In Kosrae's only hospital, patient histories are eaten by rats, locked away at night, and lost to humidity. Every day without digitization puts lives at risk.
A doctor requested a patient's file, only to learn it had been eaten by rats. That patient's entire medical history — gone permanently. There was no backup, no digital copy, nothing.
A pregnant woman arrived at night. Her record was locked away. After delivery, staff discovered she was Hepatitis B positive — a finding that should have changed every aspect of her care.
A patient with a nitrate allergy had no documentation in the system. They were given the same drug again — a nearly fatal reaction that a single digital flag would have prevented.
With Liaison's support, digitization has begun. But 13,000 records is a monumental task for a small island health system. Each phase requires sustained funding, training, and infrastructure.
Each tier supports a different phase. Together, they build a system Kosrae will own independently — for generations.
The work in Kosrae is a model that can travel — to other Micronesian islands and beyond, wherever care is still delivered with paper and pen.
When records are searchable in seconds, clinicians spend less time hunting and more time treating. Every patient benefits immediately.
Digital records surface allergies, prior conditions, and medications at the point of care — before a dangerous mistake can happen.
Aggregated records power public health response. Disease tracking, outbreak detection, and population care all improve with a connected system.