Management information system (MIS)

Here is the slides on Management Information System in relation to Helath in context of- Nepal prepared by me for the purpose of Class presentation.

1. MANAGEMENT INFORMATION SYSTEM Presentation By: Bikram Adhikari (136) MPH-2018 School of Public Health and Community Medicine

2. Overview Introduction Information Sources of Information Information-Qualities Information cycle Information system Health Information system Management Information system(MIS) Objectives Benefits Components of MIS MIS Model Pyramid structure of MIS Types of Management Information system Health Management Information System : Definition, objectives, Process, HMIS tools, Constraints Logistics Management Information System : Definition, Goal, Logistic cycle, LMIS data flow, Benefits 5/15/2019 2

3. Introduction Information: Information as a representation of knowledge Information as data in the environment Information as part of the communication process Information as a resource or commodity A stimulus originating in one system that affects the interpretation by another system of either the second system’s relationship to the first or of the relationship the two systems share with a given environment 5/15/2019 3

4. Introduction Sources of health Information: Census Registration of Vital Events Sample Registration System (SRS) Notification of Disease Hospital Records Disease Registers 5/15/2019 4 Epidemiological Surveillance Other Health Service Records Environmental Health Data Health Manpower Statistics Population Surveys Non-quantifiable information

5. Introduction Information Quality Understandable Relevant Complete Available Reliable Timely Concise 5/15/2019 5

6. Introduction Management Management is the act of getting people together to accomplish desired goals and objectives using available resources efficiently and effectively . Management information Important input at every level in the organization for decision making, planning, organizing, implementing, and monitoring and controlling. 5/15/2019 6

7. Introduction System 5/15/2019 7

8. Introduction Information system A mechanism that ensures information is available to the managers as per their need and time. It provides relevant information for decision making. 5/15/2019 8

9. Introduction Health Information system Collects data from the health sector and other relevant sectors , analyses the data and ensures their overall quality , relevance and timeliness, and converts data into information for health-related decision-making . 4 key functions: Data generation Compilation A nalysis and synthesis Communication and use. 5/15/2019 9

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12. Introduction 5/15/2019 12 Information S ystem Management

13. Introduction Management Information system (MIS) An organized, diverse and automated information system Concerned with the process of gathering, storing and transferring relevant information To support the M anagement operations Management analysis D ecision-making functions 5/15/2019 13

14. Introduction MIS "an organizational method of providing past, present and projected information related to internal operations and external intelligence” ''an integrated user machine system for providing information to support operations, management and decision making functions in an organization. The system utilizes computers, manual procedures, models for analysis, planning, control and decision making, and a database'' 5/15/2019 14

15. Introduction It is a system, which provides the required information to each level of management at the right time, in the right form, covering the desired quantity and quality, so that it may form the basis of decision making. 5/15/2019 15

16. Objectives of MIS To Facilitate the decision-making process To Collects information in a systematic and a routine manner. To Provide requisite information at each level of management to carry out their functions. To Highlight the critical factors to be closely monitored To Provide a system of people, procedures, query facilities for collecting, storing, retrieving and transmitting information. 5/15/2019 16

17. Benefits of MIS E ffective and efficient coordination between Departments Q uick and reliable referencing Access to relevant data and documents U se of less labor I mprovement in organizational and departmental techniques M anagement of day-to-day activities D ay-to-day assistance in a Department and closer contact with the rest of the world. P rovides a valuable time-saving benefit to the workforce 5/15/2019 17

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19. MIS Model 5/15/2019 19

20. Types of MIS Health management Information system Logistics management Information System Fiscal Management Information system Human Resource Management Information system Drug Information Network Ayurvedic Reporting System 5/15/2019 20

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23. Health management Information System HMIS is defined as a system that I ntegrates: data collection, data processing , reporting Provides up-to-date, reliable , complete and timely information to health managers at various levels (PHC, CHC, SDH & District Hospitals.) in order to improve effectiveness and efficiency of health services and make well-informed management decisions about program performance and operations 5/15/2019 23

