Ass Ko
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Public Sector – largely financed through tax-based budgeting system both nationa l and loca l levels; hea lth care is genera l ly given free at the point of service; a lthough socia l ized user fees have been introduced in recent years for certa in types of services. • Consists of nationa l and loca l government agencies provid ing hea lth services • At the nationa l level , the DOH is mandated as the lead agency in hea lth . • Has a regiona l field office in every region ; ma inta in ing specia lty hospita ls, regiona l hospita ls and med ical centres. • Maintains provincial health teams made up of DOH representatives to the loca l boards and personnel involved in CD control • With the devolution of health services, the local health system is now run by LGUs. • Provincia l and d istrict hospita ls are under the provincia l governments • City/mun icipa l government manages the hea lth centers/rura l hea lt un its and barangay hea lth stations Public Sector – largely market-oriented and where hea lth care is pa id through user fees at the point of service • Includes for-profit and non-profit hea lth providers • Provides hea lth services in cl in ics and hospita ls, hea lth insurance, manufacturers of med icines, vaccines, med ica l suppl ies, equ ipments and other hea lth and nutrition products, research and development and human resources development and other hea lth-related services. C. DEPARTMENT OF HEALTH FUNCTIONS The Department of Hea lth , in its new role as the nationa l authority on hea lth provid ing techn ica l and other resource assistance to concerned groups as mandated by Executive
Order 102 has identified the fol lowing genera l functions under its three specific roles in the hea lth sector: 1. Leadership in Health • Makes pol icies and regu lations • Serves as the nationa l pol icy and regu latory institution • Provides leadersh ip in formu lation , mon itoring and eva luation of nationa l hea lth pol icies, plans and programs • Serves as advocate in the adoption of hea lth pol icies, plans and programs to address nationa l and sector concerns. 2. Enabler and Capacity Builder • Innovate new strategies in hea lth to improve the effectiveness of hea lth Programs • Ensures improved publ ic participation in pol icy-decision making • Mon itor and eva luate nationa l hea lth plans, programs and pol icies • Ensure h ighest ach ievable standards of qua l ity hea lth care, hea lth promotion and hea lth protection . 3. Administrator of Specific Services • Manage selected nationa l hea lth faci l ities and hospita ls with modern and advanced faci l ities that sha l l serve as nationa l referra l centers, and selected hea lth faci l ities at sub-nationa l levels that are referra l center for loca l hea lth system . • Adm in isters d irect services for emergent hea lth concerns that requ ire new compl icated technologies that it deems necessary for publ ic welfare, adm in ister specia l components of specified programs l ike TB, sch istosom iasis, H IV-AIDS. • Adm in ister hea lth emergency response services, includ ing referra l and networking system for trauma, in juries and catastroph ic events, in cases of epidem ic and other widespread publ ic danger.
1. PRIMARY LEVEL OF health care FACILITIES •
2.
are the rural health units, their sub-centers, chest clinics, malaria eradication units, and schistosomiasis control units operated by the DOH; puericulture centers operated by League of Puericulture Centers; tuberculosis clinics and hospitals of the Philippine Tuberculosis Society; private clinics, clinics operated by the Philippine Medical Association; clinics operated by large industrial firms for their employees; community hospitals and health centers operated by the Philippine Medicare Commission and other health facilities operated by voluntary religious and civic groups (Williams-Tungpalan, 1981). SECONDARY LEVEL OF HEALTH CARE FACILITIES
•
are the smaller, non-departmentalized hospitals including emergency and regional hospitals.
•
Services offered to patients with symptomatic stages of disease, which require moderately specialized knowledge and technical resources for adequate treatment.
3.
TERTIARY LEVEL OF HEALTH CARE FACILITIES •
are the highly technological and sophisticated services offered by medical centers and large hospitals. These are the specialized national hospitals.
