community based management information system.ppt

8/17/2019 Community based management information system.ppt

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Health ManagementHealth Management

Information SystemsInformation Systems


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Why health information system?W

hy health information system?Good management is a prerequisite forGood management is a prerequisite for

increasing the efficiency of health services.increasing the efficiency of health services.Improved health information system is clearlyImproved health information system is clearly

linked to good management.linked to good management.

Information is crucial at all management levelsInformation is crucial at all management levels

of the health services from periphery to theof the health services from periphery to thecentre. It is required by policymakers,centre. It is required by policymakers,

managers, health care providers, communitymanagers, health care providers, community

health workers.health workers.

“ “Changing the way information is gathered,Changing the way information is gathered,processed, and used for decision-making impliesprocessed, and used for decision-making implies

changing the way an organiation operates.! changing the way an organiation operates.!


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DefinitionsDefinitions"ystem"

ystem - #ny collection of components that work together to achieve- #ny collection of components that work together to achievea common ob$ective.a common ob$ective.

%ealth "ystem%ealth "

ystem - #ll the activities whose primary purpose is to- #ll the activities whose primary purpose is topromote, restore or maintain health.promote, restore or maintain health.

InformationInformation - &eaningful collection of facts or data.- &eaningful collection of facts or data.

Information "ystemInformation "

ystem - "ystems that provide specific information- "ystems that provide specific informationsupport to the decision-making process at each level of ansupport to the decision-making process at each level of anorganiation.organiation.

%ealth Information "ystem%ealth Information "

ystem - # set of components and- # set of components and

procedures organied with the ob$ective of generatingprocedures organied with the ob$ective of generating

information which will improve health care managementinformation which will improve health care managementdecisions at all levels of the health system.decisions at all levels of the health system.

The ultimate objective of health information systemThe ultimate objective of health information system

is not “to gain information” but “to improve action” is not “to gain information” but “to improve action”


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What is wrong with current health MIS?What is wro

ng with current health MIS?

Irrelevance of the information gatheredIrrelevance of the information gathered

'oor quality of data'oor quality of data(uplication and waste among parallel health(uplication and waste among parallel health

information systeminformation system

)ack of timely reporting and feedback)ack of timely reporting and feedback'oor use of information'oor use of information

*he difference in culture between data*he difference in culture between data

people and decision makers+ 'lanning andpeople and decision makers+ 'lanning and

management staff rely primarily on “gutmanagement staff rely primarily on “gut

feeling! to formulate ad hoc decisions ratherfeeling! to formulate ad hoc decisions rather

seek pertinent data.seek pertinent data.


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Information processInformation process

(ata collection(ata collection

esourcesesources

(ata transmission(ata transmission

ManagementManagement

(ata processing(ata processing

rganiational rulesrganiational rules

(ata analysis(ata analysis

Information for use inInformation for use in

planning and managementplanning and management


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Knowledge statesKnowledge states Processing activitiesProcessing activities

aluationaluation

/eighing/eighing

optionoption

InterpretationInterpretation

#nalysis#nalysis

"orting"ortingselectionselection

CollectionCollection

Decision

Judgement

Understanding

Knowledge

Information

Data


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Ways to enhance the use of informationWays to enhance the use of information

in decision-makingin decision-making

Characteristics of the dataCharacteristics of the data

Characteristics of the problems and theCharacteristics of the problems and the

decisions they requiredecisions they requirerganiational or structural characteristicsrganiational or structural characteristics

Cultural differences between 0data people1Cultural differences between 0data people1

and 0action people1 and 0action people1 *he communication between the two*he communication between the two


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Characteristics of the dataCharacteristics of the data

wnership and relevancewnership and relevance

alidity and reliabilityalidity and reliability

#ggregation of data#ggregation of data

Customiing information to the users1Customiing information to the users1

needsneeds

*imeliness of feedback*imeliness of feedback


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Different characteristics of the users (actionDifferent characteristics of the users (action

eole! and the roviders of data (data eole!eole! and the roviders of data (data eole!


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Sy"systems of Health Information SystemSy"systems of Health Information System WHO proposes to categorize the healthWHO proposes to categorize the health

information system under five interrelatedinformation system under five interrelated

“subsystems”:“subsystems”:

2pidemiological "urveillance2pidemiological "urveillance 3notifiable infectious3notifiable infectiousdiseases, environmental conditions, and risk factors4diseases, environmental conditions, and risk factors4

outine service reportingoutine service reporting

"pecial programmes reporting systems"pecial programmes reporting systems3tuberculosis and leprosy control, &C%, school health43tuberculosis and leprosy control, &C%, school health4

#dministrative systems#dministrative systems 3health care financing3health care financing

systems, health personnel systems, logistic systems4systems, health personnel systems, logistic systems4ital registration systemsital registration systems 3births, deaths, and3births, deaths, andmigratory movements4migratory movements4


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Data collection instruments for systemmanagement

• Health unit reportforms

• Supervisory checklists

• ISSUES

–

Layout– Computerization


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• Determining community healthactivities

–PH!"#P programme

– #utodiagnosis

– Iran$s %ital horoscope

–ommunity!&ased maternal records

– ommunity!&ased growth monitoring

Development of community health informationsystems

community based management information system.ppt

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