Developing Global Standards for Health Information Systems: HMN & PRISM Frameworks :Developing Global Standards for Health Information Systems: HMN & PRISM Frameworks Anwer Aqil, MD, MCPS, MPH, DrPH Beatriz Plaza, MPH


Objectives :Objectives Provide overview of the Health Metrics Network (HMN) and Performance of Routine Information Systems Management (PRISM) frameworks and toolsets Describe use of HMN and PRISM framework for creating and maintaining STANDARDS for Health Information Systems


HMN Framework :HMN Framework What it can do for you? Provide a comprehensive picture of all information health systems in a given countries Describe broadly strengths and weaknesses of each system Assist in setting priorities based on assessment


HMN Framework :HMN Framework Stewardship: policy & governance monitoring – special data collection HR: census, labour force surveys, administrative records Financing: household surveys, administrative records (budget, exp.), NHA, PER Information: draws upon all data sources Infrastructure / technology / services: service records, administrative records


HMN Findings in Latin American Countries :HMN Findings in Latin American Countries Large quantities of data collection and -very little analysis and generation of information -very little or no use of information for decision making Excessive financial demands on limited resources, Scarce human resource and technical capacity Poor HIS designs, little interaction between : -participating institutions -decision making levels Information systems that do not respond to the current and emerging health systems needs Donor driven vertical systems


Actions based on HMN Assessment :Actions based on HMN Assessment Priority setting for strengthening HIS Creation of National Strategic Plans for HIS Develop Interventions & implementation plan Increase Country Resource allocation Improve Ownership of HIS


PRISM Framework :PRISM Framework Let’s Role Play Please observe the issues raised about RHIS in this role play. You will be asked to list them. We will use that list to describe how those issues are addressed in PRISM framework and explain them


PRISM PRINCIPLES :PRISM PRINCIPLES Systems perspective Outcome-oriented Problem-solving Self-regulation Continuous improvement Culture of information


PRISM Tools :PRISM Tools


Resulting Standards :Resulting Standards RHIS Performance RHIS Processes RHIS Determinants Harmony between Performance, processes and determinants


Major Findings :Major Findings


HMN & PRISM APPLICATIONS To date :HMN & PRISM APPLICATIONS To date Africa Uganda, South Africa, Cote d’Ivore, Senegal Asia China, Pakistan Caribbean Haiti Latin America PRISM & HMN: Mexico, Paraguay, Honduras, Peru and Dominican Republic HMN: Panama, Nicaragua, El Salvador, Guatemala , Belize


Conclusions :Conclusions Use HMN framework for overview of ALL health information systems Use PRISM framework and its tools for designing, strengthening, monitoring and evaluation of RHIS


Pearls :Pearls HIS Global Standards Application is a systemic change and all organizational members should be on board! Improve continuously HIS processes and technical, behavioral and organizational determinants for better HIS Performance and better Health System Outcomes


Please contact us for further information:plaza@email.unc.eduanwer_aqil@jsi.com :Please contact us for further information:plaza@email.unc.eduanwer_aqil@jsi.com


Slide 17:MEASURE Evaluation is funded by the U.S. Agency for International Development (USAID) through Cooperative Agreement GPO-A-00-03-00003-00 and is implemented by the Carolina Population Center at the University of North Carolina in partnership with Futures Group, John Snow, Inc., ORC Macro International, and Tulane University. Visit us online at http://www.cpc.unc.edu/measure.