24. Health management Information System Before the integration of all health programs in 1993, various vertical projects were using their own Information system with their own reporting and recording system. DOHS designed and implemented the HMIS in entire country since 1994 with continuous financial and technical support from UNFPA and some other EDPs. 5/15/2019 24

25. HMIS Reporting system 5/15/2019 25

26. Importance of HMIS Produces information needed by Patients , communities, service providers, program managers, policy-makers, providers of funds, global agencies and organizations. Identification and allocation of manpower and other resources Effective and efficient uses of resources Performance evaluation of program Detect and control emerging and endemic health problems Monitor progress towards health goals; and promote equity 5/15/2019 26

27. Objectives of HMIS To manage and collect the health service delivery statistics from grass-root health service delivery points to the center . To review the collected data for data processing, analysis and drawing inferences through appropriate indicators . To develop competent human resource for Health Information Management System 5/15/2019 27

28. Objectives of HMIS To assist in monitoring of program performances by providing the periodical feedback regarding achievement, coverage, continuity and quality of services through co-ordination with program divisions/centers, managers and service provides (Regional Health Directorate (RHDs), hospitals and district public/health offices ) To provide necessary information to policy-makers for developing appropriate health policies. 5/15/2019 28

29. Objectives of HMIS To publish a comprehensive annual report of Department of Health Services. To enhance the dissemination of health information to all concerned authorities using efficient methods and technologies. To support PME ( planning, monitoring and evaluation) of all health programs. 5/15/2019 29

30. Process of HMIS Collection Transmission Storage Retrieval Analysis Interpretation Preparation for utilization Presentation of information 5/15/2019 30

31. HMIS tool 5/15/2019 31

32. HMIS tool 5/15/2019 32

33. HMIS tool 5/15/2019 33

34. HMIS tool 5/15/2019 34

35. Revised-HMIS tool, 2070 5/15/2019 35

36. 1. Common tools 1.1 Master Register 1.2 Health Service Card 1.3 Outpatient Register 1.4 Referral/Transfer Slip 1.5 Defaulter/Discontinuation Slip 36

37. 2. Infant and Child Health 2.1 Child health Card 2.2 Immunization Register 2.3 Nutrition Register 2.4 IMCI Register 2.5 IMAM Child health Card 2.6 IMAM Register 2.7 IMAM Register Hospital Contd .. 37

38. 3. Family Health 3.1 FP Face Sheet 3.2 Pills, Depo Service Register 3.3 IUCD/Implant Service Register 3.4 Sterilization 3.5 Maternal and Newborn health Card 3.6 Maternal and Newborn health service Register 3.7 Safe Abortion Service Register 38

39. 4. Community Services 4.1 ORC Register 4.2 FCHV Service Register 4.3 Vitamin A Register 39

40. 5 . Malaria, Kalazar , Leprosy 5.1 Malaria, Kalazar ,, Leprosy Sample Collection Form 5.2 Malaria, Kalazar, Leprosy Laboratory Register 5.3 Malaria, Kalazar Treatment Register 5.4 Leprosy Examination and Treatment Card 5.5 Leprosy Treatment 40

41. 6. Tuberculosis 6.1 Sputum Sample Collection Form 6.2 TB Laboratory Register 6.3 TB Treatment Card(HF) 6.4 TB Treatment Card(Patient) 6.5 TB Treatment Register 6.6 PAL: Smoking Cessation Register 6.7 DR TB Laboratory Register 6.8 DR TB Treatment Register 41

42. 7. HIV/AIDS and STI 7.1 HIV Testing and Counselling Register 7.2 STI Treatment Register 7.3 PMTCT of HIV Service Register 7.4 HIV Treatment and Care Register 7.5 HIV Patient Treatment Card 7.6 OST Register 42

43. 8. Hospital 8.1 Emergency Service Register 8.2 Admission Register 8.3 Discharge Register 43

44. 9. Monthly Reporting Form 9.1 FCHV Reporting Form 9.2 ORC Reporting Form 9.3 PHCC/HP/SHP Reporting form 9.4 Public Hospital Reporting form 9.5 Private and NGO Health Facility Reporting Form 44

