Philippine Department of Health Flashcards
Major roles of DOH
- Leader in Health
- Enabler and Capacity Builder
- Administrator of Specific Services
Leadership role of DOH
> Planning and formulating policies of health programs and
services
> Monitoring and evaluating the implementation of health
programs, projects, research, training , and services;
> Advocating for health promotion and healthy lifestyles
Enabler and capacity builder role of DOH
> Providing logistical support to LGUs
Serving as the lead agency in health and medical research
Protecting standards of excellence in the training and education of health care providers
at all levels of the health care system.
Administrator role of DOH
> Administrator of selected health facilities
Develop strategies for responding to emerging health needs
Provide leadership in health emergency preparedness and response services
An act by which the national government confers power and authority upon the various LGUs to perform specific functions
DEVOLUTION
Type of hospital that provides services for all kinds of illnesses, injuries or deformities.
GENERAL HOSPITAL
Type of hospital that offers services for a specific disease or condition of type of px (e.g., children, elderly, women)
SPECIALTY HOSPITAL
Teaching/training hospitals
LEVEL 3
Types of Hospitals
- GENERAL HOSPITAL
- SPECIALTY HOSPITAL
A type of facility that is categorized into A,B,C,D
OTHER HEALTH FACILITIES
Levels of General Hospitals
LV 1
LV 2
LV 3
First contact health care facility that offers basic services including emergency services and provision for normal deliveries
CATEGORY A: PRIMARY CARE FACILITY
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 and a reduced degree of independence in activities of daily living, and
patients in need of rehabilitation. (eg. Psychiatric facilities, drug rehab, sanitarium, nursing homes)
CATEGORY B: CUSTODIAL CARE FACILITY
a facility which does
examination of human body, specimens from the human body
for the diagnosis, sometimes
treatment of disease, or water
for drinking. (e.g. Lab facility, radiologic facility, nuclear facility)
CATEGORY C: DIAGNOSTIC/THERAPEUTIC FACILITY
A health facility that provides long-term care, including basic services
CATEGORY B: CUSTODIAL CARE FACILITY
First contact health care facility
CATEGORY A: PRIMARY CARE FACILITY
Performs highly
specialized
procedures on
outpatient basis
(e.g. dialysis
clinic,
chemotherapy
center, rehab
center)
CATEGORY D: SPECIALIZED OUTPATIENT FACILITY
Primary Care Facility
CATEGORY A
CUSTODIAL CARE FACILITY
CATEGORY B
DIAGNOSTIC/THERAPEUTIC FACILITY
CATEGORY C
SPECIALIZED OUTPATIENT FACILITY
CATEGORY D
CATEGORY A: ______
CATEGORY B: ______
CATEGORY C: ______
CATEGORY B: ______
- PRIMARY CARE FACILITY
- CUSTODIAL CARE FACILITY
- DIAGNOSTIC, THERAPEUTIC FACILITY
- SPECIALIZED OUTPATIENT FACILITY
Types of other health facilities
- CATEGORY A: PRIMARY CARE
- CATEGORY B: CUSTODIAL CARE
- CATEGORY C: DIAGNOSTIC/THERAPEUTIC
- CATEGORY D: SPECIALIZED OUTPATIENT
Commonly known as the health center
RURAL HEALTH UNIT (RHU)
A primary health facility in the municipality. Also known as the health center
RHU: RURAL HEALTH UNIT
The focus of RHU
PREVENTIVE & PROMOTIVE HEALTH SERVICES AND THE SUPERVISION OF BHSs under its junction
Its focus is preventive and promotive health services and supervision of BHs under its jurisdiction
RHU- Rural Health Unit
Recommended ratio of RHU to catchment population
1 RHU: 20, 000
First-contact health care facility that offer basic services at the barangay level
BARANGAY HEALTH STATION (BHS)
It is the satellite station of the RHU. It is manned by volunteer Barangay Health
workers (BHWs) under the supervision of Rural Health Midwife (RHM) (DOH,
2001)
BARANGAY HEALTH STATION (BHS)
- Administrator of RHU
- Community Physician
- Medico-legal officer of the municipality
MUNICIPAL HEALTH OFFICER (MHO) or Rural Health Physician
- Supervises and guides all RHMs
- Prepares quarterly and annual reports
- Utilizes nursing process in responding to health needs
- collaborates with other members of health team
PUBLIC HEALTH NURSE (PHN)
- Manages BHS and supervises and trains BHW
- Provides midwifery services
- Conducts patients assessment and diagnosis for
referrals - performs health information, education and
communication services - facilitate barangay health planning
RURAL HEALTH MIDWIFE (RHM)
- ensuring a healthy physical environment in the
municipality
RURAL SANITATION INSPECTOR
- Considered as the interface between the
community and the RHU
BARANGAY HEALTH WORKERS (BHW)
Who are the rural health unit personel?
