This document summarizes presentations from a MEASURE Evaluation event on making health information available to improve health. It discusses MEASURE Evaluation's work strengthening health information systems and monitoring and evaluation systems in various countries. A key presentation summarized MEASURE Evaluation's guide for monitoring and evaluating health systems strengthening initiatives. Another presentation discussed MEASURE Evaluation's initiative to strengthen health information systems in Latin America and the Caribbean through regional coordination, country-led processes, and knowledge sharing between countries.
This document summarizes presentations from a MEASURE Evaluation event on making health information available to improve health. It discusses MEASURE Evaluation's work strengthening health information systems and monitoring and evaluation systems in various countries. A key presentation summarized MEASURE Evaluation's guide for monitoring and evaluating health systems strengthening initiatives. Another presentation discussed MEASURE Evaluation's initiative to strengthen health information systems in Latin America and the Caribbean through regional coordination, country-led processes, and knowledge sharing between countries.
Health Information Systems Strengthening (HISS) in KenyaMEASURE Evaluation
This document discusses lessons learned from strengthening health information systems (HIS) in Kenya through the Health Information Systems Strengthening (HISS) model. It outlines how the MEASURE Evaluation PIMA project mapped its interventions to the HISS model components of creating an enabling environment, information generation, and ensuring HIS performance. Key contributions included tools and approaches for assessments, capacity building, and prioritizing data use. Moving forward, priorities include ensuring government ownership and sustainability, cost-effective capacity building, incorporating new technologies, and continuous learning to document best practices.
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...MEASURE Evaluation
The document discusses how the MomConnect program in South Africa is using interoperability and crowdsourcing to improve access to and quality of antenatal care (ANC). MomConnect allows pregnant women to register for services via cell phone, collecting registration data that is integrated with other health information systems. It also uses crowdsourcing by sending surveys to women to provide feedback on clinic services. This feedback has helped identify issues and improve clinics. The program aims to register all pregnancies early and provide targeted health messages and feedback mechanisms to support maternal health. Over 500,000 women registered in the first year.
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...MEASURE Evaluation
MEASURE Evaluation is a global health project funded by USAID to strengthen health information systems in over 25 countries. The project works to improve collection, analysis and use of health data to support decision making. Sharon Weir presented on lessons learned from monitoring and evaluating programs for key populations affected by HIV. She discussed how surveillance can provide more immediate information for programs if distinguished from other monitoring and evaluation activities. The presentation also covered adaptations made to the PLACE method over time to better align with prevention goals and strategically target local HIV epidemics.
Measuring and Evaluating Reproductive Health Initiatives MEASURE Evaluation
This presentation provides an overview of the process of updating the Compendium of Indicators for Evaluating Reproductive Health Programs and what the final product will include.
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?MEASURE Evaluation
This document discusses how routine health information systems (RHIS) can be improved to better monitor linkages between HIV/AIDS services and other health services. Integrating separate vertical program reporting systems into a single national RHIS could facilitate client referrals, continuity of care, and achievement of program goals. However, challenges include harmonizing different recording forms and integrating programs not designed to be combined. The discussion forum explores issues around monitoring individual clients versus aggregates, defining linkage indicators, and ensuring data quality when integrating systems.
1) Data science integrates locating key data, turning data into actionable information, and communicating information effectively to address challenges in analyzing the growing amount of global data.
2) MEASURE Evaluation uses data science to strengthen health information systems and decision-making in over 25 countries by improving data collection, analysis, and management capacity.
3) Examples show how data science can leverage new data sources like mobile phones and social media to provide insights into health issues and help achieve USAID priorities like the AIDS Free Generation.
Geospatial Analysis: Innovation in GIS for Better Decision MakingMEASURE Evaluation
Discussion led by John Spencer and Mark Janko. This webinar shared new techniques in geospatial analysis and how they have the potential to transform data-informed decision making.
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...MEASURE Evaluation
This document provides the baseline results of an evaluation of approaches to strengthen health facility operation and management committees (HFOMCs) in Nepal. The evaluation aims to examine the impacts of integrating gender equality and social inclusion training and community engagement approaches into HFOMC capacity building.
Key findings from the baseline include: HFOMCs are generally perceived as inactive with unclear roles and responsibilities. Awareness of HFOMCs is low, especially among disadvantaged groups. Travel times to health facilities vary between districts and social groups. While most women rate health service quality positively, 31-40% report concerns like lack of medicines. The baseline establishes a benchmark for comparing impacts of the HFOMC strengthening interventions.
eHealth/mHealth: Building Fundamentals in South Africa through the SIFSA Asso...MEASURE Evaluation
MEval-SIFSA has contributed to strengthening eHealth and mHealth in South Africa in several key ways:
1) It helped develop a facility coding system and supported implementation of the national ePHC project to digitize patient records.
2) MEval-SIFSA provided input on South Africa's mHealth strategy and is now assisting with implementation, such as creating an mHealth project repository.
3) Other efforts include linking helpdesk systems, developing technical briefs, and supporting initiatives that can help achieve health goals. The overall aim is to build capacity and help the country implement its eHealth strategy through standards, coordination, and using technology to improve health services and outcomes.
