Contoh Hotel Management NATIONAL MENTAL HEALTH REGISTRY NMHR Source Data Producers Meeting by fke58846

VIEWS: 299 PAGES: 55

More Info
									NATIONAL MENTAL
HEALTH REGISTRY (NMHR)

       Source Data Producers Meeting
                   2006


       Date: 18 May 2006 (Thursday)
   Place: Pediatric Institute, Hospital Kuala
                    Lumpur
            Time: 8.30 – 1.00 pm
NMHR

   Background
   Launching
   Objectives
   Organization and Structure
   SDPs
   Progress
NMHR
   Was established in 2003 to continuously and
    systematically collect data on all aspects of
     mental health relevant to its management,
        prevention and control in Malaysia.

       Was officially launched on 9 July 2005 by
          Minister of Health at Legend Hotel
Objectives of NMHR

Determine   the disease burden attributable to mental disorders
by quantifying its morbidity, and its geographic and temporal
trends in Malaysia.




Identify   subgroups in the population at high risk of mental
disorders to whom prevention effort should be targeted.
Objectives of NMHR

Identify   potential risk factors involved in mental disorders.




Evaluate    the treatment, control and prevention of mental
disorders



Stimulate  and facilitate epidemiological research on mental
disorder, e.g. generating hypotheses on etiology
The Launching: Photo Gallery
More photos of the launching, log on to our
                  website:


        www.nmhr.gov.my
Organization of NMHR

                   SPONSORS




              ADVISORY COMMITTEES




        MENTAL HEALTH REGISTRY UNIT (MHRU)




SOURCE DATA PRODUCERS                 USERS
Sponsors

   The registry will be sponsored by the Ministry
    of Health and supported by several of its
    organizations:
     Mental Health Services,

     Public Health Department

     Medical Development Division
Responsibilities of Sponsors


   Ensure effective, efficient and responsive operation
    of NMHR
   Provide leadership and direction for the registry
   Establish an Advisory Committee
   Provide financial, human and information resources
    required for the registry
Advisory Committee


   An Advisory Committee for Mental Health
    Registry shall be established by sponsors to
    oversee the operations of the registry.
    Interested parties including source data
    producers, MHRU and target groups or users
    are represented on this committee.
Mental Health Registry Unit (MHRU)


   The collection, and analysis of data, and
    feedback of information are performed in a
    single centre referred to as MHRU. This is a
    sophisticated unit staffed by epidemiologist,
    statistician,    information      technology
    personnel and other supporting staff.
 MHRU   Office
Roles of MHRU

  1.   Coordinating Centre
  2.   Management office
  3.   Maintain a register database
  4.   Publish an annual registry report
  5.   Support registry activities
Work process at MHRU
Main Operation in Data Collection:

   Received data from all participating centres
   Data entry
   Data query
   Data analysis, data cleaning, data verification
   Reporting
Users or Target groups

    These are the individuals or institutions to whom the
     regular registry reports are addressed. They are public
     health practitioner, health care provider, health service
     planner and decision maker, researcher and sometimes
     include the press and public. It is their needs for
     information to assist in planning and implementing
     disease control and prevention activity that justify the
     investment in registry.
Source Data Producers (SDP)

    These are the individuals or institutions
     who collect the required data. It is the
     most costly and difficult element of the
     system. It has to be systematic and
     uniform, and producers of source data
     need to be trained and motivated to
     ensure high data quality.
Roles of SDP
Doctor in charge : Her/his duties are to:
       Give a briefing to new doctors and paramedical staff
        about the National Mental Health Registry as stated in
        the manual.
       Ensure and monitor that the data collection process
        follow the methodology as stated in instruction manual.
       Emphasize to doctors about the nature of “carbon” on
        the Schizophrenia Forms.
       Ensure the eligibility of writing.
       Ensure the accuracy and reliability of data collected.
Roles of SDP
Site coordinator (paramedics): whose duties are :

   Request Schizophrenia Notification Forms from Registry
    Manager of MHRU
   Ensure that forms are adequate for continuous data collection (at
    least 50 set in stock)

   Check the data are complete before sending to Mental Health
    Registry Unit
   Send the complete forms to Mental Health Registry Unit monthly
   Keep the copy of the forms in the file that has been provided.
   Complete the queries of missing compulsory data
   Maintain a good line of communication with MHRU personnel
Roles of SDP
Ensure Data quality

   Quality control measures must be in place in all the
    processes both at the source data provider and registry
    coordinating office.




