Using Quality Improvement Process to Enhance Health Staff Confidence and Competence in Health Information System Tasks in the Ejisu Juaben Municipal Health Directorate, Ghana

  • Richard Okyere Boadu University of Cape Coast
  • Peter Agyei-Baffour
  • Anthony Kwaku Edusei
Keywords: Confidence and competency; Quality Improvement Process; Health Information System

Abstract

Routine Health Information is faced with huge challenges which reduce its decision making and planning yields. The objective of the study was 1) to undertake competency gap analysis of health staff’s performance in routine health information tasks, 2) implement quality improvement process training module, 3) to measure the improvement in the competency level of health staff in performing RHIS tasks after application of Quality Improvement Process principles. A quasi-experimental, uncontrolled before and after study was conducted in 18 health facilities in the Ejisu Juaben Municipal Health Directorate, Ghana. The study involved assessment of competency level and training of 141 staff using Data Quality Improvement Process (DQIP) training module over a twelve-month period. RHIS task competence was measured by a pencil and paper test that measured the ability of respondents to perform calculations, and to interpret and use RHIS results, based on the same indicators as used dimension of confidence level. The study found huge competency gaps among staff amidst high confidence in undertaking RHIS tasks while their performance of these tasks scored objectively, yielded low average scores of improvements in competency gaps; data analysis (-36.9%: +3.6%), data interpretation (-42.2%: +9.8%) and use of data (-44.6%: +2.6%) in the baseline and endline evaluations respectively. The study concludes that Quality Improvement Process (QIP) centred training drives the effectiveness of staff competency in performing RHIS tasks, but not necessarily their confidence level.