Improving Health Information Systems to Meet the Needs of the Health SectorMEASURE Evaluation
MEASURE Evaluation is a 5-year, $180 million project funded by USAID to strengthen health information systems in over 25 countries. The presentation discusses MEASURE Evaluation's approach to health information system strengthening, which includes developing a model and sharing experiences from Kenya. The model involves strengthening various components of health information systems, such as policies, infrastructure, data collection and analysis, to produce high-quality data that can inform decision-making at both national and global levels.
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...MEASURE Evaluation
This document provides guidelines for monitoring and evaluating HIV programs for sex workers, men who have sex with men, and transgender people at the national, sub-national, and service delivery levels. It outlines an 8-step public health model approach involving understanding the epidemic, determinants of transmission, developing combination prevention programs, and evaluating impact. Key concepts covered include causal pathways, indicators, and emphasizing quality and involvement of key populations. The guidelines are meant to be adapted to local contexts.
Standards and Best Practices for Confidentiality of Electronic Health RecordsMEASURE Evaluation
This document summarizes standards and best practices for ensuring confidentiality of electronic health records. It discusses key concepts like privacy, security and confidentiality in the context of electronic health records. It outlines the situation in lower and middle income countries, where expertise and legal frameworks around eHealth privacy and security is often lacking. The document reviews global standards set by organizations like ISO, and emphasizes that while standards are important, non-technical factors like policy, processes and compliance are also critical to protecting health information privacy and security.
MEASURE Evaluation presented resources at a USAID meeting in Malawi. Their results framework focused on strengthening health data collection and use, improving health information system management, and increasing evaluation capacity. They highlighted several resources including skills for health information and systems, an indicator toolkit for child and household well-being, evaluation and learning capabilities, support for health information system strengthening to achieve PEPFAR results, a learning agenda for demonstrating health information system strengthening, and gender sensitive approaches including a youth assessment method. MEASURE Evaluation is funded by USAID to work with various partners to strengthen health information systems.
Building Resilient Health Information Systems in Ebola-Affected Countries: E...MEASURE Evaluation
MEASURE Evaluation worked in Liberia, Guinea, and Sierra Leone to build resilient health information systems following the Ebola outbreak. Advisors embedded in Ministries of Health helped develop strategic and operational plans for health information systems and build institutional capacity. This included implementing DHIS 2, developing master facility lists, and integrating various health information sub-systems. Challenges included poor infrastructure, interoperability issues, and lack of resources and leadership. Recommendations focused on assessments, interoperability, strengthening capacity and coordination.
Strengthening Country Routine Health Information Systems (RHIS): Strategic ap...MEASURE Evaluation
The document discusses strengthening routine health information systems (RHIS) through strategic approaches by the MEASURE Evaluation Project. It highlights the importance of RHIS in health system strengthening and integration. MEASURE Evaluation aims to improve RHIS performance by addressing technical, organizational, and behavioral factors using the PRISM framework. Key strategies include coordinating multi-stakeholder initiatives, strengthening governance and planning, regionalizing capacity building, and establishing advocacy and knowledge networks. The document proposes creating an RHIS subgroup under the Asia eHealth Information Network to further support RHIS strengthening efforts in Asia.
Performance of Routine Information System Management Framework (PRISM) led by Natasha Kanagat
The PRISM framework consists of four tools to assess Routine Health Information System (RHIS) performance, identify technical, behavioral and organizational factors that affect RHIS, aid in designing priority interventions to improve performance and improve quality and use of routine health data.
Recording: http://universityofnc.adobeconnect.com/p1edhgz9zs7/
PRISM Tool: https://www.cpc.unc.edu/measure/publications/ms-11-46-d
This document discusses clinical integration and outlines the steps involved. It defines integrated care, integrated health networks, and clinical integration. It describes an interface engine that allows different systems to exchange data through translation tables and a clinical data repository. The document discusses different modalities of integration, common barriers to integration like politics and lack of standards, and the role of nurses in integration. It provides examples of international standards organizations.
The document discusses the importance of data quality for monitoring and evaluation systems. It describes seven key dimensions of data quality - accuracy, reliability, completeness, precision, timeliness, integrity and confidentiality. It also outlines the different levels of an M&E system from service sites to national reporting and the roles and responsibilities needed at each level to ensure quality data collection, reporting and use. Tools are presented for strengthening M&E systems and assessing data quality.
Health Information Systems Strengthening (HISS) in KenyaMEASURE Evaluation
This document discusses lessons learned from strengthening health information systems (HIS) in Kenya through the Health Information Systems Strengthening (HISS) model. It outlines how the MEASURE Evaluation PIMA project mapped its interventions to the HISS model components of creating an enabling environment, information generation, and ensuring HIS performance. Key contributions included tools and approaches for assessments, capacity building, and prioritizing data use. Moving forward, priorities include ensuring government ownership and sustainability, cost-effective capacity building, incorporating new technologies, and continuous learning to document best practices.
