ALL

Health Information System (HIS)

A set of components and procedures that generates information to improve healthcare management decisions at all levels.

Importance of Health Information

Provides reliable information for decision-making, policy development, governance, research, and healthcare delivery.

WHO Statement on Health Information (2008)

Sound and reliable information is the groundwork for all decision-making in the healthcare system.

Users of Health Information

Frontline healthcare workers, health administrators, policymakers, and other healthcare decision-makers.

Primary Function of HIS

To generate, compile, analyze, communicate, and use health information.

Data Generation

Collecting raw data from healthcare activities.

Compilation

Organizing collected data.

Analysis and Synthesis

Transforming collected data into useful information and insights.

Communication and Use

Sharing information to support decision-making.

Information Process

Data collection, data transfer, data processing, data analysis, and data presentation.

Data Collection

Gathering information from healthcare activities.

Data Transfer

Moving collected information from one person, facility, or level to another.

Data Processing

Organizing and preparing collected data for use.

Data Analysis

Examining data to identify patterns, trends, or useful findings.

Data Presentation

Showing processed information in an understandable form.

Management Structure of HIS

The resources and organizational policies needed to manage the system effectively.

HIS Resources

Personnel, tools, and finances.

Organizational Policies

Rules and guidelines that support the effective use of resources.

Field Health Service Information System (FHSIS)

The official DOH system that provides management information about public health programs.

Purpose of FHSIS

To collect, organize, and report health information that supports healthcare planning and decision-making.

Executive Order 352

The order identified in the module as the basis for FHSIS being the official system for designated national health statistics.

Centralized Health Data Bank

A collection of health information from barangay to national levels.

FHSIS Main Purpose

To provide health information for evidence-based decision-making at all levels.

FHSIS Aim 1

Provide raw and summary data on health service delivery and program indicators.

FHSIS Aim 2

Standardize facility-level databases for monitoring and evaluation.

FHSIS Aim 3

Support evidence-based research, policy, and health system interventions.

FHSIS Aim 4

Reduce the documentation burden on frontline health workers.

Evidence-Based Decision-Making

Making decisions using collected data and reliable evidence.

Health Service Delivery

The provision of healthcare services to individuals and communities.

Program Indicators

Measures used to monitor health program activities and accomplishments.

Monitoring

Regularly checking activities and results.

Evaluation

Assessing whether activities or programs are achieving their intended results.

1987 — Conceptualization of FHSIS

Started to streamline the existing reporting system because of challenges experienced by midwives.

Streamline

To make a process simpler, faster, and more organized.

1989 — Nationwide Implementation of FHSIS

Implemented nationwide through the joint efforts of sectors within and outside the DOH.

1991 — Local Government Code Implementation

Decentralized health service management to Local Government Units (LGUs), requiring adaptations to FHSIS.

Local Government Code (LGC)

The code associated with decentralizing health service management to LGUs.

Local Government Units (LGUs)

Local government bodies responsible for managing decentralized health services.

1996 — Decentralized FHSIS (DFHSIS) Pilot

Tested in six areas to address problems with the Modified FHSIS but was not adopted nationwide.

Decentralized FHSIS (DFHSIS)

A pilot system tested in six areas to address problems with MFHSIS.

2001 — Modified FHSIS (MFHSIS)

Introduced adjustments for decentralization and simplified reporting.

Modified FHSIS (MFHSIS)

A modified system designed to simplify reporting and adapt to decentralization.

2004 — Evaluation of DFHSIS

Revealed continuing challenges and recommended system improvements.

2005 — FHSIS Program Enhancement Initiatives

Consultative workshops with program managers were conducted to refine indicators.

FHSIS Program Enhancement Initiatives

Workshops and activities intended to refine health indicators according to program needs.

2008 — FHSIS Version 2008

Introduced updated indicators and software improvements for better data management.

FHSIS Version 2008

An updated version with improved indicators and software for data management.

2012 — Introduction of New Programs and Indicators

New programs and indicators were incorporated into the system.

2018 — Current Update Described in the Module

Included streamlined digital features, standardized indicators, and enhanced real-time reporting capabilities across LGUs.

Components of FHSIS

Recording tools and reporting tools.

