Kickoff webinar slides from the Spring 2016 RHINO forum on health worker information systems, presented by Carl Leitner and Amanda Puckett BenDor from Intrahealth
The document discusses Ethiopia's community-based health information system. It describes how health extension workers play a key role in collecting patient data on family folders and aggregating the data to generate service statistics. The data is reported to health centers and shared with communities. It allows health managers to monitor activities at the community level and identify unusual data patterns. The system was recognized as one of the top 10 USAID health success stories in 2014. It faces ongoing challenges around staff turnover and ensuring continuous capacity building and supervision.
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.
The document discusses the importance of routine health information systems for monitoring health goals in the post-2015 development agenda. It notes that facility-level data will be the primary source for monitoring 8 of the 26 SDG health indicators. However, current health information systems face challenges like poor data quality, lack of private sector data, and fragmented systems. New opportunities exist with advances in ICT and emphasis on accountability. The Health Data Collaborative aims to enhance coordination and efficiency across partners to strengthen country health information systems. This will help to integrate disease surveillance, align investments, develop standards, and build national capacity in data analysis and use.
This document discusses strengthening routine health information systems in Africa through regional collaboration. It reviews where sub-Saharan Africa is currently in terms of health information system development and global trends. It explores existing networks like the African Centre for eHealth Excellence and the HISP network that can be leveraged. Finally, it proposes next steps like consolidating the efforts of these networks to implement a 5-point call to action and developing a monitoring and evaluation framework for peer review across countries.
MiHIN Health Provider Directory Demo Slides with CQMRR v43 02 18-15mihinpr
The document provides an overview of the Michigan Statewide Health Provider Directory (HPD) service. The HPD service allows for the storage and sharing of electronic provider information to support use cases like transitions of care. It utilizes Salesforce platform for a production-quality deployment and supports integration through APIs. The HPD also focuses on routing health records via electronic service information and supports quality reporting through clinical quality measurement portals.
A Vision for Creating a Connected State Subra Sripadamihinpr
The document presents a vision for connecting healthcare in Michigan by integrating clinical data across stakeholders through various health information exchanges (HIEs). The vision is for critical patient data to be available anywhere, anytime for any Michigander. This will allow for effective population health management through data transparency and analytics. The document outlines existing connectivity in Michigan including the 7 state HIEs and increasing EMR adoption among providers. Opportunities discussed include automating clinician access to patient data, alerting doctors to patient events, reducing provider burden, engaging consumers, and maintaining patient privacy.
The document discusses Ethiopia's community-based health information system. It describes how health extension workers play a key role in collecting patient data on family folders and aggregating the data to generate service statistics. The data is reported to health centers and shared with communities. It allows health managers to monitor activities at the community level and identify unusual data patterns. The system was recognized as one of the top 10 USAID health success stories in 2014. It faces ongoing challenges around staff turnover and ensuring continuous capacity building and supervision.
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.
The document discusses the importance of routine health information systems for monitoring health goals in the post-2015 development agenda. It notes that facility-level data will be the primary source for monitoring 8 of the 26 SDG health indicators. However, current health information systems face challenges like poor data quality, lack of private sector data, and fragmented systems. New opportunities exist with advances in ICT and emphasis on accountability. The Health Data Collaborative aims to enhance coordination and efficiency across partners to strengthen country health information systems. This will help to integrate disease surveillance, align investments, develop standards, and build national capacity in data analysis and use.
This document discusses strengthening routine health information systems in Africa through regional collaboration. It reviews where sub-Saharan Africa is currently in terms of health information system development and global trends. It explores existing networks like the African Centre for eHealth Excellence and the HISP network that can be leveraged. Finally, it proposes next steps like consolidating the efforts of these networks to implement a 5-point call to action and developing a monitoring and evaluation framework for peer review across countries.
MiHIN Health Provider Directory Demo Slides with CQMRR v43 02 18-15mihinpr
The document provides an overview of the Michigan Statewide Health Provider Directory (HPD) service. The HPD service allows for the storage and sharing of electronic provider information to support use cases like transitions of care. It utilizes Salesforce platform for a production-quality deployment and supports integration through APIs. The HPD also focuses on routing health records via electronic service information and supports quality reporting through clinical quality measurement portals.
