The 6th Asia Pacific Network meeting of WHO FIC
Thailand, 18-19 July, 2013
Subsystems of HIS
•
•
•
•
Epidemiological surveillance system
Routine service reporting system
Program-specific reporting systems
Administrative and resource management
reporting systems
• Vital or Civil Registration Systems
• Population based surveys
Routine Service Reporting System
Public Health Reporting
Hospital Reporting
Data Flow
Department of Health Planning
State/Regional Health Department
District/Township Health Department
MCH/UHC/Station HU/RHC
Sub Rural Health Center
Data Flow and Feedback
Station Hospitals
16-Bedded
Hospitals
Hospital Form I,II, III & OPD
DHP
25-Bedded
Hospitals
50-Bedded
Hospitals
100-Bedded
Hospitals
150-Bedded
Hospitals
200-Bedded
Hospitals
General Hospitals with
Specialist services
Teaching
Hospitals
Specialist
Hospitals
Hospital Form I, III
States/Region
Health Department
Hospital report forms
• Monthly hospital return
• Monthly general inpatient summary
• Hospital inpatient daily record
• Outpatient report form
MONTHLY HOSPITAL RETURN (ADMINISTRATIVE)
FORM I
(TO BE COMPLETED AND POSTED NOT LATER THAN THE 7TH OF EACH MONTH)
(REVISE/2013)
NAME OF HOSPITAL ---------------------------- TOWNSHIP -------------------------- REGION/STATE ------------------------- MONTH ----------- YEAR ---------
PART A. NO. OF BEDS:
(1) SANCTIONED BEDS ------------------------------
(2) AVAILABLE BEDS AT END OF MONTH ------------------------------
PART B. IN-PATIENT ACTIVITIES:
PART C. OUT-PATIENT ACTIVITIES
SR. SPECIALIT
NO. OF
ADMIS- TOTAL DISCH- DEATH TOTAL PATIENT SR. SPECIALIT NEW
OLD TOTAL
NO.
Y
PATIENTS SIONS UNDER ARGES
S
DISCH- DAYS NO.
Y
CASES CASES ATTENBEGINNIN DURIN CARE
ARGES
DANCE
G
G
(3+4)
(6+7)
S
OF MONTH MONTH
1
2
3
4
5
6
7
8
9
1
2
3
4
5
TOTAL
TOTAL
PART D. OBSTETRIC SERVICES:
1
2
3
4
5
PART E. SURGICAL ACTIVITIES:
NO. OF WOMEN DELIVERED
NO. ADMITTED FOR PUERPERIAL CARE
NO. OF ABORTIONS
NO. OF LIVEBIRTHS
NO. OF STILLBIRTHS
PART F. DEATHS
F-1 IN-PATIENT
DEATHS:
(TOTAL NO.)
IN-PATIENT
DEATHS:
(WITHIN 48 HOURS
OF ADMISSION)
GENERAL ANAESTHESIA
SPINAL ANAESTHESIA
LOCAL ANAESTHESIA
OTHER ANAESTHESIA
PART G. MISCELLANEOUS ACTIVITIES TOTAL
F-2 NEWBORN
1.
DEATHS
2.
(TOTAL NO.)
NOTE: Newborn deaths refer 3.
to babies who were born in
hospital and died before
being discharged with or
without their mothers.
NOTE: Inpatient deaths refer
to patients who were admitted
to hospital and died before
being discharged.
PART H. MANPOWER:
Male
1
2
3
4
5
1
2
3
4
NO. OF SPECIALISTS
NO. OF DOCTORS
NO. OF DENTAL SURGEONS
NO. OF NURSES
NO. OF MEDICAL
TECHNICIANS
TOTAL
Female
POLICE CASES
PATIENTS BROUGHT IN DEAD
AUTOPSIES PERFORMED
* Part H ကို နှစစ
် ဥ် December လ Report တွငသ
် ာ
ထည့််သင
ွ ်း် အစီရင်ခံရန် ကျန်သသာလမျာ်းတွင ် Part H ကို
ဖြည့််စက
ွ ရ
် န်မလပ
ို ါ။
Signature
……………………………………
Name
……………………………………… Designation
……………………………………
Hospital ……………………………………
MONTHLY GENERAL IN-PATIENT SUMMARY
FORM II
(REVISE/2013)
NAME OF HOSPITAL ------------------------ TOWNSHIP ------------------------ REGION/STATE ---------------------- MONTH ------------------- YEAR --------SR.
No.
