scholarly journals Could health information systems enhance the quality of Aboriginal health promotion? A retrospective audit of Aboriginal health programs in the Northern Territory of Australia

2020 ◽  
Author(s):  
Nikki Ann Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook

Abstract Background: In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory’s publicly funded healthcare system introduced the Quality Improvement Program Planning System (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the potential for utilizing data stored in QIPPS to report on quality of Aboriginal health promotion, using chronic disease prevention programs as exemplars. We identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion. Methods: A retrospective audit was undertaken on a sample of health promotion projects delivered between 2013 and 2016. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system and report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items. Text was extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion. Results: 39 Aboriginal health promotion projects were included in the analysis. 34/39 projects recorded information pertaining to the health promotion planning phases, such as statements of project goals, ‘needs assessment’ findings, and processes for consulting Aboriginal people in the community. Evaluation findings were reported in approximately one third of projects and mostly limited to a recording of numbers of participants. For almost half of the projects analyzed, community participation strategies were not recorded. Conclusion: This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health promotion information system. Data availability and quality were limiting factors for reporting on Aboriginal health promotion quality. Based on our learnings of QIPPS, strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of future health promotion information systems.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nikki Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook

Abstract Background In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory’s publicly funded healthcare system introduced the quality improvement program planning system (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the potential for utilizing data stored in QIPPS to report on quality of Aboriginal health promotion, using chronic disease prevention programs as exemplars. We identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion. Methods A retrospective audit was undertaken on a sample of health promotion projects delivered between 2013 and 2016. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system and report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items. Text was extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion. Results 39 Aboriginal health promotion projects were included in the analysis. 34/39 projects recorded information pertaining to the health promotion planning phases, such as statements of project goals, ‘needs assessment’ findings, and processes for consulting Aboriginal people in the community. Evaluation findings were reported in approximately one third of projects and mostly limited to a recording of numbers of participants. For almost half of the projects analyzed, community participation strategies were not recorded. Conclusion This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health promotion information system. Data availability and quality were limiting factors for reporting on Aboriginal health promotion quality. Based on our learnings of QIPPS, strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of future health promotion information systems.


2020 ◽  
Author(s):  
Nikki Ann Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook

Abstract Background In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory’s (NT) publicly funded healthcare system introduced the Quality Improvement Program Planning System (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the feasibility of a health information system to capture and share data that could improve quality and reporting of Aboriginal health promotion. Using QIPPS as an example, we identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion. Methods We conducted a retrospective audit of information recorded and stored in QIPPS about a sample of chronic disease prevention activities delivered between 2013 and 2016 in NT Aboriginal communities. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system. We conducted an in-depth analysis on the audit data to report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items of the audit tool. Text was also extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion. Results A total of 39 chronic disease prevention activities were included in the analysis. Of the three phases of the health promotion planning cycle, 34/39 activities recorded information pertaining to the planning phase, such as statements of project goals, ‘needs assessment’ findings, and processes for consulting Aboriginal people in the community. Information about actions during implementation and evaluation phases, was limited. Evaluation findings were reported in approximately one third of projects and were mostly limited to a recording of numbers of people participating in activities. In almost half of the projects analyzed, community participation strategies were not recorded or in insufficient detail.Conclusion This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health information system for reporting on Aboriginal health promotion quality. QIPPS provided an organized data source on a vast array of health promotion information for secondary analysis. However, data availability and quality were limiting factors for reporting health promotion quality. Based on our learnings of QIPPS, strategies for improving the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of future health promotion information systems.


2020 ◽  
Author(s):  
Nikki Ann Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook

Abstract Background. In Australia, health services are seeking innovative ways to utilize data stored in health information systems to report on, and improve, health care quality and health system performance for Aboriginal Australians. However, there is little research about the use of health information systems in the context of Aboriginal health promotion. In 2008, the Northern Territory’s publicly funded healthcare system introduced the Quality Improvement Program Planning System (QIPPS) as the centralized online system for recording information about health promotion programs. The purpose of this study was to explore the potential for utilizing data stored in QIPPS to report on quality of Aboriginal health promotion, using chronic disease prevention programs as exemplars. We identify the potential benefits and limitations of health information systems for enhancing Aboriginal health promotion. Methods: A retrospective audit was undertaken on a sample of chronic disease prevention activities delivered between 2013 and 2016. A validated, paper-based audit tool was used to extract information stored in the QIPPS online system and report on Aboriginal health promotion quality. Simple frequency counts were calculated for dichotomous and categorical items. Text was extracted and thematically analyzed to describe community participation processes and strategies used in Aboriginal health promotion. Results: 39 chronic disease prevention activities were included in the analysis. Most of the recorded information pertained to the health promotion planning phases, such as statements of project goals, ‘needs assessment’ findings, and processes for consulting Aboriginal people in the community. Evaluation findings were reported in approximately one third of projects and mostly limited to a recording of numbers of participants. For almost half of the projects analyzed, community participation strategies were not recorded. Conclusion: This is the first Australian study to shed light on the feasibility of utilizing data stored in a purposefully designed health information system for reporting on Aboriginal health promotion quality. Data availability and quality were limiting factors for reporting health promotion quality. Strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of health promotion information systems.


