All for

f Health
towards Health for All
T H E D U T E R T E H E A LT H
AGENDA

Health Sector Accomplishments (2010-2016)

ENROLLMENT IN TO
HEALTH INSURANCE

ATTAINMENT OF HEALTH-RELATED
MILLENIUM DEVELOPMENT GOALS

STRENGTHENING OF THE
SUPPLY SIDE

Increase in FIC

92% population coverage

Increase in skilled
birth attendance

2,862 BHSs, 2,626 RHUs,

685 LGU
LGU, hospitals,
hospitals
70 DOH hospitals,
funded through HFEP

HIV prevalence remains

at < 1%

45.4M
indigents

5.8M senior
citizens enrolled

Increase in TB case
detection rate and
treatment success rate

Increase in number of
malaria-free provinces

Decrease in
smoking prevalence

111,799 health workers

were deployed from 2010 to
2Q of 2016

Gaps

FINANCIAL RISK PROTECTION

The poor utilize PhilHealth

less than other membership
types because of balance
billi
billing

Out-of-pocket expense remains

predominant means of financing
healthcare, and is impoverishing
and hinders access to quality
care

UNFINISHED HEALTH-RELATED
MILLENIUM DEVELOPMENT GOALS

Many MDG targets are not

attained

Inequities in outcomes persists

across population groups

LACK OF ACCESS TO
FUNCTIONAL, QUALITY
HEALTH FACILITIES

Many health facilities remain

underfunded, understaffed and
overcrowded

Diseases of industrialization &

urbanization increasing

2015-2030: Sustainable Development Goals

Reduce Maternal
Mortality

End preventable deaths of

newborn and children

Reduce deaths from

hazardous substances
and
d pollution
ll ti
End AIDS, TB, malaria and
NTDs. Combat hepatitis,
water-borne, and other
communicable disease
Achieve universal
health coverage

SDGs
Reduce premature
mortality from NCDs

Ensure universal access

to RH Services

Reduce the number of global

deaths and injuries
from road traffic accidents

Strengthen the prevention

and treatment of substance
abuse

Our Goals

FINANCIAL PROTECTION

HEALTH OUTCOMES

RESPONSIVENESS

Filipinos, especially the poor

are protected from high cost
of health care

Filipinos attain the best

possible health outcomes
with no disparity

Filipinos feel respected,

valued and empowered in all
valued,
of their interaction with the
health system

Our Values & Objectives

EQUITABLE & INCLUSIVE

HIGH QUALITY & COMPREHENSIVE

Filipinos,
Fili
i
especially
i ll vulnerable
l
bl populations
l ti
are able
bl
to access services with least financial, cultural and
geographical barriers

Filipinos
Fili
i
are able
bl tto d
demand
d ffullll range off quality
lit and
d
compassionate services that are at par with global
clinical and non-clinical standards

EFFICIENT &
SUSTAINABLE

TRANSPARENT & PARTICIPATORY

Filipinos are able to continuously get

the most health from resources allocated (efficient
and cost-effective)

Filipinos are able to make informed choices with

respect to their health/care and participate in local
and national discourse

Our Commitment
Filipino families
are entitled to

The government is
committed to
to

Comprehensive range
of services that p
protect
everyone at all ages and
all stages

Guarantee services that

provide care FOR ALL LIFE
STAGES & ADDRESS THE
TRIPLE
BURDEN
OF
DISEASES

Receive coordinated,
appropriate, quality and
respectful care

Ensure these services are

accessible in functional
SERVICE
DELIVERY
service delivery
networks
NETWORKS

Financial freedom when

availing of
utilizing
health care services

Sustainably finance these

services through
UNIVERSAL HEALTH
COVERAGE

Care for All Life Stages and Triple Burden of Diseases

All Life Stages

Neonatal Care, Infant and Underfive Child Care, Adolescent Health, Adult Health, Maternal Care, Care
for Older Persons

Communicable Diseases

Non Communicable Diseases

100 % commodities for

Disease Free Zones
Prevent infection and its
spread
d with
ith early
l di
diagnosis
i
and complete treatment
Surveillance and contact
tracing

Health Promotion and Healthy

Lifestyles for nutrition, physical
activity, tobacco and alcohol
control
TSEKAP + outpatient drugs
(including
cancers,
rare
diseases, metabolic disorders,
mental health drugs, nicotine
patch) for the poorest

Diseases off
Di
Industrialization
Injuries, mental health
(including suicide
prevention), drug abuse
rehabilitation
capacity building and
community-based
interventions

Service Delivery Networks (SDN)

