Haramaya University

College of Health and Medical Sciences

School of Public Health, Department of Health
Informatics

Course:- Health Informatics for Post basic Pediatrics

Students
Session Two: -Health Management Information System
(HMIS )

By:- Eptisam Mohammed(MSc)

Health Management Information System (HMIS)

• HMIS is integral frameworks designed to support the

systematic collection, storage, analysis, and
dissemination of health and health-related data
within healthcare organizations.
• It is specifically tailored to assist in planning,
management, and decision-making in health facilities
and organizations
HMIS…

• HMIS is Routine health information system that allows

routine data Collection continuously at various times
periods (daily, weekly, monthly etc.)
• The ultimate goal of HMIS is to generate quality data
and use that data for management decisions to
improve health service provision
Why we need HMIS?
• Routine collection and aggregation of quality health
information
• Availing accurate, timely and complete data
• Provide specific information support to health
decision making process
• Strengthening the use of locally generated data for
evidence based decision making
HMIS Components
Components of HMIS
1. Information management
• Data collection: Recording of health data using HMIS
data collection tools such as individual and family folder,
registers, tally and reporting formats.
• Data processing: Is a process of cleaning, entering and
aggregation of data.
• Data analysis and presentation: Is a process of
interpretation and comparison of generated information
in the form of sentence, tables and graphs.
Components of HMIS
2. Using information for management purposes
• Problem identification: Identifying problems using key
indicators
• Prioritizing problems: Problems identified should be
prioritized
• Decision-making: Decide what types of actions need to be
taken.
Components of HMIS
2. Using information for management purposes

• Action taking: Implementing the agreed action.

• Monitoring: Closely following the progress of the activities

• Evaluation: Assessing the desired result has been

achieved.
Principles of HMIS

• It is the foundational to enhancing health service delivery,

improving patient outcomes, and ensuring efficient
resource allocation.

• By adhering to these principles, healthcare systems can

leverage information technology effectively to meet
public health challenges.
Principles of HMIS…

1. Data Quality:

• Ensuring high-quality data is fundamental.

• This includes accuracy, completeness, reliability, and

timeliness of the information collected
Principles of HMIS…
2. User-Centric Design:
• Systems should be designed with the end-users in
mind
• Ensuring that healthcare providers can easily access
and utilize the information
• Reduce number of data items, limited to those
required
Principles of HMIS…

3. Integration and Interoperability:

• HMIS should be able to integrate with other health

information systems to allow seamless data sharing
across different platforms and levels of care

• Having One communication channel

Principles of HMIS…

4. Confidentiality and Security:

• Protecting patient data is paramount

• Systems must implement robust security measures to

safeguard sensitive health information
Principles of HMIS…

5. Standardization

• All case definitions, recording and reporting

instruments & procedures throughout health sector
should be standardized
Principles of HMIS …

6. Evidence-Based Decision Making:

• The information generated should support evidence-

based practices, enabling healthcare managers to
make informed decisions that enhance service
delivery.
Health Data Quality
What Is Data Quality?

• Data quality is often defined as “fitness for use.”

• What does this mean?
 Data are fit for their intended uses in operations, decision
making, and planning.
 Data reflect real value or true performance.
 Data meet reasonable standards when checked against
criteria for quality.

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Importance of Data Quality- for patient/Client

• To receive better and safer care if healthcare professionals have

access to accurate and reliable data to support decision making.

• Access to accurate and reliable data such as the results of

investigations, allergies, potential drug interactions or past
medical history supports healthcare professionals provide care
that is appropriate to assessed needs.

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Con't…

• Data of good quality and reflects actual performance 

Support quality improvement  Service users receive better

care
 Importance of Data Quality-for health care providers and managers

• Form an accurate picture of health needs, programs, and services in specific

areas

• Inform appropriate planning and decision making (such as staffing

requirements and planning healthcare services)

• Inform effective and efficient allocation of resources

• Support ongoing monitoring, by identifying best practices and areas where

support and corrective measures are needed
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What Is Data Quality Assurance?

