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HIS > HEALTHCARE INFORMATION REGULATIONS, LAWS, AND STANDARDS > Flashcards

HEALTHCARE INFORMATION REGULATIONS, LAWS, AND STANDARDS Flashcards

1
Q

● The main drivers of the healthcare system are essential for the efficient management and operation of the public health system.

A

HEALTH HUMAN RESOURCE

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2
Q

● They are the health educators and providers of health services.

A

HEALTH HUMAN RESOURCE

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3
Q

● Find the most efficient way on how to deliver HC services

A

HEALTH HUMAN RESOURCE

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4
Q

● Pertains to the effect, patient-centered care through activation and engagement,

A

HEALTH OUTCOMES

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5
Q

● Changes in health that result from specific health interventions

A

HEALTH OUTCOMES

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6
Q

● Measuring how well a patient responds to treatment, how satisfied patients are with the care that they receiving

A

HEALTH OUTCOMES

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7
Q

● Average number of years of life expected hypothetically for individuals

A

LIFE EXPECTANCY

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8
Q

● Subject throughout their lives to the mortality rate at a given period expressed in years

A

LIFE EXPECTANCY

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9
Q

● No of years a newborn or infant could live if prevailing mortality during its birth would stay throughout its life
● Influences involved: sex, lifestyle (diet, smoking, alcohol, etc)

A

LIFE EXPECTANCY

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10
Q

Measured to determine the status of health and particular dynamics of an area

A

DEATHS AND BIRTHS

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11
Q

no. of death occurring during the year per 1000 pop, mid year

A

● Crude death rate

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12
Q

the rate of natural increase, which is equal to the population change in the absence of migration
○ Crude: di kasama mga nanganak sa bahay, undocumented birth

A

● Crude birth minus crude death

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13
Q

○ Refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society.

A

Health policy

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14
Q

○ It outlines priorities and the expected roles of different groups; and it builds consensus and informs people

A

Health policy

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15
Q

provides national policy, direction, and strategic plans, regulatory guidelines for health in highly specialized and specific tertiary level hospitals

A

○ DOH

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16
Q

○ Kalusugan Pangkalahatan - continued health reform through three key strategies

A

Universal Health Care (UHC) Bill into Law (RA 11223)

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17
Q

RA 11223

A

Universal Health Care law (UHC)

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18
Q

three key strategies

A

■ Achieving universal sustainable Philhealth membership
■ Upgrading and modernizing government health facilities
■ Fortifying efforts to achieve millennium development goals

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19
Q

○ Every Filipino, including overseas Filipino workers, are eligible for preventive, promotive, curative, rehabilitative, and palliative care upon automatic enrollment to the government’s health insurance program.

A

UHC

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20
Q

○ The Philippine Health Insurance Company (PhilHealth) will have expanded coverage to include

A

free consultation fees, laboratory tests and other diagnostic services.

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21
Q

○ To improve doctor-to-patient ratio, upgrade hospital bed capacities and equipment and establish more hospitals in remote areas.

A

UHC

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22
Q

The process that gives a facility a legal approval to operate

A

● Licensure

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23
Q

Licensure for health facilities

A

DOH and Health Facilities and Services Regulatory Bureau

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24
Q

Licensure for professionals

A

Professional Regulation Commission

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25
Q

gives a healthcare organization the authority to participate in several programs

A

● Certification

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26
Q

○ An external review process that an organization elects to undergo.

A

● Accreditation

27
Q

○ Legal documents and health human resources that will review the operations of any health institution

A

Accreditation

28
Q

● All facilities must have this and it is generally the state department of health or a similar agency that carries this out

A

Licensure for Health facilities

29
Q

○ tend to emphasize areas such as physical plan standards, fire safety, space allocations, and sanitation

A

Licensure regulation

30
Q

is required before it operates and give service

A

Initial license

31
Q

Licensure renewal for health facilities

A

annual

32
Q

● Usually granted after some form of examination or proof of education and may be renewed periodically through payment of a fee and/or proof of continuing education or professional competence.