ACCESS TO ALL LEVELS OF

CARE AND GATEKEEPING IN
THE SDN

SERVICES AT PAR WITH

CLINICAL & NON-CLINICAL
STANDARDS

CLOSE TO & FELT BY THE PEOPLE;

CLIENT-CENTERED &
CULTURALLY-SENSITIVE

ADEQUATELY PREPARED RESPONSIVE

AND RESILIENT IN TIMES OF
EMERGENCY & DISASTER

Universal Health Insurance

PHILHEALTH AS

THE GATEWAY TO FREE SERVICES

EveryFilipinoasmember
Nobalancebillingforthe
poor; definedcopayfor
others

MAIN BUYER OF SERVICES ON BEHALF OF 100M

FILIPINOS

Primary,Outpatient,
Inpatientservices
Outpatientdrugs,
Catastrophiccases
Main revenue source of

OurStrategy
A

Advance primary care, quality & cost effectiveness

Cover all Filipinos with comprehensive health financing

Harness Health Human Resource for productivity

Invest in digital health and data

Enforce standards, accountability and transparency

Value clients and patients

Elicit multistakeholder support for health

Advance primary care, quality & cost effectiveness

1. Annual health visits for poor families

2. Special services for the poor, PWD, indigenous and
other specific groups

3. Networks* of primary care providers contracted by

PhilHealth with links to higher levels of care

4. Referral units, transport, mobile services set up in SDNs

5. Selected DOH hospitals transformed to multi-specialty
mega-hospitals

6. Resilient health facility investment plan

7. HTA to guide decisions for interventions

*District hospital paired up with 10+ RHUs or private clinics

Cover all Filipinos with comprehensive health financing

1. Enroll remaining 8% Filipinos into PhilHealth

2 More premium and prepayment mobilized
2.

Raise premium rates in 2018

Generate more funds for health budgets
Enforce remittance of premium share from govt employers

3. Update Case Rates to provide comprehensive

4.
5.

1Medically

coverage
Expand primary care, outpatient drugs, catastrophic
cases and other benefits1
Align all health funds to the DHA (PhilHealth, DOH,
PAGCOR, PCSO, GSIS)

and financially catastrophic conditions: cancers, rare diseases, metabolic disorders, mental health drugs,
nicotine replacement

Harness Health Human Resource for productivity

Competency-based (vs. profession-based) and

updated population ratios for frontline HR
complement
Reorientation of health-related curricula
Return Service Programs and SDN deployment
for all health graduates and resident trainees,
respectively
Fair & streamlined compensation and HR
development

*clinicians and allied health professionals, managers, researchers and

policymakers

Invest in digital health and data

1.
2.
3.
4.
4
5.
6
6.

Unique health ID as sole requirement for

accessing care
Telemedicine to improve access to specialist
care
Online data* submission as requirement for
licensing & contracting
Major business processes IT
IT-enabled
enabled
Nation-wide surveys and disease registries
covering public and private practice
Performance Monitoring Units at all le
levels
els

*clinical and administrative

Enforce standards, accountability and transparency

1.

Clear mandate for all agencies

g
DOH as a policy and regulatory agency
PhilHealth as the national government
purchaser
2 Regulatory
2.
R
l t
policies
li i tto ensure quality
lit & foster
f t
innovation
3. Services and commodities1 with high OOP
g
for
targeted
Fast product registration
Price ceilings and price negotiation board
Pooled procurement and supply chain &
l i ti system
logistics
t
4. Consequences for non-performance
5. Transparent and evidence-based processes
6 Publication of prices of common drugs and
6.
services and non complying providers

Value clients and patients

1.
2.
3.

Filipinos entitlements made simple and explicit

Client-friendly procedures and schedules
Limited queuing, only appointments
Turnaround time of 3 days,
days where appropriate
Regular, creative feedback, and redress system

Ghost patient, surprise visits, call center

4 Information readily accessed by the public and

4.
researchers
5. Client participation mechanisms set up

Elicit multistakeholder support for health

Counseling
and Education

Clinical
Interventions

Long-lasting
Protective Interventions

Changing the Context

Socioeconomic Factors

External health promotion body

Health-enhancing policies that change
built environment

Healthy Homes,
Homes Workplaces,
Workplaces Schools and Transport
Health in all Policies
Health Impact Assessment
Multisectoral approaches for health

AdministrativeOrderNo.20120012and2012
AdministrativeOrderNo.2012
0012and20120012
0012A
HospitalServices
ClinicalServicesfor
InPatients

