MIS Dr Ejaz Ahmad Khan Health Services Academy

MIS Dr. Ejaz Ahmad Khan Health Services Academy

At the end of the session , the Participants should be able to: • Understand the existing MIS internationally • Interpret the strength and weaknesses of the systems • Conceptualize Theory versus Practicality

Learning MIS? Participants on Board • What is Information System? • Can we manage without information system? • Why is it necessary to have an MIS? • What can be possible methods? • Examples

Example : Hardware Framework

HEALTH MANAGEMENT INFORMATION SYSTEM • The HMIS has been defined as a system that provides an appropriate information support to each decision making level of the health care delivery system.

MIS Application • • Communication for better management Effective Communication Flows of Communication Networks Characteristics of information Quantity of information Quality of Information

Sharing the Information: • COMMUNICATION

Contd. ……. + • Information is data which has been organized • Communication is transmission of information (conveying meanings to others), added with feelings and other human elements

Contd. . • Communicate = Make known, Announce, Break the news, Advise, Transmit, Bestow • When managers communicate one or combination of the following occurs: – information transmission – motivation – control – emotive expression

Effective Communication • Desire of communicator (values and • • • expectations) Understanding of how others learn Receivers clarity about purpose Manner according to content, importance, and complexity of intended message trust of receiver on sender (ascribed and achieved credibility) time frame (availability and allocation)

Contd. . For Instance…. Encode Sender Barriers Decode Message Feedback Receiver Barriers

Flows of Communication • • • Downwards (info, verbal orders, instructions) upward flow (reports, complaints, proposals) Horizontal and Diagonal (interdependence)

Communication Networks • Chain (follows authority relationships) • Y-shaped (2 to 1 reporting) • Wheel pattern (4 to 1 reporting) • Circle pattern (1 to 2 reporting) • All-channel (wheel with all to report to each Other)

Information • Information is data which has been organized • Information is the content of communication • Information tends to be formal, abstract and impersonal, when feelings and other human elements are added to transmission of information , it is called as communication

Characteristics of information • Reach relevant persons at right time • Reduce uncertainty for making decisions • Assist relevant persons to act on it

Quantity of Information • Neither too much nor too little • Information generation implies costs (time money and energy) • Paradoxically less information lead to higher quality costs • Desired quantity of information is a balance with tradeoffs (difficult but inevitable)

Quality of Information • Exact, Authenticated, well-timed • Should comply ‘ Oriented in time , place and person’ • Reliable and Validate-able • Meets the international standards

Information without meaning for receiver is nothing but noise, energy and time (wasted)

Classification of Information • Action Vs Non-action • Recurring Vs Non-recurring • Documentary Vs Non-documentary • Formal Vs Informal • Historical Vs Future projections

Designing an Information System • • What info should flow? To whom it should flow? When or at what frequency? How and through what channel? Who will do what? How it will be put together and summarized? How and when it will reported and to whom?

Health Sector Related MIS • Ministry of Health. • National Programme for PHC and FP • Expanded Programme of Immunisation. • Acute Respiratory Infections Control Programme. • Malaria Control Programme. • National Tuberculosis Control Programme. • AIDS Prevention and Control Programme. • Ministry of Population Welfare. • Local Bodies (Municipal Corporations) • Census and Surveys

Relationships and Flow of Information in the Different MIS Federal Director General Health National Programme Managers, EPI, Malaria, AIDS Provincial DG Health Services Provincial Programme Managers, EPI, Malaria, AIDS National Programme Managers, NP-PHC/FP Provincial Programme Managers, NP-PHC/FP Divisional Director Health Services District Health Offices District Programme Implementation Unit (NP-PHC/FP) First Level Care Facility Vaccinator/ CDC Malaria / TB, ARI, etc. LHW

Problems • Data is often delayed and is not analysed promptly • Weak Vital Event Registration System • Multiple information systems organized through public health programs work independently • Dis-integrated Hospital-based information • Missing information about private sector • Quality of information generated – not reliable • Non-utilization of information at micro and macro levels • MIS component missing from regular training and education programmes. • The current information systems is becoming difficult to sustain given the available level of financial and human resources.

Challenges Consolidation (of what is already achieved) Priority Areas Initiate Modifications (Focus on client orientation, effectiveness and efficiency) Further System Expansion Integrate of Multiple MIS • Improve Data Quality • Promote Information Use • User-friendly computerization • Electronic info. sharing • Incorporate new technology (GIS) • Hospitals • Private Care • Other Department Facilities Integrate of MIS with Devolution Plans Research & Development

THANK YOU VERY MUCH • Please Go on to your Class Exercise after a Ten Minutes Teasing and Relaxing