    Data collected must be accurate, reliability and timely.
Roles of SDP

Missing Compulsory Data (queries):

   Missing compulsory data must be completed
    by the SDPs in order to reduce missing data
    during the analysis and reporting.
SDPs

   Number of SDPs by year
   Number of SDPs by institution
   Number of SDPS by state
   Data submission from all SDPs
Number of SDPs by year

       Year              Number of SDPs

       2003                    33

       2004                    73

       2005                    74

       2006                    74
Number of SDP by Institutions
Institutions        2003   2004   2005   Total

MOH Hospitals        24     21     0      45

Health Facilities    0      19     1      20

Mental               4      0      0      4
Institutions
University           4      0      0      4
Hospitals
Private Hospitals    1      0      0      1

Total                33     40     1      74
 Number of SDP by state
        State     SDPs            State   SDPs
Johor              4     Kedah             9
Kelantan           11    Melaka            1
Negeri Sembilan    1     Pahang            2
Perak              19    Perlis            1
P. Pinang          5     Putrajaya         1
Sabah              1     Sarawak           5
Selangor           6     Terengganu        3
Wilayah            5
Persekutuan
Notification submission by year


               2003     2004      2005     2006

Notification   2323     2617      2406      71

Back log        Approximately 500 CRFs for year
               2005 – 2006 have not been entered
                         into database
Notification and Outcome submission by
centre

   CLICK TITLE TO HYPERLINK
Report on Data Submission


   CLICK TITLE FOR HYPERLINK
Problems in Data Submission

1.   Data is not submitted timely
2.   Missing compulsory data
3.   Query not replied
4.   No submission at all
5.   No communication between coordinators
     and Registry Manager
6.   Changes of coordinators
Problems in Data Submission


   How to overcome the problem???
Problems in Data Collection by SDPs

    Let us know what are the problems at
     your place

    How to overcome the problem???
Questionnaire Result
              80



                                            74


              60
    Percent




              40




              20               24



               0


                   Poor      Moderate      Good

                   Satisfaction as Site Coordinator
Questionnaire Result
              70



                            66
              60




              50
    Percent




              40




              30




              20
                                     22

              10
                   12

               0

                   Poor   Moderate   Good


                          Workload
Questionnaire Result
              60




              50
                                50
                                         45
              40
    Percent




              30




              20




              10



               0    5
                   Poor       Moderate   Good


                          Cooperation from others
Questionnaire Result

               70



               60
                             65


               50
     Percent




               40



               30
                    30
               20



               10



                0                      5
                    Poor   Moderate   Good

                            CRF
Questionnaire Result

               70




               60
                                 66
     Percent




               50




               40




               30    34

               20




               10




                0


                    Moderate     Good

                          Overall NMHR
Questionnaire Result - Cadangan
   2 SC untuk setiap SDP dan beri sijil penghargaan
    kpd semua SC
   CRF yang tidak berkarbon dan libatkan semua staff
    seperti MO & paramedik lain
   kes dari kecemasan mesti dimaklumkan segera
    kepada SC
   libat ramai staff dan maklum kepada semua pihak
   mesti kerja berpasukan di pusat masing-masing
   mesti maklum kepada semua staff berkenaan
    NMHR
   Sediakan Manual Instruction yang lebih jelas
Questionnaire Result - Cadangan
   mesyuarat perlu diadakan 6 bulan sekali
   mesyuarat yang berterusan mesti diadakan
   NMHR mesti maklum kepada pegawai (Doktor)
    untuk mudahkan kerja
   notified new diagnosis sahaja
   register semua kes baru walaupun data year
    sebelum 2004
   sediakan contoh CRF yang telah diisi untuk rujukan
   sediakan guideline untuk MO yang mengisi borang
   taklimat kepada pakar yang melawat
NMHR Progress
Publication
Till date, NMHR has published
1.    Jan – May 2003 Preliminary report
2.    2003 - 2004 Schizophrenia Annual report


Expansion of NMHR
1.   Suicide Registry
2.   Depressive Disorder and Deliberate Self Harm
     Registry
3.   Substance Dependence Registry
Suggestion to improve NMHR


   We welcome any suggestion from SDPs on
    how we can improve the quality of data
    collection and on any relevant issue.
Contact NMHR

    Any question pertaining to NMHR, kindly contact
     this number:


              03-2615 5790

             03-2615 5791

              nmhr@nmhr.gov.my
Contact NMHR




   Department of Psychiatry and Mental Health
            Hospital Kuala Lumpur
             50586 Kuala Lumpur

								
To top