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HIS 1st Shifting > PH HEALTHCARE SYSTEM > Flashcards

PH HEALTHCARE SYSTEM Flashcards

1
Q

Number of bed per 1000 people

A

1.2 beds

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2
Q

Number of pharmacies

A

29 000

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3
Q

Percentage of nurses

A

90%

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4
Q

Percentage of doctors

A

<10%

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5
Q

Healthcare cost in the country

A

P1.18T

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6
Q

Funds of the DOH

A

P270B

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7
Q

Percent of out of pocket

A

41.5%

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8
Q

Percent of government schemes

A

50.3%

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9
Q

Percent of private health insurance

A

8.2%

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10
Q

Where power is transferred from national to local government

A

devolution

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11
Q

Four main sources of financing

A

National and Local government
Insurance (government and private)
User fees/out of pocket
Donors

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12
Q

How many hospitals are there

A

1224 hospitals

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13
Q

Number of city/rural health centers

A

2587

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14
Q

Number of village health stations

A

20 216

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15
Q

The main drivers of the health care system and are essential for the efficient management and operation of the public health system

A

Health Human Resource

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16
Q

Projected life expectancy in 2020

A

male: 70.01
female: 75.54
mean: 72.77

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17
Q

Birth rate per 1000 people in 2018

A

20.55

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18
Q

Death rate per 1000 people in 2018

A

5.873

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19
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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20
Q

They are the health educators and providers of health service

A

Health Human Resource

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21
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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22
Q

True or False: every Filipino are eligible for preventive, promotive, curative, rehabilitative, and paliative care upon automatic enrollment to the health insurance program. Overseas Filipino workers are excluded.

A

False. OFWs are included

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23
Q

An insurance company that has an expanded coverage to include free consultation fees, laboratory tests, and other diagnostic services

A

Philippine Health Insurance Company (PhilHealth)

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24
Q

Improves doctor-to-patient ratio, upgrades hospital bed capacities and equipment, and establish more hospitals in remote areas

A

Universal Health Care (UHC) Bill into RA11223

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25
Q

When was PhilHealth Circular No. 2021-008 started?

A

November 26, 2020

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26
Q

Continuing Professional Development (CPD) Act of 2016

A

RA10912

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27
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

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28
Q

Amendments to the Revised Guidelines on CPD Program for All Registered and Licensed Professionals

A

PRC Resolution No. 2016-990

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29
Q

How many units should be credited and in every how many years?

A

45 credit units required for every 3 years

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30
Q

When was IRR of the Republic Act 10912 signed?

A

March 1, 2019

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31
Q

The process that gives a facility legal approval to operate

A

Licensure

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32
Q

True or False: Professionals working abroad shall not be covered by the CPD requirement during the period of their employment abroad

A

True

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33
Q

True or False: Newly licensed professionals are required to follow CPD requirements for their first renewal

A

False. They are exempted.

34
Q

True or False: CPD councils shall reduce the required CPD units to a minimum which shall not be more than 15 CPD units

A

True

35
Q

True or False: All seminars attended by licensed professionals should be recognized as CPD units and shall be accepted as valid for the renewal of their licenses

A

True

36
Q

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

A

Organizational Licensure

37
Q

an ongoing requirement for the health care organization to continue to operate and care for patients

A

Maintenance of licensure

38
Q

Gives a health care organization the authority to participate in several programs

A

Certification

39
Q

Certification usually 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 of individual practitioners

40
Q

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

A

Certification of organizations

41
Q

An external review process that an organization elects to undergo

A

Accreditation

42
Q

True or False: Accreditation is required

A

False. It is a voluntary process and not required by the law and regulation

43
Q

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

A

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

44
Q

3 Majors Organizations under PTAHF, INC.

A

ANSAP
AHA
PAGHAO

45
Q

4 key sections of PTAHF, INC.

A
  1. Standard development department
  2. Research and training
  3. Accreditation department
  4. Assessment monitoring department
46
Q

What agency introduced Hospital Accreditation Commission (HAC)?

A

Department of Health (DOH)

47
Q

True or False: Before HAC was created, DOH did the accreditation of hospitals through surveys

A

False. PhilHealth initially did the accreditation.

