Assessment Guanajuato Case Study Methodology
•
1 like•306 views
The document summarizes the methodology used in a PRISM assessment of the routine health information system in Guanajuato, Mexico. It provides background on Guanajuato's demographics and health facilities. A sample size of 157 health facilities was selected using a statistical formula to allow for inter-district comparison. The PRISM tools were adapted to Spanish and Mexican health terms. Field teams underwent training and piloted the tools. Data was entered using DEAT and EpiData software and analyzed in SPSS. Participants were asked to discuss in groups their experiences using the PRISM tools and how useful they were for assessing the RHIS.
Report
Share
Report
Share
![Objectives ,[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recommended
PrEP Implementation Planning for the US
CHAMP Monthly Teleconference Training - PrEP's the Word: Everyone's Talking About It... But What Do We Need To Know, And Do, About Pre-Exposure Prophylaxis
taft-New Tactics for Building Medical Homes in State Medicaid in Nebraska
Patricia (Pat) Taft, Program Specialist, Division of Medicaid and Long-Term Care, Nebraska Department of Health and Human Services discusses Nebraska's Medical Home Medicaid Pilot at webinar New Tactics for Building Medical Homes in State Medicaid and CHIP Programs on December 16, 2010
Conference Poster
The document describes the development of an implementation intervention to increase mammography screening rates among underserved women using a systematic approach. It utilized intervention mapping to develop seven implementation interventions including site assessments, a stakeholder group, training, a computer-assisted script, an e-newsletter, and identification of barriers. The implementation interventions were developed using diffusion of innovations theory, social cognitive theory, and consolidated framework for implementation research constructs. Clinics will be surveyed at baseline and after implementation to assess changes in the consolidated framework for implementation research constructs.
Monitoring and Evaluation Workshops: An approach to improve malaria informati...
The document summarizes regional monitoring and evaluation workshops held from 2010-2015 for malaria programs in sub-Saharan Africa. The workshops were organized by MEASURE Evaluation in collaboration with academic institutions and aimed to strengthen M&E capacity and skills among national malaria control program staff. Results from assessments found that participants retained knowledge and were able to apply what they learned to their work, but that additional modules were needed on malaria surveillance for pre-elimination contexts. Over 500 people applied to the workshops and 218 participants from 28 countries completed them.
The world of grading shelley widdowosn final01
- In an ideal world, diabetic retinopathy grading would be 100% sensitive and specific, correctly identifying all true positives and negatives. However, in reality, grading has limitations and is not perfect.
- Screening programs experience false negatives and positives due to factors like lesions outside the image field, opacities masking lesions, subjective interpretation, and grader error or distraction. This means some patients are inappropriately referred or not referred.
- Variation in national referral rates may be due to inconsistencies in grading between screening programs. Improving grading quality through regular audits could help increase screening uptake by limiting false referrals and allowing extension of rescreening intervals for low risk patients.
Gp2 drs update a proctor
This document provides an update on GP2DRS, which is a centralized solution for sharing patient data between GP practices and local diabetes screening programs. It automates the extraction of patient lists to identify those eligible for screening more accurately and reduce workload. Benefits include reduced risk of sight loss from missed screening and more timely identification of demographic changes. Implementation may initially increase administrative workload as new patients are identified. Future improvements could include automated coding updates and potential to extract additional patient information.
8. Economics of Population-based Access Strategies
James Demopoulos - Harnessing data intelligence at Lehigh Valley to quantify access to care investments and returns.
The Hidden Benefits of Nurse Prescribing in Care of the Older Person
The document discusses some hidden benefits of nurse prescribing that are not captured by the data collection system for nurse prescribing. These include:
1) Increased patient compliance through nurse education on the effectiveness and proper use of prescribed medications.
2) A proactive approach where nurses assess patients and determine antibiotic therapy is not needed in many cases, avoiding unnecessary prescriptions.
3) Promotion of best practices through staff education on reducing polypharmacy, improving medication use, and reducing errors.
The document concludes that nurse assessments and documentation of their practices are valuable but not always recorded in the prescribing data collection system. Local audits can help capture the full benefits of nurse prescribers.
Recommended
PrEP Implementation Planning for the US
CHAMP Monthly Teleconference Training - PrEP's the Word: Everyone's Talking About It... But What Do We Need To Know, And Do, About Pre-Exposure Prophylaxis
taft-New Tactics for Building Medical Homes in State Medicaid in Nebraska
Patricia (Pat) Taft, Program Specialist, Division of Medicaid and Long-Term Care, Nebraska Department of Health and Human Services discusses Nebraska's Medical Home Medicaid Pilot at webinar New Tactics for Building Medical Homes in State Medicaid and CHIP Programs on December 16, 2010
Conference Poster
The document describes the development of an implementation intervention to increase mammography screening rates among underserved women using a systematic approach. It utilized intervention mapping to develop seven implementation interventions including site assessments, a stakeholder group, training, a computer-assisted script, an e-newsletter, and identification of barriers. The implementation interventions were developed using diffusion of innovations theory, social cognitive theory, and consolidated framework for implementation research constructs. Clinics will be surveyed at baseline and after implementation to assess changes in the consolidated framework for implementation research constructs.
Monitoring and Evaluation Workshops: An approach to improve malaria informati...
The document summarizes regional monitoring and evaluation workshops held from 2010-2015 for malaria programs in sub-Saharan Africa. The workshops were organized by MEASURE Evaluation in collaboration with academic institutions and aimed to strengthen M&E capacity and skills among national malaria control program staff. Results from assessments found that participants retained knowledge and were able to apply what they learned to their work, but that additional modules were needed on malaria surveillance for pre-elimination contexts. Over 500 people applied to the workshops and 218 participants from 28 countries completed them.
The world of grading shelley widdowosn final01
- In an ideal world, diabetic retinopathy grading would be 100% sensitive and specific, correctly identifying all true positives and negatives. However, in reality, grading has limitations and is not perfect.
- Screening programs experience false negatives and positives due to factors like lesions outside the image field, opacities masking lesions, subjective interpretation, and grader error or distraction. This means some patients are inappropriately referred or not referred.