• A systematic monitoring and evaluation of data to uncover

inconsistencies in the data and data management system,
and making necessary corrections to ensure quality of data
Data Quality Dimensions
Accuracy
and
validity

Accessib
Reliability
ility

Data
Quality
Complet Legibilit
eness y

Timeline
ss
Accuracy

• Original data must be accurate in order to

be useful

• Documentation should reflect the event

as it actually happened
 Reliability(Consistency)
• Yielding the same results on repeated collection, processing, storing and
display of information

• Examples of reliability/consistency
• ICD diagnosis on Patient form should be the same with diagnosis written on OPD
abstract register

• The demographic information of the patient recorded on integrated individual

folder is the same as that recorded on other medical forms within integrated folder.
 Completeness
• Completeness on data recoding tools (Registers, cards/forms)

• Refers all necessary data elements on registers/forms/cards should be filled

immediately after provision of the service by the care provider

• Data(Report content) completeness

• refers the extent to which facility and district filled all data elements in the

reports or data base for all reportable events

• Report Completeness
• The total reports received from all health facilities
 Timeliness
• Information, especially clinical information, should be documented as an event occurs,
treatment is performed or results noted.

• Delaying documentation could cause information to be omitted and errors recorded.

Example of timeliness

• A patient’s identifying information is recorded at the time of first attendance and is

readily available to identify the patient at any given time.

• On discharge or death of a patient in hospital, his or her medical records are processed
and completed, coded and indexed within a specified time frame.
Legibility
• All data whether written, transcribed and/or printed should be readable.
Examples of legibility
• Hand written demographic data are clearly written and readable.
• Handwritten notes on patient form, admission card, and any other medical records registers are
clear, concise, readable and understandable.
• Handwritten National classification of disease (NCoD) clear and easily understandable to
transcribe in to Register

Data quality should start at the point of data collection.

Accessibility
• All necessary data are available when needed for patient care and for all other
official purposes.

• The value of accurately recorded data is lost if it is not accessible.

• Examples of accessibility

• Medical/health records are available when and where needed at all times.

• Abstracted data are available for review when and where needed.

• In an electronic patient record system,

• Clinical information is readily available when needed.

• Statistical reports are accessible when required

Historical development of HMIS
• There is global shift from
• Curative to preventive care,
• Hospital care to community and public health care,
• Centralized to decentralized health care,
• A specific project approach to a comprehensive sectorial
approach
• This laid restructuring of
• Fragmented health information → single comprehensive
health and management information systems
HMIS in Ethiopia
• The FMOH adopted the three ones of harmonization
principles
• One plan, One report and One budget
• HMIS providing the core indicators.
• The Ethiopian HMIS is designed to capture data from the
different level health institutions .
• Government institutions
• Private institutions
• NGOs
 HMIS in Ethiopia…
• Before 2008 G. C 2008 to 2013 G.C
• Huge data burden • HMIS has been reformed to capture
• No standardized HMIS core indicators
• No standardized set of indicators • A set of 108 core indicators were
and tools selected.
• HMIS was not fully institutionalized • Standardized data recording and
• Un-integrated data flow (parallel reporting tools
reporting)
• Huge investment on capacity
• Poor information use at all levels building and HMIS infrastructure
• Very Limited resources for HMIS • Health information technician (HIT)
• Limited application of information curriculum was developed
technology
 HMIS in Ethiopia…
• 014-2016 G.C. 2017 -2021
• The HMIS indicators revised due to a
• The HMIS was revised for the number of driving forces
1st time since 2008
• A set of 131 core indicators were
• 122 core HMIS indicators were selected
selected.
• The recording and reporting tools
• The recording and reporting were revised
tools were revised
• Information revolution roadmap
• Some improvements observed developed.
data quality and information • Improvements observed (data
use for evidence-based decision quality and information use )
making
HMIS in Ethiopia…
2021 till now
• The HMIS indicators were revised
• A set of 177 core indicators were selected
• Information revolution roadmap revised.
• Improvements observed (data quality and
information use)
Trends of Indicator Revision
Final revised HMIS indicators
Revised Indicators (2021)
Number of indicators by category (2017 versus 2021)
SN Indicator Category 2017 2021
1 Reproductive and Maternal health 14 15
2 PMTCT 7 6
3 EPI 13 12
4 Child health 8 10
5 Nutrition 8 8
6 Hygiene & environmental Health 2 10
7 Medical service 12 21
8 HIV/AIDS/Hepatitis viruses 10 15
9 Tuberculosis/TB/ & Leprosy 22 22
10 Malaria 5 8
Revised Indicators (2021)
Number of indicators by category (2017 versus 2021)
SN Indicator Category 2017 2021
11 Neglected Tropical Diseases (NTD) 2 8
12 Non-communicable diseases (NCD) & mental Health 3 10
13 HEP and Primary Health care 3 4
14 Leadership and governance 4 4
15 Health Financing 3 4
16 Pharmaceutical supply and services 4 7
17 Evidence based decision making 3 6
18 Health Infrastructure 4 2
19 Human Resource Development & mgt 4 3
20 Regulatory system 1 2
Total 131 177
End of Session