f = field - health research
TRANSCRIPT
Field Health Service Information
System
It is a network 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.
N A T I O N A L E P I D E M I O L O G Y C E N T E R
Ultimate Goal of a Health Information System
To enable various health system
stakeholders to make transparent and evidence-based
decisions.
N A T I O N A L E P I D E M I O L O G Y C E N T E R
Objective
To produce relevant and
quality information in
support of health system
interventions.
O b j e c t i v e s
To provide data on health service delivery and
selected program accomplishments at local levels;
To provide data which, when combined with data
from other sources, can be used for program
monitoring and evaluation;
To provide a standardized, facility – level database
which can be accessed for more in - depth studies;
and
To minimize the burden of recording and reporting
at the service delivery level in order to allow more
time for patient care and promotive activities.
FHSIS Importance
Helps local government determine public health
priorities
Basis for monitoring and evaluating health program
implementation
Basis for planning, budgeting, logistics and decision
– making at all levels
Source of data to detect any unusual occurrence of a
disease
Needed to monitor the health status of the
community
Helps midwives in following up clients / patients
Documentation of the midwives / nurses’ day to day
activities
Uses of Information
Policy formulation
Planning
Implementation
Monitoring
Control
Further studies/researchers
“ACTION”
Sources of Information
Epidemiological Investigation and
Surveillance System
National Health Survey
Ad-Hoc Survey/Studies, ex. EPI
Cluster Survey
Field Health Service Information
System
Demand for Information
Program Coordinators
Researchers
Politicians
Municipal Health Officers, PHN,
Midwives, etc.
FHSIS History
1987 – conceptualization stage
1988 – consultative meetings
1989 – pilot implementation
(Regions 4 and 7)
1990 – nationwide implementation
1993 – devolution
1996 – 1st modification (Modified)
2008 - 2nd modification
(FHSISv2008)
Objectives of Revision
Update/Change some indicators based on
the present needs of central office Program
Managers and LGUs
Features and Principles of 2008
Version
Key health indicators to be monitored at
the national level are identified and
targetted under the FHSIS version 2008
Difference: Original,Modified & V2008
Original Modified Version 2008
• 24 pages
monthly report
is required for
submission
from BHS and
RHU and
computer
processing/
consolidation
at PHO
report’s that are
submitted up to the DOH
Central Office has been
reduced to a one-page
report form on a quarterly
basis. BHS through the
midwives accomplish a 1-
page monthly report form
for submission to PHN. The
PHN consolidates reports on
a quarterly basis and
submits consolidated report
to the PHO for
consolidation.
data are
disaggregated by
sex
a column for
analysis
(interpretation
and action taken)
was included in
the quarterly and
annual form
Difference: Original,Modified & V2008
Original Modified Version 2008
only the reporting form
was revised/modified
all recording
and reporting
forms are
revised/modified
based on the
present indicators
Components of FHSIS
Recording Tools Reporting Forms
• Individual Treatment
Record (ITR)
• Target Client List
(TCL)
• Summary Table
> HPA
> Morbidity Disease
• Monthly
Consolidation
Table (MCT)
Monthly Form
M1 – Program
M2 - Morbidity
Quarterly Form
Q1 – Program
Q2 - Morbidity
Annual Forms
A-BHS
A1 – Vital Statistics
Envi/Demographic
A2 - Morbidity
A3 – Mortality
Difference of Recording & Reporting
Recording Reporting
• Facility Based
• Detailed Data
• Day – to – Day
• Source: Services
delivered to patients /
clients
Transmitted /
Submitted
Summary Data
Monthly/Quarterly
Annual
Source: Dependent on
the records (Summary
of Records)
Uses & Importance of each
Recording Forms
1. Individual Treatment Record (ITR)
- foundation/building block
- piece of paper
- patient consultation record
a. Complaints/presenting symptoms
b. Diagnosis
c. Treatment given
d. Date, name, address of patient, etc.
2. Target Client List (TCL)
- To plan and carry out patient care and service
delivery “Targets/Eligibles”
- Facilitate the monitoring and supervision of service delivery activities
- Record services delivered
- Provide a clinic-level data base accessible for further studies
- TCLs to be maintained are:
TCL for Prenatal, TCL for Post-partum Care,
TCL for Family Planning, TCL for Under One
year old children and TCL for Sick Children
Best Practices at CHD 6:
• Regional Consultative and Data
Reconciliation Workshop
• Regional Data Validation for TB and
Leprosy Programs with LGUs
• Data Quality Check for MNCHN
Indicators
DOH Innovation:
• Development and nationwide
implementation of LGU-Based
Electronic FHSIS (e-FHSIS) effective
January of 2011.
Health Programs Supported
Schistosomiasis
Tuberculosis
Environmental Health
Natality
Morbidity
Mortality
Demography
Child Care
Dental Care
Family Planning
Maternal Care
Malaria
Filariasis
Leprosy
System Scope
• Capture data at the barangay level
• Reporting/Uploading of Data from the
Municipal/City, Provincial, Regional
and National Database Server
• Produce National FHSIS data
• Generation and Access to
Data/Information
RHU/HC
ITR TCL
M1
Simplified Process Flow
Municipal
Component City
Chartered City
RHUs
Health
Centers
Provincial
Municipal
and
Component
City
Regional
Provincial
and
Chartered
City
National
Regional
System Model
eFHSIS
Upload to
eFHSIS
web site
Data
Sources
eFHSIS
RHU
System
Maintenance
of Security
Codes and
Passwords Data
Consolidatio
Nn Analysis and
Approval
System
Administratio
n
Data/Access
Report
Clients
Stakeholders
Information Flow
RHU/HC Level
ITR
M1
TCL
Encode in
eFHSIS
Print-Out
on
screen or
paper
Return M1
form to
Barangay
for
verification
Validate
Data
Discrepanc
y
Upload to
eFHSIS
Web Site
If No
If Yes
Information Flow
MHO/CHO Level
Consolidate
data in the
eFHSIS
software
Print-Out
on screen
or paper
Print and
return M1
form to
DHO/RHU/H
C for
verification
Validate Data
Discrepanc
y
Upload to
eFHSIS
Web Site
If No
If Yes
Download
DHO/RHU/HC
data from the
eFHSIS Web
Site
Information Flow
PHO Level
Consolidate
data in the
eFHSIS
software
Print-Out
on screen
or paper
Print and
return M1
form to
MHO/CHO
(comp) for
verification
Validate Data
Discrepanc
y
Upload to
eFHSIS
Web Site
If No
If Yes
Download
CHO (comp)
and MHO
data from the
eFHSIS Web
Site
Information Flow
CHD Level
Consolidate
data in the
eFHSIS
software
Print-Out
on screen
or paper
Print and
return M1
form to PHO/CHO
(chartered)
for
verification
Validate Data
Discrepancy
Upload to
eFHSIS Web
Site
If No
If Yes
Download
PHO and CHO
(chartered)
data from the
eFHSIS Web
Site
Information Flow
National Level
Consolidate
data in the
eFHSIS
software
Print-Out
on screen
or paper
Print and
return M1
form to CHD
for
verification
Validate Data
Discrepancy
Upload to
eFHSIS Web
Site
If No
If Yes
Download
CHD data from
the eFHSIS
Web Site
National Database Server
NEC
4A
NCR 1 2
3 CAR
7
8
6
11
12
ARMM
9
13
10
5
4B
UPLOADING OF
REGIONAL DATA
• e-FHSIS is called the
“AgreSys” (source: M1 form)
• “ClinicSys” is now being
developed by DOH-IMS
and soon to be adopted
by FHSIS (source: TCL)