Health Management Information System Flashcards
Is an information system specially designed to assist in
the management and planning of health programs, as
opposed to delivery of care (WHO, 2004)
Health Management Information System
(HMIS)
It is a data collection system specifically designed to
support planning, management, and decision making
in health facilities and organizations.
Health Management Information System
(HMIS)
Clinical studies assist in the understanding of medical terminology, clinical procedures, and data base process
Health
The ability to analyze systems and to design and implement advanced computer application make the transfer of patient information efficient and effective
Information System
principles enhanced by finance, law, and planning help administer the health care enterprise.
Management
monitors and evaluates the process with the intention of providing warning signals through the use of indicators.
routine-monitoring system
to plan and coordinate health care services in their catchment
area.
health unit in-charge and the Health Unit Management Committee
According to? HMIS was developed within the framework
the Ministry of Health (2010),
the healthcare institution, and to the responsibilities of the health professionals at the level of collection.
Relevant to the policies and goals
it is to be used immediately for management and
should not wait for feedback from higher levels.
Functional;
there is one set of forms and no duplication of
reporting
Integrated;
on a routine basis from every health unit. (ensure
completeness)
Collected
It should provide information on all key aspects of the health system without duplication
Complete
If similar information is provided by different sources, their definitions need to be consistent
Consistent
It should be very clear what all the elements are actually measuring
Clear
It should not be unnecessarily complicated
Simple
The actual usage of each element should justify the cost of its collection and analysis.
Cost Effective
Data should be held in a form readily accessible to all legitimate users, and it should be clear who these people are.
Accessible
It should ensure that people without legitimate access are effectively denied
Confidential
includes data acquisition and data verification.
Data Input
also called processing phase includes data storage, data classification, data update, and data
computation.
Data Management
includes data retrieval and data presentation.
Data Output
Generation and the collection of accurate, timely, and relevant
data. Input of standard coded formats (e.g., the use of bar codes) to facilitate the rapid mechanical reading and capturing of data.
Data Acquisition
Authentication and validation of gathered data. The quality of collected data depends largely on the authority, validity, and reliability of the data sources.
Data Verification
Preservation and archival of data may be regarded as part of the
data storage function. When accumulated data are no longer actively used in the system, a method to archive the data for a certain period is usually advisable
Data Storage
Critical function for increasing the efficiency of the system when the need arises to conduct a data search. Most data classification schemes are based on the use of certain key parameters.
Data Classification (aka Data Organization)
Data manipulation and data transformation, such as the use of
mathematical models, statistical and probabilistic approaches,
linear and nonlinear transformation, and other data analytic
processes.
Allows further data analysis, synthesis, and evaluation so that
data can be used for strategic decision-making purposes other
than tactical and/or operational use.
Data Computation
New and changing information is accounted for through the
element of data update. The dynamic nature of such data
modification calls for constant monitoring
Data Update
Processes of data transfer and data distribution. Constrained by the time it takes to transmit the required data from the source to the appropriate end-user.
Data Retrieval
has to do with how users interpret the information produced by the system. Summary tables and statistical reports may suffice in presentations. The use of presentation graphics for higher-level managerial decision analysis is particularly encouraged because these appear to provide a better intuitive feel of data trend.
Data Presentation
Listed are the range of possible data and functions that may be available in the system, and it represents the type of information that can be captured and tracked in HMIS along with its corresponding functionality, as discussed by the Behavioral Health Collaboration Solutions (2006).
List of functions of HMIS
Client Billing Data
Client Clinical Data
Other Client Data
Client data
Linking Schedule to Billing
Scheduling
Authorized and use of authorized units
Authorization Tracking
Complaint electronic claim
Billing
Tracking Aging of Unpaid Services
Tracking Reasons for Denials
Aged Receivable Report by Payer Source
Accounts Receivable (A/R) Management
Basic Reports
Report writer
Reporting
Assessment
Treatment Plan
Progress/encounter notes
Medical record
Expired treatment plan
Service on treatment plan
Progress note present
Compliance
General ledger
Payroll
Accounts Payable
Financial Reporting
Financial
Determinants of the HMIS
Behavioral
Organizational
Technical
The data collector and users of the HMIS need to have confidence, motivation and competence to perform HMIS tasks in order to improve the Routine Health Information System (RHIS) process.
Lack of enough knowledge on the use of data has been found to be a major drawback on the data quality and information use. Motivating HMIS users remains a challenge.
Despite training on data collection and data analysis, people are still having negative attitude on the data, and hence a lot needs to be done to change people’s behavior, in order to increase the performance of the (RHIS) process (Routine Health Information Network, 2003).
Behavioral determinants
Having a system in place which support data collection, analysis and transform it to useful information will help in promoting evidence based decision making. Thus all components within the system are ideal in making the RHIS perform better.
Organizational determinants
involve the overall design used in the collection of
the information. It comprises the complexity of the reporting forms, the procedure set forward in the collection of data, the overall design of the computer software used in the collection of information.
Technical determinants
PRISM
Performance of Routine Information System Management
this conceptual framework broadens the analysis of routine health
information systems to include the three key factors which were
discussed previously:
PRISM Framework
knowledge, skills, attitudes, values, and motivation of the people who collect and use data.
Behavioral determinants
data collection processes, systems,
forms, and methods.
Technical determinants
Information culture, structure, resources, roles, and responsibilities of the health system and key contributors at each level
Organizational/environmental determinants