Interoperability & Crowdsourcing: Can these improve the management of ANC pro...MEASURE Evaluation
The document discusses how the MomConnect program in South Africa is using interoperability and crowdsourcing to improve access to and quality of antenatal care (ANC). MomConnect allows pregnant women to register for services via cell phone, collecting registration data that is integrated with other health information systems. It also uses crowdsourcing by sending surveys to women to provide feedback on clinic services. This feedback has helped identify issues and improve clinics. The program aims to register all pregnancies early and provide targeted health messages and feedback mechanisms to support maternal health. Over 500,000 women registered in the first year.
Key Populations and the HIV Epidemic: Lessons Learned in M&E and Future Direc...MEASURE Evaluation
MEASURE Evaluation is a global health project funded by USAID to strengthen health information systems in over 25 countries. The project works to improve collection, analysis and use of health data to support decision making. Sharon Weir presented on lessons learned from monitoring and evaluating programs for key populations affected by HIV. She discussed how surveillance can provide more immediate information for programs if distinguished from other monitoring and evaluation activities. The presentation also covered adaptations made to the PLACE method over time to better align with prevention goals and strategically target local HIV epidemics.
Measuring and Evaluating Reproductive Health Initiatives MEASURE Evaluation
This presentation provides an overview of the process of updating the Compendium of Indicators for Evaluating Reproductive Health Programs and what the final product will include.
RHINO Forum: How can RHIS improve the delivery of HIV/AIDS services?MEASURE Evaluation
This document discusses how routine health information systems (RHIS) can be improved to better monitor linkages between HIV/AIDS services and other health services. Integrating separate vertical program reporting systems into a single national RHIS could facilitate client referrals, continuity of care, and achievement of program goals. However, challenges include harmonizing different recording forms and integrating programs not designed to be combined. The discussion forum explores issues around monitoring individual clients versus aggregates, defining linkage indicators, and ensuring data quality when integrating systems.
1) Data science integrates locating key data, turning data into actionable information, and communicating information effectively to address challenges in analyzing the growing amount of global data.
2) MEASURE Evaluation uses data science to strengthen health information systems and decision-making in over 25 countries by improving data collection, analysis, and management capacity.
3) Examples show how data science can leverage new data sources like mobile phones and social media to provide insights into health issues and help achieve USAID priorities like the AIDS Free Generation.
Geospatial Analysis: Innovation in GIS for Better Decision MakingMEASURE Evaluation
Discussion led by John Spencer and Mark Janko. This webinar shared new techniques in geospatial analysis and how they have the potential to transform data-informed decision making.
Impact Evaluation of Approaches to Strengthen Health Facility Operation and M...MEASURE Evaluation
This document provides the baseline results of an evaluation of approaches to strengthen health facility operation and management committees (HFOMCs) in Nepal. The evaluation aims to examine the impacts of integrating gender equality and social inclusion training and community engagement approaches into HFOMC capacity building.
Key findings from the baseline include: HFOMCs are generally perceived as inactive with unclear roles and responsibilities. Awareness of HFOMCs is low, especially among disadvantaged groups. Travel times to health facilities vary between districts and social groups. While most women rate health service quality positively, 31-40% report concerns like lack of medicines. The baseline establishes a benchmark for comparing impacts of the HFOMC strengthening interventions.
eHealth/mHealth: Building Fundamentals in South Africa through the SIFSA Asso...MEASURE Evaluation
MEval-SIFSA has contributed to strengthening eHealth and mHealth in South Africa in several key ways:
1) It helped develop a facility coding system and supported implementation of the national ePHC project to digitize patient records.
2) MEval-SIFSA provided input on South Africa's mHealth strategy and is now assisting with implementation, such as creating an mHealth project repository.
3) Other efforts include linking helpdesk systems, developing technical briefs, and supporting initiatives that can help achieve health goals. The overall aim is to build capacity and help the country implement its eHealth strategy through standards, coordination, and using technology to improve health services and outcomes.
Improving Health Information Systems to Meet the Needs of the Health SectorMEASURE Evaluation
MEASURE Evaluation is a 5-year, $180 million project funded by USAID to strengthen health information systems in over 25 countries. The presentation discusses MEASURE Evaluation's approach to health information system strengthening, which includes developing a model and sharing experiences from Kenya. The model involves strengthening various components of health information systems, such as policies, infrastructure, data collection and analysis, to produce high-quality data that can inform decision-making at both national and global levels.
Operational Guidelines for Monitoring and Evaluation of HIV Programmes for Se...MEASURE Evaluation
This document provides guidelines for monitoring and evaluating HIV programs for sex workers, men who have sex with men, and transgender people at the national, sub-national, and service delivery levels. It outlines an 8-step public health model approach involving understanding the epidemic, determinants of transmission, developing combination prevention programs, and evaluating impact. Key concepts covered include causal pathways, indicators, and emphasizing quality and involvement of key populations. The guidelines are meant to be adapted to local contexts.
