Hospital Information System Data Completeness in Ministry of Health Malaysia Hospitals

BackgroundHospital Information System (HIS) was introduced by the Ministry of Health (MOH) Malaysia to improve hospital information management. A timely and accurate data aids in facilitating decision-making processes. HIS monitoring and evaluation activities revealed issues in data quality, particularly data completeness. This study aims to explore the data completeness issue in HIS. *The assessment focused on the “structured data” (i.e. data in the database field) instead of “unstructured data” (i.e. data in free text form). Methods [Refer to Poster]. Results[Refer to Poster]. Discussion / ConclusionData completeness is a vital issue to be addressed, with national plans for electronic health record initiative to be implemented in the future. Advancements in technology should be considered to be used to improve the data entry process among implementers, e.g. voice-to-text to assist with data entry during ward rounds. There should also be more flexibility in system configuration to allow for verification and validation processes to be in place to fulfil the quality standard requirements.