Lesson 6: Health Management _______________ – principles enhanced by

Information Systems finance, law and planning help administer the

health care enterprise
HMIS – Health Information Management System

- This was created to address the need to

________________ – the ability to analyze
enhance the management of the
systems and to design and implement
healthcare services and to have real-time advanced computer applications make the safe
data availability to monitor hospital transfer of patient information efficient and
performance. effective
Problems using the traditional manual process: The system:
- No real-time data available to monitor - a set of integrated components and
hospital performance procedures
- Evidence-based program management - routine monitoring system
was a challenge - at the health unit level, HMIS is used by
- Undue delays in receipt of data the health unit in charge end the health
- Retrieval of old manual records was unit management committee to plan and
ineffective and time consuming coordinate health care services in the
- Duplication of records catchment area
- Monthly reports sent as hard copy which According to the Ministry of Health (2010),
is a real challenge for data analysis and HMIS was developed within the framework of
comparison the following concepts:
- Drug inventory/equipment inventory
➢ The information collected is _______ to
maintenance the policies and goals of the healthcare
- Lack of standard names and code institution, and to the responsibilities of
* As defined by the __________(____), a Health the health professionals at the level of
Management Information System (HMIS) is an collection.
➢ The information collected is _________;
information system specially designed to _____
it is to be used immediately for
in the management and ____________ of health
management and should not wait for
programs, as opposed to delivery of care.
feedback from higher levels.
* HMIS is one of the six building blocks essential ➢ Information collection is ___________;
for health system strengthening. It is a there is one set of forms and no
_________________________ specifically designed duplication of reporting.
to support _____________, _____________, and ➢ The information is __________ on a
__________________ in health facilities and routine basis from every health unit.
organizations. The major role of HMIS is to
___________________________ to support
________ – clinical studies assist in the
decision-making at all levels of the health care
understanding of medical terminology, clinical
system in any medical institution.
procedures and database processes.
A Health Management Information System 1. Data Acquisition – generation and
needs to be: collection of accurate, timely and
relevant data; use of standard coded
• _____________ - providing
formats (eg. Barcodes)
information on all key aspects of
2. Data Verification – authentication and
the health system without
validation of gathered data
duplication
3. Data Storage – preservation and archival
• _____________ - similar of data
information provided by different 4. Data Classification (data organization) –
sources should be similar classification schemes based on certain
• _____________ - clear statement key parameters
on what all the elements are 5. Data Computation – data manipulation
measuring and transformation allowing further data
analysis, synthesis and evaluation for
• _____________ - should not be strategic decision-making processes
complicated 6. Data Update – mechanisms to facilitate
• _____________ - actual usage of data update for any ongoing manual or
each element should justify the automated transactions
costs of its collection and 7. Data Retrieval – process of data transfer
analysis and distribution; economics of producing
the needed information
• _____________ - data is in a
8. Data Presentation – summary tables,
form that is readily available to all
graphs, presentation graphics as
authorized users.
presentation of data
• _____________ - must not
Determinants of HMIS Performance Area
provide access to unauthorized
users. 1. _____________________________
Data collectors and users of HMIS need
Functions of HMIS
to have _____________, ___________ and
According to the Ministry of Health, the _____________ to perform HMIS tasks in
information from the HMIS can be used in order to improve the Routine Health
planning, epidemic prediction and detection, Information System (RHIS) process.
designing intervention, monitoring and resource Task is affected by how it is perceived
allocation. (may be complex) and the outcome itself
3 fundamental information-processing phases: _________________________________ –
major drawback on quality and utilization
1. _________________ ________________ = challenge despite
2. _________________ training on data collection and analysis
3. _________________ 2. _________________________________
Health workers and data collectors work
in organizations’ environments which
8 Elements of the HMIS have ______, ______, ______ and ________.
 Factors affecting RHIS: __________,
___________, _________, _____________,
and ___________
Other factors: ________________,
__________________, and ______________
_____________
Effectiveness means ________________
___________________________, promoting
a culture of information use by having the FIGURE 6.6. PRISM Conceptual Framework
ability and control to promote values and
beliefs among members of an
organization by collecting , analyzing, and
using information to accomplish the
organization’s goals and mission
3. __________________________________
Comprises the ___________ and ________
______, the ___________ set forward in the
collection of data and ________________
used in the collection of information

PRISM FRAMEWORK
- Stands for _____________________________
_______________________________________
___________________________
- A conceptual framework that broadens
the analysis of routine health information
systems to include the three key
determinants
- ___________________ – knowledge, skills,
attitudes, values and motivation of the FIGURE 6.7. Technical and Organizational Factors in the
people who collect and use data PRISM Framework

- ___________________ – data collection

processes, systems, forms, and methods
- ___________________/___________________ Key points to remember:
– information culture, structure, ❖ HMIS is an information system specially
resources, roles and responsibilities of designed to assist in the management
the health system and key contributors at and planning of health programs, as
each level opposed to delivery of care.
❖ The major role of HMIS is to provide
quality information to support decision-
making at all levels of the health care
system in any medical institution.
❖ Historically, all information systems,
including HMIS, are built upon the
conceptualization of three fundamental
information-processing phases: data
input, data management, and data
output. The eight (8) elements include:
Data Acquisition, Data Verification, Data
Storage, Data Classification, Data
Computation, Data update, Data
retrieval, and Data presentation.
❖ The determinants which affects the HMIS
performance include Behavioral,
Organizational, and Technical
determinants, and their related
components.
❖ PRISM Framework defines the various
components of the routine health
information system and their linkages to
produce better quality data and
continuous use of information, leading to
better health system performance and,
consequently, better health outcomes.