6.0 HEALTH MANAGEMENT INFORMATION SYSTEM.pdf

WEEK 6 HEALTH MANAGEMENT INFORMATION SYSTEM Presented by Glen G. Gaya, RMT INTRODUCTION PROBLEMS FACED DUE TO MANUAL PROCESS No real-time data available to monitor the performance of the hospital Evidence-based program management was a challenger Undue delays in rece...

WEEK 6 HEALTH MANAGEMENT INFORMATION SYSTEM Presented by Glen G. Gaya, RMT INTRODUCTION PROBLEMS FACED DUE TO MANUAL PROCESS No real-time data available to monitor the performance of the hospital Evidence-based program management was a challenger Undue delays in receipt of data Retrieval of old manual records was ineffective and time-consuming Duplication of records Monthly reports sent as hard copy, which is real challenge for data analysis or comparison Drug inventory or equipment inventory maintenance Lack of standard names and coded 6.1 DEFINE CONCEPT, ROLE, AND FUNCTION OF HMIS 6.1.1 DEFINITION OF HMIS Information system specially designed to assist in the management and planning of health programs (WHO 2004) Data collection system specifically designed to support planning, management, and decision-making in health facilities and organization HEALTH MANAGEMENT Clinical studies assist in the Management principles enhanced understanding of medical by finance, law, and planning help terminology, clinical procedures, and database process H M administer the health care enterprise. INFORMATION SYSTEM The ability to analyze systems and to S design and implement advanced computer application make the transfer of patient information efficient and effective 6.1 DEFINE CONCEPT, ROLE, AND FUNCTION OF HMIS 6.1.1 DEFINITION OF HMIS HMIS is developed within the framework of the following concepts: The information collected is relevant The information collected is functional Information collection is integrated The information is collected on a routine basis from every health unit​ 6.1.2 ROLES OF HMIS HMIS needs to be: 1. Complete ​ 5. Cost-Effective ​ 2. Consistent​ 6. Accessible​ 3. Clear ​ 7. Confidential ​ 4. Simple ​ 6.1 DEFINE CONCEPT, ROLE, AND FUNCTION OF HMIS 6.1.3 FUNCTIONS OF HMIS The information from the HMIS can be used in planning, epidemic prediction and detection, designing interventions, monitoring, and resource allocation THREE FUNDAMENTAL INFORMATION-PROCESSING PHASES 1. Data input - includes data acquisition and verification 2. Data management - also known as processing phase; includes data storage, classification, update and computation 3. Data output - includes data retrieval and presentation 6.1 DEFINE CONCEPT, ROLE, AND FUNCTION OF HMIS Data Acquisition ELEMENTS DATA INPUT OF HMIS Data Verification DATA Data Data Data Storage Data Update MANAGEMENT Classification Computation Data Retrieval DATA OUTPUT Data Presentation 6.1 DEFINE CONCEPT, ROLE, AND FUNCTION OF HMIS 6.1.3 FUNCTIONS OF HMIS FUNCTION DATA a. Client Billing Data 1. CLIENT DATA b. Client Clinical Data c. Other Client Data 2. SCHEDULING a. Linking schedule to billing 3. AUTHORIZATION TRACKING a. Authorized and use of authorized units 4. BILLING a. Complaint electronic claim a. Tracking aging of unpaid services 5. ACCOUNTS RECEIVABLE (A/R) b. Tracking reasons for denials MANAGEMENT c. Aged recevable report by payer source 6.1 DEFINE CONCEPT, ROLE, AND FUNCTION OF HMIS 6.1.3 FUNCTIONS OF HMIS FUNCTION DATA a. Basic reports 6. REPORTING b. Report writer a. Assessment 7. MEDICAL RECORD b. Treatment plan c. Progress or encounter notes a. Expired treatment plan 8. COMPLIANCE b. Service on treatment c. Progress note present a. General ledger b. Payroll 9. FINANCIAL c. Accounts payable d. Financial reporting 6.2 DETERMINANTS OF HMIS PERFORMANCE AREA 6.2.1 BEHAVIORAL DETERMINANTS The data collector and users of HMIS need to have confidence, motivation, and competence to perform HMIS tasks to improve the Routine Health Information System (RHIS) process. 6.2.2 ORGANIZATIONAL DETERMINANTS The most important organizational factor which affect the RHIS process is related to structure, resource procedure, support services, and the culture which is used to develop and improve the RHIS process Other factors could also affect the RHIS process: lack of funds, human resource, and management support 6.2 DETERMINANTS OF HMIS PERFORMANCE AREA 6.2.3 TECHNICAL DETERMINANTS Technical factors involve the overall design used in the collection of the information. It comprises the complexity of the reporting forms 6.3 PRISM FRAMEWORK Performance of Routine Information System Management (PRISM) Conceptual framework that broadens the analysis of RHIS to include the three factors: a. Behavioral Determinants - knowledge, skills, attitudes, values, and motivation of the people who collect and use data b. Technical Determinants - data collection processes, systems, forms, and methods c. Organizational or Environmental determinants - information culture, structure, resources, roles, and responsibilities of the health system and key contributors at each level Identifies the strengths and weaknesses on a certain areas, as well as correlations among areas 6.3 PRISM FRAMEWORK Performance of Routine Information System Management (PRISM) Defines the various component of RHIS and their linkages to produce a better - quality data and continuous use of the information. Leading to better health system performance and, consequently, better health outcomes. 6.3 PRISM FRAMEWORK Performance of Routine Information System Management (PRISM) Technical and Organizational Factors in the PRISM Framework