement strategies, and data use by policy makers to guide national planning and resource allocation. She has also participated in cost evaluation for health information systems. Dr. Puttkammer has worked within HIV care and treatment programs for more than 20 years in the US, Africa, and the Caribbean region.