Podcast
Questions and Answers
Who is the chairperson of the provincial health board?
Who is the chairperson of the provincial health board?
- City mayor
- Provincial governor (correct)
- City health officer
- Provincial health officer
Which member is specifically included in the composition of the provincial health board?
Which member is specifically included in the composition of the provincial health board?
- Department of Education representative
- City councilor
- ICC/IP representative (correct)
- Local business representative
What is the primary responsibility of the provincial or city health boards?
What is the primary responsibility of the provincial or city health boards?
- To oversee healthcare staff
- To provide healthcare services directly
- To set policy and strategic directions (correct)
- To manage healthcare financing
Who serves as the vice-chairperson in a highly urbanized city health board?
Who serves as the vice-chairperson in a highly urbanized city health board?
In which type of health board is there always a part of the indigenous cultural communities?
In which type of health board is there always a part of the indigenous cultural communities?
Which individual is commonly included as a member of both provincial and city health boards?
Which individual is commonly included as a member of both provincial and city health boards?
What does the acronym HUC stand for in the context of health boards?
What does the acronym HUC stand for in the context of health boards?
Which of the following is NOT a member of the provincial health board as listed?
Which of the following is NOT a member of the provincial health board as listed?
Which position corresponds to the vice-chairperson in a provincial health board?
Which position corresponds to the vice-chairperson in a provincial health board?
What does HCPN stand for?
What does HCPN stand for?
Which level of care does HCPN include?
Which level of care does HCPN include?
What is the primary role of the MHO in HCPN?
What is the primary role of the MHO in HCPN?
What is the main objective of the DOH AO No. 2020-2019 guidelines?
What is the main objective of the DOH AO No. 2020-2019 guidelines?
In HCPN, who is responsible for directing patients to necessary health services?
In HCPN, who is responsible for directing patients to necessary health services?
What characterizes apex or end-referral hospitals in HCPN?
What characterizes apex or end-referral hospitals in HCPN?
What is meant by 'people-centered' in the context of HCPN?
What is meant by 'people-centered' in the context of HCPN?
How are patients navigated within HCPN?
How are patients navigated within HCPN?
What is the focus of service delivery within the HCPN?
What is the focus of service delivery within the HCPN?
Which establishments are considered grass root levels in the HCPN?
Which establishments are considered grass root levels in the HCPN?
What defines an apex hospital according to the criteria set?
What defines an apex hospital according to the criteria set?
What is a specialty center in a hospital?
What is a specialty center in a hospital?
What is the primary function of the referral process in healthcare?
What is the primary function of the referral process in healthcare?
Which of the following is NOT considered a health care provider?
Which of the following is NOT considered a health care provider?
What does the Primary Care Provider Network (PCPN) represent?
What does the Primary Care Provider Network (PCPN) represent?
What is a key requirement when making a referral in healthcare?
What is a key requirement when making a referral in healthcare?
Which health facilities are contracted as stand-alone facilities by PhilHealth?
Which health facilities are contracted as stand-alone facilities by PhilHealth?
Which of the following best describes the role of community-based health care organizations?
Which of the following best describes the role of community-based health care organizations?
What is essential for continuity of care after a referral?
What is essential for continuity of care after a referral?
Which of the following is a key characteristic of specialized care facilities?
Which of the following is a key characteristic of specialized care facilities?
What defines a primary care facility?
What defines a primary care facility?
Which component is NOT part of the primary care provider's framework?
Which component is NOT part of the primary care provider's framework?
What is the primary distinction of population-based health services?
What is the primary distinction of population-based health services?
Which of the following best describes individual-based health services?
Which of the following best describes individual-based health services?
What is a key feature of primary health care?
What is a key feature of primary health care?
Why might some RHUs not be considered primary care facilities?
Why might some RHUs not be considered primary care facilities?
Which role does a primary care worker fulfill?
Which role does a primary care worker fulfill?
What is NOT typically included in population-based health services?
