 All right so for um for this afternoon okay last week okay last week you had your your major exam and the last part of our prelim exam was an overview of the health information system okay it was an overview of the health information system so right now we're actually gonna talk about your health information system head on so this is actually this is not ane naman this is not long although um I would be explaining some things and we will be going deeper into the use of health information system not only in the laboratory not only in the hospital but the use of health information system in general so the objectives of this um lesson is first for you to discuss the roles of health information system so its role not only again not only in not only in the laboratory but the entire hospital next is to enumerate the different components of health information system so later on we will be talking about the um essential components of your health information system and lastly as to be able to identify the different data sources for a health information so last time we did talk about the fundamental components like your electronic health record your personal health record and your health information exchange but to be talking about information or data today we will actually be talking about um specific data that you can see on your um on those three components okay so moving forward okay moving forward we will be talking about health informatics so health informatics again is the application of both your technology and systems in health healthcare setting so when we were discussing about um health informatics last um during our last discussion for the prelim for the prelim period we did discuss about health information technology and health information management and we said that it is the health informatics it's actually the marriage between the two so health information system okay so health information system on the other hand will not cover the different systems that capture that store that manage and that transmit health related information that can be sourced from individuals or activities of a of a health institution so having said that okay having said that so let us just put the foundation clearly okay let's just put the foundation clearly that the systems that we did talk about on health information technology is now being used for healthcare related or health related um management of your information so as we go along we will be talking about different ano we'll be talking about different examples of health information system such as um this that as follow so the first one is the disease surveillance system so we do have a disease surveillance system like what we have right now with COVID-19 so the good thing about this is that um the good thing about your this is surveillance system is that it will enable you it will it will also enable the policy maker the government and everyone on the position to actually um do better um do better mitigations with regards to the pandemic that is happening right now so that this is surveillance system later on I'll give you an example um this is surveillance system it actually is available already here in the Philippines so we're current we are currently using this one okay so secondly we also have district level routine information system so when we say district this are for your municipal okay your municipalities your your barangay so we also have um district level routine information system to make sure that those infer the welfare of everyone who is in the community is also taken care of aside from that we also have the hospital patient administration system okay and human resource management information system so this talks about more on the the administrative and of course the components in the hospital when we say administrative um we're talking about yan yung mga yung mga doctors yung mga medical directors so they do also have their own um health what do you call this they also have their own information system and of course eto the human resource management information system this is actually um take for example um hindi nyo pa to nakikita first and foremost because um you're still students none of you are still we're none of you are working but the human resource management information system um here lies all the information of your employees yung mga leaves nila yung mga benefits so everything are in here okay everything are in here um in addition to that okay um the one highlighted here are this sorry lumipak the one highlighted here are your hospital information system your laboratory information system and materials management system so this are very important okay this are very important why because this is the one that we are actually are very much concerned of in addition to that is your um of course yung yung this is surveillance system natin so HIS iyan health information system this talks about later on when we discuss it further in the succeeding chapters in the succeeding lessons of our book so hospital information system okay when we are talking about hospital information system we are talking about um the billing even the registration and patient identification it's all included there the laboratory information system on the other hand this talks about um doctors requesting for tests um now even once you enter the specimen into the machine it will automatically run the examinations that was um requested for that particular patient and that is actually um that benefit is actually being given by laboratory information system so in the laboratory information system from the moment take for example um take for example we have miss ebrio miss ebrio would have her blood extraction would have her blood extraction take for example for for cholesterol okay for cholesterol so once that she came in okay he will be registered automatically to the health hospital information system for her information her demographics and then eventually the doctor will now be um requesting tests for that particular patient so take for example cholesterol na and then the moment that miss ebrio went to the laboratory they will just be calling her name um will just verify medtech na gumagawa nito ha they will just be verifying her information um um they will just verify um um certain um um information that are identifier that she really is miss ebrio and then eventually from the blood collection from the processing and even the releasing of the results to both to the patient and to the physician is also being done by laboratory information system okay so i am giving you are like a big picture view of your