scholarly journals Systematic Review: Factors Associated with Implementation of Health Information Management in Community Health Centers

Author(s):  
Sri Umiati ◽  

ABSTRACT Background: Community health center (puskesmas) management information system or often referred to as SIMPUS is a local health system aimed at providing health information at primary health care level. This health information systems have been implemented in many districts. However, their performance is yet to be improved caused by several factors such as a lack of human resources and hardware. This study aimed to investigate factors associated with implementation of health information management in community health centers. Subjects and Method: This was a systematic review by collecting published articles in open-access journals and proceedings from Directory of Open Access Journal, Elsevier, and Google scholar databases. “Health information system”, “implementation health information system”, and “evaluation health information system” were used as key findings. The selected articles were reviewed by meta-aggregate. Results: Previous studies reported that implementation of health information management in community health center faced several barriers, including (1) incomplete data, and (2) low monitoring and safety control. To implement health information management properly, the following components need to be fulfilled: (1) infrastructure availability (software, hardware, data safety, and internet network speed), (2) human source (user knowledge, experience, skill, accuracy), and (3) funds. Conclusion: Implementation of health information management in community health center is affected by infrastructure availability, internet network speed, user knowledge and experience, and funds. Keywords: health information management, community health center Correspondence: Sri Umiati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: [email protected]. DOI: https://doi.org/10.26911/the7thicph.04.48

2017 ◽  
Vol 5 (3) ◽  
pp. 43-47
Author(s):  
Nopita Cahyaningrum ◽  
Farid Agushybana ◽  
Atik Mawarni

Regional Health Information System (RHIS) is an integrated Health Information System which effectively functions as data communication in a region. This system has been used since 2012. However, it has not shown best performance. Puskesmas (Community Health Centers) send their regular reports in the form of soft copy or hard copy. However, DKK has not verified the reports on the maternal child health regularly. Moreover, they retype the report to be sent to the Ministry of Health. It results in possibility of errors in its accuracy and validity. Thus, it requires further evaluation to improve the implementation of RHIS especially in recording and reporting maternal child health to the Ministry of Health. The objective of this research is to analyze the maternal child health data recording and reporting system in RHIS Surakarta.This is a qualitative research. Data were collected by deep interview and direct observation on the implementation of the RHIS. Object of this research is the recording and reporting system of Maternal Child Health in the RHIS DKK Surakarta. The main informant is the head and the staffs of SIMKES, midwifes coordinators of SIK in 6 Community Health Centers.The results of this study propose that improvement on human resources competences should be done regularly. The data of maternal child health are taken from community health centers. That is why, there should be proper policy on the reporting the data of maternal child health. The report sent should be filed in soft copy and hard copy. Nevertheless, the available data have been processed by community health centers and are accessible for public needs.This study proposes that the recording and reporting system of maternal child health data should be developed by improving the competences of human resources, decreeing operational policy, and providing standard operating procedure.


Author(s):  
Hery Harjono Muljo ◽  
Herru Darmadi

The aim of integrating the information system for Community Health Center is to create an integrated information system for managing all data processing between different community health centers, namely district community health centers with village community health centers. Methods used in integrating community health center information system are Identifying Information Requirements, Identifying System Requirements, Modification of Information System Application Design (integrated), Modification of Information System Application, Application Test, Refining Application, employee training, and the last is implementation of integrated community health center information system. The result of this research is development of integrated community health center information system which in the past is only integrated in the same location, and now integrates between community health centers in different locations. The steps are development of database from local database into distributed and central database; development of admission transaction, clinic data, and pharmacy data modules which makes it possible for synchronization of patient data between distributed database with the central database. Therefore, patient data is still stored in both databases.Keywords: integration, information system, community health center


2015 ◽  
Vol 1 (1) ◽  
pp. 133-142
Author(s):  
Nur Rokhman ◽  
Savitri Citra Budi ◽  
Nuryati Nuryati

Dlingo I Community Health Center used Integrated Health Information System (IHIS) as software to support patient services. Besides IHIS, Dlingo I Community Health Center also used P-Care to records data service of BPJS patients. There are some technical problems related to the use of IHIS and P-Care. Community service has been held in Dlingo I Community Health Center to give a training and assistance for the officers. In early stage we analyzed the problems and the needs of Dlingo I Community Health Center officers with observation and interview. Some problems has been found like the lack of responsiveness of P-Care and the server that temporary down. There are also some feature in IHIS that didn’t meet the officer expectation.  From the problems mentioned above, Vocational College of Universitas Gadjah Mada held a training and assistance related to the use of P-Care and IHIS. As an output from this activity we also make a recommendation for the development of community health center information system in the future. The officers claimed that they are satisfied with the training and the assistance.


