The enrichment of health management information systems with a Lite EMR, decision support and specific care paths per type of disease is a key activity for Africa eHealth Solutions. The current diabetes-hypertension release functions well in Ghana. To keep on learning and innovating a working session was organised with the Gelderse Vallei hospital Ede (the Netherlands) that operates eCare services for diabetes. Comparing software and best practices will allow Africa eHealth to offer the best care in an affordable way in the African context. Making the patient more knowledgeable is of great importance for clinical success was a main lesson learned. Gadgets also become more important. This allows regular measurement and control. The results can be forwarded automatically to the nurse practitioner who overlooks the medical condition of the patient. The call center functionality allows contacting the patient if needed. Decision support- built in the software- allows less skilled staff to provide appropriate treatment and to inform a medical doctor when needed. This will definitely be the future, because clinical outcomes improve and also the financial results.