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GEETANJALI MIGLANI

HOSPITAL
INFORMATION
SYSTEM
MS. GEETANJALI MIGLANI
RN, RM, MSN (MEDICAL-SURGICAL NURSING)
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GEETANJALI MIGLANI

HEALTH INFORMATION
Health information is any quantifiable and non-
quantifiable information that can be used by
health decision-makers and clinicians to better
understand disease processes and health care
issues, and to prevent, diagnose or treat health
problems.
WHO
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GEETANJALI MIGLANI

HEALTH INFORMATION SYSTEM (HIS)

A health information system refers to inter-related
component parts for acquiring and analyzing data and
providing information (management information,
health statistics, and health literature) for the
management of a health programme or system and for
monitoring health activities.
WHO
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CONT’D..
Is information system that uses computers,
communication equipment and programs to
collect, store, process, retrieve and
communicate patient care and administrative
information.
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HIS IN INDIA
In India, the health information exists at various levels,
forms and systems.
A wide variety of data is collected by number of
agencies mainly government both at the central and
state level through routine data collection and also
periodic sample surveys.
Challenges continue in terms of reliability, relevance,
timeliness, harmonization as well as quality of data.
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GEETANJALI MIGLANI

TYPES OF HEALTH INFORMATION

SYSTEMS
CLINICAL (HOSPITAL) HEALTH ROUTINE HEALTH INFORMATION
INFORMATION SYSTEMS: SYSTEMS:
 They are typically large and complex  Information that is derived at
hospital information systems that
focus on patient specific data. regular intervals of a year or
 These sophisticated health less through mechanisms
information systems that are often designed to meet predictable
large hospital systems have proven information needs.
to be difficult to develop both in
developed and developing countries.
 About three quarters of these
systems have failed.
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GEETANJALI MIGLANI

• Health service statistics for routine services reporting and

special program reporting (malaria, TB, and HIV/AIDS).
• Administrative data (revenue and costs, drugs, personnel,
training, research, and documentation)
• Epidemiological and surveillance data
ROUTINE
HEALTH • Data on community-based health actions
INFORMATION • Data on vital events (births, deaths and migrations).
SYSTEMS: • An important strength of routine HISs is that decision makers
and managers at all levels of the health system have direct
access to data.
• Useful in health planning and management.
• Empowers practitioners and managers to identify problems as
they arise and solve them.
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WHAT CONSTITUTES HIS?

1. Primary Health Care Information
Systems
2. Hospital Information Systems
3. Public Health Information Systems
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I. Primary health care information system

 Hospital information systems available at primary health care
 Clinical department systems
 Clinical support systems
 Material Services
 Accumulate payments
 Recharge/Bills
 Budgeting
 General ledger
 Patient data/Billing/Account receivable
 Payroll
 Cost accounting
 Nursing information system
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GEETANJALI MIGLANI

II. Hospital Information Systems

HOSPITAL INFORMATION SYSTEMS
COMPONENTS
• Nursing management • Patient Data (ADT)
• Clinical appointment • Pathology system
• Dietary • Pharmacy system
• Doctor ID system • Radiology system
• Employee health system • Referring doctor system
• Medical record system • Cancer registry system
• Pathology system
USES
• Support of Clinical and Medical Patient Care Activities in the Hospital
• Administration of the Hospital‘s Daily Business transactions (financial, personnel, payroll,
bed census etc.)
• Evaluation of Hospital Performance and Cost , and projection of the long-term forecast
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FUNCTIONS OF HOSPITAL INFORMATION

SYSTEM
Computer based patient record (CPR)
Research
Strategic decisions
Less time spent in paperwork
Better documented work
Follow up of expenses
Reducing number of employees
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III. PUBLIC HEALTH INFORMATION

SYSTEM
Epidemiology
Morbidity and mortality
Prevention
Attribution of health status to individuals and
populations in order to promote health status
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GEETANJALI MIGLANI

WHY HIS?
 HIS is essential for strengthening the information management
practices within the Primary Health Care (PHC) sector with the
larger aim to improve processes concerning health care
delivery for the rural community.
 To develop capacity of the health staff to better deal with
computers, health information systems, and health indicators
and targets.
 Development of this capacity will lead to better governance of
the health sector and improved delivery of health care to the
community.
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GEETANJALI MIGLANI

ISSUES IN HOSPITAL INFORMATION

SYSTEM (IN HOSPITAL)
 Manual Record keeping  Untrained coders
system  Patient record formats
 Only inpatient data  No established Medical
 Only from Government Record Departments in some
Hospitals hospitals
 ICD10 at Hospital but  No unique ID
aggregated groups are  Repeated admissions counted
transmitted to the Centre as new cases
 Doctors not very concerned  Use of IT is minimal
about writing of diagnoses
 Inadequate human resources
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CONT’D..
IN PUBLIC HEALTH
 Total system is manual
 Behind time
 Processing is difficult
 No/weak data from
 Estate sector
 Occupational health
 Nutrition surveillance
 Health education
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There are many other Issues:

Poor Financial Changing of record
Information keeping formats
No unit cost system Adaptation of ICD 10 at
No Disease burden study all hospitals
No routine NCD Changing of attitudes of
surveillance system doctors
Re-designing the Training of users
hospital record keeping Quality of Medical
system Records
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BENEFITS
Reduce and/or eliminate medical transcription errors
Faster and improved health care system response
Instant linkage to specialists and other providers
Computerized Clinical Applications - reduce costs
Electronic Medical Records - available instantly
Eliminate extra time/trips by physicians and providers
Automatic checking for drug and other interactions
Quick availability of data in emergencies around the
world
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THANK
YOU