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All for Health

towards
Health for All
THE DUTERTE HEALTH AGENDA

ATTAIN HEALTH-RELATED SDG TARGETS


Financial Risk Protection

Better Health Outcomes

Protect
from
TRIPLE
BURDEN OF
DISEASE

Responsiveness

Access
functional
SERVICE
DELIVERY
NETWORKS

Attain and sustain


UNIVERSAL
HEALTH
INSURANCE

Equity Inclusiveness Quality Comprehensiveness Efficiency Sustainability Transparency Accountability

Our
Values

Filipinos able to access services with


EQUITY
least financial, cultural and geographical
INCLUSIVENESS
barriers
Preference for the underserved

Filipinos able to demand quality and


compassionate services at par with
global clinical and non-clinical standards

QUALITY

Filipinos able to continuously get the


most health from resources allocated
(cost-effective)

EFFICIENCY

Filipinos able to make informed choices


with respect to their health/care and
participate in holding the government
accountable to the people

COMPREHENSIVE

SUSTAINABILITY

TRANSPARENCY
ACCOUNTABILITY

Filipinos protected from health-related


impoverishment

Our
Vision

FINANCIAL PROTECTION

Filipinos attain best possible health


outcomes with less disparity
BETTER HEALTH STATUS

Filipinos feel respected and valued in all of


their interaction with the health system
RESPONSIVENESS

What services to
guarantee or
prioritize?

Our
Strategy

How to best deliver the


services?

Protect from
TRIPLE
BURDEN OF
DISEASE

Access
functional
SERVICE
DELIVERY
NETWORKS

Attain & Sustain


UNIVERSAL HEALTH
INSURANCE

How to equitably and efficiently


finance the service?

SERVICES THAT ADDRESS THE TRIPLE BURDEN OF DISEASE

Triple
Burden of
Disease
What services
should be
guaranteed to
protect Filipinos
from the triple
burden threat?

Communicable
Non-communicable, including malnutrition
Diseases of rapid urbanization and industrialization (e.g. Injuries, mental
health (including suicide prevention) and alcohol /drug use)

SERVICES THAT CORRESPOND TO THE FULL SPECTRUM


OF CARE FOR ALL LIFE STAGES (minimal exclusions)

Promotive, preventive, curative, rehabilitative, palliative


Emphasis on role of health promotion and primary care (annual health check)

INTERVENTIONS THAT MODIFY BUILT ENVIRONMENT


AND MOBILIZE COMMUNIITIES
Trigger behavioral shift towards healthy lifestyle/habits
Total Ban on Firecracker
AMR, ZOD, food safety & nutrition
Adopt and scale-up community-based interventions
Create strategic partnerships to promote healthy homes, workplaces, schools
and transport

NETWORKS AS CONTRACTED UNITS OF PHILHEALTH,


ACCOUNTABLE FOR ENSURING:

Service
Delivery
Networks
How should health
care providers be
organized to ensure
easy access to high
quality services?

Appropriate, ethical and at par with clinical and non-clinical standards


-

Physical access
-

Accessible location, transport assistance, or telehealth

Seamless continuum of services


-

Gate-keeping, Licensing & Accreditation, Clinical practice guidelines

Lower level level facilities to end referral centers and vice versa
Public (DOH, LGU, NGA) and private exchanges (patients and human resource)
Team-based approach

Patient/client-friendly and culturally-sensitive services


-

No queues, by appointment only

NETWORKS ENHANCED BY RELIABLE DATA & REGULAR


FEEDBACK

Mandate online submission/data sharing and reporting to disease registries


Obtain accurate feedback: e.g. ghost patients, surprise field visits
Streamline monitoring and evaluation systems and create dedicated performance unit

NETWORKS RESILIENT IN TIMES OF DISASTER

Strengthen preparedness initiatives

* To include other government agencies initiatives (sector wide approach)

PHILHEALTH AS GATEWAY TO FINANCIAL ACCESS TO SERVICES


and PROTECTION FROM CATASTROPHIC SPENDING

Universal
Health
Insurance
How to equitably and
efficiently finance
the services?

Treat every Filipino as member unless proven otherwise


Secure resources to enable enrollment of remaining 8% and to sustainably
finance remaining 92%
Strictly enforce no balance billing for poor & fixed copayment for non-poor (ceiling)
Cover services that contribute to high out of pocket payment
primary/outpatient care, outpatient drugs
medically and financially catastrophic conditions such as cancers, rare diseases,
metabolic disorders, mental health drugs, nicotine replacement
Position private health insurance / HMO plans as supplementary to NHIP (benefits
complementation)

PHILHEALTH AS MEANS TO SUSTAINABLY FINANCE


GOODS AND SERVICES

Phase-in coverage of budget-financed commodities by PhilHealth


Facilitate pooled procurement/bulk purchasing arrangements thru PhilHealth

ALIGN ALL HEALTH FUNDS TOWARDS DHA

DOH, PHILHEALTH, PAGCOR, PCSO, LGU, ODA and other NGA health funds
Streamline what is considered free or charity services

GOVERNANCE

ATTAIN
HEALTH-RELATED

SUSTAINABLE
DEVELOPMENT GOAL
Financial Risk Protection
Better Health Outcomes

HEALTH FINANCING

TRIPLE
BURDEN OF
DISEASE

SERVICE
DELIVERY
NETWORKS

SERVICE DELIVERY AND


TRAVEL MEDICINE

Responsiveness

Equity Inclusiveness Quality

Comprehensiveness Efficiency
Sustainability Transparency

UNIVERSAL
HEALTH
INSURANCE

HEALTH HUMAN
RESOURCE DEVELOPMENT

REGULATIONS, POLICY
AND STANDARDS
DEVELOPMENT

Accountability
HEALTH INFORMATION
AND SURVEILANCE

Governance

BUILD CAPACITY AND ESTABLISH ACCOUNTABILITY IN


FULFILLMENT OF INDIVIDUAL & SECTORAL MANDATES

Strengthen DOH as a policy and regulatory agency and PhilHealth as the national
government purchaser
Leverage support for and hold LGUs accountable in their role as as service
providers and local stewards of health

