• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Introduction to Routine Health Information System Slides
 

Introduction to Routine Health Information System Slides

on

  • 3,343 views

Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information ...

Introduction to Routine Health Information System was created for undergraduate and postgraduate health science students to introduce them to the concepts and methods of routine health information systems.
The learning objectives are to help users explain the roles of routine health information systems (RHIS) in health service management; examine strategies used to improve routine health information systems; acquaint with skills to carry out the process of improving RHIS performance; discuss three categories of determinants that influence RHIS.

Statistics

Views

Total Views
3,343
Views on SlideShare
3,343
Embed Views
0

Actions

Likes
0
Downloads
90
Comments
1

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel

11 of 1 previous next

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
  • I am Health Information personnel. I am surprised to see an Ethiopian in this field. I would appreciate if you can contact me at bzmitiku@hotmail.com
    regards
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment
  • Welcome to the Health Informatics Building Block on Introduction to Routine Health Information System. I am Desalegn Tegabu of the University of Gondar.
  • The objective of this module is Explain the roles of RHIS in health service management: Examine strategies used to improve routine health information systems: Acquaint with skills to carry out the process of improving RHIS performance: Discuss three categories of determinants that influence RHIS
  • In this Health Informatics Building Block we will begin with definitions of the terms related to Health information system and Routine Health Information System. Then we will discuss about some basic RHIS concepts. Strategies used to improve RHIS will also be discussed in detail. Finally the PRISM concept which is an analytical framework used to understand performance of RHIS will be discussed.
  • Let's start with definition of Health system, According to WHO, Health system is defined as the system of all actors, institutions, and resources that undertake “health actions” – i.e. actions whose primary purpose is to promote, restore, or maintain health . Information system is defined as a System that provide specific information support to the decision-making process at each level of an organization. Health Information System - “A system that provides specific information support to the decision-making process at each level of an organization.” (Hurtubise, 1984)
  • RHIS is defined as on-going (period of less than one year) data collection on health status and behaviors, health interventions, and health resources. It is a specific kind of HIS.
  • Session 16: EDS Review
  • Session 16: EDS Review
  • Session 16: EDS Review

Introduction to Routine Health Information System Slides Introduction to Routine Health Information System Slides Presentation Transcript

