Dr. Jose Rizal Memorial Awards Philippine Medical Association UHC and the Future of the Philippine Health System PROF. TEODORO JAVIER HERBOSA, MD FPCS COLLEGE OF MEDICINE NATIONAL TELEHEALTH CENTER INSTITUTE FOR HEALTH POLICY AND DEVELOPMENT STUDIES UNIVERSITY OF THE PHILIPPINES, MANILA
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Dr. Jose Rizal Memorial Awards!Philippine Medical Association!
!
UHC and the Future of the !Philippine Health System
PROF. TEODORO JAVIER HERBOSA, MD FPCS COLLEGE OF MEDICINE!
NATIONAL TELEHEALTH CENTER!INSTITUTE FOR HEALTH POLICY AND DEVELOPMENT STUDIES!
UNIVERSITY OF THE PHILIPPINES, MANILA
Dr. Jose RizalNational Hero!
Martyr!Writer!
Sculptor!Doctor!
Scientist
Josie Rizal!Tekken 7
Lucia Mercado Rizal Herbosa!
(1857-1919)Mariano Herbosa!
died of Cholera in May 23, 1889! (1) Paz; (2) Delfina; (3) Concepcion;
(4) Virginia; (5) José; (6) Teodosio; (7) Patrocinio; and (8)
Estanislao
Delfina Herbosa de Natividad (1879-1900)
a Filipino renowned for being one of the three women, together with Marcela Agoncillo and her daughter Lorenza, who seamed together the Philippine flag, May 28, 1898 Hong Kong
Physician
Estanislao Herbosa
Student of Rizal in Dapitan!
Learned English!
City Engineer of Manila!
Herbosa Street, Pritil Tondo
Control Knobs of the Health System
Financing!
Payment!
Organizations!
Regulation!
Behavior
Intermediate Performance Measure in the Health System
Efficiency!
Quality!
Access
Target Population — Performance Goals
Health Status!
Customer (Stakeholder) Satisfaction!
Risk Protection
Universal Health Care / Kalusugan Pangkalahatan
Improved Health especially for the
Poor and Vulnerable
Secure access to quality care
at facilities
Achieve the public health MDGs
Provide financial risk protection
INTERVENTIONS OF CARE
Prim
ary
Prev
entio
n
and
Heal
th
Prom
otio
n
Curative
Health Care
Secondary Prevention and Primary Care
Sin Tax ReformRA10351
Legislative advocacyA health bill vs a taxation bill
SUBSTANTIAL INCREASE IN THE DEPARTMENT OF HEALTH BUDGET
Budget (in billion pesos)
Billi
on P
esos
0
23
45
68
90
Year
2008 2009 2010 2011 2012 2013 2014
Budget (in billion pesos)
18.91 23.67 24.65 31.83 42.08 50.44 89.7
23 Case Rates (No balance billing for Sponsored Program beneficiaries in government hospitals)
IMPROVED ACCESS TO QUALITY HOSPITALS AND FACILITIES
3,576:Total health facilities upgraded and rehabilitated as of Feb 2013
1,049 hospitals
Another 2,487 health facilities will be upgraded this 2013.2,751 (91%) came from the 609 priority municipalities listed by the National Anti-Poverty Commission
Result: Increase in deliveries of mothers in hospitals. 719,552 mothers (38.8%) (2009) vs 1,014,613 mothers (57.1%) (2011)
Health Leadership and Governance ProgramPPP DOH & ZFF!
Universities & LGUs
Performance Comparison: Existing & MPOC
EXISTING POC
MODERNIZED POC
534 beds utilized out of 700 sanctioned beds,
sub capacity operation at 55% -60% levels
Ideal Staff to Bed Ratio not being
effectively achieved
Lower than average period of Avg. Length
of Stay (ALOS) & discharge times for admitted patients
Only primary and secondary medical
services, Limited allied services, medical tourism & private patients due to
poor competitive advantage
Private sector efficiency in
operations to ensure atleast 70% capacity
utilization
Expected Ideal Staff to Bed Ratio of 2.25 persons/
bed
Possible reduction in ALOS, discharge
period to reduce from 22 days to 8
days
Super specialty tertiary care with increased private
patients, medical tourists, allied medicine due to
internationally competitive services & facilities
Philippine Orthopedic CenterBOT Contract
Jose Fabella Memorial Medical CenterPublic Funding Sin Taxes
Bicol Medical CenterPPPSSF
Cagayan Valley Regional Medical Center PPPSSF
Regional Cancer Centers
OUTCOMES
3
eHealth Component Map (Based on the DOH Philippine eHealth Framework and Development
Plan 2013-2016)
–Johnny Appleseed
“Type a quote here”
“My countrymen, I have given proofs that I am one most anxious for liberties for our country, and I
am still desirous of them. But I place as a prior condition the
education of the people, that by means of instruction and industry
our country may have an individuality of its own and make