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Melda Mayapia ◽  
Andi Reza Alief Chairin Nor ◽  
Mufida Kamaludin

ABSTRACT At this time, information technology is one of technology that is growing rapidly, with the advancement of information technology, data or information that provided can be fast to access, efficient and accurate. For example the results of advances in information technology is the development of the Internet network that allows all mankind worldwide using data provided or connected in the network together, meanwhile for Community Health Centers of Birobuli, data entry system still done manually, only BPJS already using a computerized system, so this study aims to determine the evaluation of health information systems at Community Health Centers of Birobuli Palu in medical record room.The method that used is qualitative, qualitative sense is depth research on employee community health center about training, processing SIK, activities program and benefits as well as developments SIK in community health centers of Birobuli Palu. The number of informants that used was 7 people of one key informant, three informant regular and three additional informants. The analysis of data using analytical approach (analysis content) with the matrix technique where the information was obtained on though in the table. It refers that input (for an educational background in the medical record average DIII of Public Health and for training of SIK at the community health center have never done the training because which provide training was from the Department of Health. Process (in data processing is done in two ways: manually and computerized, with a network system used is a LAN network, and for the delivery of report conducted by the online system and manual system). Output (many benefits of SIK for community health centers, so that the expected for community health center can immediately apply the SIMPUS program for SIK and provide training to SIK employees).The conclusion of this study is the application of SIMPUS program hasn’t been implemented at the community health center of Birobuli Palu because the community health center employee have never been training that given by the Department of Health. Expected to governments and health authorities can implement and optimize the use of SIK adequately in order to achieve maximum health services Keywords: Input, Process, Output, Health information systems


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258081
Author(s):  
Madeeha Malik ◽  
Ahmad Furqan Kazi ◽  
Azhar Hussain

Health information technology systems have the capacity to improve health outcomes for the patients thus ensuring quality and efficient services. Health information systems (HIS) are important tools in guidance towards patient safety and better outcomes. However, still, morbidity and mortality attributed to medical errors remain an important issue that needs to be addressed. The objective of the present study was to assess the health information system in terms of technological, environmental, organizational and human factors affecting the adoption as well as the perceptions of stakeholders along with barriers and constraints related to successful implementation. A descriptive cross-sectional study design was used. Prospective data was collected from primary sources by self-administering the pre-validated questionnaires as well as by physical verification of the availability of equipment. After data collection, data was analyzed to assess the health information management systems. The results of the present study showed that the health information system in Pakistan is not up to the mark. The equipment was mostly unavailable at the primary healthcare facilities. The staff was also unsatisfied with the available services. Administrative, financial and human constraints were identified as the major barriers towards successful implementation and management of HIS. The present study concluded that the health information system of Pakistan needs to be revamped. Health information management system partially existed at district and sub-district offices, while was completely absent at tertiary, secondary and primary healthcare levels. The poor adoption of health information technology systems at healthcare facilities might largely be attributed to insufficient human resources with limited resources and budget allocation for health in Pakistan. Effective and timely strategies involving all important stakeholders and healthcare professionals must be designed and implemented at the National level to restructure an affordable, resilient and quality healthcare system.


