Module 2: Health Care Delivery Flashcards
Under what level of health care delivery system
○ Policy making
○ Monitoring and evaluating implementation of health programs
○ Advocating for health promotion activities
National lvl (leadership)
Under what HCDS is this
○ Serving as technical authority in disease control
○ Provides administrative and technical leadership in health care
financing (National Health Insurance Law)
Nationl lvl (leadership)
Under what level of HCDS is this
○ Serve as administrator of selected health facilitities at
subnational levels (referral centers)
○ Provide specific program components for conditions that affect
large segments of the population
National lvl (administrator)
What level of HCDS is this
○ Develop strategies for responding to emerging health needs
○ Provide leadership in health emergency preparedness and response services
National Level: Administrator of Specific Services
What level of HCDS is this
○ Provide logistical support to LGUs, the private sector and other agencies implementing health programs and service
○ Serve as the lead agency in health and medical research
○ Protect standards of excellence in the training and education of
health care providers at all levels
National lvl (capacity builder and enabler)
What level of HCDS is this
○ Formulation of more detailed or specific policies/ plans to suit
local conditions
○ Translate plans into action
○ Conduct of orientation program for new staff
Regional or provincial
What level of HCDS is this
○ In service training for nursing personnel on the job
○ Planning & implementation of supervision program for CHN personnel
○ Assessment / evaluation of performance of CHN personnel in the health centers
Regional or provincial
What level of HCDS is this
○ Implementation of standards for CHN practice
○ Quality control checks
○ Preparation of reports
Regional or provincial
Under what level of HCDS is this act
Local Government Code or republic Act No . 7160
Devolution of powers, functions and responsibilities to LGUs in terms of provision and delivery of basic health services
Municipal or city
What level of HCDS is this under
implementation level of the CHN program by the team in the health center.
Municipal or city
What Administrative Order which states that
“ Rules and Regulations Governing the New Classifications of Hospital and Other Health Facilities in the Philippines”
DOH Administrative Order 2012-0012A
What level of clinical service is this in the hospital
Consulting specialist in: Medicine, Pediatrics, OB-Gyne Surgery
Level 1
What level of clinical service is this in the hospital
Emergency and OPD
Level 1
What level of clinical service is this in the hospital
Dental clinic
Level 1
What level of clinical service is this in the hospital
Isolation facility, surgical and maternity facility
Level 1
What level of clinical service is this in the hospital
Departmentalized clinical services
Level 2
What level of clinical service is this in the hospital
general ICU, respiratory unit
Level 2
What level of clinical service is this in the hospital
NICU, high rick pregnancy unit
Level 2
Teaching/Training with accredited residency training program in 4 major clinical services
Level 3
Physical Medicine and rehabilitation Unit
Level 3
Ambulatory surgical clinic and dialogue clinic
Level 3
What are the ancillary services in level 1
- second clinical laboratory
- blood station
- xray
- pharmacy
What category of health care facility
- Are the rural health units/birthing (lying-in) clinics
- first contact health care facility
Cat. A primary care facility
What category of health care facility
Health services offered at this level are to individuals in fair health and to patient with disease in the early symptomatic stages.
Cat A. Primary care facility
What category pf health care facility
- with in-patient beds (short stay facility)
- manned by BHW (Barangay Health Worker) under the supervision of a RHM (Rural Health Midwife
Cat A. Primacy care facility
1 RHU :
1 BHS :
1 RH Physician :
1 PH Nurse :
1 PHM :
1 Public Health Dentist :
1 BHW :
1 RHU : 20,000 Population
1 BHS : 5,000 population
1 RH Physician : 20,000 Population
1 PH Nurse : 10,000 Population
1 PHM : 5,000 population
1 Public Health Dentist : 50,000 population 1 BHW : 20 households
Category??
- a health facility that provides long-term care, including basic services like food and shelter to patients with chronic conditions requiring ongoing health and nursing care due to impairment or in need of rehabilitation
Category B: Custodial Facility
Category??
- a facility for the examination of the human body, specimens from the human body for diagnosis,
- Drinking water analysis and treatment
Category C: Diagnostic Facility
What category is this examples
- Laboratory facility (Clinical lab, HIV testing, Newborn Screening, Blood Services, Drug Testing, water analysis)
- Radiologic facility (Xray, MRI, UTZ)
- Nuclear medicine facility (application of radioactive materials for diagnosis, treatment and medical research
Cat C. Diagnostic facility
Category??