References

Upadhaya, N., Jordans, M.J.D., Abdulmalik, J. et al. Int J Ment Health Syst (2016) 10: 60.
https://doi.org/10.1186/s13033-016-0094-2
Kihuba, E., Gathara, D., Mwinga, S., Mulaku, M., Kosgei, R., Mogoa, W., … English, M. (2014).
Assessing the ability of health information systems in hospitals to support evidence-informed decisions in Kenya. Global Health Action, 7, 10.3402/ gha. v7.24859.
http://doi.org/10.3402/gha.v7.24859
Ajzen I (2005). Laws of human behavior: symmetry, compatibility, and attitude-behavior correspondence.
In: Beauducel A, Biehl B, Bosniak M, et al., editors. Multivariate Research Strategies. Aachen: Shaker Verlag; pp. 3–19.
Aqil A, Lippeveld T, Hozumi D (2009): PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems. Health Policy and Planning, 24:217-228.
Mavimbe JC, Braa J, Bjune G, (2005). Assessing immunization data quality from routine reports in Mozambique. BMC Public Health, 11:108. [PMC free article] [PubMed]
Odhiambo-Otieno GW, (2005b). Evaluation criteria for district health management information systems: lessons from the Ministry of Health, Kenya. International Journal of Medical Informatics, 74:31–8.
[PubMed]
Davoudi, Sion; Dooling, Julie A; Glondys, Barbara; Jones, Theresa D.; Kadlec, Lesley; Overgaard, Shauna M; Ruben, Kerry; Wendicke, Annemarie, (2015). "Data Quality Management Model (2015 Update)" Journal of AHIMA 86, no.10 (October 2015): expanded web version. da Silva AS, Laprega MR (2005). Critical evaluation of the primary care information system (SIAB) and its implementation in Ribeiero Preto, Sau Paulo, Brazil. Cadernos de Saude Publica, 21:1821–8.
[PubMed]
Booth, M. Z., & Gerard, J. M. (2011). Self-esteem and academic achievement: a comparative study of adolescent students in England and the United States. Compare, 41(5), 629–648.
http://doi.org/10.1080/03057925.2011.566688
Nsubuga P, White ME, Thacker SB, Anderson MA, Blount SB, Broom CV, et al., (2006). Public Health Surveillance: A tool for targeting and monitoring interventions.
Lavin, M., Harper, E., Barr, N., (April 14, 2015) "Health Information Technology, Patient Safety, and Professional Nursing Care Documentation in Acute Care Settings" OJIN: The Online Journal of Issues in Nursing Vol. 20 No. 2.
Peersman, G. (2014). Overview: Data Collection and Analysis Methods in Impact Evaluation, Methodological Briefs: Impact Evaluation 10, UNICEF Office of Research, Florence.
Eindra Aung, Maxine Whittaker (2013) Preparing routine health information systems for immediate health responses to disasters, Health Policy and Planning, Volume 28, Issue 5, 1 August 2013, Pages 495– 507, https://doi.org/10.1093/heapol/czs081
Rotich JK, Hannan TJ, Smith FE, et al. (2003) Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System. Journal of the American Medical Informatics Association.2003;10:295–303. [PMC free article] [PubMed]
Kamadjeu RM, (2005). Tapang EM, Moluh RN. Designing and implementing an electronic health record system in primary care practice in sub-Saharan Africa: a case study from Cameroon. Informatics in Primary Care, 13:179–86.
Munthali, A. C., Mvula, P. M., & Silo, L. (2014). Early childhood development: the role of community based childcare centres in Malawi. Springer Plus, 3, 305. http://doi.org/10.1186/2193-1801-3-305.
Frank Nyonator, Anthony Ofosu, Dan Osei; District Health Information Management System DHIMS II: The Data Challenge for Ghana Health Service.
[website, accessed March 2011]
WHO, (2007) Everybody business: strengthening health systems to improve health outcomes: WHO’s framework for action. MOH, (2007). HMIS Assessment using HMN Assessment Tool.
Langley, G., Nolan, K., Nolan, T., Norman C., Provost, L, (2009). The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd edition San Francisco: Jossey-Bass Publishers.
Hozumi D, Aqil A, Lippeveld T, (2002). Pakistan situation analysis. MEASURE Evaluation Project, USAID.
JICA HMIS Study Team, (2004). Assessment of health information systems in the health sector in Pakistan. Scientific System Consultants (Japan), Pakistan Ministry of Health, JICA. Aqil A (2004). UPHOLD Project. Kampala: John Snow, Inc. (JSI); HMIS and EMIS situation analysis, Uganda.
Aqil A, Lippeveld T (2008). Improving RHIS Performance for Better Health System Management, Trainer's guide, MEASURE Evaluation, USAID,
Aqil A, Lippeveld T, Yokoyama R. (2007b). Guangxi Baseline HMIS Report. MEASURE Evaluation, CDC
Guangxi, USAID.
Aqil A, Lippeveld T, Yokoyama R (2007a). Yunnan Baseline HMIS Report, MEASURE Evaluation, CDC
Yunnan, USAID.
Heritage, B., Pollock, C., & Roberts, L. (2014). Validation of the Organizational Culture Assessment Instrument. PLoS ONE, 9(3), e92879. http://doi.org/10.1371/journal.pone.0092879 Russell IT, Grimshaw JM (1992).
The effectiveness of referral guidelines: a review of the methods and findings of published evaluations. In Coulter A and Roland M (eds). Referrals from General Practice. Oxford: Oxford University Press.
Carney, P. A., Allison, K. H., Oster, N. V., Frederick, P. D., Morgan, T. R., Geller, B. M., … Elmore, J. G. (2016). Identifying and Processing the Gap Between Perceived and Actual Agreement in Breast Pathology Interpretation. Modern Pathology : An Official Journal of the United States and Canadian Academy of Pathology, Inc, 29(7), 717–726. http://doi.org/10.1038/modpathol.2016.62
Conor Gilligan, Rob Sanson-Fisher, Anthony Shakeshaft (2010); Appropriate Research Designs for Evaluating Community-level Alcohol Interventions: What Next?, Alcohol and Alcoholism, Volume 45, Issue 5, 1 September 2010, Pages 481–487, https://doi.org/10.1093/alcalc/agq038
McCambridge, J., Witton, J., & Elbourne, D. R. (2014). Systematic review of the Hawthorne effect: New concepts are needed to study research participation effects. Journal of Clinical Epidemiology, 67(3), 267–277. http://doi.org/10.1016/j.jclinepi.2013.08.015
Jackson B, Compton J, Whiddett R, Anthony DR, Dimmock JA (2015) Preempting Performance Challenges: The Effects of Inoculation Messaging on Attacks to Task Self-Efficacy. PLOS ONE 10(4): e0124886. https://doi.org/10.1371/journal.pone.0124886
Gagnon, MP., Desmartis, M., Labrecque, M. et al. J Med Syst (2012) 36: 241.
https://doi.org/10.1007/s10916-010-9473-4
Published
2019-01-08
How to Cite
Boadu, R., Agyei-Baffour, P., & Edusei, A. (2019). Using Quality Improvement Process to Enhance Health Staff Confidence and Competence in Health Information System Tasks in the Ejisu Juaben Municipal Health Directorate, Ghana. Journal of Information Sciences and Computing Technologies, 8(1), 781-793. Retrieved from http://scitecresearch.com/journals/index.php/jisct/article/view/1673
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Articles