PH HEALTHCARE SYSTEM Flashcards
1
Q
Number of bed per 1000 people
A
1.2 beds
2
Q
Number of pharmacies
A
29 000
3
Q
Percentage of nurses
A
90%
4
Q
Percentage of doctors
A
<10%
5
Q
Healthcare cost in the country
A
P1.18T
6
Q
Funds of the DOH
A
P270B
7
Q
Percent of out of pocket
A
41.5%
8
Q
Percent of government schemes
A
50.3%
9
Q
Percent of private health insurance
A
8.2%
10
Q
Where power is transferred from national to local government
A
devolution
11
Q
Four main sources of financing
A
National and Local government
Insurance (government and private)
User fees/out of pocket
Donors
12
Q
How many hospitals are there
A
1224 hospitals
13
Q
Number of city/rural health centers
A
2587
14
Q
Number of village health stations
A
20 216
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
16
Q
Projected life expectancy in 2020
A
male: 70.01
female: 75.54
mean: 72.77
17
Q
Birth rate per 1000 people in 2018
A
20.55
18
Q
Death rate per 1000 people in 2018
A
5.873
19
Q
Refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society
A
Health Policy
20
Q
They are the health educators and providers of health service
A
Health Human Resource
21
Q
It outlines priorities and the expected roles of different groups; and it builds consensus and informs people
A
Health Policy
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
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)
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
25
When was PhilHealth Circular No. 2021-008 started?
November 26, 2020
26
Continuing Professional Development (CPD) Act of 2016
RA10912
27
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
Licensure to Individuals/Professionals
28
Amendments to the Revised Guidelines on CPD Program for All Registered and Licensed Professionals
PRC Resolution No. 2016-990
29
How many units should be credited and in every how many years?
45 credit units required for every 3 years
30
When was IRR of the Republic Act 10912 signed?
March 1, 2019
31
The process that gives a facility legal approval to operate
Licensure
32
True or False: Professionals working abroad shall not be covered by the CPD requirement during the period of their employment abroad
True
33
True or False: Newly licensed professionals are required to follow CPD requirements for their first renewal
False. They are exempted.
34
True or False: CPD councils shall reduce the required CPD units to a minimum which shall not be more than 15 CPD units
True
35
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
True
36
Granted following an on-site inspection to determine if minimum health and safety standards have been met
Organizational Licensure
37
an ongoing requirement for the health care organization to continue to operate and care for patients
Maintenance of licensure
38
Gives a health care organization the authority to participate in several programs
Certification
39
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
Certification of individual practitioners
40
Certification usually implies that the organization has additional services, technology, or capacity beyond those found in similar organizations
Certification of organizations
41
An external review process that an organization elects to undergo
Accreditation
42
True or False: Accreditation is required
False. It is a voluntary process and not required by the law and regulation
43
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
PHILIPPINE TRIPARTITE ACCREDICATION FOR HEALTH FACILITIES, INC. (PTAHF, INC.)
44
3 Majors Organizations under PTAHF, INC.
ANSAP
AHA
PAGHAO
45
4 key sections of PTAHF, INC.
1. Standard development department
2. Research and training
3. Accreditation department
4. Assessment monitoring department
46
What agency introduced Hospital Accreditation Commission (HAC)?
Department of Health (DOH)
47
True or False: Before HAC was created, DOH did the accreditation of hospitals through surveys
False. PhilHealth initially did the accreditation.
48
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
Primary Health Care (WHO)
49
2 types of Primary Health Care workers in PH
Barangay Health Workers (BHW)
Intermediate level primary health worker
50
4 pillars of primary health care
Community participation
Intersectoral coordination
Appropriate technology
Support mechanism made available
51
Governed by multiple state and federal laws and regulations in addition to those for licensure and certification
Health Care Information (Patient-Specific Information)
52
Signature on a document
Authentication
53
involves burning and shredding
Destruction of records
54
“Guidelines for Defining the Health Record for Legal Purposes”
AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA)
55
the documentation of the healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare provider organization
Legal Health Record (LHR)
56
Documentation of the healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare provider organization
Legal Health Record (LHR)
57
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
Legal Health Record (LHR)
58
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
True
59
Data from which interpretations, summaries, notes, etc., are derived
Patient-Identifiable Source Data
60
Patient-identifiable data used for administrative, regulatory, healthcare operations, and payment (financial) purposes
Administrative Data
61
Consists of information aggregated or summarized from patient records so that there are no means to identify patients
Derived Data
62
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
False. It should be maintained for at least as long as thee state's statute of limitations or other regulations requires.
63
Recommended retention standards
AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA)
64
How many years should records for adults be retained after the most recent encounter?
10 years according to AHIMA
65
How many years should patient health records for children be retained?
Until the person reaches the age of majority plus the time stated in the relevant statute of limitations according to AHIMA
66
True or False: document to the destruction of records should be kept for 30 years
False. It should be maintained indefinitely.
67
Created when the provider enters a unique code, biometric, or password that verifies his or her identity
Electronic Signatures
68
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
Privacy
69
Individual’s right to limit access to his or her health care information
Privacy
70
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
Confidentiality
71
Relies on trust
Confidentiality
72
Philippine AIDS Prevention and Control Act of 1998; all results of HIV/AIDS testing shall be confidential
RA 8504
73
When was RA 8504 approved?
Feb. 13, 1998
74
What are the criteria for HIV/AIDS results to be released?
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
What are the examples of patient-identifiable source data?
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
Examples of Administrative Data
Authorization forms for release of information
Birth and death certificates
Correspondence concerning requests for records
Event history/audit trails
Patient-identifiable claim
77
Examples of Derived Data
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
Examples of documentation found in the LHR
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
It offers assessment and accreditation, including: research and development, training and capability building for assessors and implementers
Assessment monitoring department
80
Tend to emphasize areas such as physical plant standards, fire safety, space allocations, and sanitation
Licensure regulation
81
Elements of Primary Health Care
* Education
* Water and sanitation
* Nutrition
* Maternal and child health
* Immunization
* Prevention of endemic disease
* Treatment
* Drug availability
