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Information and Planning

Information and Planning. Information is essential for effective Management. “Facts…Facts alone are wanted for life” Charles Dickens. Peter Sims Professor of Public Health medicine University of Papua New Guinea P.O.Box 5623, BOROKO. Where is the wisdom we have lost in knowledge?

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Information and Planning

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  1. Information and Planning Information is essential for effective Management petersims@upng.ac.pg

  2. “Facts…Facts alone are wanted for life”Charles Dickens • Peter Sims • Professor of Public Health medicine • University of Papua New Guinea • P.O.Box 5623, • BOROKO petersims@upng.ac.pg

  3. 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 petersims@upng.ac.pg

  4. 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 petersims@upng.ac.pg

  5. Sources of Information (general) • 10 yearly Census • Birth, Death, Marriage, Migration, Divorce • Registers-Cancer, Mental Handicap • Social-Housing • Marketing/commercial • Employment • Receiving Benefits petersims@upng.ac.pg

  6. Health Services Information • Beds and bed use • InPatients& OutPatients • Diagnostic Groups • Investigations, Operations, Prescriptions • Discharges &Deaths petersims@upng.ac.pg

  7. Barber-Johnson Diagram 20 Length Throughput of Stay 10% 30 20% 60 30% Emptiness or 100-Occupancy petersims@upng.ac.pg Turnover Interval

  8. Barber-Johnson Diagram 20 Length Throughput 10% of Stay 30 A 20% C 60 B 30% D Emptiness or 100-Occupancy petersims@upng.ac.pg Turnover Interval

  9. Special Information • Commissioned Research Studies • Medical record Linkage • Smart Cards • Qualitative and quantitative methods petersims@upng.ac.pg

  10. Information Trends • Clinical Governance Audit,Quality,Risk • Meta-analysis • Cochrane foundation • Patient power • National databases • New Technology • Focus groups petersims@upng.ac.pg

  11. Information Strands • Accounting & Financial • Personnel • Performance Input Process Outcome petersims@upng.ac.pg

  12. 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 petersims@upng.ac.pg

  13. Information Characteristics • QUALITY IS KEY • Known Accuracy to +/- 5% • Timely-Daily, weekly, monthly, quarterly • Regular • Reasonable Cost petersims@upng.ac.pg

  14. 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 petersims@upng.ac.pg

  15. 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 petersims@upng.ac.pg

  16. SOURCES petersims@upng.ac.pg

  17. Effective Management means a continuous flow of INFORMATION petersims@upng.ac.pg

  18. Information and Planning 2 “We are just statistics, born to consume resources” Horace petersims@upng.ac.pg

  19. “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 petersims@upng.ac.pg

  20. Planning starts with a Problem • Stakeholder’s views • SWOT analysis • Problem tree • Solution tree • Options • Project formulation petersims@upng.ac.pg

  21. 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 petersims@upng.ac.pg

  22. The If and ..Then Cycle Bednets in rural Africa PROJECT PROGRAMME Malaria Prevention Improve CHILD HEALTH PLAN petersims@upng.ac.pg

  23. PLAN- PROGRAMME-PROJECT petersims@upng.ac.pg

  24. Plan Programme Project petersims@upng.ac.pg

  25. THE LOGICAL FRAMEWORK petersims@upng.ac.pg

  26. Risk Management Strategy Risk-Low capacity of key personnel Consequence (High) 3 Probability (Low) 1 Risk Rating = 3 x 1 = 3 petersims@upng.ac.pg

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  29. Operational Planning • Short to medium term planning to achieve short term goals petersims@upng.ac.pg

  30. Strategic Planning • Longer term planning to think 3-5 years out • To think the unthinkable • The “what if”questions • Option Appraisal • Model building petersims@upng.ac.pg

  31. 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 petersims@upng.ac.pg

  32. So What? • Where are we now? • Where do we want to go? • How do we get there? • How do we know when we arrive? petersims@upng.ac.pg

  33. There are paper plans and real plans petersims@upng.ac.pg

  34. The best laid plans of Mice and Men, Gang aft agley ROBERT BURNS petersims@upng.ac.pg

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