Field Health Services And Information System (FHSIS)

The Field Health Service Information System (FHSIS) is a major component of the network information
sources developed by the Department of Health (DOH)to enable it to better manage in nationwide
health service delivery activities.

The FHSIS is intended to address the short term data needs of DOH staff with managerial/ supervisory
functions in DOH facilities and in each of the program areas.

What is the Field Health Service Information System (FHSIS)

 It is a network of information.
 It is intended to address the short term needs of DOH and LGU staff with
 Managerial or supervisory functions in facilities and program areas.
 It monitors health service delivery nationwide.

Objectives:

 To provide summary of data on health services and selected program accomplished

indicators at the barangay, municipality/city district, provincial regional and national
levels
 To provide data which when combined with data from other sources, can be used for
program monitoring and evaluation purposes
 To provide a standardized, facility level data base which can be accessed for more in-
depth studies.
 To ensure that the data reported to the FHSIS are useful and accurate and are
disseminated in a timely and easy to use fashion
 To minimize the recording and reporting burden at the service delivery level in order to
allow more for patient care and promotive activities

Components

 Family Treatment Record

 Target Client List\
 Reporting Forms
 Output Reports

Treatment Record

The fundamental building block or foundation of the Field Health Service Information System is
the Treatment Record. This is the document, form or pieces of paper upon which the presenting
symptoms of complains of the patient on consultation and the diagnosis (if available), treatment
and date of treatment is recorded. This record will be maintained as part of the system or
records at each BHS/BHC/RHU/MHC, or hospital outpatient by facility on all patients seen. The
Treatment Record and its system of filing may vary from program to program and place to
place. In some case, the history of previous pregnancies will be contained in the OB/GYN
record as part of the family folder. Other programs have their own resident treatment records
such as Tuberculosis, Leprosy and Schistosomiasis. However, these records will be described
later. If in the facility, there is no formal treatment record for individual patient visits/
consultation, one must be created. This record may be as simple as the following example
prepared on plain bond paper

Date Name Address Complaint Rx Diagnosis

(if available)

Note: Do not rely on records maintained by the client/ patient. In areas where the home based
maternal record is in use, there must still be a treatment record available in the facility.

Target/Client Lists

The target/Client Lists constitute the second “building block” of the FHSIS and are intended to
serve four purposes:

1. To plan and carry out patient care and service delivery. Such lists will be of considerable
value to midwives/nurses in monitoring service delivery to clients in general and in
particular to groups of patients identified as “targets” or “eligibles” for one another
program of the Department. The primary advantage of maintaining the Target/Client List
is the midwife/nurse does not have to go back to individual patient/family records as
frequently in order to monitor patient treatment or services to beneficiaries. The
contribution of efficient service delivery is the main consideration in determining which of
the previous “Master Lists” can be retained in the revised FHSIS as Target/Client Lists.
There are no Target/Client Lists in the revised FHSIS solely for reporting purposes
2. To facilitate the monitoring and supervision for services
3. To report services delivered. Again, the objective is to avoid having to go back to
individual patient/family records in order to complete the FHSIS Reporting Forms. For
service/program areas in which a Target/Client list has been deemed useful for services
delivery purposes, the format of the list has been developed in such a way so as to
facilitate also reporting. Service/program areas not covered by the Target/ Client Lists in
the revised FHSIS solely for reporting purposes
4. To provide a clinic-level data base which can be accessed for further studies, e.g follow
up and special prospective studies, record surveys, etc. The introduction of standardized
Target/Client Lists maintained in hard-bound cover is designed to result in permanent
records of facility health care delivery activities which can be served as a facility level
data base.

Tally/Reporting Forms

FHSIS Reports constitute the only mechanism through which data are routinely
transmitted from one facility to another in the revised FHSIS. The majority of FHSIS
reports are prepared and submitted either monthly or quarterly. One report is prepared
weekly, several annually, and in some instance, every few minutes as relevant events
occur, e.g, maternal and neonatal deaths. The full sequence of FHSIS Reports are listed
in table 1.

In the FHSIS, reports are prepared and submitted by the unit/person responsible for the
service/activity being provided and sent directly to the Provincial Health Office. The bulk
of the data reported from the RHU/MHC/BHS/BHC level are activities which are
undertaken or are the responsibility of midwives/nurses within the facility will be “linked
up” with the data reported by others during the data processing phase of the operation.