- MUNICIPAL HEALTH OFFICER (MHO)
- PUBLIC HEALTH NURSE (PHN)
- RURAL HEALTH MIDWIFE (RHW)
- RURAL SANITATION INSPECTOR
- BARANGAY HEALTH WORKERS
The RA of Local Government code that was enacted to bring about genuine and meaningful local autonomy.
RA 7160
It mandates devolution of basic services from the national government to LGUs.
RA 7160
The city/municipal health board shall be headed by the _____ as chairman,
MUNICIPAL MAYOR
Chairman of the municipal health board
MUNICIPAL MAYOR
Vice-chairman and chairman of the committee on health of sangguniang bayan
MUNICIPAL HEALTH OFFICER
RA 7160
LOCAL GOVERNMENT CODE
Functions of the local health board:
- To propose to the sanggunian concerned in accordance w/ the standards and criteria set by DOH
- To serve as advisory committee to sanggunian concerned on health matters
- Create committees
set of activities undertaken by health provider in response to its inability to provide diagnostic and therapeutic
intervention.
REFERRAL
a two-way relationship between health facilities ensuring continuity and complementation of Health and Services
REFERRAL SYSTEM
ensures that services needed to
be delivered at the lower level
are in fact delivered.
FUNCTIONAL REFERRAL SYSTEM
referral made by the individuals
themselves to higher centers
(hospitals) by-passing lower level
facilities based on perceived
inadequacy on the lower level.
SELF-REFERRAL SYSTEM
2 Types of Referral System
- Functional Referral System
- Self Referral System
Types of Referrals
- External
- Internal
- Public-Private Agencies
External referral from lower to higher, referral for higher to lower
VERTICAL
External referral from one facility to another with same level but different catchment
HORIZONTAL
referral within the facility from one personnel to another.
INTERNAL
referral from public
sector /agency to private organization or NGO vice versa
PUBLIC-PRIVATE AGENCIES
is a generic term used by
WHO to describe an
integrated health
management and
delivery system
based on a defined
administrative and
geographical area.
INTER-LOCAL HEALTH ZONE (ILHZ)
___ as a form of inter-
LGU cooperation is
established in order to
better protect the public
or collective health of
their community, assure
the constituents access
to a range of services
necessary to meet
health care needs of
individuals, and to
manage their limited
resources for health
more efficiently and
equitably.
ILHZ: Inter-Local Health Zone
Components of ILHZ
- People
- Boundaries
- Health Facilities
- Health Workers
Administrative Order _____ : New Classification of Hospitals and Other Health Facilities
NO. 2021 - 0012
Administrative Order No. 2012-0012
NEW CLASSIFICATION OF HOSPITALS AND OTHER HEALTH FACILITIES
Evolution of Hospital Nomenclature:
AO No. 68-A s. 1989
PRIMARY
SECONDARY
TERTIARY (non-teaching)
Tertiary (Teaching)
AO No. 70- A s. 2002
INFIRMARY
1ST LEVEL REFERRAL HOSP
2ND LEVEL REFERRAL HOSP
3RD LEVEL REFERRAL HOSP
AO No. 147 s. 2004
INFIRMARY
PRIMARY CARE HOSPITAL
SECONDARY CARE HOSPITAL
TERTIARY CARE HOSPITAL
AO No. 2005-0029
Level 1
Level 2
Level 3
Level 4
RA 4226
LEGAL BASIS FOR DEFINING A HOSPITAL
According to RA 4226, hospitals can be classified to:
GENERAL OR SPECIAL
SERVICE CAPACITY
SIZE OR BED CAPACITY
TRAINING OR NOT
What sections of RA 4226 are the legal basis for defining a hospital?
SECTION 2, 8, 16
Classification of hospitals according to Ownership:
A. GOVERNMENT
B. PRIVATE
Created by law. A government health facility may be under the national
government, DOH, Local Government Unit (LGU)
GOVERNMENT
___ owned, established and operated with funds through donation, principal,
investment or other means by any individual, corporation, association or organization. It may be single proprietorship,
partnership, corporation, cooperative, foundation, religious, non-
government organization and others.
PRIVATE
Classification of Hospital according to Scope of Services
A. GENERAL
B. SPECIALTY
A hospital that provides services for all kinds of
illnesses, diseases, injuries or deformities.
GENERAL HOSPITAL
Services of General Hospital
1.Clinical Services:
a. Family Medicine;
b. Pediatrics;
c. Internal Medicine;
d. Obstetrics and Gynecology;
e. Surgery;
- Emergency Services;
- Outpatient Services;
- Ancillary and Support Services, clinical laboratory,
imaging facility and pharmacy.