A

LICENSURE TO INDIVIDUALS/PROFESSIONALS

33
Q

○ Renew every 3 years

A

LICENSURE TO INDIVIDUALS/PROFESSIONALS

34
Q

○ Professionals working abroad shall not be covered by the CPD requirement during the period of their employment abroad.

A

● IRR of the Republic Act 10912 (March 1, 2019)

35
Q

○ CPD Act of 2016
○ Initially 45 credit units - conventions, seminars, webinars
- As of now 15 gradually tinataas

A

● RA10912

36
Q

○ Amendments to the Revised Guidelines on CPD Program for All Registered and Licensed Professionals
○ Initially 45 Credit units required for every 3 years

A

● PRC Resolution No. 2016-990

37
Q

Newly licensed professionals shall be exempted from CPD requirements for their first renewal

A

True

38
Q

Minimum CPD units

A

15

39
Q

● Granted following an on-site inspection to determine if minimum health and safety standards have been met.

A

Organizational licensure

40
Q

● Maintenance of licensure is an ongoing requirement for the

A

Organizational licensure

41
Q

implies that the individual has received additional education and training, and demonstrated competence in a specialty area beyond the minimum requirements set for licensure.

A

Certification for individual practitioners

42
Q

usually implies that the organization has additional services, technology, or capacity beyond those found in similar organizations

A

Certification for organizations

43
Q

● External quality assurance program of DOH through NRLS (National Reference Laboratory)

A

Accreditation

44
Q

○ To ensure quality operation/equipment etc

A

Accreditation

45
Q

● Often a voluntary process in which organizations choose to participate, rather than one required by law and regulation.

A

Accreditation

46
Q

○ Usually regarded as optimal and achievable, and are designed to encourage continuous improvement efforts within accredited organizations.

A

● Accreditation standards

47
Q

○ Is made following a periodic on-site evaluation by a team of peer reviewers, typically conducted every two to three years.

A

● Accreditation decision

48
Q

● An independent, non-profit organization, dedicated to improve and promote quality and safety in the delivery of healthcare in the Philippines through continuing review of performance, assessment and accreditation.

A

PHILIPPINE TRIPARTITE ACCREDITATION FOR HEALTH FACILITIES, INC. (PTAHF, INC.)

49
Q

are eligible for the reimbursement of hospital expenses and professional fees

A

● PhilHealth’s Benchbook Standards

50
Q

○ Established by DOH to accredit hospitals in the PH

A

Hospital Accreditation Commission (HAC)

51
Q

● Before HAC was created __ did the accreditation of hospitals through surveys

A

Philhealth

52
Q

○ addresses broader determinants of health and focuses on the comprehensive and inter-related aspects of mental, social health, and the holistic health of a patient.

A

Primary Health care

53
Q

○ An approach to help and wellbeing centered to the needs/preference of individuals,

A

Primary Health care

54
Q

○ assures people receive comprehensive care ranging from promotion of care, prevention and treatment, rehabilitation

A

Primary Health care

55
Q

○ Essential health care is made universally acceptable to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country can afford at every stage of development.

A

● WHO

56
Q

Two types of primary HCW

A

Barangay health workers

Intermediate

57
Q

Volunteers who undergo formal training to provide HC

A

Barangay health workers

58
Q

FOUR PILLARS OF PRIMARY HEALTH CARE

A

Community participation
Intersectoral coordination
Appropriate technologies
Support mechanism made available

59
Q

multidisciplinary group of health and social care professionals who work together to deliver local and accessible services and social care services

A

Primary health care

60
Q

Pillar of PHC - Social and proven approach to address HC needs of the people in a community

● Involvement of the community is important,
● Representative ng barangay for analysis, decision making, and planning for effective social action and program implementation.

A

Community participation

61
Q

● Collective actions involving more than one specialized agency performing different roles for a common purpose

A

Intersectoral coordination

62
Q

● Must be implemented and other applications to fasten the healthcare delivery system and services.

A

Appropriate technologies

63
Q

● Main target of PHC is the availability and accessibility of essential HC and to the first level referral facilities in our area

A
  1. Support mechanism made available

HIS (7 decks)

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