- Variation in national referral rates may be due to inconsistencies in grading between screening programs. Improving grading quality through regular audits could help increase screening uptake by limiting false referrals and allowing extension of rescreening intervals for low risk patients.
Gp2 drs update a proctor
This document provides an update on GP2DRS, which is a centralized solution for sharing patient data between GP practices and local diabetes screening programs. It automates the extraction of patient lists to identify those eligible for screening more accurately and reduce workload. Benefits include reduced risk of sight loss from missed screening and more timely identification of demographic changes. Implementation may initially increase administrative workload as new patients are identified. Future improvements could include automated coding updates and potential to extract additional patient information.
8. Economics of Population-based Access Strategies
James Demopoulos - Harnessing data intelligence at Lehigh Valley to quantify access to care investments and returns.
The Hidden Benefits of Nurse Prescribing in Care of the Older Person
The document discusses some hidden benefits of nurse prescribing that are not captured by the data collection system for nurse prescribing. These include:
1) Increased patient compliance through nurse education on the effectiveness and proper use of prescribed medications.
2) A proactive approach where nurses assess patients and determine antibiotic therapy is not needed in many cases, avoiding unnecessary prescriptions.
3) Promotion of best practices through staff education on reducing polypharmacy, improving medication use, and reducing errors.
The document concludes that nurse assessments and documentation of their practices are valuable but not always recorded in the prescribing data collection system. Local audits can help capture the full benefits of nurse prescribers.
STOP HIV/AIDS Pilot: Program Science and Systems Transformation
This document discusses the STOP HIV/AIDS Pilot project in British Columbia. The key points are:
1. It is a 3-year, $48 million pilot project across two sites - Vancouver and Prince George - to enhance early diagnosis and treatment of HIV.
2. The goals are to reduce HIV/AIDS cases, improve early detection of HIV, ensure timely access to treatment, improve client experience, and demonstrate system and cost optimization.
3. The project uses data and performance monitoring to establish baseline performance, identify gaps, set common goals and measures, and evaluate individual initiatives on a population level.
Wat lx cahspr_may_2017
This document summarizes a study that implemented a patient experience evaluation tool called the WatLXTM across 24 ambulatory rehabilitative care sites in Ontario involving 968 patients. The tool was found to be both valid and reliable for measuring patient experience. Key factors that contributed to the successful implementation included providing training webinars, developing relationships between stakeholders, clear communication, and Ontario's culture of focusing on patient experience. Future research will examine digitizing the survey to address resource and data entry challenges.
Developing a Framework for In-country Impact Evaluations of Malaria Control E...
Presented by Jui Shah, MEASURE Evaluation/ICF International, as part of a symposium organized by MEASURE Evaluation and MEASURE DHS at the 6th MIM Pan-African Malaria Conference.
CHWs on the Move_Bjerregaard_5.10.11
The document discusses assessing and improving community health worker (CHW) programs using the CHW AIM (Assess, Improve, Measure) toolkit. The toolkit includes a functionality matrix to assess CHW program design and implementation, intervention matrices to assess specific health services, and guides participants through a workshop process to conduct assessments, identify strengths and challenges, validate scores, and develop action plans for improvement. The goal is to provide a standardized yet adaptable approach to strengthening CHW programs globally.
Maternal Health Care Utilization and Subsequent Contraceptive Use
Findings from research conducted using secondary data from Kenya and Zambia to determine if there is a causal relationship between maternal health care utlization and susequent contraceptive use.
Diabetes, PHRs,at teams - Hopkins Capstone
The document proposes using personal health records and peer support teams to help disadvantaged urban diabetes patients better manage their condition. It suggests that giving patients control of their personal health records and decision support tools, as well as connecting them with a support team, may help improve empowerment, access to care, and health outcomes. Key metrics like HbA1c levels would be measured before, during, and after a 3-month intervention combining these approaches to evaluate its impact. The proposal references using principles from control systems engineering to design effective feedback loops to support patient self-management.
The High 5 S initiative
The document describes the High 5s Initiative, a project aimed at reducing common patient safety issues in hospitals across multiple countries. It does this through developing standardized operating protocols for issues like surgical site identification and medication reconciliation. Hospitals that implement the protocols provide data to evaluate their impact on reducing errors and harm over 5 years. The initiative also creates an international learning community for hospitals to share best practices. Initial participating countries include Australia, Canada, Germany, Netherlands, New Zealand, UK, and US. The long term vision is for leading hospitals worldwide to learn from each other's experiences in implementing clinical safety standards.
A tailored message campaign to improve the use of evidence in public health b...
1) A randomized controlled trial was conducted to test whether tailored messages could promote evidence-informed decision making in breast cancer prevention among public health units in Canada.
2) The intervention involved sending a series of 11 tailored messages over 11 weeks to staff in selected health units, while the control group received generic messages.
3) Preliminary results found the tailored messages were more effective at engaging staff, with the intervention group averaging higher unique visitors, page views and time spent on the website per message compared to the control group. Staff also reported finding the tailored messages very useful in modifying their programs.
Evaluation of the Impact of a Social Support Strategy on Treatment Outcomes
Shared at a data dissemination and data use workshop on the results of the impact evaluation of the Strengthening Tuberculosis Control in Ukraine project. Access another presentation at https://www.slideshare.net/measureevaluation/evaluation-of-the-tbhiv-integration-strategy-on-treatment-outcomes.
Dionisio Acosta: Clinical decision support systems
Dr Dionisio Acosta, University College London, on delivering a clinical decision support system for Cancer Multidisciplinary Meetings (MDMs).
What Would you say to this Patient Cancer Care Providers Attitudes and Experi...
