Developing global his standard mini u


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  • Describe what is HMN framework? Brief 1 minute
  • What information systems are covered under HMN framework?
  • The HMN Situational analysis tool was applied in Mexico, Honduras, Paraguay and most recently Peru and the Dominican Republic. These are some of the general findings common to all of these countries
  • Standards are based on historical, norms, benchmarking and continuous improvement, and not based on absolute criteria
  • Developing global his standard mini u

    1. 1. Developing Global Standards for Health Information Systems: HMN & PRISM Frameworks Anwer Aqil , MD, MCPS, MPH, DrPH Beatriz Plaza , MPH
    2. 2. Objectives <ul><li>Provide overview of the Health Metrics Network (HMN) and Performance of Routine Information Systems Management (PRISM) frameworks and toolsets </li></ul><ul><li>Describe use of HMN and PRISM framework for creating and maintaining STANDARDS for Health Information Systems </li></ul>
    3. 3. HMN Framework <ul><li>What it can do for you? </li></ul><ul><li>Provide a comprehensive picture of all information health systems in a given countries </li></ul><ul><li>Describe broadly strengths and weaknesses of each system </li></ul><ul><li>Assist in setting priorities based on assessment </li></ul>
    4. 4. HMN Framework Stewardship: policy & governance monitoring – special data collection HR: census, labour force surveys, administrative records Financing: household surveys, administrative records (budget, exp.), NHA, PER Information: draws upon all data sources Infrastructure / technology / services: service records, administrative records
    5. 5. HMN Findings in Latin American Countries <ul><li>Large quantities of data collection and </li></ul><ul><li>-very little analysis and generation of information </li></ul><ul><li>-very little or no use of information for decision making </li></ul><ul><li>Excessive financial demands on limited resources, </li></ul><ul><li>Scarce human resource and technical capacity </li></ul><ul><li>Poor HIS designs, little interaction between : </li></ul><ul><li>-participating institutions </li></ul><ul><li>-decision making levels </li></ul><ul><li>Information systems that do not respond to the current and emerging health systems needs </li></ul><ul><li>Donor driven vertical systems </li></ul>
    6. 6. Actions based on HMN Assessment <ul><li>Priority setting for strengthening HIS </li></ul><ul><li>Creation of National Strategic Plans for HIS </li></ul><ul><li>Develop Interventions & implementation plan </li></ul><ul><li>Increase Country Resource allocation </li></ul><ul><li>Improve Ownership of HIS </li></ul>
    7. 7. PRISM Framework <ul><li>Let’s Role Play </li></ul><ul><li>Please observe the issues raised about RHIS in this role play. You will be asked to list them. </li></ul><ul><li>We will use that list to describe how those issues are addressed in PRISM framework and explain them </li></ul>
    8. 8. <ul><li>Technical Factors </li></ul><ul><li>Complexity of the reporting form, procedures </li></ul><ul><li>HIS design </li></ul><ul><li>Computer software </li></ul><ul><li>IT complexity </li></ul><ul><li>Behavioral Factors </li></ul><ul><li>Data demand </li></ul><ul><li>Data quality checking skill </li></ul><ul><li>Problem solving for HIS tasks </li></ul><ul><li>Competence in HIS tasks </li></ul><ul><li>Confidence levels for HIS Tasks </li></ul><ul><li>Motivation </li></ul><ul><li>Organizational Factors </li></ul><ul><li>Governance </li></ul><ul><li>Planning </li></ul><ul><li>Availability of resources </li></ul><ul><li>Training </li></ul><ul><li>Supervision </li></ul><ul><li>Finances </li></ul><ul><li>Information distribution </li></ul><ul><li>Promotion of culture of information </li></ul>HMIS Processes Data collection Data trans- mission Data Processing Data Analysis Data presentation Data quality checking Feedback Improved Health System Performance Improved health status Improved HMIS Performance Data Quality Information Use HMIS Determinants PRISM Framework PROCESSES OUTPUTS OUTCOME INPUT IMPACT
    9. 9. PRISM PRINCIPLES <ul><li>Systems perspective </li></ul><ul><li>Outcome-oriented </li></ul><ul><li>Problem-solving </li></ul><ul><li>Self-regulation </li></ul><ul><li>Continuous improvement </li></ul><ul><li>Culture of information </li></ul>
    10. 10. PRISM Tools A) HMIS Performance Diagnostic Tool B) HMIS Overview Facility/ Office Checklist Quality of data Use of information C) Organizational & Behavioral Assessment Tool D) HMIS Management Assessment Tool
    11. 11. Resulting Standards <ul><li>RHIS Performance </li></ul><ul><li>RHIS Processes </li></ul><ul><li>RHIS Determinants </li></ul><ul><li>Harmony between Performance, processes and determinants </li></ul>
    12. 12. Major Findings
    13. 13. HMN & PRISM APPLICATIONS To date <ul><li>Africa </li></ul><ul><ul><li>Uganda, South Africa, Cote d’Ivore, Senegal </li></ul></ul><ul><li>Asia </li></ul><ul><ul><li>China, Pakistan </li></ul></ul><ul><li>Caribbean </li></ul><ul><ul><li>Haiti </li></ul></ul><ul><li>Latin America </li></ul><ul><ul><li>PRISM & HMN: Mexico, Paraguay, Honduras, Peru and Dominican Republic </li></ul></ul><ul><ul><li>HMN: Panama, Nicaragua, El Salvador, Guatemala , Belize </li></ul></ul>
    14. 14. Conclusions <ul><li>Use HMN framework for overview of ALL health information systems </li></ul><ul><li>Use PRISM framework and its tools for designing, strengthening, monitoring and evaluation of RHIS </li></ul>
    15. 15. Pearls <ul><li>HIS Global Standards Application is a systemic change and all organizational members should be on board! </li></ul><ul><li>Improve continuously HIS processes and technical, behavioral and organizational determinants for better HIS Performance and better Health System Outcomes </li></ul>
    16. 16. Please contact us for further information: [email_address] [email_address]
    17. 17. <ul><li>MEASURE Evaluation is funded by the U.S. Agency for International Development (USAID) through Cooperative Agreement GPO-A-00-03-00003-00 and is implemented by the Carolina Population Center at the University of North Carolina in partnership with Futures Group, John Snow, Inc., ORC Macro International, and Tulane University. </li></ul><ul><li>Visit us online at </li></ul>