Reviewer in HIS (ICTM111) - Data must be transformed into information,

Lesson 5 become the basis for evidence and knowledge

Health Informatics – application of both technology and to shape health action.
systems. 6. Dissemination and Use.
a) Health Information Technology – focuses on tools, - Making it readily accessible to decision-
programs, and storage of data. makers.
b) Health Information System – cover the records, Data Sources for Health Information System.
coding, documentation, and administration. 1. Demographic Data. – age and gender…
Health Information System – captures, stores, manages, or 2. Administrative Data. – services, transaction, health
transmits information. care facility,
 District level routine information system 3. Health Risk Information. – lifestyle and behaviour,
 Disease surveillance systems family history and genetic.
 Laboratory information systems 4. Patient Medical History. – data on previous
 Hospital patient administration system (PAS) medical encounters. (family history)
 Human resource management information system 5. Current Medical Management.
(HRMIS) 6. Outcome Data.
Utilization of Health Information Systems
1. Policy Lesson 6
2. Decision Making Health Management Information System
3. Program Action - Designed to assist in the management and
4. Individual and Public Health Actions planning of health programmes.
5. Research - To support planning, management, and
Role and Function of Health Information System decision-making in health facilities and
1. Files are easier to access. organizations.
- Electronic, so the days of hard files and loose - Routine monitoring system.
papers are over. - Used by the health unit in-charge.
2. More Controls.
a. Staff – authorized to access.
b. Doctors – update, change, and delete Characteristics of Health Data
information.  Relevant (policies and goals)
c. Receptionists – update patient’s  Functional (to be used immediately)
appointments.  Integrated (one set of forms and no duplication)
3. Easy to update.  Collected (routine basis from every health unit)
- Pulled up for review at any time and copies can  Complete
be made upon patient’s request.  Consistent
4. Communication.  Simple
- Support communication between multiple  Clear
doctors or hospitals.  Accessible
- Pay close attention to confidentiality.  Confidentiality
Six Components of Health Information System (according  Cost-effectiveness
to the health metrics network) Three Fundamental Information-Processing Phases
1. Health Information System Resources. 1. Data Input.
- Framework on legislation, regulation, planning, a. Data Acquisition – generation and collection of
and the resources required for the system to data.
be fully functional. b. Data Verification – data authentication and
2. Indicators. validation.
- Basis of the HIS plan and strategy. 2. Data Management. – processing phase.
(determinants of health) a. Data Storage – preservation and archiving of
3. Data Sources. data.
- 2 main categories. b. Data Classification – data organization, sets
 Population-based approaches – efficiency of the system.
community (public health) c. Data Computation – forms of data
 Institution-based approaches – manipulation and data transformation, allows
hospitals or health institutions data analysis, synthesis, and evaluation.
(medicine – individual) d. Data Update – new and changing information.
4. Data Management. 3. Data Output.
- Covers all aspects of data handling, from a. Data Retrieval – data transfer and data
collection, storage, quality-assurance. distribution.
5. Information Products. b. Data Presentation – interpretation of the
information produced by the system.
List of Functions of HMIS 5 Broad Categories
1. Client Data – his or her transactions. 1. Reproductive Health
2. Scheduling – distribute resources to areas that 2. Immunization
need them. 3. Diseases Prevention and Control
3. Authorization Tracking – monitoring of the 4. Resources Utilization
authorized personnel and their use of the 5. Data Quality.
authorized units. DPT – diphtheria pertusis tetanus.
