Promoting Health Information System in Guiding Decisions for Improving Performance: an Intervention Study at the Research Institute of Ophthalmology, Giza, Egypt

Overview

Journal Front Digit Health

Specialty Medical Informatics

Date 2024 Oct 3

PMID 39360195

Authors

Yara H Abdelgawad

Madiha Said Abd El Razik

Doaa A Saleh

Manal H Abuelela

Marwa Rashad Salem

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aims to design and test a platform of key performance indicators (KPIs) and indices emphasizing achievements and improvement and helping decision-making.

Methods: An operations research study was designed to analyze data from the Hospital Management Information System (HMIS) from July 2017 to June 2018 at the Research Institute of Ophthalmology (RIO), Giza, Egypt. The HMIS data were submitted to reform covering parameters in service delivery and corresponding indicators and indices. Data were grouped into four themes: human resources and outpatient, inpatient, and surgical operations. A total of 14 performance indicators were deployed to four specific indices and total performance indices and applied to six teams of ophthalmologists at RIO. The decision matrices were deliberated to demonstrate achievements and provide recommendations for subsequent improvements.

Results: Throughout 1 year, six teams of ophthalmologists ( = 222) at RIO provided the following services: outpatient ( = 116,043), inpatient ( = 8,081), and surgical operations ( = 9,174). Teams 2, 1, and 6 were the top teams in the total performance index. Team 4 had plunges in the outpatient index, and Team 5 faced limitations in the inpatient index.

Conclusion: The study provided a model for upgrading the performance of the management information system (MIS) in health organizations. The KPIs and indices were used not only for documenting successful models of efficient service delivery but also as examples of limitations for further support and interventions.

References

Bolkan H, Van Duinen A, Samai M, Bash-Taqi D, Gassama I, Waalewijn B . Admissions and surgery as indicators of hospital functions in Sierra Leone during the west-African Ebola outbreak. BMC Health Serv Res. 2018; 18(1):846. PMC: 6230245. DOI: 10.1186/s12913-018-3666-9. View

Kumar N, Kugener G, Vemula A, Wasan S, Uchida A, Scheid F . Multicenter prospective validation study of the SAFE-T colonoscopy evaluation tool: a web-based smartphone application for evaluation of gastroenterology fellow performance in colonoscopy. Gastroenterol Rep (Oxf). 2021; 9(2):176-178. PMC: 8128019. DOI: 10.1093/gastro/goaa063. View

Tilahun B, Teklu A, Mancuso A, Endehabtu B, Gashu K, Mekonnen Z . Using health data for decision-making at each level of the health system to achieve universal health coverage in Ethiopia: the case of an immunization programme in a low-resource setting. Health Res Policy Syst. 2021; 19(Suppl 2):48. PMC: 8356368. DOI: 10.1186/s12961-021-00694-1. View

Pourmohammadi K, Shojaei P, Rahimi H, Bastani P . Evaluating the health system financing of the Eastern Mediterranean Region (EMR) countries using Grey Relation Analysis and Shannon Entropy. Cost Eff Resour Alloc. 2018; 16:31. PMC: 6142403. DOI: 10.1186/s12962-018-0151-6. View

Fritz F, Tilahun B, Dugas M . Success criteria for electronic medical record implementations in low-resource settings: a systematic review. J Am Med Inform Assoc. 2015; 22(2):479-88. PMC: 11737103. DOI: 10.1093/jamia/ocu038. View

Ghazanfari F, Mosadeghrad A, Pooyan E, Mobaraki H . Iran hospital accreditation standards: challenges and solutions. Int J Health Plann Manage. 2021; 36(3):958-975. DOI: 10.1002/hpm.3144. View

Glenngard A, Anell A . The impact of audit and feedback to support change behaviour in healthcare organisations - a cross-sectional qualitative study of primary care centre managers. BMC Health Serv Res. 2021; 21(1):663. PMC: 8258937. DOI: 10.1186/s12913-021-06645-4. View

Gu X, Itoh K . Performance indicators: healthcare professionals' views. Int J Health Care Qual Assur. 2016; 29(7):801-15. DOI: 10.1108/IJHCQA-12-2015-0142. View

Mohammadpour A, Ghaemi M, Darrudi R, Ebrahimpour Sadagheyani H . Use of Hospital Information System to Improve the Quality of Health Care from Clinical Staff Perspective. Galen Med J. 2022; 10:e1830. PMC: 8993513. DOI: 10.31661/gmj.v10i0.1830. View

10.

Lotfi F, Kalhor R, Bastani P, Shaarbafchi Zadeh N, Eslamian M, Dehghani M . Various indicators for the assessment of hospitals' performance status: differences and similarities. Iran Red Crescent Med J. 2014; 16(4):e12950. PMC: 4028769. DOI: 10.5812/ircmj.12950. View

11.

Bassoum O, Ba M, Sougou N, Fall D, Faye A . Evaluation of Prescribing Indicators in a Paediatric Population Seen in an Outpatient Consultation at the Gaspard Kamara Health Centre in 2019 (Senegal). Pharmacy (Basel). 2021; 9(2). PMC: 8293318. DOI: 10.3390/pharmacy9020113. View

12.

Sankaranarayanan S, Balan J, Walsh J, Wu Y, Minnich S, Piazza A . COVID-19 Mortality Prediction From Deep Learning in a Large Multistate Electronic Health Record and Laboratory Information System Data Set: Algorithm Development and Validation. J Med Internet Res. 2021; 23(9):e30157. PMC: 8480399. DOI: 10.2196/30157. View

13.

Abdel-Razik M, Rizk H, Hassan M . Surveillance of communicable diseases for decisionmaking in Egypt: 2006-2013. East Mediterr Health J. 2017; 23(6):395-403. DOI: 10.26719/2017.23.6.395. View

14.

Abd El Razik M, Salem M . From public health and demographic research to decision making: An intervention study in Giza Governorate-Egypt. Eval Program Plann. 2019; 77:101704. DOI: 10.1016/j.evalprogplan.2019.101704. View

15.

Meghani A, Rodriguez D, Bilal H, Tripathi A, Namasivayam V, Prakash R . Examining policy intentions and actual implementation practices: How organizational factors influence health management information systems in Uttar Pradesh, India. Soc Sci Med. 2021; 286:114291. DOI: 10.1016/j.socscimed.2021.114291. View

16.

Tabatabaee S, Nekoie-Moghadam M, Vafaee-Najar A, Amiresmaili M . Barriers against required nurse estimation models applying in Iran hospitals from health system experts' point of view. Electron Physician. 2017; 8(12):3348-3356. PMC: 5279965. DOI: 10.19082/3348. View

17.

Hsu S, Cheng T, Chang P, Chen T, Lu M, Yeh H . Tracking Hospital Visitors/Chaperones during the COVID-19 Pandemic. Appl Clin Inform. 2021; 12(2):266-273. PMC: 8026259. DOI: 10.1055/s-0041-1726348. View

18.

Solomon M, Addise M, Tassew B, Balcha B, Abebe A . Data quality assessment and associated factors in the health management information system among health centers of Southern Ethiopia. PLoS One. 2021; 16(10):e0255949. PMC: 8550403. DOI: 10.1371/journal.pone.0255949. View

19.

Tun S, Madanian S . Clinical information system (CIS) implementation in developing countries: requirements, success factors, and recommendations. J Am Med Inform Assoc. 2023; 30(4):761-774. PMC: 10018272. DOI: 10.1093/jamia/ocad011. View