Community Health Information Tracking System
eRecords eLearning Telemedicine
Transcending the delivery ofhealthcarefor Filipinos throughElectronic Health Recordsin Rural Health Units
Capability-building, Deployment andImplementation of the Community HealthInformation Tracking System (CHITS)
The Plan of Action for CHITS deployment
1. Memorandum of Agreement between UPM-NThC and LGU.2. Identify local technical support (c/o State Collegesand Universities in the Region to be AccreditedCHITS Reference Centers)3. Establishment of Infrastructurea. Secure hardware and network equipmentb. Setup hardware and network c. Install and configure software4. Computer Literacy Capability-buildingfor Health Workers (c/o LGU or local technical support).5. CHITS Capability-building for Health Workers
Benefits of CHITS
Rural Health Units or Health Centers
- Faster patient record retrieval- Patient spent waiting for services are minimized- Streamline workflow of health center transactions- More efficient data entry and storage- Appointment and follow-up scheduling system- Monitor the health of the community throughdata accrual daily- Projection of patient loads- Secure access to health care workers (including audit trail)
Municipal and City Health Offices (MHO, CHO)
- Easier and timely generation of health report thatthe Field Health Service Information System (FHSIS) requires- Potential for inter-health center integration, thusmakes tracking of patient more convenient- Detect possible outbreaks- Review of the health of the community can bedone on a regular basis- Projection of logistical needs to allocatesupplies and manpower
Department of Health (DOH)
- Integrates health programs- Aggregate data to any format required by DOH andPhilHealth- Facilitates epidemiology data analysis- Activities of the RHUs are monitored if compliant withSentrong Sigla standards- Improves quality of FHSIS reporting- Timeliness of submission of reports
Government to Citizen
- Makes information available to stakeholders inthe community for better decision making- Leads to more efficient use of community resources- Visible services to the community- CHITS is a proactive public health tool. It can alert andinform health professionals on possible program defaultersthus increasing the level of health service delivery.
The Need to Deliver Quality Data
At the helm of policy analysis and planning in the public health systemhierarchy in the Philippines is the data for the Field Health ServiceInformation System (FHSIS) which originates during a patient’sencounter at barangay health stations (BHS), city and rural health units(RHU). With the volumes of data being collected in a typical RHU, it hasalways been a challenge to consolidate data into a cohesive andrelevant whole. Reporting health data is still paper based, which is proneto error, destruction, and alteration. Consolidation of data on paperrecords is also time consuming causing severe delays which make theinformation stale and irrelevant.
CHITS: The Open Source for Health Development Initiative
In line with its mandate to increase access to health information andservices through information and communications technology, theUniversity of the Philippines Manila - National Telehealth Center(UPM-NThC) has developed the Community Health Information Tracking System or CHITS, a low cost computerization initiative for localhealth centers. CHITS was envisioned to automate the core processes inthe health center and contribute to effective and efficient delivery of services.CHITS is made up of severalcomponents which work togetherto form a cohesive whole. At thecore of CHITS is its capacity-buildingprogram component that graduallyintroduces important concepts of information systems to healthcenter staff. CHITS employs a freeand/or open source software whichmakes it extremely flexible andcompliant to the needs of the localhealth center and other partners inthe future such as the DOH. OnceCHITS is installed in an RHU, it nowserves as a platform for further enhancements such as e-learning forhealth and telemedicine.
It aims to extend the technology resources and services of theUPM-NThC to the level of the local government units. Using healthinformation systems, CHITS hopes to increase the efficiency of the localhealth center in caring for its constituents and to aid in health decisionmaking at the local level.
1. To computerize / automate the generationof health center reports;2. To minimize loss and destruction of patient recordsby the use of electronic patient records;3. To improve access to health center data.
Lagrosa Health Center, Pasay City
Dr. Herman D. Tolentino and Pasay Cityhealth center workers (doctors, nurses,midwives, and barangay health workers)collaborated on the design of CHITS andwas pilot-tested in May 10, 2004.Today, CHITS is installed in 36 healthfacilities* around the country includingPasay City, Marikina City, QuezonProvince, Cavite, Laguna, Bataan,Batanes, Zamboanga, Quezon City,and Tarlac.
*as of July 2010