This document discusses management information systems (MIS) in community health nursing. It defines MIS as a combination of computer science and nursing science that assists in managing and processing nursing data to support nursing practice. The objectives of MIS are to provide reliable health information to managers for decision making. MIS helps elicit more information for deciding on health service quality, cost, and effectiveness. It plays an important role in community health by collecting statistical patient data, facilitating billing and reimbursement, assessing patients, and evaluating community health services.

1. MANAGEMENT
INFORMATION SYSTEM
By Shivangana Chaudhary
Nursing Tutor (Community Health Nursing)

2. MANAGEMENT INFORMATION SYSTEMS
• Management information systems started to play a vital role since in
1970s for providing efficient and effective patient care in the field of
public health.
• Information is the science of identifying, collecting, storing and
processing information. It is concerned with providing an economical,
efficient data management system that is useful to the user of the system.
Information system is that a combination of computer science and
nursing science designed to assist in the management and processing of
nursing data, information and knowledge to support the practice of
nursing and the delivery of nursing care.

3. DEFINITION
• A management information is defined "an organized system that manages the flow of
information in the proper time frame, and thus, and thus. MIS extends help in
planning, controlling and operating health agency.
• The MIS is defined as a system which provides information support for decision
making in the organization.
• The MIS is defined as an integrated system of man and machine for providing the
information to support the operations, the management and the decision making
function in the organization.
• The MIS is defined as a system based on the database of the organization evolved for
the purpose of providing information to the people in the organization.
• The MIS is defined as a computer-based Information System.

4. OBJECTIVES
• To provide reliable, relevant, up-to-date adequate, timely and reasonably
complete information for health managers at all levels (i.e. center,
intermediate and local)
• To share technical and scientific information by all health personnel
participating in the health services of the country
• To provide at periodic intervals the data that will show the general
performance of the health services
• To assist planners in studying their current functioning and trends in
demand and workload.

5. PURPOSES OF MANAGEMENT INFORMATION
SYSTEMS IN COMMUNITY HEALTH
• Helps to elicit more information for deciding upon the quantity, quality
and cost-effectiveness of health care services
• Helps in quick reimbursement from third-party payers
• Helps to satisfy requirements of central and State legislation
• Helps to plan, control, and organize information
• Helps in advancing productivity, predicting resource requirements and
arriving at meaningful program evaluations.

6. VARIOUS SOURCES OF HEALTH
INFORMATION SYSTEM
The sources of health information's are:
Censes
Registration of vital events
Sample registration system (SRS)
Notification of diseases
Hospital records
Disease registers
Record linkage
Epidemiological surveillance
Other health service records
Environmental health data
Health and manpower statistics
Population surveys

7. STEPS INVOLVED IN MIS IN INDIA
In the design of MIS, seven basic sequential stages are to be followed.
These are:
(1) Identification of the information need
(2) Collection of information
(3) Classification of the information collected
(4) Storage of information
(5) Retrieval of data
(6) Analysis of data and
(7) Use of data for decision making.

8. THE ROLE OF COMMUNITY
HEALTH NURSE IN MIS
Management information system devised four modules to meet its purposes.
The modules are:
• Statistical information
• Billing
• Patient assessment
• Community evaluation
The community health nurses takes an important role as assessor of patient's
health and progress, care giver, data collector, record keeper, service provider
and evaluator of utility of services provided.

9. STATISTICAL INFORMATION MODULE
This module deals with two types of data:
• Visit information
• Patient information
The Visit information focuses on the nurse and information on each nursing
activity and entered into a daily activity sheet."
The Patient information focuses on data collected and entered into a "report of
service" form on each patient. This module helps in program planning, staffing,
and budgeting and in decision-making activities of an agency.

10. • Billing Information Module
• This module helps in billing and financial data and improves cash flow.
Supports financial process and accounts keeping.
• Patient Assessment Module
• This module helps to know patient's progress. It starts from initial
assessment and proceeds to diagnosis, treatment, subsequent discharge and
post-discharge follow-up. This module uses the data generated by the
problem-oriented patient record. It relies on definitions for classifying and
coding interventions that are appropriate to community nursing practice.

11. • Community Health Service' Evaluation Module
• This module provides the important health characteristics and health
status indicators of a population for auditing and evaluating the quality
nursing practice. It measures the cost effectiveness, the equitable
distribution of services, and the long and short-term outcomes of these
services.

12. USES OF MIS
• Requires only less number of people to prepare financial information on billings for
patient services
• Enhances cash flow
• Cut downs the by professorial staff time spent in paperwork
• Recognizes the significant trends in the utilization of health services
• Assist in program planning and budgeting
• Helps in testing the validity of ongoing programs.
• Identifies the new community needs.
• Evaluates the effect of nursing practice.