Health Management Information System


Fig.: 4.1: Patient / Client Flow at Outpatient Registration



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MS-13-74 (1)
Fig.: 4.1: Patient / Client Flow at Outpatient Registration
Point out the changes that are needed to implement the reformed HMIS, and why these are important Signage directing client to card room (Why? Reminder to patients who went directly to service room in the past to come to registration area) Card room with two windows – fast track and regular. (Why? to assure prompt attention to preventive and chronic patients) Shelves, MPI index box, worktable and chair, and other furnishings in card room. (Why? to provide tools and space for managing new integrated folder) New Patient comes for OPD services Registration
OPD Consultation Triage Leaves health facility Pharmacy for medicine Investigations at Lab Injection or dressing Inpatient for admission Finance for payment Returns for new service or followup Signs direct patient to registration area


24 Show participants samples of INTEGRATED FOLDER, SERVICE CARDS, MASTER PATIENT INDEX CARD, TRACER CARD, SERVICE ID CARD and APPOINTMENT CARD. Allow a few minutes for the participants to review the instruments. After about 5 minutes, ask which instruments will be used at each step of the client/patient flow. Facilitate discussion using the flip chart with client flow diagram putting the names of the appropriate record-keeping instruments that are/will be used at each step of client/patient flow. Clarify that instead of multiple patient folders, only one integrated individual folder will be used for an individual client/patient.

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