scholarly journals STEPS – a patient centric and low-cost solution to ensure standards of TB care to patients reaching private sector in India

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
P. S. Rakesh ◽  
Shibu Balakrishnan ◽  
M. Sunilkumar ◽  
K. G. Alexander ◽  
Shibu Vijayan ◽  
...  
Keyword(s):  
Information System ◽  
Quality Of Care ◽  
Private Sector ◽  
Management Information System ◽  
Low Cost ◽  
Additional Patient ◽  
Management Information ◽  
Evaluation Team ◽  
Patient Centric

Abstract Background More than half of the TB patients in India seek care from the private sector. Two decades of attempts by the National TB Program to improve collaboration between the public and private sectors have not worked except in a few innovative pilots. The System for TB Elimination in Private Sector (STEPS) evolved in 2019 as a solution to ensure standards of TB care to every patient reaching the private sector. We formally evaluated the STEPS to judge the success of the model in achieving its outcomes and to inform decisions about scaling up of the model to other parts of the country. Methods An evaluation team was constituted involving all relevant stakeholders. A logic framework for the STEPS model was developed. The evaluation focused on (i) processes - whether the activities are taking place as intended and (ii) proximal outcomes - improvements in quality of care and strengthening of TB surveillance system. We (i) visited 30 randomly selected STEPS centres for assessing infrastructure and process using a checklist, (ii) validated the patient data with management information system of National TB Elimination Program (NTEP) by telephonic interview of 57 TB patients (iii) analysed the quality of patient care indicators over 3 years from the management information system (iv) conducted in-depth interviews (IDI) with 33 beneficiaries and stakeholders to understand their satisfaction and perceived benefits of STEPS and (v) performed cost analysis for the intervention from the perspective of NTEP, private hospital and patients. Results Evaluation revealed that STEPS is an acceptable model to all stakeholders. IDIs revealed that all patients were satisfied about the services received. Data in management information system of NTEP were consistent with the hospital records and with the information provided by the patient. Quality of TB care indicators for patients diagnosed in private hospitals showed improvements over years as proportion of TB patients notified from private sector with a microbiological confirmation of diagnosis improved from 25% in 2018 to 38% in 2020 and the documented treatment success rate increased from 33% (2018 cohort) to 88% (2019 cohort). Total additional programmatic cost (deducting cost for patient entitlements) per additional patient with successful treatment outcome was estimated to be 67 USD. Total additional expense/business loss for implementing STEPS for the hospital diagnosing 100 TB patients in a year was estimated to be 573 USD while additional minimum returns for the hospital was estimated to be 1145 USD. Conclusion Evaluation confirmed that STEPS is a low cost and patient-centric strategy. STEPS successfully addressed the gaps in the quality of care for patients seeking care in the private sector and ensured that services are aligned with the standards of TB care. STEPS could be scaled up to similar settings.

Predictors of electronic health management information system for improving the quality of care for women and people with disabilities

2020 ◽  
pp. 026666692094714
Author(s):  
Edda Tandi Lwoga ◽  
Raphael Zozimus Sangeda ◽  
Restituta Mushi
Keyword(s):  
Information System ◽  
Quality Of Care ◽  
Management Information System ◽  
User Satisfaction ◽  
Health Workers ◽  
People With Disabilities ◽  
Health Management Information System ◽  
Management Information ◽  
Factors Influencing

The electronic Hospital management Information System (eHMIS) can improve care for vulnerable patients, help collect important disability and maternal health data, and improve the hospital’s overall data management. This study assessed the use of HMIS and factors influencing the usage and behavioral intentions to use the eHMIS at the Comprehensive Community Based Rehabilitation in Tanzania (CCBRT). We investigated both clinical and non-clinical staff (n=69) using tablets and online surveys, with a rate of return of 71.9%. The ICT staff were also interviewed to supplement data from the survey. The survey questionnaire was guided by the updated Information System Success (ISS) model. Most health workers (81.2%) used the eHMIS several times a day to support different decision-making activities. The better educated personnel were more likely to enter data more effectively into eHMIS as compared to their counterparts. Among six predictors, self-efficacy positively influenced self-reported use and user satisfaction of HMIS, while service quality negatively affected self-reported use of eHMIS. The system quality positively influenced health workers to be satisfied with the eHMIS, and user satisfaction positively influenced continued usage intention of the eHMIS. Both user satisfaction and continued usage intention were positively related to individual impact of eHMIS. Individual impact had positive effects on organizational impact of eHMIS. This is a comprehensive study conducted in Tanzania regarding the implementation of eHMIS, and factors influencing post-adoptive use of HMIS to improve quality of care of women and people with disabilities.

scholarly journals National Zakat Management Information System: E-Sercive Quality and Its Impact on National Zakat Collection

2019 ◽  
pp. 98-124
Author(s):  
Randi Swandaru
Keyword(s):  
Information System ◽  
Regression Analysis ◽  
Service Quality ◽  
Multiple Regression Analysis ◽  
Multiple Regression ◽  
Management Information System ◽  
Reliability And Validity ◽  
Management Information ◽  
The Impact

