MTY1106 LEC: HEALTH INFORMATION SYSTEM

MODULE 6: HEALTH MANAGEMENT INFORMATION SYSTEM

2nd Semester | SY 2021-2022 TRANSCRIBED BY: NINA RICCI O. DELA PAZ
LECTURER: Mr. Theo Segismundo
Ø Data collection system designed to support
TOPIC planning, management, and decision-
SUBTOPIC making
SUB-SUBTOPIC Ø Set of integrated components and
procedures organized w/ objective of
TRADITIONAL generating info that will improve healthcare
Ø Tradition health care administrations- management decisions
manual (registration to consultation) Ø Routine monitoring system
Ø Creation of document- time-consuming, risk o Evaluates the process w/ the
of duplicate records, improper storage intention of providing warning signals
o Difficulty in retrieval and high cost of through the use of indicators
maintaining proper storage Ø Health unit level
Ø Overview of number of patients, o Used by health unit-in-charge and the
consolidating nature of problems, providing Health Unit Management Committee
pertinent report- difficult to achieve to plan and coordinate health care
Ø Snapshots and dashboard- necessary in services in their catchment area
analysis of performance, unavailable
Ø No real-time data FRAMEWORK
Ø Delays on receipts (Republic of Uganda Ministry of Health Resources
Ø Accurate and real-time records of equipment Centre, 2010)
and drugs à not obtained in timely manner Ø Information collected is:
à problems in accountability, monitoring of o Relevant to the policies and goals of
expiry dates, stocks & auto indenting health care institutions and to the
Ø Inventory- tedious task responsibilities of health
o Lack of standards in filing names and professionals
codes o Functional as it is to be used
immediately
HMIS o Integrated for there is one set of
Ø Assist in the management and planning of forms and no duplication of reporting
health programmes, as opposed to delivery o Collected on a routine basis
of care (WHO, 2004)
Ø Health component ROLES
o Clinical studies to understand Ø Provide quality info to support decision-
medical terminologies making
o Clinical procedures Ø Encourage use of health information
o Database processes Ø Aid in the setting of performance targets at all
Ø Management levels
o Principles that help administer Ø Assist in assessing performance
healthcare enterprise Ø Needs to be complete, consistent, clear,
Ø Information system simple, cost-effective, accessible, and
o Ability to analyze and implement confidential (Janneh, 2002)
applications for efficient and effective o Complete w/ info w/out duplication
transfer of patient information o Consistent in assigning definitions
Ø One of the six building blocks essential for o Simple to use
health system strengthening o Clear as to what is measured
o Eligible users must have access Ø Data acquisition- generation and collection
o Confidentiality of patient info and data of data through input standard coded formats
privacy- top priority à faster mechanical reading and capturing
o Cost-effective while providing all Ø Data verification- data authentication and
these benefits validation
o Authority, validity, and reliability-
BENEFITS ensure quality
COMMUNITY
Ø Awareness DATA MANAGEMENT
Ø Increased patient satisfaction Ø Processing phase
Ø Promotion of appropriate health services Ø Data storage, classification, update,
computation
HEALTH PROVIDERS Ø Data storage- preservation and archiving of
Ø Training geared more towards patient- data
friendly services Ø Data classification- data organization, sets
Ø Gender sensitization the efficiency
Ø Interpersonal communication skills o Key parameters- for data
Ø Confidence building classification schemes for easier data
Ø Training curricula search
Ø Re-orientation of services Ø Data computation- requires various forms
of data manipulation and data transformation
POLICY MAKERS/LOCAL GOVERNMENT o Allows data analysis, synthesis, and
Ø Provision of model for decision-making evaluation for decision-making and
Ø Complement health system reforms tactical and operational use
Ø Data update- facilitates new and changing
PROCESSING PHASES info and requires constant monitoring
Ø Planning, epidemic prediction and detection, o Data maintenance must be in place
designing interventions, monitoring, and for updating changes for manual or
resource allocation automated transactions
Ø Built upon the conceptualization of three
fundamental information-processing phases: DATA OUTPUT
data input, data management, and data Ø Data retrieval and presentation
output Ø Data retrieval- data transfer and distribution
o Transfer- considers duration of
transmittal from source to end-user
o Economics of producing needed info-
significant criterion
Ø Data presentation- reporting of
interpretation
o Summary tables and statistical
reports
o Use of visuals is encouraged bc they
provide better intuitive perspective of
the data trend

DATA INPUT
Ø Data acquisition and verification
FUNCTIONS Ø Lack of motivation and enough knowledge-
Behavioral Health Collaboration Solutions, 2006 major drawback in data quality and
1. Client data- relates all info of client which is information use
related to his/her transactions, reports, and Ø Change in attitude à maximize RHIS
other info (client billing data, clinical data) performance
2. Scheduling- distribute resources to areas
that need them ORGANIZATIONAL
o Linking schedule to the billing of Ø Also known as environmental determinants
entity Ø Important factors- structure of the health
3. Authorization tracking- monitoring of institution, resources, procedures, support
authorized personnel use of authorized units services, and culture
4. Billing- notification of charges and other Ø Lack of funds, human resources, and
related documents (compliant electronic management support- contribute to
chain) determinant
5. Accounts receivable management- ensure Ø System which supports data collection and
proper notification of bill and settle it analysis and transforms it to useful
accordingly information à promote evidence-based
o Data includes tracking aging of decision-making
unpaid services, reasons for denials, Ø All components within system are ideal in
and aged receivable report by payer making RHIS perform better
source Ø Effective organizational culture à promotes
6. Reporting- reports issued by the entity info use by collecting, analyzing, and using
(basic reports or report writer) info to accomplish goals and missions à
7. Medical record- electronic health record, improved RHIS performance
collection of digital info
o Patient registration, assessment, TECHNICAL
treatment plan, and Ø Overall design used in collection of info
progress/encounter notes Ø Complexity of reporting forms, procedure set
8. Compliance- procedure that should be forward, overall design of computer software
followed for the improvement of patient or
service PRISM FRAMEWORK
9. Financial data- info relating to performance Ø Performance of Routine Information System
of entity collected for administering purposes Management
o Financial reports, general ledger, Ø Gauge proper performance of proper HMIS
payroll, accounts payable Ø Conceptual framework that broadens
analysis of HMIS or RHIS by including 3
DETERMINANTS determinants of HMIS performance
Ø Determines status of HMIS o Behavioral- knowledge, skills,
Ø Behavioral, organizational, and technical attitudes, and motivation
o Organizational/environmental-
BEHAVIORAL information culture, structure,
Ø Data collector and users need to have resources, roles, and responsibilities
confidence, motivation, and competence to o Technical- data collection processes,
improve the routine health information systems, forms, and methods
system (RHIS) Ø Identifies strengths, weaknesses, and
Ø Chance of task being performed is affected correlations in certain areas
by individual perceptions on the outcome and Ø Aids in designing and prioritizing
complexity of task (Aqil, Lippeveld, & interventions to improve RHIS performance
Hozumi, 2009) à Improve health system
Ø Founded on performance improvement
principles
Ø Defines the various components of routine
health information system and their linkages
to produce better quality data and continuous
use of information
o Leads to a better health system
performance and health outcomes
(Aqil, Lippeveld, & Hozumi, 2009)