2017 ◽  
Vol 4 (2) ◽  
pp. 99-104
Author(s):  
Agus Nursikuwagus

Information system at community health center is an information system that has several activities, such as registration, medical record, health care, and reporting.  Day to day operation, community health service, is using process manually. It is cause the stack of service. Sometime, the patient has to wait within several times. For Further, the patient did not know that the queuing is full. In order to help the problem, this paper wants to show about E-Health as service software. The research is completed by conveying the model like UML diagram. The UML diagrams are consisting such as usecase, class, activity, and component. The sequence of system construct is using Prototype Paradigm. The result is the software which has ability to service patient start from registration, medical check, medical prescription, until reporting. As an impact for Community health service is the service more efficiency. The system is able to control the medicine and reporting on day to day operation.   REFERENCES[1] Susanto, Gunawan,” Sistem Informasi Rekam Medis PadaRumah Sakit Umum Daerah (RSUD) Pacitan Berbasis WebBase”. Pacitan. 2012.[2] B, Nugroho, S.H. Fitriasih, B. Widada, “Sistem InformasiRekam Medis Di Puskesmas Masaran I Sragen”. JournalTIKomSiN, vol.5, no.1, p.49-56, 2017.[3] G.G.S. Bagja,” Membangun Sistem Informasi KesehatanPuskesmas Cibaregbeg”, Univ. Komp. Indonesia, 2010.[4] A.M. Herdy, Aulia, M. Amran, D. Novita, “PerancanganSistem Informasi Pelayanan Medis Di Puskesmas SungaiDua”, STMIK MDP. 2014.[5] J. Sundari, “Sistem Informasi Pelayanan Puskesmas BerbasisWeb”, Int.Journal.on Soft.Eng, vol.2, no.1, p.57-62, 2016.[6] R.S. Pressman, Software Engineering A PractitionersApproach. Nineth Edition, Addsion Wesley, 2011.[7] G. Booch, J. Rumbaugh, I. Jacobson, Unified ModelingLanguage User Guide, Addison-Wesley, 1999.[8] I, Daqiqil. (2011, August 2). Framework CodeIgnite. [Online].Available: http://koder.web.id/buku-codeigniter-gratis/


2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 


2019 ◽  
Author(s):  
Stephanie Loo ◽  
Chris Grasso ◽  
Jessica Glushkina ◽  
Justin McReynolds ◽  
William Lober ◽  
...  

BACKGROUND Electronic patient-reported outcome (ePRO) systems can improve health outcomes by detecting health issues or risk behaviors that may be missed when relying on provider elicitation. OBJECTIVE This study aimed to implement an ePRO system that administers key health questionnaires in an urban community health center in Boston, Massachusetts. METHODS An ePRO system that administers key health questionnaires was implemented in an urban community health center in Boston, Massachusetts. The system was integrated with the electronic health record so that medical providers could review and adjudicate patient responses in real-time during the course of the patient visit. This implementation project was accomplished through careful examination of clinical workflows and a graduated rollout process that was mindful of patient and clinical staff time and burden. Patients responded to questionnaires using a tablet at the beginning of their visit. RESULTS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model in terms of applying technological innovation to streamline clinical processes and improve patient care. CONCLUSIONS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model for application of technological innovation to streamline clinical processes and improve patient care.


2016 ◽  
Vol 4 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Viera Juniver Thenu ◽  
Eko Sediyono ◽  
Cahya Tri Purnami

Purworejo District Health Office (DHO) has developed Health Center Management Information System (HCMIS) to provide quick, precise, and accurate information for supporting the process of decision making and the policy of services at Health Center. However, there was still any empty forms and did not use the system. To standardize Health Information System, Ministry of Health has released a concept of Generic SIKDA. Therefore, the system applied by Purworejo DHO needs to be evaluated using the method of HOT fit. This was qualitative research using indepth interview and direct observation. Main informants were nine data operators and informants for triangulation purpose was six persons from health centers and five persons from DHO. Furthermore, data were analyzed using content analysis. The result of this research revealed that the application of HCMIS at Purworejo DHO was equal to Generic SIKDA. The system had been applied routinely but there was no a guidance book and training. Number of human resources was sufficient. However, there needed to make an implementer team of Health Information System in accordance with competency. There was no routine monitoring and current budget was not sufficient to maintain hardware to support the system. Quality of the system used was good, easy to use, and available of menu to communicate data. Unfortunately, quality of resulted information had still been inaccurate and incomplete because it did not cover data of services at Subsidiary Health Centers (SHC) and Village Health Posts (VHP). The lateness of services was related to a funding procedure. HCMIS at Purworejo DHO was equal to Generic SIKDA but it had not been used to make a decision. As a suggestion, DHO needs to conduct training, monitor, and provide hardware and a network. Meanwhile, Health Centers needs to make a commitment for applying the HCMIS maximally by SHC and VHP.


Sign in / Sign up

Export Citation Format

Share Document