Current Situation of health Information system in Myanmar

1. Current Situation of health Information system in Myanmar The 6th Asia Pacific Network meeting of WHO FIC Thailand, 18-19 July, 2013

2. Subsystems of HIS • Epidemiological surveillance system • Routine service reporting system • Program-specific reporting systems • Administrative and resource management reporting systems • Vital or Civil Registration Systems • Population based surveys

3. Routine Service Reporting System

4. Data Flow Department of Health Planning State/Regional Health Department District/Township Health Department MCH/UHC/Station HU/RHC Sub Rural Health Center

5. Data Flow and Feedback Station Hospitals 16-Bedded Hospitals DHP Hospital Form I,II, III & OPD 25-Bedded Hospitals 50-Bedded Hospitals 100-Bedded Hospitals Hospital Form I, III States/Region Health Department 150-Bedded Hospitals 200-Bedded Hospitals General Hospitals with Specialist services Teaching Hospitals Specialist Hospitals

6. Hospital report forms • Monthly hospital return • Monthly general inpatient summary • Hospital inpatient daily record • Outpatient report form

7. MONTHLY HOSPITAL RETURN (ADMINISTRATIVE) FORM I (TO BE COMPLETED AND POSTED NOT LATER THAN THE 7TH OF EACH MONTH) (REVISE/2013)NAME OF HOSPITAL ---------------------------- TOWNSHIP -------------------------- REGION/STATE ------------------------- MONTH ----------- YEAR ---------

8. * Part H ကိုနှစ်စဥ် December လ Report တွင်သာထည့်သွင်းအစီရင်ခံရန် ကျန်သောလများတွင် Part H ကိုဖြည့်စွက်ရန်မလိုပါ။ Signature …………………………………… • Name -………………………………………Designation …………………………………… Hospital ……………………………………

9. MONTHLY GENERAL IN-PATIENT SUMMARY FORM II (REVISE/2013) NAME OF HOSPITAL ------------------------ TOWNSHIP ------------------------ REGION/STATE ---------------------- MONTH ------------------- YEAR ---------

10. HOSPITAL DAILY RECORD (IN - PATIENT) FORM III (Revise/2013) (To be completed and posted not later than the 7th of each month)Month ............................ 20 .......... Name of Hospital .................................. Speciality(**)........................Township ...........................Region/State............................

11. OPD Form

12. Standardized Hospital report forms for all Hospitals Manual for OPD Manual for Hospital Form I, II & III

13. ICD-10

14. Use of ICD( International Statistical Classification of Diseases and Related Health Problems) in Myanmar 1962- ICD 7 1968- ICD 8 1979- ICD 9 1996- ICD 10 Translation------------ Chapter XIX, XX

15. Data from Private Health Sector • Permission from higher level • Initialization phase • Start from 2013 January • Private hospitals • Develop data collection form and manual

16. Standardized Report Forms • Form I - Private Hospital Monthly Report Form (Administrative) • Form II - Private Hospital Monthly In-Patient Summary • Training – 27.4.2013 -28.4.2013

17. Standardized Report Form I- front

18. Standardized Report Form I-back

19. Standardized Report Form II

20. Available information • Hospital administrative information • Average number of out-patients per day • Average number of In-patients per day • Average duration of stay (in days) • Bed occupancy rate • Turnover interval • Hospital Death Rate • Causes of Hospitalization • Leading cause of Morbidity and mortality

21. Strengthening of Hospital information System Training ******* Medical record technician

22. Training of Medical Record Technicians on ICD-10 and CAMRS (6.5.2013 – 21.5.2013)

23. Workshop on International Statistical Classification of Diseases (ICD-10) and Computer Assisted Medical Record System(CAMRS) Nay Pyi Taw (28-5-2013)to (31-5-2013)

24. Workshop on International Statistical Classification of Diseases (ICD-10) and Computer Assisted Medical Record System(CAMRS) Nay Pyi Taw (28-5-2013)to (31-5-2013) Group Work

26. Utilization of Health Information • Selection of project sites • Resource allocation including budget and logistics distribution • Planning, Implementation, monitoring and evaluation of health services • Country presentation on workshop, seminars and meetings

27. Points for consideration in improvement of Hospital Information System • Lack of written Health information Policy • Inadequate infrastructure • Shortage of manpower • Low capacity of human resources especially in information management • No Career development for medical record technicians • Supplies and equipment – Inadequate ICD -10 Books , Computer, File cover, filing rack

28. Points for consideration in improvement of Hospital Information System(Cont:) • Still use in paper recording and reporting from various level except central and region/state • Poor favourable working environment • Low utilization of data and information to actions • Lack of motivation in strengthening of health information

29. Areas need to be strengthened • Strengthen organization set up and infrastructure • Capacity building of human resources on modeling method and advanced data analysis, presentation and interpretation • Provision of supplies and equipments for electronic health record system

30. Areas need to be strengthened (Cont:) • Systematic monitoring, supervision and feedback • Encourage in utilization of information to actions • Establish unique logistic management information system and human resource management information system • Cooperation, coordination and collaboration with indispensible partners

31. Future Plan • Training of Medical Record Technicians • Supervision and Monitoring on performance of medical record technicians • Advocacy to authorities for career development of medical record technicians • Paramedic degree for medical record technicians in collaboration with Department of Medical Science • Training of ICD-10 to medical doctor • Include ICD-10 in pre-service curriculum of medical doctors • Verbal autopsy on cause of death

32. Thank you