HMIS DEFINITION:
“HMIS is defined as a system
that provides up-to-date, reliable complete &
timely information to health managers, at various
levels in order to make well informed
management decisions about programme
performance & operations.”
“HMIS is an important manage-
ment as well as an epidemiological tool,
which supports the management to make
sound decisions . Most of the information
reaches the programme managers in the
form of routine statistical & management
“reports”. These reports , which are
generally standardized in format &
produced on a regular basis, constitutes
most visible part of health management
information system.”
INFORMATION
INPUT
•Men Staff
•Money
•Material Supplies
•Drugs & Equipments
PROCESSESS(ACTIVITIES)
•Home Visits
•Outreach session HMIS FUNCTIONS
•Sub centre & PHC clinics held •Identity information MANAGEMENT/
•OPD days •Collecting information DECISION
•Processing information •Planning
•Training session
•Using information •Monitoring
•Weighing session •Reporting feedback •Evaluating
•Education session
•Counseling session
•Leaders & people contacted
OUTPUTS(PRODUCTS & SERVICES)
•Eligible couples contacted
•Antenatal provided three check-ups
•Deliveries done
•Postnatal examined
•Children Weighing
•Children immunized
Connected with the HMIS
functions
EFFECTS
•Change in knowledge, attitudes & behavior
•Services utilized.
IMPACT
•Improved nutritional status
•Reduced birth rate
•Reduced death disease rate
(a) To support decision making & taking actions.
(b) To help to assess community needs eg.community needs assessment
approach under RCH can make use of HMIS for preparing sub centre action
plans e.g. who need immunization? and how many need it?
To prioritize the health needs e.g Under CNAA we prioritize or segment the
eligible couples who need services for sterilization, spacing by contraception
given to economical weaker sections.
To assess the performance of health workers or institutions like Sub centre-
PHC-CHC-District or State.
To monitor programme operations.
To evaluate the programme or to measure its success and failures.
PEER EVALUATION- Is a evaluation of active work
/performance of other people in same field in order to maintain
or enhance the quality of work or performance in same field.
Peer assessment is the continuous assessment with
the students being assessed as they actually work. It is more
student centered and it is integral part of learning process.
Students get a greater feeling of ownership of the assessment
process increases the effectiveness of learning process.
Student are in much better position in
assessing the quality of one another works
than their tutor.
In a collaborative group work contribution of
each individual student can be assess only by
the peer group.
1) It gives a greater sense of ownership and empathy for the
judgment prevalence.
2) Enhances the quality and effectiveness of learning process.
3) Encourages student to reflect on the standard of their own work
compared to that of other.
4) It facilitate development of sense of partnership in learning.
5) It help to compliment with other mode of assessment
1)
Over subjective.
2) Due to lack of experience it may lead to direct
formulation of judgment.
3) It need careful planning, implementation, and
monitor.
4) Students need to be trained for proper
assessment.
5) It need to create a satisfactory social
environment.
6) Causes undue trust and anxiety with in the class.
Group projects
Seminar contribution
For critiquing students works.
DEFINITION- A process for monitoring the
use, delivery, and cost effectiveness of
services, especially those provided by medical
professionals.
Theutilization review process supports the
agency’s mission to purchase only proper and
necessary care fore injured workers.
Reduced costs by eliminating unnecessary,
inappropriate treatment.
Deliver timely responses to physician requests to
physician requests for treatment authorizations.
Reduce temporary disability costs by promoting return
to work and use of transitional duty for the injured
employee.
Improve communication between the medical
community and state fund
Self assessment educational programme structured in
such a manner that the participation profession or
student develop an increased awareness of their
performance usually on the basis of self evaluation
questionnaire.
Help the student to become self critical learner.
It needs students actively involved in the learning
process.
Can be used as a complement with the other modes of
assessment.
Student lack experience and judgment to carry out self
assessment programme.
Students have natural tendency to overvalue their own
efforts.
Risk for looking up anywhere before attempting
questions
Distance education programme
Assessment of student assignment.
Assessment of group work.
In case of work placement
For continuing professional development purpose.
DEFINITION OF RECORDS -A record is a clinical,
scientific, administrative and legal document relating to
the nursing care given to individual family or
community.
Accuracy
Conciseness
Thoroughness
Up-to-date
Organization
Confidentiality
Objectivity
Communication
Aids to diagnosis
Education
Assessment
Documentation of continuity and justification of case
Research
Auditing
Legal documentation
Individual case study
Patient’s clinical records
Individual staff records
Ward records
Administrative records with education value.
Protection from loss
Safeguarding its content
Completeness
Responsibility for nurse notes
Legal value of nurse’s notes
Admission Record
Scientific value of the nurses notes
◦ Family and village record
◦ Eligible couple and child register
◦ Sterilization and IUD register
◦ MCH register
◦ Child register
◦ Birth & Death register
◦ Sub centers/PHC register
◦ Reports of blood stain of malaria and filaria
◦ Cumulative records
For the individual & family
For the Doctor
For the Nurses
For Authorities
Selection of paper and ink
Preservation of decay and rot
Protection from insect attack
Atmosphere pollution
Safety measures against fire in research room
Implementation and humidity control
Care in handling
Microfilming control register
DEFINITION
Reports are oral or written exchanges of information
shared between caregivers or workers in a number of
ways.
Reports are usually written daily, weekly, monthly or
yearly.
To show the kind and amount of services rendered over
a specified period.
To illustrate progress in reaching goals
As an aid in studying health conditions
As an aid in planning
To interpret the services to the public and to the other
interested agencies.
Oral Reports
Written Reports
Information recorded is true and complete.
Entries should be legible and written in ink.
Only fact should be recorded.
Entries should be brief, accurate, legible and correctly
spelt.
If item error is made while writing, the nurse should
not erase or overwrite, draw a single line.
Don’t leave blank space in note.
Always make chart for yourself and never for someone
else.
Should written in chronological order of date and time
Each page of record should be properly identified with
identification data.
KEEPING RECORDS & REPOTS
The records and reports should be kept
under safe custody.
No individual sheet is separated from the
complete record.
Records should be kept in place, inaccessible
to patients and visitors.
No stranger is permitted to read the records.
All records to be handled carefully.
Protection from loss
Filing should be done according to hospital system
such as alphabetically, numerically with index cards
and geographically.
Assess periodically to determine the use of the record
and re-examine for means of simplifications.