Public Health Information System

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Public Health Information System
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Agenda

• Status of Public Health Information in India
• Challenges we are hearing from Public Health
  Professionals
• The Solution

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Status in the Past And to a large extant in the
present
Most of the data was collected in paper forms
eg. the bulky book at the PHC
Data ( if available ) was not accessible
Long delays in producing reports
Error prone summary data because of manual
calculation
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Status in the Present
Computerized Systems have been set up in some
states for Monthly Reporting for statutory forms
Error Proneas the data input is done monthly
instead of daily / or closer to the day of
intervention
Only statutory reports are available as outputs
Data Analysis
(ie. trends, correlations,
regressions) is limited
Multiple Fragmented Systemseg separate systems
for Malaria, TB, Blindness Control, Immunization,
Leprosy, IDSP
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Status in the Present
Exhaustive information collected but rarely
used..especially locally
Only aggregates are available
deeper
granularity needed to analyse enable smaller
geographic units segments of population
Most of the data is socio-demographic, very
little information on incidence of disease and
disabilities
Prevalence of Incorrect Dataprimarily because of
over-burdened PHC / CHC medical officers
Inadequate information on progress of health
programs
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Did You Know?
Status in the Present The Missing Functional
Pieces
Personnel Related Information is missing
eg difficult to know the skill levels of doctors
in a CHC
Asset Related Information is missing
egdifficult to know whether an X-ray is in
working order
Project Related Information is missing
egdifficult to monitor the progress /
financial aspects of a project from budget to
project closure
Financial Information is missing as part of an
integrated public health system
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Status in the Present Some Architectural
Bottlenecks
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The Challenges Were Hearing
How can I create a foundation for integrating
the state health services to ensure synergized
collaboration with reduced dependancy on
individuals in the department ?
Improve Information Flow from the Department
How can I provide relevant, correct, timely
continuous flow of information both up down
the heirarchy?
How can I gain improve the efficiency of our
department, ensure better procurment, payroll,
identify leakages?
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A Complete Public Health Solution needs to
integrate
Platform
People
Processes
Health Indicators
Customer Results
Partners
Strengthening capacities for data collection is a
core strategy of NRHM
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Data Capture
HQ
Population Health Analytics
District
Block Level
PHC, SHC
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Components needed.
Primary Health Centers
Revised National TB Control Program
Dept Health Family Welfare
Universal Immunization Program
Community Health Centre
Integrated Disease Surveillance Program (IDSP)
Drug Logistics System
EMRI System
Sub Health Centres
First Referral Units
District Hospitals
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Public Health Information System
Channels
Citizens
Internet
Care Providers
CDC/WHO
Employer
Physicians
Core Operations
Analytics
Health Programs
Syndromic Surveillance
Population Health
Demographic Research
Disease Management
Quality of Care Analytics
Clinical Research
Birth / Death Register
Outbreak/ Investigations
Healthcare Info. Exchange
Human Resources
Financials
Integrated Services
Health Facility Management
Immunization
Family Welfare
Inventory
Corporate Administration
Helpdesk
Procurement
Financials
Facilities Management
Projects
Compensation
HR
HR
IT
Infrastructure
Hubs ( Healthcare Transaction Base, Customer Hub)
Integration Framework
Oracle Technology Database, Application Server,
RAC, Oblix, Times Ten
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Selection Deployment of a System

• Presently governments get vendors to custom
  develop a system
• Leads to incomplete and functionally deficient
  systems
• Leads to delays in implementation
• Leads to non-usage of the deployed systems
• Enterprise software vendors have developed
  functionally rich and sustainable systems
• Leads to deploying systems which are future proof
• Leads to successful project implementation and
  achievement of goals
• Leads to Data Standardisation ( India is a HL7
  signatory)
• Outsourcing Data Entry at PHCs, CHCs and District
  Hospitals
• Capacity Building, Incentives to Staff, Regular
  monitoring of deployed systems is equally critical