A hospital that specializes in a particular disease or
condition or in one type of patient.
SPECIALTY
Examples of specialty hospital
- National Center for Mental Health
- Philippine Heart Center
- Lung Center of the Philippines
Provides medical and surgical care to the sick and injured and
maternity care and shall have as minimum, the following
clinical services: medicine, pediatrics, obstetrics and
gynecology, surgery and anesthesia, emergency services, out-patient and ancillary services.
GENERAL HOSPITAL
Specializes in a particular disease or condition or in one type of
patient.
SPECIALTY HOSPITAL
Classification of Hospital according to Functional Capacity
A. GENERAL
B. SPECIALTY
Classification of hospital according to Trauma Capability
A. TRAUMA-CAPABLE FACILITY
B. TRAUMA-RECEIVING FACILITY
a first-contact healthcare
facility that offers basic services including emergency service and
provision for normal deliveries.
CATEGORY A: PRIMARY CARE FACILITY
Category A: Primary Care Facility is subdivided to:
- WITH IN-PATIENT BEDS
- WITHOUT BEDS
Category A: Primary Care Facility— a short stay facility where a short (average of
one to three days) length of time is spent by patients before discharge.
Ex: Birthing home & Infirmary
WITH-IN PATIENT BEDS
— a homelike facility that provides maternity service on pre-
natal and post-natal care, normal spontaneous delivery, and care of newborn babies.
BIRTHING HOME
Examples of Primary Care Facility with In-patient beds
INFIRMARY
BIRTHING HOME
Category A: Primary Care Facility:
—-a facility where medicine, medical and/or
dental examination/treatment is dispensed.
Ex: Medical outpatient clinic, Medical facility for overseas workers and seafarers, dental clinic
Without beds
Example of Category B: Custodial Care Facility
- Custodial Psychiatric Care Facility;
- Substance/Drug Abuse Treatment and Rehabilitation Center;
- Sanitarium/Leprosarium;
- Nursing Home
a facility that examines the
human body or specimens from the human body (except laboratory for drinking
water analysis) for the diagnosis, sometimes treatment of diseases.
CATEGORY C: Diagnostic/Therapeutic Facility
Examples of Laboratory Facility
a. Clinical Laboratory;
b. Human Immunodeficiency Virus (HIV) Testing Laboratory;
c. Blood Service Facility;
d. Drug Testing Laboratory;
e. Newborn Screening Laboratory;
f. Laboratory for Drinking Water Analysis.
a facility, presently regulated by PNRI, embracing all applications of radioactive materials in diagnosis, treatment or
in medical research, with the exception of the use of sealed radiation
NUCLEAR MEDICINE FACILITY
a facility with highly competent and trained staff that performs highly specialized procedures on an out-patient basis.
CATEGORY D: Specialized Out-Patient Facility
Examples of Category D: Specialized Out-Patient Facility
a. Dialysis Clinic;
b. Ambulatory Surgical Clinic;
c. In-Vitro Fertilization Center;
d. Stem Cell Facility;
e. Oncology Chemotherapeutic Center/Clinic;
f. Radiation Oncology Facility;
g. Physical Medicine and Rehabilitation Center/Clinic.
Classification of Other Health Facilities
A - PRIMARY CARE FACILITY
B - CUSTODIAL CARE FACILITY
C - DIAGNOSTIC / THERAPEUTIC FACILITY
D - SPECIALIZED OUT-PATIENT FACILITY
PTC
PERMIT TO CONSTRUCT
CHD
CENTER FOR HEALTH DEVELOPMENT
Regional health office of DOH
CHD- Center for Health Development
BHFS
BUREAU OF HEALTH FACILITIES AND SERVICES
LTO
LICENSE TO OPERATE
OSS
ONE STOP SHOP
These rules and regulations shall be enforced on New Hospitals applying for LTO.
TRANSITORY PROVISIONS
Grace period of Hospitals categorized as Level 2, 3, 4, applying for renewal of LTO
3 YEARS
Existing Level 1 health facilities which cannot comply
with the provisions stated in Sections 2, 8 and 16 of
R.A. 4226, shall be
RE-CLASSIFIED TO “OTHER HEALTH FACILITIES”
CON
Certificate of Need
This requirement shall only apply to proposed new government general hospital
CERTIFICATE OF NEED
Private individuals or corporations who shall establish
new general hospitals shall no longer be required to
secure a ___________
CERTIFICATE OF NEED
Proposed new private general hospitals should have
at least ________
100 BEDS
Philippine Health Care Delivery
PRIMARY
SECONDARY
TERTIARY
Evaluation Criteria of Primary Health Needs
- Responsiveness to health needs
- Access and equitable health care
- Relevance to health care needs
- Health care outcomes
“In matters of ____, I believe
our world is out of ____, possibly as
never before in history. We have
never had such a sophisticated
_____ of technologies for
treating disease and prolonging
life. Yet the _____ in health outcomes
keep getting _____.”
