DISTRICT_HEALTH_MANAGEMENT DHM DHA .pptx

DISTRICT_HEALTH_MANAGEMENT DHM DHA
Health Department Govt of Punjab
Primary and Secondary Healthcare Department

1. DISTRICT HEALTH MANAGEMENT Healthcare Services Delivered at Different Tiers of District Health Management Services {Minimum Service Delivery Standards} Health Information System at District Level.

2. Healthcare Services Delivered at Different Tiers of District Health Management Services Levels of Health Care : Primary (BHU, RHC, LHWS ) 60-80 per district Secondary (THQ, DHQ hospitals) 1-4 per district Tertiary (Teaching hospitals) 1-3 per division

3. Primary Healthcare (PHC) Level : Basic Health Services : Primary healthcare is the foundation of the healthcare system and includes services such as preventive care, health education, maternal and child health services, family planning, immunizations, and treatment for common illnesses. Routine Medical Care : Basic medical care for common ailments like colds, fevers, minor injuries, etc.

4. Primary Healthcare (PHC) Level : Immunization Programs : Administering vaccines to prevent communicable diseases. Antenatal and Postnatal Care : Providing care to pregnant women before and after childbirth. Family Planning Services : Offering contraceptive methods and counseling.

5. Secondary Healthcare Level : Specialist Consultations : Services provided by specialists such as gynecologists, pediatricians, surgeons, etc. Diagnostic Services : Advanced diagnostic tests like X-rays, ultrasounds, CT scans, blood tests, etc .

6. Secondary Healthcare Level : Minor Surgical Procedures : Surgeries that are relatively simple and don't require highly specialized facilities. Rehabilitation Services : Physiotherapy and rehabilitation programs for patients recovering from injuries or surgeries.

7. Tertiary Healthcare Level : Highly Specialized Medical Care : Treatment for complex and rare diseases provided by specialized hospitals and medical centers . Intensive Care Units (ICUs) : Critical care units for patients with life-threatening conditions.

8. Tertiary Healthcare Level : Organ Transplant Services : Facilities for organ transplantation including kidney, liver, heart, etc. Medical Research and Teaching Institutions: Centers focused on medical research, training healthcare professionals, and developing new treatments and technologies.

9. Minimum Service Delivery Standards The Minimum Service Delivery Standards (MSDS) define a set of the benchmarks for minimum level of mandatory services that a healthcare establishment (HCE) is responsible to achieve and patients have a right to expect . It's a set of important standards for all kinds of healthcare facilities . These guidelines cover everything involved in healthcare, like medicine, nursing, and more. The main goal is to make sure that everyone gets good quality healthcare services.

10. Minimum Service Delivery Standards Minimum Service Delivery Standards are like a set of rules or guidelines that healthcare providers follow to make sure they're giving good care to patients Minimum : This means the smallest or least amount needed. So, these are the basic things that must be done to provide good care. Service Delivery : This refers to how healthcare services are provided to patients. It includes things like seeing a doctor, getting medicine, or receiving treatment. Standards : These are like rules or expectations. They set a level of quality that healthcare providers should meet. It's kind of like having a checklist of things they need to do to make sure everyone gets the care they need.

11. Minimum Service Delivery Standards The standards prescribed in the MSDS cover the following functional areas for assuring quality healthcare services delivery : Access, Assessment and Continuity of Care (AAC ) Care of Patients (COP ) Management of Medication (MOM ) Patient Rights and Education (PRE ) Hospital Infection Control (HIC )

12. Access, Assessment and Continuity of Care (AAC) Access, Assessment, and Continuity of Care (AAC) are essential principles in healthcare that ensure patients can easily get the care they need, that their healthcare needs are properly evaluated, and that their care is coordinated and consistent over time. Access : This is about how easily people can get healthcare when they need it. Assessment : This means understanding what's wrong with someone's health and how to help them. Continuity of Care : It's about keeping healthcare consistent and organized over time, so people get the right care at the right times.

13. Care of Patients (COP) It Includes that patients receive safe, satisfying, and effective care during their healthcare journey. Patient Safety : This measures how well healthcare providers keep patients safe from harm during treatment, like avoiding mistakes in medication or preventing falls. Patient Satisfaction : This checks if patients are happy with the care they receive, like whether they feel listened to by their doctors or if they understand their treatment plans.

14. Management of Medication (MOM) It includes that medications are prescribed accurately, used safely, and that patients understand how to take them correctly for better health outcomes. Prescription Accuracy : This checks if prescriptions are written correctly, with the right medication, dosage, and instructions. Adherence Monitoring : This tracks if patients are taking their medications as prescribed, which helps ensure they get the full benefits of treatment. Patient Education : This assesses if patients understand how to take their medications properly

15. Patient Rights and Education (PRE) Patient Rights indicators ensure fair treatment and privacy, while Patient Education indicators measure how well patients understand their health and treatment options. Patient Rights : These indicators focus on making sure patients are treated fairly and respectfully. They measure things like whether patients have the right to make decisions about their own healthcare and whether their privacy and confidentiality are protected. Patient Education : These indicators look at how well patients understand their health conditions and treatments.

16. Hospital Infection Control (HIC) Hospital Infection Control (HIC) indicators are simple measures that show how well hospitals are preventing the spread of infections among patients, staff, and visitors. Hand Hygiene Compliance : Checking if healthcare workers are washing their hands properly and regularly to stop germs from spreading. Surface Cleaning Frequency : Monitoring how often hospital surfaces and equipment are cleaned and disinfected to reduce the risk of spreading germs. Staff Vaccination Rates : Checking how many hospital staff members have received vaccinations against infectious diseases like the flu, which can help protect both staff and patients.

17. Health Information System at District Level. I ntroduction : A District Health Information System (DHIS) is a computerized system designed to collect, manage, analyze, and disseminate health-related data specific to a district-level healthcare setting .  

18. Role of District HIS Data Collection: HIS gathers comprehensive health data from various sources, including patient records, diagnostic tests, and population health surveys. Storage: It stores health data securely in electronic formats, replacing traditional paper-based systems and enabling easy access and retrieval .

19. Role of District HIS Analysis: Utilizes data analysis tools to identify trends and insights, aiding in decision-making and resource allocation. Dissemination: Facilitates sharing of health information through standardized reports and communication channels among stakeholders.

20. Role of District HIS Decision Support: Offers real-time access to patient information , assisting healthcare professionals in delivering optimal care. Quality Improvement : District HIS facilitates continuous quality improvement initiatives by tracking performance indicators and outcomes.

21. Importance of Health Information System (HIS) at District Level Improved healthcare s ervice d elivery Enhanced decision-making Effective resource allocation Monitoring health trends and disease outbreaks Improved Health Outcomes

22. Capacity Building Implementation of education and training to continuously improve knowledge and skills at all levels  Implement capacity building programs to enhance IT skills among healthcare staff.

23. F uture direction for district HIS Mobile health ( mHealth ): Expanding access to healthcare services in remote areas through mobile technology . Telemedicine: Improving healthcare accessibility with remote consultations and diagnosis via telemedicine platforms .

24. Flow chart of Health Information system from FLW to District level