- a facility that performs highly specialized procedures on an out patient basis
Category D: Specialized Outpatient Facility
What level of primary health workers that is
- first contact of the community and initial links of health
- provide simple curative and preventative measures
Level 1: village or grassroot
What level of health care workers that
- represents the first source of professional health care
Intermediate level health workers
What is the level of health care worker that
- provide back up health services for cases that require hospitalization
First line hospital personnel
considered as “Entry Point” in working with families/community
FOCUS of Care = the “____”
Individual
Person
2 APPROACHES OF INDIVIDUAL
Atomistic
Holistic
A group of people sharing the same characteristics, developmental stage or common exposure to particular environmental factors (Clark, 1999 as cited in Maglaya)
population group/ aggregates
levels of cliente
- common health problems
Aggregates
Levels of cliente
Wide health Problems
Community
OBJECTIVES OF WHO
attainment by all people of the highest possible level of health
3 Core function of public health
Assessment
Policy Development
Assurance
Core Function
Inform, educate, and empower people about health issues
Mobilize community partnerships to identify and solve health problems
Assurance
Public Health Intervention
Describes and monitors health events through systemic collection
Surveillance
Locates individuals and families with identified risk factors and connects them with resources
Case Findings
PHC was established through________ (LOI) 949 signed on Oct. 19, 1979 by then President Marcos one year after the First International Conference.
Letter of Instruction
Communicates facts, ideas, and skills that change knowledge, attitudes, values, beliefs and practices of I, F, P and C
Health Teaching
Is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.
Primary Health Care (Alma Ata Declaration)
Public Hleaht Invernvention
Assist individuals, families, groups, and communities to identify necessary resources to prevent/resolve concerns.
Referral and Follow Up
Identifies individuals with unrecognized health risk factors and connects them with resources
Screening
What is the goal of primary health care
Health for All by year 2000
Public Health Intervention
Helps community groups to identify common problems or goals mobilize resources and implement strategies
Community Organizing
2 Major Players of HCDS
Major Players
1. Public sector
a. National level
b. Regional and Provincial Level
c. Municipal or City Level
2. Private sector
NGOs
It refers to the act wherein the national government confers power and authority upon the various local government units to perform specific functions and responsibilities.
Devolution
Liberalization
Globalization
Evolution
Devolution
The act wherein the national government confers POWER and AUTHORITY upon the various local government units to perform specific functions and responsibilities is known as Local Government Code of 1991 or:
or devolution of power, basta daw may power
Republic Act 7160
An act that promotes and ensures the availability, accessibility, and affordability of quality generic drugs to the public. It encourages the use of generic names of medicines instead of brand names and regulates the labeling, packaging, and promotion of pharmaceutical products.
Generics Act of 1998 in the Philippines
Which of the following is not a function of the National Level of Health Services?
a. Conduct of orientation for newly hired staff
b. Preparation of operational manuals and guidelines.
c. Planning and broad programming of health services
d. Formulation of standards for community health service
a.
LACE
Identify to which role of DOH, the following functions fall under:
Function:
DOH provides administrative and technical management in health care financing as mandated by the National Health Insurance Law.
Leadership in Health
LACE
Identify to which role of DOH, the following functions fall under:
Function:
DOH provides leadership in health emergency preparedness and response services through provision of logistics and other resources
Administrator of Specific Services
Drug Rehab Center is a facility that belongs to :
Custodial Care facility
The barangay health worker belongs to this level of health care workers:
Grassroot
Ratio according to R.A. 7305 or the Magna Carta for Public Health Workers (MCPHW) - (DOH 2009) stipulates that one Barangay Health worker should handle how many households?
20 Households
Barangay health center is under the office of the :
Mayor
An act that aims to stabilize the prices of basic necessities and prime commodities, including certain essential medicines and drugs. It provides mechanisms for monitoring and regulating prices to protect consumers from unreasonable price increases.
The Price Act of 1992
The patient can not be taken care of in the Rural Health Unit as he needs to be examined some more with regards to his health. Where would the patient be referred to?
Municipal District/City Hospital
- refers to the individual or family’s capacity to pay for basic health services.
- also involves the capacity of the government or the community can afford the basic health services
- (WHO) also considers the out-of-the-pocket expenses for
health care.
Affordability
Health services offered at this level are to individuals in fair health and to patient with disease in the early symptomatic stages.
Primary Care Facility
The following are communicable diseases except :
Dengue
Diabetes
Malaria
HIV
Diabetes
- refers to the physical distance of a health facility or the travel
time required for people to get the needed or desired health
services - (WHO) health care facilities should be within 30 minutes from
the community
Accessibility
- means the health care offered is in consonance with the prevailing culture and traditions of the population.