laboratory information system on the other hand what about materials management system so this is for the inventory okay even though we do have material management system so most of our for example most of the auditors still do count it okay they still do count um those things but when it comes to material management system this is very important especially in the laboratory especially when it comes to our reagents our supplies because um hindi tayo po pwede ng maubusan ng mga supplies ng mga essentials natin in the laboratory sir will there be a time that the laboratory would need to um maybe some of you are wondering sir paano pag naubos yung ano paano pag naubos yung supplies natin what usually is the first line take for example there is really no um supplies yet nothing is coming in yet most of the time we do send out okay we do send out specimens to other laboratory okay so take for example for saint looks um if in case there are some tests that are not available there although sell them kasi um because saint looks already really got almost all tests and then if take for example it's not in saint looks kesson city it will be forwarded to kesson um saint looks global city so ganoon yung mga ano natin but it should not be happening yung ganyan if only we have a inefficient management information materials management system okay so by the way if you do have any questions miss like i cannot see the i cannot see the chat box right now but if ever there are so please ano lang um inform me okay so moving forward now so this is an example okay for the disease surveillance we actually have the philippine integrated disease surveillance and response so please remember the pidsr the pidsr um was actually mandated by aloh so please remember the pidsr is the philippine integrated disease surveillance and response remember what i was telling you last time guys when it comes to when it comes to um when it comes to reporting of diseases take for example one in zambonga and then it will be reported to the doh here in here in manila damin so it's actually through the help of your pidsr okay your pidsr all the diseases are actually in here okay so be it communicable and non communicable diseases they are all in here the hris the human resource information system that we were talking about a while back and it talks about the compensation the training so technically what i want to give you out on the hris is that in the human resource information system all the processes are integrated in one system so all processes that concerns administrative administrative issues will be on the administrative health um administrative system everything that needs um everything about the laboratory is in the lis everything about hr compensation the payroll it's all in the hris so you see um in the uh the help that is being given to us by health information system is that it integrated everything on one system more like your phones so i am guessing that most of us are actually having your are already having our smart phone and your smart phone is a calculator a camera a music player a radio you can do message there it's a telephone you can do calls you can watch movies you can watch netflix and i hope you do you did watch the bliman or it's good and then of course um aside from that okay before you need to have all those gadgets all those um machine and devices for you to be able to do everything that you want to do but with the smart phone okay with the smart phone and tomorrow by the way is the apple event already okay who's excited so tomorrow will be i tomorrow tele um those smart watches got everything for you okay they have everything for you much more like your health information system are we clear clear your health information system also gives you information about the demographics about what is the more tallit rate right now the morbidity of this particular disease what are the medications what are the allergies everything literally later when we go to the data it are all included in the health information system so in addition to that we also have district surveillance system so take for example here in barang in pasig city so you have all the barang guys in pasig city and then you'll be able to just click it and then you'll be able to see how um what is the level of or what is the mortality and morbidity of covid-19 in that particular area in addition to that we also have this hospital patient administration system so take for example um we do have a new patient so it they will all be um registered in the hospital administration system so their name their address everything about them it will be entered there and then it will be forwarded into other systems that's why remember when we were talking about health information exchange so that is an exchange between one system and to another okay so more like an exchange from the take for example from the hospital information system going to the PIDSR so that is those are the exchanges that we were talking about in the laboratory okay let us go now in the laboratory okay in the laboratory we have here your base box okay we have here your base box we don't know why is it cover bakit nag-overlap yung pictures on my on my side right now but this is the hospital information system okay in the hospital information system we do have the informations we do have the what do you call this the different test the different procedures and even the different doctors that needs to attend to the particular patient so more like the grace anatomy moment it's like that the laboratory information system on the other hand on the LIS this will give us a picture okay this will give us a picture of the things that are to be extracted to that particular patient the different test that we need to collect from them okay and the different test that we need to do on their specimens we also have this material management system so as you can see everything is organized so when you take out something you cut a supply you will actually be doing a barcode or you will just be scanning a barcode before you release a particular material and then it will automatically be on the inventory so you see guys the health information system the information systems in general actually eliminate much of the clerical or the hands-on or the personal na pagbabantay ng mga tao why so aside from actually limiting the number of people it would actually also enable us to what to increase efficiency on the human resource services so yung mga services the health services that they are providing it will actually be optimized because they will not be busy they will