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.
7.
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.
18.
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
