Beruflich Dokumente
Kultur Dokumente
Types of Referral
Referral System Conceptual Framework
Elements of Referral System
Strengthening Referral System, Benguet
Experience
Gains, Benefits and Impact of a
Strengthened Referral System, Benguet
Experience
Challenges encountered in the
Strengthening of Referral System, Benguet
Experience
Module 6, Session 1
1 2
1
OBJECTIVES:
At the end of the session, the participants will be Referral –
able to:
3 4
Referral System – Self-Referral –
Module 6, Session 1
5 6
2
7 8
Internal– Public – Private Agencies / Partners
Referral within the facility from Referral from Public Sector / Agency
to Private Organization or Non-
one personnel to another
Government Organization and Vice Versa
Module 6, Session 1
9 10
3
Community
Level I Hospital
Secondary Care
Level II Hospital
Provincial Hospital
Tertiary Care
Medical Center /
Regional
11 12
Module 6, Session 1
13 14
4
15 16
Hospital Joint DH Board and TWG Meeting
Outpatient Laboratory Services (Bakun)
Consultations X-ray
Issues Raised
In-patient medical and Pharmacy Services
Referral Activities (Return Slips do not go back)
surgical care Transport and
Communication Signatories on Death Certificates for DOA cases
Emergency Room Care
Minor Surgery Referral of more Medico-legal Cases (who should accomplish
urgent and certificate)
Major Emergency complicated cases to
Surgery (CS, Others
higher level
Appendectomy, etc) Coordination with Resolution
Complicated Deliveries PH, POs, NGOs, Prepare a Referral Manual
Module 6, Session 1
Basic Orthopedics Private clinics
Blood Transfusion
17 18
5
19 20
SITUATIONAL ANALYSIS SITUATIONAL ANALYSIS
Where and What We Were Where and What We Wanted to be
Strengths Weaknesses
Existence of a Strengthened Functional Referral
Existence of a Referral Activity No Referral Manual / Guidelines System
Orientation of Health No uniform forms
Existence of a uniform and harmonized Referral
Personnel Fast turnover of HHR
Presence of Patient Transport Old and defective Patient Manual and Guidelines
System Transport System Improved and Upgraded Facilities and Equipment
Presence of Facilities and Old and dilapidated Facilities Improved and Upgraded Patient Transport System
Equipment and Equipment
Coordinated Health Workers and Health Facilities
Presence of two-way radio Understaffing
Module 6, Session 1
Supportive LCEs No privacy of communication Quality Health Service
Dedicated HHR and Competent and Skilled Health Force
Weak coordination
21 22
6
Preparation of Referral System Manual and Referral Manual was used until …
Guidelines Project: Strengthening of Local Health
Systems in the Province of Benguet
Resolution of MT ILHZ Approving, Reformatting of Referral Slips
Adopting and Implementing the developed
Referral System Manual Development and Generation of Report Forms
Revision of existing discharge summary
Reproduction and Distribution of Forms Developed National, Provincial, Municipal and
Health Workers Directory
Recording in Referral Logbooks
Orientation of Health Personnel within the Quarterly Reporting
ILHZ
Monitoring and Evaluation
23 24
Referral Manual adopted and
implemented province-wide
Module 6, Session 1
25 26
7
27 28
Incoming Referral from Higher Level Health Facilities: BY ILHZ 2010 Referral from Higher Level to Lower Level
Module 6, Session 1
MT ILHZ 3K ILHZ
29 30
8
Referral from Higher Level to Lower Level Referrals from Lower Level to Higher
Module 6, Session 1
BKD ILHZ BLIISTT ILHZ 33 34
9
Module 6, Session 1
37 38
10