Standards and Best Practices for Confidentiality of Electronic Health RecordsMEASURE Evaluation
This document summarizes standards and best practices for ensuring confidentiality of electronic health records. It discusses key concepts like privacy, security and confidentiality in the context of electronic health records. It outlines the situation in lower and middle income countries, where expertise and legal frameworks around eHealth privacy and security is often lacking. The document reviews global standards set by organizations like ISO, and emphasizes that while standards are important, non-technical factors like policy, processes and compliance are also critical to protecting health information privacy and security.
MEASURE Evaluation presented resources at a USAID meeting in Malawi. Their results framework focused on strengthening health data collection and use, improving health information system management, and increasing evaluation capacity. They highlighted several resources including skills for health information and systems, an indicator toolkit for child and household well-being, evaluation and learning capabilities, support for health information system strengthening to achieve PEPFAR results, a learning agenda for demonstrating health information system strengthening, and gender sensitive approaches including a youth assessment method. MEASURE Evaluation is funded by USAID to work with various partners to strengthen health information systems.
Building Resilient Health Information Systems in Ebola-Affected Countries: E...MEASURE Evaluation
MEASURE Evaluation worked in Liberia, Guinea, and Sierra Leone to build resilient health information systems following the Ebola outbreak. Advisors embedded in Ministries of Health helped develop strategic and operational plans for health information systems and build institutional capacity. This included implementing DHIS 2, developing master facility lists, and integrating various health information sub-systems. Challenges included poor infrastructure, interoperability issues, and lack of resources and leadership. Recommendations focused on assessments, interoperability, strengthening capacity and coordination.
Strengthening Country Routine Health Information Systems (RHIS): Strategic ap...MEASURE Evaluation
The document discusses strengthening routine health information systems (RHIS) through strategic approaches by the MEASURE Evaluation Project. It highlights the importance of RHIS in health system strengthening and integration. MEASURE Evaluation aims to improve RHIS performance by addressing technical, organizational, and behavioral factors using the PRISM framework. Key strategies include coordinating multi-stakeholder initiatives, strengthening governance and planning, regionalizing capacity building, and establishing advocacy and knowledge networks. The document proposes creating an RHIS subgroup under the Asia eHealth Information Network to further support RHIS strengthening efforts in Asia.
Performance of Routine Information System Management Framework (PRISM) led by Natasha Kanagat
The PRISM framework consists of four tools to assess Routine Health Information System (RHIS) performance, identify technical, behavioral and organizational factors that affect RHIS, aid in designing priority interventions to improve performance and improve quality and use of routine health data.
Recording: http://universityofnc.adobeconnect.com/p1edhgz9zs7/
PRISM Tool: https://www.cpc.unc.edu/measure/publications/ms-11-46-d
This document discusses clinical integration and outlines the steps involved. It defines integrated care, integrated health networks, and clinical integration. It describes an interface engine that allows different systems to exchange data through translation tables and a clinical data repository. The document discusses different modalities of integration, common barriers to integration like politics and lack of standards, and the role of nurses in integration. It provides examples of international standards organizations.
The document discusses the importance of data quality for monitoring and evaluation systems. It describes seven key dimensions of data quality - accuracy, reliability, completeness, precision, timeliness, integrity and confidentiality. It also outlines the different levels of an M&E system from service sites to national reporting and the roles and responsibilities needed at each level to ensure quality data collection, reporting and use. Tools are presented for strengthening M&E systems and assessing data quality.
The document discusses Management Information and Evaluation Systems (MIES). It defines key terms like information, systems, information systems, management information systems, and evaluation systems. It also describes the objectives, importance, classification, advantages, and limitations of management information systems. Specific types of health information systems and nursing information systems are explained. The major kinds of evaluation systems - process, output, effects, and short-term impact evaluation - are summarized. Finally, the conclusion states that an MIES helps managers make timely decisions by collecting and using information, and that an effective MIES provides accurate, complete and timely feedback at all organizational levels.
The document discusses health information systems and their role in supporting health systems. It defines key concepts like health systems, their functions and actors. It describes how health information systems can monitor and manage health system goals like coverage, quality and efficiency. It outlines the different levels of a health services system and how a Routine Health Information System can generate data to support decision making at each level, from individual patient care to national policymaking.
Monitoring Referrals to Strengthen Service IntegrationMEASURE Evaluation
This document discusses the importance of monitoring referrals to strengthen integration of health services. It outlines objectives of service integration like improving efficiency and access to care. Models of integration include single or multiple providers on site. A range of services for HIV/AIDS clients is listed. Effective referral systems have coordination between providers, referral protocols, and tracking of referrals. Methods to assess referrals include examining clinical appropriateness and utilization patterns. Key indicators for monitoring referrals are initiation rates, completion rates, and counter-referral rates. Benefits of monitoring include identifying underused services or access issues.
BME 307 - HMIS - Data Management Systems 24112021 Final.pdfedwardlowassa1
This document outlines a course on health management information systems (HMIS). The course aims to equip students with knowledge and skills of information technology and its applications in health management. It will cover topics like electronic health records, integrated practice management systems, and health information technology interoperability. Teaching methods will include lectures, tutorials, group works, site visits and assignments. Students will be assessed through tests, assignments and an examination. The course references textbooks on biomedical informatics, health informatics, and information systems. It also provides context on HMIS in Tanzania and discusses frameworks for understanding well-functioning HMIS like PRISM and the 12 components framework.