not actually be consuming their time doing the counting of specimen the counting of test tubes because all of those things will be done by your material management system which leads me now to the ultimate role of your health information system the role and its function okay its role and its function so first and foremost sabingan natin dito what is its role what is its role and actually what is I would say that this is actually more like their benefit okay more like the benefit that our health information system is giving us so the role and function of HIS is first easier access to file so I cannot overemphasize this anymore we've been talking about HIS since I don't know during the prelims so easier access and I have given you sort of examples before that whenever a particular patient would come in for example 5 years or a year or a month after their result or their test has been done it actually would accumulate a lot of papers already a lot of results but because of the health information system because of all this because of all the systems that we have been talking about a while back okay we are now able to easily access all the information what else better control so when we say better control it only means that I think it was a question last meeting it was a question last meeting so better control not everyone can actually access all the things that are in there only authorized personnel can have access to the information of your patients health the doctors are the only one given permission to like update the patient information but yeah still sabing last time when some of your classmates were asking sure what if they change it okay that will now be the liability the responsibility of those of course having that account okay having that account but let us just look into the brighter side about this it's because better control meaning take for example especially right now especially right now here in now in the pandemic most of the things are actually remote like our classes right now it's all online remote and you need not to go to like you need not to go to banks anymore you need not to go to hospitals to get your checkup you don't need to go to like the school anymore personally so that's actually one thing that that's health information is providing us naman on the health sector because better control meaning they will able to access they will able to manipulate all the things that needs to be done even if they are not really on that certain place in addition to that in addition to that we also would have easier update so think for example it's as simple as like tweeting it's as simple as posting your status on Facebook simple as sending a direct message or a PM okay as easy as that so we'll be able to like manage the information of your patients you can like access the medical history you can update it you can call them you can schedule an appointment you can do pay on your online already so all of those things okay all of those things are being provided because of your health information system and not only that so say after the creation of your record you the patient information now can be access and reviewed anytime okay and then we can make copies that can be printed and then release it to the patient upon request or just simply release it to the physicians that are assigned to them okay and lastly ayan improve communication improve communication so health information system allows us to communicate with doctors and hospitals not only within the hospital but also outside the hospital so it's very important okay it's very important of course that we all adhere to like patient privacy um clauses and of course data security to ensure that um all those information are kept okay private and confidential okay private and confidential so having said that now okay having said that these are the roles and function of your your health information system it's now very important for us to discuss the different components okay the different components of health information system but before I go along are you still there yes sir okay thank you so much so like what I was um like what I was saying last time di ba we do have disadvantages and advantages but as for me um if I'm gonna look at um um if I'm gonna look at um health information system it actually offers us especially us in the medical field more of the advantage than the disadvantages okay so tingnan nyo na lang di ba so para mas ma memorize nyo na lang ng mga mabilistong roles and function tandaan nyo lang yung tandaan nyo lang yung yung easier access better control and easier update and improve communication so let's move on now to the what to the components of health information system so we do have six the six elements of his okay the six elements of his are number one the um yung health information system resources indicators we have data sources data management information products and dissemination and use so let's move forward to the first one okay the first one is of course we do have here the framework the health information system resources so framework on legislation regulation planning and resource says required to be fully functional so the thing here is that when it comes to ano when it comes to health information system resources okay when it comes to the health information resources of course we have um manpower that should be here okay of course we have the resources dapat we have the money okay you have the money but what I want to emphasize further is actually the the health information system the resources of your health information system are not just the logistics support or the financing but more actually of the collaboration between the medical practitioners and the engineers the ICT the the the one who will be developing our the one who will be developing our um health information system so the very very important thing here is that the very important thing here is that um they would shoot they should be able to come up with the health information system that will really cater um that will really cater the needs of the hospital or the needs of the lab but it take for example you won't buy you won't buy um you won't buy an iPhone if you're not fond of taking pictures of you know the usual things that you can do on your your iPhone you will not be buying that if you're not you are not up to their um to the specs or to the things that it can offer you same thing with the health information system we only will be using health information system and some of its take for example may mga ganun din gasing health information system like you can just choose