Unit 1 - Healthcare Info Regulations, Laws and Standards Flashcards
What are the three major components of the Ph Healthcare System?
- Health Financing
- Healthcare Delivery System
- Health Outcomes
What are the four main sources of financing?
- National & Local Gov
- Insurance (gov & private)
- User fees/out of pocket
- Donors
2 components of healthcare delivery system?
- Health Facilities
- Health Human Resources
The health facilities may be composed of? (3)
- Gov hospitals
- Priv hospitals
- Primary healthcare facilities
how many hospitals, according to the DOH back in 2016, are established here in the Ph?
1224 hospitals
how many city/rural health centers, according to the DOH back in 2016, are established here in the Ph?
2587 city/rural health centers
how many village health stations, according to the DOH back in 2016, are established here in the Ph?
20,216 village health stations
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?
Health Human Resource
or health educators & healthcare providers
Health outcomes may be classified into two, what are these?
- Life expectancy
- Deaths & Births
this age group composes the 20% of the Ph popu
ilang taon? ano range ng taon? 12-15 yrs old kunwari lol
15-24
5-14 = 21% of the popu (Aug 2015 both data)
this refers to decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society
Health policy
This outlines priorities and the expected roles of different groups; and it builds consensus and informs people
Health policy
The Universal Health Care law is also known as RA?
RA 11223
this law states that everybody should have equal exposure to health services, these should be available to all. what is this law?
RA 11223 (UHC law)
why do we need private health institutions?
because the gov can’t supply the rest of the population
Under RA 11223 (UHC), which company will have expended coverage to include free consultation fees. lab tests, and other diagnostic services?
Philippine Health Insurance Company (PhilHealth)
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…”
PhilHealth Circular no. 2021-008
what do you call the process that gives a facility legal approval to operate?
Licensure
what gives a health care organization the authority to participate in several programs?
Certification
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.
Accreditation
Yes or no
Is accreditation mandatory?
No
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 ____?
Licensure; Certification
All healthcare facilities must have a ____ to operate.
license
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?
licensure
RA what is the CPD Act of 2016?
RA 10912
What is CPD in CPD Act of 2016?
Continuing Professional Development
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.
PRC Resolution No. 2016-990
____ is an ongoing requirement for the health care organization to continue to operate and care for patients
Maintenance of licensure
____ 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
____ 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
this is 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
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 organization of the PTAHF, Inc.?
- ANSAP
- AHA
- PAGHAO
4 key sections of the PTAHF, Inc.
- Standard Development Dept
- Research and Training
- Accreditation Dept
- Assessment and Monitoring Dept
DOH introduced the ____ to accredit hospitals
HAC (Health Accreditation Commission)
B4 HAC, PhilHealth did the accreditation f hospis through surveys
