MANAGEMENT INFORMATION

AND EVALUATION SYSTEM

(MIES)

DEFINITION•Management information system: An array

of components designed to transform a collective set of data into knowledge that is directly useful and applicable in the process of directing and controlling resources and their application to the achievement of specific management objectives.

[Hanson 1982]

Evaluation system:

A periodic evaluation of system to assess its status in term of original and current

expectation and to chart its future direction

•Health information system: Health information is any quantifiable and non-quantifiable information that can be used by health decision-makers and clinicians to better understand disease processes and health care issues, and to prevent, diagnose or treat health problems.

[WHO]

OBJECTIVES OF MIS

• To enhance communication among employs.

• To provide a system for recording and aggregating information.

• Reduce expenses related to labor-intensive manual activities.

• To support the organization’s strategic goals and direction

IMPORTANCE OF MIS

•Planning systematically and coordinating activities.

•Establishing databases on budgets, personnel ,facilities and equipment.

•Providing guidance in choosing entry points for program interventions and establishing active partnerships with other organizations

•Providing information on the status of the population served, such as its health status (i.e. defines surveillance levels).

•Guiding prioritizing by identifying major problems.

•Providing indicators for monitoring and evaluation of performance.

•Assessing the impact or effectiveness of services.

•Guiding the forecasting of Commodity or service needs.

•Methods for improvement

IMPLIMENTATION METHOD OF MIS

.

Direct Approach

Parallel Approach

Modular Approach

Direct Approach: Direct installation of the new system with immediate discontinuance of the old existing system is referred as “cold turnkey” approach. This approach becomes useful when these factors are considered.

The new system does no replace the existing system.

Old system is regarded absolutely of no value

New system is compact and simple.

The design of the new system is inexpensive with more advantages and less risk involved.

Parallel Approach: The selected new system is installed and operated with current system. This method is expensive because of duplicating facilities and personal to maintain both the systems. In this approach a target date must be fixed when the operations of old system cease and new one will operate on its own.

Modular Approach: This is generally recognized as “Pilot approach”, means the implementation of a system in the Organization on a piece-meal basis.

ADVANTAGES OF MIS• The risk of systems failure is localized

• The major problem can be easily identified and corrected before further implementation.

• It supports and enhances the overall decision making process.

•MIS enhances job performance throughout an institution

• It provides the means through which the institutions activities are monitored and information is distributed to management, employees and customers.

• It measures performance, manage resources

• It can also be used by management to provide feedback on the effectiveness of risk controls.

LIMITATIONS

Technology also increases the potential for inaccurate reporting and flawed

decision making. Because data can be extracted from many financial and

transaction systems, appropriate control procedures must be set up to ensure

that information is correct and relevant.

ELECTRONIC MEDICAL RECORD

•An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office. Electronic medical records tend to be a part of a local stand-alone health information system that allows storage, retrieval and modification of records.

MODULES OF HOSPITAL MANAGEMENT SYSTEM:

Registration

Special facilities in Registration

Billing

Diagnostics/Labs/Services

Business Analytics and MIS

Administration

OP Consultation

ADT (Admission, Discharge and Transfer)

IP orders

Clinical packages

Insurance

Doctor and other payments

Medical Records

Scheduler

Inventory Management

NURSING MANAGEMENT INFORMATION SYSTEM(NIMS)

Nursing information systems (NIS) are computer systems that manage clinical

data from a variety of healthcare environments, and made available in a

timely and orderly fashion to aid nurses in improving patient care.

APPLICATIONS OF NMIS

Workload Measurement And

Staffing Requirements

Personnel Management

Staff Scheduling

Fiscal Resource

Management

FISCAL RESOURCE MANAGEMENT :

The information generated can be used to monitor past performance or to predict future performance.Accumulated data can be analysed for the development of trends that can be used to project future expenditures. Necessary reallocations and budgetary adjustments can then be made on the basis of these projections.

WORKLOAD MEASUREMENT AND STAFFING RIEQUIREMENTS:

It helps to store, manipulate and retrieve large volumes of data. The information generated assists nursing managers in planning, monitoring and evaluating use of nursing resources on a daily basis and in the longer time frame.It is used to generate staff schedules with conjunction with personnel management.