what you can use and you will just only be paying for that and for you to be able to take for example you really want to create your own you can actually partner and collaborate with engineers ITs mga ganun my information technologies so that they would be able to develop a software for you that will really cater your needs in the in the laboratory or in the in the hospital so that's very important guys ha that um that when it comes to health information system the resources are very important the manpower the financing and the logistics support us of course and having said that they should be able to come up and develop with the health information system that would suit your laboratory in hospital how could they do that they can actually do that through indicators so this are the basis of your health information system plan are we gonna do why are we going to ship to HIS why are we gonna do um automation why are we going to do this and do that they need indicators okay we do need we do need indicators okay so this indicators um and related targets should actually be dependent on first the health determinants so the determinants of health are as follow so you can see it there um the health determinants for an optimal um an optimal and a healthy person is of course um genetic factors we have genetic factors here we also have nutrition um lifestyle and environment so please write it down i think it's not on your book so please jot it down genetics nutrition lifestyle environment and medical care so all those things are health determinants and these are also your indicators indicators on why are we going to use health information system so take for example why genetic so you want to to have a um like a DNA bank so this is already bio informatics naman na on the other hand nutrition then so the prevalence or the incidence of those with malnutrition the lifestyle environment and even medical care especially okay so everything are all of these things are indicators in the planning of your HIS aside from that health system okay what should be the input um what should be the input process outcome na or output na processes natin so all of those things if for example um your HIS to one of the disadvantages nga natin di ba na that we were mentioning last time is that um for some generation for some generation when we are going to shift when we shift to to health information system it will be cumbersome to them it will be difficult but um at the end when you look at the big picture and realize that it actually if efficiently optimize your health system then that is also one indicator that would actually encourage people to really shift to HIS already and lastly ang yung mga health status natin okay health status so we want that all our projects will actually be one benefiting of course the people around us moving forward take for example we have here um we do have here the different ano we do have here different indicators so you have the population of your patient so this is one actually this is actually one indicator na you need to shift on to automation and to health information system because eto ha remem re try to imagine okay try to imagine storing 61,938 patients results every day so take for example if all those 60,000 patients will have their tests every day so imagine the pile of paper the pile of information that you need to manage but nothing to worry about anymore because HIS the information system got it all for us so now when now that we are shifting into health information system it's becoming a trend it's becoming a trend because eto siguro na i don't know if you discussed in the PMLSP already one thing that one important thing or one reason why there are errors in the laboratory are because of clerical present so meaning to say the more people writing the results the more people they need to copy it here and then they will type it so those clerical those clerical procedures actually increases the variability or the errors in our procedures so for us to be able to imagine 60,000 60,000 yung susulatin mong results 60,000 yung susulat mo mga updates so that will really be a lot so it's very important na now more than ever we are really leveraging technology for health care so that are for the indicators again to wrap it up indicators these are the driving forces or these are the things that causes an institution now to move into HIS and not only that these are also the indicators that they would want to see in their health information system in their health information system so moving forward we also have here your data sources so later on we will actually be having more to talk about when it comes to your data so there are two categories of data one is the population based approach so these are the civil registration the census the population survey so we have the commission on population that they do it so the census how many people are there already the death the death rate the birth rate all of those things are being counted those are data sources we also have here civil registration so yung mga birth certificates natin how many are married single complicated may ganon ba yung mga complicated and of course we also have institution based data these are individual records resource records and service service records so ano yung mga informations that our institution are holding so you see between these two when we are talking about data sources take for example we do have health surveys yung mga research and information produced by a community based organization this one can actually be of good help not only on population but also with the institution so that's one thing that you need to remember guys please remember the examples that we have given for the population in the institution based data so now that you have the data so take for example now that you have the data di ba so we're still on the components guys ha so now that you have the resources you do know the indicators the things that you want to see in the health information system and now you do have your data sources now that you have the data sources of course it's time now to manage those data so data management refers to handling of data starting from the collection so the moment you collected the data from your patient from the moment you store them where do you store them not anymore on your physical folders but actually your cloud storage and your virtual folders to be exact so when you store the data ayan when we collect and store data to flow and quality assurance ayan may quality assurance processing and compilation of data analysis so let me just go to quality