A Vision for Creating a Connected State Subra Sripadamihinpr
The document presents a vision for connecting healthcare in Michigan by integrating clinical data across stakeholders through various health information exchanges (HIEs). The vision is for critical patient data to be available anywhere, anytime for any Michigander. This will allow for effective population health management through data transparency and analytics. The document outlines existing connectivity in Michigan including the 7 state HIEs and increasing EMR adoption among providers. Opportunities discussed include automating clinician access to patient data, alerting doctors to patient events, reducing provider burden, engaging consumers, and maintaining patient privacy.
Panel: Achieving Interoperability Dr. John Loonsk & Janet Kingmihinpr
The document discusses achieving interoperability in health IT systems. It describes the current state of interoperability as poor. It outlines key aspects of interoperability including data exchange, system portability, supporting infrastructure, shared functions, and coordinated care information. The document also discusses the process for inducing interoperability, including using incentives, documenting requirements, identifying standards, implementation guidance, and testing. It notes there is still significant work remaining to expand interoperability in terms of breadth across organizations and depth of clinical data elements.
MiHIN Statewide Consumer Directory Overview - Direct Workgroup v4 03-09-15mihinpr
The document proposes a Statewide Consumer Directory (SCD) to give consumers more control over their personal health information by providing a single location for consumers to:
1) Identify their care team members and preferred providers.
2) Specify their preferences for consenting to how and where their health data is shared.
3) Define where their health data is stored across different systems and records.
The SCD would also benefit providers by allowing them to find a patient's care team, understand a patient's consent preferences, locate important documents like advance directives, and identify where to send patient data. The SCD aims to address current fragmentation of health information across different personal health records, provider portals, and specialty systems.
Panel: Understanding Michigan's HIE Landscapemihinpr
• Susan Hubbard, SEMHIE
Board of Directors
• Robert Jackson, MD, CMM
(Western Wayne Physicians)
• Jeanette Klanow, (St. John Providence
Health System)
• Helen Hill, MiHIN Board Rep., Director
Public-Private Initiatives
• Michael (Mick) Talley, Treasurer
(University Bank)
• John Vismara, President (Ingenium)
• Terrisca Des Jardins, Director (SEMBC)
• Doug Dietzman, Executive Director
(Macomb County HIE)
• Paula Johnson, Director (UPHIE)
• Aaron Wootton, Director
MiHIN Overview - Health Information Exchange Meet and Greet v7 10 22-14mihinpr
The document provides an overview of MiHIN, which is a statewide health information exchange network in Michigan. It describes how MiHIN connects various healthcare organizations across the state through a common framework to enable the secure sharing of patient health information. MiHIN uses a "use case" approach where specific clinical scenarios define how data will be shared for different purposes, such as care coordination, public health reporting, and quality improvement. It also outlines MiHIN's governance structure and stakeholder groups that help guide its operations.
This document outlines the Philippines' national health research and development efforts and priorities for information and communications technology (ICT) in health. It identifies 6 priority research areas and discusses developing user-friendly ICT solutions to improve health data collection, analysis, and delivery of healthcare services. Specific initiatives and projects are described that demonstrate the use of ICT for public health surveillance, telehealth services, and interfaces for medical devices.
As countries continue to invest and make strides toward achieving the SDGs and universal health coverage, strong routine health information systems (RHIS) are fundamental to the effort. Well-functioning RHIS provide a wealth of data on a country’s health system, including service delivery, availability of a trained workforce, and reach of interventions, that can be harnessed to identify gaps and support evidence-based decision making. Yet, while many low-to-middle income (LMIC) countries have established a national RHIS structure, there are existing challenges related to the availability, analysis, and use of the data that have yet to be addressed.
Health IT and Public Policy Issues Dr. Rich Hodgemihinpr
The document provides an overview of current public policy issues related to health information technology in the United States. It discusses HIMSS' role in advocating for health IT and outlines their public policy process. Key points include:
- HIMSS advocates for health IT through establishing annual policy principles, priorities, and statements to guide their work.
- The top congressional affairs priorities for 2013 are preserving HITECH EHR incentive funding, advancing patient data matching, and educating Congress on health IT issues.
- Federal legislative and regulatory activity around topics like meaningful use, interoperability, privacy/security, and medical device regulation will impact the health IT field.
