INFORMATION SYSTEM FOR EFFECTIVE MANAGEMENT,

MONITORING AND EVALUATION & CLINICAL

AUDIT

Asim K. SilNetra Niramay Niketan

Vivekananda Mission AshramChaitanyapur, Chandi

West Bengal

Reflecting Typical Habits

We only monitor finance because of financial audit.

How is the clinical quality? I feel it’s fine! Often blame somebody unnecessarily Fail to recognize someone's performance Do not know about the efficiency of the

system Unnecessarily debate amongst us without

evidence. Set target without logic.

Why do we need it?

Monitoring whether we are moving in right direction

Quality assurance Evidence based decision making Planning for future

Components

Data Collection Data Flow Data Analysis Report generation

Data Collection -Integrated Hospital Management System

(IHMS) developed by LAICOPatient Care Domain • Out-Patient Registration • Out-Patient Billing • In-Patient Reservation• In-Patient Admission • Operation Theatre

Management • Inpatient Discharge • Ward Management• Medical records • Medical Record Tracking• Referral Patient

Management • Patient flow management• Appointments

Administrative Domain

• Community Outreach • Material

Management • Links with standard

Financial Accounting software • Intranet (for

information access)

Advanced applications of IHMS

Actively tracks patients waiting more than two hours

Doctors are able to get information from the monitor in OPD

Deciding the software

One should measure what is used Assess the need Assess the capacity to manage the

software Basic version of IHMS available May custom design software in different

sections

Basic Minimum

Registration Theatre Cataract surgical outcome – must Internet connection to join National

Data Entry System

MONITORING CATARACT SURGICAL OUTCOME

(MCSO) for Windows (version 2.4 – November 2009)

A data entry and analysis package for monitoring and evaluation of

visual outcome of cataract surgery This package was developed and programmed by: Hans Limburg MD PhD, DCEH, Health Information

Services Walter Meester Ing, Tax Software

Data Flow

Data Collected at different lower level should be stored centrally

Local area network (LAN) is important Can be web based

Data analysis and report generation

Many a times data is available but not used.

Do not know how to extract information Very important to appoint one IT expert

(need not be a highly qualified person, young enthusiastic person is ideal)

Key administrative persons should be able to use IT.

Uses

KPI (Key Performance Indicators) – for monitoring

Benchmarking – for quality assurance and future growth

Online benchmarking is available. Example EUREQUO - EUROPEAN REGISTRY OF QUALITY OUTCOMES FOR CATARACT AND REFRACTIVE SURGERY

Conclusion

MIS is the need of the hour. It puts organization to a greater height Introducing MIS is a matter of ATTITUDE,

once used MIS changes the ATTITUDE.

Thank you