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HIS > Unit 1 - Healthcare Info Regulations, Laws and Standards > Flashcards

Unit 1 - Healthcare Info Regulations, Laws and Standards Flashcards

1
Q

What are the three major components of the Ph Healthcare System?

A
  1. Health Financing
  2. Healthcare Delivery System
  3. Health Outcomes
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2
Q

What are the four main sources of financing?

A
  1. National & Local Gov
  2. Insurance (gov & private)
  3. User fees/out of pocket
  4. Donors
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3
Q

2 components of healthcare delivery system?

A
  1. Health Facilities
  2. Health Human Resources
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4
Q

The health facilities may be composed of? (3)

A
  1. Gov hospitals
  2. Priv hospitals
  3. Primary healthcare facilities
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5
Q

how many hospitals, according to the DOH back in 2016, are established here in the Ph?

A

1224 hospitals

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6
Q

how many city/rural health centers, according to the DOH back in 2016, are established here in the Ph?

A

2587 city/rural health centers

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7
Q

how many village health stations, according to the DOH back in 2016, are established here in the Ph?

A

20,216 village health stations

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8
Q

who (or what) are the main drivers of the healthcare system and are essential for the efficient management and operation of the public health system?

A

Health Human Resource

or health educators & healthcare providers

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9
Q

Health outcomes may be classified into two, what are these?

A
  1. Life expectancy
  2. Deaths & Births
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10
Q

this age group composes the 20% of the Ph popu

ilang taon? ano range ng taon? 12-15 yrs old kunwari lol

A

15-24

5-14 = 21% of the popu (Aug 2015 both data)

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11
Q

this refers to decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society

A

Health policy

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12
Q

This outlines priorities and the expected roles of different groups; and it builds consensus and informs people

A

Health policy

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13
Q

The Universal Health Care law is also known as RA?

A

RA 11223

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14
Q

this law states that everybody should have equal exposure to health services, these should be available to all. what is this law?

A

RA 11223 (UHC law)

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15
Q

why do we need private health institutions?

A

because the gov can’t supply the rest of the population

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16
Q

Under RA 11223 (UHC), which company will have expended coverage to include free consultation fees. lab tests, and other diagnostic services?

A

Philippine Health Insurance Company (PhilHealth)

17
Q

PhilHealth Circular no. what is this?

“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…”

A

PhilHealth Circular no. 2021-008

18
Q

what do you call the process that gives a facility legal approval to operate?

A

Licensure

19
Q

what gives a health care organization the authority to participate in several programs?

A

Certification

20
Q

what do you call the external review process that an organization elects to undergo?

this is where you are subjecting yourself to external quality review.

A

Accreditation

21
Q

Yes or no

Is accreditation mandatory?

A

No

22
Q

first should be license, then certificate, then accreditation. ____ is just merely having the license to have a brand. But identifying yourself as something, that’s ____?

A

Licensure; Certification

23
Q

All healthcare facilities must have a ____ to operate.

A

license

24
Q

what is 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

25
Q

RA what is the CPD Act of 2016?

A

RA 10912

26
Q

What is CPD in CPD Act of 2016?

A

Continuing Professional Development

27
Q

This resolution gave amendments to the Revised Guidelines on CPD Program for All Registered and Licensed Professionals wherein initially, 45 Credit units are required for every 3 years.

A

PRC Resolution No. 2016-990

28
Q

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

A

Maintenance of licensure

29
Q

____ 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

30
Q

____ 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

31
Q

this is often a voluntary process in which organizations choose to
participate, rather than one required by law and regulation.

A

Accreditation

32
Q

usually regarded as optimal and achievable, and are designed
to encourage continuous improvement efforts within accredited organizations.

A

Accreditation Standards

33
Q

____ is made following a periodic on-site evaluation by a team of peer reviewers, typically conducted every two to three years

A

Accreditation decision

34
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 Accreditation for Health Facilities, Inc. (PTAHF, Inc.)

35
Q

3 major organization of the PTAHF, Inc.?

A
  1. ANSAP
  2. AHA
  3. PAGHAO
36
Q

4 key sections of the PTAHF, Inc.

A
  1. Standard Development Dept
  2. Research and Training
  3. Accreditation Dept
  4. Assessment and Monitoring Dept
37
Q

DOH introduced the ____ to accredit hospitals

A

HAC (Health Accreditation Commission)

B4 HAC, PhilHealth did the accreditation f hospis through surveys

HIS (7 decks)

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