Health Management Information Systems (HMIS) PDF

Health management information systems (HMIS) Dr. Ibtisam Qazi Assistant Professor Department of Community & Family Medicine Jouf University WHO six building blocks 2 Background  Data especially in the healthcare data is increasing day by day  The demand for managing it well will also increa...

Health management information systems (HMIS) Dr. Ibtisam Qazi Assistant Professor Department of Community & Family Medicine Jouf University WHO six building blocks 2 Background  Data especially in the healthcare data is increasing day by day  The demand for managing it well will also increase Including all hospital related information 3 What is a health management information system (HMIS)?  A health management information system (HMIS) collects, stores, analyses, and evaluates health-related data from health facility to district, regional and national administrative levels  Integrates data collection, processing, reporting, and use of the information necessary for improving health service effectiveness and efficiency through better management at all levels of health services 4 Functions of a HMIS  Data generation  Compilation  Analysis and synthesis  Communication and use  The health information system collects data from health and other relevant sectors, analyses the data and ensures their overall quality, relevance and timeliness, and converts the data into information for health-related decision making 5 Types of information Health planners and decision-makers need different kinds of information:  Health determinants (socioeconomic, environmental, behavioral and genetic factors, contextual environments within which the health system operates)  Inputs to the health system and related processes (policy and organization, health infrastructure, facilities and equipment, costs, human and financial resources and health information systems) 6 Types of information (contd.)  Health outcomes (mortality, morbidity, disease outbreaks, health status, disability and wellbeing)  Health inequities (determinants, coverage of use of services, and health outcomes, sex, socioeconomic status, ethnic group and geographical location) 7 Custodians of health information  Ministries of health  National Statistics Offices  International agencies 8 Uses of HMIS in a healthcare-providing institution  Institutions or hospitals streamline managerial and clinical decision-making  These systems contain all aspects of database management, including information on different departments in a hospital, such as outpatient, laboratory, and radiology.  They also manage patient registration data and demographics apart from other medical record  Similarly, disease surveillance by identifying probable health hazards is also made possible with an HMIS  The health data are stored and analysed over time, giving healthcare institutions access to unfound trends and patterns. It aids them in creating new policies informing the public about potential health risks. 9 Types of HMIS  Electronic health records (EHR): record, store, and give out patient history and other information with a click  E-prescribing Software: handing out prescriptions to the pharmacy, allowing them to assemble the medicines and offer them instantly 10 Components of HMIS  Administrative Management  Employee Management  Clinical Management  Transportation Management  Hospital Facilities  Statistic generation 11 12 Sources of Health Information  The main sources of health statistics are:             Surveys Census Registration of Vital Events Notification of Diseases Hospital Records Disease Registers Environmental Health Data Health Manpower Statistics Claims data Epidemiological Surveillance Grey literature Peer reviewed literature 13 Steps in Developing a Health Management Information System 1. Review the existing system 2. Define the data needs of relevant units within the health system 3. Determine the most appropriate and effective data flow 4. Design the data collection and reporting tools 5. Develop the procedures and mechanisms for data processing 6. Develop and implement a training programme for data providers and data users 7. Pre-test, and if necessary, redesign the system for data collection, data flow, data processing and data utilization 8. Monitor and evaluate the system 9. Develop effective data dissemination and feedback mechanisms 10. Enhance the HMIS 14 LI 15 Monitoring and evaluating the system  Develop a plan for the systematic monitoring and evaluation of the system  What will be monitored and evaluated?  How will it be done?  Who will do it?  How frequently will it be conducted?  How will the results be systematically disseminated?  How will action resulting from the evaluation results be generated? 16 Data dissemination and feedback mechanisms  Coverage — to what extent is the material reaching the target audience?  Effect of the feedback system on the staff  Degree of utilization by the target audience 17 Challenges/limitations  Lack of understanding of use for which data is collected.  Lack of technical expertise of staff  Lack of data processing facilities (calculators, computers, etc.)  Lack of computer skills of staff  Lack of storage facilities for raw data at lower administrative levels  Data retrieval issues; inability to generate any information because of computer breakdown 18