4/25/2024
NON COMMUNICABLE DISEASES
BLOCK 1
EYE MODULE
HEALTH MANAGEMENT INFORMATION
SYSTEM
Dr.Abdul Qudoos
Dr. asif butt
4/25/2024
Vision & Mission of RMU
1. To impart evidence based
research oriented medical
education
2. To provide best possible
patient care
3. To inculcate the values of
mutual respect and ethical
practice of medicine
4/25/2024
Sequence Of Lecture
• Statement of learning outcomes
(01 slide)
• Core Subject( 09 slides)
• Horizontal Integration(06
slides)
• Vertical integration( 07 slides)
• EOLA(End of lecture
assessment) (01 slides)
• Digital Library References (02
slides)
( Research, Bioethics, Artificial
Intelligence) (02 slides)
Learning objectives
Define HMIS
Difference between data and information
Discuss essential elements & functions of HMIS
Describe steps in developing HMIS
Discuss various sources of health information
HMIS Pakistan
World health organization tuberculosis
dashboard
HMIS
A System that provides specific INFORMATION SUPPORT
to the DECISION MAKING process during planning,
implementation and evolution of health programming for
appropriate use of resources at all levels of health system
HMIS
• Mechanism for collection,
processing , analysis and
transmission of information
required for organizing and
operating health services and also
for research and training
HMIS
• It is to provide reliable, relevant , up to-date timely and
reasonably complete information for health managers at
all levels , central, intermediate local
• Sharing technical scientific information and provide
data at periodic intervals
Uses of health information
✓ Measure health status of people
✓ quantify health problems
medical and health care needs
✓ Local,national and international
comparisons of health status
✓ Planning, administration
effective management of health
services and programs
WHO requirements
• population based
• avoid unnecessary agglomeration
of data
• problem based
• have functional and operational
terms
• express information briefly and
imaginatively
• Provision for feedback
Uses of health information
• Accessing effectiveness
and efficiency of health
services
• To access satisfaction and
attitudes of beneficiaries
with health system
• For research into
particular problems of
health needs and
problems
Important features for good HIMS
• Relevance
Standardization :uniformity in definitions of variables collected
.IMR)
• Data Collecting & Aggregation Instruments: These instruments
should be simple, easily understood by users
• Data Presentation:
• Flow of information
• Filtration of information
• Feedback
•
Data and information
• Health Data;
Collection of
observations in
scientific manner.
qualitative,
quantitative
Health information
• Health Data shaped
or arranged in a
meaningful manner
to be used for
planning and
operating health
systems
HMIS
Health information system
components
These components can be divided into inputs
Processes and outputs
Inputs: Health information system resources
legislative,
regulatory
planning frameworks
required to ensure a fully functioning health information system, and the
resources that are prerequisites for such a system to be functional.
resources
✓ Personnel
✓ financing
✓ logistics support
✓ information
✓ communications technology (ICT)
✓ coordinating mechanisms within and between the
six components
Health information system resources
• coordination and leadership
• information policies
• financial and human resources
• Health information system infrastructure
Health status indicators
Data collection : sources of data
• Population based and institution based approaches
• Censuses
• Registration of vital events
• Population based surveys
• Hospital records
• Disease registers
• Notification of diseases
• Epidemiological surveillance endemic disease
like tuberculosis , malaria
indicators :Accessibility of health care
• Percentage of population within 5km or
one hour long walk of nearest health care
provider
Indicators for provision of primary health care
• Percentage of children under 5 years of age or
with pregnant women visited by community
health worker in specified period of time
• Percentage of pregnant women who receive at
least one antenatal visit
• Percentage of children age 12 -23 months who
are fully immunized
DHIS PUNJAB OPD REGISTER
STEPS IN DEVELOPING HMIS
• Planning and designing phase;
comprises of situation analysis,
budgeting, software development
• Implementation phase; data
collections, transfer, entry, reporting
• Monitoring ;day to day overseeing
• Evaluation phase; periodic check of
impact of programmers
Sources----Contd.
➢1;THE CENSUS
o 2;VITAL EVENTS(Births & Deaths)
A.---- In Rural Areas. according to provincial setup.
B.---- In Urban Areas (Municipal Registration Office
within 4 Days)
C.----In Medical Institutions (Local Health Authorities-to
DDO(H),DO(H), Civil Surgeon)
3;INFECTIOUS DISEASES (Only 18 Priority Health Problems
are to be reported)
Sources Contnd….
• 4;HOSPITAL & DISPENSARY RECORD:
a. OPD Register
b. Indoor Register
c. Abstract Register (Daily Tabulation of
Diseases)
d. Annual Return (Daily, Monthly, Quarterly
Reports)
Contnd…….
• 5;HEALTH MANPOWER STATISTICS(PMDC, Nursing
Council)
• 6;POPULATION SURVEYS : (Morbidity, Mortality,
Nutritional Surveys)
• 7;EPIDEMIOLOGICAL SURVIELLANCE : ( Malaria,
T.B.)
• 8;DEMOGRAPHIC SURVEYS: population density
• 9;ECONOMIC SURVEYS
• 10;NON QUANTIFIABLE INFORMATION: health
policies, laws
Information tools at diff levels
DEFINITIONS
• Health Institutions
A. First Level Care Facility (FLCF)
➢ A facility where there is first contact between a Client /
Patient and a health care provider.
1. Basic Health Unit (BHU)
2. Rural Health Centre (RHC)
3. Dispensary (Disp)
4. Sub Health Centre (SHC)
5. First Aid Post (FAP)
6. MCH Centre (MCH)
7. OPD of Hospital
Cotnd……..
B. Referral Level Care Facility (RLCF)
• Care Provider
a. For Curative Care
b. For Preventive Care
• Patient / Client
Data Collection
HMIS / FLCF
For Patient / Client
Management : ------------- 11 Record Cards
For Facility Management
Aggregation : --------------- 19 Registers
Data Collection Instruments
(Facility Based)
• REPORT FORMS
▪ Immediate Report
▪ Monthly Report
▪ Yearly Report
End of lecture accessment
• Considering HMIS is system consist of input,
process and output components. Which
parameter of the HMIS is related with input
component?
• Data management
• Data resources
• Feedback
• HMIS resources
• Information products
End of lecture assessment
• For planning HMIS, the situation analysis is
required in depth. This important parameter
relates to
• Evaluation phase
• Implementation phase
• Monitoring phase
• Planning and designing phase
• Situation analysis phase
•
Ethics in information system
• Ozair FF, Jamshed N, Sharma A, Aggarwal P.
Ethical issues in electronic health records: A
general overview. Perspectives in clinical
research. 2015 Apr;6(2):73.
• Rogerson S, Miller KW, Winter JS, Larson D.
Information systems ethics–challenges and
opportunities. Journal of Information,
Communication and Ethics in Society. 2019
Mar 8;17(1):87-97.
Research in HMIS
• Doolin B. Power and resistance in the
implementation of a medical management
information system. Information Systems
Journal. 2004 Oct;14(4):343-62.
• Haag S, Cummings M, Dawkins J. Management
information systems. Multimedia systems.
1998;279:280-97.