What is NOT typically included in population-based health services?
Which statement accurately describes a primary care provider?
Which statement accurately describes a primary care provider?
What is required for public, private, or mixed HCPNs to be effective?
What is required for public, private, or mixed HCPNs to be effective?
What is the primary role of the PCPN in the HCPN?
What is the primary role of the PCPN in the HCPN?
Which type of hospital is expected to become an apex hospital?
Which type of hospital is expected to become an apex hospital?
What is a defining feature of mixed HCPNs?
What is a defining feature of mixed HCPNs?
What functional aspect must all HCPNs establish?
What functional aspect must all HCPNs establish?
What is the primary focus of population-based services in HCPNs?
What is the primary focus of population-based services in HCPNs?
What type of care is provided by tertiary hospitals in a public HCPN?
What type of care is provided by tertiary hospitals in a public HCPN?
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Study Notes
Management Structure of the P/CWHS
- Provincial and city health boards (P/CHB) oversee and direct the integrated local health system.
- Independent component cities (ICC) and highly urbanized cities (HUC) fall under the P/CHB jurisdiction.
- Indigenous cultural community representation is included in provincial health boards.
Composition of the P/CHB
- Chairperson in provinces is a provincial governor, while in cities, it is the city mayor.
- Vice-chairperson is the provincial health officer for provinces and city health officer for HUC/ICC.
- Membership includes various health representatives and local officials from the health committees.
Healthcare Provider Networks (HCPN)
- Formerly called the health service delivery network under RA 11223 focusing on universal healthcare.
- Comprises primary to tertiary care providers, facilitating integrated and coordinated people-centered health care.
- Primary care providers navigate patients through the healthcare system to ensure appropriate services.
Objectives of DOH AO No. 2020-2019
- Aim to ensure a continuum of care with integrated, people-centered healthcare systems focusing on patients.
Apex or End-referral Hospitals
- Apex hospitals offer specialized services as determined by the Department of Health (DOH).
- End-referral hospitals are tertiary or training facilities with multiple specialties.
- These hospitals contract with PhilHealth as stand-alone facilities.
Specialty Centers
- Specialized departments within healthcare institutions for handling specific medical conditions and procedures.
Referral Process
- Involves transferring patient care to specialized facilities and returning them to the primary care provider for continuity.
- Referral should progress upward in the healthcare hierarchy.
Health Care Provider Definition
- Encompasses hospitals, healthcare professionals, community organizations, pharmacies, and diagnostic clinics.
Primary Care Provider Network (PCPN)
- A coordinated group of primary care providers forming the basis of HCPN, ensuring foundational healthcare delivery.
Primary Care Facility
- Institutions licensed or registered by DOH primarily delivering primary care services; accreditation required for some RHUs.
Primary Health Care
- A comprehensive approach ensuring equitable health service delivery to the population.
Primary Care
- First-contact, accessible, and coordinated care for individuals, addressing various health conditions.
Primary Care Provider
- Certified and competent healthcare workers who deliver primary care services, with defined roles in the healthcare system.
Population-based Health Services
- Health initiatives targeting entire communities rather than individuals, such as surveillance and epidemic control.
- Aims to improve public health and safety through broad interventions.
Individual-based Health Services
- Services designed for specific individuals, with limited impact on broader public health.
General Guidelines for HCPNs
- Continuous healthcare provided from primary to tertiary levels, ensuring efficient coordination.
- Care coordination systems, patient records management, and standardized operations are essential.
- Public HCPNs can form contractual partnerships with private providers to optimize service delivery.
Types of HCPN
- Public: Includes rural health units (RHUs), secondary hospitals, and specialized tertiary institutions, determined by demographic factors.
- Private: Follows market forces, designed primarily for profit.
- Mixed: Combines public and private services, adaptable based on patient needs or contracts.
Components of the HCPN
- Each HCPN must connect primary care to tertiary and apex hospitals, ensuring access to specialized services for the population they serve.
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