Management information system

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MIS and its uses in Hospital

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Management information system

  1. 1. MANAGEMENT INFORMATION SYSTEM DR.N.C.DAS
  2. 2. MANAGEMENT INFORMATION SYSTEM (MIS) <ul><li>Information System for Management. </li></ul><ul><li>Collection, compilation, analysis and interpretation of data for effective use as information. </li></ul><ul><li>Helps in better planning, monitoring and control of medical and health services. </li></ul><ul><li>Monitoring of identified indicators helps in improving of the efficiency and </li></ul><ul><li>performance of health delivery system. </li></ul><ul><li>-Hospital safety </li></ul><ul><li>-Analysis of information helps in better decision making . </li></ul>
  3. 3. SCOPE OF HIS HOSPITAL INFORMATION SYSTEM MEDICAL RECORDS CONTROL FUNCTIONS INVENTORY MANAGEMENT OPERATIONAL PLANNING & BUDGETTING PATIENT FEED BACK SYSTEM TWO WAY COMMUNICATION BILLING & PAYMENT
  4. 4. ADVANTAGE OF MIS MIS STREAM LINE HOSPITAL HEALTH SERVICES OPERATION MEASUREMENT OF HEALTH SERVICES OUTPUT IDENTIFICATION OF VARIUOS PROBLEMS & EFFECTIVE SOLUTION IMPROVED PATIENT CARE TOOLS FOR COST ANALYSIS EFFECTIVE ADMN. AND CONTROL COST CONTAINMENT TASK ALLOCATION AMONG STAFF
  5. 5. DEVELOPING MIS SYSTEM The basic information required for a hospital to function efficiently are indices of health and disease. <ul><li>Morbidity Rates </li></ul><ul><li>Mortality Rates </li></ul><ul><li>Level of staff training and efficiency </li></ul><ul><li>Level of functioning of various areas of hospital like Labs, Xray, Blood Bank, CSSD, Sanitation etc. </li></ul><ul><li>Admission, Discharge and Death. </li></ul><ul><li>ALS, Bed occupancy, Bed turn over rates. </li></ul>
  6. 6. DEVELOPING MIS SYSTEM MIS SYSTEM MANNUAL COMPUTERISED Here data is collected, analysed and reported manually Information in stored in records and files. Here data is collected, analysed and reported by computers. Information in stored in records and files within the computer.
  7. 7. DESIGNING OF MIS Designing of the MIS should be relevant to the objective function of the hospital and need answer to following questions to make it adequate, relevant and available in time. MIS TYPE OF DATA NEEDED MECHANISEM OF FEED BACK RETRIEVAL SYSTEM IN WHAT FROM THE DATA TO BE COLLECTED (Quantity or Quality) HOW SHOULD BE THE DATA PROCESSED FORMAT OF REPORTING SITE OF GENERATION OF DATA HOW CAN IT BE STORED
  8. 8. COMPONENTS OF MIS DATA PROCESSING & ANALYSIS STATEMENTS FIGURES RATES & RATIOS STORAGE & RETRIEVAL FEED BACK INPUT INFORMATION OUTPUT INFORMATION
  9. 9. COMPUTER MODULES MIS helps in various ways in various functions of the hospital and various units. The various computer modules which can be developed for MIS are __ <ul><li>Patient Registration </li></ul><ul><li>Appointment Scheduling </li></ul><ul><li>Admission, Discharge </li></ul><ul><li>Bed Management </li></ul><ul><li>Word Management </li></ul><ul><li>Doctors Work Bench </li></ul><ul><li>Nurses Work Bench </li></ul><ul><li>Maintenance Services </li></ul><ul><li>Hospital Administration </li></ul><ul><li>Operation Theater </li></ul><ul><li>Electronic Medical Record </li></ul><ul><li>Specialty Clinic </li></ul><ul><li>Laboratory Information System </li></ul><ul><li>Pharmacy Services </li></ul><ul><li>Blood Bank Services </li></ul><ul><li>Dietary Services </li></ul><ul><li>Health Care Package </li></ul><ul><li>Hospital Finance </li></ul>
  10. 10. INDENTIFICATION OF INDICATORS <ul><li>Identify certain indices which will reflect efficiency and quality of services. </li></ul><ul><li>Develop the acceptable norms for these indices. </li></ul><ul><li>Compare them with the output results. </li></ul><ul><li>If the requisite level of norm has not been achieved. </li></ul><ul><li>-Find out the possible cause and take appropriate remedial measures. </li></ul>
  11. 11. DEVELOPING INDICES INDICES MORTALITY &MORBDITY RATES CONSULTATION RATE COMPLICATION RATE BED OCCUPANCY RATE AVERAGE DAILY OPD ADMISSION BED TURN OVER RATE INFECTION RATE AVERAGE LENGTH OF SAFETY
  12. 12. A.MORTALITY RATES MORTALITY RATE CRUDE DEATH RATE PROPORTIONAL MORTALITY RATE DISEASE SPECIFIC MORTALITY RATE UNDER 5 MORTALITY RATE PERI_NATAL MORTALITY RATE POST-NATL MORTALITY RATE NEONATAL MORTALITY RATE IMR MMR
  13. 13. MORATALITY RATES a) Crude Death Rate No of death in 1 yr X 1000   Mid yr population b) Infant Mortality Rate Death Under One Year X 1000   Total no of live Birth c) Neonatal Mortality rate No of Death below 28 days X 1000   No of Live birth d) peri -natal Mortality Rate 28 wks to 7 days > 1000gms X 1000   No of live birth > 1000gms e) Under 5 Mortality Rate No of death under 5 yrs X 1000   Under 5 yr population f) Maternal Mortality Rate No of death due to abortion, prep, child birth X 1000   No of Live Birth g) Disease specific death rates Death due to specific Disease X 1000   Mid yr population h) Proportional Morality Rate No of death specific cause X 1000 Total death  
  14. 14. MORBIDITY RATE INCIDENCE RATE MORBIDITY RATE PREVALANCE RATE DISABILITY RATE ABSENCE RATE ADMISSION RATE DISCHARGE RATE ATTENDANCE RATE SPELLS OF SICK NESS
