RHIS Performance Improvement: Examples of Interventions

Health & Medicine Business Technology

4 th International RHINO Workshop Guanajuato, Mexico March 8, 2010 Measuring and Improving Routine Health Information System Performance Session 4.3: RHIS Performance Improvement: Examples of Interventions

Examples of technical interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Computerized data analysis/presentation What is a Decision Support System (DSS)? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examples of organizational and behavioral interventions (let us go a step further...) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How can RHIS help building integrated district health systems? ,[object Object],[object Object],[object Object]

Integration of program interventions ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Integration of Individual-Community Health through integrated district data-warehouse (South Africa)

Integration of public-private HIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Resource Type: Report Authors: Michael P. Rodriguez, Gajinder Pal Singh and Jim Setzer Published: May 31, 2014 Resource Description: A highly functioning national health information system (HIS) facilitates transparent and evidence-based decision making that ultimately leads to improvements in the health status of a country’s population.1 Rather than reflecting a single structure through which routine health statistics in a country are reported, most country health information systems are made up of multiple sub-systems that may or may not be well-coordinated, potentially collect some of the same information, and typically place the largest burden for reporting on those at the lowest levels of the health system, the primary health care facility staff. All of these characteristics present risks to the ability of the health system to function efficiently and effectively. The Health Metrics Network (HMN) Framework, published in 2008, provides a useful lens for viewing the efforts of the Republic of India to improve the production and availability of health information at all levels of its health system, from health facility to district, state, national and international levels, and to use that information to improve health outcomes. The objectives of this report are to use the HMN Framework to examine, organize and summarize some of the publicly available written information on the Indian HIS and to serve as a resource tool for stakeholders throughout the Indian health system pursuing efforts to strengthen the HIS. This report is intended to highlight the progress that has been made to date and to discuss some of the gaps in the Indian HIS using the HMN Framework, which can then form the basis of discussions on HIS strengthening priorities.

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Paper Assignment # 2 Using your exploration from paper 1, choose one (1) way to use health information technology to address your identified community health related issue and describe the process of implementation in a chosen context. Paper should be approximately 5-6 pages, (not including title or reference pages). It is to be written in APA format. The following information needs to be included in the paper: 1. Introduce your idea and identify the context of how your HIT idea will be used 2. Discuss theoretical support for your idea 3. Identify a goal for your idea and three (3) objectives 4. Detail strategies you will take to implement your idea 5. Discuss anticipated barriers to implementation Limited Developing Mastery Introduction and identification of context No introduction or elementary introduction with no context or supporting evidence provided Basic introduction with limited details and minimal context or supporting evidence Detailed introduction of topic with context and supporting evidence provided. Theoretical support, goal statement and objectives (Total 3 objectives must be provided) No theoretical support, goal statement or less than 3 objectives for proposed idea Basic discussion of theory, basic goal statement and non- specific objectives Detailed, in-depth discussion of how theory applies to idea, detailed goal statement and (3) specific measurable objectives. Process for implementation and anticipated barriers No process of implementation presented or no barriers identified Limited process of implementation discussed with few examples and minimal discussion of barriers Detailed Process of implementation discussed, multiple examples, and substantial discussion of barriers Conclusion No conclusion paragraph included Basic conclusion Detailed conclusion of topic References 0-2 references 3-4 references 5 or more references Paper Assignment #1 Some of the health related issues from the community commons report include being overweight and obesity. These conditions increase a person's chances of dying from type 2 diabetes, hypertension, coronary heart disease, stroke, osteoarthritis, respiratory issues, and sleep apnea, and breast, colon, and prostate cancers. Research shows that maintaining physical fitness can help stop or decrease some to the chances in getting some of these illnesses. Using the EHR System to Improve Outcomes for Older Adults Studies conducted by nurses show that the effective use of Electronic Health Record System (EHR) can progress results of significance to older adults suffering from pressure ulcers and falls. Bowles and colleagues assessed the effect of an assimilated EHR in various hospitals on the course and outcome indicators for patient falls and pressure ulcers acquired from the hospitals. They discovered that the EHR system was linked with improved fall and pressure u.

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As countries continue to invest and make strides toward achieving the SDGs and universal health coverage, strong routine health information systems (RHIS) are fundamental to the effort. Well-functioning RHIS provide a wealth of data on a country’s health system, including service delivery, availability of a trained workforce, and reach of interventions, that can be harnessed to identify gaps and support evidence-based decision making. Yet, while many low-to-middle income (LMIC) countries have established a national RHIS structure, there are existing challenges related to the availability, analysis, and use of the data that have yet to be addressed.

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