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MANAGEMENT INFORMATION SYSTEM  DR.N.C.DAS
MANAGEMENT INFORMATION SYSTEM   (MIS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SCOPE OF HIS HOSPITAL  INFORMATION  SYSTEM  MEDICAL  RECORDS   CONTROL  FUNCTIONS   INVENTORY  MANAGEMENT  OPERATIONAL  PLANNING  & BUDGETTING   PATIENT FEED  BACK SYSTEM   TWO WAY  COMMUNICATION  BILLING & PAYMENT
ADVANTAGE OF MIS  MIS  STREAM LINE HOSPITAL HEALTH SERVICES  OPERATION  MEASUREMENT OF  HEALTH SERVICES  OUTPUT IDENTIFICATION OF VARIUOS PROBLEMS & EFFECTIVE SOLUTION IMPROVED PATIENT  CARE  TOOLS FOR  COST ANALYSIS  EFFECTIVE ADMN. AND CONTROL COST  CONTAINMENT   TASK ALLOCATION  AMONG STAFF
DEVELOPING MIS SYSTEM The basic information required for a hospital to function efficiently are indices of health  and disease.  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DEVELOPING MIS SYSTEM MIS SYSTEM MANNUAL COMPUTERISED Here data is collected, analysed and reported manually Information in stored in records and files. Here data is collected, analysed and reported by computers. Information in stored in records and files within the computer.
DESIGNING OF MIS  Designing of the MIS should be relevant to the objective function of the hospital and  need answer to following questions to make it adequate, relevant and available in time.  MIS  TYPE OF DATA NEEDED  MECHANISEM OF FEED BACK  RETRIEVAL SYSTEM IN WHAT FROM  THE DATA TO BE COLLECTED (Quantity or Quality) HOW SHOULD BE THE DATA PROCESSED FORMAT OF REPORTING  SITE OF GENERATION  OF DATA  HOW CAN IT  BE STORED
COMPONENTS OF MIS   DATA PROCESSING & ANALYSIS  STATEMENTS  FIGURES  RATES & RATIOS  STORAGE & RETRIEVAL  FEED BACK   INPUT INFORMATION OUTPUT INFORMATION
COMPUTER MODULES MIS helps in various ways in various functions of the hospital and various units. The various  computer modules which can be developed for MIS are __ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDENTIFICATION OF INDICATORS   ,[object Object],[object Object],[object Object],[object Object],[object Object]
DEVELOPING INDICES   INDICES  MORTALITY &MORBDITY RATES  CONSULTATION  RATE COMPLICATION  RATE  BED OCCUPANCY  RATE  AVERAGE DAILY  OPD ADMISSION   BED TURN  OVER RATE   INFECTION  RATE  AVERAGE LENGTH  OF SAFETY
A.MORTALITY RATES MORTALITY RATE CRUDE DEATH RATE PROPORTIONAL MORTALITY RATE DISEASE SPECIFIC MORTALITY RATE UNDER 5 MORTALITY RATE PERI_NATAL MORTALITY RATE POST-NATL MORTALITY RATE NEONATAL MORTALITY  RATE IMR MMR
MORATALITY RATES a) Crude Death Rate No of death in 1 yr  X 1000   Mid yr population b) Infant Mortality Rate Death Under One Year  X 1000   Total no of live Birth c) Neonatal Mortality rate No of Death below 28 days  X 1000   No of Live birth d) peri -natal Mortality Rate 28 wks to 7 days > 1000gms  X 1000   No of live birth > 1000gms e) Under 5 Mortality Rate No of death under 5 yrs  X 1000   Under 5 yr population f) Maternal Mortality Rate No of death due to abortion, prep, child birth  X 1000   No of Live Birth g) Disease specific death rates Death due to specific Disease  X 1000   Mid yr population h) Proportional Morality Rate No of death specific cause  X 1000 Total death  
MORBIDITY RATE INCIDENCE RATE MORBIDITY RATE PREVALANCE RATE DISABILITY RATE ABSENCE RATE ADMISSION RATE DISCHARGE RATE ATTENDANCE RATE SPELLS OF SICK NESS
(B) Morbidity Rates ,[object Object],[object Object],[object Object],[object Object],Population at risk during the period   X 1000 5000 30,000  X 1000  = 16.7 per 1000 population  New Cases / During Given Period / Specified Population  Attack Rate: New Cases specified period specific disease  Population at risk during the period  X 100 Prevalence Rate: Number of all cases of specific disease during a period  Estimated population during the period  X 1000 P = I x D = Incidence x Duration/ Period  I = P/D  = It gives the magnitude of disease helps in Health Service planning & prevention
DEATH RATE  ,[object Object],[object Object],[object Object],[object Object],Net Death Rate = No. of deaths after 48 hours No. of discharges  per month x 100 ,[object Object],[object Object],[object Object],[object Object],[object Object]
AVERAGE LENGTH OF STAY (ALS) - It is the average days of service rendered to each discharged patient during a  fixed period. ALS = Total days of stay of all discharged patients  Total no. of discharge during the period  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A. HABIT OF DOCTOR AND STAFF  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B. HOSPITAL FUNCTION   ,[object Object],[object Object],[object Object],[object Object],Controlling above factors, length of stay can be reduced, there by cost of bed is reduced increasing the hospital productivity.
