1 Recording & Reporting – A Mission Ahead

2 System Collection of specific components I nformation System Information support in decision making Health Inf. System Inf. System related to health services HMIS Management of Health programs Need: In-time Reporting Supervision, Monitoring and Evaluation of Program Improved approach through decision-making Introduction of new intervention tools

3 HardwareSoftwareLiveware Components of Information System (Computerized) Key elements of Information System DataRecordFileDatabase Information

4 Stages for Development of HMIS Conception & Review of Existing System Feasibility Assessment DesigningEvaluation Implemen- tation

SWOT analysis Problem identification Elements identification that can be Retained Modified Abolished Summarize the observation Re-think and finalize 5 Reviewing the Existing System

6 Stages for Development of HMIS Infrastructure Cost-benefit Analysis Manual vs. computerization Feasibility Modular Data, Data source, Data flow Data Collection & Reporting tool Designing Training prior to implementation Feedback mechanism Implementation

Different roles and responsibilities at different level of Health system. Therefore different needs of data at different level Identify the relevant datasets 7 Data Needs LevelFunctions (Examples) Sub-centreCase finding, Service delivery PHCDiagnosis, Treatment, Referral District HospitalBesides above, Management of referred cases StateProgram planning, Implementation, M & E NationalPolicy formulation

Source from where data can be obtained, e.g. Referral slip/ card/ register/ note OPD register Diagnosis register Treatment card/ drug register Stock book/ Inventory register Supervisors checklist 8 Data Source

Features Easy to fill up, Simple and Short Must contain all the identified data items No ambiguity Hints for user should be there Coding system should be encouraged Checks for data integrity (Computerized system) 9 Data Collection Tool

Features Flexibility: Both Line listing and Comprehensive Easy to understand Must contain all the relevant information No ambiguity Hints for user should be there May be tabular, pictorial or mixture of both 10 Reporting Tool

11 Steps for Development of Data collection and Reporting Tool Implement User Guide & Training Finalize Pre-test Refined version Modify accordingly, If Required List Advantages & Disadvantages Discuss with End users & Experts Develop Draft Version

12 Issues to be looked into for Automation Hardware Software Front end Back end Data entry format Data integrity and quality checks Data analysis Output format Users manual Training

13 Maintenance & Sustainability Operation by skilled/ trained personnel Back up facility for data and application software AMC contract Proper supply chain system for Logistics Periodic monitoring Monitoring frequency subjected to Data load Possibility of man-made errors Corrective measures, if required

14 Report Dissemination Manually Electronically Online – Instant Reporting

15 Issues for Online System Networking – LAN, MAN, WAN Topology MoDem Internet connection Client/ Server architecture

16 A simple flowchart of Processes OPD RegistrationDiagnosisTreatment Treatment Assessment Follow up Indoor

17 HMIS Automation – A dynamic process Indoor OPD Diag T/t T/t assess. F.U. Indoor OPD Diag T/t T/t assess. F.U. Indoor OPD Diag T/t T/t assess. F.U. Indoor OPD Diag T/t T/t assess. F.U. Mission Ahead

18 HMIS: Always need Improvement Assessment Improvement in H/W and S/W Compatibility Flexibility Faster More accuracy

Thank You 19