Philippine Health Information System

Crispinita A. ValdezDirector, Information Management Service

1st National Staff Meeting CY 2007, January 24-25, 2007, Clark Field, Pampanga

WHY PHIS?

• Underlying premises: Improved health through data for evidence-

based decision-makingBetter measurement, through strengthened

health information and statistical systemsNetwork to galvanize partners and resources

for improved health information Better data - better decisions - better health

• TimelineFirst phase 2006-2012

Goal, Objectives, Principles

Goal:Goal:

Increase availability and use of timely, reliable

health information in countries and globally through shared agreement on goals and coordinated investments in health information systems

Objectives

Create a harmonized framework for the Philippines' health information system

Strengthen country health information system

Improve access to and use of health information

• “If you don’t know where you are going, chances are you will end up somewhere else”

• Yogi Berra

PHIS InitiativePHIS Initiative

Link health and statistical constituencies

Harmonization and alignment Comprehensive approach to

health information Ownership and stakeholder

involvement

Why Only Now?

Increased demand for quality health informationGrowing interest in comparative performance

assessments in health and benchmarkingPerformance-based disbursementChallenges in collecting, evaluating and

interpreting indicator data to guide policy-makingData availability and quality pose problems within

and between countries

“You cannot manage what you cannot measure” Peter Drucker

Health Information System Comprehensive Approach

• Public health data

• Hospital data

•Disease Surveillance

•Health Accounts

•Censuses

•Vital Statistics

•Survey Data

•Regulation Data

•Administrative Data

•Qualitative Data such as Good Practices

•Journals, Manuals, other gray materials

PhilippineHealth

Information System

ACTIVITIES UNDERTAKENACTIVITIES UNDERTAKEN

Establishment of Philippine Health Information Network (PHIN)

Customization of Health Metric Network (HMN) assessment tool

Central office inventory of existing ISs NEC started integration of Disease Surveillance

SystemsBLHD spearheading skills development &

documentation of good practicesDraft framework for ISs technical integrationDevelopment of the Knowledge Management (KM)

for Health StrategyKM tool kits defined and started developmentHealth portal (interactive website)

Philippine Health Information Network

• DOH• NSO• NSCB• PCHRD• UPCM• POPCOM• National Nutrition

Council• FNRI

• DILG

• WHO

• GTZ

• JICA

• Academe

• Medical societies

PIHIS PIHIS Strategic Framework

NationalGovernment

Information Access

Information Access

DOHOther Government

AgenciesPrivate

OrganizationsAcademe

ResearchGroups

OtherStakeholders

Data Beneficiaries

Health RegulationSystems

Health ProgramManagementSystems

Health ServiceDelivery Systems

HealthGovernance

SystemsDOH DataWarehouse

ICT Infrastructure - Systems Integration - Data Management

Dep

artm

ent

of

He

alth

Standard Data Indicators, Definitions,Formats, Transmission Protocols, Policiesand Guidelines

Clinics HospitalsRHUs/BHSs

PharmaceuticalCompanies

Drug TestCenters

LaboratoriesOther Health

Facilities

Standard Source of Data

Principle: Build upon existing systems of health information to allow integrationof content and functions.

Ser

vice

Pro

vid

ers

Some ongoing ISs projects in reform areas

Regulatory – BFAD, Drug testing..Service delivery – Hospital

operation, Blood Bank, Filariasis, Malaria, disease registries, surveillance systems..

Governance- Procurement & Logistics Management, e-NGAs, KM tools, Work & Financial Plan,Health Atlas, Local Health System, GIS, HR..

HMN assessment tool components

Selected Indicatorsdata collection, timeliness, periodicity,

completeness,context, resources and process

legal framework, human resource, infrastructure

Data synthesis, analysis and usedissemination and policy advocacy,

implementation, resource allocation and planning

Data platformsvital registration, survey, disease

surveillance, health information systems Excel file

Knowledge Management Strategy

• KNOWLEDGE MANAGEMENT (KM) ensures that a person has the right knowledge at the right time to make a knowledge-based decisions to achieve organizational goals

• Why KM?* According to WHO we have to narrow the Know-do

Gap, the Gap between what is already known and what is really being practiced

* We need to address knowledge gaps & info problems – Knowledge about technology or know-how and

know how to apply knowledge correctly – Lack of information on knowledge about

attributes (WB)

Knowledge Management Strategy

VISION: Making knowledge work for a healthy nation

MISSION:To foster an environment within DOH where health knowledge production, utilization and sharing are integrated in its everyday life.

THRUSTS & STRATEGIES• Improving capacities in knowledge production• Enhancing knowledge utilization and application• Improving exchange and sharing of knowledge• Improving information and knowledge

infrastructure• Transforming DOH staff into knowledge workers

KM Sample application

Establish an integrated and harmonized health and management information system to include vital stat, censuses, surveys, health researches

Ensure quality health information

•Develop Communities of practice

•Establish Comprehensive knowledgebase

•Institute a resource and learning center

Formulate national policies and standards

KM Sample application

Establish environment conducive to research and development.

Innovator of new strategies

•Health portal with comprehensive information on disease control

•Transform technical staff into knowledge workers

Technical authority on health disease control and prevention

KM Parallel Implementation

• Big KM initiatives– F1 Resource and learning

Center – eJobs (e-recruitment) – Health portal – Community of practice– Benchmarking– Metrics– Groupware collaboration– Capacity building – Integration of health

data/info – Change management

• Small KM Initiatives

– Personal KM– FAQs– Manualization of DOH

processes – White pages or

expertise locator– Metrics– Meetings improvement– Capacity building– Change management

CHALLENGES

Integration of present information systems with the proposed systems

Integration at functional, technical, resource, and implementation levels

Funding

Championing KM initiatives

Providing & sustaining ICT infrastructure

CURRENT THRUSTS Strengthening PHIN to develop and sustain

PHIS

Establishment of an integrated and comprehensive health database/warehouse

Harmonization of existing HISs & other data sources

Enhancing info access thru health portal, resource center & other mechanisms

Development of KM tool kits

Upgrading of ICT infrastructure

MAJOR Plan of Action for 2007

– Sector-wide health information assessment

– Development of health sector strategic health information plan

– Development of a proposal for the establishment of PHIS to secure funding for implementation

– KM tools development – Start IS & databases

integration– Systems development

& deployment in major reform areas

• Quarter 1 and 2

• Quarter 3

• Quarter 4

• Quarter 1-4

More Quotes...

“if you don’t measure it, you can’t fix it”Richard Tucker

“Without data.. You’re just another person with an opinion”

Joseph Juran

“Insanity! Expecting different results while doing things the same way.”

Dr. Gibson

The single biggest mistake organisations make is to have too few performance measures. The second

biggest is to have too many”Mark Graham Brown

www.who.int/healthmetrics