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.

1. MANAGEMENT INFORMATION
AND
EVALUATION SYSTEM (MIES)
By :
SAYANTANI MONDAL
2nd Year M.Sc. Nursing
College of Nursing
Institute of Psychiatry-COE

2. INFORMATION
Information is data that have been put
into a meaningful and useful context and
communicated to a recipient who uses it
to make decisions.

3. SYSTEM
A system is defined as a set of related
components, activities, individuals
interacting together to provide processed
data to the individual managers at various
levels in different functional areas.

4. INFORMATION SYSTEM
Information system is a set of related
processes, activities, individuals
interacting together to provide processed
data to the individual manager at various
levels in different functional areas.

5. MANAGEMENT INFORMATION SYSTEM
An array of components designed to transform
a collective set of data into knowledge that is
directly useful and applicable in the process of
directing and controlling resources and their
application to the achievement of specific
management objectives.
[Hanson 1982]

6. EVALUATION SYSTEM
A periodic evaluation of system to assess its
status in term of original and current
expectation and to chart its future direction.

7. HEALTH INFORMATION SYSTEM
Health information is any quantifiable and
non- quantifiable information that can be
used by health decision-makers and
clinicians to better understand disease
processes and health care issues, and to
prevent, diagnose or treat health problems.
[WHO]

10. MANAGEMENT
INFORMATION SYSTEM

11. OBJECTIVES OF MIS
• Toenhance communication among employs.
• Toprovide a system for recording and
aggregating information.
• Reduce expenses related to labor-intensive
manual activities.
• Tosupport the organization’s strategic goals
and direction.

12. IMPORTANCE OF MIS
• Planning systematically and
coordinating activities.
• Establishing databases on budgets,
personel, facilities and equipment.
• Providing guidance in choosing entry points for
program interventions and establishing active
partnerships with other organizations.

13. •Providing information on the status of
the population served, such as its health
status (i.e. defines surveillance levels).
•Guiding prioritizing by identifying major
problems.
•Providing indicators for monitoring and
evaluation of performance.

14. •Assessing the impact or effectiveness of
services.
•Guiding the forecasting of Commodity or
service needs.
•Methods for improvement

15. CLASSIFICATION OF MANAGEMENT
INFORMATION SYSTEMS
There are various types of management
information systems.
Mason and Swanson (1981) describe four
categories of management information systems
based on the level of support that the information
system provides in the process of decision making:
• Databank information system
• Predictive information system
• Decision-making information system
• Decision-taking information system

16. 1. DATABANK INFORMATION SYSTEM
The responsibility of this information
system is to observe, classify, and store
any item of data which might be
potentially useful to the decision maker.

17. 2. PREDICTIVE INFORMATION SYSTEM
This system moves beyond pure data
collection and the determination of trends
over time. Predictive information systems
provide for the drawing of inferences and
predictions that are relevant to decision
making.

18. 3. DECISION-MAKING INFORMATION
SYSTEM
This system goes one step further in the
process of decision making and
incorporates the value system of the
organization or its criteria for choosing
among alternatives.

19. 4. DECISION-TAKING INFORMATION SYSTEM
This is a decision system in which the
information system and the decision maker
are one and the same. Management is so
confident in the assumptions incorporated
in the system that it basically delegates its
power to initiate action to the system itself.
The choice of an appropriate management
information system (MIS) category
primarily depends on the nature of the
decisions it supports.

20. • The risk of systems failure is localized
• The major problem can be easily identified
and corrected before further
implementation.
• It supports and enhances the overall
decision making process.
• MIS enhances job performance throughout
an institution
ADVANTAGES OF MIS

21. • It provides the means through which the
institutions activities are monitored and
information is distributed to
management, employees and customers.
• It measures performance, manage
resources
• It can also be used by management to
provide feedback on the effectiveness of
risk controls.

22. LIMITATIONS
Technology also increases the potential
for inaccurate reporting and flawed
decision making.
Because data can be extracted from
many financial and transaction systems,
appropriate control procedures must be
set up to ensure that information is
correct and relevant.

23. HEALTH CARE INFORMATION
SYSTEM

24. Like other organizations, health care depends on
information.
The main healthcare information system for clinical
information management has been paper record i.e. the
traditional method of documenting and keeping clinical
records.
But with the increase need for data, strategic plan
required to be reframed.
To meet the informational and practice needs effectively
requires electronic multi-application systems that can
share data and networked to support communication of
the information within and outside health institutes.

25. TYPES OF HEALTH INFORMATION SYSTEM
The following are the most common
information systems available:
 Admission, Discharge and Transfer (ADT)
 Accounting or Financial System
 Order Entry
 Ancillary Systems
 Clinical Documentation System
 Scheduling
 Acuity
 Specialty Systems
 Communication Systems

26. 1. Admission, Discharge and Transfer (ADT)
This type of information system is the
backbone of the clinical as well hospital
system. It includes patient's details such as
demographic information, registration
number, and so on. All the data of the patients
is linked to this basic information.
Laboratory results find their way to the
appropriate provider or care area based on
information contained in this hospital
information system.

