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

itself worthy of these liberties.!

Jose Rizal