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Health Management
Information Systems
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Why health information system?
Good management is a prerequisite for
increasing the efficiency of health services.Improved health
information system is clearlylinked to good management.
Information is crucial at all management levels
of the health services from periphery to thecentre. It is
required by policymakers,managers, health care providers,
communityhealth workers.
Changing the way information is gathered,processed, and used for
decision-makingimplies changing the way an
organizationoperates.
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DefinitionsSystem- Any collection of components that work
together to achieve
a common objective.
Health System- All the activities whose primary purpose is
topromote, restore or maintain health.
Information- Meaningful collection of facts or data.
Information System- Systems that provide specific
informationsupport to the decision-making process at each level of
anorganization.
Health Information System - A set of components andprocedures
organized with the objective of generating
information which will improve health care managementdecisions
at all levels of the health system.
The ultimate objective of health information systemis not to
gain information but to improve
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What is wrong with current health MIS?
Irrelevance of the information gathered
Poor quality of dataDuplication and waste among parallelhealth
information system
Lack of timely reporting and feedbackPoor use of information
The difference in culture between data
people and decision makers: Planning andmanagement staff rely
primarily on gutfeeling to formulate ad hoc decisionsrather seek
pertinent data.
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Information process
Data collection
Resources
Data transmission
Management
Data processing
Organizational
rules
Data analysis
Information for use in
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Knowledge states Processing activities
Valuation
Weighingoption
Interpretation
Analysis
Sorting
Decision
Judgement
Understanding
Knowledge
Information
Data
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Ways to enhance the use of information
in decision-making
Characteristics of the data
Characteristics of the problems and the
decisions they requireOrganizational or structural
characteristics
Cultural differences between data people
and action peopleThe communication between the two
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Characteristics of the data
Ownership and relevance
Validity and reliability
Aggregation of data
Customizing information to the usersneeds
Timeliness of feedback
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Different characteristics of the users (action
people) and the providers of data (data people)
Characteristics Action people Data people
Incentives/mainobjectives
Change, Good standingwith supervisors
Publication, Detailed report
Time horizon Short: days, weeks Long: months, years
Main interest Relative values (timetrends, two regions)
Absolute values and totals
Cost orientation Strong WeakLanguage Action-oriented,
managerial
Precise, academic jargon
Communication
style
Executive summaries,
Business meetings
Full reports, written
publications, ConferencesTraining Administration, Medicine,
Economics, ManagementStatistics, Information,
Medicine
Familiarity withdata/ Substance
Limited/ Excellent Excellent/ Limited
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Data collection instruments for system
management
Health unit report forms
Supervisory checklists
ISSUES
Layout
Computerization
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Determining community health activities
PHC-MAP programme
Autodiagnosis
Irans Vital horoscope
Community-based maternal records
Community-based growth monitoring
Development of community health information
systems