A Consistent Nationwide Data Matching Strategy Donna Roach & Nancy Walkermihinpr
This document discusses patient matching from the provider perspective. It describes two hospitals, Borgess Health and Our Lady of Lourdes, and their approaches to patient matching. Borgess Health uses a probabilistic enterprise master patient index from Netrix with a 95% tolerance threshold that weights different patient identifying factors. Their process involves policy, the probabilistic system, manual intervention from HIM and registration teams, and results in merging duplicate records after discharge and monthly record clean up. The conclusion emphasizes that patient matching is a patient safety issue according to organizations like The Joint Commission, and risks can be mitigated through human responsibility, design quality, technical implementation, standardized processes, and patient involvement.
Unblocking semantic interoperability for ehrSam Forouzi
This document discusses semantic interoperability for electronic health records (EHRs). It provides an overview of semantic interoperability and health information, including challenges with historic systems. Current issues include rising healthcare costs and quality/safety concerns due to errors. The document outlines workflows in a care organization using proprietary interfaces and standards like HL7. It discusses personal health information and information systems. Finally, it proposes innovative solutions like standardizing identifiers and information, educating all actors, identifying authoritative sources, and using proven technologies to improve interoperability.
This document discusses health systems and HIV/AIDS programs. It notes different sources of funding for HIV/AIDS programs. It also addresses gaps in the nurse workforce as HIV/AIDS programs scale up in Zambia. Additionally, it discusses health systems strengthening components and the impacts of technical guidance in Côte d'Ivoire, including a national HRH assessment and improved training. Finally, it introduces a manual to guide health systems and an Excel tool called HAPSAT to ease HIV/AIDS program sustainability analysis.
This document provides an overview of the MiHIN (Michigan Health Information Network) and health information exchange (HIE) in Michigan. It discusses how HIE benefits care coordination by avoiding duplicate tests and enabling timely diagnosis. It also outlines how MiHIN facilitates statewide HIE through a network of networks model with multiple qualified organizations connected to share data. The governance structure and various workgroups that support MiHIN operations are described.
Digital tools are being used to improve access to care and reduce bureaucracy in the NHS. This includes providing online access to patient records, appointment booking and repeat prescriptions for over 90% of practices. Digital tools also aim to identify health conditions earlier through risk stratification searches, templates and remote monitoring. Data is showing improvements in identifying long term conditions like diabetes and chronic kidney disease through increased register sizes and prevalence rates. Information technology systems play an important role in implementing digital primary care strategies through tools that support case finding, care planning, data quality monitoring and sharing information across stakeholders.
The document discusses data management in Uganda's health sector. It notes that data, both electronic and paper-based, is governed by technical working groups for health information systems and eHealth. Data is collected from communities, health facilities, and aggregated and transmitted to the national level. Access to the data is managed at the national and district levels. The Ministry of Health also uses a health service delivery hotline to collect community complaints and feedback to improve services. On a quarterly basis, data is cleaned, analyzed, and shared through reports to review health sector performance and inform efforts to harmonize health information systems.
This document summarizes the challenges of managing data quality in an integrated public health surveillance system and proposes solutions. Historically, databases were siloed but integration provides benefits like reduced redundancy and standardized data collection. Electronic lab reporting increases standardization but also volume and velocity of data. Defining clear data quality roles, accountability, documentation, training, and standardized processes can help address current roadblocks. Metrics, flowcharts, and trainings on concepts like roles and responsibilities are proposed to improve data integrity and quality management going forward.
This document discusses Utah's strategies for improving population health through statewide clinical and public health data interoperability. It outlines Utah's shared vision for using data exchanges across EHRs, HIEs and public health to support population health goals. Key strategies discussed include developing a shared statewide health IT plan and governance model for a master person index to facilitate identity management and data sharing. The document also highlights challenges in making public health systems more interoperable and developing analytics to support diverse population health needs.
This document discusses transcending health information exchange (HIE) by envisioning Michigan as a "Learning Health State". It introduces the concept of a Learning Health System (LHS) which aims to continuously improve health and healthcare by generating new knowledge from care experiences. The document outlines core components of an LHS including infrastructure, governance, and data sharing/analysis. Building an LHS at national and state levels could enable benefits like rapid drug safety updates and epidemic surveillance. The document advocates for Michigan to endorse LHS values and join the emerging Learning Health Community.
The Fundamental Role of Technology in Transforming the NHSNHS England
The document discusses how technology is transforming the NHS by improving access to healthcare and reducing bureaucracy. It notes that digital tools can help address issues like an aging population, increasing diagnoses complexity, and a shortage of healthcare professionals. Specifically, it outlines how technologies like Egbot, digital child health records, and the 7 digital capabilities funded by the Prime Minister can provide access to patient data, allow for data sharing, and empower patients. It provides statistics on online usage and potential cost savings from digital tools. Finally, it emphasizes the need for interoperability, information governance, and empowering patients through technologies.
