HIS MT 102 LEC - Health Management Information Systems

No real-time data available to monitor the performance of the hospital;

Evidence-based program management;

Undue delays in receipt of data;

Retrieval of old manual records;

Duplication of records Monthly reports sent as hard copy, which is a real challenge for data analysis/ comparison;

Drug inventory/equipment inventory maintenance;

Lack of standard names and code

Enumerate the problems faced by hospitals using traditional manual process:

Health Management Information System - World Health (2004)

an information system specifically designed to assign in management and planning of health programs

Health Management Information System

A data collection system specifically designed to support planning, management, and decision-making in health facilities and organization

Health Management Information System

A routine-monitoring system that monitors and evaluates the process with the intention of providing warning signals through the use of indicators

information collected is relevant to the policies, goals, and responsibilities at the the level of collection;

The information collected is functional (used immediately for management, dont wait for feedback);

Information collection is integrated (one set of forms and no duplication);

Information Collection routine basis from every health unit.

According to Ministry of Health (2010), HMIS was developed within the framework of:

Health Management Information System - Ministry of Health (2010)

aims to aid in the setting of performance targets at all levels of health service delivery and to assist in assessing performance at all levels of the health sector

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

Enumerate the characteristics of a Health Management Information System

Complete

Should provide information on all key aspects of the health system without duplication

Consistent

If similar information is provided by different sources, their definitions need to be consistent

Clear

It should be very clear what all elements are actually measuring

Simple

It should not be unnecessarily complicated

Cost-Effective

The actual usage of each element should justify the costs of its collection and analysis

Accessible

Data should be held in a form readily accessible to all legitimate users, and it should be clear who these people are

Confidential

It should ensure that people without legitimate access are effectively denied

Ministry of Health, 2010

The information from the MIS can be used in planning, epidemic prediction and detection, designing interventions, monitoring, and resource allocation

Data input, Data Management, Data Output

Enumerate the Functions of HMIS

Data Input

includes data acquisition and data verification

Data Management

also called the processing phase

Data Management

includes data storage, data classification, data update, and data computation

Data Output

includes data retrieval and data presentation

Data Acquisition, Data Verification, Data Storage, Data Classification, Data Computation, Data Update, Data Retrieval, Data Presentation

Enumerate the eight elements of HMIS as enumerate by Tan (2010)

Data Acquisition

This involves both the generation and the collection of accurate, timely, and relevant data.

Data Acquisition

this is normally achieved through the input of standard coded formats (e.g., the use of bar codes) to facilitate the rapid mechanical reading and capturing of data.

Data Verification

The authentication and validation of gathered data. The quality of collected data depends largely on the authority, validity, and reliability of the data sources.

Data Storage

The preservation and archival of data

Data Classification/Organization

critical function for increasing the efficiency of the system when the need arises to conduct a data search.

Data Computation

various forms of data manipulation and data transformation, such as the use of mathematical models, statistical and probabilistic approaches, linear and nonlinear transformation, and other data analytic processes

Data Computation

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

New and changing information is accounted for through the element of data update

Data Retrieval

the processes of data transfer and data distribution.

Dara Presentation

how users interpret the information produced by the system

Client data, Scheduling, Authorization tracking, Billing, Accounts receivable (A/R) management, Reporting, Medical record, Compliance, Financial data

Enumerate the functions in HMIS

Client Data

• Client Billing Data

• Client Clinical Data

• Other Client Data

Scheduling

• Linking Schedule to Billing

Authorization Tracking

• Authorized and Use of Authorized Units

Billing

• Complaint Electronic Claim

Accounts Receivable (A/R) Management

• Tracking Aging of Unpaid Services

• Tracking Reasons for Denials

• Aged Receivable Report by Payer Source

Reporting

• Basic Reports

• Report Writer

Medical Record

• Assessment

• Treatment Plan

• Progress/encounter Notes

Compliance

• Expired Treatment Plan

• Service on Treatment Plan

• Progress Note Present

Financial

• General Ledger

• Payroll

• Accounts Payable

• Financial Reporting

Behavioral, Organizational, and Technical

Enumerate the determinants of HMIS Performance Area

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 (RHIS) process

Behavioral determinants

Lack of enough knowledge on the use of data has been found to be a major drawback on data quality and information use

Organizational Determinants

Health workers and data collectors work in organizations' environments which have value, norms, culture, and practice

Organizational Determinants

promotes a culture of information use, which involves the ability and control to promote values and beliefs among members of an organization by collecting, analyzing, and using information to accomplish the organization's goals and mission

Technical Determinants

Involve the overall design used in the collection of information, It compromises the complexity of the reporting forms; the procedure set forward in the collection of data, the overall design of the computer software used in collection of information

Performance of Routine Information System Management (PRISM)

A framework that identifies the strength and weaknesses in certain areas, and in designing and prioritizing interventions to improve RHIS performance

Performance of Routine Information System Management (PRISM)

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 health outcomes

Behavioral Determinants

Knowledge, Skills, Attitudes, Values, Motivation of the people who collect and use data

Technical Determinants

Data collection processes, systems, forms, and methods

Organizational/Environmental Determinants

information culture, structure, resources, roles, and responsibilities of the health system and key contributors at each level