Analysis Of Electronic Health Records System
1
Chyterria Daniels
Capella University
May 3, 2020
Introduction
Merit-founded Incentive Payment System (MIPS) is a platform for value-founded settlement under the Quality Payment Program (QPP). The system aims at fostering the current innovation and improvement in clinical operations. MIPS mean that the organization should rationalize Physician Quality Reporting System (PQRS) (Meeks & Singh, 2019). Meaningful use guidelines are certain facets of an HER system that providers will be needed to use in their organization.
2
MIPS denote Merit-founded Incentive Payment System.
It is a platform for value-founded settlement under the Quality Payment Program (QPP)
It aims at fostering the current innovation and improvement in clinical operations
MIPS means that the organization should rationalize Physician Quality Reporting System (PQRS)
Meaningful use guidelines are certain compliance facets of an HER system that providers will be needed to use in their organization.
It means that the organization should have its set meaningful use guidelines
Current State of Compliance
The organization has set technology in the ICU
EHR not integrated to accommodate patient’s needs
Application of computers to draw guidance and instructions on conditions
Availability of lab information system
No replacement of diagnosing equipments
Independence Medical Center’s Electronic Health Records (HER) system has complied with some set guidelines. For instance, the healthcare organization has set technology system in its intensive care units. In addition, there is use of computers to draw guidance and instructions regarding several conditions on patients. However, the organization has not obeyed some guidelines like the replacement of outdated diagnosing equipment and lack of integrating EHR to accommodate all patients’ needs (Boonstra & Vos, 2018).
3
Current EHR Used in the Organization
Laboratory Information System (LIS)
Computerized Physician Order Entry (CPOE)
Central Supply System
Pharmacy system
Picture Archiving and Communication System (PACS)
Independence Medical Center’s Electronic has set up various EHR systems for use in different departments to deliver healthcare services to patients. For instance, the organization has implemented PACS, which is a health check imaging technology which offers reasonable storage and expedient admission to images from numerous modalities (Data & Komorowski, 2017).
4
Evaluation of EHR
The electronic health record system used in the ambulatory system lacks integration to accommodate patient’s needs. The system does not alert physician on drug interactions and other warning. On another point, each department has its exclusive system making it hard to share information between staff members in various units (Boonstra & Vos, 2018). An effective EHR system should be in a position to enable information transmission to all staff ...
Analysis Of Electronic Health Records System1C.docxgreg1eden90113
Analysis Of Electronic Health Records System
1
Chyterria Daniels
Capella University
May 3, 2020
Introduction
Merit-founded Incentive Payment System (MIPS) is a platform for value-founded settlement under the Quality Payment Program (QPP). The system aims at fostering the current innovation and improvement in clinical operations. MIPS mean that the organization should rationalize Physician Quality Reporting System (PQRS) (Meeks & Singh, 2019). Meaningful use guidelines are certain facets of an HER system that providers will be needed to use in their organization.
2
MIPS denote Merit-founded Incentive Payment System.
It is a platform for value-founded settlement under the Quality Payment Program (QPP)
It aims at fostering the current innovation and improvement in clinical operations
MIPS means that the organization should rationalize Physician Quality Reporting System (PQRS)
Meaningful use guidelines are certain compliance facets of an HER system that providers will be needed to use in their organization.
It means that the organization should have its set meaningful use guidelines
Current State of Compliance
The organization has set technology in the ICU
EHR not integrated to accommodate patient’s needs
Application of computers to draw guidance and instructions on conditions
Availability of lab information system
No replacement of diagnosing equipments
Independence Medical Center’s Electronic Health Records (HER) system has complied with some set guidelines. For instance, the healthcare organization has set technology system in its intensive care units. In addition, there is use of computers to draw guidance and instructions regarding several conditions on patients. However, the organization has not obeyed some guidelines like the replacement of outdated diagnosing equipment and lack of integrating EHR to accommodate all patients’ needs (Boonstra & Vos, 2018).
3
Current EHR Used in the Organization
Laboratory Information System (LIS)
Computerized Physician Order Entry (CPOE)
Central Supply System
Pharmacy system
Picture Archiving and Communication System (PACS)
Independence Medical Center’s Electronic has set up various EHR systems for use in different departments to deliver healthcare services to patients. For instance, the organization has implemented PACS, which is a health check imaging technology which offers reasonable storage and expedient admission to images from numerous modalities (Data & Komorowski, 2017).
4
Evaluation of EHR
The electronic health record system used in the ambulatory system lacks integration to accommodate patient’s needs. The system does not alert physician on drug interactions and other warning. On another point, each department has its exclusive system making it hard to share information between staff members in various units (Boonstra & Vos, 2018). An effective EHR system should be in a position to enable information transmission to all staff.
