Health management information system

Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.

1. HEALTH MANAGEMENT INFORMATION SYSTEM

2. Definition Health information system is that that system in which collection, utilization, analysis and transmission of information is done for conducting health services, training and research.

3. Objectives To provide reliable, latest and useful health information to all levels of health officers and administrators. To amend health policies and working system on the basis of feedback, received from health information system. To provide information about periodically and time bound programmes and for mid term evaluation. To contribute towards achievement of objectives of health policies and programmes . To increase efficiency and quality in health management.

4. Characteristics According to WHO, The information should be problem oriented. Information should be population based. Functional and directorial wording should be used. Information should be expressed in short and in imaginative form (graphs, chart, table etc ).

5. Characteristics Facility for data feed back must be present in health information system. Latest technology should be used in health information system. Unnecessary figures or data should not be present in information system. For information management, organizational structure must be present.

6. Domains/fields of health information system It includes demography, vital statistics, health system input, output, health determinants, health economics, health status, health infrastructure, resources and outcome, financial statistics, environmental health statistics.

7. Organization rules Data collection standards Case definitions Data transmission Confidentiality Training standards Software design Procurement/ Distribution Quality assurance Private sector Basic Health Services Staff Training HIS Supplies Hardware/ Software Financial Resources Hospital HMIS HMIS Management Elements of Health information system management

8. Information process Data collection Resources Data transmission Management Data processing Organizational rules Data analysis Information for use in planning and management

9. Sources of HMIS Census Registration of vital events( birth, death, marriage etc) Notification of diseases and disease registers. Records and reports of hospitals Statistics regarding environmental health. Statistics regarding health resources and services.

10. Sources of HMIS Sample survey( national sample survey organization) Population survey Statistics regarding efforts to check epidemiological diseases and researches in this field. School record Economic planning Plans of social security

11. Problems or constraints of HMIS in India 1. Structural Multiplicity of institutions and departments Fragmentation of data. Lack of infrastructural facilities for storage and maintenance of records.

12. Problems or constraints of HMIS in India 2. Procedural Excessive information Encryption/hidden issues Exhaustive information, seldom used. Overburden of collection and recording of data along with General health care. Incomplete, unreliable and intentionally managed information.

13. Problems or constraints of HMIS in India 2. Procedural Repetition of general information Inappropriate forms/cards/reports Less interest of users in information Time consuming procedure Confusing coding, long list of indices Absence of feedback to information suppliers.

14. Problems or constraints of HMIS in India 3. Related to content Mostly service utilization statistics. Only summarized information reaches at higher level. Less emphasis on socioeconomic information. no user friendly

15. Problems or constraints of HMIS in India 4 . Related to human resource Absence or lack of skilled medical record professionals Lack of opportunity for in service training for the staff. Health care providers/nurses/biomedical trained persons are collecting and preparing data. Lack of motivation/extra incentives

16. Problems or constraints of HMIS in India 5. Technological Much manual paper based system. Absence or lack of computerized data base system

17. Subsystems/sub components of HMIS Epidemiological surveillance Routine service reporting Specific program reporting Administrative systems Vital registration

18. Challenges for HMIS Low levels of public will, about vital registration system. Inadequate government’s capacity and lack of firm political decision Gender issues in vital events registration Fragmentation of health information Establishing a unified information system with in country.

19. Benefits of HMIS Helping decision makers to detect and control emerging and endemic health problems. Help in monitoring progress towards health goals and promote equity. Empowering individuals and communities with timely and understandable health related information. Improving quality of services .

20. Benefits of HMIS Strengthening the evidence base for effective health policies. Permitting evaluation of scale up efforts and enabling innovation through research. Mobilizing new resources and ensuring accountability in the way they are used. Improving governance.

21. Steps involved in restructuring of Health MIS Step 1: Identifying information needs and feasible indicators Step 2: Defining data sources and developing data collection instruments for each of the indicators selected Step 3 : Developing a data transmission and processing system Step 4: Ensuring use of the information generated Step 5: Planning for health MIS resources Step 6: Developing a set of organizational rules for health information system management

22. NURSING MANAGEMENT INFORMATION SYSTEM(NIMS) Nursing information systems (NIS) are computer systems that manage clinical data from a variety of healthcare environments, and made available in a timely and orderly fashion to aid nurses in improving patient care.

23. APPLICATIONS OF NMIS Workload Measurement And Staffing Requirements Personnel Management Staff Scheduling Fiscal Resource Management

24. FISCAL RESOURCE MANAGEMENT : The information generated can be used to monitor past performance or to predict future performance. Accumulated data can be analysed for the development of trends that can be used to project future expenditures. Necessary reallocations and budgetary adjustments can then be made on the basis of these projections.

25. WORKLOAD MEASUREMENT AND STAFFING R I EQUIREMENTS : It helps to store, manipulate and retrieve large volumes of data. The information generated assists nursing managers in planning, monitoring and evaluating use of nursing resources on a daily basis and in the longer time frame. It is used to generate staff schedules with conjunction with personnel management.

26. STAFF SCHEDULING: Nursing managers are able to plan schedules in advance with considerable time savings. Staffs are informed well ahead of time. Staffing records, if maintained properly, provide useful information for monitoring absenteeism, scheduled time off, and turn over.

27. PERSONNEL MANAGEMENT : An employee with a special mix of skills can be located. Records are readily accessible needed for accreditation purposes or to monitor contract compliance. The information may be retrieved on a daily basis for use in conjunction with workload measurement and contract requirements to plan staffing assignments.

28. ADVANTAGES OF NIS IN NURSING ADMINISTRATION : Evaluate quality assurance programs Defend resource allocation to nursing Demonstrate the contribution nursing, makes to the care of the patient. Identify outcomes of nursing care

29. ADVANTAGES OF NIS 2) IN NURSING PRACTICE : Enhance documentation by nurses Provide data to enable research directed at examining the inter relationships between data elements and nursing outcomes . Facilitate development of the nursing process

30. ADVANTAGES OF NIS 3) NURSING RESEARCH : To assess variables on multi levels including institutional, local, regional, and national. Identify trends to build information and to further synthesize to develop nursing knowledge