What Would you say to this Patient Cancer Care Providers Attitudes and Experi...HMO Research Network
Providers find communicating about medical errors and adverse events challenging. In response to vignettes about a delayed cancer diagnosis and treatment delay, most providers acknowledged responsibility but were not always forthcoming about what occurred. While providers believe they communicate effectively, many patients may be reluctant to report concerns. Providers support encouraging patients to report serious care breakdowns and incorporating these reports into training to improve communication and care.Supply Chain Management Interventions for FP Commodities
The document summarizes the results of a 18-month intervention to improve family planning service uptake at HIV care and testing sites in Tanzania. The intervention focused on strengthening the supply chain system for family planning commodities. It found that regular supportive supervision, capacity building on supply chain management, and strategic meetings improved ordering rates from 12.5% to 100%, stock monitoring from 70% to 90%, and use of logistics reporting tools. Overall, family planning uptake among people living with HIV increased from 16% in 2012 to 74% in June 2015 due to the more stable commodity supply system. The intervention engaged local health managers and partners to sustainably address supply chain challenges.
National Chlamydia Coalition 2010 Evaluation
Presented by Sonal Doshi, Health Scientist, Division of STD Prevention, Centers for Disease Control and Prevention, and Victoria Beltran, ORISE Fellow, Division of STD Prevention, Centers for Disease Control and Prevention, at the 2010 National Chlamydia Coalition meeting.
Remote Monitoring of Rheumatoid Arthritis using a Smartphone app
Dr Lynn Austin, Research Fellow, University of Manchester:
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
6. Advanced Access and Predictive Analytics
Christopher Scaven, Renuka Sundaresan, David Sweeney, and Jordan Holland - Exploring an innovative access model that flips conventional scheduling theory on its side and sidesteps traditional access barriers.
KendraTinsley-HCPimmz-NPSF-for-mobile-app
The Kansas Healthcare Collaborative conducted annual surveys of healthcare personnel influenza vaccination rates in Kansas hospitals from 2008-2015. The surveys found vaccination rates increased from 64% in 2008-2009 to 91% in 2014-2015. Hospitals that implemented a policy requiring vaccination as a condition of employment achieved higher vaccination rates. Critical access hospitals with such a policy had comparable rates to larger hospitals. The collaborative provided educational resources and toolkits to help hospitals improve vaccination rates.
The Jigsaw of Interoperability at Scale - a focus on benefits
Andrew Fenton
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
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.
A Role for Mathematical Models in Program Science
Mathematical models can help answer key questions in program science by examining disease transmission dynamics at a population level. Program science can also inform mathematical modeling by generating data to validate and refine models, and asking novel questions that require new modeling approaches. Both fields stand to benefit from stronger collaboration, with program science generating diverse data to feed into models, and models providing insights into optimal intervention strategies under uncertainty.
APHA_SciMetrika_42x72
The document summarizes an evaluation of trainings provided to HIV prevention providers on interventions for persons living with HIV. It found that:
1) Training recipients reported high satisfaction with the trainings and felt motivated to implement the interventions, though many faced barriers to implementation like difficulties with recruitment and a lack of funding or time.
2) While over 40% had already implemented interventions after 90 days, many others wanted to but faced barriers, or were not yet ready.
3) Common barriers included difficulties recruiting participants, a lack of funding, and not having enough time, suggesting resources should help providers overcome such barriers.
Interventions to Improve RHIS Performance
The document summarizes findings from a workshop on improving routine health information systems in Guanajuato, Mexico. It found that data accuracy was high at facility and district levels, but data completeness was low at facilities and high at districts. Timeliness was also low at facilities and moderate at districts. Many facilities lacked data collection procedures manuals and data quality checking mechanisms. While most facilities performed data analysis, comparisons between service types were lacking. Technical staff found existing systems user-friendly and comprehensive, but integration between vertical programs was limited. Confidence in data tasks was above average but interpretation and use of information was lower. Facilities met about half of governance criteria and one third of supervision standards. The document calls for small groups to propose interventions
Strengthening Routine Facility-based Health Information Systems in Developing...
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.
More Related Content
What's hot
STOP HIV/AIDS Pilot: Program Science and Systems Transformation
This document discusses the STOP HIV/AIDS Pilot project in British Columbia. The key points are:
1. It is a 3-year, $48 million pilot project across two sites - Vancouver and Prince George - to enhance early diagnosis and treatment of HIV.
2. The goals are to reduce HIV/AIDS cases, improve early detection of HIV, ensure timely access to treatment, improve client experience, and demonstrate system and cost optimization.
3. The project uses data and performance monitoring to establish baseline performance, identify gaps, set common goals and measures, and evaluate individual initiatives on a population level.
Wat lx cahspr_may_2017
This document summarizes a study that implemented a patient experience evaluation tool called the WatLXTM across 24 ambulatory rehabilitative care sites in Ontario involving 968 patients. The tool was found to be both valid and reliable for measuring patient experience. Key factors that contributed to the successful implementation included providing training webinars, developing relationships between stakeholders, clear communication, and Ontario's culture of focusing on patient experience. Future research will examine digitizing the survey to address resource and data entry challenges.
Developing a Framework for In-country Impact Evaluations of Malaria Control E...
Presented by Jui Shah, MEASURE Evaluation/ICF International, as part of a symposium organized by MEASURE Evaluation and MEASURE DHS at the 6th MIM Pan-African Malaria Conference.
CHWs on the Move_Bjerregaard_5.10.11
The document discusses assessing and improving community health worker (CHW) programs using the CHW AIM (Assess, Improve, Measure) toolkit. The toolkit includes a functionality matrix to assess CHW program design and implementation, intervention matrices to assess specific health services, and guides participants through a workshop process to conduct assessments, identify strengths and challenges, validate scores, and develop action plans for improvement. The goal is to provide a standardized yet adaptable approach to strengthening CHW programs globally.
Maternal Health Care Utilization and Subsequent Contraceptive Use
Findings from research conducted using secondary data from Kenya and Zambia to determine if there is a causal relationship between maternal health care utlization and susequent contraceptive use.
Diabetes, PHRs,at teams - Hopkins Capstone
The document proposes using personal health records and peer support teams to help disadvantaged urban diabetes patients better manage their condition. It suggests that giving patients control of their personal health records and decision support tools, as well as connecting them with a support team, may help improve empowerment, access to care, and health outcomes. Key metrics like HbA1c levels would be measured before, during, and after a 3-month intervention combining these approaches to evaluate its impact. The proposal references using principles from control systems engineering to design effective feedback loops to support patient self-management.
