An MIES (Management Information and Evaluation System) helps managers collect and use data to make timely decisions. An effective MIES provides accurate, complete and timely information through various modules like registration, billing, diagnostics, and medical records. It also evaluates programs through process, output, effects and short-term impact evaluations to assess objectives and make improvements. MIES formats should include feedback mechanisms so decisions are made at all levels of the organization.

1. MANAGEMENT
INFORMATION
AND
EVALUATION SYSTEM
(MIES)

2. DEFINITION
• Management information system: An array
of components designed to transform a
collective set of data into knowledge that is
directly useful and applicable in the process of
directing and controlling resources and their
application to the achievement of specific
management objectives.
[Hanson 1982]

3. Evaluation system:
A periodic evaluation of system to assess its
status in term of original and current
expectation and to chart its future direction

4. • Health information system: Health
information is any quantifiable and non-
quantifiable information that can be used by
health decision-makers and clinicians to
better understand disease processes and
health care issues, and to prevent, diagnose
or treat health problems.
[WHO]

5. OBJECTIVES OF MIS
• To enhance communication among employs.
• To provide a system for recording and
aggregating information.
• Reduce expenses related to labor-intensive
manual activities.
• To support the organization’s strategic goals
and direction

6. IMPORTANCE OF MIS
• Planning systematically and
coordinating activities.
• Establishing databases on
budgets, personnel ,facilities and
equipment.
• Providing guidance in choosing entry
points for program interventions and
establishing active partnerships with
other organizations

7. •Providing information on the status of
the population served, such as its health
status (i.e. defines surveillance levels).
•Guiding prioritizing by identifying major
problems.
•Providing indicators for monitoring and
evaluation of performance.

8. • Assessing the impact or effectiveness of
services.
• Guiding the forecasting of Commodity or
service needs.
• Methods for improvement

9. IMPLIMENTATION METHOD OF MIS
.
Parallel
Approach
Modular
Approach

10. Direct Approach: Direct installation of the
new system with immediate
discontinuance of the old existing system is
referred as “cold turnkey” approach. This
approach becomes useful when these
factors are considered.

11.  The new system does no replace the
existing system.
 Old system is regarded absolutely of no
value
 New system is compact and simple.
 The design of the new system is
inexpensive with more advantages and
less risk involved.

12. Parallel Approach: The selected new
system is installed and operated with
current system. This method is expensive
because of duplicating facilities and
personal to maintain both the systems. In
this approach a target date must be fixed
when the operations of old system cease
and new one will operate on its own.

13. Modular Approach: This is generally
recognized as “Pilot approach”, means the
implementation of a system in the
Organization on a piece-meal basis.

14. ADVANTAGES OF MIS
• The risk of systems failure is localized
• The major problem can be easily identified
and corrected before further
implementation.
• It supports and enhances the overall
decision making process.
• MIS enhances job performance throughout
an institution

15. • It provides the means through which the
institutions activities are monitored and
information is distributed to
management, employees and customers.
• It measures performance, manage
resources
• It can also be used by management to
provide feedback on the effectiveness of
risk controls.

16. LIMITATIONS
Technology also increases the potential
for inaccurate reporting and flawed
decision making. Because data can be
extracted from many financial and
transaction systems, appropriate control
procedures must be set up to ensure
that information is correct and relevant.

17. ELECTRONIC MEDICAL RECORD
• An electronic medical record (EMR) is a
computerized medical record created in an
organization that delivers care, such as a
hospital or physician's office. Electronic
medical records tend to be a part of a local
stand-alone health information system that
allows storage, retrieval and modification
of records.

18. MODULES OF HOSPITAL
MANAGEMENT SYSTEM:
Registration
Special facilities in
Registration
Billing
Diagnostics/Labs/Services
Business Analytics and MIS

19. Administration
OP Consultation
ADT
(Admission, Discharge
and Transfer)
IP orders
Clinical packages
Insurance

20. Doctor and other
payments
Medical Records
Scheduler
Inventory
Management

21. NURSING MANAGEMENT
INFORMATION SYSTEM(NIMS)
Nursing information systems (NIS) are
computer systems that manage clinical
data from a variety of healthcare
environments, and made available in a
timely and orderly fashion to aid nurses in
improving patient care.

22. APPLICATIONS OF NMIS
Workload
Measurement And
Staffing
Requirements
Personnel
Management
Staff
Scheduling
Fiscal
Resource
Management

23. FISCAL RESOURCE MANAGEMENT :
The information generated can be used to
monitor past performance or to predict
future performance.Accumulated data can
be analysed for the development of trends
that can be used to project future
expenditures. Necessary reallocations and
budgetary adjustments can then be made on
the basis of these projections.