The role of data in strengthening the health system. Development Initiatives ...Emmanuel Mosoti Machani
Mariam Ibrahim Sheikh, Sr. Program Manager and Boniface Owino, Data Analyst with development initiatives on the role of data in health resource mapping to support initiatives to crowd-in finance and generate data for decision making,and for various consumers is formats and visualisations pertinent to them.
MiHIN Direct Webinar for EHR Intelligence v10 11 12-14mihinpr
Direct Secure Messaging is a secure email system for exchanging protected health information. It uses encryption and digital certificates to securely transmit messages between known parties like providers, hospitals, and public health agencies. The document discusses how Direct is used for care coordination and public health reporting such as submitting immunization or quality data. It also reviews governance organizations like DirectTrust and NATE that work to expand Direct use and interoperability.
Opening Keynote - Personalised Health and Care 2020HIMSS UK
Beverley Bryant, Director of Digital Technology at NHS England, outlines plans to make the NHS paperless by 2020 through increasing digital inclusion and skills training. Evaluation of previous digital skills training programs found that it reduced GP visits, saved time and money, and improved health outcomes like diet for many participants. The plan is to give patients more responsibility for their health by conveniently accessing NHS services online, while freeing up clinicians' time spent on administrative tasks. This would benefit the NHS through improved health outcomes, patient satisfaction, and lower administrative costs.
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...MEASURE Evaluation
The document summarizes the plans to assess HIV service use and information systems for key populations in Namibia. The original proposal was to assess a case management approach using program data, but challenges with data quality and lack of a population size estimate led to a new plan. The new plan includes estimating the size of key populations, enrolling HIV-positive and HIV-negative individuals in separate cohorts to analyze linkage to care, retention, viral suppression, and seroconversion rates over 12-18 months. The assessment will leverage opportunities to measure the HIV cascade for key populations and facilitate prevention data planning.
This document summarizes Dawne Walker's presentation on building M&E capacity for community-based programs in Tanzania. Some key points include:
1) Community-based programs are expected to produce comparable data to facility-based programs but without the same infrastructure and resources.
2) Data quality issues exist at multiple levels from data collection to analysis and use.
3) MEASURE Evaluation developed a Community Trace and Verify (CTV) methodology and participatory M&E approaches to better meet the needs of community-based programs.
4) Participatory M&E fosters community ownership of information and priority setting.
Panel: Achieving Interoperability Dr. John Loonsk & Janet Kingmihinpr
The document discusses achieving interoperability in health IT systems. It describes the current state of interoperability as poor. It outlines key aspects of interoperability including data exchange, system portability, supporting infrastructure, shared functions, and coordinated care information. The document also discusses the process for inducing interoperability, including using incentives, documenting requirements, identifying standards, implementation guidance, and testing. It notes there is still significant work remaining to expand interoperability in terms of breadth across organizations and depth of clinical data elements.
MiHIN Statewide Consumer Directory Overview - Direct Workgroup v4 03-09-15mihinpr
The document proposes a Statewide Consumer Directory (SCD) to give consumers more control over their personal health information by providing a single location for consumers to:
1) Identify their care team members and preferred providers.
2) Specify their preferences for consenting to how and where their health data is shared.
3) Define where their health data is stored across different systems and records.
The SCD would also benefit providers by allowing them to find a patient's care team, understand a patient's consent preferences, locate important documents like advance directives, and identify where to send patient data. The SCD aims to address current fragmentation of health information across different personal health records, provider portals, and specialty systems.
Panel: Understanding Michigan's HIE Landscapemihinpr
• Susan Hubbard, SEMHIE
Board of Directors
• Robert Jackson, MD, CMM
(Western Wayne Physicians)
• Jeanette Klanow, (St. John Providence
Health System)
• Helen Hill, MiHIN Board Rep., Director
Public-Private Initiatives
• Michael (Mick) Talley, Treasurer
(University Bank)
• John Vismara, President (Ingenium)
• Terrisca Des Jardins, Director (SEMBC)
• Doug Dietzman, Executive Director
(Macomb County HIE)
• Paula Johnson, Director (UPHIE)
• Aaron Wootton, Director
MiHIN Overview - Health Information Exchange Meet and Greet v7 10 22-14mihinpr
The document provides an overview of MiHIN, which is a statewide health information exchange network in Michigan. It describes how MiHIN connects various healthcare organizations across the state through a common framework to enable the secure sharing of patient health information. MiHIN uses a "use case" approach where specific clinical scenarios define how data will be shared for different purposes, such as care coordination, public health reporting, and quality improvement. It also outlines MiHIN's governance structure and stakeholder groups that help guide its operations.
