Philippine Health

Information System

Crispinita A. Valdez
Director, Information Management Service

1st National Staff Meeting CY 2007, January 24-25, 2007, Clark Field, Pampanga
 WHY PHIS?

• Underlying premises:
 Improved health through data for evidence-
based decision-making
 Better measurement, through strengthened
health information and statistical systems
 Network to galvanize partners and resources
for improved health information
 Better data - better decisions - better health

• Timeline
 First phase 2006-2012
Goal, Objectives, Principles

Goal:

 Increase availability and use of timely, reliable

health information in countries and globally
through shared agreement on goals and
coordinated investments in health information
systems
 Objectives

 Create a harmonized framework for the

Philippines' health information system
 Strengthen country health information
system
 Improve access to and use of health
information

• “If you don’t know where you are going,

chances are you will end up somewhere else”
• Yogi Berra
PHIS Initiative

 Link health and statistical

constituencies
 Harmonization and alignment
 Comprehensive approach to
health information
 Ownership and stakeholder
involvement
 Why Only Now?

 Increased demand for quality health information

 Growing interest in comparative performance
assessments in health and benchmarking
 Performance-based disbursement
 Challenges in collecting, evaluating and
interpreting indicator data to guide policy-making
 Data availability and quality pose problems within
and between countries

“You cannot manage what you cannot measure”

Peter Drucker
 Health Information System
Comprehensive Approach
• Public health data
• Hospital data
•Disease Surveillance
•Health Accounts
•Censuses Philippine
Health
•Vital Statistics Information
•Survey Data System
•Regulation Data
•Administrative Data
•Qualitative Data such as Good
Practices
•Journals, Manuals, other gray
materials
ACTIVITIES UNDERTAKEN

 Establishment of Philippine Health Information

Network (PHIN)
 Customization of Health Metric Network (HMN)
assessment tool
 Central office inventory of existing ISs
 NEC started integration of Disease Surveillance
Systems
 BLHD spearheading skills development &
documentation of good practices
 Draft framework for ISs technical integration
 Development of the Knowledge Management (KM) for
Health Strategy
 KM tool kits defined and started development
 Health portal (interactive website)
 Philippine Health
Information Network

• DOH • DILG
• NSO • WHO
• NSCB
• GTZ
• PCHRD
• JICA
• UPCM
• Academe
• POPCOM
• Medical societies
• National Nutrition
Council
• FNRI
 PIHIS Strategic Framework

Data Beneficiaries
National Other Government Private Research Other
DOH Academe
Government Agencies Organizations Groups Stakeholders

Information Access

ICT Infrastructure - Systems Integration - Data Management

Department of

Health
Health Regulation
Health

Governance
Systems
DOH Data Systems
Health Program Warehouse Health Service
Management
Delivery Systems
Systems
Information Access
Standard Data Indicators, Definitions,
Formats, Transmission Protocols, Policies
and Guidelines
Standard Source of Data
Providers
Service

RHUs Pharmaceutical Drug Test Other Health

Clinics Hospitals Laboratories
/BHSs Companies Centers Facilities
Principle: Build upon existing systems of health information to allow integration
of content and functions.
Some ongoing ISs projects in
reform areas

Regulatory – BFAD, Drug testing..

Service delivery – Hospital
operation, Blood Bank, Filariasis,
Malaria, disease registries,
surveillance systems..
Governance- Procurement &
Logistics Management, e-NGAs,
KM tools, Work & Financial
Plan,Health Atlas, Local Health
System, GIS, HR..
HMN assessment tool
components

Selected Indicators
 data collection, timeliness, periodicity,
completeness,context, resources and
process
 legal framework, human resource,
infrastructure
Data synthesis, analysis and use
 dissemination and policy advocacy,
implementation, resource allocation and
planning
Data platforms
 vital registration, survey, disease
surveillance, health information systems
Excel file
 Knowledge Management Strategy

• KNOWLEDGE MANAGEMENT (KM) ensures

that a person has the right knowledge at the
right time to make a knowledge-based
decisions to achieve organizational goals
• Why KM?
* According to WHO we have to narrow the Know-do
Gap, the Gap between what is already known and what is
really being practiced
* We need to address knowledge gaps & info problems
– Knowledge about technology or know-how and
know how to apply knowledge correctly
– Lack of information on knowledge about
attributes
(WB)
 Knowledge Management Strategy

VISION: Making knowledge work for a healthy

nation
MISSION:To foster an environment within DOH
where health knowledge production, utilization
and sharing are integrated in its everyday life.
THRUSTS & STRATEGIES
• Improving capacities in knowledge production
• Enhancing knowledge utilization and application
• Improving exchange and sharing of knowledge
• Improving information and knowledge
infrastructure
• Transforming DOH staff into knowledge workers
 KM Sample application

Formulate •Develop Communities of practice

national policies •Establish Comprehensive knowledgebase
and standards
•Institute a resource and learning center
Ensure quality Establish an integrated and harmonized
health health and management information system
information to include vital stat, censuses, surveys,
health researches
 KM Sample application

Technical •Health portal with comprehensive

authority on information on disease control
health disease •Transform technical staff into knowledge
control and workers
prevention
Innovator of Establish environment conducive to
new strategies research and development.
 KM Parallel Implementation

• Small KM Initiatives • Big KM initiatives

– F1 Resource and learning
– Personal KM Center
– FAQs – eJobs (e-recruitment)
– Manualization of DOH – Health portal
processes – Community of practice
– White pages or – Benchmarking
expertise locator – Metrics
– Metrics – Groupware collaboration
– Capacity building
– Meetings improvement
– Integration of health
– Capacity building data/info
– Change management – Change management
 CHALLENGES

 Integration of present information

systems with the proposed systems
 Integration at functional, technical,
resource, and implementation levels
 Funding
 Championing KM initiatives
 Providing & sustaining ICT
infrastructure
 CURRENT THRUSTS
 Strengthening PHIN to develop and sustain
PHIS
 Establishment of an integrated and
comprehensive health database/warehouse
 Harmonization of existing HISs & other
data sources
 Enhancing info access thru health portal,
resource center & other mechanisms
 Development of KM tool kits
 Upgrading of ICT infrastructure
MAJOR Plan of Action for 2007

– Sector-wide health • Quarter 1 and 2

information assessment

– Development of health
sector strategic health
information plan • Quarter 3

– Development of a
proposal for the
establishment of PHIS
to secure funding for • Quarter 4
implementation

– KM tools development
– Start IS & databases
integration • Quarter 1-4
– Systems development &
deployment in major
reform areas
More Quotes...

 “if you don’t measure it, you can’t fix it”

Richard Tucker

 “Without data.. You’re just another person with an

opinion”
Joseph Juran

 “Insanity! Expecting different results while doing

things the same way.”
Dr. Gibson

 The single biggest mistake organisations make is to

have too few performance measures. The second
biggest is to have too many”
Mark Graham Brown
www.who.int/healthmetrics