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Index - Major Sections
Site Map
Product and Services _______________ Index - Same Level Subject
Index - Child Subjects |
IntroductionThis page will present the general philosophy of this site. InHCc feels that it is important to give a hint of the direction that we are going. This project will be developed with the philosophy that without a good integrated Health Care Management and Information systems (HMIS) that is capable of operating at all levels of service; no other objectives can be met. Complex health services and solutions can only be provided to clients who need them at the time they need them if those managing and delivering the services have access to reliable, well-structured and timely information. In all areas of Health Care Policy Reform, the attention is on the measurability and comparability of results. Administrators have become more aware of the need for information for policy formulation, implementation and management (WHO, 1996). Without sufficient and quality data, without effective and proper use of data, and without properly trained personnel, this measurability and comparability cannot be implemented…and…without the measurability and comparability of results, management cannot take place. The growing complexity of healthcare services means that managers need greater access to information and better decision-making tools. Surveys have shown that existing management solutions do not completely address the issues of the accuracy and reliable of data, its time-variant nature, its usefulness to management, its security, or its cost. Providing information and collaboration are core values in Health Care Services. Health care organizations at all levels need the means to manage their resources and put the right information in the hands of the right decision maker at the right time so that they can make informed decisions quickly and act promptly. Without information, indicators can not be measured, targeted population can not be identified, health care services can not be evaluated, and processes can not be made more efficient. InformationWithout information, no management is possible DecentralizationThe recent trend in decentralization has put a great burden on Health Care Systems. While the decentralization process has taken place (to some extend), the training of managers has not taken place. While, at least, before decentralization, there were people trained to "do things"...today, with each change of administration a new group of new individuals come into the system with no professional knowledge. Political Factors:In many countries, due to political reasons, the whole health care department's personal changes. In general, the "new" people that come in, are giving the position because of their political support and not because of any skills that they may have. There are no professionally trained Health Care Managers (has been until very recently a problem with the administration of health care systems in the US) In many cases, these people do not even know how a public health care system is suppose to function. State of the Age Technology vs. Outdated methodsDeveloping countries should take advantage of the lessons learned over the last few years by the developed countries and use the newer technologies to leap ahead. Developing countries should not be burdened with outdated methods that have prove inefficient and ineffective in maintaining quality of care at a reasonable cost. Integration vs. SeparationUntil now the Health Care System has been separated, grouped, or classified into various "types of health care"; for example: nutrition, material and child health, or family planning. Health care must be viewed as a whole. Unless an integrated approach is taken, unless relationships are understood then effective solutions are not going to be able to implemented. Evaluation at the detail level vs. the aggregate levelProjects cannot be evaluated at the aggregate level; they must be evaluated at the detail level. Evaluation and monitoring requires detail information. Aggregate data only tells you that something has happened. It does not tell you how or why. Management vs. RobotsManagers need frequent measures of indicators to be able to make decisions. They cannot manage if they are given a check list and told what to do. Managers are a lot closer to the day-to-day operations. They can make things happen that outsiders will never be able to see or perhaps even understand. Teach staff to become managers and they will discover the correct way of doing things; Give them orders to follow and we will never know. Lower Level of Implementation vs. Upper Level of ImplementationIt is only at the lower levels that interactions are made with the client. It is only at the lower level that a project can be implemented. It should be at the lowest level possible that data is collected. Lower Level Staff training in TechnologyLower level personnel (including managers) should not be trained in computer technology; they should be trained in how to use the information. They should not be given training in how to design databases, how to design reports, or how to run networks. They do not have the technological training necessary to learn these skills. It is a waste of time and is not needed at this level. Distributed Processing vs. Centralized Data WarehouseDistributed processing produces complexity. A Centralized Data Warehouse produces simplification. List checking vs. EducationList checking produces dependency. Education produces independency. Accounting control vs. Quality controlThere IS a difference between accounting control and quality control. Accounting control measures how many resources go into a project and how many resources come out of the project. Quality control focus on the processes that come out a project Finance vs. AccountingThere IS a difference between finance and accounting "Downsizing" vs. "Right-sizing"Downsizing refers to the collecting of the least amount of data possible at that level. NO NO NO. Right-sizing refers to collecting what is needed. In Health Care, ALL data is required no matter where it can be obtained. Fiscal RealitiesFiscal realities have a profound influence on the kinds of health care services that a country can deliver. But politics and culture have at least as much impact. These interacting components produce the structure and operating form of the health care delivery system. The individuals overall health status is influenced by a combination of all of these components acting together. There include, at least, a combination of the following:
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