PHARM 1202 Topic 3

• IRIS

  - Improved Health (Level and Equity

  - Responsiveness

  - Improve efficiency

  - Social and Financial Risk Protection


  Overall Goals/Outcomes of WHO Health System Framework
• HLASHH

  - Health information system

  - Leadership/Governance

  - Access to essential medicines and technologies

  - Service delivery

  - Health workforce

  - Health Financing


  Six Building Blocks of WHO Health System Framework
• Health Financing


  Ensure that adequate funding is available and the right financial incentives are in place to guarantee that all individuals have access to needed preventive and personal health care.
• Non-clinical staff/management and support staff

  accountant, janitor, ambulance driver
• Clinical Staff


  doctors, nurses, medical assistants
• Health Workforce


  All people engaged in actions whose primary intent is to enhance health
• Health Workforce


  Works in ways that are responsive, fair and efficient to achieve the best health outcomes possible, given available resources and circumstances
• Non-Personal Health Intervention


  a health intervention that focuses on the public like public hleath
• Personal Health Intervention


  a health intervention that focuses on the individual. Example is immunization
• Service Delivery


  Ensuring the availability of quality services to improve health outcomes
• Service Delivery


  deliver effective, safe, quality personal and non-personal health interventions to those that need them, when and where needed, with minimum wastes of resources
• Essential Medicines


  Those that satisfy the priority health care needs of the population
• Access to Essential Medicines and Technologies

  Intended to be available at all times, in adequate amount, appropriate strength, dosage, assured quality, and affordable.
• Governance/Leadership


  Ensuring that strategic policy frameworks exist and are combined with effective oversight, coalition-building, provision of appropriate incentives, regulation, attention to system design, and accountability.
• Health Information System


  Collection of health data from relevant sectors and converts the data into information for health related decision making
• Health Information System


  Ensures the production, analysis, dissemination and use of reliable and timely information on health determinants, health systems performance and health status.
• HLASHH

  - Health information system

  - Leadership/Governance

  - Access to essential medicines and technologies

  - Service delivery

  - Health workforce

  - Health Financing

  Core Components of Health System
• PEEETS

  - Patient-centered

  - Effective

  - Efficient

  - Equitable

  - Timely

  - Safe

  Domains of Healthcare Quality
• Healthcare System


  To meet the health needs of the population
• Healthcare System


  method by which healthcare is financed, organized, and delivered to a population
• DMPES (Dimple)

  - Deliver Services and interventions

  - Maintaining and improving health

  - Protecting households from the costs of illness

  - Enabling economic functioning

  - Shaping societal norms and values

  Functions of Health System
• - Promote

  - Restore

  - Maintain health


  Primary interest of Health System
• Health System


  Consists of all organizations, people and actions
• Nursing homes, Psych facilities

  Examples of Category B
• Custodial Care Facility

  Category B
• In patient Facilities and Out-Patient Facilities

  Examples of Category A
• Primary Healthcare Facility

  Category A
• New Classification of Other Health Facilities

  Name for AO 2012-0012