- no real time data - evidence-based programs was a challenge - undue delay of receipts - retrieval of old manual records was ineffective - duplication of records - monthly report sent as a hard copy which is a real challenge for data analysis and comparison - dragon inventory or equipment inventory maintenance - lack of standard names and codes
problems faced by hospitals by using traditional manual process:
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health management information system
meaning of HMIS
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hmis
is an information system that is specifically designed to assist for planning and management of health programs
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hmis
is a data collection system that is specifically designed to support, management, and decision-making of health facilities and organizations
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health
clinical studies assist in the understanding of medical terminologies, clinical procedures, and database processes
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management principles
management enhance by finance law and planning help administer health care enterprise
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information system
ability to analyze systems and to design and implement advanced computer applications
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ministry of health (2010)
according to this, hmis was developed within the framework of the following concepts
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relevant, functional, integrated, and collected
the hmis was develop within the framework of the following concepts: the information is
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relevant
to the policies and goals of the healthcare institutions
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functional
should be used immediately for management
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integrated
there is one set of forms and no duplications of reporting
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collected
on a routine basis from every health unit
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CCCSCAC
roles of hmis
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complete
provide information in all key aspects
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consistent
similar information was provided by different sources
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clear
should be very clear
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simple
should not be unnecessarily complicated
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cost-effective
should justify the cost of the collection
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accessible
held in a form readily accessible to all legitimate users
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confidential
people without legitimate access should be effectively denied
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- data input - data management - data output
three fundamental information phases
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data verification and authentication
found in data input
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processing phase
data management is also known as
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- data storage - data classification or organization - data computation - data update
found in data management
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data retrieval and data presentation
consist in data outputs
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data acquisition
generation and collection of data
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data acquisition
input of standard coded formats or the use of barcodes to facilitate rapid mechanical reading and apturing data
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data verification
authentication and validation of collected data
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data verification
the quality of data collected depends largely on the authority validity and reliability
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data storage
preservation in archival of data
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data storage
when an accumulated data is not actively use, a method to archive your data is usually advisable
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data classification
also known as data organization
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data classification
clinical function that increases the efficiency of the system
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data classification
most of data classification schemes are based on the use of certaint key parameters
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data computation
data manipulation and transformation of mathematical models statistical and probabilistic approaches linear and nonlinear
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data computation
allows further analysis synthesis and evaluation
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data updates
facilitates new and changing information
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data retrieval
processes of data transfer and data distribution
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data retrieval
transmitted required data from the source to the appropriate and user
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data presentation
how users interpret rhe information
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data presentation
summary tables and statistical
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data presentation
use of presentation graphics for higher-level is encouraged to provide a better intuitive feel
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CSABAReMeCoFi
list of hmis roles
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client data
relates to all information of the client
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Scheduling
observe to distributed resources to areas that need them
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authorization tracking
focuses on monitoring of the authorized personnel and their use of the authorized units
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billings
notification of charges of the patient
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account receivable (A/R) Management
ensures customers are properly notified abt their bill
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reporting
refers to the report issued by the entity which can be basic reporter reporter writer
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medical record
example of these is an EHR
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compliance
procedures that should be followed for the improvement of the condition of the patient
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financing data
performance of the entity collected for administering
data collector and users of hmis needs to have confidence what a visual competence to perform hmis to improve the RHIS
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routine health information system
RHIS means
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behavioral determinants
lack of enough knowledge on the use of data has been found to be a major drawback on data quantity and information use
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routine health information network 2003
according to these, despite training on data collection and data analysis people are still having negative attitude on the data
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organizational determinants
health workers and data collectors where can organizations environments which have value norms culture and practice
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structure resource procedure support services and the culture which is develop and improve our RHIS process
the most important organizational factor in RHIS have
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organizational determinants
having a system in place in which supports data collection analysis and transform it to usual information will help in promoting evidence-based decision-making
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technical determinants
technical factors involved do her all design using collection of information
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technical determinants
it comprises text city of reporting forms, the producer set forward in the collection of data
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performance of routine health information
prism means
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prism
broadens the analysis of routine oh health information system
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behavioral determinants
knowledge, skills, attitudes, values, and motivation of the people who collect and use data
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organizational determinants
information culture, structure, resources, roles, and responsibilities of the health system and key contributors at each level
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technical determinants
data collection processes, systems, forms, and methods
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behavior organizational and technical
3 key determinants of prism
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prism framework
identify the strengths and weaknesses in certain areas
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prism framework
easy design in periodic which interventions to improve our hias
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prism framework
defines the various components of retained health information system andrea linkages to produce better quality of data
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hmis
inspire merrily at assisting in the planning and management of national health strategy plan
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HMIS
continuous monitoring and evaluation is necessary to be effective
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Monitoring
systematic collection, policies and use of information from programs for three basic purposes
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- learning from experience acquired (learning function) - account internally and externally for the resources used and results obtained (monitoring function) - making decisions (steering function)
three basic purposes of the monitoring
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evaluation
assessing an ongoing or completed program or policy as systematically and as objectively as possible
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is to be able to make a statement about relevance effectiveness efficiency impact and sustainability
objective of evaluation
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evaluation
it is how you evaluate something
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continuously throughout the life of the project
when is monitoring done?
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occasionally before implementation
when is evaluation done?
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efficiency use of inputs activity outputs and assumptions
what is measured in monitoring?
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effectiveness longer-term impact and sustainability
what is measured in evaluation?
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stops within agency (internal staff)
who is involved in monitoring?
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external bodies
who is involved in evaluation?
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internal documents
sources of information in monitoring
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external and internal documents
sources of information in evaluation
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managers, projects or programs staffs
who uses the results in monitoring?
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managers, staff, funding agency, beneficiaries, other agencies
who uses the results in evaluation?
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to make minor changes
how's the result used in the monitoring?
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to make major changes in policy, strategy, and future work
how's the result used in evaluation?
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diphtheria tetanus pertussis
meaning of dpt
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to have a strong m&e and review system in place for national health strategy plan
primary goal of m&e
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national health strategic plan
comprises all major disease programs and health systems
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robust M&E systems
required to assess the effect of integrated service delivery
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appropriate indicators, data collection system, and data analysis
help guide implementation of integrated services
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monitoring and evaluation
meaning of M&E
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monitoring and evaluation
core component of current efforts to scale up for better health