The purpose of this study is to examine the impact and the electronic service quality of the national zakat management information system (SIMBA) on the national zakat collection. This paper uses a multiple regression analysis in its explorative attempt to illustrate the impact of SIMBA implementation on the national zakat collection. It shows that SIMBA is positive and significantly impact the national zakat collection as well as the human development index that is used as a proxy for the human resource management quality of zakat institutions in the respective city. Nonetheless, the population is negative and significant to the zakat collection as endemic poverty and reluctance to pay zakat are indicated as the reasons. Moreover, this study has succeeded in adapting and conducting e-service quality survey to zakat information system realm. All the tests prove that the instrument in this study has a high degree of reliability and validity. The results show that some of the demographic factors significantly impact the perceived performance of SIMBA. Multiple regression analysis that is conducted in this study shows that e-service quality dimension is positive and significant towards SIMBA’ overall quality, perceived value, and loyalty intention. This study contributes to the zakat management system literature, especially in the impact of the national zakat information system, which is pivotal in enhancing zakat collection and poverty alleviation program funded by zakat.

scholarly journals Data Quality of the Routine Health Management Information System at the Primary Healthcare Facility and District Levels in Tanzania

2020 ◽  
Author(s):  
SUSAN F. RUMISHA ◽  
EMANUEL P. LYIMO ◽  
IRENE R. MREMI ◽  
PATRICK K. TUNGU ◽  
VICTOR S. MWINGIRA ◽  
...  
Keyword(s):  
Information System ◽  
Data Quality ◽  
Management Information System ◽  
Health Management ◽  
Health Centre ◽  
Healthcare Facility ◽  
Health Management Information System ◽  
Management Information ◽  
Service Areas

Abstract Background: Effective planning for disease prevention and control requiresaccurate, adequately-analysed, interpreted and communicated data. This study assessed the quality of routine Health Management Information System (HMIS) data at healthcare facility (HF) and district levels in Tanzania. Methods: HMIS tools used at primary health care facilities (dispensary, health centre, hospital) and district office were reviewed to assess their availability, completeness, and accuracy of collected data. The assessment involved seven health service areas namely, Outpatient department, Inpatient department, Antenatal care, Family Planning, Post-natal care, Labour and Delivery and Provider-initiated Testing and Counselling.Results: A total of 115 HFs in 11 districts were assessed. Registers (availability rate=91.1%; interquartile range (IQR):66.7%-100%) and reportforms (86.9%;IQR:62.2%-100%) were the most utilized tools. There was a limited use of tally-sheets (77.8%;IQR:35.6%-100%). Tools availability at dispensary was 91.1%, health-centre 82.2% and hospital 77.8%, and was poor in urban districts. The availability rate atthe district level was 65% (IQR:48%-75%). Reports were highly over-represented in comparison to registers’ records, with large differences observed at HF phase of the data journey and more profound in hospitals.Tool availability and data quality varied by service-areas, indicators, facility level, and districts, however, with a remarkable improvement over the years.Conclusion: There are high variations and improvements in the tool utilisation and data accuracy at facility and district levels. The routine HMIS is weak and data at district level inaccurately reflects what is available at the HFs. These results highlight the need to design tailored and inter-service strategies for improving data quality.

The Academic MIS Model Used in Higher Education to Resolve Typical Problems in Indonesia

2012 ◽  
Vol 4 (1) ◽  
pp. 67-82 ◽  
Author(s):  
Veronica S. Moertini ◽  
Tety Yuliaty ◽  
Wisnu Rumono ◽  
Buddy S. Tjhia
Keyword(s):  
Higher Education ◽  
Information System ◽  
Quality Assurance ◽  
Best Practices ◽  
Management Information System ◽  
Integrated Management ◽  
Management Information ◽  
Catholic University ◽  
Proposed Model

In response to education regulations for quality assurance (QA), universities in Indonesia strongly require an integrated management information system (MIS), such as Academic MIS (AMIS). In developing AMIS, the main issues that must be addressed are the urgent need for implementing university QA standards (even though departments have already implemented their best practices for years and show reluctance to change), changing requirements, and the need for a quick delivery system despite the fact that AMIS is very large in scope. This paper contributes to modeling AMIS, which is suitable for universities in Indonesia. This research has been conducted at one of the best private universities, Parahyangan Catholic University. Having measured the quality of AMIS using several key business measures, results indicated that the proposed model successfully resolved the issues at stake.

scholarly journals Quality assurance of health management information system in Kayunga district, Uganda

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Harriet R. Kagoya ◽  
Dan Kibuule
Keyword(s):  
Health Care ◽  
Information System ◽  
Quality Assurance ◽  
Management Information System ◽  
Health Management ◽  
Care Delivery ◽  
Public Health Care ◽  
Health Management Information System ◽  
Management Information

