Health Management Information System

Definition
The practice of maintenance and care of health

records by traditional (paper-based) and electronic means Incorporates all the data needed by policy makers, clinicians and health service users to improve and protect population health Helps decision makers to detect and control emerging and endemic health problems, monitor progress towards health goals, and promote equity;

Why HMIS
Difficulty in integration of patient records and

hospital activities affected quality of health care services adversely Difficulty in getting Real time information regarding the outbreak of epidemics. Need for an integrated tool for timely monitoring of services. Lack of timely information resulting in inefficient utilization of resource. Necessity for effective tool for health policy making.

Why Gujarat
Highest per capita income (US $ 850) in western

India Impact on the level of automation of medical care in the region high Various big hospitals planning to expand because of proper infrastructure Over half the hospitals (55 percent) belong to the Mission/Trust NGO category Nearly 40 percent privately owned 1000 hospitals in Gujarat having more than 50 beds, out of which, 300 are multispecialty hospital and around 70 hospitals have more than 100 beds.

Project Conceptualization
Conceptualized by Department of Health and

Family Welfare, Govt. of Gujarat Objective : To ensure the quality health using Information and Communication Technology (ICT) as the tool to provide standard clinical and diagnostic tools, hospital management tools and integration of management information at the state level to ensure online review and monitoring Aim : Management of vital patient records, analysis of critical data so as to provide an updated planning and policy tool towards provision of quality health service

SCOPE OF GOG- HMIS :

28 modules

MIS reports at hospital and state level

EIS reports at state level for 14 Programs like

AIDS, Malaria, TB, Leprosy, RCH etc. Integration with Central Medical Stores Org. (CMSO) for inventory management Integration with Graphical Information System (GIS) Employee Transfer & Patient Transfer functionalities

HOSPITAL MANAGEMENT AND INFORMATION SYSTEM

PATIENT CARE SERVICES Registration Wards Pharmacy Billing CLINICAL SERVICES Clinical/EMR Laboratory Blood Bank Imaging HOSPITAL ADMIN Hospital Admin Human Resource Payroll Financial Accounting ANCILLARY SERVICES National Programs Linen Management Equipment Maintenance Resource Scheduling

Patient Education
Information Kiosks Nursing Care

Stores/ Inventory
Purchase Complaints & Redresses Transportation

Special Camp & Training

Bio Medical Waste Application Security

PROBLEMS FACED IN IMPLEMENTING HMIS IN GUJARAT

Availability of Network and Hardware- supported

through Government of Gujarat & NRHM funds Trained manpower- Training & Sensitization of the staff & AHAs Resistance from users- Interactive Communication & Problem Solving Dependence on the Private Technology Provider.

INNOVATIVE METHODS OF OVERCOMING CHALLENGES HMIS

Strengthening of GSWAN and Availability of

Servers at Local Level Dedicated Server System Manager at Each Hospital Ready to Use Templates for doctors to reduce Diagnosis Error and Patient Checking Time. Easy transfer of employee payroll from 5th to 6th Pay Commission. Easy Patient/Doctor Tracking with the help of Information Kiosk (useful for relatives).

PRESENT STATUS OF HMIS IN GUJARAT

NUMBER OF USERS
NUMBER OF MODULES SIZE OF DATABASE NUMBER OF NON-TEACHING HOSPITALS COVERED NUMBER OF TEACHING HOSPITALS COVERED NUMBER OF LIVE HOSPITALS

7000+
30 4-6GB AT EACH HOSPITAL. 95GB AT CENTRAL SERVER 24 6 30

NUMBER OF REGISTRATIONS
AVERAGE NUMBER OF TRANSACTIONS NUMBER OF USERS TRAINED Source: www.gujaratinformatics.com

OVERALL GUJARAT 11,705,736

90069494 TOTAL TRANSACTIONS TILL DATE 13000+

PROJECT STATUS
HMIS module usage in the state 71.33% OPD Registration more than 146.08 lakhs IPD Registration more than 17.77 lakhs Plan to extend this in 2 Dental Colleges and 2 Mental

Hospitals TILL 2ND SEPTEMBER, 2011 Total Operations 3,19,606 Total Lab Tests 38,05,322 Trained Users 13,021

Expectation from DST, GoG and Department of IT, GoI

Connectivity Support-

Strengthening of GSWAN and Internet connectivity GSWAN connectivity till the village Level Hardware support Handheld devices with printer needed for Real Time Entry Technology Support Integration of various database UID Integration support.