Med Info Sys

8/3/2019 Med Info Sys

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MIS

Solodoukhina D.P.,Department of Public

Health KSMU


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Students should be able to:

Understand the existing MIS

internationally

Interpret the strength andweaknesses of the systems

Conceptualize Theory versusPracticality


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Learning MIS?

What is Information System?

Can we manage withoutinformation system?

Why is it necessary to have an

MIS? What can be possible methods?

Examples


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Example :Hardware Framework

Internet

Headquarters

Centre 1 Centre 3

Centre 2


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HEALTH MANAGEMENT

INFORMATION SYSTEM

The HMIS has been definedas

a system that provides anappropriate information

support to each decision

making level of the healthcare delivery system.


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MIS Application

Communication for better management

Effective Communication

Flows of Communication

Communication Networks

Characteristics of information

Quantity of information

Quality of Information


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Sharing the Information:

COMMUNICATION


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Contd..+

Information is data which has been

organized

Communication is transmission of

information (conveying meanings

to others), added with feelings and

other human elements


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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


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Effective Communication

Desire of communicator (values andexpectations)

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)


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Contd..

For Instance.

Sender Message Receiver

Feedback

Encode Decode

Barriers Barriers


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Flows of Communication

Downwards (info, verbal orders, instructions)

upward flow (reports, complaints, proposals)

Horizontal and Diagonal (interdependence)


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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)


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Information

Information is data which has beenorganized

Information is the content of

communication Information tends to be formal,

abstract and impersonal, when

feelings and other human elementsare added to transmission ofinformation , it is called as

communication


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Characteristics of information

Reach relevant persons at right

time Reduce uncertainty for making

decisions

Assist relevant persons to act on it


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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 abalance with tradeoffs (difficult but

inevitable)


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Quality of Information

Exact, Authenticated, well-timed

Should complyOriented in time ,place and person

Reliable and Validate-able

Meets the international standards


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Information withoutmeaning for receiver isnothing but noise, energyand time (wasted)


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Classification of Information

Action Vs Non-action

Recurring Vs Non-recurring Documentary Vs Non-documentary

Formal Vs Informal

Historical Vs Future projections


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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?


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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


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Relationships and Flow of Information in the Different MIS

Provincial DG Health Services

Federal Director General HealthNational Programme

Managers, EPI, Malaria, AIDS

Provincial ProgrammeManagers, EPI, Malaria, AIDS

Divisional Director Health Services

Vaccinator/ CDC LHWMalaria / TB, ARI, etc.

District Health Offices

First Level Care Facility

District Programme

Implementation Unit(NP-PHC/FP)

National ProgrammeManagers, NP-PHC/FP

Provincial ProgrammeManagers, NP-PHC/FP


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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 andeducation programmes. The current information systems is becoming

difficult to sustain given the available level of

financial and human resources.


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Challenges

Consolidation

(of what is already achieved)

Initiate Modifications

(Focus on client orientation,effectiveness and efficiency)

Further System Expansion

Improve Data QualityPromote Information Use

HospitalsPrivate CareOther Department Facilities

User-friendly computerization

Electronic info. sharingIncorporate new technology(GIS)

Integrate of Multiple MIS

Integrate of MIS with Devolution Plans

Research & Development


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THANK YOU VERY MUCH

Documents

Med Info Sys