2010: Time for Minimum Standards for Health Facilities MEASURE Evaluation
The document discusses establishing minimum standards for health facilities to assess quality of services. It proposes defining core indicators based on accepted standards in domains like infrastructure, staffing, equipment. These indicators would be measured periodically for national-level health facilities through representative surveys. Results would be presented as individual indicators and summary indices to track changes over time, strengthen accountability, and advocate for improved health services. Comparable standards-based data made publicly available can provide evidence for policymakers to commit to better quality healthcare.
Safti net overview ahrq stakeholders mtg oct 2011Marion Sills
This document outlines the SAFTINet project, which aims to build an infrastructure for comparative effectiveness research using distributed healthcare data. The project will create four patient cohorts to study how healthcare delivery system factors relate to outcomes for conditions like asthma, hypertension, and hypercholesterolemia. Challenges include linking variables measured at different levels like organization, practice, provider and patient. Methods like hierarchical models are proposed to account for this multilevel structure.
RHINO Interoperability Forum Kickoff 09-20Aimee Hess
The document discusses interoperability and data linkage in health information systems. It defines key terms like interoperability, fragmentation, integration, and data warehousing. It describes how linking data sources like RHIS, EMRs, and surveys can improve health systems by enabling analysis of relationships between different types of data and more timely monitoring. Specific examples are provided of countries that linked their LMIS, HMIS, and HRIS systems to generate new indicators and identify supply issues. Decision support systems and enterprise architecture are introduced as ways to facilitate data analysis and alignment of health IT investments.
HIT Policy Committee Information Exchange Workgroup 9-13-10Brian Ahier
The document summarizes the agenda and discussion for an Information Exchange Workgroup meeting. It discusses setting up a Public Health Taskforce to address how to enable meaningful use reporting and electronic public health reporting. It also provides an update on the Provider Directory Taskforce, including its work plan and approach to defining requirements and use cases to inform the development of provider directories.
Monitoring Referrals to Strengthen Service IntegrationMEASURE Evaluation
Presented by Dr. Cristina de la Torre for a November 2013 webinar.
Access the webinar recording at https://universityofnc.adobeconnect.com/p23708adzuz/
Strengthening Routine Facility-based Health Information Systems in Developing...MEASURE Evaluation
The document summarizes a presentation about strengthening routine health information systems (RHIS) in low and middle-income countries (LMICs). RHIS are important for measuring and planning health services but often provide inadequate data. The PRISM framework evaluates technical, organizational, and behavioral determinants of RHIS performance. PRISM tools assess data quality, use, and system factors. Interventions like training, advocacy, and feedback aim to improve RHIS and ultimately health outcomes. Assessment results from Cote d'Ivoire show progress in data quality and use after integrating indicators and training on problem solving and information use.
Understanding basics of software development and healthcareBharadwaj PV
The document discusses key principles for designing software for healthcare applications. It covers understanding the different layers of software, following a software development life cycle, using object-oriented design principles and use case modeling to define system requirements and functionality. Centralizing electronic health records across different systems and locations is proposed to improve patient care, data availability and information sharing between stakeholders.
Management information and evaluation systemGagan Preet
An MIES (Management Information and Evaluation System) helps managers collect and use data to make timely decisions. An effective MIES provides accurate, complete and timely information through various modules like registration, billing, diagnostics, and medical records. It also evaluates programs through process, output, effects and short-term impact evaluations to assess objectives and make improvements. MIES formats should include feedback mechanisms so decisions are made at all levels of the organization.
MIES-MANAGEMENT INFORMATION AND EVALUATION SYSTEM - Define, Objectives, Impl...sonal patel
An MIES is a system to collect, analyze, and use data to help managers make timely decisions. It transforms data into useful knowledge for directing resources and achieving objectives. An effective MIES provides accurate, complete, and timely information to managers so they can analyze, plan, make decisions, take action, and evaluate performance. It also includes feedback mechanisms so decisions can be made at all levels of an organization. Evaluation of an MIES involves assessing its processes, outputs, effects, and both short and long-term impacts.
The Hospital Digital Experience Index: Research AbstractDave Wieneke
Dave Wieneke is creating a patient experience benchmark for hospital systems to use to score how well their website serve patients in comparison to others and best practices.
Managing missing values in routinely reported data: One approach from the Dem...MEASURE Evaluation
This Data for Impact webinar was held in December 2020. Access the recording and learn more at https://www.data4impactproject.org/resources/webinars/managing-missing-values-in-routinely-reported-data-one-approach-from-the-democratic-republic-of-the-congo/
This Data for Impact webinar took place October 29, 2020. Learn more at https://www.data4impactproject.org/resources/webinars/use-of-routine-data-for-economic-evaluations/
Data for Impact hosted a one-hour webinar sharing guidance for using routine data in evaluations. More: https://www.data4impactproject.org/resources/webinars/routine-data-use-in-evaluation-practical-guidance/
Tuberculosis/HIV Mobility Study: Objectives and BackgroundMEASURE Evaluation
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like anxiety and depression.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Understanding Referral Networks for Adolescent Girls and Young WomenMEASURE Evaluation
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Data for Impact: Lessons Learned in Using the Ripple Effects Mapping MethodMEASURE Evaluation
The document summarizes experiences using the Ripple Effects Mapping (REM) method to evaluate development programs in Tanzania and Botswana. REM is a participatory method that engages stakeholders to visually map the different effects of a program. The summaries describe:
1) How REM was used to evaluate a governance program in Tanzania, including training facilitators, conducting interviews and group mapping sessions, and analyzing results.
