philippine health information system crispinita a. valdez director, information management service 1...
TRANSCRIPT
Philippine Health Information System
Crispinita A. ValdezDirector, Information Management Service
1st National Staff Meeting CY 2007, January 24-25, 2007, Clark Field, Pampanga
WHY PHIS?
• Underlying premises: Improved health through data for evidence-
based decision-makingBetter measurement, through strengthened
health information and statistical systemsNetwork to galvanize partners and resources
for improved health information Better data - better decisions - better health
• TimelineFirst phase 2006-2012
Goal, Objectives, Principles
Goal:Goal:
Increase availability and use of timely, reliable
health information in countries and globally through shared agreement on goals and coordinated investments in health information systems
Objectives
Create a harmonized framework for the Philippines' health information system
Strengthen country health information system
Improve access to and use of health information
• “If you don’t know where you are going, chances are you will end up somewhere else”
• Yogi Berra
PHIS InitiativePHIS Initiative
Link health and statistical constituencies
Harmonization and alignment Comprehensive approach to
health information Ownership and stakeholder
involvement
Why Only Now?
Increased demand for quality health informationGrowing interest in comparative performance
assessments in health and benchmarkingPerformance-based disbursementChallenges in collecting, evaluating and
interpreting indicator data to guide policy-makingData availability and quality pose problems within
and between countries
“You cannot manage what you cannot measure” Peter Drucker
Health Information System Comprehensive Approach
• Public health data
• Hospital data
•Disease Surveillance
•Health Accounts
•Censuses
•Vital Statistics
•Survey Data
•Regulation Data
•Administrative Data
•Qualitative Data such as Good Practices
•Journals, Manuals, other gray materials
PhilippineHealth
Information System
ACTIVITIES UNDERTAKENACTIVITIES UNDERTAKEN
Establishment of Philippine Health Information Network (PHIN)
Customization of Health Metric Network (HMN) assessment tool
Central office inventory of existing ISs NEC started integration of Disease Surveillance
SystemsBLHD spearheading skills development &
documentation of good practicesDraft framework for ISs technical integrationDevelopment of the Knowledge Management (KM)
for Health StrategyKM tool kits defined and started developmentHealth portal (interactive website)
Philippine Health Information Network
• DOH• NSO• NSCB• PCHRD• UPCM• POPCOM• National Nutrition
Council• FNRI
• DILG
• WHO
• GTZ
• JICA
• Academe
• Medical societies
PIHIS PIHIS Strategic Framework
NationalGovernment
Information Access
Information Access
DOHOther Government
AgenciesPrivate
OrganizationsAcademe
ResearchGroups
OtherStakeholders
Data Beneficiaries
Health RegulationSystems
Health ProgramManagementSystems
Health ServiceDelivery Systems
HealthGovernance
SystemsDOH DataWarehouse
ICT Infrastructure - Systems Integration - Data Management
Dep
artm
ent
of
He
alth
Standard Data Indicators, Definitions,Formats, Transmission Protocols, Policiesand Guidelines
Clinics HospitalsRHUs/BHSs
PharmaceuticalCompanies
Drug TestCenters
LaboratoriesOther Health
Facilities
Standard Source of Data
Principle: Build upon existing systems of health information to allow integrationof content and functions.
Ser
vice
Pro
vid
ers
Some ongoing ISs projects in reform areas
Regulatory – BFAD, Drug testing..Service delivery – Hospital
operation, Blood Bank, Filariasis, Malaria, disease registries, surveillance systems..
Governance- Procurement & Logistics Management, e-NGAs, KM tools, Work & Financial Plan,Health Atlas, Local Health System, GIS, HR..
HMN assessment tool components
Selected Indicatorsdata collection, timeliness, periodicity,
completeness,context, resources and process
legal framework, human resource, infrastructure
Data synthesis, analysis and usedissemination and policy advocacy,
implementation, resource allocation and planning
Data platformsvital registration, survey, disease
surveillance, health information systems Excel file
Knowledge Management Strategy
• KNOWLEDGE MANAGEMENT (KM) ensures that a person has the right knowledge at the right time to make a knowledge-based decisions to achieve organizational goals
• Why KM?* According to WHO we have to narrow the Know-do
Gap, the Gap between what is already known and what is really being practiced
* We need to address knowledge gaps & info problems – Knowledge about technology or know-how and
know how to apply knowledge correctly – Lack of information on knowledge about
attributes (WB)
Knowledge Management Strategy
VISION: Making knowledge work for a healthy nation
MISSION:To foster an environment within DOH where health knowledge production, utilization and sharing are integrated in its everyday life.
THRUSTS & STRATEGIES• Improving capacities in knowledge production• Enhancing knowledge utilization and application• Improving exchange and sharing of knowledge• Improving information and knowledge
infrastructure• Transforming DOH staff into knowledge workers
KM Sample application
Establish an integrated and harmonized health and management information system to include vital stat, censuses, surveys, health researches
Ensure quality health information
•Develop Communities of practice
•Establish Comprehensive knowledgebase
•Institute a resource and learning center
Formulate national policies and standards
KM Sample application
Establish environment conducive to research and development.
Innovator of new strategies
•Health portal with comprehensive information on disease control
•Transform technical staff into knowledge workers
Technical authority on health disease control and prevention
KM Parallel Implementation
• Big KM initiatives– F1 Resource and learning
Center – eJobs (e-recruitment) – Health portal – Community of practice– Benchmarking– Metrics– Groupware collaboration– Capacity building – Integration of health
data/info – Change management
• Small KM Initiatives
– Personal KM– FAQs– Manualization of DOH
processes – White pages or
expertise locator– Metrics– Meetings improvement– Capacity building– Change management
CHALLENGES
Integration of present information systems with the proposed systems
Integration at functional, technical, resource, and implementation levels
Funding
Championing KM initiatives
Providing & sustaining ICT infrastructure
CURRENT THRUSTS Strengthening PHIN to develop and sustain
PHIS
Establishment of an integrated and comprehensive health database/warehouse
Harmonization of existing HISs & other data sources
Enhancing info access thru health portal, resource center & other mechanisms
Development of KM tool kits
Upgrading of ICT infrastructure
MAJOR Plan of Action for 2007
– Sector-wide health information assessment
– Development of health sector strategic health information plan
– Development of a proposal for the establishment of PHIS to secure funding for implementation
– KM tools development – Start IS & databases
integration– Systems development
& deployment in major reform areas
• Quarter 1 and 2
• Quarter 3
• Quarter 4
• Quarter 1-4
More Quotes...
“if you don’t measure it, you can’t fix it”Richard Tucker
“Without data.. You’re just another person with an opinion”
Joseph Juran
“Insanity! Expecting different results while doing things the same way.”
Dr. Gibson
The single biggest mistake organisations make is to have too few performance measures. The second
biggest is to have too many”Mark Graham Brown
www.who.int/healthmetrics