U1.1-1.2: Philippine Healthcare System, Policies, and Initiatives Flashcards
All or none is/are the intermediate primary level health workers.
A. Barangay health workers
B. Doctors
C. Nurses
D. Midwives
A. Barangay Health Workers
4 Main Sources of Health Financing
national and local government
insurance (government and private)
user fees/ out of pocket
donors
2 components of health care delivery system
health facilities
health human resource
3 types of health facilities
government hospitals
private hospitals
primary health care facilities
the main drivers of the health care system and are essential for the efficient management and operation of the public health system
health human resource
the health educators and providers of health services
health human resource
2 types of health outcomes
life expectancy
deaths and births
refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society
health policy
outlines priorities and the expected roles of different groups and builds consensus and informs people
health policy
Universal Health Care (UHC) Bill into law
Republic Act No. 11223
Identify the bill/ law:
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.
Universal Health Care (UHC) Bill into Law (Republic Act No. 11223)
company that will have expanded coverage to include free consultation fees, laboratory tests, and other diagnostic services
Philippine Health Insurance Company (Phil Health)
identify the bill/law:
aims to improve doctor-to-patient ratio, upgrade hospital bed capacities and equipment, and establish more hospitals in remote areas
Universal Health Care (UHC) Bill into Law (Republic Act No. 11223)
“Only confirmed COVID-19 cases by RT-PCR test who have developed severe illness or are with clinical and diagnostic manifestations of COVID-19 that require hospital admissions starting November 26, 2020 shall be eligible to claim for COVID-19 inpatient packages with package codes.”
PhilHealth Circular no. 2021-008
the process that gives a facility legal approval to operate
licensure
gives a health care organization the authority to participate in several programs
certification
an external review process that an organization elects to undergo
accreditation
T/F:
Accreditation is required for all organizations.
False
all facilities must have a license to operate, and it is generally the state department of health or a similar agency that carries out the licensure function
licensure to hospitals/ facilities
tend to emphasize areas such as physical plant standards, fire safety, space allocations, and sanitation
licensure regulations
usually granted after some form of examination or proof of education
licensure to individuals or professionals
3 ways the licensure of individuals/ professionals can be renewed
payment of a fee
proof of continuing education
professional competence
Identify what RA no:
CPD Act of 2016
RA 10912
amendments to the revised guidelines on CPD Program for all registered and licensed professionals
PRC Resolution No. 2016-990
PRC Resolution No. 2016-990 initially require ___ credit units for every ___ years.
45
3
IRR of the Republic Act 10912 date
March 1, 2019
T/F:
IRR of the Republic Act 10912:
Professionals working abroad shall be covered by the CPD requirement.
False;
not covered during the period of their employment abroad
T/F:
IRR of the Republic Act 10912:
Newly licensed professionals shall be exempted from CPD requirements.
True;
exempted for their first renewal
T/F:
IRR of the Republic Act 10912:
CPD councils shall reduce the required CPD units to a minimum which shall not be more than 20 CPD units.
False;
not more than 15 CPD units
T/F:
IRR of the Republic Act 10912:
All seminars attended should be recognized as CPD units.
True
granted following an on-site inspection to determine if minimum health and safety standards have been met
organizational licensure
an ongoing requirement for the health care organization to continue to operate and care for patients
maintenance of licensure
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 applied to individual practitioners
certification usually implies that the organization has additional services, technology, or capacity beyond those found in similar organizations
certification applied to an organization
often a voluntary process in which organizations choose to participate, rather than one required by law and regulation
accreditation
usually regarded as optimal and achievable, and are designed to encourage continuous improvement efforts within accredited organizations
accreditation standards
made following a periodic on-site evaluation by a team of peer reviewers, typically conducted every 2-3 years
accreditation decision
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 Accreditation for Health Facilities, Inc. (PTAHF, Inc.)
3 major organizations of PTAHF
- Association of Nursing Service Administrators of the Philippines (ANSAP)
- Association of Hospital Administrators (AHA)
- Philippine Association of Government Hospital Administrative Officers (PAGHAO)
4 key sections of PTAHF
- standard development department
- research and training
- accreditation department and assessment and monitoring department
- offers assessment and accreditation, including:
- research and development
- training and capability building for assessors and implementers
What organization introduced the Hospital Accreditation Commission (HAC)?
Department of Health (DOH)
Before HAC was created, what organization did the accreditation of hospitals through surveys?
PhilHealth