Acceptability
what Level of public sector is this
function: Implementation level of tje CHN program by the nursing team in the health center
Municipal/City Level
4 A’s health services
- is a question of whether the basic health services required by the people are offered in the health care facilities or is provided on a regular and organized manner.
Availability
two basic importancr for the full attainment of HFA
Alma Ata Declaration on PHC
Economic and Social Development
A key principle of primary health care
● Health programs and projects have better outputs when there is collaboration
● A multi-sectoral approach is needed for an efficient utilization of resources.
Support mechanism
in the Philippines, Primary Health care was established through? signed on when?
Letter of Instruction
October 19, 1979
A key principle of primary health care t
- Health and diseases are outcomes of inter-related factors, PHC requires 3C’s within and among various sectors
- 3 C’s:
● Communication
● Cooperation
● Collaboration
Multi-sectoral approach
Spot the Not
Emergency and OPD Services
Respiratory Unit
OBGYNE Surgery
Isolation Facilities
Respiratory Unit (Level 2)
spot the not
NICU
General ICU
High Risk Pregnancy Unit
Pediatrics
Pediatrics (Level 1)
Strategy of PHC
● Establishment of an effective health referral system
● Information, education and communication support using multi
media
● Collaboration between gov’t and NGO
Social Mobilization
Spot the Not
Dialysis Clinic
Blood Station
First Level X-ray
Dialysis Clinic (Level 3)
Strategy of PHC
● Re-allocation of budgetary resources
● Re-orientation of health professionals on PHC
● Advocacy for political will & support, from the national leadership
down to the barangay level.
Decentralization
Health services offered at this level are to individuals in fair health and to patient with disease in the early symptomatic stages
Cat A: Primary Care Facility
True or False
Primary Care Facility provides long term care
False
What Category of care does these belong
Custodial psychiatric facilities
drug rehab centersleprosaria, nursing homes
Custodial Care Facility
3 Classification of Diagnostic Facility
Laboratory facility (Clinical lab, HIV testing, Newborn Screening, Blood Services, Drug Testing, water analysis)
Radiologic facility (Xray, MRI, UTZ)
Nuclear medicine facility (application of radioactive materials for diagnosis, treatment and medical research
Level of Primary Health care Worker
represents the first source of professional health care.
Intermediate
What level of Promary Health Care Workers
• attends to health problems beyond the competence of village workers
• Provide support to front-line workers in terms of supervision, training, supplies & services
Intermediate Level
what level of Primary Health Care Workers
provide back up health services for cases that require hospitalization
Front Line
● A health reform program under Pres. Aquino (2010-2016) through A.O. 2010-0036 (DOH, 2010)
● the “provision to every Filipino of the highest possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public”
● ensure that they are given risk protection (PhilHealth) and access to affordable and quality health services.
Universal Health Care (Kalusugan Pangkalahatan) or Aquino Health Agenda
what classification of facility does this belong to in Category C: Diagnostic Facility
• application of radioactive materials for diagnosis,
Nuclear Medicine Facility
Laws formulated under _________
● The Reproductive Health and Responsible Parenthood Law (RA 10354) of 2012
● The Sin Tax Reform Law (RA 10351) of 2012 - high price on tobaccos to stop it.
● The National Health Insurance Act of 2013 - under philhealth
● The Graphic Health Warnings Law of 2014 - pictures attached
to cigarettes packs
Universal Health Care
● A health reform program under Pres. Duterte (2016- 2022) through RA 11223 signed on Feb. 20, 2019.
● Also know as “Universal Health Care Act” (UHC Law)
● “Health Philippines 2022”
Philippine Health Agenda
● Automatic inclusion if every Filipino into the National Health
Insurance Program (PhilHealth)
● Simplification of PhilHealth Membership (Direct/Indirect contributors)
Financing Membership (direct)
● Pooling of funds (Sin Tax, PAGCOR, PCSO, Gov’t and DOH)
● Population-based health services- interventions for worldwilde
● Individual-based health services- intervention for a specific
person.
Financing Source (indirect)
Which is not an Objective of Primary Health Care
Promotion of healthy lifestyles
Prevention of diseases
Maintaining Community Health
Therapy for existing conditions
Maintaining Community Health
Refers to interventions suck as health promotion, disease surveillance, and vector control that address population wide concerns
Population based health services
ESSENTIAL health care based on PRACTICAL, SCIENTIFICALLY sound and SOCIALLY acceptable methods and technology made universally accessible to individuals and families in the community through full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination.
