Situation Assessment Of Computerization Of The Health Statistical Information Systems in EMR Countri

1
Situation Assessment Of Computerization Of The
Health Statistical Information Systems in EMR
Countries

• Dr Amina Elghamry
• Regional Advisor
• Evidence And Information For Policy

2
Presentation components

• Introduction and objectives
• Survey methodology and questionnaire content
• Findings and results
• preliminary results
• conclusions
• Recommendations

3
Introduction

• National Health Information System
• Definition and concept
• Utilization of informatics technology in
  National Health Information System

4
SURVEY METHODS

• Survey
• A comprehensive survey for the EMR Member States
  was conducted during March and May 2002. A
  special questionnaire was designed and sent to
  the Member States to be filled by the staff in
  charge of Health Statistics Department and the
  staff in charge of the Informatics Department at
  the Ministry of Health.

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Questionnaire

• The Questionnaire is composed of
• First part
• Deals with the existence of Health Statistical
  Information System (HSIS) department in the
  Ministry of Health
• Second part
• Deals with the existence of informatics
  department or computer center, independent from
  the HSIS department within the Ministry of Health
  

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First part

• Deals with the existence of Health Statistical
  Information System (HSIS) department in the
  Ministry of Health
• Position of the department in the organ gram of
  the Ministry of Health
• Structure and activities of the department
• Human resources information
• Financial resources information
• Informatics hardware equipments information
• Statistical software information
• Statistical database information

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Second part

• Deals with the existence of informatics
  department or computer center, independent from
  the HSIS department within the Ministry of Health
• Position in the organ gram of the Ministry of
  Health
• Structure and activities
• Human resources information
• Financial resources information
• Informatics or hardware equipments information
• Statistical software information
• Statistical database information.
• Other computer applications and databases.

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EMR Countries Respondents and Non Respondents
IRQ, UAE, YEM No response QAT, TUN Late response
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RESULTSPart I

• Health Statistical Information Systems
• (HSIS)
• In EMR Countries

10
Position of Health Information System Department
and Informatics Department in MOH Organogram (1 /
2)
11
Position of Health Information System Department
and Informatics Department in MOH Organogram (1 /
2)
12
Health Statistical Information System Department
in the EMR Countries
13
Human Resources of HSIS Department in the EMR
Countries
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Human Resources of HSIS in EMR Countries
No available data for human resources in PAK
15
Human Resources of HSIS () in the EMR Countries
16
Human Resources of HSIS by Education in the EMR
17
Human Resources of HSIS by Education in the EMR
Countries
18
Human Resources of HSIS by Nationality in the EMR
Countries
19
Availability of Separate Budget for HSIS in the
EMR Countries
20
Availability of Hardware for HSIS in the EMR
Countries
No response for SYR
21
Number of Units of Available Hardware by Type and
Country
A ? available number of units not reported N ?
no response
22
Statistical Software Availability for HSIS in the
EMR Countries
23
Capacity Use Status of Statistical Software for
HSIS in the EMR Countries
24
Availability of Statistical Database for HSIS in
the EMR Countries
25
Use Assessment of Statistical Database for HSIS
in Countries of the EMR
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Part II

• Informatics Department in EMR countries

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Human Resources () of Informatics Department by
Country
No answer from KUW Informatics not available
(AFG,BAH,CYP,DJU,LIY,SOM)
28
Human Resources of Informatics Departments by
Education in the EMR
No answer from KUW Informatics not available
(AFG,BAH,CYP,DJU,LIY,SOM)
29
Human Resources of Informatics Departments by
Education in the EMR
30
Human Resources of HSIS by Education in the EMR
Countries
31
Human Resources of Informatics Departments by
Nationality in the EMR
32
Informatics Hardware Equipments and Facilities
No answer from KUW Informatics not available
(AFG,BAH,CYP,DJU,LIY,SOM)
33
Informatics Hardware Equipments and Facilities
34
Availability of Hardware Equipments and
Facilities in Informatics Department by Country
A ? available - ? not available Pplanned
No answer from KUW Informatics not
available (AFG,BAH,CYP,DJU,LIY,SOM)
35
Statistical Software Availability (Informatics
Department)
No answer from KUW and SAA Informatics not
available (AFG,BAH,CYP,DJU,LIY,SOM)
36
Statistical Database Availability (Informatics
Department)
No answer from KUW and Informatics not available
(AFG,BAH,CYP,DJU,LIY,,SOM)
37
Availability of Other computer applications and
Databases
No answer from KUW Informatics not available
(AFG,BAH,CYP,DJU,LIY,SOM)
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• Management information systems and applications
  (Decision support, payroll, personnel, Etc)

