Information and Planning

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Information and Planning

• Information is essential for effective Management

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FactsFacts alone are wanted for life
Charles Dickens

• Peter Sims
• Professor of Public Health medicine
• University of Papua New Guinea
• P.O.Box 5623,
• BOROKO

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Where is the wisdom we have lost in
knowledge? Where is the knowledge we have lost in
Information? T.S.Eliot
Raw Facts Organised as
Data Selected and refined as
INFORMATION
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Aims Objectives

• To indicate the Sources of Information
• To demonstrate the Uses of Information
• To assess the Accuracy of Information
• To know the Cost of Information
• To show that Information is the key to effective
  Planning

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Sources of Information (general)

• 10 yearly Census
• Birth, Death, Marriage, Migration, Divorce
• Registers-Cancer, Mental Handicap
• Social-Housing
• Marketing/commercial
• Employment
• Receiving Benefits

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Health Services Information

• Beds and bed use
• InPatients OutPatients
• Diagnostic Groups
• Investigations, Operations, Prescriptions
• Discharges Deaths

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Barber-Johnson Diagram
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Length
Throughput
of Stay
10
30
20
60
30
Emptiness or 100-Occupancy
Turnover Interval
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Barber-Johnson Diagram
20
Length
Throughput
10
of Stay
30
A
20
C
60
B
30
D
Emptiness or 100-Occupancy
Turnover Interval
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Special Information

• Commissioned Research Studies
• Medical record Linkage
• Smart Cards
• Qualitative and quantitative methods

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Information Trends

• Clinical Governance Audit,Quality,Risk
• Meta-analysis
• Cochrane foundation
• Patient power
• National databases
• New Technology
• Focus groups

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Information Strands

• Accounting Financial
• Personnel
• Performance Input
  Process Outcome

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Minimal Information Database for
Bed Management
800
600
400
200
0
1/10D D
Bed No
Occy x10
L o Sx100
Year1
200
580
370
458
Year2
197
678
330
567
Year3
212
756
310
654
Year1
Year2
Year3
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Information Characteristics

• QUALITY IS KEY
• Known Accuracy to /- 5
• Timely-Daily, weekly, monthly, quarterly
• Regular
• Reasonable Cost

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Congenital Hrt Dis.UK 2001-2021
1000
800
600
400
200
0
2001
2006
2011
2016
2021
Births'00
780
770
760
751
721
Births CDH
546
541
532
526
502
Deaths CDH
144
134
123
112
97
Ops etc/yr
574
597
643
675
703
'0000
287
465
671
876
943
Births'00
Births CDH
Deaths CDH
Ops etc/yr
'0000
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Costs and Benefits

• 20 of the effort collects 80 of the
  information-To collect the last 20 requires 80
  of the effort
• Some information needs to be accurate to 1, on
  another occasion 10 may be sufficient if error
  is random and not systematic
• Information that is worthwhile has a price tag

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SOURCES
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Effective Management means a continuous flow of
INFORMATION
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Information and Planning 2
We are just statistics, born to consume
resources Horace
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If one does not know to which port one is
sailing, no wind is favourable Seneca
Peter Sims Professor of Public Health
Medicine University of Papua New Guinea P.O.Box
5623, BOROKO
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Planning starts with a Problem

• Stakeholders views
• SWOT analysis
• Problem tree
• Solution tree
• Options
• Project formulation

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The If and Then Cycle

• If children sleep under impregnated bed nets-Then
  they will suffer from less malaria
• If they have less malaria-Then they will have
  less anaemia and better growth
• If they have better growth-Then there will be
  less stunting
• If they are less stunted-Child health has improved

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The If and ..Then Cycle
Bednets in rural Africa
PROJECT
PROGRAMME
Malaria Prevention
Improve CHILD HEALTH
PLAN
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PLAN- PROGRAMME-PROJECT
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Plan Programme Project
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THE LOGICAL FRAMEWORK
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Risk Management Strategy
Risk-Low capacity of key personnel
Consequence (High) 3
Probability (Low) 1
Risk Rating 3 x 1 3
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Operational Planning

• Short to medium term planning to achieve short
  term goals

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Strategic Planning

• Longer term planning to think 3-5 years out
• To think the unthinkable
• The what ifquestions
• Option Appraisal
• Model building

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Option Appraisal
Factor
Weighting
Score
Wtd Score
Value for
4
70
280
Money
Health gain
3
50
150
Donor
2
80
160
Support
Politics
1
80
80
Total for this
670
Option
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So What?

• Where are we now?
• Where do we want to go?
• How do we get there?
• How do we know when we arrive?

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There are paper plans and real plans
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The best laid plans of Mice and Men, Gang aft
agley ROBERT BURNS