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 'MIS'

is a planned system of the collecting, processing, storing and disseminating data in the form of information needed to carry out the functions of management

It deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine for providing an effective and efficient health care delivery system.

MANAGEMENT INFORMATION

Network of data processing procedures developed within an organization for the purpose of providing an effective information to support decision making and other management functions

Management functions
MIS- Provides requisite data in the desired format for POSDCORB
Planning Organizing Staffing Communication Co-ordination Monitoring Controlling Reviewing Decision Making Budgeting

MIS Provides
Information regarding General Administration Personnel Management Accounts and Finance Beneficiaries

Minimize uncertainty in management decisions Facilitate achievement of organizational goals Ensure quality standards in health-care

Information not data Relevant Sensitive Un-biased / uniform Comprehensive Timely Action-oriented Performance oriented Cost-effective

MIS For Decision Making

Recognition of Problems Collection and Analysis of data Generation of Alternatives Assisting in choice of best alternative Communication and Implementation Review

Includes a system which acquires ,stores, processes and delivers patient related information in a hospital with required details in response to a query or routinely or periodically as per predetermined format to those who need it is called a hospital information systems (HIS)

Clinicial functions Administrative functions Control functions Strategic planning

Clinical information system

Administrative information system Ancillary services information system

Disease Surveillance information system

Patient demographics. Medical history, examination and progress reports of health and illnesses. Medicine and allergy lists, and immunization status. Laboratory test results. Radiology images (X-rays, CTs, MRIs, etc.) Photographs, from endoscopies or laparoscopy or clinical photographs.

Medication information, including sideeffects and interactions. Evidence-based recommendations for specific medical conditions A record of appointments and other reminders. Billing records. Eligibility Advanced directives, living wills, and health powers of attorney

Patient related information

Adequacy of services Quality of care Epidemiological studies

Annual return of services ,facilities utilization Optimal use of beds, facilities ,equipment
Inventory control
Assess productivity

 Data

from different departments personnel data

Health

Financial

data

 Future

plans in patient care

Advances

Advances

in management tools and technology

HIS
- SUB-SYSTEMS

Reservation, Admission Discharge Outpatient Registration Billing Personnel Scheduling

Patient Care

HIS
- SUB-SYSTEMS
Pharmacy Diet Planning Accounts Finance Administration Materials Equipment Feedback Analysis

Inpatient Management
Bed Occupation Details Bed Status IP Census Transfer Out Slip (From Wards)

Billing
Bill Concession Category Payments Category Services Consolidated Bill Concession Counter Payment Category Payment Cheque IP Bill Concession Final IP Bill Consolidate Final IP Bill

Billing (contd.)
Detailed Bill OP Payments Open Counters OP Voucher Expenses for Package Patients Payment/Receipt List of Services Service Rate Voucher

Pharmacy
Patient Issue and Returns Patient Issue External Patient Pharmacy Bill Inpatient Pharmacy Bill Outpatient Pharmacy Bill Purchase Pharmacy Sales

Laboratory
Lab Request Statistics about number of Tests List of Panels Test Request Lab Wise Report for External Patients Lab Wise Report for Inpatients Lab Wise Report for Outpatients List of tests

General Administration
Bed Occupancy Category Census Employee Address Employee Details Employees Joined in the Current Month Report Employee Details, Employee Number Wise IP Census MR Census OP Census Monthly Census Employee PF

Personnel
Service Certificate No Due Certificate Separation List List of Disciplinary Cases Loan Details Reimbursement Details Impending Confirmation List Impending Retirement Details Impending Separation List

The Center for Information Technology Leadership described four different categories (levels) of data structuring at which health care data exchange can take place The four levels are:

Lev Data Type el 1 Non-electronic data

Examples Paper, mail, and phone call

Machine transportable data. Fax, email, and unindexed documents Machine organizable data documents, (structured messages, images, and unstructured content) objects.

Level

Data Type

Examples

Machine interpretable data (structured messages, standardized content)

Automated transfer from an external lab of coded results into a providers EHR. Data can be transmitted (or accessed by HIT systems without need for further semantic interpretation or translation.

decision support systems in healthcare, including clinical decision support systems architectures for electronic medical records and other health information systems used for billing, scheduling, and research

standards (e.g. DICOM, HL7) and integration profiles (e.g. Integrating the Healthcare Enterprise) to facilitate the exchange of information between healthcare information systems Systematized Nomenclature of Medicine, Clinical Terms (SNOMED CT), MEDCIN, Logical Observation Identifiers Names and Codes (LOINC), - used to allow a standard, accurate exchange of data content between systems and providers

- Electronic Medical Records Translate information from paper records into a computerized format.

Electronic Medical Records (EMR)

Contents Patients histories Family Risk factors Findings from physical examination Vital signs Test Results Known allergies Immunizations Health Problems Therapeutic Procedures and Medications Response to Therapy

Also include - Providers assessment and plans - Advance Directives - Information, about the patients assent to and understanding of therapy. - Permission for Disclosure of Information for use by other care providers or bill payers.

Requisites for good MIS

- Acquisition of appropriate hardware and software (customized) - Selection and training of qualified staff - Products and system - Proper maintenance - Control - Review

Qualities of Good MIS

Accurate Reliable Relevant Timely Concise Comprehensive Effective

Limitation
- Cost
- Initial - Recurring - Up gradation

- Need for Trained staff - Need for Proper Maintenance - Possibility of loss of information

Old record incorporation Social and organizational barriers Confidentiality Technology limitations Budgetary constraints User acceptance and competence Preservation Legal status Setting standards Customization

Technology is complementary and supplementary to human interface and not substitutive to it