2019 ◽  
Author(s):  
Nikki Ann Percival ◽  
Priscilla Boucher ◽  
Kathleen Conte ◽  
Kate Robertson ◽  
Julie Cook

Abstract Background: In Australia, health services are seeking innovative ways to utilize data available in electronic patient information systems, such as Electronic Health Records, to report on, and improve, the quality of health care delivery and health system performance for Aboriginal Australians. These systems provide a valuable source of information on delivery of health care to individuals but are rarely designed for community-level health services, such as health promotion and disease prevention projects. Therefore, research about the use of information systems in health promotion and the potential to report on health promotion quality has received little attention in the academic literature. This study utilizes data stored in a specifically designed, commercially available, health promotion information system (QIPPS) to examine the potential for reporting and improving Aboriginal health promotion. Methods: A structured audit tool was used to extract information from a sample of 39 health promotion projects delivered between 2013 and 2016 in Aboriginal communities of the Northern Territory. Project level data were aggregated and reported as best practice indicators of Aboriginal health promotion quality. Qualitative text describing community participation in health promotion were also captured. Results: QIPPS provided an organized data source on a vast array of health promotion project information for secondary analysis. Using a structured data collection tool enabled project level information to be aggregated at a system-wide level and identified gaps in quality indicators. Information about some aspects of health promotion, like community participation in project planning, was described in detail such that it could be used for quality improvement purposes, however, information about other areas, particularly during project implementation and evaluation, was limited. Conclusion: Project information stored in a specifically designed health promotion electronic information systems can be used to report on and improve Aboriginal health promotion efforts. Data availability and quality were limiting factors for reporting health promotion quality. Strategies to improve the quality and accuracy of data entry together with the use of quality improvement approaches are needed to reap the potential benefits of health promotion information systems.


Author(s):  
Mohammed Elhadi ◽  
Ahmed Al-Hosni ◽  
Khaled Day ◽  
Adbullah Al-Hamadani ◽  
Abdulrahman Al-Toqi ◽  
...  

This paper is a review of Oman's major Health Information Systems (HISs) and their enabling technologies. The work assesses the scope, functionality, security, and interoperability of the used systems. The review aids in achieving the objectives of HIS systems of improving the global quality of health care, attaining increased coordination between health care providers and consumers, promoting the use of guidelines and policies, and improving the speed of simultaneous access and distribution of medicalrecords and other resources. This paper, which can be considered as a building block towards the development of a nation-wide health care system, studies existing systems and identifies their functions and structures.  


Author(s):  
Sibel ORHAN ◽  
Muhammet GÜMÜŞ ◽  
Emine KIZILKAYA

Like any organization, it is natural for the stakeholders in the health system to maintain their existence by increasing the quality of the services provided. A well-planned information system is required to provide qualified health care. In this context, it is thought that the health information systems of the Netherlands are advanced. Hence, up-to-date information about the Netherlands health information systems is included in this research. With its budget allocated to health expenditure (12,9%), accessibility to services, health indicators, quality standards, preventive services, home care systems and functional family practices, the Netherlands has been among the top 10 healthcare systems in the world for many years. The Netherlands is one of the leading countries in the world to the application of e-Health, Telemedicine and technological tools to the health system. Philips, a worldwide brand of Netherlands origin that supports the country's health system with its investments in health technologies, contributes dramatically to the country's getting ahead in e-Health, compared to other countries, with its joint efforts with the Netherlands Ministry of Health.


Author(s):  
Alfred Winter ◽  
Reinhold Haux ◽  
Elske Ammenwerth ◽  
Birgit Brigl ◽  
Nils Hellrung ◽  
...  

Author(s):  
Irja N. Shaanika

In developing countries, Health Information Systems (HISs) are increasingly used to enable and support both clinical and administrative processes for healthcare services. The use of the HISs in developing countries' healthcare centres is influenced and impacted by humans' interactions which manifests from culture and traditions. Due to the diverse nature of culture and traditions, it is near impossible to have single formula in addressing the patients' needs. As a result, the aim to improve quality of healthcare through HISs is challenged, and many stakeholders do not seem to understand the problem. The challenge continues to significantly contribute to poor service delivery, as the need for healthcare services increases. This study focused on the interaction between the healthcare professionals and the HISs, to understand how and why the challenges of using the ICT systems exist. This includes examining the implication, and how the challenges impact the recipients of healthcare services.


Author(s):  
Khin Than Win ◽  
Peter Croll

Effective and appropriate implementation of health information systems assists with an organization’s knowledge management. To enhance a user’s trustworthiness and full adoption, a health information system needs to be dependable. This chapter reviews the different development methodologies available for engineering dependable solutions and their application by citing two case studies as an example. Health information systems cover a diverse set of applications. The focus in this chapter is on the development of electronic health record systems, the importance of dependability, and the relationship between dependability and data quality of the health record systems.


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