2) Tailoring REM for evaluating a youth program in Botswana, such as adjusting questions for younger participants and capturing complex outcomes.
3) Lessons learned about facilitating REM, including the need for extensive training, tailoring the method to the population, and allowing time for discussion to fully explore outcomes
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Development and Validation of a Reproductive Empowerment ScaleMEASURE Evaluation
This document describes a study that developed and validated a Reproductive Empowerment Scale for use in Nigeria. Researchers created items to measure women's agency regarding their reproductive health and tested the scale's psychometric properties. The results supported the scale as a valid and reliable measure of reproductive empowerment for women in Nigeria.
Sustaining the Impact: MEASURE Evaluation Conversation on Maternal and Child ...MEASURE Evaluation
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms for those who already suffer from conditions like depression and anxiety.
Using Most Significant Change in a Mixed-Methods Evaluation in UgandaMEASURE Evaluation
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Lessons Learned In Using the Most Significant Change Technique in EvaluationMEASURE Evaluation
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How information systems are built or acquired puts information, which is what they should be about, in a secondary place. Our language adapted accordingly, and we no longer talk about information systems but applications. Applications evolved in a way to break data into diverse fragments, tightly coupled with applications and expensive to integrate. The result is technical debt, which is re-paid by taking even bigger "loans", resulting in an ever-increasing technical debt. Software engineering and procurement practices work in sync with market forces to maintain this trend. This talk demonstrates how natural this situation is. The question is: can something be done to reverse the trend?
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Dynamic. Modular. Productive.
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Interoperability at its Core
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Multi-Runtime
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HERE IS YOUR WEBINAR CONTENT! 'Mastering Customer Journey Management with Dr. Graham Hill'. We hope you find the webinar recording both insightful and enjoyable.
In this webinar, we explored essential aspects of Customer Journey Management and personalization. Here’s a summary of the key insights and topics discussed:
Key Takeaways:
Understanding the Customer Journey: Dr. Hill emphasized the importance of mapping and understanding the complete customer journey to identify touchpoints and opportunities for improvement.
Personalization Strategies: We discussed how to leverage data and insights to create personalized experiences that resonate with customers.
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📕 Detailed agenda:
Variables and Datatypes
Workflow Layouts
Arguments
Control Flows and Loops
Conditional Statements
💻 Extra training through UiPath Academy:
Variables, Constants, and Arguments in Studio
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Під час доповіді відповімо на питання, навіщо потрібно підвищувати продуктивність аплікації і які є найефективніші способи для цього. А також поговоримо про те, що таке кеш, які його види бувають та, основне — як знайти performance bottleneck?
Відео та деталі заходу: https://bit.ly/45tILxj
GlobalLogic Java Community Webinar #18 “How to Improve Web Application Perfor...
Making the Connection: Monitoring and Evaluation in the Context of Integrated Health Services and Systems
1. Making the Connection
Monitoring and Evaluation
in the Context of Integrated
Health Services and Systems
MEASURE Evaluation
End-of-Phase-III Event
May 22, 2014
5. The Way We Were…
Why integration?
What should be integrated?
Where and how does integration happen?
What is the value added of integration?