  • Introduction to RoutineHealth Information Systems DESALEGN TEGABU ZEGEYE (MD,MPH) DEPARTMENT OF HEALTH INFORMATICS UNIVERSITY OF GONDAR FEBRUARY 2011 HIBBs is a program of the Global Health Informatics Partnership
  • Objectives Explain the roles of routine health information systems (RHIS) in health service management Examine strategies used to improve routine health information systems Acquaint with skills to carry out the process of improving RHIS performance Discuss three categories of determinants that influence RHIS
  • Outline Definitions RHIS concepts Strategies used to improve routine health information systems Analytical Framework for Understanding RHIS Performance –The Prism Concept
  • Definitions Health System - is defined as the system of all actors, institutions, and resources that undertake “health actions” – i.e. actions whose primary purpose is to promote, restore, or maintain health (WHO 2000). Information System - System that provide specific information support to the decision-making process at each level of an organization Health Information System - “A system that provides specific information support to the decision-making process at each level of an organization.” (Hurtubise, 1984)
  • Why Health Information System? Good management is a prerequisite for increasing the efficiency of health services Improved health information system is clearly linked to good management Information is crucial at all management levels of the health services from periphery to the centre. It is required by policymakers, managers, health care providers, community health workers
  • Routine Health Information System (RHIS)Definition: Ongoing data collection of health status, health interventions, and health resources Examples: facility-based service statistics, health administration statistics and community-based information systems
  • RHIS includes… Health service statistics for routine service and special program reporting Administrative data (revenue and costs, drugs, personnel, training, research and documentation) Epidemiological and surveillance data Data on community-based health actions
  • Types of Routine Data Collection Methods Health unit data collection Community data collection  to monitor activities performed in the community by health unit staff or by community health workers  to obtain more representative data on the health status and living environment of the communities served, including data on births and deaths in the community, agricultural and meteorological data, data on education, etc.  to assist in planning for health services that are more accessible to community
  • Data Collection Instruments Data collection instruments in RHIS:Curative Preventive• Medical records • Growth cards• Laboratory forms • MCH cards• Referral forms • School health card • Family registration records
  • Data Collection Instruments for Health Unit Management Service delivery records  Registers  Tally sheets  Population charts Resource Management records
  • Ise wh ot e a Clc n s s it R uin D t oet u a l io Is u et nt mns r• Content (comprehensive)• Record filing (patient-retained vs. health unit- retained)• Layout (self-explanatory)• Production form• Electronic patient record
  • Guiding Principles of RHIS Data for decision making  Collection of only essential health data used for decision making Data collection for local analysis and use by the health worker  Data collected by all health workers as they perform their day to day duties Data processing and analysis are done starting from the point of collection Integration of all routine information systems Simple to operate and maintain
  • What is Wrong with Current RHIS? Irrelevance of the information gathered Poor quality of data Duplication and waste among parallel health information system Lack of timely reporting and feedback Poor use of information The difference in culture between data people and decision makers: Planning and management staff rely primarily on “gut feeling” to formulate ad hoc decisions rather seek pertinent data
  • Steps Involved in RHIS RestructuringStep 1: Carrying out service and information system assessmentsStep 2: Developing new sets of essential health indicatorsStep 3: Defining data sources and developing data collection instruments for each of the indicators selectedStep 4: Developing a data transmission and processing systemStep 5: Ensuring use of the information generatedStep 6: Planning for RHIS resources
  • STEP 1: Assessment of the Existing System Rapid Assessment of the current use and performance of the existing system. Find out how and how well the current system works, to describe the various components of the system and the organizational environment
  • STEP 2: Develop Essential Indicators Select essential indicators for management functions at each level of the health system: • Health status (and disease surveillance) indicators • Health services (and national program) indicators • Resource indicators (human, physical, financial)
  • What Data Elements Should be Collected? Can provide useful information (affecting the management decisions) Cannot be obtained elsewhere Are easy to collect Do not require much work or time Can be collected relatively accurately ESSENTIAL DATA SET based on indicators reflecting the health status of the community
  • Essential Data Set (From Shaw,2005) MUST KNOW
  • Essential Dataset (continued)WHAT?The minimum amount of data that needs to becollectedWHY?For the effective management of services whichallows them to make the greatest impact on thehealth needs of the community which they serve(improving coverage & quality)HOW?Through routine data collection
  • EDS - Choosing a TypeData - led Focuses on the need to collect data which is required, is of interest, or may be useful Is usually vague on what information output can be obtained from dataAction - led Focuses on the need to collect data that reflect identified priority health needs & are required by pre-determined indicators Indicator driven – national & local Usually directly linked to specific objectives and targets Action-led systems are the most practical way to go
  • EDS at Each Level: The Information Filter (From Shaw 2005) Indicators,• Standardised Procedures,• Usefulness datasets & use of• Address the International IS info for ACTION:needs of allstakeholders National Inf. Systems Community• User-friendly District• Dynamic Zonal Information Systems Province National District Information Systems International Community Information Systems
  • Step 3: Data Sources and Data Collection ToolsDefining data sources and developing datacollection instruments for each of the indicatorsselected.Data collection start small - as data quality improves & systems are streamlined - add slowly collect data – linked to objectives - that can be used to calculate indicators
  • Data Sources and Data Collection Tools (continued)  Collect only data that is easily available - determine easiest site for recording of data - do not duplicate points of data collection  Use clear & standardised definitions  Train & provide ongoing support to data collectors – improve data quality Data collection tools  Use a minimum number of tools - user friendly, familiar & acceptable
  • Step 4: Developing a Data Transmission and Processing System Information flows (including referral systems):  Horizontal data transmission  Vertical data transmission Use appropriate communication technology:  Paper-based  Electronic: Telephones, diskettes
  • Data Processing and Analysis• Paper-based systems: • Error-prone• Computerized systems: • Off-the-shelve versus customized • Decision support systems• Use of appropriate technology• Capacity-building
  • Step 5: Ensuring Use of the Information GeneratedHow can we improve information use?2.Ownership and relevance of the information must be felt among all potential users of the information, through active participation in the system design3.Data need to be of appropriate quality, aggregated at the right level, and produced in a timely manner
  • Ensuring Use of the Information Generated (continued)1. Performance-based management systems tend to increase use of information for decision making.2. Cultural differences between data people and action people can be decreased through consensus building, teamwork, and training.3. Data presentation and communication (feedback) should be customized for users at all levels.
  • Step 6: Planning for RHIS Resources• Adequate staffing• Adequate logistic system for printed supplies• Computer hardware/software and maintenance• Communications equipment• HIS line-item in MOH recurrent budget
  • Analytical Framework for Understanding Performance of Routine Health InformationSystems in Developing Countries
  • The Prism Framework The Prism, or three-point framework, is predicated on the assumption that improving capacity in RHIS (and subsequently performance) requires interventions that address  the environmental  behavioral determinants of performance, and  the technical determinants It broadens analysis of routine health information systems to include the behavior of the collectors and users of data and the context in which these professionals work
  • PRISM framework (From Aqui,2009)
  • RHIS Performance Diagnostic Tool1. Data Quality Assessment at District or Higher Level2. Use of Information Assessment at District or Higher Level3. Data Quality Assessment at Facility Level4. Use of Information Assessment at Facility Level
  • Prism tools (Aqil,2007)
  • Sources Aqil A, Hozumi D, Lippeveld T. 2005. PRISM tools. MEASURE Evaluation, JSI. Available online at: http://www.measure.com. Aqil A, Lippeveld T. 2007. Training manual on continuous improvement of HMIS performance: quality and information use; focus on HIV/AIDS services. MEASURE Evaluation, Guangxi and Yunnan CDC. Aqil, A, Lippeveld, T & Hozumi, D 2009, PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems. Health Policy and Planning, vol. 24, no. 3, pp. 217-228. Aqil, A., Lippeveld, T 2010, Improving RHIS Performance For Better Health System Management, Routine Health Information System Course Trainer Guide. Lippeveld T, Sauerborn R and Bodart C (eds.). Design and Implementation of Health Information Systems. Geneva: World Health Organization, 2000 Helfenbein, S. et al. (1987) Technologies for Management Information Systems in Primary Health Care. Geneva: World Federation of Public Health Associations
  • Sources (continued) MEASURE Evaluation http://www.cpc.unc.edu/measure RHINONet:http://rhinonet.org Shaw, V 2005, Health information system reform in South Africa: developing an essential data set. Bulletin of the World Health Organization, vol. 83, no. 8, pp. 632-636. Health Metrics Network: http://www.who.int/healthmetrics WHO,2000. World Health Report 2000: Health Systems: Improving Health Systems Performance; World Health Organization: Geneva.
  • HIBBs is a program of the Global Health Informatics Partnership www.ghip.net The work is provided under the terms of this Creative CommonsAttribution-ShareAlike 3.0 Unported License (“CCPL" or "license"). The work is protected by copyright and/or other applicable law. Any use ofthe work other than as authorized under this license or copyright law is prohibited.