HEALTH
BALANCE
ARSENAL
GAPS
WIDER
Education & Prevention
Ex: Bgy. Health Stations, Rural
Health Units/ Health Centers,
Clinics, Dispensaries
Promotive&
Preventive Care
Early detection & Routine Care
Ex: Infirmaries (Level
1 Category
Hospitals), Community,
Municipal
& District
Hospitals, Birthing Homes,
Ambulatory Surgical Clinics
PRIMARY CARE
Emergency Treatment & Critical Care
Ex: City, Provincial, Level 1
Category Hospitals
SECONDARY CARE
Specialized Care & Rehabilitation
Ex: National, Regional, Level 2
and 3 Category Hospital,
Medical Centers, Teaching/
Training Hospitals
TERTIARY CARE
- Intermediate & Follow-up Care
- Home Care
EX: National, Regional, Level 2
and3 Category Hospital,
Medical Centers, Teaching/
Training Hospitals, Rehab
Facilities
RESTORATIVE CARE
Long Term & Chronic Care Personal Care Hospice Care
Ex: Hospice Care, Custodial &
Chronic Care Facilities,
Retirement, Institutional
Care Facilities
CONTINUING CARE
Philippine Health Agenda 2016-2022 slogan
ALL FOR HEALTH TOWARDS HEALTH FOR ALL
The health system we aspire for
- Financial Protection
- Better health outcomes
- Responsiveness
- Equitable and inclusive to all
- Transparent and accountable
- Uses resources efficiently
- Provide high quality services
Filipinos, especially the
poor, marginalized, a n d
vulnerable are protected f rom high cost of health care
FINANCIAL PROTECTION
Filipinos attain the
b e s t possible health
o u t c o m e s with n o
disparity
BETTER HEALTH OUTCOMES
Filipinos feel
respected, valued, a n d
e m p o w e r e d in all of
their interaction with
the health s y s t e m
RESPONSIVENESS
What are the milestone of Philippine health agenda 2016-2022?
- DEVOLUTION
- USE OF GENERICS
- MILK CODE
- PHIL HEALTH (1995)
- DOH RESOURCES to promote local health system management
- Fiscal autonomy for government hospitals
- Good Governance programs
- Funding for UHC
Poor quality and undignified care synonymous with public clinics and hospitals
- Long wait times
- Limited autonomy to choose provider
- Less than hygienic restrooms, lacking amenities
- Privacy and confidentiality taken lightly
- Poor record keeping
- Overcrowding & under-provision of care
Persistent Inequities in Health outcomes
- Every year, 2000 mothers die due to pregnancy related-complications
- A Filipino child born to the
poorest family is 3 times more likely to not reach his
5th birthday, compared to
one born to the richest family. - Three out of 10
children are
stunted.
Restrictive and Impoverishing Healthcare Costs
- Eve r y year, 1.5 million
families are p u s h e d to
poverty d u e to health
care expenditures - Filipinos fo r e go or delay
care d u e to prohibitive
a n d unpredictable user
fees or c o -p a y m e n t s - P h p 4 , 0 0 0 / m o n t h
healthcare e x p e n s e s
co n s i dere d
catastrophic for single
i n c o m e families
All for Health Towards Health for All
Philippine Public Health Agenda 2016-2022
One of the priority agendas of President Ferdinand R. Marcos Jr.
AFFORDABLE HEALTH CARE FOR ALL
Strategy of AMBISYON NATIN 2040
ACHIEVE
Values of AMBISYON
- EQUITY
- QUALITY
- EFFICIENCY
- TRANSPARENCY
- ACCOUNTABILITY
- SUSTAINABILITY
- RESILIENCE
3 Guarantees of AMBISYON NATIN 2040
- All Life Stages & Triple Burden of Disease
- Service Delivery Network
- Universal Insurance
Who established AMBISYON NATIN 2040?
PRES. RODRIGO DUTERTE
Financial Freedom when Accessing Services
UNIVERSAL HEALTH INSURANCE
Functional Network of Health Facilities
SERVICE DELIVERY NETWORK
Services for Both the Well & the Sick
ALL LIFE STAGES & TRIPLE BURDEN OF DISEASE
National agency mandated to lead the health sector towards assuring quality health care to all Filipinos.
DOH
