Bro, everyone who has played or coached goalkeepers knows that when conditions are wet and the gloves are soaked, you don’t try to hold onto every ball. If there’s any doubt about your grip, you punch it away. That’s basic goalkeeping. Catch when it’s clean and safe; punch when the conditions make holding the ball risky.
There will always be a transition period when a national digital system changes , that part is normal.
The issue is how the transition is handled.
Right now the challenges we’re seeing are due to:
• No structured migration plan
• No overlap between the old and new systems
• Limited communication to facilities
• No clear continuity of patient records
These concerns have been circulating in the health sector for months.
It’s not the change itself that’s the problem , it’s the lack of a smooth, coordinated handover.
This is exactly why Ghana needs a unified digital health backbone so system changes don’t disrupt patient care.
That’s exactly what I covered in my article ,
“Ghana Doesn’t Need Another Health ERP - It Needs an Interoperability Layer.”
Because Ghana’s challenge isn’t software, it’s connectivity and standards.
🔗https://t.co/JVUQlRoClx
@mohgovgh@_GHSofficial@KMAkandoh@samgeorgegh
@Glitz_mell@thegdiw Excited for this! 🙌🏽
I’ll be speaking on “Laying the Digital Foundations for Connected Healthcare in Ghana” at #GDIW2025 ,Friday, Nov 14th, 2:20 PM (AICC, MR3).
Let’s move Ghana from siloed systems to a truly connected health ecosystem.
#DigitalHealth#InnovationGhana
That’s exactly what I wrote about in my article:
“Ghana Doesn’t Need Another Health ERP — It Needs an Interoperability Layer.”
Because Ghana’s real challenge isn’t software — it’s connectivity and standards.
🔗 https://t.co/xdWnrIEbaC
#GhanaHealth#InnovationGhana#GDIW2025
🧩 Syntactic interoperability → systems can talk (shared formats like HL7 / FHIR)
💡 Semantic interoperability → systems understand each other (shared meaning & codes)
Without both, healthcare data stays in silos — disconnected and duplicated.
#Interoperability#GDIW2025
True health interoperability goes deeper — it’s about ensuring systems not only exchange data but also understand the meaning of that data.
#DigitalHealth#ConnectedCare#GDIW2025
My latest LinkedIn article, “Ghana Doesn’t Need Another Health ERP — It Needs an Interoperability Layer” — just crossed 5,000+ impressions
It’s clear people care deeply about Ghana’s digital health future.
https://t.co/s43zXdzvxE
@BBSimons@mohgovgh
@BBSimons From a Health Informatics perspective, the real fix isn’t another ERP but an Interoperability Layer, a national “Health Exchange” that lets certified systems share data seamlessly. That’s how the EU’s EHDS evolved ,policy enabling ecosystem, not monopoly software.
Lightwave was introduced by administrative fiat under the previous administration to displace all existing providers of electronic medical records solutions. Now, the new administration is also planning to displace Lightwave by administrative fiat and impose the Ghana Health Information Management System. Essentially, all that’s being done is replacing one vendor with another in typical Ghanaian policymaking fashion, while the underlying issues remain unresolved.
The decision to impose Lightwave effectively created a monopoly over electronic medical records in Ghana. Having a monopoly in this space means creating a single point of failure. Local developers who had spent years building their own solutions were forced out. Replacing Lightwave with the Ghana Health Information Management System only reinforces that monopoly. We shouldn’t be confused by claims that it’s state-owned. The Ghana Card is supposedly state-owned too, yet the state cannot operate it without the private vendor.
What lessons are we learning from this fiasco to ensure that the next change in government doesn’t trigger yet another change in vendor and further disruptions to e-health services? We’ve already heard reports of a return to manual record keeping. The Ministry said it had to reconstruct data because Lightwave refused to hand it over.
We are also now learning that Lightwave was paid 77 percent of the contract amount for completing less than 50 percent of the work. Why must it always take a change in government for the Ghanaian taxpayer to learn about such issues? There are clearly deep governance and policy failures, ones that don’t automatically get fixed by changing vendors. But Ghanaian policymakers always seem to take the easy route, enriching cronies in the process.