Health Management information system ppt

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What is a 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. It provides analytical reports and visualisations that facilitate decision making at all these levels. HMIS are also referred to as routine health information systems.

A HMIS derives much of its information from patient-provider interactions in health facilities. Hospitals, health centres, and community outreach services provide health care across preventive, promotive, medical and surgical, rehabilitation, and palliative care interventions.

The HMIS also collects data from beyond government-run facilities including from non-profit, for-profit, faith-based facilities and from service delivery sites such as prisons, schools, workplaces and communities.

Facilities collect data – which are integral to the services they provide – to ensure good management of patients.
Health managers aggregate and report the data to higher administrative levels, for example district, regional and national levels.
When aggregated, the data provide information for epidemiological surveillance and for monitoring health services performance in terms of access, coverage, quality, and equity at all levels of the health system.
The information generated show the range and volume of services delivered to the population, including: prevention such as immunisation, antenatal, delivery and postnatal care; treatment of acute conditions such as malaria, diarrhoea, and upper respiratory tract infections; chronic conditions such as HIV, tuberculosis, high blood pressure; and management of surgery and trauma.
In addition to generating information on interventions – admissions, treatments administered and health outcomes – a HMIS also produces data on the availability of services, infrastructure, equipment and supplies needed to deliver such interventions.
The HMIS provides information for local planning. It also contributes to country level monitoring and evaluation, research, policy and planning and generates indicators about outputs, outcomes and impact.

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Why a HMIS?
A HMIS has different and sometimes conflicting functions: operational; informational; and decision-making. The operational and decision-making functions are essential to ensure proper management of health services for patient/clients. The broader utility of the HMIS is to complement data from other HIS sources to build an evidence base for health sector performance assessment and strategic planning.

The main users of HMIS are managers and care providers at district level and below. Executive managers, public policymakers and researchers can also use HMIS data for governance and research.

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Main sources of HMIS data
HMISs are complex, reflecting the multifaceted and heterogeneous nature of health care provision and management. They draw o

1. understanding what HMIS is,its relevance,users,and its application in the health sector presented by L/CPL OTIM NICHOLAS BEHs- Cavendish univ Dip health info mgnt- MBTC medical records dept.

2. The Health Management Information System OBJECTIVES By end of this session, participants should be able to: Explain the objectives of HMIS, its framework, and reporting structure Describe HMIS data sources, data flow, routine reports, and timelines of reporting

3. BRAINSTORMING What is HMIS? What is HMIS used for?

4. INTRODUCTION HMIS is an integrated  system used by MOH, development partners, and stakeholders to collect relevant and functional information on a routine basis to monitor the Health Sector Strategic and Development Plan (HSSDP) indicators to enable planning, decision making, monitoring, and evaluation of the health care delivery system. It is designed to assist managers to undertake evidence- based decision making at all levels of the health care service delivery system.

5. OBJECTIVES OF HMIS Provide quality data to support evidence-based decision making in the health sector Aid in setting performance targets at all levels of health care service delivery Assist in assessing performance at all levels of the health sector Encourage use of health information

6. GOAL OF HMIS To provide quality data that supports evidence-based decision making at all levels of the health care service delivery system in Uganda

7. ATTRIBUTES OF HMIS Relevant: HMIS is designed to be relevant to the policies and goals of the Government of Uganda. Functional: The data captured within the HMIS is to be used by management to inform evidence-based decisions aimed at improving the health of the population served. Integrated: There is one set of forms for collecting administrative data with no duplication of reporting. Routine: Information is collected on a routine basis from every health unit in all districts of the country.

8. Categories of HMIS Documentation HMIS manual: This is sub-divided into seven technical modules. The manual consists of all pre-primary and primary data collection tools (patient cards, registers, among others). HMIS database: This is a document that contains all relevant summary tables for summarizing data from the primary data collection tools. Indicator booklet: This contains indicator definitions, methods of data collection, frequency, calculation, and interpretation.

9. Relevance of HMIS Planning Predicting epidemics Detecting epidemics Designing disease-specific interventions Monitoring work plan performance Allocating resources

10. HMIS Data Sources and Flow Sources of Data HMIS data are largely captured at health facility/ community levels depending on the point of contact between a health worker/health support and a patient/client. The data are collected using standardized data collection tools and aggregated at health facility, HSD, district, and finally at national level. Data at national level are accessed through the electronic system—DHIS2—by stakeholders, depending upon acquisition of user access credentials.

11. Other Sources of Health Data Administrative: Information on inventories, supervision, management meetings, etc. Population- based health surveys: Mainly carried out by Uganda Bureau of Statistics (UBOS) Research institutions and academic data: Involves health systems research, clinical trials, and longitudinal community studies.

12. Categories of HMIS Data Tools Pre-primary tools: Contain the first contact information used to identify/locate a patient’s details Primary tools: Record patient details on a daily basis; basis for evaluating health unit performance Secondary tools: Reports, summary of performance by programmatic area Management data : Used to evaluate health unit managerial functions

13. Categories of HMIS Data Collection Tools (Examples) PRE-PRIMARY Medical form 5 Requests (lab, x-ray) Treatment sheet Treatment follow-up form Patient cards Referral notes PRIMARY TOOLS Registers Out-patient Inpatient Antenatal INR Laboratory Child Operating theatre Log books Daily consumption log SECONDARY Weekly (HMIS 033b) OPD Monthly (HMIS 105) Quarterly (HMIS 106a) Inpatient (HMIS108 MANAGEMENT Record of management meetings Record of support supervision Tool for HMIS support supervision Inventory tools Medical and other health supplies Finance and accounting

14. catergories of data reported under HMIS Preventive activities eg notifiable diseases, PMTCT, child health, ANC, Maternity services, HCT,FP,. etc curative services and MCH eg inpatient info, lab info, operating theatre info, x-ray info,. etc individual client activities eg ,. drgs/treatment, referrals,diagnosis(provisional and final at d/c) logistics and commodities eg medical supplies community(VHT) eg general info on households,info on children 5yrs below, household effects(water, food, sanitation and other services.

15. HMIS reporting structure

16. Routine Reports and Their Timeliness Routine reports (examples) Timeline of reporting by the HF Weekly report (HMIS 033b) Every Monday Before Midday(12 00pm Monthly reports (HMIS 105, HMIS 009, HMIS 108) 7 th of the next month Quarterly report (HMIS 106a) Due 7th October, 7th January, 7th April, 7th July Annual report (HMIS 107) Due 7th August

17. HMIS application in the health sector stock balance tracer accountability weekly surveilance notification monitoring and evaluation of patient care eg ART-activities/services resource allocations EPI- activities etc.

18. HMIS- CHALLENGES Incomplete data lack of trained personnel inadequate updated HMIS tools poor attitude of staff lnadequate support supervision/trainings delays in reporting poor hand-writing lack of teamwork/unwillingness

19. QUESTIONS?

20. reference uganda HMIS for Nutrition reference manual 2017, Published in september by FANTA (Food And Nutrition Technical Assisstance) utilising HMIS for monitoring performance and planning: uganda catholic medical bureau experience; by Andrea Mandelli, AVSI data management advisor 2005