BED OCCUPANCY RATE  - It is the ratio of occupied beds to the total available beds  during a period .  Bed Occupancy = Average Daily Census  Total No. of beds  X 100 ,[object Object],[object Object],[object Object],[object Object],[object Object]
BED TURN OVER RATE   Average number of patients per bed during a given period.  Bed Turn Over = No. of discharges during period  No. of available beds   ,[object Object],[object Object],[object Object]
BED TURN OVER INTERVAL   Average number of days a bed remains vacant between discharge and admission to the bed  during a period . Bed Turn Over Interval  =  All vacant days of beds (No. of Beds – Average Daily Census)   Total no. of discharges   ,[object Object],[object Object],[object Object]
AVERAGE DAILY OPD ADMISSION   Total No. of new admissions during a period in OPD No. of hospital working days  ,[object Object],[object Object],[object Object],[object Object]
HOSPITAL INFECTION RATE   No. of patients acquiring hospital infection during a period   No. of discharges during the period  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS

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MANAGEMENT INFORMATION SYSTEM FOR EFFECTIVE HEALTHCARE DELIVERY

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  • 3. SCOPE OF HIS HOSPITAL INFORMATION SYSTEM MEDICAL RECORDS CONTROL FUNCTIONS INVENTORY MANAGEMENT OPERATIONAL PLANNING & BUDGETTING PATIENT FEED BACK SYSTEM TWO WAY COMMUNICATION BILLING & PAYMENT
  • 4. ADVANTAGE OF MIS MIS STREAM LINE HOSPITAL HEALTH SERVICES OPERATION MEASUREMENT OF HEALTH SERVICES OUTPUT IDENTIFICATION OF VARIUOS PROBLEMS & EFFECTIVE SOLUTION IMPROVED PATIENT CARE TOOLS FOR COST ANALYSIS EFFECTIVE ADMN. AND CONTROL COST CONTAINMENT TASK ALLOCATION AMONG STAFF
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  • 6. DEVELOPING MIS SYSTEM MIS SYSTEM MANNUAL COMPUTERISED Here data is collected, analysed and reported manually Information in stored in records and files. Here data is collected, analysed and reported by computers. Information in stored in records and files within the computer.
  • 7. DESIGNING OF MIS Designing of the MIS should be relevant to the objective function of the hospital and need answer to following questions to make it adequate, relevant and available in time. MIS TYPE OF DATA NEEDED MECHANISEM OF FEED BACK RETRIEVAL SYSTEM IN WHAT FROM THE DATA TO BE COLLECTED (Quantity or Quality) HOW SHOULD BE THE DATA PROCESSED FORMAT OF REPORTING SITE OF GENERATION OF DATA HOW CAN IT BE STORED
  • 8. COMPONENTS OF MIS DATA PROCESSING & ANALYSIS STATEMENTS FIGURES RATES & RATIOS STORAGE & RETRIEVAL FEED BACK INPUT INFORMATION OUTPUT INFORMATION
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  • 11. DEVELOPING INDICES INDICES MORTALITY &MORBDITY RATES CONSULTATION RATE COMPLICATION RATE BED OCCUPANCY RATE AVERAGE DAILY OPD ADMISSION BED TURN OVER RATE INFECTION RATE AVERAGE LENGTH OF SAFETY
  • 12. A.MORTALITY RATES MORTALITY RATE CRUDE DEATH RATE PROPORTIONAL MORTALITY RATE DISEASE SPECIFIC MORTALITY RATE UNDER 5 MORTALITY RATE PERI_NATAL MORTALITY RATE POST-NATL MORTALITY RATE NEONATAL MORTALITY RATE IMR MMR
  • 13. MORATALITY RATES a) Crude Death Rate No of death in 1 yr X 1000   Mid yr population b) Infant Mortality Rate Death Under One Year X 1000   Total no of live Birth c) Neonatal Mortality rate No of Death below 28 days X 1000   No of Live birth d) peri -natal Mortality Rate 28 wks to 7 days > 1000gms X 1000   No of live birth > 1000gms e) Under 5 Mortality Rate No of death under 5 yrs X 1000   Under 5 yr population f) Maternal Mortality Rate No of death due to abortion, prep, child birth X 1000   No of Live Birth g) Disease specific death rates Death due to specific Disease X 1000   Mid yr population h) Proportional Morality Rate No of death specific cause X 1000 Total death  
  • 14. MORBIDITY RATE INCIDENCE RATE MORBIDITY RATE PREVALANCE RATE DISABILITY RATE ABSENCE RATE ADMISSION RATE DISCHARGE RATE ATTENDANCE RATE SPELLS OF SICK NESS
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  • 24. Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS