4th Malaysia Statistics Conference – MYSTATS 2016

Sasana Kijang, Kuala Lumpur (15 Nov. 2016)

“Strengthening Statistical Usage for Decisions and Innovation”

Session 1b(i): Usage of St1atistics and Application of Statistical Science by Official Authorities

THE WAY FORWARD FOR

HEALTH STATISTICS IN
MOH MALAYSIA

1
 Outline

1. Statistics in MoH Malaysia

2. Malaysian Health Data Warehouse (MyHDW)
3. Geographic Information System (GIS)
4. Way Forward

2
 (1)
STATISTICS
IN MOH MALAYSIA

3
1. Statistics in MoH Malaysia
“A nation working together
for better health” Enable evidence-based decision
making and planning

Role of MoH:
■ as leading agency of health in Malaysia; Role of Health Informatics Centre (HIC):
■ provides leadership on matters relating planning and managing integrated health
to health; information system in MoH.
■ set direction for health care
development in the country;
■ lay the policy and the direction of
health services in the country;
■ enforce regulations and be the
regulator.
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Managing electronic
Health Information
Management Systems Analysis & Stakeholder
(HIMS) dissemination of
information
engagement
• MOH Managers
• MyHDW • Interministerial
• GIS • International
A cycle
• National agencies

System System
monitoring implementation
• Timeliness of • Identify variables,
submission extraction &
collection point, data
• Data validation flow
• Harmonisation • Formulate reports to
• Data cleansing be generated
• Launch by location &
Roadshows

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Data sources in
generating MoH Administrative data
Statistics Internal
programs
Primary data
Surveys

Federation of Family
Planning Association
Engagement National Kidney
Foundation NGOs
Collaboration National
Cardiovascular Department of
Harmonisation Disease Registry Statistics of Malaysia
National Registration
Department of
External Malaysia
agencies Ministry of Education
Malaysia
Security Organization
Malaysia
Royal Malaysia Police

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 Health Information
Management Patient registries Oral Health
Systems (HIMS)

Rural Food Safety

Pharmaceutical Environmental and Information
Sanitation System

Narrative text Communicable

Images (X-ray, CT, MRI) Family Health and Disease Control
Blood Transfusion
Family Planning Information
Patterns (ECG) System (e-Notis),
Audio
International Entry
Private Hospital Health Facility
point

Non-MoH
Hospital Health Human
MORE
Information Resource
System 7
 Quality

Data and
• Health
Indicators
• Quality

Information
Assurance
Programme

Public health
usage Policy making threats
• Notification of

Monitor
diseases

Data

Information Evaluate
Knowledge

Wisdom
Resource
Plan
allocations
Infrastructure
(financial or
human)

Service

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 (2)
MALAYSIAN HEALTH DATA
WAREHOUSE (MyHDW)

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 MyHDW Phase 1 Data Source
Malaysia
SMRP 1.1 World
Daycare Population
Standard
In-Patient Population
SMRP 2.0 PRIS 1.0
Daycare 15 Cancers
In-Patient Module 2b /
National Obstetrics
Registry (NOR)
Edit Title Here

This is a sample text.

Insert your desired text here.
 MyHDW Phase 2 Data Source

SMRP 2.0 Edit Title Here PRIS 1.0

Outpatient (4) This is a sample text. Cancer Module 3a/3b (15)
Procedure (3) Insert your desired text here.
Clinical Support (10)
/ Diabetes Mellitus
Traditional & Registry (1)
Complementary
Medicine
E-Reporting Air TPC-OHCIS
Climate Pollution
Data Index
MyHDW Methodology

Malaysian
Health Dimensional
Step Step Modelling
Step Analytics
Information
01 Framework
03 05
Malaysian
Health
Step Reference Step Data
Data Integration
02 Model
04
 MyHDW Data Integration
1.1 2.0
Malaysian
Population

World Personal

10
60
Standard Data
Population
Pseudonymisation
De-Identified Business Intelligent
Step Data
Data Integration
04

GIS

Hadoop Data Lake Staging Area Data Marts

 MyHDW Analytics

Step Analytics

Ad-hoc Query 05
Fixed Format Report

Codification and
Harmonisation

Dashboard Statistical and Predictive Analytics

The Value
- Source of truth
- Auto validation rules

- 2 Factor Authentication, Access Control Matrix

- Data Anonymisation and De-Identification

- Data and Information Governance Committee

- Monitoring & Evaluation

- Evidence-based decision making and planning

- Predictive Analysis
- Preserve the granularity of data sources

- Ready to provide information to external systems

(without losing confidentiality) e.g. IARC
- Electronic reporting for Open Data
- Right Time – 24 Hours / Every Month
- Web Base
- Centralised system
- Data co-related
- 1/3 savings on development cost
 (3)
GEOGRAPHIC INFORMATION
SYSTEM (GIS)
Within Malaysian Health Data Warehouse (MyHDW)

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 Summarizes
Capture, manage, analyse, data into Encompass Cell, Focal, Point,
store, manipulate, display all meaningful Line and Zonal statistics that
forms of spatial/geographically information can be used to analyse raster
referenced data when combined data in different layers
with spatial data

View specific
Responsive to
entity (facility)
change
or an area

GIS and statistical analysis is crucial

GIS Includes pattern analysis, shape analysis,
in examining the distribution of surface modelling, and surface prediction.
values for a particular attribute or
to spot outliers (extreme high or Inferential statistics can be implemented
low values of data) using probability model (predict likely
occurrence of values using a set of known
Improved decision making and Detect patterns, values OR assess likelihood of any
As a monitoring
communication trends, models pattern/trend)
and evaluation
and allow
tool
prediction

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 (4)
WAY FORWARD

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 MoH More data
sources
MyHDW Phase 2:
Family Health &
Oral Health
Way Forward
Enhance
information
Visualisati
visualisation:
on
Dashboard, Portal,
Near future: Reports, GIS

Prepare/develop Environmental Data for

medical research for Malaysian Data mining
Meteorological Department (MetMalaysia) Analytics Structured & Semi-
structured data
and Department of Environment Malaysia.

Disaster
managem
ent

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Challenges Future possibilities

Real time vs. right time Sharing of data across government

agencies
Accuracy
A comprehensive data warehouse
Interoperability
with seamless information flow
Granular data between different agencies

Build once, use many

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THANK YOU
Dr.‘Ismat Mohd Sulaiman
Health Informatics Centre, Planning Division
Ministry of Health Malaysia
drismat@moh.gov.my
https://my.linkedin.com/in/drismatmd

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