Rationalizing the Health Care Delivery System based on Health Needs National Staff Meeting 7 September 2006 Pryce Hotel, Cagayan De Oro City Rationalization Enhances the effectiveness of the health care delivery system through appropriate placement of health providers, facilities and resources where best advantage can be derived given the demand for health care and current health financing system. How do we design the delivery system where best advantage can be derived? First, we need to know the demand for healthcare by doing a health care needs analysis. This describes the health profile and disease patterns of communities. (Scope can be provincial, ILHZ or City Government) Then we identify the available health resources and its capacities. How do we design the delivery system where best advantage can be derived? Compare findings with DOH standards for health outcomes and health facilities and professionals. These are the goals of rationalization. Identify the gaps in attaining these standards/goals Formulate a strategic plan Strategic plan The strategic plan will tell which elements in the delivery system should be maintained, enhanced or changed. These elements are: Facilities including equipment and patient mix Manpower, including supply and capability Rewards and incentives for personnel performance Health care processes Investment plan Translate the elements into financial terms Would the available funds be enough to attain the targeted health outcomes and resources? If not, identify financing alternatives and other organizational arrangements to ensure sustainability of the plan Approval of the plan The local Health Board shall endorse the plan to the local chief executive Issuance of an ordinance Support is needed from all stakeholders (materially affected and interested parties) Stakeholder Mobilization The office of the local health executive should mobilize the entire health system to initiate Plan implementation Stakeholder analysis, mobilization, Consultations, public hearings, agreements. Who would help the LGU? CHDS They shall be responsible in the implementation of this AO, providing technical assistance, and monitoring health care delivery systems in their coverage area Submit Annual Accomplishment Reports of their efforts to the BLHD copy furnished the Field Implementation Coordinating Office (FICO) Who would help the LGU? FICO They shall provide oversight functions which include monitoring and evaluation with the CHDs and development of an Annual Situationer of Health Care Delivery System in their area. They shall collect and act on all issues and concerns related to the implementation of this AO and shall request for amendments when necessary. Who would help the LGU? NCHFD They shall provide the technical assistance in developing the rationalization of HEALTH CARE FACILITIES. In partnership with NCDPC, BLHD, BHFS, they shall develop national plans and standards, advocacy tools, monitoring and evaluation tools, technical assistance packages, training modules and regular training programs for CHDs, LGUs and other stakeholders. Who would help the LGU? NCDPC They shall provide the technical assistance in developing the rationalization of PUBLIC HEALTH SERVICES. In partnership with the NCHFD, BLHD and BHFS, they shall develop national plans and standards, advocacy tools, monitoring and evaluation tools, technical assistance packages, training modules and regular training programs for CHDs, LGUs and other stakeholders. Who would help the LGU? BLHD They shall ensure INSTITUTIONALIZATION of objectives of rationalization in local health system policies. In coordination with NCHFD, NCDPC and BHFS, they shall develop national plans and standards, technical assistance packages, training modules and regular training, for CHDs, LGUs and other stakeholders,. Who would help the LGU? BHFS Develop regulatory standards for health facilities consistent with rationalization. They shall access compliance of health facilities to regulatory standards. Implementing procedure The LGU may request for technical assistance from the DOH –Centers for Health Development (CHD), for guidance on the process The draft Strategic Plan developed for the health system shall be the basis for negotiations between stakeholders in the health system and DOH The Strategic Plan shall be institutionalized in all health plans of stakeholders in the health system (public or private sector). Implementation of the Plan Office of the Governor or City Mayor or ILHZ board – primarily responsible for implementation Lead change initiatives Communicating the plan Managing the rationalization and strategic realignment of annual investments and resources Institutionalizing the changes and assessing achievement of health care system objectives OBJECTIVES To improve health outcomes, responsiveness and equity in the health care delivery system To ensure the right and access of every Filipino to quality health care services, and with special attention to the marginalized sectors of society To promote efficient use of health care facilities and resources To reduce the financial burden of operating and of paying for services of health care facilities Monitoring and Evaluation Progress of the implementation plan must be monitored by the Province or City Health Office or ILHZ Monitor extent of achievement of objectives of rationalization – DOH-CHD THE END MARAMING SALAMAT GENERAL GUIDELINES Rationalization shall be guided by national and local health goals and outcomes desired. Rationalization shall support the autonomy of LGUs to assess and develop its healthcare delivery system, and the pursuit of LGUs for increasing levels of functionality and coordination in interlocal health zones (ILHZ). GENERAL GUIDELINES It shall recognize and utilize existing relevant international and national standards (eg. Millenium Development Goals, National Objectives for Health, DOH licensing, Sentrong Sigla Certification, and PHIC accreditation standards), and local instruments for institutionalizing all strategies and agreements (i.e. Local Health Boards, Provincial Health and Investment Plans, Provincial Health Budgets, Resolutions and ordinances, etc.) GENERAL GUIDELINES It shall be done through a participative approach, with the LGUs working together with all stakeholders, public and private, as well as national and local health providers within its health system and health referral networks. Agreements shall be made through a negotiated process GENERAL GUIDELINES It is necessarily a strategic and developmental process taking place over the medium and long term (5-10 year) period. Selective development and investments shall prioritize development and completion of more progressive and cost effective primary care facilities, before pursuing completion of more complex higher level health care facilities.
Pages to are hidden for
"Rationalizing the Health Care Delivery System based on Health"Please download to view full document