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Hospital and Emergency Centre Tracking Information System (HECTIS)
It is universally accepted that the Emergency Centre (EC) is the coal face of the healthcare service delivery platform at all levels of care from primary to specialised institutions. As a consequence, the management and efficiency of this service will directly impact on the quality of patient outcomes. The Western Cape Department of Health historically utilised large amounts of paper-based registers to track the number and movement of patients through the Emergency Centre. This led to large amounts of redundant capturing of patient data at multiple touchpoints, poor access and quality of any patient EC Data, and an inability to manage the chaos which prevails at most Emergency Centres. The ECs are a high service pressured area and any relief to staff would have a major impact as well as enable better clinical and operational management of services. In response to this challenge, the HECTIS (Hospital and Emergency Centre Tracking Information System) application was developed. It was initially piloted at 4 Emergency Centres and iteratively improved over time. During COVID-19 it showed massive utility and is now, over the last 18 months, being scaled up to every public sector Emergency Centre in the province.
Date: 2026/01/22
Version: 0.1
Tags:
Patient Management System
Public Health Innovations
Government In-house Solutions
eRecruitment Management System: Matjhabeng Local Municipality
Matjhabeng Local Municipality internally developed an eRecruitment Management System (eRMS) by the ICT department in collaboration with the HR department. The HR department had challenges with processing large volumes of job applications, which resulted in delays in the appointment of critical staff members. The recruitment process took longer and was full of mistakes. The system sought to improve efficiencies in the recruitment process.
Date: 2025/12/09
Version: 0.1
Tags:
Local Government Innovations
Government In-house Solutions
Human Resource Solutions
Linkage to Care
Community Based Services (CBS) are a critical tool in assuring the health of communities in resource poor settings. They have the tools to provide a comprehensive set of services which include nutrition, wound care, home based rehabilitation, adherence to therapy, palliative care and psychosocial support. They have been shown to reduce re-admission rates to hospital. There are 850 Community Health Workers and 62 registered nurses who provide CBS to the 1.1 million residents in the Klipfontein Mitchells Plain Substructure. The challenge is that these services are under-utilised due to administrative failures and inefficiencies in referring these patients. Less than 500 CBS referrals were completed in 2021. An informal audit revealed that contributory factors to low referrals included lack of staff awareness of available services, how to access these services, limited access to paper-based referral forms, limited administrative support to ensure paper forms were scanned/e-mailed and frequent scanner/computer failure. This meant that the limited referrals that were actually completed, often never reached the destination, to the detriment of the patient. It is for this reason that a Doctor at Mitchells Plain Hospital came up with a solution.
Date: 2025/08/19
Version: 0.1
Tags:
Public Health Solutions
Government In-house Solutions