4. Billing – charges for the patient and other related MMR – measles, mumps, rubella.
documents. The STOP TB Program – main objectives is to achieve
5. Accounts Receivable (A/R) Management – universal access to high-quality care.
customers are properly notified about their bill. DOTS – directly observed treatment shortcourse
6. Reporting – reports issued by the entity.
7. Medical Record – electronic health record, Lesson 8
collection of digital information about a patient. Data Quality – overall utility of a dataset, processed easily
8. Compliance – procedure that should be followed and analyzed.
for the improvement of the condition of the Aspects of Data Quality.
patient.  Accuracy
9. Financial Data – information relating to the  Completeness
performance of the entity collected for  Relevance
administering purposes.  Consistency
Determinants of HMIS  Reliability
1. Behavioral Determinants – confidence, motivation,  Presentability
and competence to perform HMIS tasks.  Accessibility
 Lack of motivation and enough knowledge, Routine Data Quality Assessment Tool (RDQA) – simplified
major drawback in the data quality and version of data quality audit, allows programs and projects
information use. to verify and assess the quality of their reported data.
 Changing people’s attitude towards data Objectives of RDQA
collection.  Verify Rapidly
2. Organizational Determinants – health institution,  Implement
resources, procedures, support services, and the  Monitor
culture within the organization. Development Implementation Plan (Action Plan)
3. Technical Determinants – overall design used in  Implementation Plan.
the collection of information, complexity of the - Shows how a project will evolve at a high level.
reporting forms. - Development team is working to deliver and
PRISM Framework – Performance of Routine Information complete tasks on time.
System Management, conceptual framework that - Will not encounter any issues and work will
broadens the analysis of HMIS. also be delivered on time.
 Behavioral Determinants Key steps.
 Organizational/Environmental Determinants 1. Define goals/objectives.
 Technical Determinants - What do you want to accomplish.
2. Schedule milestone.
Lesson 7 - Target deadline, outline the deadline and
Monitoring – systemic collection, analysis, and use of timelines.
information from programs. 3. Allocate resources.
3 Basic Purposes - Sufficient resources, how you will procure
1. Learning Function – experiences acquired. those missing.
2. Monitoring Function – accounting internally and 4. Designate team member responsibilities.
externally. - Create a general team plan.
3. Steering Function – taking decisions. 5. Define metrics for success.
Evaluation – ongoing or completed program. - You have achieved your goal.
M&E Purpose – national health strategic plan. Root Cause Analysis
M&E Framework – core strengthening of a common - Aimed at identifying the root causes.
country platform. - Improve the quality of the products.
- Can be used both for monitoring – health Techniques in Root Cause Analysis
systems funding platform and tracking the 1. Ask why 5 times.
performance of specific programs. - Getting progressively deeper into the problem.
Indicator. - Can be strategically identified and tackled.
 variable whose value changes. 2. Failure Mode and Effects Analysis (FMEA)
 Meaningful units. - Aimed to find various modes for failure within
 Focuses on a single aspect. a system.
 - Used when 1. There is a new product or  PIS are added through Electronic Medical
process. 2. There are changes or updates in Records (EMRs), Electronic Health Records
product. 3. A problem is reported through (EHRs), and others.
customer feedback.  24/7 support (troubleshoot issues)
a. What is the mode in which an observed 3. Radiology Information System (RIS) –provide
failure occurs? radiology billing services, appointment scheduling
b. How many times does a cause of failure as well as reporting and patient database storage.
occur? 4. Pharmacy Information Systems (PIS) – enables
c. What actions are implemented to prevent pharmacists monitor how medicine is utilized in
this cause from occurring again? hospitals.
d. Are these actions effective and efficient? Selecting a Hospital Information System
3. Fault Tree Analysis. 1. Total cost of package – discuss the necessities of
- Problem tree. your hospital with you. Solutions are available for
- Commonly used. hospitals of all sizes and budgets.
- Usually used in risk analysis and safety analysis. 2. Web based system – user friendly features.
4. Current Reality Tree (CRT) 3. Implementation and support – Select a vendor that
- Show one cause that is linked to all problems. gives 24/7 support thru the telephone or web.
5. Fishbone or Ishikawa or Cause and Effect Diagram. HIS PROVIDERS IN THE PHILIPPINES
- Best root cause analysis techniques. 1. BIZBOX
6. Kepner-Tregoe Technique.  Evolved into one of the top IT companies
- Rational process. focused on the healthcare industry.
