UNIT 1: Health Care Information Regulations, Laws and Standards Flashcards
What is the basic duty of the government?
To serve the public
Communism:
problem is their fairness to all
EQUALITY:
Lahat kau pare-pareho regardless of report
EQUITY:
bibigay lng kung ano kailangan mo para maachieve ang equal
All or none is/are the intermediate primary level health workers
A. Barangay health workers
C. Nurses
B. Doctors
D. Midwives
A. Barangay health workers
All or none is/are the main sources of financing
A. Government fund
B. Social insurance
C. Out of pocket
D. Universal health care
A. Government fund
According to the AHIMA data privacy regulation, the patients’ record should retain up to
A. 1 year
B. 5 years
C. 10 years
D. 15 years
C. 10 years
main sources of financing
-national and local government
-insurance
-user fees
-donors
health care delivery system
Both health facilities and health human resources
good health care outcomes:
-increase life expectancy
-all except high birth rates
-low death rates
-high birth rates
-all except high birth rates
refers to decisions, plans, and
actions that are undertaken to achieve
specific health care goals within a
society.
health policy
universal health bill
R.A. 11223
gives a facility legal approval to operate.
Licensure
health care organization the authority to participate in several programs
Certification
Health Facilities
- Government hospitals
- Private hospitals
- Primary health care facilities
1224 hospitals
2587 city/rural health centers
20,216 village health stations
The main drivers of the health care system and are essential for the
efficient management and operation of the public health system.
health human resources
They are the health educators and providers of health services
health human resources
it outlines priorities and the
expected roles of different groups; and
it builds consensus and informs people.
health policy
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.
R.A. 11223(universal healthcare bill)
- the Philippine Health Insurance Company (PhilHealth) will have
expanded coverage to include free consultation fees, laboratory tests
and other diagnostic services.
R.A. 11223(universal healthcare bill)
- to improve doctor-to-patient ratio, upgrades hospital bed capacities
and equipment and established more hospitals in remote areas.
Universal Health Care (UHC) Bill into law
(Republic Act No. 11223)
R.A. 11223(universal healthcare bill)
“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 C19IP1, C19IP2, C19IP3, and C19IP4. Claims shall be
processed and paid based on the applicable guidelines set in PhilHealth
CircularNo. 2020-0009.”
Phil health Circular no. 2021-008
an external review process that an organization elects to
undergo.
Accreditation
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(hospital/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 and may be renewed periodically through
payment of a fee and/or proof of continuing education or
professional competence.
LICENSURE TO INDIVIDUALS/PROFESSIONALS
CPD Act of 2016
RA10912
❖Amendments to the Revised Guidelines on CPD Program for All
Registered and Licensed Professionals
PRC Resolution No. 2016-990
❖Initially 45 Credit units required for every 3 years
PRC Resolution No. 2016-990
✔Professionals working abroad shall not be covered by the CPD
requirement during the period of their employment abroad.
IRR of the Republic Act 10912 (March 1, 2019)
✔Newly licensed professionals shall be exempted from CPD
requirements for their first renewal
IRR of the Republic Act 10912 (March 1, 2019)
✔CPD councils shall reduce the required CPD units to a minimum
which shall not be more than 15 CPD units
IRR of the Republic Act 10912 (March 1, 2019)
✔All seminars attended by licensed professionals should be
recognized as CPD units and shall be accepted as valid for the
renewal of their licenses
IRR of the Republic Act 10912 (March 1, 2019)
granted following an on-site inspection to determine if
minimum health and safety standards have been met.
ORGANIZATIONAL LICENSURE
is an ongoing requirement for
the health care organization to continue to operate and
care for patients
Maintenance of licensure (ORGANIZATIONAL 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
is made following a periodic on-site evaluation by a team of
peer reviewers, typically conducted every two to three years.
- Accreditation decision
CPD
CONTINUING PROFESSIONAL DEVELOPMENT
PTAHF, Inc.
Philippine Tripartite Accreditation for
Health Facilities, Inc.
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.
PTAHF, Inc.
3 Major organization of PTAHF, Inc.
*ANSAP
*AHA
* PAGHAO