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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 Rizal
National 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
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
Student of Rizal in Dapitan
Learned English
City Engineer of Manila
Herbosa Street, Pritil Tondo
Financing
Payment
Organizations
Regulation
Behavior
Efficiency
Quality
Access
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
Secondary Prevention
and Primary Care
Sin Tax Reform
RA10351
Legislative advocacy
A health bill vs a taxation bill
SUBSTANTIAL INCREASE IN THE DEPARTMENT OF
HEALTH BUDGET
0
23
45
68
90
113
2008 2009 2010 2011 2012 2013 2014
BillionPesos
Year
Budget (in billion pesos)
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 Program
PPP 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 Center
BOT Contract
Jose Fabella Memorial Medical Center
Public Funding Sin Taxes
Bicol Medical Center
PPPSSF
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
itself worthy of these liberties.
Jose Rizal

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Pma rizal lecture

  • 1. 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
  • 2. Dr. Jose Rizal National Hero Martyr Writer Sculptor Doctor Scientist
  • 4. 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
  • 5. 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
  • 7. Student of Rizal in Dapitan Learned English City Engineer of Manila Herbosa Street, Pritil Tondo
  • 8.
  • 11. Health Status Customer (Stakeholder) Satisfaction Risk Protection
  • 12.
  • 13. 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 Secondary Prevention and Primary Care
  • 15. Legislative advocacy A health bill vs a taxation bill
  • 16. SUBSTANTIAL INCREASE IN THE DEPARTMENT OF HEALTH BUDGET 0 23 45 68 90 113 2008 2009 2010 2011 2012 2013 2014 BillionPesos Year Budget (in billion pesos) Budget (in billion pesos) 18.91 23.67 24.65 31.83 42.08 50.44 89.7
  • 17. 23 Case Rates (No balance billing for Sponsored Program beneficiaries in government hospitals)
  • 18. 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)
  • 19. Health Leadership and Governance Program PPP DOH & ZFF Universities & LGUs
  • 20. 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
  • 22. Jose Fabella Memorial Medical Center Public Funding Sin Taxes
  • 24. Cagayan Valley Regional Medical Center PPPSSF
  • 27. eHealth Component Map (Based on the DOH Philippine eHealth Framework and Development Plan 2013-2016)
  • 28.
  • 29.
  • 31. “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 itself worthy of these liberties. Jose Rizal

Editor's Notes

  1. Improved access to quality hospitals and health care facilities. To improve availability and access to good quality services, upgrading, rehabilitation and construction of health facilities were undertaken. A total of P15.4 billion was invested.   To date a total of 3,576 health facilities were upgraded or rehabilitated or constructed of which 1,049 (29%) were hospitals, 1,503 (42%) were Rural Health Units and 1,009 (28%) were barangay health stations. Another 2,487 health facilities will be upgraded this 2013. Out of these health facilities, 2,751 (91%) came from the 609 priority municipalities listed by the National Anti-Poverty Commission.   The upgrading of these health facilities improves the access and availability of services as shown by the increase in the number of mothers delivering in the health facilities. In 2009, only 719,552 mothers out of 1,852,872 mothers (38.8%) delivered in the health facilities. In 2011, 1,014,613 out of 1,777,910 mothers (57.1%) delivered in health facilities.