6. Clients Have Multiple Health Needs
HIV
Malaria
TB
Growth
Nutrition
Family planning
Immunization
Respiratory illness
Diarrhea
Fever
7. Making the Link Between
Clients and Services
One stop shop
Referrals and Referral Networks
Community vs facility models
Combinations
8. Making the System Work
System made of many elements
Together system elements support
each other
System moves people, resources, and
information up and down the levels of the
system
9. So Where Are We Now?
We understand that integration operates
among and within all levels of the health
system
We know that goals and mechanisms for
integration will vary by context
10. MEASURE Evaluation’s Work
Development and application of
standardized tools and approaches to
M&E of Integration
Support of development of interagency
USG resources on M&E of integration
Developments of tools and techniques for
monitoring referrals and strengthening
referral networks
11. MEASURE Evaluation’s Work
Development and application of
standardizedtools and approaches to M&E
of Integration
Case study approaches to documenting best
practices and lessons learned in integration
Integrating health information systems and
using integrated data to facilitate data use
14. M&E of Referral Systems
Organizational Network Analysis Referral System Monitoring
15. Organizational Network Analysis
(ONA)
Who is in the network
Service gaps or redundancies
How organizations are linked
Information sharing
Resource sharing
Referrals across organizations
17. Referral Assessment and Monitoring
(RSAM) Toolkit
Guidelines for
Establishing a routine monitoring system
of referrals
Assessing overall functioning of the
referral system
Can be adapted to any type of referral system
18. Focus on processes and systems
Consists of interviews and document review to
determine:
RSAM TOOLKIT
Referral System Assessment
How the referral system is structured
Whether referral protocols and guidelines exist
The processes providers follow to refer and
counter-refer clients
How well referrals are tracked and followed up
Barriers to referral initiation and referral completion
19. RSAM TOOLKIT
Referral System Monitoring
Consists of routine data collection at facility
How often referrals are made to different services
(initiation)
What types of services are clients most often
referred to
Are clients able to take advantage of the referrals
(completion)
Is adequate follow-up provided after the fact
(counter-referral)
20. Routine Monitoring of Referral
Systems
Key indicators:
Referral initiation
o % clients referredfromservice Ato service B
Referral completion
o %ofreferredclients who complete referral
Counter-referral
o % ofclients who complete referralwho areseenagain
by initiating provider
22. COLUMN
Y
TOTAL
NUMBER
CLIENTS SEEN
AT
REFERRING
SERVICE
CLIENTS REFERRED
TO
RECEIVING SERVICES
Service 1
(FP)
Service 2
(VCT)
Service 3
(STI)
Service 4
(ART)
Service 5 Service 6
REFERRING
SERVICE
Service 1
(FP)
Service 2
(VCT)
Service 3
(STI)
Service 4
(ART)
Service 5
Service 6
(TO BE COMPLETED BY REFERRING SERVICE)
PAGE 1 of 3
Name of organization and facility: _____________________________________
Geographic unit: _______________________________
Reporting period—Month: ______ Year: __________ Prepared by: ________________________
1. Number of clients referred by type of service
Group for which data are reported—Age range: _______________ Sex: ______________
25. Benefits of Monitoring and
Assessing Referrals
Aid in Identifying:
under or over-utilized services
providers who are not referring patients
access or quality issues that impede service
utilization
linkages between services that are not sufficiently
established
Aid in planning, resource allocation
26. Future Directions
Increase evidence that these tools:
Help in referral strengthening
Impact client outcomes
Better understand how they can be used in
different contexts
28. Integration and Interoperability
of Health Information Systems
Integration = combining two (or more)
different systems to create one system
Interoperability = making two (or more)
different systems work together to give
the appearance of integration
29.
30. Integration of Information Systems
Information systems
Data elements
Indicators
Data collection tools
Reporting protocols, procedures
Harmonization, rationalization of data
and indicators
Data use
31. Interoperability (1)
Horizontal – between different systems
at the same level
Vertical – between sub-units of the system at
different levels of the health system
Semantic – do the terms we use mean the same
thing?
Vocabularies
o E.g. LOINC, SNOMED, HL7, ICD10
Syntactic – what language are we speaking?
E.g. XML, SDMX-HD
32. CHW in the VillageLocal Clinic Community Hospital
Clinical
Record
System
Rapid
SMS
Hospital
Record
System
Shared Record
Coordinated service delivery
Two-way information flow
Continuity of person-centred care
Source: Open HIE
34. Integration of IS at
Community Level
MEASURE Evaluation
HAITI
CBIS 2006-2010
o Identified landscape of interventions and actors
o Identified needs of information
o Harmonized/rationalized data and indicators
o Harmonized data collection tools, reporting
protocols
o Monitored and supported implementation through
supervision/capacity building
o CLPIR toolkit
35. Integration at
Facility Level
Beneficiary management
Linking services
Integrating data collectiontools, reportingforms
Master client Index (unique id)
Electronic patient recordssystems
(e.g. OpenMRS)
Links to otherelectronicsystems(e.g. HR management)
on client ID
Example (WHO/MEASUREEvaluation-3ILPMS)
36.
37. Integration/Interoper-
ability at District Level
Facility and system
management
Data warehouse
Master facility list with attribute data
Examples:
o MEASURE Evaluation Ethiopia (SNNPR) HMIS
Scale-up
o MEASURE Evaluation Cote d’Ivoire – integration of
HIV/AIDS IS into RHIS
38. Integration/Interoper-
ability at National Level
Policy development
and Planning
Data warehouse
Monitoring and evaluation
o E.g. MDGs
HMIS governance
Coordination of donors and other stakeholders
Local IS enterprise architects
Sustainable, scalable, incremental implementation
Example: RHIS Data management standards
on Integration/interoperability
40. Key Messages
Integration can operate at all levels of the
health system and can include
interventions to all building blocks of the
health system.
Integration can take many forms and is
inherently country-owned, country-led,
and context specific
41. Key Messages
Despite the variability in integration models,
however, there are standardized tools,
approaches, and techniques that can be applied
to integrated health and development
MEASURE Evaluation has worked to identify and
develop these resources, including pioneering
efforts to develop framework, indicators, tools,
and systems related to M&E of integration.
42. Continue to develop, apply, and refine
resources intended to help countries to
design, implement, and evaluate
integrated health interventions, including
integrated service delivery and integrated
health information systems
Future Directions
43. What are the pressing needs in M&E of
integration right now?
Where should M&E of integrated health
interventions be going?
44. Resources
For links to resources and references relevant
to this presentation (including MEASURE
Evaluation and Non-MEASURE Evaluation
resources) see:
www.measureevaluation.org/eop/session-vi