Background: An efficient health management information system (HMIS) improves health care delivery and outcomes. However, in most rural settings in Uganda, paper-based HMIS are widely used to monitor public health care services. Moreover, there are limited capabilities and capacity for quality HMIS in remote settings such as Kayunga district.Objectives: The quality assurance practices of HMIS in health centres (HCs) in Kayunga district were evaluated.Method: A cross-sectional descriptive study design was used to assess the quality of HMIS at 21 HCs in Kayunga district. Data were collected through in-depth interviews of HMIS focal persons as well as document analysis of HMIS records and guidelines between 15 June 2010 and 15 July 2010. The main outcomes were quality assurance practices, the HMIS programmatic challenges and opportunities. The practice of HMIS was assessed against a scale for good quality assurance practices. Qualitative data were coded and thematically analysed, whereas quantitative data were analysed by descriptive statistics using SPSS v22 software.Results: All the 21 HCs had manual paper-based HMIS. Less than 25% of HCs practised quality assurance measures during collection, compilation, analysis and dissemination of HMIS data. More than 50% of HCs were not practising any type of quality assurance during analysis and dissemination of data. The main challenges of the HMIS were the laborious and tedious manual system, the difficulty to archive and retrieve records, insufficient HMIS forms and difficulty in delivering hard copies of reports to relevant stakeholders influenced quality of data. Human resource challenges included understaffing where 43% of participating HCs did not have a designated HMIS staff.Conclusion: The HMIS quality assurance practices in Kayunga were suboptimal. Training and support supervision of HMIS focal persons is required to strengthen quality assurance of HMIS. Implementation of electronic HMIS dashboards with data quality checks should be integrated alongside the manual system.

scholarly journals Development of Early Childhood Education Management Model Based on National Education Standards and Management Information System (MPAUD-SNSI)

2021 ◽  
Vol 8 (12) ◽  
pp. 354
Author(s):  
Rina Raflesia ◽  
Rambat Nur Sasongko ◽  
Manap Somantri
Keyword(s):  
Information System ◽  
Early Childhood ◽  
Early Childhood Education ◽  
Management Information System ◽  
Management Information ◽  
Education Standards ◽  
Education Management ◽  
National Education ◽  
Childhood Education

The low quality of early childhood education management in Indonesia can be seen from the results of accreditation that refer to national education standards. This study offers a solution that is to streamline management through the application of a management model based on national standards for early childhood education, which is integrated with a management information system. This article describes the process of formulating and testing a model called MPAUD-SNSI. The tests conducted at 45 schools in Bengkulu Province showed that the model and application of the management information system produced in this study were valid and reliable. The spider diagram simulation feature in the application can conduct a self-evaluation before applying for accreditation. This evaluation helps schools to improve the quality of management sustainably. The empirical test results show that if the indicators in the PAUD-SNSI model are applied in schools, the level of effectiveness of school management can reach the very effective criteria.

SISTEM INFORMASI MANAJEMEN DESA (SIMANDE) BERBASIS WEB DI DESA TALAWI HILIE

2019 ◽  
Vol 7 (1) ◽  
pp. 230
Author(s):  
Rizal Akhiar Ramadhan ◽  
Ahmaddul Hadi
Keyword(s):  
Information System ◽  
Management Information System ◽  
Database Management System ◽  
Management Information ◽  
Unified Modeling ◽  
The Public ◽  
Village Government ◽  
The Right ◽  
The Village

ABSTRACTThe Village Management Information System is a system that produces information to support the management operations function and determine actions in the Village Government organization and Government on it. This system is designed and built based on the web to make it easier for relevant parties to interact with the system. The purpose of the design and construction of this system is to be able to realize orderly village government administration so as to produce the right information so that Village Governments and Governments at the top level can make decisions or policies that are also appropriate and to be able to shorten the time of administration by the public. The method of building this system begins by analyzing the system that is running and analyzing the system to be built. After analyzing the system, then designing the system using the Unified Modeling Languege modeling, MySQL Database Management System and built using the CodeIgniter Framework. The Village Management Information System was built based on observations made in Talawi Hilie Village, Talawi District, Sawahlunto City. With the construction of this system the Village Government can eliminate problems in the process of village administration, the community can save time in conducting village administration administration, and the Village Government and other relevant agencies can improve productivity and quality of work. Keywords: Information System, UML, MySql, codeIgniter.

A Middle-Ranking Cadre of Universities Evaluation Management Information System Based on SOA

2013 ◽  
Vol 462-463 ◽  
pp. 1068-1071
Author(s):  
Zhi Biao Li ◽  
Guo Lin Nie ◽  
Qun Zheng ◽  
Hong Liu ◽  
Chun Hua Liao
Keyword(s):  
Information System ◽  
Software Reuse ◽  
Management Information System ◽  
System Integration ◽  
Low Cost ◽  
Management Information ◽  
Loosely Coupled ◽  
Independent Information ◽  
And Performance ◽  
Set Up

In order to meet various needs and realize software reuse, a middle-ranking cadre of universities evaluation management information system (MCE-MIS) based on SOA is proposed. It is a loosely coupled, protocol independent information system integrating existing information systems such as Personnel and Performance MIS. After analyzing the requirement of the system, the cadre evaluation flowchart, use case and system integration solution are described in detail. SOA provides a solution to set up low-cost, open and flexible integration system in universities.

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