This document outlines the Philippines' national health research and development efforts and priorities for information and communications technology (ICT) in health. It identifies 6 priority research areas and discusses developing user-friendly ICT solutions to improve health data collection, analysis, and delivery of healthcare services. Specific initiatives and projects are described that demonstrate the use of ICT for public health surveillance, telehealth services, and interfaces for medical devices.
As countries continue to invest and make strides toward achieving the SDGs and universal health coverage, strong routine health information systems (RHIS) are fundamental to the effort. Well-functioning RHIS provide a wealth of data on a country’s health system, including service delivery, availability of a trained workforce, and reach of interventions, that can be harnessed to identify gaps and support evidence-based decision making. Yet, while many low-to-middle income (LMIC) countries have established a national RHIS structure, there are existing challenges related to the availability, analysis, and use of the data that have yet to be addressed.
Health IT and Public Policy Issues Dr. Rich Hodgemihinpr
The document provides an overview of current public policy issues related to health information technology in the United States. It discusses HIMSS' role in advocating for health IT and outlines their public policy process. Key points include:
- HIMSS advocates for health IT through establishing annual policy principles, priorities, and statements to guide their work.
- The top congressional affairs priorities for 2013 are preserving HITECH EHR incentive funding, advancing patient data matching, and educating Congress on health IT issues.
- Federal legislative and regulatory activity around topics like meaningful use, interoperability, privacy/security, and medical device regulation will impact the health IT field.
A Consistent Nationwide Data Matching Strategy Donna Roach & Nancy Walkermihinpr
This document discusses patient matching from the provider perspective. It describes two hospitals, Borgess Health and Our Lady of Lourdes, and their approaches to patient matching. Borgess Health uses a probabilistic enterprise master patient index from Netrix with a 95% tolerance threshold that weights different patient identifying factors. Their process involves policy, the probabilistic system, manual intervention from HIM and registration teams, and results in merging duplicate records after discharge and monthly record clean up. The conclusion emphasizes that patient matching is a patient safety issue according to organizations like The Joint Commission, and risks can be mitigated through human responsibility, design quality, technical implementation, standardized processes, and patient involvement.
Unblocking semantic interoperability for ehrSam Forouzi
This document discusses semantic interoperability for electronic health records (EHRs). It provides an overview of semantic interoperability and health information, including challenges with historic systems. Current issues include rising healthcare costs and quality/safety concerns due to errors. The document outlines workflows in a care organization using proprietary interfaces and standards like HL7. It discusses personal health information and information systems. Finally, it proposes innovative solutions like standardizing identifiers and information, educating all actors, identifying authoritative sources, and using proven technologies to improve interoperability.
This document discusses health systems and HIV/AIDS programs. It notes different sources of funding for HIV/AIDS programs. It also addresses gaps in the nurse workforce as HIV/AIDS programs scale up in Zambia. Additionally, it discusses health systems strengthening components and the impacts of technical guidance in Côte d'Ivoire, including a national HRH assessment and improved training. Finally, it introduces a manual to guide health systems and an Excel tool called HAPSAT to ease HIV/AIDS program sustainability analysis.
This document provides an overview of the MiHIN (Michigan Health Information Network) and health information exchange (HIE) in Michigan. It discusses how HIE benefits care coordination by avoiding duplicate tests and enabling timely diagnosis. It also outlines how MiHIN facilitates statewide HIE through a network of networks model with multiple qualified organizations connected to share data. The governance structure and various workgroups that support MiHIN operations are described.
Digital tools are being used to improve access to care and reduce bureaucracy in the NHS. This includes providing online access to patient records, appointment booking and repeat prescriptions for over 90% of practices. Digital tools also aim to identify health conditions earlier through risk stratification searches, templates and remote monitoring. Data is showing improvements in identifying long term conditions like diabetes and chronic kidney disease through increased register sizes and prevalence rates. Information technology systems play an important role in implementing digital primary care strategies through tools that support case finding, care planning, data quality monitoring and sharing information across stakeholders.
