Case study · Papua New Guinea

ANGAU Memorial Provincial Hospital prepares 17 departments for go live on Moana.

Implementation: data mapping and configuration complete

Moana Digital Health is working with ANGAU Memorial Provincial Hospital in Lae, under the Morobe Provincial Health Authority. ANGAU serves a catchment of about 2.8 million people across the Momase region. All 17 departments are now mapped and configured in Moana, and go live is expected in the coming weeks.

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Moana and hospital team outside ANGAU Memorial Provincial Hospital, Papua New Guinea

CountryPapua New Guinea
SiteANGAU Memorial Provincial Hospital, Lae, Morobe
StatusImplementation
StageAll departments mapped and configured; go live expected in the coming weeks

The challenge

A regional referral hospital for the Momase region.

ANGAU is a Level 5 facility and the second largest hospital in Papua New Guinea. It is the district hospital for Lae, the provincial hospital for Morobe, and the regional referral hospital for the Momase region, which covers about 2.8 million people across Morobe, Madang, East Sepik and Sandaun, with further referrals from the Highlands.

A hospital with that reach requires a single patient record that remains complete at every handover between departments. The partnership aims to strengthen patient care, service delivery, clinical governance and health information management at ANGAU.

Retaining established national forms

The Cancer Department uses a national registry form that follows a patient from registration to follow up. The form is sound; its limitation is that it is held on paper. It has therefore been built into Moana as it stands, so that the registry is completed as care is recorded.

The approach

Department by department, with the staff who run each one.

The engagement was planned as a clinical pilot covering emergency, registration and admissions, followed by the wards. Work began with the Officers in Charge of departments across the hospital, followed by sessions with the remaining departments and the nursing teams. The first structured departmental work was undertaken with Medical Records.

Each department’s workflow is mapped with the staff who carry it out and configured in Moana with them before go live. That work is now complete for every department.

Scope extended at the request of departments

Several departments asked to be included after observing the work in the clinical areas, and the scope was extended beyond the original pilot. Catering asked for ward nurses to place inpatient meal orders with dietary requirements attached, and for invoices to pass directly to the hospital’s finance office. Maintenance asked for every department to be able to raise a job from its own dashboard into a single queue.

Scope configured

Seventeen departments, each configured with its own team.

Each department below is mapped and configured in Moana with the staff who run it. Go live at ANGAU is expected in the coming weeks.

Emergency and access

Mapped and configuredEmergency Department and RegistrationPatient identification at first presentation, referral pathways, and bed availability across the hospital, through to discharge.
Mapped and configuredMedical Records and MISNational returns built from documented encounters. Each figure traces to its source record, and the Officer in Charge approves every report before release.
Mapped and configuredConsultation ClinicThe hub for the hospital’s specialist outpatient services, with each clinic’s activity reported from the record.

Women and children

Mapped and configuredLabour WardEvery delivery creates the newborn’s own record, linked to the mother from the first minute.
Mapped and configuredSpecial Care NurseryEach baby arrives with birth details already recorded, and every observation, transfer and discharge is added to the same record.
Mapped and configuredChildren’s Outpatient DepartmentA child’s record starts at birth and follows them as they grow, with growth and immunisation on one record.
Mapped and configuredFriends ClinicSexual health care configured with the clinic team, with access to sensitive records restricted by role.

Diagnostics

Mapped and configuredPathologyHaematology, serology, microbiology and biochemistry on MOANA LIS, with verified results returned to the requesting clinician.
Mapped and configuredRadiologyThe radiology workspace connected to the hospital’s existing PACS, with reports returned to the requesting clinician.
Mapped and configuredBlood Transfusion ServiceDonor, unit and recipient linked in a single record, so every unit can be traced from donation to transfusion.

Medicines and specialist clinics

Mapped and configuredPharmacyEvery prescription is screened against allergies and current medicines, and nothing is issued without pharmacist authorisation.
Mapped and configuredDentalStructured dental encounters, with supplies tracked where clinicians document and prescribe.
Mapped and configuredENT ClinicEar, nose and throat care for adults and children referred from across the Momase region, on one record.
Mapped and configuredCancer DepartmentThe national cancer registry form, built into the record, so clinicians work from one record from referral to follow up.

Public health and hospital operations

Mapped and configuredTB DOTS ClinicScreening, treatment, contact tracing and outcomes in one linked record, with programme indicators produced from the clinic’s own data.
Mapped and configuredCatering and Dietary ServicesWard nurses order meals from the patient list, with dietary requirements carried from the clinical record.
Mapped and configuredMaintenanceWork requests, asset history and preventive servicing for equipment such as generators and cold rooms, in one queue.

Gallery

The Moana team with department staff at ANGAU.

Moana team with the Pathology team at ANGAU Memorial Provincial Hospital — Pathology

Moana team with the Pharmacy team at ANGAU Memorial Provincial Hospital — Pharmacy

Moana team with the Emergency Department team at ANGAU Memorial Provincial Hospital — Emergency Department

Moana team with the Registration team at ANGAU Memorial Provincial Hospital — Registration

Moana team with the Special Care Nursery team at ANGAU Memorial Provincial Hospital — Special Care Nursery

Moana team with the TB DOTS Clinic team at ANGAU Memorial Provincial Hospital — TB DOTS Clinic

Moana team with the Friends Clinic team at ANGAU Memorial Provincial Hospital — Friends Clinic

Governance and standards

Interoperability, governance and data ownership.

The work is aligned to Papua New Guinea’s National Digital Health Strategy 2025 to 2030 and proceeds through the governance pathways of the Morobe Provincial Health Authority and the National Department of Health.

The hospital’s data is exchanged with national systems through named standards, including HL7 FHIR R4, rather than custom connections. ANGAU owns its data. Moana Digital Health maintains the system and provides support on site and remotely.

Modules

Standards

HL7 FHIR R4
HL7 v2
ICD 10
LOINC

Status and next steps

Where the work stands.

September 2026Partnership commencedMoana Digital Health and ANGAU Memorial Provincial Hospital commence a partnership for digital health in Morobe.
October 2026Data mapping and configuration completeEach department’s workflow mapped and configured with the staff who run it.
NextGo live, rollout and staff training on siteGo live is expected in the coming weeks, with rollout and training delivered on site by the Moana team alongside the hospital’s own ICT staff. For existing records, ANGAU may import from its existing spreadsheets and systems, or have paper records digitised with a final human check before anything enters the record.

Acknowledgements

With thanks.

The Moana team with ANGAU department heads, including the Director Curative Health Services, the ICT Manager, the Medical Records Manager and the Radiology Manager — With department heads at ANGAU Memorial Provincial Hospital.

Moana Digital Health acknowledges Dr Kipas Binga, Chief Executive Officer, and the Senior Executive Management team of the Morobe Provincial Health Authority; Dr Steven James, Director Curative Health Services; Mr Francis Wau and the ICT team; and Mr Jayson Kum, Manager Medical Records, whose coordination and support made this work possible.

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