1. Appraisal of the situation.  Bizbox is proud to be a Microsoft Gold
2. Cause of undesired events. Certified Partner.
3. Outlining various decisions that must be 2. KCCI MEDSYS (Kaiser – dela Cruz Consulting, Inc.) -
made. specializes in application development for
4. Potential problem analysis. hospitals, industrial clinics and medical related
7. Rapid Problem Resolution (RPR Problem Diagnosis) educational institutions in the Philippines.
- 3 phases 3. COMLOGIK - is a Philippine based software
a. Discover – gather data and analyze their development company that established its
findings. operation in the year 1999.
b. Investigate – diagnostic plan is created and PROCESSES WHICH CAN BE DONE USING HOSPITAL
the root cause is identified. INFORMATION SYSTEM
c. Fix – fixed and monitored. 1. Help desk.
 Customer or end user with information and
Lesson 9 guide.
Hospital Information System
- Computer system that could manage all the 2. Scheduling
information to permit health care providers to  Access work schedules from everywhere
do their jobs efficiently. and effectively discusses their scheduling
- Billing and hospital inventory. preferences.
- Scientific, financial and administrative 3. Patient Registration
programs.  The data is used for record keeping and
An effective HIS additionally provides benefits including: administrative use.
 enhanced facts integrity 4. Admission
 reduced transcription errors 5. Discharge
 reduced duplication of facts entries 6. Transfer
 optimized report turnaround time 7. Billing
HIS for Different Departments  Itemize all of a purchaser's invoices and
1. Nursing Information Systems (NIS) - improving payments, and maintain a rolling balance
personnel schedules, accurate patient charting and of how much they owe.
better clinical data integration. SPECIAL FEATURES OF HOSPITAL INFORMATION SYSTEM
 Patient charting applications also permit A. Contract Management
users to go into details regarding patients’  Process of managing contract creation,
critical signs. execution and analysis to maximize
 To collect, retrieve and examine the operational and financial performance at
medical records after which integrate it to an organization, all while reducing financial
design a patients’ care plan. risk.
2. Physician Information Systems (PIS) - enhance the B. Package Deal Designer
practice of physicians.  Posting Diagnostic Medical Packages for
Inpatients, Outpatients and Emergencies
 requires the same process; the difference
is that for Emergencies this is called Post-
Diagnostic Package Deal.
C. Accounts Receivables
 Outstanding invoices a company has or the
money the company is owed from its
clients.
Consumption Entry – duty entry for the goods which have
been imported from an international carrier and sent for
use in the commercial market directly.
Apart from Consumption entry, following entries are also
used:
1. Transportation entry - when goods are in transit to
a third country.
2. Warehouse entry - when goods are stored in a
bonded warehouse before going to the market.
3. Foreign Trade Zone Entry - when goods are stored
in a place licensed by the department of commerce
of that country.
4. Temporary in Bond Entry
5. Drawback Entry
LABORATORY, RADIOLOGY AND CARDIOLOGY REPORTING
A. Laboratory Reporting – all laboratory reports must
possess common elements as required by federal
legislation or by company policies.
B. Radiology Reporting – the only person who is
privileged to prepare and document a radiology
report is a qualified physician.
C. Cardiology Reporting – Vascular software programs
understand the needs of the medical staff that
prepare and read these reports and are quite
intuitive.
Discharge Summary – a clinical report arranged by a health
practitioner or different health expert at the conclusion of
a hospital stay or series of treatments.
Material Management – planning, identifying, purchasing,
storing, receiving and distribution of materials. The
purpose of material management is to guarantee that the
right materials are in the right location, in the right
quantities when needed.
Management Reporting System – provided business
information.
Six Reasons giving rise to the need for a Management
Reporting System
1. Decision making and analysis of trends.
2. Reports being unavailable with the right
stakeholders at the right time.
3. Lack of visibility and a single holistic view of the
enterprise performance.
4. Data redundancy, duplication of data leading to
data management and quality issues leading to
error prone reports.
5. High value resources.
6. Changing a global report to fit local needs.