assurance first quality assurance of course making sure that everything is performing well not only the test but also how you manage your information okay how you manage your information because try to imagine this guys no matter how good or how state of the art your machines are no matter how competent your medical technologies are your doctors are if the releasing of the results the last part of the chain the releasing of the result is faulty then everything will also crash okay it will also crash it's very important to really do quality assurance and quality control all the time so aside from that processing so for example you want to copy it you want to create a report about it same thing with compilation if you want to like draw our research out of it so you can do that with the data that are being managed within your health information system aside from that data analysis eto I cannot overemphasize it again because when it comes to data analysis the next decisions of your if for example the next decision inside the class na lang inside the class na lang take for example if I take for example notice that most of the students are having failing grade so there are I mean you would know the remedy to do the mitigation to do and that is what data management through health information system provides us because imagine you have to count I don't know if you ever if you were born already during the time na manual manual parin yung votation here in the Philippines like you manually draw your vote you cast your votes manually and they manually count it okay they manually count it so imagine that the bio it's it would really take time in analyzing your data okay so talking about this information now talking about this information now the data that you have this will now become your this will now become the sources of your information products so data is transformed into useful information that serves as evidence and provides insight into crucial provides insight crucial to shaping health action so take for example here in hospital one and hospital two both hospital have complete set of PPE different brand hospital one has complete staffing with appropriate training hospital two is understaff all stop with appropriate training and experience hospital two has more health workers infected with COVID-19 than hospital one so in just a simple example like this one di ba in just a simple example like this one you'd be able to know what things to do next okay you would know the things that you would do next especially since you have all the information available already so gaya nang sinasap do you guys still remember the ecosystem that I was telling you guys so the HIS ecosystem really works that way so the exchange of information from one system to the other those are your information products okay those are information products and by the way I was just reminded of a very good documentary that I would recommend to recommend that you all watch the social dilemma I don't know if some of you already watched social dilemma but do watch social dilemma so it talks about your information because it looks like the same thing di ba sabi natin kani last time during our ecosystem our data is being used by researchers and also being used by platforms but not only that it is also being bought by some information take for example ang mga informations ninyo sa Facebook it is being paid by advertisers okay it is being paid by advertisers okay so wrapping it up so now that we have your health information system you have your indicators you have your data sources you manage your data and transform those data sources initially that you gathered into information products okay we would now be able to disseminate it and use it so when we say dissemination and use your health information system enhances the value of health information by making it readily available to policy makers and data users and things na sabi ko data users so those who use your data take for example they want to use your data for a survey you want they want to use your data for research okay they want to use your data take for example in a particular place they would actually I don't know if you realize this na when you go to your google when you go to google and you just try to search take for example when you try to search ako right now ang sinas I am searching for like take for example I'm searching for coffee and condo units the things that are appearing on my Facebook on my Instagram literally on most of my social media are all about coffee and condominium so how did they do that how did they do that that is because they some information that you have on the web are being disseminated and used by different parties similarly similarly we also have that in the laboratory so all those informations will also be used like for example there is an unknown case of they are trying to diagnose your disease or your condition so they would be able to like exchange information and use all information available on your medical health in your electronic health record so moving forward now okay moving forward now so we also have the IPO model the IPO model okay the input process output so input okay so available health information system resources and then process they will be processing the information managing the information and creating now your information product which is now your output the transformation of your data into information that can be used for decision making and dissemination in such and use of such information within the hospital so I hope you're still awake we're about I'm on my 15th slide over 26 so I think I have 10 slides more so moving forward okay moving forward these are now the different data sources for health information systems sir do we have to memorize that yes you have to so we have your demographic data your administrative data your health risk information health status your patient medical history your current medical management and outcomes data so let's move forward to the first one which is your demographic data demographic data simply means the facts about your patient so this includes the name of your patients the age the birthday gender marital status so all the information that you're seeing right now on your screen are all the information that are being taken from your patient in the beginning of their admission so this demographic data are very important not only because they are identifier to your patient because they would also give you hints and clues especially for the physicians in the diagnosis of their patient so that's number one demographic data