Unit 1 - Healthcare Info Regulations, Laws and Standards

Question 1

What are the three major components of the Ph Healthcare System?

Answer 1

1. Health Financing
2. Healthcare Delivery System
3. Health Outcomes

Question 2

What are the four main sources of financing?

Answer 2

1. National & Local Gov
2. Insurance (gov & private)
3. User fees/out of pocket
4. Donors

Question 3

2 components of healthcare delivery system?

Answer 3

1. Health Facilities
2. Health Human Resources

Question 4

The health facilities may be composed of? (3)

Answer 4

1. Gov hospitals
2. Priv hospitals
3. Primary healthcare facilities

Question 5

how many hospitals, according to the DOH back in 2016, are established here in the Ph?

Answer 5

1224 hospitals

Question 6

how many city/rural health centers, according to the DOH back in 2016, are established here in the Ph?

Answer 6

2587 city/rural health centers

Question 7

how many village health stations, according to the DOH back in 2016, are established here in the Ph?

Answer 7

20,216 village health stations

Question 8

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?

Answer 8

Health Human Resource

or health educators & healthcare providers

Question 9

Health outcomes may be classified into two, what are these?

Answer 9

1. Life expectancy
2. Deaths & Births

Question 10

this age group composes the 20% of the Ph popu

ilang taon? ano range ng taon? 12-15 yrs old kunwari lol

Answer 10

15-24

5-14 = 21% of the popu (Aug 2015 both data)

Question 11

this refers to decisions, plans, and actions that are undertaken to achieve specific healthcare goals within a society

Answer 11

Health policy

Question 12

This outlines priorities and the expected roles of different groups; and it builds consensus and informs people

Answer 12

Health policy

Question 13

The Universal Health Care law is also known as RA?

Answer 13

RA 11223

Question 14

this law states that everybody should have equal exposure to health services, these should be available to all. what is this law?

Answer 14

RA 11223 (UHC law)

Question 15

why do we need private health institutions?

Answer 15

because the gov can’t supply the rest of the population

Question 16

Under RA 11223 (UHC), which company will have expended coverage to include free consultation fees. lab tests, and other diagnostic services?

Answer 16

Philippine Health Insurance Company (PhilHealth)

Question 17

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…”

Answer 17

PhilHealth Circular no. 2021-008

Question 18

what do you call the process that gives a facility legal approval to operate?

Answer 18

Licensure

Question 19

what gives a health care organization the authority to participate in several programs?

Answer 19

Certification

Question 20

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.

Answer 20

Accreditation

Question 21

Yes or no

Is accreditation mandatory?

Answer 21

No

Question 22

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 ____?

Answer 22

Licensure; Certification

Question 23

All healthcare facilities must have a ____ to operate.

Answer 23

license

Question 24

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?

Answer 24

licensure

Question 25

RA what is the CPD Act of 2016?

Answer 25

RA 10912

Question 26

What is CPD in CPD Act of 2016?

Answer 26

Continuing Professional Development

Question 27

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.

Answer 27

PRC Resolution No. 2016-990

Question 28

____ is an ongoing requirement for the health care organization to continue to operate and care for patients

Answer 28

Maintenance of licensure

Question 29

____ 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.

Answer 29

certification

Question 30

____ 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.

Answer 30

certification

Question 31

this is often a voluntary process in which organizations choose to participate, rather than one required by law and regulation.

Answer 31

Accreditation

Question 32

usually regarded as optimal and achievable, and are designed to encourage continuous improvement efforts within accredited organizations.

Answer 32

Accreditation Standards

Question 33

____ is made following a periodic on-site evaluation by a team of peer reviewers, typically conducted every two to three years

Answer 33

Accreditation decision

Question 34

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

Answer 34

Philippine Tripartite Accreditation for Health Facilities, Inc. (PTAHF, Inc.)

Question 35

3 major organization of the PTAHF, Inc.?

Answer 35

1. ANSAP 2. AHA 3. PAGHAO

Question 36

4 key sections of the PTAHF, Inc.

Answer 36

1. Standard Development Dept 2. Research and Training 3. Accreditation Dept 4. Assessment and Monitoring Dept

Question 37

DOH introduced the ____ to accredit hospitals

Answer 37

HAC (Health Accreditation Commission) ## Footnote B4 HAC, PhilHealth did the accreditation f hospis through surveys