HMIS

MISYS LEC ENDTERM L1

HMIS

Health Management Information System

Manual and Traditional Health Administration

Patient Registration to Consultation

duplicate records

The creation of documents proved to be time-consuming and posted a risk of having ___.

proper storage

A need for ___, which, if not considered and practiced, could result to difficulty in retrieval and high-cost maintenance.

FALSE

In the traditional HMIS, getting an overview of the number of patients visiting the hospital, or the nature of problems that needed immediate action, or even providing pertinent reports was not difficult to achieve.

snapshots, dashboard view

an important tool in the analysis of the performance of the hospitals.

Challenges in the traditional HMIS

Accountability, Monitoring of Expiry Dates, Stocks, and Auto Indenting

Problems Faced by Hospitals Using the Traditional Manual Process

1. No real-time data available to monitor the performance of the hospital
2. Evidence based program management was a challenge
3. Undue delays in receipt of data
4. Retrieval of old manual records was ineffective and time consuming.
5. Duplication of records
6. Monthly reports sent as hard copy which is a real challenge for data analysis/comparison
7. Drug inventory/equipment inventory maintenance.
8. Lack of standard names and code

Health Management Information System

An information system designed to assist in the management and planning of health programs (WHO, 2004).

Health Management Information System

A set of integrated components and procedures organized to generate information which aims to improve health care management decisions at all levels of the health system.

Routine-Monitoring System

HMIS is a that monitors and evaluates the process to provide warning signals with the use of indicators.

Health Unit Level

HMIS at the ___ is used by the health unit in-charge and the Health Unit Management Committee to plan and coordinate health care services in their catchment area.

Roles of HMIS

1. To provide quality information to support decision-making at all levels of the health care system in any medical institution.
2. To aid in the setting of performance targets at all levels of health service delivery
3. To assist in assessing performance at all levels of the Health Sector (Ministry of Health, 2010).

Characteristics of HMIS

Complete, Consistent, Clear, Simple, Cost Effective, Accessible, and Confidential

Information from the HMIS can be used in

Planning, Epidemic Prediction and Detection, Designing Interventions, Monitoring and Resource Allocation

Fundamental Information Processing Phases

Data Input, Data Management, Data Output

Data Input

Data Acquisition and Data Verification

Data Management

Data Storage, Data Classification, Data Computation, Data Update

Data Output

Data Retrieval and Data Presentation

Elements of HMIS

Data Acquisition, Data Verification, Data Storage, Data Classification, Data Computation, Data update, Data Retrieval, and Data Presentation.

Data Acquisition

Involves the generation and the collection of accurate, timely, and relevant data.

Data Verification

Involves the authentication and validation of gathered data.

Data Storage

The preservation and archival of data may be regarded as part of the data storage function.

Data Classification

“Data Organization” ; Increase the efficiency of the system when the need arises to conduct a data search. Most data classification schemes are based on the use of certain key parameters.

Data Computation

Involves various forms of data manipulation and data transformation; It allows further data analysis, synthesis, and evaluation so that data can be used for strategic decision-making purposes other than tactical and/or operational use.

Data Update

For HMIS to maintain current data, mechanisms must be put in place for updating changes in the face of any ongoing manual or automated transactions.

Data Retrieval

Concerned with the processes of data transfer and data distribution.; The data transfer process is constrained by the time it takes to transmit the required data from the source to the appropriate end-user.

Data Presentation

Refers as to how users interpret the information produced by the system. ; In situations where only operational or even tactical managerial decision-making is expected, summary tables and statistical reports may suffice.; The use of presentation graphics for higher-level managerial decision analysis is particularly encouraged because these appear to provide a better intuitive feel of data trends.

Client Data

Client information related to his or her transactions, reports, and other information.

Scheduling

Is observed to distribute resources to areas that need them.

Authorization tracking

Focuses on monitoring of the authorized personnel and their use of the authorized unit.

Billing

Notification of the charges for the patient and other related documents such as the compliant electronic claim

A/R Management

Ensures that customers are properly notified about their bill and will settle it accordingly.; Data for A/R management include tracking aging of unpaid services, tracking reasons for denials, and aged receivable report by payer source

Reporting

Reports issued by the entity which could be basic reports or report writer

Medical record

Also called an EHR; A collection of digital information about the patient.

Compliance

Refers to procedures that should be followed for the improvement of the condition of the patient or the service provided such as treatment plan and progress note

Financial Data

Information relating to the performance of the entity collected for administering purposes.; These include financial reports, general ledger, payroll, and accounts payable

Determinants of HMIS

Behavioral, Organizational, Technical

Behavioral Determinants

The data collector and users of the HMIS need to have confidence, motivation, and competence to perform HMIS tasks in order to improve the Routine Health Information System (RHIS) process.
The chance of the task being performed is affected by the individual perceptions on the outcome of what is being performed and the complexity of the task being performed.
Lack of enough knowledge on the use of data has been found to be a major drawback on the data quality and information use.

Organizational Determinants

Health workers and data collectors work in organization's environments which have value, norms, culture, and practice.
The most important organizational factor which affects the RHIS process is related to structure, resource, procedure, support services, and the culture which is used to develop and improve the RHIS process.

Technical Determinants

Technical factors involve the overall design used in the collection of the information.
It comprises the complexity of the reporting forms, the procedure set forward in the collection of data, the overall design of the computer software used in the collection of information.

PRISM

Performance of Routine Information System Management

PRISM Framework Determinants of HMIS Performance Area

this conceptual framework broadens the analysis of routine health information systems to include the three key factors/determinants; defines the various components of the routine health information system and their linkages to produce better quality data and continuous use of information, leading to better health system performance and, consequently, better health outcomes.

HMIS

is an information system is specially designed to assist in the management and planning of health programs, as opposed to delivery of care.

Major Role of HMIS

is to provide quality information to support decision-making at all levels of the health care system in any medical institution.

HMIS Development Framework

the information collected is relevant to the policies and goals of the health care institution, and to the responsibilities of the health professionals at the level of collection.
The information collected is functional as it is to be used immediately for the management and should not wait for feedback from higher levels.
Information collection is integrated for there is one set of forms and no duplication of reporting
The information is collected on a routine basis from every health unit.

In HMIS Development Framework, Information must be

Relevant, Functional, Integrated, Collected