anything that you actually would see in a normal bio data is actually the same okay similar to that so in addition to that in addition to that we also have the administrative data so what are the administrative data so it includes information on your services what are the different tests what are the different procedures that you are going to do on the other hand this also includes the diagnostic procedures that you do outpatient procedures that you do the kind of practitioners that you have the physician specialty so the nature of the institution and of course the charges and the payment so this data talks about the institution about the hospital if the demographic talks about your patient your administrative data talks about your institution okay but most of the things that we are going to talk about are concerning our patient like this for example we also have your health risk information so what are the health risk information so health risk information are records of your lifestyle your behavior as a patient and his or her medical history and other genetic factors so these are useful in evaluating patients plus propensity for different diseases so are they a smoker a drinker do they have sedentary lifestyle do they have mutations on their genes so all are also being included in here but this time okay the demographics eto siya more on things to know about you but when we go deeper okay and to your health so it's a different story okay it's a different story so like here in your risk information you have here by it's by maya na naman niba self-explanatory health risk the risk that you are actually into so if you have mutations on your gene all will also be included here okay so propensity by the way that is the tendency okay to behave in a particular way okay propensity so fourth okay fourth we have health status so health status so according to WHO di ba na paulit-ulit na nating di nade-describe that health is not just the absence of disease or infirmity but a well-being physically mentally emotionally as well and socially so health status so health status refers to the quality of life that the patient leads that a patient leads which is crucial to his or her health so when it comes to health status okay when it comes to health status it's very important as well okay very important as well because it shows one's perception of his or her health in comparison with that of his or her peers so yung health status natin di ba sometimes most of our doctors yun yung unang tinatanong di ba ano pung nararam daman niyo how do you feel right now yung mga ganyan so domains of health ayan are not just about the absence of your disease but also physical functioning mental emotional cognitive and even social functioning so um this would actually be a question for the patient on how they would assist or how do they perceive the their health in general so aside from that aside from health status aside from health status we also have here your patient medical history so patient medical history i don't know who among you in the chat box who among you have experience to be admitted in the emergency room or who among you have experience to be admitted in the hospital already in the chat box ayan si peregrino daw si peregrino nalang banan dito ayan so i think most of you ayan so there are some of you who already have experience being admitted into the hospital and most of the time di ba one thing that they actually ask you are your hospital admission during the hospital admission are your pregnancy and live birth surgical procedure and of course family history and so patient medical history example ayan so it is actually a checklist so are you pregnant and are you taking any medicine so it will actually be answering some important health questions and also the conditions of your patient so take for example um were there any diseases history of diseases that your patient had encountered before okay have encountered before so that is also one so aside from that okay aside from that la second to the last is your current medical management so when we talk about current medical management take for example currently you have your you are being treated for a particular disease or you are taking medication or maintenance so all of those are also being included here in the current medical management it reflects the patient screening processions the diagnosis of the patient or diagnosis the allergies the allergies the medication and the current health problems of your patient okay the current health problem of your patient so let us just try to like differentiate it in the health risk information these are your tendencies yung mga possible okay mga possible mga mangyare sayo in the future the things that are in the future kasi risk okay when it comes to patient medical history we talk about the past the existing okay the past or the not existing but the past um your past health status or your you're mga the disease that you had before an event the procedures that you had before comparing it now to current medical management okay these are current These are current, these are the things that are happening in the present. So take for example, yung medications mo, yung allergies mo, the diet that you are in right now and even the diseases that you are having currently. And of course, last but definitely not least are outcomes data. So outcomes data, it present the measures of the after effects of health care and various health problems. So take for example, these are now the information with regards to a particular procedure, what happened or the after effects like what we are saying here. And also outcomes directly reported by the patient after treatment will be the most useful. Example nito, take for example, are your patient health records, yung mga outcomes data na nilagayin nyo dun. So do they have unexpected complications? Do they have side effects? So all those information are also included here. All are also included here. So to wrap it up today, the time is already 2.21. Next meeting on next Tuesday, we will be having a quiz on lesson 4 and 5. Next meeting we will be having lesson 4 and 5. So on Friday, we will be having our class for lesson 5 and then our laboratory. So before that, before I do some of my announcements, so these are the key things to remember, the roles of your health information system, of course the different components and the different data sources that we have. So let me just try to end my recording. So thank you so much for listening. So now we open the floor. Now we open the floor. I'll just stop the recording and now we open the floor.