F = Field H = Health S = Service I = Information S = System

F = Field H = Health S = Service I = Information S = System

Field Health Service Information System It is a network information. It is intended to address the short term needs of DOH and LGU staff with managerial or supervisory functions in facilities and program areas. It monitors health service delivery nationwide.

Ultimate Goal of a Health Information System To enable various health system stakeholders to make transparent and evidence-based decisions. N A T I O N A L E P I D E M I O L O G Y C E N T E R

Objective To produce relevant and quality information in support of health system interventions. N A T I O N A L E P I D E M I O L O G Y C E N T E R

O b j e c t i v e s To provide data on health service delivery and selected program accomplishments at local levels; To provide data which, when combined with data from other sources, can be used for program monitoring and evaluation; To provide a standardized, facility level database which can be accessed for more in - depth studies; and To minimize the burden of recording and reporting at the service delivery level in order to allow more time for patient care and promotive activities.

FHSIS Importance Helps local government determine public health priorities Basis for monitoring and evaluating health program implementation Basis for planning, budgeting, logistics and decision making at all levels Source of data to detect any unusual occurrence of a disease Needed to monitor the health status of the community Helps midwives in following up clients / patients Documentation of the midwives / nurses day to day activities

Uses of Information Policy formulation Planning Implementation Monitoring Control Further studies/researchers ACTION

Sources of Information Epidemiological Investigation and Surveillance System National Health Survey Ad-Hoc Survey/Studies, ex. EPI Cluster Survey Field Health Service Information System

Demand for Information Program Coordinators Researchers Politicians Municipal Health Officers, PHN, Midwives, etc.

FHSIS History 1987 conceptualization stage 1988 consultative meetings 1989 pilot implementation (Regions 4 and 7) 1990 nationwide implementation 1993 devolution 1996 1 st modification (Modified) 2008-2 nd modification (FHSISv2008)

Objectives of Revision Update/Change some indicators based on the present needs of central office Program Managers and LGUs

Features and Principles of 2008 Version Key health indicators to be monitored at the national level are identified and targetted under the FHSIS version 2008

Difference: Original,Modified & V2008 Original Modified Version 2008 24 pages monthly report is required for submission from BHS and RHU and computer processing/ consolidation at PHO report s that are submitted up to the DOH Central Office has been reduced to a one-page report form on a quarterly basis. BHS through the midwives accomplish a 1- page monthly report form for submission to PHN. The PHN consolidates reports on a quarterly basis and submits consolidated report to the PHO for consolidation. data are disaggregated by sex a column for analysis (interpretation and action taken) was included in the quarterly and annual form

Difference: Original,Modified & V2008 Original Modified Version 2008 only the reporting form was revised/modified all recording and reporting forms are revised/modified based on the present indicators

Components of FHSIS Recording Tools Individual Treatment Record (ITR) Target Client List (TCL) Summary Table > HPA > Morbidity Disease Monthly Consolidation Table (MCT) Reporting Forms Monthly Form M1 Program M2 - Morbidity Quarterly Form Q1 Program Q2 - Morbidity Annual Forms A-BHS A1 Vital Statistics Envi/Demographic A2 - Morbidity A3 Mortality

Difference of Recording & Reporting Recording Facility Based Reporting Transmitted / Submitted Detailed Data Summary Data Day to Day Monthly/Quarterly Annual Source: Services delivered to patients / clients Source: Dependent on the records (Summary of Records)

Uses & Importance of each Recording Forms 1. Individual Treatment Record (ITR) - foundation/building block - piece of paper - patient consultation record a. Complaints/presenting symptoms b. Diagnosis c. Treatment given d. Date, name, address of patient, etc.

2. Target Client List (TCL) - To plan and carry out patient care and service delivery Targets/Eligibles - Facilitate the monitoring and supervision of service delivery activities - Record services delivered - Provide a clinic-level data base accessible for further studies - TCLs to be maintained are: TCL for Prenatal, TCL for Post-partum Care, TCL for Family Planning, TCL for Under One year old children and TCL for Sick Children

FHSIS Flow of Reports DOH (NEC) CHDs USERS PHO RHU BHS

Best Practices at CHD 6: Regional Consultative and Data Reconciliation Workshop Regional Data Validation for TB and Leprosy Programs with LGUs Data Quality Check for MNCHN Indicators

DOH Innovation: Development and nationwide implementation of LGU-Based Electronic FHSIS (e-fhsis) effective January of 2011.

Health Programs Supported Child Care Dental Care Family Planning Maternal Care Malaria Filariasis Leprosy Schistosomiasis Tuberculosis Environmental Health Natality Morbidity Mortality Demography

System Objectives To produce an accurate, reliable and timely reporting system.

System Scope Capture data at the barangay level Reporting/Uploading of Data from the Municipal/City, Provincial, Regional and National Database Server Produce National FHSIS data Generation and Access to Data/Information

Simplified Process Flow ITR TCL M1 RHUs Health Centers Municipal and Component City Provincial and Chartered City Regional RHU/HC Municipal Component City Chartered City Provincial Regional National

System Model Data Sources efhsis RHU System Upload to efhsis web site efhsis Data/Access Report Maintenance of Security Codes and Passwords Data Consolidatio Nn Analysis and Approval Clients Stakeholders System Administratio n

Information Flow RHU/HC Level ITR TCL Upload to efhsis Web Site M1 Encode in efhsis Return M1 form to Barangay for verification If Yes If No Discrepanc y Print-Out on screen or paper Validate Data

Information Flow MHO/CHO Level Download DHO/RHU/HC data from the efhsis Web Site Upload to efhsis Web Site Consolidate data in the efhsis software Print and return M1 form to DHO/RHU/H C for verification If Yes If No Discrepanc y Print-Out on screen or paper Validate Data

Download CHO (comp) and MHO data from the efhsis Web Site Consolidate data in the efhsis software Print-Out on screen or paper Information Flow PHO Level Print and return M1 form to MHO/CHO (comp) for verification If Yes Upload to efhsis Web Site If No Discrepanc y Validate Data

Information Flow CHD Level Download PHO and CHO (chartered) data from the efhsis Web Site Consolidate data in the efhsis software Print and return M1 form to PHO/CHO (chartered) for verification If Yes Upload to efhsis Web Site If No Discrepancy Print-Out on screen or paper Validate Data

Information Flow National Level Download CHD data from the efhsis Web Site Upload to efhsis Web Site Consolidate data in the efhsis software Print and return M1 form to CHD for verification If Yes If No Discrepancy Print-Out on screen or paper Validate Data

National Database Server NEC 1 2 ARMM CAR 3 4A 4B NCR UPLOADING OF REGIONAL DATA 13 12 11 10 9 8 5 6 7

Security Features Local Database User Account: Username Password

e-fhsis is called the AgreSys (source: M1 form) ClinicSys is now being developed by DOH-IMS and soon to be adopted by FHSIS (source: TCL)

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