The document discusses data management in Uganda's health sector. It notes that data, both electronic and paper-based, is governed by technical working groups for health information systems and eHealth. Data is collected from communities, health facilities, and aggregated and transmitted to the national level. Access to the data is managed at the national and district levels. The Ministry of Health also uses a health service delivery hotline to collect community complaints and feedback to improve services. On a quarterly basis, data is cleaned, analyzed, and shared through reports to review health sector performance and inform efforts to harmonize health information systems.
This document summarizes the challenges of managing data quality in an integrated public health surveillance system and proposes solutions. Historically, databases were siloed but integration provides benefits like reduced redundancy and standardized data collection. Electronic lab reporting increases standardization but also volume and velocity of data. Defining clear data quality roles, accountability, documentation, training, and standardized processes can help address current roadblocks. Metrics, flowcharts, and trainings on concepts like roles and responsibilities are proposed to improve data integrity and quality management going forward.
This document discusses Utah's strategies for improving population health through statewide clinical and public health data interoperability. It outlines Utah's shared vision for using data exchanges across EHRs, HIEs and public health to support population health goals. Key strategies discussed include developing a shared statewide health IT plan and governance model for a master person index to facilitate identity management and data sharing. The document also highlights challenges in making public health systems more interoperable and developing analytics to support diverse population health needs.
This document discusses transcending health information exchange (HIE) by envisioning Michigan as a "Learning Health State". It introduces the concept of a Learning Health System (LHS) which aims to continuously improve health and healthcare by generating new knowledge from care experiences. The document outlines core components of an LHS including infrastructure, governance, and data sharing/analysis. Building an LHS at national and state levels could enable benefits like rapid drug safety updates and epidemic surveillance. The document advocates for Michigan to endorse LHS values and join the emerging Learning Health Community.
The Fundamental Role of Technology in Transforming the NHSNHS England
The document discusses how technology is transforming the NHS by improving access to healthcare and reducing bureaucracy. It notes that digital tools can help address issues like an aging population, increasing diagnoses complexity, and a shortage of healthcare professionals. Specifically, it outlines how technologies like Egbot, digital child health records, and the 7 digital capabilities funded by the Prime Minister can provide access to patient data, allow for data sharing, and empower patients. It provides statistics on online usage and potential cost savings from digital tools. Finally, it emphasizes the need for interoperability, information governance, and empowering patients through technologies.
The role of data in strengthening the health system. Development Initiatives ...Emmanuel Mosoti Machani
Mariam Ibrahim Sheikh, Sr. Program Manager and Boniface Owino, Data Analyst with development initiatives on the role of data in health resource mapping to support initiatives to crowd-in finance and generate data for decision making,and for various consumers is formats and visualisations pertinent to them.
MiHIN Direct Webinar for EHR Intelligence v10 11 12-14mihinpr
Direct Secure Messaging is a secure email system for exchanging protected health information. It uses encryption and digital certificates to securely transmit messages between known parties like providers, hospitals, and public health agencies. The document discusses how Direct is used for care coordination and public health reporting such as submitting immunization or quality data. It also reviews governance organizations like DirectTrust and NATE that work to expand Direct use and interoperability.
Opening Keynote - Personalised Health and Care 2020HIMSS UK
Beverley Bryant, Director of Digital Technology at NHS England, outlines plans to make the NHS paperless by 2020 through increasing digital inclusion and skills training. Evaluation of previous digital skills training programs found that it reduced GP visits, saved time and money, and improved health outcomes like diet for many participants. The plan is to give patients more responsibility for their health by conveniently accessing NHS services online, while freeing up clinicians' time spent on administrative tasks. This would benefit the NHS through improved health outcomes, patient satisfaction, and lower administrative costs.
Assessing HIV Service: Use and Information Systems for Key Populations in Nam...MEASURE Evaluation
The document summarizes the plans to assess HIV service use and information systems for key populations in Namibia. The original proposal was to assess a case management approach using program data, but challenges with data quality and lack of a population size estimate led to a new plan. The new plan includes estimating the size of key populations, enrolling HIV-positive and HIV-negative individuals in separate cohorts to analyze linkage to care, retention, viral suppression, and seroconversion rates over 12-18 months. The assessment will leverage opportunities to measure the HIV cascade for key populations and facilitate prevention data planning.
This document summarizes Dawne Walker's presentation on building M&E capacity for community-based programs in Tanzania. Some key points include:
1) Community-based programs are expected to produce comparable data to facility-based programs but without the same infrastructure and resources.