List of FHSIS Reports and Forms

Reports/Form No. Title Reporting Responsibilty

Upon Occurrence of Events

FHSIS/E-1 Notification of Death Form BHS/BHC/RHU/MHC
FHSIS/E-2 Maternal Death Report BHS/BHC/RHU/MHC
FHSIS/E-3 Perinatal Death Report DH/CH

Weekly
FHSIS/M-1 Weekly Report of Notifiable Disease BHS/BHC/RHU/MHC

Monthly
FHSIS/M-1 Monthly Field Health BHS/BHC/RHU/MHC
Services Activity Report DH/CH/PH/CHO/RH
FHSIS/M-2 Monthly Natality Report BHS/BHC/RHU/MHC
FHSIS/M-3 Monthly Mortality Report RHU/MHC
FHSIS/M-4 Monthly Laboratory Report RHU/MHC/DH
CH/PH/CHO
FHSIS/M-5 Monthly Dental Health RHU/MHC/DH
Service Report CH/PH/CHO/RH
FHSIS/M-6 Family Planning subsidized RHU/MHC/DH
Surgical Procedure Report CH/PH/CHO/RH
FHSIS/M-7 Monthly Social Hygiene STD Clinic
Clinic Activity Report

Quarterly
FHSIS/Q-1 Quarterly Field Health BHS/BHC/RHU/NMHC
Service Activity Report DH/CH/PH/CHO/Rh
FHSIS/Q-2 Quarterly Dental Facility DH/CH
Inspection Report
FHSIS/Q-3 Quarterly Report of RHU/MHC/DHO
Environmental Health Activities
FHSIS/Q-4 Quarterly Reports of Malaria DHO/CHO/PHO
 Control Activities
FHSIS/Q-5 Drugs and Supplies RHU/MHC
Quarterly Status Report
FHSIS/Q-6 Laboratory Supplies RHU/MHC/DH/CH
Quarterly Status Report PH/CHO

Annual
FHSIS/A-1 Annual Catchment Area OPT/BHS/BHC/RHUMHC
Tally Sheet and Summary Report
FHSIS/A-2 Annual Catchment Area BHS/BHC/RHU/MHC
Population Summary Report
FHSIS/A-2A Annual Catchment Area BHS/BHC/RHUMHC
OPT form
FHSIS/A-3 Annual Household RHU/SI/MHC-SI
Environmental Sanitation
Report
FHSIS/A-3A Annual Environmental RHU/MHC/DHO
Household Survey Form
FHSIS/A-4 Annual Nutrition Report BHS/BHC/RHUMHC
Food Supplement DH/CH/PH/CHO/RH

Output Reports

Output Reports or table will be produces at the PHO (or alternate date processing site in
the province) from the data reported in FHSIS disseminated down to the RHU/MHC and
up through the DOH system to the Regional Health Office. The objective in designing the
output formats is to make the reports useful for monitoring/management purposes at
each level of DOH management.

FHSIS components

Family
Treatment
Records

Target/Client Tally/Reporting Output Tables

List Forms

Family-based Means of Outcome

Data Transmitting Data
Records, Reports and Patient Flow

The use of the system of records and reports is relatively simple. All information related to the
client/patients history, complaint, diagnosis, services, and or treatment is contained in three
documents or records: (1) the individual treatment record (2) The Target/Client List(TCL) for the
several public health programs, and (3) the tally sheet/reports forms which have a dual purpose
that is to tally events as they occur and the purpose of reporting periodically to higher levels.

Geographic Coding

The FHSIS Report forms are to be submitted by the reporting units identified in the upper
portion of the page of each Report Form

The following are considerd reporting units and are expected to submit FHSIS reports in cases
where public health related services are provided.

BHS/BHC - Barangay Health Station/ Barangay Health Centers

(city counterpart of BHS)
RHU/MHC - Rural Health Unit/Main Health Center
PH/CHO - Provincial Hospital/ City Health Office
(some CHO directly provides to city residents)
Rh - Regional Hospital. This category includes/ Medical
Centers providing public-health related services.
 LICEO DE CAGAYAN UNIVERSITY Score: __________
COLLEGE OF NURSING
NCM501205 RLE

TEACHING LEARNING GUIDE

Topic: Field Health Services And Information System (FHSIS) Date/Time: November 24, 2010/ 1:00pm
Level of Student: NCM501205 Reporter: Bienes, Charity N.
Venue: Liceo de Cagayan University, Campus Herrera, Marco

GENERAL OBJECTIVES: At the end of 20 minutes,the students will be able to acquire novel learning regarding the Field Health Services And
Information System (FHSIS) .

SPECIFIC CONTENT TIME TEACHING LEARNING EVALUATION REFERENCE

OBJECTIVES ALLOTMENT GUIDE
At the end of 15 Teacher Students
minutes, the students
will be to:  Discuss  Listen Public Health
the topic carefully to the  Do oral Nursing in the
a. Know the  Objectives 2mins well discussion Recitation Philippines\
Objectives And  Components  Ask  Active  Conduct a
Components questions participation post test pp. 80-86 by Frances
right after  Take down
Prescilla L. Cuevas,
the notes
discussion RN MAN,

b. Discuss the
treatment  Treatment
record and the Records 5mins
Target Lists  Target/Clients
Lists

c. State the Tally  Tally/Reporting

Reporting Forms & List of 5mins
Forms & List of
FHSIS reports
FHSIS Reports
and forms
 and Forms

d. Discuss the  Output

Output Reports, Reports 5mins
Records,  Records,
Reports and
Reports and
Patient Flow
Patient Flow

e. Know the
Geographic
Coding  Geographic 2mins
Coding