STAFF SCHEDULING:

Nursing managers are able to plan schedules in advance with considerable time savings. Staffs are informed well ahead of time.Staffing records, if maintained properly, provide useful information for monitoring absenteeism, scheduled time off, and turn over.

PERSONNEL MANAGEMENT:

An employee with a special mix of skills can be located.Records are readily accessible needed for accreditation purposes or to monitor contract compliance.The information may be retrieved on a daily basis for use in conjunction with workload measurement and contract requirements to plan staffing assignments.

ADVANTAGES OF NIS

1) IN NURSING ADMINISTRATION: Evaluate quality assurance programs Defend resource allocation to nursing Demonstrate the contribution nursing, makes to the care of the patient. Identify outcomes of nursing care

2) IN NURSING PRACTICE: Enhance documentation by nurses Provide data to enable research directed at examining the inter relationships between data elements and nursing outcomes.Facilitate development of the nursing process

3) NURSING RESEARCH: To assess variables on multi levels including institutional, local, regional, and national.Identify trends Integrate to build information and to further synthesize to develop nursing knowledge

4) NURSING EDUCATION:To develop body of knowledge with focus on nursing process To enable staff educational needs based on follow up care and outcomes. To enhance student nurses accurate documentation

EVALUATION SYSTEM •Every organization needs to evaluate its

performance and the impact of its efforts. In many instances, organizations have multiple programs and will need to evaluate each one from two perspectives:

how

whether it has achieved its specific objectives.

Organizations should develop and implement a comprehensive evaluation plan that outlines the time-frames and

resources needed for mid-term and final evaluations of each major

program.

MAJOR KIND OF EVALUATION

Process Evaluation

Output Evaluation

Effects Evaluation

Short-term Impact Evaluation

Process Evaluation

Continuous monitoring and supervision are part of process evaluation, which examines how well program activities are being implemented. Specifically, process evaluations focus on the development and strengthening of existing systems, protocols, and guidelines necessary to support, standardize, and institutionalize service activities. These activities support planning, implementation, and supervision to assess progress against project goals and objectives.

•Process evaluation should also review what is working and what is not in order to enable staff and managers to develop corrective actions; determine whether resources, equipment, supplies and staff skills are adequate and used efficiently and effectively; identify barriers to program

Output evaluation

The output evaluation assesses achievements on-site by viewing

defined, quantifiable indicators of program performance such as access, quality and acceptability, number of

persons trained and use of services by the target populations. Output indicators

are usually quantitative.

Effects evaluation

Effects measurement focuses on changes observed within the target population

in the catchment area, for example: observed changes in reproductive

health attitudes, changes in staff and skills, and changes in provider attitudes

toward providing and managing services.

Short-term impact evaluation

The findings from the original baseline survey should be used to derive the indicators for the short-term impact

evaluation. This evaluation is conducted at a specified, predetermined time following the introduction of a new

program. Relevant data from reports, service statistics, and training

information systems contribute to the analysis of short-term impact.

SUMMARYAn MIES helps a manager to collect and use

information to make management decisions in a timely manner. Managers also use MIS data to analyse, plan, make decisions, take actions and evaluate. An

effective MIES provides accurate, complete, and timely information. MIES

formats should include feedback mechanisms so that decisions made at all

levels within the organization.

REFRENCES• Management information system: cited on 9 Feb 2013:

available from : http://www.instahealthsolutions.com/modules.html

• Electronic_medical_record : cited on on 9 Feb 2013: available from : http://en.wikipedia.org/wiki/Electronic_medical_record 

• Management information system: cited on 10 Feb 2013: available from : http://en.wikipedia.org/wiki/Management_information_system

• Nmis: cited on 11 Feb 2013: available from : http://nmis.sourceforge.net/nmis-features.html

•mis: cited on 13 Feb 2013: available from http://www2.pathfinder.org/site /DocServer/MIS.complete.pdf

•Management: cited on 10 Feb 2013: available from http://www.slideshare.net/ Jyothi19587/management-pptgifty