(1)
1
CODE
2
CODE
3
CODE
4
CODE
5
CODE
6
CODE
7
CODE
8
CODE
9
CODE
10
CODE
11
CODE
12
CODE
AD SE
MIS X
SIO
N
NU
MB
ER
(2)
(3)
AGE
Y
M
(4)
DATE OF
D
PRINCIPAL/ DISCHARGE
DIAGNOSIS
ADMISS
ION
D/M/Y
DISCH
ARGE
D/M/Y
NATURE OF INJURY BY SITE
(5)
(6)
(7)
(OR)
COMORBIDITY/OTHER
COMPLICATION (OR)
EXTERNAL CAUSES
OF
INJURY (INCLUDING
PLACE
OF OCCURRENCE &
ACTIVITY)
(8)
OPERATI TYPE DISCHA
ONS
RGE
OF
PERFOR
DISCHA STATUS
MED
RGE
(9)
(10)
(11)
HOSPITAL DAILY RECORD (IN - PATIENT)
FORM III
(Revise/2013)
(To be completed and posted not later than the 7th of each month)Month ............................ 20 ..........
Name of Hospital .................................. Speciality(**)........................Township ...........................Region/State............................
Date
(1)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
PART (A)
No. of
Patients in
Hospital
(Previous
Day)
(2)
Admission
(3)
Patients admitted to Hospital
Transfers Total Disch- Death
Trans
in from (Cols. arges *
other
2+3+4)
fer
wards
Out to
other
wards
(4)
(5)
(6)
(7)
(8)
Total
(Cols.
6+7+8)
No. of
Patients in
Hospital
(End of
Day)
(Cols. 5-9)
(9)
(10)
PART (B)
PART (C)
Babies born in
Patients
Hospital
admitted
Live
Still Death
and
of
discharged
new
on the
born same day
(11)
(12)
(13)
(14)
OPD Form
Standardized Hospital report forms for all
Hospitals
ICD-10
Use of ICD( International Statistical Classification
of Diseases and Related Health Problems)
in Myanmar
1962- ICD 7
1968- ICD 8
1979- ICD 9
1996- ICD 10
Translation------------ Chapter XIX, XX
Data from Private Health Sector
•
•
•
•
•
Permission from higher level
Initialization phase
Start from 2013 January
Private hospitals
Develop data collection form and manual
Standardized Report Forms
• Form I - Private Hospital Monthly
Report Form (Administrative)
• Form II - Private Hospital Monthly InPatient Summary
• Training – 27.4.2013 -28.4.2013
Standardized Report Form I- front
Standardized Report Form I-back
Standardized Report Form II
Available information
• Hospital administrative information
–
–
–
–
–
–
Average number of out-patients per day
Average number of In-patients per day
Average duration of stay (in days)
Bed occupancy rate
Turnover interval
Hospital Death Rate
• Causes of Hospitalization
– Leading cause of Morbidity and mortality
Training
*******
Medical
record
technician
Training of Medical Record Technicians on ICD-10 and
CAMRS
(6.5.2013 – 21.5.2013)
Workshop on International Statistical Classification of Diseases (ICD-10) and
Computer Assisted Medical Record System(CAMRS)
Nay Pyi Taw
(28-52013)to (31-5-2013)
Workshop on International Statistical Classification of Diseases (ICD-10) and
Computer Assisted Medical Record System(CAMRS)
Nay Pyi Taw
(28-52013)to (31-5-2013)
Group
Work
Utilization of Health Information
• Selection of project sites
• Resource allocation including budget and
logistics distribution
• Planning, Implementation, monitoring and
evaluation of health services
• Country presentation on workshop, seminars
and meetings
Points for consideration in improvement
of Hospital Information System
•
•
•
•
Lack of written Health information Policy
Inadequate infrastructure
Shortage of manpower
Low capacity of human resources especially in
information management
• No Career development for medical record
technicians
• Supplies and equipment – Inadequate ICD -10
Books , Computer, File cover, filing rack
Points for consideration in improvement
of Hospital Information System (Cont:)
• Still use in paper recording and reporting from
various level except central and region/state
• Poor favourable working environment
• Low utilization of data and information to
actions
• Lack of motivation in strengthening of health
information
Areas need to be strengthened
• Strengthen organization set up and
infrastructure
• Capacity building of human resources on
modeling method and advanced data analysis,
presentation and interpretation
• Provision of supplies and equipments for
electronic health record system
Areas need to be strengthened (Cont:)
• Systematic monitoring, supervision and
feedback
• Encourage in utilization of information to
actions
• Establish unique logistic management
information system and human resource
management information system
• Cooperation, coordination and collaboration
with indispensible partners
Future Plan
• Training of Medical Record Technicians
• Supervision and Monitoring on performance of
medical record technicians
• Advocacy to authorities for career development
of medical record technicians
• Paramedic degree for medical record technicians
in collaboration with Department of Medical
Science
• Training of ICD-10 to medical doctor
• Include ICD-10 in pre-service curriculum of
medical doctors
• Verbal autopsy on cause of death