HIS 567
Health Informatics
application of both technology and systems in a health care setting
technical determinants
data collection process, systems, forms and methods
health management information system
data collection system specifically designed to support planning, management and decision making in health facilities and organizations
information products
data is transformed into useful information that serves as evidence and provides insight crucial to shaping a health action
health metrics network (HMN)u
defined HIS into six componentsi
PRISM framework
defines the various components of the routine health info system and their linkages to produce better quality data
behavioral, oraganizational, technical
determinants of HMIS perfomance area
Accounts Receivable management
ensures that costumers are properly notified about their bill and will settle it accordingly
population and institution based sources
essential for decision making as they provide guide to health service delivery
Health risk information
Records the lifestyle and behavior of a patient. This is used to evaluate the patients propensity for different diseases
M&E system
Required to assess the effect of an integrated service delivery
health information systems
it covers the records, coding, documentation, and administration of patient and ancillary services
behavioral determinants
knowedge, skills, attitudes, values, motivation
Core of the framework (M&E)
Strengthening of a common country platform for the M&E of HSS
Evaluation
Systematic assessment of completed programs or policies
behavioral determinants
must have confidence, motivation, and competence to perform HMIS
core indicators
needed as bases for program planning,monitoring and evaluation
Scheduling
observed to distribute resources to areas that need them
better control
only authorized personnel can have access on the patients health
health information systems resources
personnel, logistics support, financing, ICT, and the component's coordinating mechanism
Population-based approach
planning processes used with large populations (census, civil registration, population surveys)
Outcomes Data
present the measures of after effects of health care and various health problems
data storage
preservation and archiving of data
Inputs
refer to the HIS resources
Outputs
refer to the transformation of data into information that can be used for decision making and to the dessimination and use of such information
Reporting
refers to reports issed by the entity which could be basic reports or report writer
Information System
refers to the ability to analyze and implement applications for efficient and effective transfer of patient information
demographic data
refers to the facts about the patient which include age and birthdate
billing
refers to the notification of the charges for the patient and other related documents
Manangement
refers to the principles that help administer the health care enterprise
Health Status
refers to the quality of life that a patient leads which is crucial to his or her heath
current medical management
reflects the patients health screening sessions, diagnoses, allergies, current health problems
client data
relates to all information of the client
Data Computation
requires various forms of data manipulation, and data transformation allows data analysis, synthesis, and evaluation so that data can be used not only for decision making but also for other technical and operational use
COMPLETE CONSISTENT SIMPLE CLEAR ACCESS CONFIDENTIALITY COST EFFECTIVENESS
roles of hmis
HMIS
set of integrated components and procedures organized with the objective of generating information that will improve health care management decisions at all levels of the health system
Confidentiality
the ____ of patient information and data privacy should always be top priority
indicators
the basis of the HIS plan and strategy includes ____ and related targets
health
the clinical studies to understand medical terminologies, clinical procedures and data base processes
-health information resources -indicators - data sources - data management -information products -dessimination and use
the components of HIS
Data Input
the data acquisition and data verification
Data verification
the data authentication and validation
Data Classification
the data organization, which sets the efficiency of the system
indicators
the determinants of health, health system inouta, outputs, outcomes and health status
-demographic data -administrative data -health risk informatiob -health status -patient medical history -current medical management -outcomes data
the different data sources of HIS
data acquisition
the generation and collection of data to assist in the faster mechanical reading and capturing of data
data management
the handling of data, from collection and storage to data flow and quality assurance, processing, compilation and data analysis
process
the indicators, data sources, data management
relevant
the information collected is _____ to the policies and goals of the health care institution and the responsibilities of the health professionals at the level of collection
functional
the information collected is ______ and it is used to be immediately for manangment and should not wait for feedback from higher levels
collected
the information is _____ on a routine basis from every health unit
financial data
the information relating the performance of the entity collected for administering purposes, include financial reports, general ledger, payroll and accounts payable
compliance