ENSURE EFFICIENCY, TRANSPARENCY & PREDICTABILITY AND


INTEGRITY OF GOVERNMENT TRANSACTIONS

Reduce red tape and limit turnaround time of transactions to 3 days, where appropriate
Make transactions client-friendly, professional and transparent
Establish mechanisms to ensure integrity is upheld in all transactions

Health
Financing

GENERATE MORE REVENUES FOR HEALTH

Ensure progressiveness of premium rates for the formal sector


Improve collection efficiency
Raise premium rate (by 2018)

PURCHASE HEALTH SERVICES EFFICIENTLY

Enforce contracting arrangements with health service providers


Set up strong monitoring mechanisms
Set price ceilings to reduce unpredictability of out-of-pocket payments
Reform provider payment mechanism to reflect true cost
- Short term: Adjust case rates using costing studies
- Medium term: Most appropriate contracting and provider
payment mechanism

DEFINE HEALTH ENTITLEMENTS AND STANDARDS OF CARE

Service
Delivery

Establish transparent priority setting process to ensure equitable and fair expansion of
health insurance benefits
Prioritize mental health, smoking cessation, and drug rehabilitation
entitlements
Incorporate patients rights/rights-based approach in entitlements
Observe international commitments: Human Rights, CEDAW, Anti-Torture
Require only unique health ID when accessing entitlements

ESTABLISH FUNCTIONAL PRIMARY-CARE FOCUSED


SERVICE DELIVERY NETWORKS

Define scope of services and map existing service capabilities


Develop health facility/hospital investment plan
Position DOH hospitals within SDNs (apices, teaching/training, equity center)

STREAMLINE BOQ FUNCTIONS AND DEVELOP TRAVEL


MEDICINE PORTFOLIO

Health Care
Workforce

RECONFIGURE FRONTLINE HUMAN RESOURCE COMPLEMENT


BASED ON COMPETENCY RATHER THAN PROFESSION

Modify curriculum to make it more responsive to the needs

Match medical schools work with geographic areas (return service program for
graduates)

ESTABLISH SUSTAINABLE RECRUITMENT AND RETENTION OF


TALENTED PROFESSIONALS

Consolidate financing towards fair HCW compensation (salary, PhilHealth


reimbursements, other incentives)

Actively promote opportunities for post-graduate training

Reorient deployment programs to balance contribution


with career development

Medicines,
Devices
& Other
Technology

ENSURE ACCESS TO LOW-COST QUALITY ESSENTIAL


MEDICINES and DIAGNOSTICS

Publish prices of drugs and diagnostics


Establish price negotiation board and mechanisms for bulk purchasing
Explore options for supply chain management (PPP or outsourcing)

USE HEALTH TECHNOLOGY ASSESSMENT(HTA) TO


SYSTEMATICALLY DETERMINE DRUGS AND DIAGNOSTICS
THAT WILL BE PAID BY DOH and PHIC

Establish body and institutionalize process to conduct HTA to guide coverage


decisions

STRENGTHEN SECTORS CAPACITY FOR HEALTH PROMOTION

Health
Information
and
Information
Systems

Establish external health promotion body

UPHOLD CITIZENS RIGHTS TO INFORMATION AND


PATIENTS RIGHTS

Make health data, processes, and prices transparent & accessible

STRENGTHEN DATA GOVERNANCE FOR NATIONAL


DECISION MAKING

Streamline data and report requirements across facilities

Harmonize health information systems and databases

Require submission of data as part of licensing and contracting

Establish mechanisms to obtain regular feedback from all stakeholders

Zero unmet need for FP

100
Days

Roll out TSEKAP+ OP Drug benefit


to the poorest

200
Days

Roll out mental health and enhanced


HIV/AIDS package

Expand National Drug Rehab Program


Health in All policies in
4 key sectors
Strategic Alignment of DOH Hospitals in a
SDN

Operationalize ambulance services


(land, sea, air)

Contracting by SDN operational in 3 regions


No queues in public facilities
(by appointment and navigators)
Enroll remaining 8% of the population
Adjust rates for most
common cases
Make prices of most common drugs
affordable and diagnostics available

Enforce fixed and zero co-payment


(NBB for poorest)

Attract the best and the brightest

Champion health in all settings to all


sectors

Harness and align private sector


donors, non-state actors, and
deepen engagement with the people

Instill integrity and foster


accountability in all

Expand pre-payment through a


single national government
purchasing fund (DOH+PHIC)

Vest with resources, capacity and


evidence to enable key health sector
players* to fulfill their mandate/role

Empower all government health care


providers with management and
fiscal autonomy

*DOH, PHIC, LGU, DOH Hospitals, Private sector, other NGOs

ATTAIN
HEALTH-RELATED

SUSTAINABLE
DEVELOPMENT GOAL
TRIPLE
BURDEN OF
DISEASE

SERVICE
DELIVERY
NETWORKS

UNIVERSAL
HEALTH
INSURANCE

Financial Risk Protection


Better Health Outcomes
Access
Responsiveness
Quality
Efficiency
Access | Quality

ATTAIN SUSTAINABLE
DEVELOPMENT
GOAL
Efficiency
| Transparency
TARGETS

Sustainability | Equity
Accountability