Hmis

HEALTH MANAGEMENT INFORMATION SYSTEM

1. HEALTH MANAGEMENT
INFORMATION SYSTEM
(HMIS)

2. DEFINITION
Healthinformationsystemisthatsystemin
whichcollection,utilization,analysisand
transmissionofinformationisdonefor
conductinghealthservices,trainingand
research.

3. OBJECTIVES
•Toprovidereliable,latestandusefulhealthinformationto
alllevelsofhealthofficersandadministrators.
•Toamendhealthpoliciesandworkingsystemonthebasisof
feedback,receivedfromhealthinformationsystem.
•Toprovideinformationaboutperiodicallyandtimebound
programmesandformidtermevaluation.
•Tocontributetowardsachievementofobjectivesofhealth
policiesandprogrammes.
•Toincreaseefficiencyandqualityinhealthmanagement.

4. CHARACTERISTICS
According toWHO,
•The information should be problemoriented.
•Information should be populationbased.
•Functional and directorial wording should beused.
•Information should be expressed in short andin
imaginative form (graphs, chart, tableetc).

5. CHARACTERISTICS
•Facilityfordatafeedbackmustbepresentinhealth
informationsystem.
•Latesttechnologyshouldbeusedinhealthinformation
system.
•Unnecessaryfiguresordatashouldnotbepresentin
informationsystem.
•Forinformationmanagement,organizationalstructuremust
bepresent.

6. DOMAINS/FIELDS OFHEALTH INFORMATION
SYSTEM
•Itincludesdemography,vitalstatistics,health
systeminput,output,healthdeterminants,
healtheconomics,healthstatus,health
infrastructure,resourcesandoutcome,
financialstatistics,environmentalhealth
statistics.

7. SOURCES OFHMIS
•Census-demography and vital events
•Registration of vital events( birth, death, marriageetc)
•Notification of diseases and diseaseregisters.
•Records and reports ofhospitals
•Statistics regarding environmentalhealth.
•Statistics regarding health resources andservices.

8. SOURCES OFHMIS
•Sample survey( national sample surveyorganization)
•Populationsurvey
•Statistics regarding efforts to check epidemiological
diseases and researches in thisfield.
•Schoolrecord
•Economicplanning
•Plans of socialsecurity

9. USES OF HEALTH INFORMATION
•Tomeasurethehealthstatusofpeopleandtoquantifytheir
healthproblemsandmedicalandhealthcareneeds
•Forlocal,nationalandinternationalhealthcomparisons
•Forplanning,administrationandeffectivemanagementof
healthservicesandprogrammes
•Toassessingwhetherhealthservicesareaccomplishingtheir
objectives
•Forassessingtheattitudesanddegreeofsatisfactionofthe
beneficiarieswiththehealthsystem
•Forresearchintoparticularproblemsofhealthanddiseases

10. HEALTH INFORMATION SYSTEM IN COMMUNITY
HEALTH NURSING
•Itservesasfoundationofplanningofallpublichealth
programmes
•Resurveysoftheareaatregularintervalsaremostuseful
inmonitoringtheprogram,whichisbeingimplemented
•Factsaboutbirthsanddeathsbesidesservingasan
indicatorofpopulationgrowthcanhelpastofocus
attentiononatargetgroupforspecifichealthservices
•Morbiditydataregardingvariousillnessoccurringinthe
areacanserveasanindexofthestateofhealthofthe
population.

11. •Recordsandreportsreceivedfromtheperipheryarevery
helpfulfortakingoperativeandadministrationaldecisions
andfordecidingprioritiesorforstaringnewprogrammes
•Ithelpstoplanninghealtheducationprogramme
•Itgivesthesupervisoranideaaboutthequantityand
qualityoftheworkbeingdone

12. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
1.Structural
•Multiplicity of institutions anddepartments
•Fragmentation ofdata.
•Lack of infrastructural facilities for storageand
maintenance ofrecords.

13. PROBLEMSORCONSTRAINTSOFHMISININDIA
2.Procedural
•Excessiveinformation
•Exhaustive information, seldomused.
•Overburden of collection and recording of dataalong
with General healthcare.
•Incomplete, unreliable and intentionallymanaged
information.

14. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
2.Procedural
•Repetition of generalinformation
•Inappropriateforms/cards/reports
•Less interest of users ininformation
•Time consumingprocedure
•Confusing coding, long list ofindices
•Absence of feedback to informationsuppliers.

15. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
3. Related tocontent
•Mostly service utilizationstatistics.
•Only summarized information reaches at higher
level.
•Less emphasis on socioeconomicinformation.
•no userfriendly

16. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
4. Related to humanresource
•Absence or lack of skilled medical recordprofessionals
•Lack of opportunity for in service training for thestaff.
•Health care providers/nurses/biomedical trained
persons are collecting and preparingdata.
•Lack of motivation/extraincentives

17. PROBLEMS OR CONSTRAINTS OF HMIS IN INDIA
5.Technological
•Much manual paper basedsystem.
•Absence or lack of computerized data base
system

18. SUBSYSTEMS/SUB COMPONENTS OF HMIS
•Epidemiologicalsurveillance
•Routine servicereporting
•Specific programreporting
•Administrativesystems
•Vitalregistration

19. CHALLENGES FORHMIS
•Low levels of public will, about vital registrationsystem.
•Inadequate government’s capacity and lack of firm political
decision
•Gender issues invitaleventsregistration
•Fragmentation of healthinformation
•Establishing a unified information system with incountry.

20. BENEFITS OFHMIS
•Helping decision makers to detect and control emerging and
endemic healthproblems.
•Help in monitoring progress towards health goals and
promoteequity.
•Empowering individuals and communities with timely and
understandable health relatedinformation.
•Improving quality ofservices.

21. BENEFITS OFHMIS
•Strengthening the evidence base for effective health
policies.
•Permitting evaluation of scale up efforts and enabling
innovation throughresearch.
•Mobilizing new resources and ensuringaccountability
in the way they areused.

22. ROLE OF HEALTH TEAM IN MAINTENANCE OF HEALTH
INFORMATION SYSTEM
•Interactwithusergroups
•Identifytheneedsofusers
•Designingofreportingformats
•Identifysystemsofinformationflow
•Ensuresmoothflowofinformationwithinandoutsidetheorganisation
•Actasaninterfacebetweensectionsnadmanagementtiers
•Identifythetrainingneedsofstaff
•Organisemonthlyperiodicmeetingtoassessperformance,maintain
minutesandfollowuponthedecisions
•Interfacewithvariousdivisions,unitsintheorganisationforinformation
sharing