ICTM 111 (LEC)

Madla, Ray Anne Rose M. October 11, 2022

HEALTH MANAGEMENT INFORMATION SYSTEM
BSMLS 1 Y1-2

Problems faced by hospitals using the traditional

manual process includes:
• No real time data available to monitor the
performance of the hospital (hahalungkat pa ng
papers, time consuming)
• Evidence based program management was a
challenge
• Undue delays in receipt of data
• Retrieval of old manual records was ineffective
and time consuming.
• Duplication of records
• Monthly reports sent as hard copy which is a real
challenge for data analysis/comparison
• Drug inventory/equipment inventory
maintenance.
• Lack of standard names and code
• According to the Ministry of Health (2010),
HMIS was developed within the framework of the
following concepts: THE INFORMATION IS:
– Relevant to the policies and goals of the
healthcare institution, and to the responsibilities of
the health professionals at the level of collection.
– Functional; it is to be used immediately for
management and should not wait for feedback from
higher levels.
– Integrated; there is one set of forms and no
duplication of reporting
– Collected on a routine basis from every health
unit. (ensure completeness)
HEALTH MANAGEMENT INFORMATION SYSTEM
(HMIS)
• Is an information system specially designed
to assist in the management and planning of health
programs, as opposed to delivery of care (WHO,
2014)
• It is a data collection system specifically
designed to support planning, management, and
decision making in health facilities and
organizations.
 ICTM 111 (LEC)
Madla, Ray Anne Rose M. October 11, 2022
HEALTH MANAGEMENT INFORMATION SYSTEM
BSMLS 1 Y1-2

B. DATA MANAGEMENT
3. Data Storage
• Preservation and archival of data may be regarded
as part of the data storage function.
• When accumulated data are no longer actively
used in the system, a method to archive the data
for a certain period is usually advisable

4. Data Classification (aka Data Organization)

• Critical function for increasing the efficiency of the
system when the need arises to conduct a data
search.
Data Verification – birth certificate • Most data classification schemes are based on the
use of certain key parameters.
Three fundamental information-processing
phases: 5. Data Computation
• Data Input - includes data acquisition and • Data manipulation and data transformation, such
data verification. (accurate) as the use of mathematical models, statistical and
• Data Management – also called processing probabilistic approaches, linear and nonlinear
phase includes data storage, data classification, transformation, and other data analytic processes.
data update, and data computation. • Allows further data analysis, synthesis, and
• Data Output - includes data retrieval and data evaluation so that data can be used for strategic
presentation. decision-making purposes other than tactical
and/or operational use.
Eight Elements of the HMIS
A. DATA INPUT 6. Data Update
1. Data Acquisition • New and changing information is accounted for
• Generation and the collection of accurate, timely, through the element of data update. The dynamic
and relevant data. nature of such data modification calls for constant
• Input of standard coded formats (e.g., the use of monitoring.
bar codes) to facilitate the rapid mechanical reading
and capturing of data. C. DATA OUTPUT
7. Data Retrieval
2. Data Verification • Processes of data transfer and data distribution.
• Authentication and validation of gathered data. • Constrained by the time it takes to transmit the
• The quality of collected data depends largely on required data from the source to the appropriate
the authority, validity, and reliability of the data end-user.
sources.
 ICTM 111 (LEC)
Madla, Ray Anne Rose M. October 11, 2022
HEALTH MANAGEMENT INFORMATION SYSTEM
BSMLS 1 Y1-2

8. Data Presentation I. Behavioural determinants

• Data presentation has to do with how users • The data collector and users of the HMIS need to
interpret the information produced by the system. have confidence, motivation and competence to
• Summary tables and statistical reports may suffice perform HMIS tasks in order to improve the Routine
in presentations. (CBC) Health Information System (RHIS) process.
• The use of presentation graphics for higher-level • Lack of enough knowledge on the use of data has
managerial decision analysis is particularly been found to be a major drawback on the data
encouraged because these appear to provide a quality and information use. Motivating HMIS users
better intuitive feel of data trend. remains a challenge.
• Despite training on data collection and data
analysis, people are still having negative attitude on
the data, and hence a lot needs to be done to
change people’s behaviour, in order to increase the
performance of the (RHIS) process (Routine Health
Information Network, 2003).

II. Organizational determinants

Determinants of HMIS Performance Area

The determinants which affect the HMIS
performance may be Behavioural, Organizational
and Technical.

Health workers and data collectors work in

organizations’ environments which have value,
norms, culture and practice. The most important
organizational factor which affects the RHIS process
is related to structure, resource, procedure, support
services and the culture which is used to develop
and improve the RHIS process.
 ICTM 111 (LEC)
Madla, Ray Anne Rose M. October 11, 2022
HEALTH MANAGEMENT INFORMATION SYSTEM
BSMLS 1 Y1-2

II. Organizational determinants 3. Organizational/environmental determinants—

Having a system in place which support data Information, culture, structure, resources, roles,
collection, analysis and transform it to useful and responsibilities of the health system and key
information will help in promoting evidence based contributors at each level.
decision making. Thus all components within the
system are ideal in making the RHIS perform better. • Identifies the strengths and weaknesses in certain
areas, as well as correlations among areas.
III. Technical determinants • This assessment aids in designing and prioritizing
Technical factors involve the overall design used in interventions to improve RHIS performance—which
the collection of the information. It comprises the in turn improves the performance of the health
complexity of the reporting forms, the procedure system.
set forward in the collection of data, the overall • Defines the various components of the routine
design of the computer software used in the health information system and their linkages to
collection of information. produce better quality data and continuous use of
information, leading to better health system
performance and, consequently, better health
outcomes.

PRISM FRAMEWORK

Performance of Routine Information System

Management (PRISM)
- this conceptual framework broadens the analysis
of routine health information systems to include the
three key factors which were discussed previously:
1. Behavioural determinants—knowledge, skills,
attitudes, values, and motivation of the people who
collect and use data.

2. Technical determinants — data collection

processes, systems, forms, and methods.