Recording Tools

Facility-based documents containing detailed information about the daily activities of health workers.

Four Main Recording Tools

Individual Treatment Record (ITR), Target Client List (TCL), Summary Table (ST), and Monthly Consolidation Table (MCT).

Reporting Tools

Summary forms submitted to the next higher level on a weekly, monthly, quarterly, or annual basis, as applicable.

Monthly Reporting Forms

M1 and M2.

Quarterly Reporting Forms

Q1 and Q2.

Annual Reporting Forms

A-BRGY, A1, A2, and A3.

Recording Tools vs Reporting Tools

Recording tools contain detailed facility-level information; reporting tools transmit summarized information to higher levels.

Individual Treatment Record (ITR)

A patient record containing identifying information, presenting symptoms or complaints, diagnosis if available, treatment, and treatment date.

Primary Building Block of FHSIS

Individual Treatment Record (ITR).

Purpose of ITR

To document an individual patient's consultation and treatment.

Information Recorded in ITR

Date, patient's name, address, symptoms or complaints, diagnosis if available, treatment, and date of treatment.

Patient Complaint

The symptom or health problem reported by a patient during consultation.

Patient Diagnosis

The identification of a patient's illness or health condition, when available.

Patient Treatment

The care or intervention provided to the patient.

Foundation of FHSIS

The Individual Treatment Record is described as the primary building block of the system.

Target Client List (TCL)

A list of eligible or target clients for a particular health program.

Secondary Building Block of FHSIS

Target Client List (TCL).

Purpose of TCL

Helps nurses and midwives plan, provide, monitor, and report health services.

Eligible Client

A person who qualifies for a particular health program or service.

TCL and Patient Care

Helps health workers plan and carry out patient care and service delivery.

TCL and Monitoring

Helps monitor and supervise service delivery activities.

TCL and Reporting

Provides information about services delivered to target clients.

TCL for Prenatal Care

Lists target clients for prenatal care.

TCL for Post-Partum Care

Lists target clients for post-partum care.

TCL for Nutrition and EPI

Lists target clients for nutrition services and the Expanded Program for Immunization.

TCL for Family Planning

Lists target clients for family planning services.

TCL for Sick Children

Lists target clients who are sick children.

Morbidity TCLs

Disease registry forms used as sources for disease control indicators instead of separate TCLs.

Diseases Covered by Morbidity Registry Forms

Filariasis, leprosy, malaria, schistosomiasis, and tuberculosis.

Expanded Program for Immunization (EPI)

A program focused on immunization services.

Prenatal Care

Care provided during pregnancy before childbirth.

Post-Partum Care

Care provided to the mother after childbirth.

Family Planning

Services that help individuals or couples plan pregnancies and choose whether and when to have children.

Summary Table (ST)

A form with 12 monthly columns used to tally health program accomplishments and morbidity data.

Purpose of Summary Table

To record monthly health program results and disease data at the barangay health facility.

Where is the Summary Table Retained?

At the health facility or Barangay Health Station (BHS).

Who Records Monthly Data in the Summary Table?

The midwife.

Two Main Types of Summary Table Data

Health program accomplishments and morbidity diseases.

Health Program Accomplishment Table

Records data from the Target Client Lists and helps health personnel assess their accomplishments.

Morbidity Disease Table

Records monthly disease data and helps identify disease trends and leading causes of morbidity.

Ten Leading Causes of Morbidity

The Summary Table can provide data used to identify the municipality's or city's ten leading causes of morbidity.

Reportable Diseases

Diseases that must be reported according to applicable health reporting requirements.

Disease Trends

Patterns or changes in the occurrence of diseases over time.

Age and Sex Disaggregation

Separating disease information according to age group and sex.

Twelve Monthly Columns in ST

The columns allow health workers to tally information across the 12 months of the year.

Summary Table and TCL

The Summary Table uses information recorded in the Target Client Lists to assess program accomplishments.

Summary Table and M2

The module describes the Summary Table as a source of monthly morbidity information used in reporting.

Monthly Consolidation Table (MCT)

A table compiled by the Public Health Nurse from all barangays in a city or municipality.

Who Compiles the MCT?

The Public Health Nurse (PHN).

Source of MCT Data

Information from all barangays in the city or municipality.