HEALTH

MANAGEMENT
INFORMATION
SYSTEM
 Definition

Health information system is that that system

in which collection, utilization, analysis and
transmission of information is done for
conducting health services, training and
research.
 Objectives
• To provide reliable, latest and useful health information to
all levels of health officers and administrators.
• To amend health policies and working system on the basis
of feedback, received from health information system.
• To provide information about periodically and time bound
programmes and for mid term evaluation.
• To contribute towards achievement of objectives of health
policies and programmes.
• To increase efficiency and quality in health management.
 Characteristics
According to WHO,

• The information should be problem oriented.

• Information should be population based.

• Functional and directorial wording should be used.

• Information should be expressed in short and in

imaginative form (graphs, chart, table etc).
 Characteristics
• Facility for data feed back must be present in health
information system.

• Latest technology should be used in health information

system.

• Unnecessary figures or data should not be present in

information system.

• For information management, organizational structure must

be present.
Domains/fields of health information
system

It includes demography, vital statistics, health

system input, output, health determinants,
health economics, health status, health
infrastructure, resources and outcome,
financial statistics, environmental health
statistics.
Information process

Data collection
Resources
Data transmission
Management
Data processing
Organizational rules
Data analysis

Information for use in

planning and management
 Sources of HMIS
• Census

• Registration of vital events( birth, death, marriage etc)

• Notification of diseases and disease registers.

• Records and reports of hospitals

• Statistics regarding environmental health.

• Statistics regarding health resources and services.

 Sources of HMIS
• Sample survey( national sample survey organization)

• Population survey

• Statistics regarding efforts to check epidemiological

diseases and researches in this field.

• School record

• Economic planning

• Plans of social security

Problems or constraints of HMIS in
India

1. Structural

• Multiplicity of institutions and departments

• Fragmentation of data.

• Lack of infrastructural facilities for storage and

maintenance of records.
 Problems or constraints of HMIS in
India
2. Procedural
• Excessive information
• Encryption/hidden issues
• Exhaustive information, seldom used.
• Overburden of collection and recording of data along
with General health care.
• Incomplete, unreliable and intentionally managed
information.
 Problems or constraints of HMIS in
India

2. Procedural
• Repetition of general information
• Inappropriate forms/cards/reports
• Less interest of users in information
• Time consuming procedure
• Confusing coding, long list of indices
• Absence of feedback to information suppliers.
Problems or constraints of HMIS in
India

3. Related to content
• Mostly service utilization statistics.
• Only summarized information reaches at higher
level.
• Less emphasis on socioeconomic information.
• no user friendly
 Problems or constraints of HMIS in
India

4. Related to human resource

• Absence or lack of skilled medical record professionals

• Lack of opportunity for in service training for the staff.

• Health care providers/nurses/biomedical trained

persons are collecting and preparing data.

• Lack of motivation/extra incentives

Problems or constraints of HMIS in
India

5. Technological

• Much manual paper based system.

• Absence or lack of computerized data base

system
 Subsystems/sub components of
HMIS
• Epidemiological surveillance

• Routine service reporting

• Specific program reporting

• Administrative systems

• Vital registration
 Challenges for HMIS

• Low levels of public will, about vital registration system.

• Inadequate government’s capacity and lack of firm political

decision

• Gender issues in vital events registration

• Fragmentation of health information

• Establishing a unified information system with in country.

 Benefits of HMIS

• Helping decision makers to detect and control emerging and

endemic health problems.

• Help in monitoring progress towards health goals and

promote equity.

• Empowering individuals and communities with timely and

understandable health related information.

• Improving quality of services.

 Benefits of HMIS
• Strengthening the evidence base for effective health
policies.

• Permitting evaluation of scale up efforts and enabling

innovation through research.

• Mobilizing new resources and ensuring accountability

in the way they are used.

• Improving governance.
NURSING MANAGEMENT INFORMATION
SYSTEM(NIMS)

Nursing information systems (NIS) are

computer systems that manage clinical data
from a variety of healthcare environments,
and made available in a timely and orderly
fashion to aid nurses in improving patient
care.
 APPLICATIONS OF NMIS

Workload
Measurement And
Staffing
Requirements
Fiscal Personnel
Resource Management
Management
Staff
Scheduling
 FISCAL RESOURCE MANAGEMENT :
• The information generated can be used to monitor past
performance or to predict future performance.
• Accumulated data can be analysed for the development
of trends that can be used to project future
expenditures.
• Necessary reallocations and budgetary adjustments can
then be made on the basis of these projections.
 WORKLOAD MEASUREMENT AND STAFFING
RIEQUIREMENTS:
• It helps to store, manipulate and retrieve large
volumes of data.
• The information generated assists nursing managers
in planning, monitoring and evaluating use of
nursing resources on a daily basis and in the longer
time frame.
• It is used to generate staff schedules with
conjunction with personnel management.
 STAFF SCHEDULING:
• Nursing managers are able to plan schedules in
advance with considerable time savings.

• Staffs are informed well ahead of time.

• Staffing records, if maintained properly,

provide useful information for monitoring
absenteeism, scheduled time off, and turn over.
PERSONNEL MANAGEMENT:
• An employee with a special mix of skills can be
located.
• Records are readily accessible needed for
accreditation purposes or to monitor contract
compliance.
• The information may be retrieved on a daily basis for
use in conjunction with workload measurement and
contract requirements to plan staffing assignments.
 ADVANTAGES OF NIS

1) IN NURSING ADMINISTRATION:

Evaluate quality assurance programs

Defend resource allocation to nursing

Demonstrate the contribution nursing, makes to the

care of the patient.

Identify outcomes of nursing care

 ADVANTAGES OF NIS

2) IN NURSING PRACTICE:
• Enhance documentation by nurses
• Provide data to enable research directed at
examining the inter relationships between data
elements and nursing outcomes.
• Facilitate development of the nursing process
 ADVANTAGES OF NIS

3) NURSING RESEARCH:

• To assess variables on multi levels including

institutional, local, regional, and national.

• Identify trends to build information and to

further synthesize to develop nursing
knowledge
 ADVANTAGES OF NIS

4) NURSING EDUCATION:
• To develop body of knowledge with focus on nursing
process
• To enable staff educational needs based on follow up
care and outcomes.
• To enhance student nurses accurate documentation