2) Data quality issues exist at multiple levels from data collection to analysis and use.
3) MEASURE Evaluation developed a Community Trace and Verify (CTV) methodology and participatory M&E approaches to better meet the needs of community-based programs.
4) Participatory M&E fosters community ownership of information and priority setting.
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...MEASURE Evaluation
This document discusses evaluating the Cross-Border Health Integrated Partnership Project (CB-HIPP) in East Africa. CB-HIPP aims to improve access to quality health services and outcomes in cross-border areas. The evaluation will measure health outcomes in intervention and comparison sites at baseline and over time to quantify CB-HIPP's impact. Addressing the evaluation's complexity involves collecting data from multiple sources, measuring a broad range of outcomes, and using an appropriate analytic method like difference-in-differences to account for background trends.
"The Prevalence, Experience and Management of Pain: Secondary Analysis of the Care & Support PHE" webinar presentation by Dr. Richard Harding, King's College London.
Measuring Ethnic and Sexual Identities: Lessons from Two Studies in Central A...MEASURE Evaluation
Presentation led by Dr. Katherine Andrinopoulos, an Assistant Professor at Tulane University, John Hembling, M&E Specialist, and Tory M. Taylor, also an M&E Specialist.
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.
Monitoring Scale-up of Health Practices and InterventionsMEASURE Evaluation
This guide provides information to help monitor the scale-up of health practices and interventions. It introduces the guide and its objectives, which are to provide background on monitoring scale-up initiatives. The guide includes a rationale for monitoring scale-up, a readiness assessment, 10 considerations for monitoring scale-up such as defining objectives and selecting indicators, and appendices with case studies and frameworks for scaling up health interventions. The goal is to create a practical resource that can help effectively monitor and evaluate the scale-up process.
Including AIDS-affected young people in OVC research: Challenges and opportu...MEASURE Evaluation
A Child Status Network webinar discussing how to involve young people (especially HIV-positive young people) in research about orphans and other vulnerable children. Dr. Lucie Cluver from the Young Carers Project and Oxford University led the November 2012 webinar.
Led by Dr. Sharon Weir, MEASURE Evaluation, and Professor Peter Figueroa, University of the West Indies, Jamaica.
Presentation on the PLACE method and how it has been used for HIV/STI surveillance, behavioral surveillance, program monitoring, size estimation of most-at-risk populations, and program planning.
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.
Enhancing FP/RH Decision Making through GIS Data LinkingMEASURE Evaluation
This document discusses using geographic information systems (GIS) to link multi-sectoral data in order to enhance decision making for family planning and reproductive health programs in Rwanda. It provides an overview of a case study conducted in Rwanda that explored linking key data sources such as demographic health surveys, commodity distribution data, and poverty and agriculture data using common geographic identifiers. The case study found that free and open source GIS software like Excel to Google Earth, Quantum GIS, and OpenGeoDa could effectively link and visualize the data. Lessons learned included the importance of stakeholder engagement to access sensitive data, using accurate population data when normalizing indicators, and how GIS data linking can provide insights and incentives to improve health programs.
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.
Assessment of Constraints to Data Use is a rapid assessment tool designed to identify barriers and constraints that inhibit effective practices in data use.
http://www.cpc.unc.edu/measure/publications/ms-11-46-a
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/
Evaluating Impact of OVC Programs: Standardizing our methodsMEASURE Evaluation
Jen Chapman presents on the Orphans and Vulnerable Children Program Evaluation Tool Kit, which supports PEPFAR-funded programs and helps fulfill the aims presented in the USAID Evaluation Policy.
Evaluations of Gender-Integrated Reproductive Health Interventions: A Review ...MEASURE Evaluation
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RHINO Forum Kickoff: iHRIS Open Source HR Information Solutions
1. iHRIS: Open Source
HR Information
Solutions
Amanda Puckett BenDor and Carl Leitner
RHINO Forum
May 10, 2016
2. How to you use health worker information?
• To help understand
who is your
workforce, where
they are working
and what are their
skills
• Make interoperable
with other HIS data
to strengthen health
systems
3. What is iHRIS?
• iHRIS is open source
software used
manage health
workforce, training,
and regulatory
processes
• Works with other
parts of the health
information system
• Links to Health
Worker Registry
4. How is iHRIS used for Routine Data Collection
• Supports human resource management
business processes by supporting day-to-day
management of health worker information
(training, hiring, deployment)
• Facilitates routine
reporting of staffing
levels to HMIS
5. How is iHRIS unique from other software?
• Open source
• Designed for LMIC uses cases
• Highly customizable
• Standards compliant
• Global technical support community
• Adheres to Digital Development Principles – before they existed!