24. WORKLOAD MEASUREMENT AND
STAFFING RIEQUIREMENTS:
It helps to store, manipulate and
retrieve large volumes of data. The
information generated assists nursing
managers in planning, monitoring and
evaluating use of nursing resources on
a daily basis and in the longer time
frame.It is used to generate staff
schedules with conjunction with
personnel management.

25. STAFF SCHEDULING:
Nursing managers are able to plan
schedules in advance with considerable
time savings. Staffs are informed well
ahead of time.Staffing records, if
maintained properly, provide useful
information for monitoring absenteeism,
scheduled time off, and turn over.

26. PERSONNEL MANAGEMENT:
An employee with a special mix of skills
can be located.Records are readily
accessible needed for accreditation
purposes or to monitor contract
compliance.The information may be
retrieved on a daily basis for use in
conjunction with workload measurement
and contract requirements to plan staffing
assignments.

27. ADVANTAGES OF NIS
1) IN NURSING ADMINISTRATION: Evaluate
quality assurance programs Defend resource
allocation to nursing Demonstrate the
contribution nursing, makes to the care of the
patient. Identify outcomes of nursing care
2) IN NURSING PRACTICE: Enhance
documentation by nurses Provide data to
enable research directed at examining the inter
relationships between data elements and
nursing outcomes.Facilitate development of the
nursing process

28. 3) NURSING RESEARCH: To assess variables
on multi levels including
institutional, local, regional, and
national.Identify trends Integrate to build
information and to further synthesize to
develop nursing knowledge
4) NURSING EDUCATION:To develop body
of knowledge with focus on nursing
process To enable staff educational needs
based on follow up care and outcomes. To
enhance student nurses accurate
documentation

29. EVALUATION SYSTEM
• Every organization needs to evaluate its
performance and the impact of its
efforts. In many instances, organizations
have multiple programs and will need to
evaluate each one from two
perspectives:
how
whether it has achieved its specific
objectives.

30. Organizations should develop and
implement a comprehensive evaluation
plan that outlines the time-frames and
resources needed for mid-term and
final evaluations of each major
program.

31. MAJOR KIND OF EVALUATION
Process Evaluation
Output Evaluation
Effects Evaluation
Short-term Impact
Evaluation

32. Process Evaluation
Continuous monitoring and supervision are
part of process evaluation, which examines
how well program activities are being
implemented. Specifically, process
evaluations focus on the development and
strengthening of existing systems, protocols,
and guidelines necessary to support,
standardize, and institutionalize service
activities. These activities support planning,
implementation, and supervision to assess
progress against project goals and objectives.

33. • Process evaluation should also review
what is working and what is not in
order to enable staff and managers to
develop corrective actions; determine
whether resources, equipment,
supplies and staff skills are adequate
and used efficiently and effectively;
identify barriers to program

34. Output evaluation
The output evaluation assesses
achievements on-site by viewing
defined, quantifiable indicators of
program performance such as
access, quality and acceptability, number
of persons trained and use of services by
the target populations. Output indicators
are usually quantitative.

35. Effects evaluation
Effects measurement focuses on changes
observed within the target population
in the catchment area, for example:
observed changes in reproductive
health attitudes, changes in staff and
skills, and changes in provider attitudes
toward providing and managing
services.

36. Short-term impact evaluation
The findings from the original baseline
survey should be used to derive the
indicators for the short-term impact
evaluation. This evaluation is conducted
at a specified, predetermined time
following the introduction of a new
program. Relevant data from
reports, service statistics, and training
information systems contribute to the
analysis of short-term impact.

37. SUMMARY
An MIES helps a manager to collect and use
information to make management
decisions in a timely manner. Managers
also use MIS data to analyse, plan, make
decisions, take actions and evaluate. An
effective MIES provides accurate,
complete, and timely information. MIES
formats should include feedback
mechanisms so that decisions made at all
levels within the organization.

38. REFRENCES
• Management information system: cited on 9 Feb 2013:
available from :
http://www.instahealthsolutions.com/modules.html
• Electronic_medical_record : cited on on 9 Feb 2013:
available from :
http://en.wikipedia.org/wiki/Electronic_medical_recor
d
• Management information system: cited on 10 Feb
2013: available from :
http://en.wikipedia.org/wiki/Management_informatio
n_system

39. • Nmis: cited on 11 Feb 2013: available from :
http://nmis.sourceforge.net/nmis-
features.html
• mis: cited on 13 Feb 2013: available from
http://www2.pathfinder.org/site
/DocServer/MIS.complete.pdf
• Management: cited on 10 Feb 2013:
available from http://www.slideshare.net/
Jyothi19587/management-pptgifty