the procedure that should be followed for the imorovement of the condition of the patient or service provided such as treatment plan and progress notes
data retrieval
the process of data transfer and data distribution
Data presentation
the reporting of the interpretation of the information produced by the system sunmary tables and statistical reports are expected
organizational determinants
the structure of the heath instituion affects the development of RHIS
health information systems
this cover different systems that capture, store, manage and transmit health related information that can be sourced from individuals or acritivities od a health institution
major role of HMIS
to provide quality information to support decision making at all levels of the health care system
Sheahan (2017)
according to ____ HIS is a mechanism which keeps track of all data related to the patient
republic of uganda ministry of health resource center
according to _____, HMIS aims to aid in setting of performance targets at all levels of health service delivery to assist in assessing performance at all levels of the health sector
health management information system
accrd. to WHO it is specially design to assist in the management and planning of health programmes as opposed to delivery care
easier update
after the creation of record, patient information can be accessed and reviewed any time and copies can be printed or released to the patent upon request
role of HMIS
aims to aid in setting of performance targets at all levels of health service delivery to assist in assessing performance at all levels of the health sector
medical record
also called EHR , collection of digital information of the patient
data management
also called the processing phase that includes data storage, data classification, data update, and data computation
sustainable, user friendly, economical
an HIS should be __________
Monitoring
Collection, analysis, and use of information gathered from programs for the purpose of learning from the acquired experiences.
-data input -data management -data output
FUNCTIONS OF HMIS
Objective of Evaluation
Gauge the effectiveness of the program
improved communications
HIS assists communication among doctors and hospitals. however, medical professionals.must adhere to regulations on patient privacy and security to ensure the info. is kept confidential and safe from unauthorized access
dessimination and use
HIS enhances the value of health information by making it readily available to policymakers and data users
Human Resource Management information system
HRMIS
Laboratory information system
LIS
PRISM framework
Model for helping managers understand dimensions of potential value, maximize that value, and minimize risk
Patient administration systems
PAS
Where was M&E derived from?
Paris declaration of aid harmonization and effectiveness; international Health Partnership
good HIS
a ____ delivers accurate info. in a timely manner, enabling decision makers to make informed choices about the different aspects of health institution from patient care to annual budgets
easier access to files
a function where systems are revolutionized in collecting and managing of patient information. the needed hardcopy of the patient's medical records becomes optional as the systems are electronic
Data update
facilitates new and changing information and requires constant monitoring
authorization tracking
focuses on monitoring of the authorized personnel and their use of authorized units
health information technolohy
focuses on tools
framework and standards for country health information systems
from where did the HMN defined the six components
-client data -scheduling -authorization tracking -billing -accounts receivable management -reporting -medical record -compliance -financial data
functions of HMIS the can captured and tracked in the system
patient medical history
gives information on past medical encounters like hospital admissions, pregnancies and live births surgucal procedures, precious illness and family history
data sources
has two parts population based approcaches and in institution based data
access
hmis eligible userve must have ___ and should be able to use the system with ease
Cost effectiveness
hmis must prove its ____ through its operations
simple and clear
hmis should also be ____ as to what is measured by the elements
complete
hmis should be ___ with all info but avoiding duplication
consistent
hmis should be ____ in assugning definitins to similar information from various sources
PRISM framework
identifies the strength and weaknesses in certain areas
health status
include domains of health like physical functioning, mental and emotional well being , cognitive functioning and social functioning
data outputs
includes data retrieval and data presentation
administrative data
includes information on services such as diagnostic tests or out patient procedures, kind of practitioner...
health information systems resources
includes the framework on legislation, regulation, planning and the resources required for the system to be fully funcrional
institution based data
individual records, resource records, service records
integrated
information collection is ____ for there is one set of forms and no duplication of reporting
organizational/ environmental determinants
information culture, structure, resources, roles and responsibilities of the health system
technic deteminants
involve the overall design used in the collection of information
-easier access to files -better control - easier update - improved communications
what are the roles and function of HIS