6. iHRIS and the HIS Architecture
Interoperability with other systems
– OpenHIE Health Worker Registry
– DHIS 2
– Part of mHero
7. What is the impact of iHRIS?
From this….. To this.
8. Impact of Routine iHRIS Use
• Cost Savings
– $232 million saved by using iHRIS, plus $51 million in annual license fees
– Millions saved around the world, identifying and eliminating ghost workers
and redundant staff and positions
• Advocacy
– Uganda used iHRIS data in 2013 to advocate for a $20 million recruitment
fund, filling more than 7,200 identified vacancies
• Workforce Planning
– Uganda uses iHRIS Train to better manage the training of nearly 30,000
health students
• Regulation
– Uganda Medical Council used iHRIS Qualify to increase re-licensure
compliance from less than 100 to more than 2,700 doctors – increasing
revenue from USD $100,000 to more than $500,000 per year
• Deployment for better services and efficiency
– The state of Jharkhand, India used iHRIS to identify & address staffing
shortages in OB/GYN & clinical officers in 60% of their facilities providing
services to 900,000 additional people
– Malawi MOH found only 4 mechanics serving 700 drivers in their motor
fleet. Increased recruitment to avoid moving people and tools throughout
country
9. iHRIS Manage
iHRIS flagship application,
Manage is the health workforce
management application
deployed in the most countries.
Key Users:
Ministries of Health, FBOs, Health
facilities administrators, and
private employers
Key Features:
• Personnel records
• Manage vacancies and
applicant records
• Upload scanned documents
and images
• Customizable Reports
Countries: 20
10. iHRIS Qualify
iHRIS’s second most deployed
application, Qualify is used by
health professional councils to
administer regulatory and
licensing processes.
Key Users:
Medical and Dental Councils,
Nurse and Midwifery Councils,
Laboratory Technician Councils
Key Features:
• Tracks out migration
• Tracks CPD
• Maintains employment
history
• Customizable Reports
Countries: 4
11. iHRIS Train
iHRIS Train emerged from the
expressed demand and
development effort of the global
iHRIS community. At first it was
primarily an in-service training tool
but recently became pre-service
institutional application as well.
Key Users:
Medical Schools, NGOs,
Government sponsored training
centers
Key Features:
• Maintains student, faculty and
staff records
• Assigns students and faculty to
courses
• Calculates and maintains
student report cards
• Customizable Reports
Countries: 4
14. More examples of routine iHRIS Implementation
• iHIRS Nigeria – Supporting MLSCN with CME
– MLSCN version iHRIS Qualify linked to Moodle to track CPD including
payment for relicensing and courses
– Health Workers can track their own information
• Working with FBOs in Namibia
– Manage at 6 FBO Hospitals 800 HWs, though working to consolidate 4 CHS
hospitals into one instance. Consolidation through the HW Registry.
• Scale in DRC
– Over 11,000 health workers in two provinces in the system
– Used to identify ghost workers, retirement of health workers
• Setting up in Guinea
– iHRIS Manage installed in February 2014 during Ebola outbreak
• Scaling in Liberia
– iHRIS part of the national HIS Policy and Strategy in rebuilding the health
system
– 10,000 records in national instance; decentralization to the 15 counties is
underway
15. iHRIS and mHero
• mHero is a two-way
communication system allowing
Ministries of Health and health
workers connect via SMS
• Health Worker records from iHRIS
allow targeted communication
• mHero being scaled in Liberia
and soon to be piloted in Sierra
Leone and Mali
• Harnesses the Principles of Digital
Development
16. How many Zika
positive tests have
been confirmed?
25 Positive
cases in Zone
four – 3rd
week of
February
What kind of disease
agent causes Zika?
1)Bacteria 2)Virus
3)Toxin 4)Parasite
2) Virus
Could you
confirm that
you are an RN
and In Zone 4?
Yes, I am an
RN and in
Zone 4
Project II
mHero : Two-Way Health Worker Communication
17. mHero and Routine Data Collection
• Assists in data
collection of
informal indicators
that are not in HMIS
• Example: In Liberia,
being used to
collect data on
mental health care
services