48
Q

An essential health care 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 and afford at every stage of development

A

Primary Health Care (WHO)

49
Q

2 types of Primary Health Care workers in PH

A

Barangay Health Workers (BHW)
Intermediate level primary health worker

50
Q

4 pillars of primary health care

A

Community participation
Intersectoral coordination
Appropriate technology
Support mechanism made available

51
Q

Governed by multiple state and federal laws and regulations in addition to those for licensure and certification

A

Health Care Information (Patient-Specific Information)

52
Q

Signature on a document

A

Authentication

53
Q

involves burning and shredding

A

Destruction of records

54
Q

“Guidelines for Defining the Health Record for Legal Purposes”

A

AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA)

55
Q

the documentation of the healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare provider organization

A

Legal Health Record (LHR)

56
Q

Documentation of the healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare provider organization

A

Legal Health Record (LHR)

57
Q

Includes records of care in any health-related setting used by healthcare professionals while providing patient care services, for reviewing patient data, or documenting oversations, actions, or instructions

A

Legal Health Record (LHR)

58
Q

True or False: Health records that are not official business records of a healthcare provider organization and records such as personal health records (PHRs) that are patient controlled, managed, and populated are excluded in the LHR

A

True

59
Q

Data from which interpretations, summaries, notes, etc., are derived

A

Patient-Identifiable Source Data

60
Q

Patient-identifiable data used for administrative, regulatory, healthcare operations, and payment (financial) purposes

A

Administrative Data

61
Q

Consists of information aggregated or summarized from patient records so that there are no means to identify patients

A

Derived Data

62
Q

True or False: When no specific retention requirement is made by the state, all patient information that is a part of the LHS should be maintained for at least 5 years

A

False. It should be maintained for at least as long as thee state’s statute of limitations or other regulations requires.

63
Q

Recommended retention standards

A

AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA)

64
Q

How many years should records for adults be retained after the most recent encounter?

A

10 years according to AHIMA

65
Q

How many years should patient health records for children be retained?

A

Until the person reaches the age of majority plus the time stated in the relevant statute of limitations according to AHIMA

66
Q

True or False: document to the destruction of records should be kept for 30 years

A

False. It should be maintained indefinitely.

67
Q

Created when the provider enters a unique code, biometric, or password that verifies his or her identity

A

Electronic Signatures

68
Q

An individual’s constitutional right to be left alone, to be free from unwanted publicity, and to conduct his or her life without it being made public

A

Privacy

69
Q

Individual’s right to limit access to his or her health care information

A

Privacy

70
Q

The expectation that information shared with a health care provider during the course of treatment will be used only for its intended purpose and not disclosed otherwise

A

Confidentiality

71
Q

Relies on trust

A

Confidentiality

72
Q

Philippine AIDS Prevention and Control Act of 1998; all results of HIV/AIDS testing shall be confidential

A

RA 8504

73
Q

When was RA 8504 approved?

A

Feb. 13, 1998

74
Q

What are the criteria for HIV/AIDS results to be released?

A

o Person who submitted himself/herself to such test
o Either parent of a minor child who has been tested
o Legal guardian in care of insane persons or orphans
o Person authorized to receive such results in conjunction with the AIDS WATCH program
o Justice of the Court of Appeals or the Supreme Court

75
Q

What are the examples of patient-identifiable source data?

A

 Analog and digital patient photographs for identification purposes only
 Audio of dictation
 Audio of patient telephone call
 Diagnostic films and other diagnostic images from which interpretations are derived
 Electrocardiogram tracings from which interpretations are derived
 Fetal monitoring strips from which interpretations are derived
 Videos of office visits
 Videos of procedure
 Videos of telemedicine consultations

76
Q

Examples of Administrative Data

A

 Authorization forms for release of information
 Birth and death certificates
 Correspondence concerning requests for records
 Event history/audit trails
 Patient-identifiable claim

77
Q

Examples of Derived Data

A

 Accreditation reports
 Anonymous patient data for research purposes
 Best practice guidelines created from aggregate patient data
 Minimum Data Set (MDS) report
 Public health records
 Statistical reports

78
Q

Examples of documentation found in the LHR

A

o Advance directives
o Anesthesia records
o Care plan
o Consent for treatment forms
o Consultation reports
o Discharged instructions
o Discharge summary
o E-mail containing patient-provider or provider-provider communication

79
Q

It offers assessment and accreditation, including: research and development, training and capability building for assessors and implementers

A

Assessment monitoring department

80
Q

Tend to emphasize areas such as physical plant standards, fire safety, space allocations, and sanitation

A

Licensure regulation

81
Q

Elements of Primary Health Care

A
  • Education
  • Water and sanitation
  • Nutrition
  • Maternal and child health
  • Immunization
  • Prevention of endemic disease
  • Treatment
  • Drug availability

HIS 1st Shifting (2 decks)

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