• Epidemiological surveillance database(s)

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• Bibliographic, library and documentation
  databases(s)

• Full-text database(s) for laws, legislation,
  regulations

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• Computer based directory of national health care
  institutions (Hospitals, laboratories, clinics,
  centers of excellence, etc)

• Computer based directory of health and medical
  education (College of medicine, dentistry,
  pharmacy, and nursing)

41

• Computer based directory of health care
  professionals (Physicians, radiologists,
  dentists, pharmacists, etc)

• Hospital management system (Registration,
  electronic medical records, finance, insurance)

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• E-Health, Tele-Medicine, Tele-Radiology,
  Tele-Pathology services

• Geographic Information System (GIS)

43

• Information technology training programmes for
  health care professionals

• Computer-based network of health care
  institutions (Hospitals, laboratories, blood
  banks, etc)

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Conclusions

• With the progress of informatics technology,
  Ministries of Health are encouraging the
  establishment of Health Informatics departments,
  in order to support the existing National
  Statistical Information System department as well
  as other functions of health management.
• The position of Health Informatics department, as
  a new structure in the Ministries of Health,
  succeeded to be higher than that of Health
  Statistical department which remains
  traditionally as a component of the health
  planning department.

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Conclusions

• There is a need to enhance the capacity building
  of NHSIS staff profile, i.e. more statisticians,
  demographers, health economists and
  epidemiologists with university and post-graduate
  degrees level are required to assist in upgrading
  the national health statistical development
  process, the statistical analysis, especially,
  burden of disease (BOD), cost effectiveness
  analysis (CEA) and the use of information in
  decision making.

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Conclusions

• The observed higher level of availability of
  databases in the Health Statistical Information
  System department is very encouraging however,
  we should clarify the nature and content of such
  databases. For instance, we should know if such
  databases are able to generate a relationship
  between variables, or if these databases are
  constituted only of simple statistical
  applications, in the form of statistical tables,
  graphs, etc

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Conclusions

• The databases available in Health Informatics
  department are concerned mainly with applications
  outside the health statistics area.
• More coordination and cooperation between Health
  Statistical Information department and Health
  Inforamtics department is required, to ensure a
  better computerization strategy of NHSIS as well
  as better use of informatics technology in health
  management at all health system levels.

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Recommendations To Member States

• To reinforce the HSIS department by university
  graduated staff such as health statisticians,
  demographers, health economists and
  epidemiologists in order to enhance the NHSIS
  development, promote the statistical analysis,
  particularly, BOD and C.E.A and develop the
  information culture in health decision making
  process.
• To improve the coordinating mechanism between the
  HSIS department and the Health Informatics
  department in order to better target and meet the
  information needs of health managerial process
  and the epidemiological surveillance.

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Recommendations To Member States

• To enable a national task force (including
  knowledgeable senior staff on the subject) on
  National Health Statistics Database development
  aimed at
• To prepare a strategic plan of action for
  enhancing the National Health Statistical
  Database using EMRO Health Statistics Database
  framework and software.
• To monitor and evaluate the prepared plan of
  action.
• To mobilize the required budgetary resources for
  preparing plan of action for developing the
  National Health Information Statistical Database.

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Recommendations To WHO

• To support the development of national capacity
  building of staff of NHSIS department on health
  statistics, demography, health economics and
  epidemiology disciplines in order to meet their
  needs on NHSIS development, statistical analysis
  (particularly on BOD and CEA) and promotion of
  information culture.
• To provide the Member States with a complete set
  of EMRO Health Statistics Database software and
  necessary tools and guidelines for its
  adaptation process.

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Recommendations To WHO

• To train national staff concerned both in NHSIS
  department and Health Informatics department on
  the technical process of adapting the EMRO
  Database.
• To provide Member States with required technical
  expertise for the adaptation of EMRO Database.