Hims
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This document discusses health management information systems (HMIS). It outlines the objectives of HMIS as providing reliable health information to health officers and administrators, informing health policies, and increasing efficiency and quality of health management. It describes the characteristics, domains, sources, subsystems, challenges, and benefits of HMIS. Nursing management information systems are discussed as a subsystem that can help with workload measurement, staff scheduling, personnel management, and fiscal resource management. The advantages of nursing information systems are also summarized as helping with evaluation, research, documentation, and developing the nursing process.
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Hims
- 2. Introduction: ■ Health information system is 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 healthpolicies and programmes. ■ To increase efficiency and quality in health management.
- 4. Characteristics According to WHO ■ Thee 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). ■ Facility for data feed back must be present in health information system.
- 5. Cont... ■ 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,and environmental health statistics.
- 8. 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. ■ Sample survey( national sample survey organization). ■ Population survey.
- 9. Cont.... ■ Statistics regarding efforts to check epidemiological diseases and researches in this field. ■ School record. ■ Economic planning ■ Plans of social security
- 10. Problems or constraints of HMIS in India Structural ■ Multiplicity of institutions and departments ■ Fragmentation of data. ■ Lack of infrastructural facilities for storage and maintenance of records.
- 11. Cont... 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. ■ 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 supplelealth management
- 12. Cont..... 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 trainedpersons are collecting and preparing data ■ Lack of motivation/extra incentives.
- 13. Cont... Technological ■ Much manual paper based system. ■ Absence or lack of computerized data basesystemHealth managementinformation system.
- 14. Subsystems/sub components of HMIS ■ Epidemiological surveillance ■ Routine service reporting ■ Specific program reporting ■ Administrative systems ■ Vital registration
- 15. 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
- 16. Benefits of HMIS ■ Helping decision makers to detect and control emerging and endemic health problems.. ■ Help in monitoring progress towards health goals andpromote equity. ■ Empowering individuals and communities with timely and understandable health related information. ■ Improving quality of services. ■ 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.
- 17. Nursing management information system ■ 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.
- 19. 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 developmentof trends that can be used to project future expenditures ■ Necessary reallocations and budgetary adjustments can then be made on the basis of these projections.
- 20. WORKLOAD MEASUREMENT AND STAFFING RIEQUIREMENTS ■ 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 schedule with conjunction with personnel management.
- 21. 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.
- 22. PERSONNEL MANAGEMENT ■ An employee with a special mix of skills can be located. ■ Records are readily accessible needed foraccreditation purposes or to monitor contract compliance ■ The information may be retrieved on a daily basis fuse in conjunction with workload measurement and contract requirements to plan staffing assignments.
- 23. Advantages of NIS IN NURSING ADMINISTRATION: ■ Evaluate quality assurance programs ■ Defend resource allocation to nursing ■ Demonstrate the contribution nursing, makes to thecare of the patient ■ identify outcomes of nursing care
- 24. Cont... IN NURSING PRACTICE: ■ Enhance documentation by nurses ■ Provide data to enable research directed atexamining the inter relationships between daelements and nursing outcomes. ■ Facilitate development of the nursing process
- 25. Cont.. NURSING RESEARCH ■ To assess variables on multi levels includinginstitutional, local, regional, and national. ■ Identify trends to build information and tofurther synthesize to develop nursing knowledge NURSING EDUCATION: ■ To develop body of knowledge with focus on nursing process. ■ To enable staff educational needs based on follow upcare and outcomes. ■ To enhance student nurses accurate documentation