Level1
ConsultingSpecialistin,
butnotlimitedto:
Medicine
Pediatrics
ObGyne
Surgery
EmergencyandOut
PatientServices
IsolationFacilities
Surgical/Maternity
l/
Facilities

Ancillary Services
AncillaryServices

Level2
AllofLevel1plustheff:
Departmentalized
p
ClinicalServices
RespiratoryUnit
GeneralICU
HighRiskPregnancy
High Risk Pregnancy
Unit
NICU
DentalClinic

SecondaryClinicalLab
Secondary
Clinical Lab
BloodStation

1st LevelXRay

Pharmacy

TertiaryClinicalLab
Tertiary
Clinical Lab
BloodStation
2nd LevelXRaywith
MobileUnit
Pharmacy

Level3
AllofLevel1and2plus
theff:
Teaching/training
withatleastany2
accreditedresidency
training program for
trainingprogramfor
physiciansinany
medical/surgical
specialtyand/or
subspecialty
b
l
Physicalmedicineand
RehabilitationUnit
AmbulatorySurgical
Clinic
DialysisClinic

TertiaryClinicalLab
Tertiary
Clinical Lab
withHistopathology
BloodBank
3rd LevelXRay
Pharmacy

 AllhospitalsdulylicensedbyDOHshallbedeemedqualifiedfor
accreditation by PhilHealth withBasicParticipationwithouttheneed
accreditationbyPhilHealth
with Basic Participation without the need
forpreaccreditationsurvey.
AdminServicesforLevel3:
Government:
Government:
ChiefofHospitalofAdministrativeOfficerhasaMastersDegree
inHospitalAdministrationorrelatedcourse ANDatleast5years
experience in a supervisory/ managerial position
experienceinasupervisory/managerialposition
GrandfathersClausefor55yearsoldandaboveANDcurrently
holdingthepositionforatleast5years
2yearmoratoriumgrantedtothosewhoareyettofinishtheir
2 year moratorium granted to those who are yet to finish their
MastersDegree
Private:
MedicalDirectororAdministrativeOfficerhasMastersDegreein
M di l Di t
Ad i i t ti Offi h M t D
i
HospitalAdministrationorrelatedcourse AND/ORatleast5
yearsexperienceinasupervisory/managerialposition
2yearmoratoriumgrantedtothosewhoareyettofinishtheir
2
i
d
h
h
fi i h h i
MastersDegree

August18,2016deadlineonthe
Moratorium to all general hospitals
Moratoriumtoallgeneralhospitals
includingInfirmariestocompleteall
requirementsunderthenewclassification
ofhealthfacilitieshadbeengrantedfinal
extensiontillDecember31,2016(DOH
Circular 20160220)
Circular2016
0220)

Insanityisdoingthe
samethings
overandoveragain,
butexpectingdifferent
results.

AlbertEinstein

CSI.ShapingtheServant
CSI.ShapingtheServantHerotowardsPublicServiceExcellence.

Wecantsolve
problems
byusingthesamekind
of thinking
ofthinking
thatcreatedthe
problem
problem

Why the dinosaurs became extinct?

Three Kinds
Th
Ki d off People
P
l in
i
the World:
1. The few who make things
g
happen
2. The many who watch
things happen; and
3. The vast majority who
doesnt even know
whats
h t happening
h
i

Youmustbethe
changeyouwishtosee
intheworld.

.

Change has a considerable

psychological impact on the human
mind.
To the fearful it is threatening because
it means that things may get worse.

To the hopeful
p
it is encouraging
g g
because things may get better.

To the confident
it is inspiring
because the
challenge exists
to make things
better.

ApriestofferedaNunalift...
Shegotinandcrossedherlegs,forcinghergowntorevealaleg.
The priest nearly had an accident
Thepriestnearlyhadanaccident.
Aftercontrollingthecar,hestealthilyslidhishandupherleg.....
Thenunsaid,'Father,rememberPsalm129?'
Thepriestremovedhishand.But,changinggears,helethishandslideupherleg
again. Thenunonceagainsaid,'Father,rememberPsalm129?'
p
p g
y
Thepriestapologized'Sorrysisterbutthe
fleshisweak.'
Arrivingattheconvent,thenunsighed
heavilyandwentonherway.
On his arrival at the church the priest rushed
Onhisarrivalatthechurch,thepriestrushed
tolookupPsalm129. Itsaid,'Goforthand
seek,furtherup,youwillfindglory.'

Moralofthestory:
Ifyouarenotwellinformedinyour
job youmightmissagreat
job,youmightmissagreat
opportunity.