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.

1. MANAGEMENT INFORMATION AND
EVALUATION SYSTEM (MIES)
DEFINITION:
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]
EVALUATION SYSTEM
A periodic evaluation of system to assess its status in terms of original and
current expectation and to chart its future direction.
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]
OBJECTIVES OF MIS
 To enhance communication among employs.
 To provide a system for recording and aggregating information.
 Reduce expenses related to labour- intensive manual activities.
 To support the organization’s strategic goals and direction.
IMPORTANCE OF MIS
 Planning systematically and coordinating activities.
 Establishing database on budgets, personnel, facilities and equipment.
 Providing guidance in choosing entry points for program interventions
and establishing active partnerships with other organizations.
 Providing information on the status of the population served, such as its
health status (i.e. defines surveillance levels0.
 Guiding prioritizing by identifying major problems.
 Providing indicators for monitoring and evaluation of performance.
 Assessing the impact or effectiveness of services.
 Guiding the forecasting of commodity or service needs.

2.  Methods of improvement.
IMPLIMENTATION METHOD OF MIS
DIRECT APPROACH:-
Direct installation of the new system with immediate. Discontinuance of the old
existing system is referred as “cold turnkey” approach. This approach becomes
useful when these factors are considered.
 The new system does not replace the existing system.
 Old system is regarded absolutely of no value.
 New system is compact and simple.
 The design of the new system is inexpensive with more advantages and
less risk involved.
PARALLEL APPROACH:-
The selected new system is installed and operated with current system. This
method is expensive because of duplicating facilities and personal to maintain
both the systems. In this approach a target date must be fixed when the
operations of old system cease and new one will operate on its own.
MODULAR APPROACH:-
This is generally recognized as “pilot approach”, means the implementation of a
system in the organization on a piece-meal basis.

3. ADVANTAGES OF MIS:-
 The risk of system 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.
 It provides the means through which the institutions activities are
monitored and information is distributed to management, employees and
customers.
 It measures performance, mange resources.
 It can also be used by management to provide feedback on the
effectiveness of risk controls.
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 controlprocedures must be set up to ensure that
information is correct and relevant.
ELECTRONIC MEDICAL RECORD:-
An electronic medical record is a computerized medical record created in an
organization that delivers care, such as a hospital or physician’s office.
Electronic medical records tend to be a part of a local stand-alone health
information system that allows strong, retrieval and modification of records.
MODULS OF HOSPITAL MANAGEMENT SYSTEM:
Registration
Special facilitiesinRegistration
Billing
Diagnostic/Lab/Services
BusinessAnalyticsand MIS
Administration
OP Consultation
ADT

4. 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.
APPLICATION OF NMIS:-
FISCCAL RESOURCEMANAGEMENT:-
The information generated can be used to monitor pastperformance or to
predict future performance. Accumulated data can be analysed for the
development of trends that 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 protections.
WORK LOAD MEASUREMENT AND STAFFING REQUIREMENTS
It helps to store, manipulate and retrieve large volumes of data. The information
generated assist nursing managers in planning, monitoring and evaluating use of
IP orders
Clinical packages
Insurance
Doctor and oter payments
Medical Records
Scheduler
InventoryManagement
Work loadMeasurement
AndStaffingRequirements
Staff scheduling
Personnel ManagementFiscal Resource
management

5. nursing resources on a daily basis and in the longer time frame. It is used to
generated staff schedules with conjunction with personnel management.
STAFF SCHDUL:
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 use full information for monitoring absenteeism,
scheduled time off, and turn over.
PERSONNELMANAGEMENT
An employee with a special mix of skill scanbe 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.
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.
2) IN NURSING PRACTICE:Enhance documentation by nurses Provide
data to enable research directed at examining the interrelationships
between data elements and nursing outcomes. Facilitate development of
the nursing process.
3) NURSING RESEARCH: To assess variables on multi levels including
institutional, local, regional, and national. Identify trends Integrate to
build information and to further synthesize to develop nursing
knowledge.
4) NURSING EDUCATION: To develop bodyof knowledge with focus on
nursing process To enable staff educational needs based on follow up
care and outcomes. To enhance student nurses accurate documentation.
EVALUATION SYSTEM:

6. 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

7. 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.
MAJOR KIND OF EVALUATION:
Process Evaluation
Output Evaluation Effects
Evaluation Short-term
Impact Evaluation
ProcessEvaluation:
Continuous monitoring and supervision are part of process evaluation, which
examine show 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 supportplanning,
implementation, and supervision to assess progress against project goals and
objectives.
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
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.
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.
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.

8. Relevant data from reports, service statistics, and training information systems
contribute to the analysis of short-term impact.
SUMMARY
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.

9. BIBLIOGRAPHY:-
Sr. Nancy, “Principles And Practice Of Nursing”; Volume-1; 5th edition, reprinted
2001; N.R. Publication, Indore; Pp: 234-233
Spencer May and Tait Katherine M., “Introduction To Nursing”; 4th edition, 1978;
Blackwell scientific publication, oxford London; Pp: 87
Thresyamma C. P., “Fundamentalsof Nursing Procedure Mannual For General
Nursing And Midwifery Course”; 1st edition, reprint 2004; Jaypee Brothers Medical
Publishers, New Delhi; Pp: 392-395
Jacob annamma, "A comprehensive textbookof midwifery and gynecological nursing", 4th
edition, the health science publisher, pg no. 289-290
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