The High 5 S initiative
The document describes the High 5s Initiative, a project aimed at reducing common patient safety issues in hospitals across multiple countries. It does this through developing standardized operating protocols for issues like surgical site identification and medication reconciliation. Hospitals that implement the protocols provide data to evaluate their impact on reducing errors and harm over 5 years. The initiative also creates an international learning community for hospitals to share best practices. Initial participating countries include Australia, Canada, Germany, Netherlands, New Zealand, UK, and US. The long term vision is for leading hospitals worldwide to learn from each other's experiences in implementing clinical safety standards.
A tailored message campaign to improve the use of evidence in public health b...
1) A randomized controlled trial was conducted to test whether tailored messages could promote evidence-informed decision making in breast cancer prevention among public health units in Canada.
2) The intervention involved sending a series of 11 tailored messages over 11 weeks to staff in selected health units, while the control group received generic messages.
3) Preliminary results found the tailored messages were more effective at engaging staff, with the intervention group averaging higher unique visitors, page views and time spent on the website per message compared to the control group. Staff also reported finding the tailored messages very useful in modifying their programs.
Evaluation of the Impact of a Social Support Strategy on Treatment Outcomes
Shared at a data dissemination and data use workshop on the results of the impact evaluation of the Strengthening Tuberculosis Control in Ukraine project. Access another presentation at https://www.slideshare.net/measureevaluation/evaluation-of-the-tbhiv-integration-strategy-on-treatment-outcomes.
Dionisio Acosta: Clinical decision support systems
Dr Dionisio Acosta, University College London, on delivering a clinical decision support system for Cancer Multidisciplinary Meetings (MDMs).
What Would you say to this Patient Cancer Care Providers Attitudes and Experi...
What Would you say to this Patient Cancer Care Providers Attitudes and Experi...HMO Research Network
Providers find communicating about medical errors and adverse events challenging. In response to vignettes about a delayed cancer diagnosis and treatment delay, most providers acknowledged responsibility but were not always forthcoming about what occurred. While providers believe they communicate effectively, many patients may be reluctant to report concerns. Providers support encouraging patients to report serious care breakdowns and incorporating these reports into training to improve communication and care.Supply Chain Management Interventions for FP Commodities
The document summarizes the results of a 18-month intervention to improve family planning service uptake at HIV care and testing sites in Tanzania. The intervention focused on strengthening the supply chain system for family planning commodities. It found that regular supportive supervision, capacity building on supply chain management, and strategic meetings improved ordering rates from 12.5% to 100%, stock monitoring from 70% to 90%, and use of logistics reporting tools. Overall, family planning uptake among people living with HIV increased from 16% in 2012 to 74% in June 2015 due to the more stable commodity supply system. The intervention engaged local health managers and partners to sustainably address supply chain challenges.
National Chlamydia Coalition 2010 Evaluation
Presented by Sonal Doshi, Health Scientist, Division of STD Prevention, Centers for Disease Control and Prevention, and Victoria Beltran, ORISE Fellow, Division of STD Prevention, Centers for Disease Control and Prevention, at the 2010 National Chlamydia Coalition meeting.
Remote Monitoring of Rheumatoid Arthritis using a Smartphone app
Dr Lynn Austin, Research Fellow, University of Manchester:
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
6. Advanced Access and Predictive Analytics
Christopher Scaven, Renuka Sundaresan, David Sweeney, and Jordan Holland - Exploring an innovative access model that flips conventional scheduling theory on its side and sidesteps traditional access barriers.
KendraTinsley-HCPimmz-NPSF-for-mobile-app
The Kansas Healthcare Collaborative conducted annual surveys of healthcare personnel influenza vaccination rates in Kansas hospitals from 2008-2015. The surveys found vaccination rates increased from 64% in 2008-2009 to 91% in 2014-2015. Hospitals that implemented a policy requiring vaccination as a condition of employment achieved higher vaccination rates. Critical access hospitals with such a policy had comparable rates to larger hospitals. The collaborative provided educational resources and toolkits to help hospitals improve vaccination rates.
The Jigsaw of Interoperability at Scale - a focus on benefits
Andrew Fenton
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
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.
A Role for Mathematical Models in Program Science
Mathematical models can help answer key questions in program science by examining disease transmission dynamics at a population level. Program science can also inform mathematical modeling by generating data to validate and refine models, and asking novel questions that require new modeling approaches. Both fields stand to benefit from stronger collaboration, with program science generating diverse data to feed into models, and models providing insights into optimal intervention strategies under uncertainty.
APHA_SciMetrika_42x72
The document summarizes an evaluation of trainings provided to HIV prevention providers on interventions for persons living with HIV. It found that:
1) Training recipients reported high satisfaction with the trainings and felt motivated to implement the interventions, though many faced barriers to implementation like difficulties with recruitment and a lack of funding or time.
2) While over 40% had already implemented interventions after 90 days, many others wanted to but faced barriers, or were not yet ready.
3) Common barriers included difficulties recruiting participants, a lack of funding, and not having enough time, suggesting resources should help providers overcome such barriers.
What's hot (20)
STOP HIV/AIDS Pilot: Program Science and Systems Transformation
STOP HIV/AIDS Pilot: Program Science and Systems Transformation
Developing a Framework for In-country Impact Evaluations of Malaria Control E...
Developing a Framework for In-country Impact Evaluations of Malaria Control E...
Maternal Health Care Utilization and Subsequent Contraceptive Use
Maternal Health Care Utilization and Subsequent Contraceptive Use
A tailored message campaign to improve the use of evidence in public health b...
A tailored message campaign to improve the use of evidence in public health b...
Evaluation of the Impact of a Social Support Strategy on Treatment Outcomes
Evaluation of the Impact of a Social Support Strategy on Treatment Outcomes
Dionisio Acosta: Clinical decision support systems
Dionisio Acosta: Clinical decision support systems
What Would you say to this Patient Cancer Care Providers Attitudes and Experi...
What Would you say to this Patient Cancer Care Providers Attitudes and Experi...
