current situation of health information system in myanmar
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Current Situation of health Information system in Myanmar. The 6 th Asia Pacific Network meeting of WHO FIC Thailand, 18-19 July, 2013. Subsystems of HIS. Epidemiological surveillance system Routine service reporting system Program-specific reporting systems - PowerPoint PPT PresentationTRANSCRIPT
CURRENT SITUATION OF HEALTH INFORMATION SYSTEM
IN MYANMAR
The 6th Asia Pacific Network meeting of WHO FICThailand, 18-19 July, 2013
Subsystems of HIS
• Epidemiological surveillance system• Routine service reporting system• Program-specific reporting systems• Administrative and resource management
reporting systems• Vital or Civil Registration Systems• Population based surveys
Routine Service Reporting System
Public Health Reporting
Hospital Reporting
Department of Health Planning
MCH/UHC/Station HU/RHC
District/Township Health Department
State/Regional Health Department
Sub Rural Health Center
Data Flow
Data Flow and Feedback
DHP
Teaching Hospitals
General Hospitals with Specialist services
200-Bedded Hospitals
150-Bedded Hospitals
100-Bedded Hospitals
50-Bedded Hospitals
25-Bedded Hospitals
16-Bedded Hospitals
Specialist Hospitals
States/Region Health Department
Hospital Form I,II, III & OPD
Hospital Form I, III
Station Hospitals
Hospital report forms
• Monthly hospital return• Monthly general inpatient summary• Hospital inpatient daily record
• Outpatient report form
PART A. NO. OF BEDS:
(1) SANCTIONED BEDS ------------------------------ (2) AVAILABLE BEDS AT END OF MONTH ------------------------------
PART B. IN-PATIENT ACTIVITIES: PART C. OUT-PATIENT ACTIVITIESSR.NO.
SPECIALITY
NO. OFPATIENTSBEGINNIN
GOF MONTH
ADMIS-SIONSDURIN
GMONTH
TOTALUNDERCARE(3+4)
DISCH-
ARGES
DEATHS
TOTALDISCH
-ARGES
(6+7)
PATIENTDAYS
SR.NO.
SPECIALITY
NEWCASES
OLDCASES
TOTALATTEN-DANCE
S
1 2 3 4 5 6 7 8 9 1 2 3 4 5
TOTAL TOTAL
MONTHLY HOSPITAL RETURN (ADMINISTRATIVE) FORM I(TO BE COMPLETED AND POSTED NOT LATER THAN THE 7TH OF EACH MONTH) (REVISE/2013)
NAME OF HOSPITAL ---------------------------- TOWNSHIP -------------------------- REGION/STATE ------------------------- MONTH ----------- YEAR ---------
PART D. OBSTETRIC SERVICES: PART E. SURGICAL ACTIVITIES:1 NO. OF WOMEN DELIVERED 1 GENERAL ANAESTHESIA2 NO. ADMITTED FOR PUERPERIAL CARE 2 SPINAL ANAESTHESIA3 NO. OF ABORTIONS 3 LOCAL ANAESTHESIA4 NO. OF LIVEBIRTHS 4 OTHER ANAESTHESIA5 NO. OF STILLBIRTHS
PART F. DEATHS PART G. MISCELLANEOUS ACTIVITIES TOTAL
F-1 IN-PATIENT DEATHS: (TOTAL NO.)
F-2 NEWBORN DEATHS (TOTAL NO.)
1. POLICE CASES2. PATIENTS BROUGHT IN DEAD
IN-PATIENT DEATHS:(WITHIN 48 HOURS OF ADMISSION)
NOTE: Newborn deaths refer to babies who were born in hospital and died before being discharged with or without their mothers.
3. AUTOPSIES PERFORMED
NOTE: Inpatient deaths refer to patients who were admitted to hospital and died before being discharged.
PART H. MANPOWER:Male Female
1 NO. OF SPECIALISTS2 NO. OF DOCTORS3 NO. OF DENTAL SURGEONS4 NO. OF NURSES5 NO. OF MEDICAL
TECHNICIANSTOTAL
* Part H က နစစဥ December လ Report တငသာ ထညသငးအစရငခရန ကျနသေသာလများတင
Part H က ဖြ�ညစကရနမလပါ။
Signature ……………………………………
Name -……………………………………… Designation
……………………………………Hospital
……………………………………
SR.
No.
