1 Recording & Reporting – A Mission Ahead. 2 System Collection of specific components I nformation System Information support in decision making Health.

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1

A Mission Ahead

2

Need: In-time Reporting Supervision, Monitoring and Evaluation of Program

Improved approach through decision-making

Introduction of new intervention tools

3

Components of Information System (Computerized)

Key elements of Information System

Information

4

Stages for Development of HMIS

SWOT analysis

Problem identification

Elements identification that can be

Retained

Modified

Abolished

Summarize the observation

Re-think and finalize

5

Reviewing the Existing System

6

Stages for Development of HMIS

Different roles and responsibilities at different

level of Health system.

Therefore different needs of data at different level

Identify the relevant datasets

7

Data Needs

Level Functions (Examples)

Sub-centre Case finding, Service delivery

PHC Diagnosis, Treatment, Referral

District Hospital Besides above, Management of referred cases

State Program planning, Implementation, M & E

National Policy formulation

Source from where data can be obtained, e.g.

Referral slip/ card/ register/ note

OPD register

Diagnosis register

Treatment card/ drug register

Stock book/ Inventory register

Supervisors’ checklist

8

Data Source

Features

Easy to fill up, Simple and Short

Must contain all the identified data items

No ambiguity

Hints for user should be there

Coding system should be encouraged

Checks for data integrity (Computerized system)

9

Data Collection Tool

Features

Flexibility: Both Line listing and Comprehensive

Easy to understand

Must contain all the relevant information

No ambiguity

Hints for user should be there

May be tabular, pictorial or mixture of both

10

Reporting Tool

11

Steps for Development of Data collection and Reporting Tool

12

Issues to be looked into for Automation

Hardware

SoftwareFront end

Back end

Data entry format

Data integrity and quality checks

Data analysis

Output format

Users’ manual

Training

13

Maintenance & Sustainability

Operation by skilled/ trained personnel

Back up facility for data and application software

AMC contract

Proper supply chain system for Logistics

Periodic monitoring

Monitoring frequency subjected to Data load

Possibility of man-made errors

Corrective measures, if required

14

Report Dissemination

Manually

ElectronicallyEmail

Online – Instant Reporting

15

Issues for Online System

Networking – LAN, MAN, WAN

Topology

MoDem

Internet connection

Client/ Server architecture

16

A simple flowchart of Processes

Indoor

17

HMIS Automation – A dynamic process

Indoor

OPD

Diag

T/t T/t assess

.F.U.

Indoor

OPD

Diag

T/t T/t assess

.F.U.

Indoor

OPD

Diag

T/t T/t assess

.F.U.Indoor

OPD

Diag

T/t T/t assess

.F.U.

Mission

Ahead

18

HMIS: Always need Improvement

Assessment

Improvement in H/W and S/W

Compatibility

Flexibility

Faster

More accuracy

Thank You

19

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