Supply Chain Management Interventions for FP Commodities
Supply Chain Management Interventions for FP Commodities
Remote Monitoring of Rheumatoid Arthritis using a Smartphone app
Remote Monitoring of Rheumatoid Arthritis using a Smartphone app
The Jigsaw of Interoperability at Scale - a focus on benefits
The Jigsaw of Interoperability at Scale - a focus on benefits
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
Addressing Complexity in the Impact Evaluation of the Cross-Border Health Int...
Similar to Assessment Guanajuato Case Study Methodology
Interventions to Improve RHIS Performance
The document summarizes findings from a workshop on improving routine health information systems in Guanajuato, Mexico. It found that data accuracy was high at facility and district levels, but data completeness was low at facilities and high at districts. Timeliness was also low at facilities and moderate at districts. Many facilities lacked data collection procedures manuals and data quality checking mechanisms. While most facilities performed data analysis, comparisons between service types were lacking. Technical staff found existing systems user-friendly and comprehensive, but integration between vertical programs was limited. Confidence in data tasks was above average but interpretation and use of information was lower. Facilities met about half of governance criteria and one third of supervision standards. The document calls for small groups to propose interventions
Strengthening Routine Facility-based Health Information Systems in Developing...
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.
Strengthening his in lac global health council meeting may30 2007
PAHO and Measure Evaluation Project collaborative work to strengthing Health Information System (HIS) in
Developing global his standard mini u
The document provides an overview of the Health Metrics Network (HMN) and Performance of Routine Information Systems Management (PRISM) frameworks and tools for developing global standards for health information systems. It describes how HMN can assess and analyze a country's various health information systems to identify strengths, weaknesses, and priorities for improvement. PRISM aims to strengthen routine health information systems by addressing technical, behavioral, and organizational factors that influence system performance. The frameworks have been applied in various countries to improve health information system design, monitoring, and evaluation.
WASHINGTON DC CONFERENCE EVALAUTION SUMMARY How to Achieve High Reliability w...
This document summarizes a presentation on achieving high reliability in healthcare organizations using TeamSTEPPS. The presentation highlighted Hunterdon Medical Center's 10-year experience transforming their processes and communication safety using TeamSTEPPS tools. They showcased how different departments customized TeamSTEPPS to co-create daily goals and improve outcomes in patient safety, safety culture, and unit performance. The presentation aimed to provide strategies for deeply embedding TeamSTEPPS behaviors to consistently achieve outstanding results and a highly reliable state of performance.
Assessing diffusion and Implementation of clinical practice guidelines in Mexico
This document evaluates the success of clinical practice guideline (CPG) diffusion and implementation in Mexico's National Health System. A survey of 480 randomly sampled primary and secondary health centers found that 80% reported access to CPGs online, but only half had printed copies. Overall CPG training was 56%. While knowledge and perception of CPGs was generally positive, barriers to effective implementation included lack of resources, training, and time. The study concludes that CPG distribution is good but implementation varies and requires further work.
Transforming Clinical Practice through Terminology
The document discusses a project called Project GAIN that aims to:
1) Transform clinical practice by developing a standardized clinical terminology and data set using frameworks like Omaha System, InterRAI, and SNOMED-CT.
2) Improve clinical documentation by nurses and allied health professionals to describe patient outcomes and enable health information sharing.
3) Involve a four stage project to develop an electronic clinical record prototype using a standardized terminology that will be implemented and staff trained on.
Team 7 Group Project: Evaluation of CIS
A clinical information system (CIS) integrates various technologies to provide a centralized repository of patient information to help clinicians make decisions. Key players in choosing, implementing, and revising a CIS include nurses, physicians, pharmacists, hospital administration, support staff, IT personnel, patients/families, and other health professionals. An effective CIS contains components like the electronic health record, order entry, decision support, and communication tools to safely and efficiently deliver patient care.
Part I-Achieving Universal Health Coverage: The Role of Routine Health Inform...
Part I-Achieving Universal Health Coverage: The Role of Routine Health Inform...Routine Health Information Network
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.
Readiness to Train Assessment Tool™ - National Launch
The Development and Validation of a Tool to Assess Health Center Readiness to Train Health Professionals
September 23rd, 2020 3:00 pm EST
Competency Validation: An Advisory Board Approach
Over the past decade competency has gone from buzzword to requirement in healthcare. The Joint Commission, along with federal and state regulatory agencies, has increasingly focused on staff competency with each coming year. Why this focus on competency?
Assessment 3PRINTPatient Discharge Care Planning .docx
Assessment 3
PRINT
Patient Discharge Care Planning
prepare a written analysis of key issues, 6–7 pages in length, applicable to the development of an effective patient discharge care plan.
The Institute of Medicine's 2000 report
To Err Is Human
:
Building a Safer Health System
identified health information technology (HIT) as one avenue to explore to reduce avoidable medical errors. As a result of the IOM report and suggestions for patient advocacy groups, health care organizations are encouraged to act by utilizing HIT to improve patient quality and safety.
SHOW LESS
Health care organizations determine outcomes by how patient information is collected, analyzed, and presented, and nurse leaders are taking the lead in using HIT to bridge the gaps in care coordination. This assessment provides an opportunity for you to analyze the effects of HIT support, data reporting, and EHR data collection on effective care planning.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs.
Explain how HIT can be used to provide a longitudinal, patient-centered care plan across the continuum of care.
Competency 2: Explain the relationship between care coordination and evidence-based data.
Describe ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional idea development.
Competency 3: Use health information technology to guide care coordination and organizational practice.
Explain how information collected from client records can be used to positively influence health outcomes.
Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
Write clearly and concisely, using correct grammar and mechanics.
Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
Reference
Institute of Medicine. (2000).
To err is human: Building a safer health system
. Washington, DC: National Academies Press.
Competency Map
CHECK YOUR PROGRESS
Use this online tool to track your performance and progress through your course.
Toggle Drawer
ResourcesHealth Informatics
Mosier, S., & Englebright, J. (2019).
The first step toward reducing documentation: Defining ideal workflows.