45. Key Features of Revised HMIS Address the needs of NHSP-II, policy and program Enable selected indicators to be disaggregated by ethnicity and caste Enable health facility level data reporting Minimize duplication of work and burden on staff Improve use of HMIS data in different levels for PME Link HMIS with other MIS using uniform coding system Improve data quality Integrate vertical programs like EOC, Aama , CB-NCP, TB, HIV 5/15/2019 45

46. Constraints of HMIS Reporting : Irregular, Inconsistent and incomplete, under reporting Weak coverage: private sector Discrepancy : Data reported and recorded Complicated and tedious paper work Poor Monitoring and supervision system Information need of the program not updated to accommodate the changing needs Monthly monitoring sheets need to be updated timely as of present indicators 5/15/2019 46

47. Constraints of HMIS Gender specific, marginalized group data not yet fully incorporated in the reporting Problems in Printing, Supply and Distribution of HMIS tools Training for newly recruited health personnel Refresher training Computer training 5/15/2019 47

48. HMIS indicators by Program 5/15/2019 48 Program No. of indicators 1 Safe Motherhood 38 2 Family Planning 3 3 Female Community Health Volunteer 13 4 Primary Health Care Outreach Services 4 5 Immunization 31 6 Integrated Management of Childhood 31 7 Nutrition 25 8 HIV/AIDS 32 9 Tuberculosis 33 10 Epidemiology and Disease Control 21 11 Leprosy 12 12 Curative Services 31 13 Health Facilities 29 Total 303

49. DHIS2 A tool for collection, validation, analysis, and presentation of aggregate and patient based statistical data, tailored (but not limited) to integrated health information management activities . A free open source public health analytical tool (software) developed by University of Oslo recommended by World Health Organization (WHO) being used in about 45 countries across the globe A total of 54 countries are deploying DHIS2 on a national scale, 30 of which are in the pilot stage or early phase in their rollouts. Roll out from fiscal year 2072/73 5/15/2019 49

50. DHIS2 DHIS2 supports the different facets of the information cycle including: Collecting data. Running quality checks . Data access at multiple levels. Reporting. Making graphs and maps and other forms of analysis. Enabling comparison across time (for example, previous months) and space (for example, across facilities and districts ). See trends (displaying data in time series to see their min and max levels). 5/15/2019 50

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52. Logistics management system LMIS System of record and reports whether paper-based or electronic-based U sed to aggregate, analyze, validate and display data F rom all levels of logistics system that can be use to: Make logistics decision Manage the supply chain 5/15/2019 52

53. Logistics management system Basic Motto of LMIS: Right goods In right quantity In the right condition To right place At right time For right cost LMIS for ministry of health and Population was designed in 1994 Tested in 4 districts of eastern Nepal with support of JSI and USAID 1997-Implemented nation-wide LMIS unit collect and analyze quarterly 5/15/2019 53

54. The Logistic Cycle 5/15/2019 54

55. Goals of LMIS To obtain and move appropriate quantities of supplies in timely fashion to place where they are needed at reasonable cost. To ensure availability of quality health commodities at health facilities and community level round the year 5/15/2019 55

56. Data Items for LMIS Consumption Stock on Hand Losses/Adjustment 5/15/2019 56

57. Flow of LMIS Data 5/15/2019 57

58. Program Including LMIS Family Planning Program EPI TB program Control of Diarrheal Disease Program ARI program Nutrition Leprosy Program Essential Drugs 5/15/2019 58

59. Benefits Of LMIS Reduce commodity cost Enhance Program management Provide decision making data to policy makers and managers in all level of government health system Provide better and consistent customer services Allow greater control of logistics flow and accountability of donated logistics LMIS improves storage practices reducing waste and expiry 5/15/2019 59

60. References https:// www.researchgate.net/publication/241708484_A_definition_of_information Text book of health management, Achyut Raj Dahal PHO Loksewa Easy EntryExam preparation Book, Harischandra Ghimire Several internet web-sites and articles 5/15/2019 60

61. Thank you