  15. 15. (B) Morbidity Rates <ul><li>(C). Disability rates </li></ul><ul><ul><li>No of days of Restricted activities </li></ul></ul><ul><ul><li>No of bed disability rates </li></ul></ul><ul><li>Incidence Rate: New Cases in specific disease in a given period </li></ul>Population at risk during the period X 1000 5000 30,000 X 1000 = 16.7 per 1000 population New Cases / During Given Period / Specified Population Attack Rate: New Cases specified period specific disease Population at risk during the period X 100 Prevalence Rate: Number of all cases of specific disease during a period Estimated population during the period X 1000 P = I x D = Incidence x Duration/ Period I = P/D = It gives the magnitude of disease helps in Health Service planning & prevention
  16. 16. DEATH RATE <ul><li>This is a very good indicator to measure efficiency of the hospital. </li></ul><ul><li>Gross death means all deaths occurring in the hospital per year. </li></ul><ul><li>Net death rate means all death occurring after 48 hours of admission. </li></ul><ul><li>Net death rate reflects the quality and efficiency of the system. </li></ul>Net Death Rate = No. of deaths after 48 hours No. of discharges per month x 100 <ul><li>Average net death rate is less than 4%. </li></ul><ul><li>If there is a sudden increase in NDR, investigation be done to find out the cause. </li></ul><ul><li>The cause may be external like disaster, epidemic. </li></ul><ul><li>May be internal like infection, non functioning of vital machines, carelessness. </li></ul><ul><li>If the cause is internal immediate remedial measure must be taken. </li></ul>
  17. 17. AVERAGE LENGTH OF STAY (ALS) - It is the average days of service rendered to each discharged patient during a fixed period. ALS = Total days of stay of all discharged patients Total no. of discharge during the period <ul><li>It helps to identify essential and unnecessary length of stay. </li></ul><ul><li>The normal length of stay is 7 to 10 days. </li></ul><ul><li>More than this reflects inadequate functioning of the hospital and quality care. </li></ul><ul><li>Factors influencing ALS. </li></ul><ul><li>a) Characteristic of patient </li></ul><ul><li>b) Disease character </li></ul><ul><li>c) Hospital infection </li></ul><ul><li>d) Habit of doctors and staff </li></ul><ul><li>e) Hospital functioning </li></ul><ul><li>Out of the above factors of last three increases unnecessary length of stay and appropriate remedial measures to be taken. </li></ul>
  18. 18. A. HABIT OF DOCTOR AND STAFF <ul><li>Delay in case examination </li></ul><ul><li>Delay in investigations </li></ul><ul><li>Delay in scheduling operation </li></ul><ul><li>Delay in starting treatment or wrong treatment </li></ul><ul><li>Unnecessary admission to increase bed occupancy </li></ul><ul><li>Poor Nursing Care </li></ul>B. HOSPITAL FUNCTION <ul><li>Delay in Special Investigation </li></ul><ul><li>Inadequate Sanitation </li></ul><ul><li>Improper Disposal of BMW </li></ul><ul><li>Hospital Acquired Infection </li></ul>Controlling above factors, length of stay can be reduced, there by cost of bed is reduced increasing the hospital productivity.
  19. 19. BED OCCUPANCY RATE - It is the ratio of occupied beds to the total available beds during a period . Bed Occupancy = Average Daily Census Total No. of beds X 100 <ul><li>This is an index of extent of utilization of hospital beds. </li></ul><ul><li>Ideally the bed occupancy should be 85% to 90%. </li></ul><ul><li>Less than 80% reflects on reputation of the hospital. </li></ul><ul><li>Reflects on quality of care. </li></ul><ul><li>Working culture in the hospital. </li></ul>
  20. 20. BED TURN OVER RATE Average number of patients per bed during a given period. Bed Turn Over = No. of discharges during period No. of available beds <ul><li>This is the indicator of hospital efficiency. </li></ul><ul><li>Quick turn over indicates better case, quick recovery and discharge. </li></ul><ul><li>Delayed turn over indicates delayed recovery and delay in discharge. </li></ul>
  21. 21. BED TURN OVER INTERVAL Average number of days a bed remains vacant between discharge and admission to the bed during a period . Bed Turn Over Interval = All vacant days of beds (No. of Beds – Average Daily Census) Total no. of discharges <ul><li>It indicates the productivity of the hospital. </li></ul><ul><li>More bed vacant reflects on hospital reputation. </li></ul><ul><li>Shows the extent of non utilization of beds. </li></ul>
  22. 22. AVERAGE DAILY OPD ADMISSION Total No. of new admissions during a period in OPD No. of hospital working days <ul><li>It indicates average work load in OPD. </li></ul><ul><li>Higher the number better hospital reputation. </li></ul><ul><li>Higher Bed Occupancy </li></ul><ul><li>Less vacant bed days </li></ul>
  23. 23. HOSPITAL INFECTION RATE No. of patients acquiring hospital infection during a period No. of discharges during the period <ul><li>It indicates the hospital CSSD functioning. </li></ul><ul><li>Sanitation facilities in the hospital. </li></ul><ul><li>Persistence of resistant strains. </li></ul><ul><li>Infection carrier staff. </li></ul><ul><li>The normal hospital infection rate should be less than 1-2%. </li></ul>
  24. 24. Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS

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