CIN: Computers, Informatics, Nursing, 37
(2), 57–59.
Yang, Y., Bass, E. J., Bowles, K. H., & Sockolow, P. S. (2019).
Impact of home care admission nurses' goals on electronic health record documentation strategies at the point of care.
CIN: Computers, Informatics, Nursing, 37
(1), 39–46.
SHOW LESS
Writing Resources
You are encou.
Technology Considerations to Enable the Risk-Based Monitoring Methodology
TransCelerate BioPharma Inc developed a methodology based on the notion that shifting monitoring processes from an excessive concentration on source data verification to comprehensive risk-driven monitoring will increase efficiencies and enhance patient
safety and data integrity while maintaining adherence to good clinical practice regulations. This philosophical shift in monitoring processes employs the addition of centralized and off-site mechanisms to monitor important trial parameters holistically, and it uses adaptive on-site monitoring to further support site processes, subject safety, and data quality. The main tenet is to use available data to monitor, assess, and mitigate the overall risk associated with clinical trials. Having the right technology is critical to collect and aggregate data, provide analytical capabilities, and track issues to demonstrate that a thorough quality management framework is in place. This paper lays out the high-level considerations when designing and building an integrated technology solution that will aid in scaling the methodology across an organization’s portfolio.
Mixed methods research design.pdf
- Staff at an oncology unit received TeamSTEPPS training to improve teamwork and communication.
- Surveys before and after training found statistically significant improvements in perceptions of team structure, communication, and teamwork. Knowledge increased slightly but not significantly.
- Focus groups identified facilitators like huddle times and barriers like attitudes, and suggested continuing education and orientation integration to sustain improvements.
Reply to my peersBegin reviewing and replying to peer postings.docx
Reply to my peers
Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the
goal of of positive progress.
As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this
APA Citation Helper
as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below
Include references with peer responses
Question
Read the process for data collection employed in the study.
Identify the method used in the study.
Provide a list of the tasks performed as part of data collection in the study, add comments as needed.
Draw conclusions about the data collection process.
Peer #1
Study 1
:
Course content related to chronic wounds in nursing degree programs in Spain.
Brief Description of Method Employed:
This study was conducted to determine the amount of material being taught in nursing degree programs in Spain that was related to chronic wounds using a quantitative cross-sectional design. “Chronic wounds are a major factor in morbidity, mortality, and healthcare costs.” (Romero-Collado, Raurell-Torreda, Zabaleta-Del-Olmo, Homs-Romero, & Bertran-Noguer, 2015).
Data Collection Steps (add more steps if needed)
Study – describe the process of how data were collected
Comments about the data collection
Step 1
Analysis/Identified problem: Analyze the material related to chronic wounds being taught in nursing degree programs in Spain.
This study identifies if nurses were adequately educated about the prevention and treatment of chronic wounds.
Step 2
Identify the source of data collection
The source of the data collection includes identifying the colleges, universities, and education centers that offered nursing education.
Step 3
Method of data collection
The data was collected by analyzing the required courses that were either exclusively about chronic wounds or included information about chronic wounds. The information used in this study also had this information available online to the public by publishing the course description.
Step 4
Data collection
Data was collected by gathering the course descriptions online that were available from June and July of 2012 from the 114 centers in Spain that offer a nursing degree.
Step 5
Findings
Of the 114 centers with nursing degree programs, 95 post course content online which make it possible to analyze 2,258 courses. In 60 of these centers none of the courses included the concept of pressure ulcer prevention, and the course content posted by 36 centers made no m.
Big data, RWE and AI in Clinical Trials made simple
Technology is slowly but surely penetrating the healthcare industry in general and the clinical trials sector in particular. New and advanced solutions offer a variety of possibilities aimed to both improving existing processes and creating new and more efficient ones. And on top of all stands the desire to make clinical trials more patient centric.
In all of this, even though some of the technologies have yet to mature enough to meet the high quality standards necessary, it is important to know them and begin imagining the promise they hold for clinical trials.
Decision Support System Enabled Data Warehouses for Improving the Analytic Ca...
“Decision Support Systems for Improving the Analytic Capacity of HIS in Developing Countries”
Mike Edwards (MEASURE Evaluation), Presenter. Co-author: Theo Lippeveld (MEASURE Evaluation)
Presentation given
ACT Implementation in SAFTINet
Sills MR. ACT Implementation in SAFTINet : Summary and Remaining Questions. SAFTINet Research Teleconference. 13 July 2011.
Evans Days Poster_MDC_final
The document discusses the implementation and evaluation of a Memory Disorders Clinic (MDC) at Boston Medical Center using a mixed methods approach guided by the PARiHS framework. The MDC aims to improve care for the growing elderly population experiencing memory loss. Qualitative and quantitative data were collected from clinic providers, referring providers, interpreters, patient and caregiver surveys, and medical charts. Preliminary results found high satisfaction among referring providers and patients/caregivers with the MDC's services, family-centered approach, and cultural competency in addressing the needs of English and non-English speaking populations. The evaluation seeks to identify best practices to ensure the MDC's feasibility, sustainability, and quality of care.
Mph thesis slides
This document is the thesis submitted by Akumengwa Neba N to the Department of Public Health and Hygiene at the University of Buea in November 2014. The thesis assesses the health information system in Buea Health District. It includes background on health information systems and their components. The study aims to evaluate the adequacy of the health information system and identify priority areas for improvement. The methodology describes a cross-sectional study using interviews and assessment tools. The results found that data management was inadequate while other components were adequate or highly adequate. Key weaknesses identified were in data management, resources, and dissemination/use. Priority areas for improvement included strengthening data management, resources, vital statistics collection, and information analysis and
Similar to Assessment Guanajuato Case Study Methodology (20)
Strengthening Routine Facility-based Health Information Systems in Developing...
Strengthening Routine Facility-based Health Information Systems in Developing...
Strengthening his in lac global health council meeting may30 2007
Strengthening his in lac global health council meeting may30 2007
WASHINGTON DC CONFERENCE EVALAUTION SUMMARY How to Achieve High Reliability w...