Primary Health Care
5 Key Elements in Achieving HFA
Universal Coverage - reducing exclusion and social disparities
Health Service Reforms - organizing health services around people’s need
Public Policy Reforms – integrating health into all sectors
Leadership Reforms – pursuing collaborative models of policy dialogue
Increasing stakeholders participation
Integration of health system into province-wide and city-wide
health system
● Pooling and management if all resources intended for health
“Special Health Fund” per LGU
Local health system
● Establishment of performance-based incentive scheme for
health facilities
● Licensing and regulatory system for stand alone health facilities
● Formulation of standards for clinical care (DOH, Professional
Organization and academe)
Regulation
● Submission of health and health-related data to PhilHealth as requirements for all public and private health related entities
● Health Impact Assessment as requisite for policies, programs Services for Both the Well & the Sick and projects
Governance and Accountability
what are the 8 Essential Health Services (ELEMENTS)
E ducation for Health
L ocally Endemic Disease Control
E xpanded Program for Immunization
M aternal and Child Health including Responsible Parenthood
E ssential drugs
N utrition
T reatment of Communicable and Non-communicable diseases
S afe water and sanitation
Key Principles of PHC
An educational and empowering process in which people identify the problems, their needs and assume responsibilities to assess, plan, manage, and control actions that are proven to be necessary.
A. Support Mechanism
B. Appropriate Technology
C. Community Participation
Community Participation
TRUE OR FALSE
Strategies of PHC in Utilization of the 4As of Health Services
Indigenous/ resident volunteer workers must be tapped as health care providers
True
Levels of Prevention in Public Health
what are the Three levels of Prevention
Primary
Secondary
Tertiary
What level of Prevention
Targets populations that have experienced disease or injury and focuses on limitation of disability and rehabilitation
Tertiary
LESSON 7:
3 Goals for Universal Health Care
Better health outcome
Sustained health financing
Responsive health system by ensuring that all Filipinos especially the disadvantage group have equitable access to affordable health care (DOH, 2010)
LESSON 7:
3 Goals for Universal Health Care
Better health outcome
Sustained health financing
Responsive health system by ensuring that all Filipinos especially the disadvantage group have equitable access to affordable health care (DOH, 2010)
Ratio (DOH 2009) RA 7305 (Magna Carta Public Healthcare Workers)
One Rural Health Units should have how many population?
20,000 Population
Ratio (DOH 2009) RA 7305 (Magna Carta Public Healthcare Workers)
One Public Health Dentist should have how many population?
50,000 Population
WHAT REPUPLIC ACT
Also know as “Universal Health Care Act” (UHC Law)
“Health Philippines 2022”
RA 11223
this Republic act ensure every Filipino is healthy, protected from health hazards and risks, and has access to affordable, quality, and readily available health service that is suitable to their needs.
RA 11223 UNIVERSARY HEALTH CARE ACT
5 Key features of the University Health Law
Financing
Service Delivery
Local Health System
Regulation
GovernanceandAccountability
Refers to interventions, such as health promotion, disease surveillance, and vector control, that address population-wide concerns.
From the choices:
A. Population Based Health Services
B. Individual Based Health Services
A. Population Based
Refers to services that can be accessed within a health facility or remotely, and can be definitively traced back to one recipient.
Individual Based or Population Based?
Individual Based
What are the Values for the PHILIPPINE HEALTH AGENDA FRAMEWORK ?
e.e qt (timandai lang ni kay daw chura sya tas ang qt meaning cute haha fawk)
equity
efficiency
quality
transparency
Recite the Laws formulated under Universal Health Care
- Reproductive Health and Responsible Parenthood Law (RA 10354) of 2012
- the Sin Tax Reform Law (RA 10351) 2012
- National Health Insurance Act 2013
- Graphic Health Warnings Law of 2014
Refers to interventions, such as health promotion, disease surveillance, and vector control, that address population-wide concerns.
Populatiom based or Individual based?
Population Based Health Services
Historical Background of DOH
What Year Establishment of health institutions by Americans
1901-1906
Historical Background of DOH
what year
Bureau of Health then later on changed to Phil. Health Service -
Establishment of Community Health and Social Centers under Dr. Jose Fabella currently known as Brgy. Health Centers -
Department of Health and Public Welfare Priorities: TB, Malnutrition, Malaria, Leprosy,
Gl dx, high infant mortality rates -
Creation of 8 Regional Health Offices -
3 Institutions were built -
Bureau of Health then later on changed to Phil. Health Service - 1915
Establishment of Community Health and Social Centers under Dr. Jose Fabella currently known as Brgy. Health Centers - 1933
Department of Health and Public Welfare Priorities: TB, Malnutrition, Malaria, Leprosy,
Gl dx, high infant mortality rates - 1940
Creation of 8 Regional Health Offices - 1958
3 Institutions were built - 1975 - 1980
