The Health Management Information System (HMIS) is defined as a system for the collection and analysis of health-related data to improve health service delivery and policy-making. It faces various challenges in India, including structural, procedural, content-related, human resource, and technological issues. Despite these challenges, HMIS offers significant benefits, such as aiding decision-making, enhancing service quality, and empowering communities with health information.

1. HEALTH
MANAGEMENT
INFORMATION
SYSTEM

2. Definition
Health information system is that 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 health
policies and programmes.
• To increase efficiency and quality in health management.

4. Characteristics
According to WHO,
• The 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).

5. Characteristics
• Facility for data feed back must be present in health
information system.
• 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, environmental health
statistics.

7. Information process
Data collection
Resources
Data transmission
Management
Data processing
Organizational rules
Data analysis
Information for use in
planning and management

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.

9. Sources of HMIS
• Sample survey( national sample survey organization)
• Population survey
• 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
1. Structural
• Multiplicity of institutions and departments
• Fragmentation of data.
• Lack of infrastructural facilities for storage and
maintenance of records.

11. Problems or constraints of HMIS in
India
2. 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.

12. Problems or constraints of HMIS in
India
2. Procedural
• 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 suppliers.

13. Problems or constraints of HMIS in
India
3. Related to content
• Mostly service utilization statistics.
• Only summarized information reaches at higher
level.
• Less emphasis on socioeconomic information.
• no user friendly

14. Problems or constraints of HMIS in
India
4. 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 trained
persons are collecting and preparing data.
• Lack of motivation/extra incentives

15. Problems or constraints of HMIS in
India
5. Technological
• Much manual paper based system.
• Absence or lack of computerized data base
system

16. Subsystems/sub components of
HMIS
• Epidemiological surveillance
• Routine service reporting
• Specific program reporting
• Administrative systems
• Vital registration

17. 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.

18. Benefits of HMIS
• Helping decision makers to detect and control emerging and
endemic health problems.
• Help in monitoring progress towards health goals and
promote equity.
• Empowering individuals and communities with timely and
understandable health related information.
• Improving quality of services.

19. Benefits of HMIS
• 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.

20. NURSING MANAGEMENT INFORMATION
SYSTEM(NIMS)
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.

21. APPLICATIONS OF NMIS
Workload
Measurement And
Staffing
Requirements
Personnel
Management
Staff
Scheduling
Fiscal
Resource
Management

22. 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 development
of trends that can be used to project future
expenditures.
• Necessary reallocations and budgetary adjustments can
then be made on the basis of these projections.

23. 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 schedules with
conjunction with personnel management.

24. 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.

25. PERSONNEL MANAGEMENT:
• An employee with a special mix of skills can be
located.
• Records are readily accessible needed for
accreditation purposes or to monitor contract
compliance.
• The information may be retrieved on a daily basis for
use in conjunction with workload measurement and
contract requirements to plan staffing assignments.

26. ADVANTAGES OF NIS
1) IN NURSING ADMINISTRATION:
Evaluate quality assurance programs
Defend resource allocation to nursing
Demonstrate the contribution nursing, makes to the
care of the patient.
Identify outcomes of nursing care

27. ADVANTAGES OF NIS
2) IN NURSING PRACTICE:
• Enhance documentation by nurses
• Provide data to enable research directed at
examining the inter relationships between data
elements and nursing outcomes.
• Facilitate development of the nursing process

28. ADVANTAGES OF NIS
3) NURSING RESEARCH:
• To assess variables on multi levels including
institutional, local, regional, and national.
• Identify trends to build information and to
further synthesize to develop nursing
knowledge

29. ADVANTAGES OF NIS
4) NURSING EDUCATION:
• To develop body of knowledge with focus on nursing
process
• To enable staff educational needs based on follow up
care and outcomes.
• To enhance student nurses accurate documentation