WASHINGTON DC CONFERENCE EVALAUTION SUMMARY How to Achieve High Reliability w...
Assessing diffusion and Implementation of clinical practice guidelines in Mexico
Assessing diffusion and Implementation of clinical practice guidelines in Mexico
Transforming Clinical Practice through Terminology
Transforming Clinical Practice through Terminology
Part I-Achieving Universal Health Coverage: The Role of Routine Health Inform...
Part I-Achieving Universal Health Coverage: The Role of Routine Health Inform...
Readiness to Train Assessment Tool™ - National Launch
Readiness to Train Assessment Tool™ - National Launch
Assessment 3PRINTPatient Discharge Care Planning .docx
Assessment 3PRINTPatient Discharge Care Planning .docx
Technology Considerations to Enable the Risk-Based Monitoring Methodology
Technology Considerations to Enable the Risk-Based Monitoring Methodology
Reply to my peersBegin reviewing and replying to peer postings.docx
Reply to my peersBegin reviewing and replying to peer postings.docx
Big data, RWE and AI in Clinical Trials made simple
Big data, RWE and AI in Clinical Trials made simple
Decision Support System Enabled Data Warehouses for Improving the Analytic Ca...
Decision Support System Enabled Data Warehouses for Improving the Analytic Ca...
More from Routine Health Information NetwOrk (RHINO)
Country Health Systems Surveillance (Chess) E N
This document outlines the strategic workplan for the Country Health Systems Surveillance (CHeSS) platform. CHeSS aims to improve the availability, quality, and use of health data to inform country health sector reviews and monitoring. It will pursue this goal through three main workstreams: 1) Improving access to and analysis of health data through a country-focused web platform; 2) Addressing data gaps; and 3) Building institutional capacity in countries. The first workstream will focus on providing easy access to country health statistics, estimation tools and results, communication tools, and international standards through an online platform maintained by WHO.
Country Health Systems Surveillance (Chess) En
This document outlines the strategic workplan for the Country Health Systems Surveillance (CHeSS) platform. CHeSS aims to improve the availability, quality, and use of health data needed to monitor health progress and system performance at the country level. It will pursue this goal through three main workstreams: 1) Improving access to and analysis of health data through a country-focused web platform; 2) Addressing data gaps; and 3) Building institutional capacity in countries. The first workstream focuses on making country health data, statistics, tools, and standards more accessible online to inform decision-making while minimizing reporting burdens.
Country Health Systems Surveillance
This document outlines the strategic workplan for the Country Health Systems Surveillance (CHeSS) platform. CHeSS aims to improve the availability, quality, and use of health data at the country level to inform health sector reviews and planning, as well as global monitoring efforts. It will pursue this goal through three main workstreams: 1) Improving access to and analysis of health data, 2) Addressing data gaps, and 3) Building institutional capacity for health information systems. A rapid country assessment of current health information practices, demand, supply, and capacity will inform the CHeSS approach in each country.
Country Health Systems Surveillance
This document outlines the strategic workplan for the Country Health Systems Surveillance (CHeSS) platform, which aims to improve the availability, quality, and use of health data at the country level. The main goal is to strengthen countries' ability to monitor their health systems and inform planning processes. This will be achieved through three workstreams: 1) Improving access to and analysis of health data; 2) Addressing gaps in health data; and 3) Building institutional capacity for health information systems. A rapid assessment of countries will evaluate demand and use of health information, data availability and quality, and institutional capacity. The first workstream focuses on increasing access to databases, communicating key health indicators, and making analytic reports more accessible
Country Health Systems Surveillance
This document outlines the strategic workplan for the Country Health Systems Surveillance (CHeSS) platform. CHeSS aims to improve the availability, quality, and use of health data at the country level to inform health sector reviews and planning. It also seeks to strengthen global health monitoring while minimizing country reporting burdens. The workplan focuses on three main areas: 1) Improving access to and analysis of health data through a web-based platform; 2) Addressing data gaps; and 3) Building institutional capacity in countries. The first workstream specifically aims to provide easier access to country health statistics, tools, reports, and standards through an online portal maintained by WHO.
Information Communication Technology in Routine Health Information Systems
Information Communication Technology in Routine Health Information SystemsRoutine Health Information NetwOrk (RHINO)
The document discusses challenges faced with routine health information systems (RHIS) in several African countries and how the District Health Information Software (DHIS) was used to address them. Some key points:
- Countries were using Excel spreadsheets and rigid databases that couldn't adapt to changing needs or integrate different programs.
- DHIS standardized data collection, allowed customization by local staff, and integrated vertical programs into a single system with improved analysis capabilities.
- It helped countries like Zimbabwe import historical data, Myanmar manage quarterly TB data, and Liberia develop an essential indicator dataset across all programs.
- DHIS also facilitated data collection in multiple languages like English and French in the DRC. LocalDHS vs. Service Data
The document compares estimates of HIV prevalence, caesarean section rates, and maternal health indicators between different data sources in multiple countries. For HIV prevalence in sub-Saharan Africa, estimates from antenatal clinic surveillance tend to be higher than household surveys nationally but more similar when limited to areas near clinics. Caesarean section rates from national surveys in developing countries also tend to be higher than rates reported in health facility records. Estimates of indicators like institutional births and caesarean sections in Peru from national health information systems understate rates compared to demographic and health surveys due to limited private health sector coverage in routine data.
Time trends & patterns, TB
The document discusses methods for assessing the quality of health surveillance data used to monitor disease trends and inform public health programs and policies. It describes key factors that can impact data quality, such as changes in case finding efforts, recording and reporting systems, and case definitions. The document outlines indicators and analytical approaches that can help identify issues with completeness, consistency, and reliability of notification data over time and across regions. This includes checks for unusual fluctuations, variations in notification rates, and consistency of case type proportions. The next steps proposed are to establish data quality review units, conduct in-depth analyses guided by quality checks, and develop online platforms to share best practices.
Assessment & adjustment for data quality used in the South African DISTRICT ...
