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Strengthening Management Information Systems for Improved Resource Utilization Decisions

This article discusses strategies and recommendations for developing and improving management information systems to enhance decision-making and resource allocation in the healthcare sector. It highlights the importance of sustainability, standardization, and an open access approach in designing and implementing these systems. The challenges of coordination and integration among different information systems are also addressed.

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Strengthening Management Information Systems for Improved Resource Utilization Decisions

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  1. Improved Resource Utilization Decisions through Strengthened and Sustainable Management Information Systems James (Kip) Eckroad BS, MS, MBA TASC2 Project - Eritrea

  2. Three Intermediate Result Areas • IR1: Active Demand for Primary Health Care Expanded • IR2: Quality of Priority Primary Health Services Improved • IR3: Institutional Capacity for Resource Allocation Decisions Improved

  3. IR3 Strategies • Develop and strengthen health management information systems • Strengthen the management systems, practices and procedures • Develop and improve capacity for decision making • Continued support for decentralization and hospital autonomy

  4. MIS Assessment: Initial Findings • MIS function and responsibility dispersed throughout the Ministry of Health • All systems highly dependent on outside assistance for modification or maintenance • Most systems in MS Access database but programmed in Visual Basics • Significant unmet need for improvement of existing or development of new systems

  5. Recommended Improvements in System Development • Priority given to sustainability through independence from outside sources • Sustainability and independence directly related to the degree of openness and access • Standardization important for integration and sharing of data; as well as for building an internal body of knowledge for supporting the systems

  6. Information Systems Design Based on Sound Database Theory • Database design based on relational database theory • Follow the three levels of normalization • This greatly facilitates growth and expansion, additional attributes and new entities • Try to identify the single most important table and build around it

  7. An “Open Access” Approach • Maximum use of Access wizards, tools and especially the query capabilities • Menu structure based on Switchboard Manager, common user interface • Reliance on forms for data entry and editing • Standardization of nomenclature for tables, forms and queries • The incremental approach to information systems development

  8. Implementation of the Approach • Development of 3 new systems in key resource area: drug logistics, personnel management and donor financing • Implementation and capacity building for the new information systems • Capacity building focus on continuous learning models: mentoring and formative supervision

  9. Principal Challenges • Importance of documented specifications as form of communication with client • Direction, coordination and integration among the various MOH information systems

  10. Invoice Editing and Posting Form

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