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Establishing interoperability between human resources and health management information system in India: Opportunities and Challenges Bhawna Yadav HRIS Specialist 2 october 2014. Need of Public Health Information Systems. To Develop policies and plans
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Establishing interoperability between human resources and health management information system in India: Opportunities and Challenges Bhawna Yadav HRIS Specialist 2 october 2014
Need of Public Health Information Systems • To Develop policies and plans • To Monitor health status individuals and community • To Inform, educate, and empower people about health issues • To assure a competent public health and personal health care workforce.
Examples of Current System • Human Resource Management Information System • Hospital Information System • District Health Information System • Mother and Child Tracking System
Current Gaps and Issues • Vertical information systems developed by individual States and programs • These systems do not exchange any information • These systems do not support integrated decision making for public health planning management • Sub optimal efficiency and use of information systems
Establishing Interoperability: Objectives • To be able to map common data elements. • To allow these system to exchange data and convert it into useful information • To be able to compare and analyze crosscutting data from different systems To develop combined dashboards to support decision making
Interoperability between iHRIS and DHIS2 - An example from Bihar
Defining Interoperability The ability of two or more systems to exchange information Fu Fundamental& Syntactic/ Structural In Interoperability
Defining Interoperability The ability to use the information that has been exchanged Semantic Interoperability
Background • State Health Society, Bihar (SHSB) decided to establish a web-based HR Management Information System in July 2010 • Used an open source application, iHRIS Manage • Received technical assistance from IntraHealth International in collaboration with NHSRC and HISP India • SHSB and Intrahealth envisaged integration of the state’s health management information system and the state’s human resource information system.
Specific Objectives • To compare and analyze human resource data with service delivery data for decision making to inform Program Planning and Management • To identify Generic Data Elements in both the systems and make them interoperable • To be able to measure the impact of health workforce on service delivery and use combined data to improve population health outcomes • To develop reports and analysis tools which helps in planning and decision making
Human Resource & Service Delivery Indicators • Human Resource Health Services Health Outcome Indicators/Data
Key Steps Promote use of Combined Data
Establishing Interoperability -Technical Prerequisites • Organization Unit Synchronization • Hosting the Interoperable Application • User Level Authentication • Filtering Indicators
Organization Unit Synchronization • Identify Common data elements • Facility Mapping was done taking DHIS as source • Establishing mechanism for Synronization of facilities in HRIS and DHIS
Hosting the Interoperable Application • Both the application are hosted at different server • A common dashboard developed which takes information from both the systems • A common interface for the end user to enter the sytems
Filtering Indicators • Set of Indicators for which data has to be transferred from HRIS to DHIS for cross cutting analysis. • Set of Reports in HRIS which will be used for transferring data for desired indicators to DHIS.
Work in Progress • Developed Requirement Study Report • Set Indicators and Reports • Developed Dashboard with crosscutting data indicator reports • Facility Mapping
Challenges • Mapping Facility • Multiple Stakeholder • Name based tracking • Link to individual Performance • Adding Population based data
Next Steps • Generating reports on interoperable data • Building an common interface for the end user • Building for use over data • Build capacity and promote use of combined dash board data
Potential Opportunities • Demonstration of integrated use of data from different systems for program planning and management • Improved quality and synergy of data • Integration with other health information systems • Greater efficiency, better use of human and financial resources in the long run Improvement in quality and coverage of services and health outcomes
Thank you. For more information, Contact: byadav@intrahealth.org