Assessment & adjustment for data quality used in the South African DISTRICT ...Routine Health Information NetwOrk (RHINO)
This document summarizes an assessment of data sources and quality used in South Africa's District Health Barometer. It finds that census and vital statistics data are generally adequate, while population surveys, health records, service records, and resource records are only present but not adequate. Health records in particular have problems of being burdensome, incomplete, of poor quality, and having inadequate staffing. The document reviews challenges with health data management and discusses specific issues with HIV prevalence data sources and vital statistics reporting.Country Health Systems Surveillance (Chess) E N
This document outlines the strategic workplan for the Country Health Systems Surveillance (CHeSS) platform. CHeSS aims to improve the availability, quality, and use of health data to inform country health sector reviews and monitoring. It will pursue this goal through three main workstreams: 1) Improving access to and analysis of health data through a country-focused web platform; 2) Addressing data gaps; and 3) Building institutional capacity in countries. The first workstream will focus on providing easy access to country health statistics, estimation tools and results, communication tools, and international standards through an online platform maintained by WHO.
Innovations in ICT
The document discusses innovations in information and communication technologies (ICT) for health information systems. It addresses questions around integrating data from different sources, ensuring systems can communicate through interoperability and standardization, and challenges of infrastructure in rural areas. Mobile phones are discussed as both empowering local health workers but also potentially increasing fragmentation if outsourced to Western companies. Building local capacity for new ICT skills is also addressed.
HIS Strategy in Kenya
The document summarizes Kenya's health information strategy, including past challenges, current initiatives, and future vision. It identifies that previously there was inadequate data collection infrastructure, weak coordination and feedback, and lack of an HIS policy. The current strategy aims to improve data management, link vital registration systems, enhance staff capacity, improve resource use for sustainability, and strengthen ICT use. Ongoing activities include developing web-based data systems, acquiring district software, training staff, and harmonizing indicators to realize the vision of integrated electronic health information sharing across levels of care.
Innovations in ICT
The document discusses innovations in information and communication technologies (ICT) for health information systems. It addresses questions around integrating data from different sources, achieving interoperability and standardization, dealing with uneven infrastructure across countries, and the role of mobile phones. It proposes a free and open source public health toolkit that leverages existing tools and provides an extensible platform for technology and data integration.
Enterprise Architecture and RHIS
The document discusses the need for enterprise architecture and electronic health systems in developing countries. It notes that currently many countries have fragmented and duplicative health information systems due to a lack of national eHealth policies and standards. The document advocates for adopting an enterprise architecture approach to conceive integrated eHealth systems that are interoperable and scalable. It provides definitions of key concepts like eHealth, enterprise architecture, and highlights frameworks like TOGAF that can guide the development of aligned health enterprise and information system architectures.
RHIS Performance Improvement: Examples of Interventions
This document discusses interventions to improve routine health information systems (RHIS) performance at multiple levels. It describes examples of technical interventions such as defining essential indicators, standardizing data collection, and developing computerized data analysis applications. Organizational and behavioral interventions discussed include participatory decision-making, providing appropriate resources, and creating incentives for information use. The document also discusses how RHIS can help integrate district health systems through functional databases, integrating public and private health information, and integrating individual and community health interventions.
Sesion 4.5 university of gto
Este documento describe el Sistema de Información Nominal, Automatizado con Enfoque de Riesgo en Salud (SINACER) desarrollado por la Universidad de Guanajuato y la Secretaría de Salud de Guanajuato. El SINACER tiene como objetivo unificar los procesos de servicios de salud en el estado y proporcionar la movilidad electrónica de expedientes médicos. Hasta la fecha se han realizado diagnósticos de la infraestructura, sistemas y procesos de salud, así como aspectos socioculturales. Se
Sesion 4.2 china guangix rhino ppt
The document summarizes a project to strengthen HIV/AIDS reporting and health management information systems in Guangxi Province, China. The project used a baseline survey, training activities, monitoring, and an endline evaluation to improve data skills and use of performance tools in 6 intervention counties. Training covered data interpretation, information use, and better HIV/AIDS service management using data. Monitoring found that the project improved data analysis, information use, supervision, and feedback at health facilities and in counties.
RHIS Policy and Regulatory Framework
El documento describe el Sistema Nacional de Información en Salud de México (SINAIS). Explica que el SINAIS ha evolucionado positivamente en años recientes para captar y difundir información de calidad que apoye la toma de decisiones. También describe los objetivos y componentes del SINAIS, incluyendo sus subsistemas de información y marco legal, con el fin de integrar y coordinar la información en salud en México.
Performance-Based Financing
This document discusses performance-based financing (PBF) models implemented in Rwanda. It provides background on PBF, outlines key principles like separating purchasers and providers, and describes the three initial PBF pilot models in Rwanda. It then discusses scaling up PBF nationwide, including developing national PBF models for health centers and hospitals. The results section highlights increased service volumes, improved quality of services, and enhanced provider motivation associated with PBF implementation in Rwanda.
Innovations in Information Communication Technology
The document discusses innovations in information and communication technologies (ICT) for health information systems. It addresses questions around integrating data from different sources, ensuring systems can communicate through interoperability and standardization, and how to implement health information systems uniformly despite uneven infrastructure. Mobile phones are discussed as both empowering local health workers but also potentially increasing fragmentation if outsourced to Western companies. Building local capacity for new ICT skills is also addressed.
More from Routine Health Information NetwOrk (RHINO) (20)
Information Communication Technology in Routine Health Information Systems
Information Communication Technology in Routine Health Information Systems
Assessment & adjustment for data quality used in the South African DISTRICT ...
Assessment & adjustment for data quality used in the South African DISTRICT ...
RHIS Performance Improvement: Examples of Interventions
RHIS Performance Improvement: Examples of Interventions
Innovations in Information Communication Technology
Innovations in Information Communication Technology
Recently uploaded
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
share - Lions, tigers, AI and health misinformation, oh my!.pptx
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Recently uploaded (20)
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Assessment Guanajuato Case Study Methodology
- 1. 4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 3.2: Assessment Guanajuato Case Study Methodology
- 4. The State of Guanajuato
- 5. Health Facilities In Guanajuato
- 7. The Sample
- 8. Geographic distribution of the sample