HIS LAB Lesson 1

• Health Information System (HIS)

  Varies per hospital, Bizbox is not advanced
• Head of health system

  DOH and President
• Delta checking


  Compares the previous results and the current results
• Health system

  The combination of resources, organization, financing, and management that culminates in the delivery of health services to the population (Milton I. Roemer, MD 1991)
• Resources of the health system

  • Governance
  • Money
  • Manpower
  • Stewardship
• Health system of every country

  • Reflected by economic development, political ideology, and history
• The health system can be applied to different pharmaceutical companies
• Roemer Model of Health Service System

  1. Organization of programs (PriMoVo)

  2. Management (HALeR)

  3. Economic Support (PeChaI SoGo Fo)

  4. Resource Production (MaFack)

  5. Delivery of services
• WHO's definition of a health system

  All the organizations, institutions, resources, and people whose primary purpose is to improve health
• Requirements for a good healthcare system (according to WHO)

  • Trained and motivated health workers
  • Well-maintained infrastructure
  • Reliable supply of medicines and technologies
  • Backed by adequate funding, strong health plans, and evidence-based policies
• Three main goals of a health system

  • Improving the health of populations
  • Improving the responsiveness of the health system
  • Providing fair health financing
• Improving the health of populations

  • Provides social and financial risk protection in health, increases the average health status and reduces health inequalities
• Improving the responsiveness of the health system

  • Providing satisfactory health services and engaging people as active partners
• Providing fair health financing

  • Every household pays a fair share of the total health bill for a country
• Four vital health system functions

  • Health service provision
  • Health service inputs
  • Stewardship
  • Health financing
• Health service provision

  Public and private health service provision, most visible product, any service aimed at improving the health of populations
• Health service inputs

  Managing resources, generating the essential physical sources for the delivery of the health services which include medication, human resources, and medical equipment
• Stewardship

  The main responsibility of the government, sets the policy and context for the overall health system, generates appropriate data for policy making
• Health financing

  Financed through general taxation, SSS (private), GSIS (public), revenue collection, strategic purchasing, risk pooling
• Bismarck model

  Insurance system where the sickness fund finances both the employers and the employee
• Beveridge model

  Health care is provided and funded by the government through tax payments
• WHO health system framework- System Building Blocks

  • Service delivery
  • Leadership/Governance
  • Financing
  • Medical products, vaccines, and technologies
  • Health workforce
  • Information
• Three health reforms in the Philippines

  1. Health financing

  2. Health regulation

  3. Health service delivery
• Adoption of Primary Health Care Strategy (LOI 949)

  1979
• Reorganization of DOH (EO 851)

  1982
• The Generics Act (RA 6675)

  1988
• Local Government Code (RA 7160)

  1991
• National Health Insurance Act (RA 7875), Establishment of PhilHealth

  1995
• Health Sector Reform Agenda

  1996
• FOURmula One (F1) for Health

  2005
• Universal Accessible Cheaper and Quality Medicines Act (RA 9502)

  2008
• Kalusugang Pangkalahatan or Universal Health Care (AO 2010-0036)

  2010
• Policies

  Formal statements produced and supported by senior management, e.g. Proper Dress Code
• Standards

  Mandatory actions or rules that give formal policies support and direction, e.g. Boys are prohibited to wear earrings
• Guidelines

  Recommendations to users when specific standards do not apply, e.g. Enrollment procedure
• LGUs

  Take care of their own health services and are given autonomy under the Local Government Code (LGC) of 1991 (RA 7160)
• Composition of LGUs

  • 78 provincial governors
  • 138 city mayors
  • 1496 municipal mayors
  • 42,025 barangay chairperson
• City Government


  Goal is to have primary health care, charged in providing primary health care, including maternal and child care nutrition services through public health and primary health care centers or health outposts, rely on the public and private health centers for their primary care
• Provincial Government


  Goal is to have tertiary hospital, mandated to have/provide secondary hospital care through provincial and district hospital
• Inter-local Health Zone

  Gather data between city and municipal, aims to protect the public or collective health, ensure smooth coordination between and among cities, municipalities and barangays, comprise a well defined population in a rural or urban and all institutions and sectors whose activities contribute to improve healthcare delivery