Management Structure of P/CWHS

Questions and Answers

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?

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?

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?

City health officer Signup and view all the answers

In which type of health board is there always a part of the indigenous cultural communities?

Provincial health board Signup and view all the answers

Which individual is commonly included as a member of both provincial and city health boards?

DOH representative Signup and view all the answers

What does the acronym HUC stand for in the context of health boards?

Highly Urbanized City Signup and view all the answers

Which of the following is NOT a member of the provincial health board as listed?

Municipal health officer Signup and view all the answers

Which position corresponds to the vice-chairperson in a provincial health board?

Provincial health officer Signup and view all the answers

What does HCPN stand for?

Healthcare Provider Network Signup and view all the answers

Which level of care does HCPN include?

Both primary and tertiary care Signup and view all the answers

What is the primary role of the MHO in HCPN?

To navigate patients through the health service delivery network Signup and view all the answers

What is the main objective of the DOH AO No. 2020-2019 guidelines?

To ensure people-centered and integrated health systems Signup and view all the answers

In HCPN, who is responsible for directing patients to necessary health services?

MHO and primary care providers Signup and view all the answers

What characterizes apex or end-referral hospitals in HCPN?

They are usually highly specialized institutions Signup and view all the answers

What is meant by 'people-centered' in the context of HCPN?

Services that prioritize patients' needs and experiences Signup and view all the answers

How are patients navigated within HCPN?

By primary care providers like the MHO Signup and view all the answers

What is the focus of service delivery within the HCPN?

Ensuring comprehensive care in a coordinated manner Signup and view all the answers

Which establishments are considered grass root levels in the HCPN?

Barangay health stations and municipal health offices Signup and view all the answers

What defines an apex hospital according to the criteria set?

A hospital with multiple specialties that meets DOH criteria Signup and view all the answers

What is a specialty center in a hospital?

A department that provides specialized care for specific conditions Signup and view all the answers

What is the primary function of the referral process in healthcare?

Transferring patient management to a facility with more resources Signup and view all the answers

Which of the following is NOT considered a health care provider?

A personal trainer offering fitness services Signup and view all the answers

What does the Primary Care Provider Network (PCPN) represent?

A coordinated group of primary care providers Signup and view all the answers

What is a key requirement when making a referral in healthcare?

Writing a referral letter and elevating care management Signup and view all the answers

Which health facilities are contracted as stand-alone facilities by PhilHealth?

Apex hospitals meeting specific criteria Signup and view all the answers

Which of the following best describes the role of community-based health care organizations?

Delivering healthcare services outside hospitals Signup and view all the answers

What is essential for continuity of care after a referral?

Returning the patient to the primary care provider after treatment Signup and view all the answers

Which of the following is a key characteristic of specialized care facilities?

Having specific equipment and trained personnel for particular conditions Signup and view all the answers

What defines a primary care facility?

It primarily delivers primary care services. Signup and view all the answers

Which component is NOT part of the primary care provider's framework?

Tertiary care provider Signup and view all the answers

What is the primary distinction of population-based health services?

They cannot be traced back to a singular beneficiary. Signup and view all the answers

Which of the following best describes individual-based health services?

They can be definitively linked to one recipient. Signup and view all the answers

What is a key feature of primary health care?

It aims for equitable delivery of quality health services. Signup and view all the answers

Why might some RHUs not be considered primary care facilities?

They need to be accredited by the DOH. Signup and view all the answers

Which role does a primary care worker fulfill?

They may be community volunteers certified to provide care. Signup and view all the answers

What is NOT typically included in population-based health services?

Personalized health counseling Signup and view all the answers

Which statement accurately describes a primary care provider?

They receive certification in primary care from the DOH. Signup and view all the answers

What is required for public, private, or mixed HCPNs to be effective?

They must ensure continuous care from primary to tertiary levels. Signup and view all the answers

What is the primary role of the PCPN in the HCPN?

To serve as the patient’s initial contact and navigator. Signup and view all the answers

Which type of hospital is expected to become an apex hospital?

All Department of Health hospitals Signup and view all the answers

What is a defining feature of mixed HCPNs?

They may involve both public and private care through contractual arrangements. Signup and view all the answers

What functional aspect must all HCPNs establish?

Standardized network mechanisms for operations. Signup and view all the answers

What is the primary focus of population-based services in HCPNs?

To facilitate the implementation of services within government facilities. Signup and view all the answers

What type of care is provided by tertiary hospitals in a public HCPN?

Highly specialized health care services. Signup and view all the answers

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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Description

This quiz explores the management structure of the Provincial/City Health Boards (P/CHB) within the integrated local health system. It focuses on their roles, responsibilities, and the composition, including the involvement of indigenous cultural communities. Enhance your understanding of health governance in local settings.