ADMISSION
NUMBER
SEX
AGE DATE OF PRINCIPAL/ DISCHARGE DIAGNOSIS
(OR)
NATURE OF INJURY BY SITE
CO-MORBIDITY/OTHER
COMPLICATION (OR)EXTERNAL CAUSES OF
INJURY (INCLUDING PLACE
OF OCCURRENCE & ACTIVITY)
OPERATIONS
PERFORMED
TYPE
OF DISCHA
RGE
DISCHARGE
STATUSY M D ADMISSION
D/M/Y
DISCHARGED/M/Y
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)1
CODE2
CODE3
CODE4
CODE5
CODE6
CODE7
CODE8
CODE9
CODE10
CODE11
CODE12
CODE
MONTHLY GENERAL IN-PATIENT SUMMARY FORM II (REVISE/2013)NAME OF HOSPITAL ------------------------ TOWNSHIP ------------------------ REGION/STATE ---------------------- MONTH ------------------- YEAR ---------
Date
PART (A) Patients admitted to Hospital PART (B) PART (C)No. of
Patients inHospital(Previous
Day)
Admis-sion
Transfersin fromotherwards
Total(Cols.
2+3+4)
Disch-arges
Death*
Trans-fer
Out to other wards
Total(Cols.
6+7+8)
No. of Patients in Hospital(End of
Day)(Cols. 5-9)
Babies born inHospital
Patients admitted
and discharged
on the same day
Live Still Death of
new born
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)12345678910111213141516171819202122232425262728293031
Tot.
HOSPITAL DAILY RECORD (IN - PATIENT) FORM III (Revise/2013)(To be completed and posted not later than the 7th of each month)Month ............................ 20 ..........Name of Hospital .................................. Speciality(**)........................Township ...........................Region/State............................
OPD Form
Standardized Hospital report forms for all Hospitals
Manual for Hospital Form
I, II & III
Manual for OPD
ICD-10
Use of ICD( International Statistical Classification of Diseases and Related Health Problems)
in Myanmar
1962- ICD 71968- ICD 81979- ICD 91996- ICD 10
Translation------------ Chapter XIX, XX
Data from Private Health Sector
• Permission from higher level• Initialization phase• Start from 2013 January• Private hospitals • Develop data collection form and manual
Standardized Report Forms
• Form I - Private Hospital Monthly Report Form (Administrative)
• Form II - Private Hospital Monthly In-Patient Summary
• Training – 27.4.2013 -28.4.2013
Standardized Report Form I- front
Standardized Report Form I-back
Standardized Report Form II
Available information
• Hospital administrative information– Average number of out-patients per day – Average number of In-patients per day– Average duration of stay (in days) – Bed occupancy rate – Turnover interval – Hospital Death Rate
• Causes of Hospitalization– Leading cause of Morbidity and mortality
Strengthening of Hospital information System
Training *******Medical record
technician
Training of Medical Record Technicians on ICD-10 and CAMRS
(6.5.2013 – 21.5.2013)
Workshop on International Statistical Classification of Diseases (ICD-10) and
Computer Assisted Medical Record System(CAMRS)Nay Pyi Taw (28-5-
2013)to (31-5-2013)
Workshop on International Statistical Classification of Diseases (ICD-10) and
Computer Assisted Medical Record System(CAMRS)Nay Pyi Taw (28-5-
2013)to (31-5-2013)
Group Work
Utilization of Health Information
• Selection of project sites• Resource allocation including budget and
logistics distribution• Planning, Implementation, monitoring and
evaluation of health services• Country presentation on workshop, seminars
and meetings
Points for consideration in improvement of Hospital Information System
• Lack of written Health information Policy• Inadequate infrastructure• Shortage of manpower• Low capacity of human resources especially in
information management• No Career development for medical record
technicians• Supplies and equipment – Inadequate ICD -10
Books , Computer, File cover, filing rack
Points for consideration in improvement of Hospital Information System (Cont:)
• Still use in paper recording and reporting from various level except central and region/state
• Poor favourable working environment• Low utilization of data and information to
actions• Lack of motivation in strengthening of health
information
Areas need to be strengthened
• Strengthen organization set up and infrastructure
• Capacity building of human resources on modeling method and advanced data analysis, presentation and interpretation
• Provision of supplies and equipments for electronic health record system
Areas need to be strengthened (Cont:)
• Systematic monitoring, supervision and feedback
• Encourage in utilization of information to actions• Establish unique logistic management
information system and human resource management information system
• Cooperation, coordination and collaboration with indispensible partners
Future Plan• Training of Medical Record Technicians • Supervision and Monitoring on performance of
medical record technicians• Advocacy to authorities for career development of
medical record technicians• Paramedic degree for medical record technicians in
collaboration with Department of Medical Science• Training of ICD-10 to medical doctor • Include ICD-10 in pre-service curriculum of medical
doctors• Verbal autopsy on cause of death
Thank you