27. 2. Accounting or Financial System
This is another type of application under
HIS. This system tracks the financial
interactions and provides the fiscal
reporting to manage the finance of the
institution.

28. 3. Order Entry
This is clinical oriented system that
clinicians place an order by simply
selecting a patient from computer. The
order is immediately transmitted to the
appropriate department.

29. 4. Ancillary Systems
This system is for the application of other
therapies: physical, radiology, laboratory
that shares the information with other
systems.

30. 5. Clinical Documentation System
This is the part of clinical workflow and
provides communication of real time
information. Nursing information system
uses the nursing process approach with
nursing diagnoses. The clinical
documentation system should provide for
retrieval of data for use in research and
long range planning.

31. 6. Scheduling
This is another important system. This is
applicable for scheduling the patients,
staff, or services. Staff scheduling can
share information with hospital personnel
and the fiscal system.

32. 7. Acuity
This provides the classification of patients
as per their severity of illness and to
predict the number of staff required and
other resources. This system can be
integrated with other systems such as
ADT, staffing etc.

33. 8. Specialty Systems
This is related to the automatic
physiological monitoring activities. These
monitors are capable of continuously
collecting patient's data, setting off alarms,
generating decisions etc with an electronic
information system.

34. 9. Communication Systems
These system, e.g. e-mail, internet
facilitates information flow are the means
of communication.

35. NURSING INFORMATION
SYSTEM

36. 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.

37. USES
 To assess patient acuity and condition.
 To prepare a plan of care.
 To specify interventions.
 To document care.
 To track outcomes.
 To control quality in patient care.
 To patient care processes,
communication, research, education and
ward management.

38. BENEFITS OF NURSING INFORMATION SYSTEM
More time can be spent with patient and
less time at nurse station Reduce
paperwork/paper loss These are
automated tools of nursing documentation
To aid programing uniform standards of
nursing care It reduces the cost The data
can be used to measure quality of nursing
care.

39. APPLICATIONS OF NMIS
RESEARCH
MANAGERIAL
APPLICATION
NURSING
PRACTICE

40. • Statistical projections of future nursing workload
• Summarizing and analysis of patient classification
data
• Projections of personnel requirements
• Scheduling needs
• Use of nursing resources
• Budgetary planning and monitoring
• Payroll record
• Analysing of quality assurance information
MANAGERIAL APPLICATION

41. NURSING PRACTICE APPLICATIONS
• To facilitate collection, transmission, analysis and
reporting of patient related, employees related
and process related information among nurse
managers and care givers.
• To monitor of clients by using bedside
measurement of heart rate, blood pressure, blood
gases, computer controlled fluid, nutrients
automated nursing audit.
• For maintaining records of patients and other
nursing records.
• Facilitate nursing process.

42. NURSING RESEARCH APPLICATIONS
The data can be used for research and having
evidences and further synthesizes to build
knowledge.

43. EVALUATION SYSTEM

44. Every organization needs to evaluate its
performance and the impact of its efforts. In
many instances, organizations have multiple
programs and will need to evaluate each one
from two perspectives:
how
whether it has achieved its specific
objectives.

45. Organizations should develop and
implement a comprehensive evaluation
plan that outlines the time-frames and
resources needed for mid-term and final
evaluations of each major program.

46. MAJOR KIND OF EVALUATION
Process Evaluation
Output Evaluation
Effects Evaluation
Short-term Impact
Evaluation

47. PROCESS EVALUATION
Continuous monitoring and supervision are part of
process evaluation, which examines how well
program activities are being implemented.
Specifically, process evaluations focus on the
development and strengthening of existing systems,
protocols, and guidelines necessary to support,
standardize, and institutionalize service activities.
These activities support planning, implementation,
and supervision to assess progress against project
goals and objectives.

48. • Process evaluation should also review what
is working and what is not in order to enable
staff and managers to develop corrective
actions; determine whether resources,
equipment, supplies and staff skills are
adequate and used efficiently and effectively;
identify barriers to program

49. OUTPUT EVALUATION
The output evaluation assesses achievements
on-site by viewing defined, quantifiable
indicators of program performance such as
access, quality and acceptability, number of
persons trained and use of services by the target
populations. Output indicators are usually
quantitative.

50. EFFECTS EVALUATION
Effects measurement focuses on changes
observed within the target population
in the catchment area, for example: observed
changes in reproductive health attitudes,
changes in staff and skills, and changes in
provider attitudes toward providing and
managing services.

51. SHORT-TERM IMPACT EVALUATION
The findings from the original baseline survey
should be used to derive the indicators for the
short-term impact evaluation. This evaluation is
conducted at a specified, predetermined time
following the introduction of a new program.
Relevant data from reports, service statistics, and
training information systems contribute to the
analysis of short-term impact.

52. An MIES helps a manager to collect and use
information to make management decisions in a
timely manner. Managers also use MIS data to
analyse, plan, make decisions, take actions and
evaluate.
An effective MIES provides accurate, complete, and
timely information. MIES formats should include
feedback mechanisms so that decisions made at all
levels within the organization.
CONCLUSION