•
Services rendered at this level are for clients afflicted with diseases which seriously threaten their health and which require highly technical and specialized knowledge, facilities and personnel to treat effectively (WilliamsTungpalan, 1981)
Executive Order 102 MALACAÑANG MANILA BY THE PRESIDENT OF THE PHILIPPINES EXECUTIVE ORDER NO. 102 REDIRECTING THE FUNCTIONS AND OPERATIONS OF THE DEPARTMENT OF HEALTH WHEREAS, the Department of Health, hereafter referred to as DOH, has been transformed from being the sole provider of health services, to being a provider of specific health services and technical assistance provider for health, as a result of the devolution of basic services to local government units; WHEREAS, the DOH seeks to serve as the national technical authority on health, one that will ensure the highest achievable standards of quality health care, health promotion and health
protection, from which local governments units, non-government organizations, other private organizations and individual members of civil society will anchor their health programs and strategies; WHEREAS, to effectively fulfill its refocused mandate, the DOH is required to undergo changes in roles,: functions, organizational processes, corporate values, skills technology and structures; WHEREAS, Section 20, Chapter 7, Title I Book III of Executive Order No. 292 series of 1987, otherwise known as the Administrative Code of 1987, empowers the President of the Philippines to exercise such powers and functions as are vested in him under the law: WHEREAS, Section 78 of the General Provisions of RA 8522, otherwise known as the General Appropriations Act of 1998, empowers the President to direct changes in organization and key positions of any department, bureau or agency; WHEREAS, Section 80 of the same General Provisions directs heads of departments, bureaus and agencies to scale down, phase out or abolish activities no longer essential in the delivery of health services; NOW, THEREFORE, I, JOSEPH EJERCITO ESTRADA, President of the Republic of the Philippines, by virtue of the powers vested in me by law, do hereby order the following: SECTION 1. Mandate. Consistent with the provisions of the Administrative Code of 1987 and RA 7160 (the Local Government Code), the DOH is hereby mandated to provide assistance to local government units (LGUs), people's organization (PO) and other members of civic society in effectively implementing programs, projects and services that will: a) promote the health and well-being of every Filipino; b) prevent and control diseases among populations at risks; c) protect individuals, families and communities exposed to hazards and risks that could affect their health; and d) treat, manage and rehabilitate individuals affected by disease and disability. SECTION 2. Roles. To fulfill its responsibilities under this mandate, the DOH shall serve as the: a) lead agency in articulating national objectives for health to guide the development of local health systems, programs and services; b) direct service provider for specific programs that affect large segments of the population, such as tuberculosis, malaria, schistosomiasis, HIV-AIDS and other emerging infections, and micronutrient deficiencies; c) lead agency in health emergency response services, including referral and networking systems for trauma, injuries and catastrophic events; d) technical authority in disease control and prevention; e) lead agency in ensuring equity, access and quality of health care services through policy formulation, standards development and regulations; f) technical oversight agency in charge of monitoring and evaluating the implementation of health programs, projects, research, training and services; g) administrator of selected health facilities at sub national levels that act as referral centers for local health systems i.e. tertiary and special hospitals, reference laboratories, training centers,
centers for health promotion; centers for disease control and prevention, regulatory offices among others; h) innovator of new strategies for responding to emerging health needs; i) advocate for health promotion and healthy life styles for the general population; j) capacity-builder of local government units, the private sector, non-government organizations, people's organizations, national government agencies, in implementing health programs and services through technical collaborations, logistical support, provision of grant and allocations and other partnership mechanisms; k) lead agency in health and medical research; l) facilitator of the development of health industrial complex in partnership with the private sector to ensure self-sufficiency in the production of biologicals, vaccines and drugs and medicines; m) lead agency in health emergency preparedness and response; n) protector of standards of excellence in the training and education of health care providers at all levels of the health care system; and o) implementor of the National Health Insurance Law; providing administrative and technical leadership in health care financing. SECTION 3. Powers and Functions. To accomplish its mandate and roles the Department shall: a) Formulate national policies and standards for health; b) Prevent and control leading causes of health and disability; c) Develop disease surveillance and health information systems; d) Maintain national health facilities and hospitals with modern and advanced capabilities to support local services; e) Promote health and well-being through public information and to provide the public with timely and relevant information on health risks and hazards; d) the resource allocation shift, specifying the effects of the streamlined set-up on the agency budgetary allocation and indicating where possible savings have been generated; f) Develop and implement strategies to achieve appropriate expenditure patterns in health as recommended by international agencies; g) Development of sub-national centers and facilities for health promotion. disease control and prevention, standards. regulations and technical assistance; h) Promote and maintain international linkages for technical collaboration; i) Create the environment for development of a health industrial complex; j) Assume leadership in health in times of emergencies, calamities and disasters; system fails; k) Ensure quality of training and health human resource development at all levels or the health care system; l) Oversee financing or the health sector and ensure equity and accessibility to health services; and m) Articulate the national hea1th research agenda and ensure the provision of sufficient resources and logistics to attain excellence in evidenced-based interventions for health.
SECTION 4. Preparation of a Rationalization and Streamlining Plan In view of the functional and operational redirection in the DOH and to effect efficiency and effectiveness in its activities, the Department shall prepare a Rationalization and Streamlining Plan (RSP) which shall be the basis of the intended changes. The RSP Plan shall contain the following: a) the specific shift in policy directions. functions, programs and activities/ strategies; b) the structural and organizational shift stating the specific functions and activities by organizational unit and the relationship of each units; c) the staffing shift, highlighting and itemizing the existing filled and unfilled positions; and d) the resource allocation shift, specifying the effects of the streamlined set-up on the agency budgetary allocation and indicating where possible, savings have been generated. The RSP shall submitted to the, Department of Budget and Management for approval before the corresponding shifts shall be affected by the DOH Secretary. SECTION 5. Redeployment of Personnel. The redeployment of officials and other personnel on the basis of the approved RSP shall not result in diminution in rank and compensation of existing personnel. It shall take into account all pertinent Civil Service laws and rules. SECTION 6. Funding. The financial resources needed to implement the Rationalization and Streamlining Plan shall be taken from funds available in the DOH, provided that the total requirements for the implementation of the revised staffing pattern shall not exceed available funds for Personnel Services. SECTION 7. Separation Benefits. Personnel who opt to be separated from the service as a consequence of the implementation of this Executive Order shall be entitled to the benefits under existing laws. In the case of those who are not covered by existing laws, they shall be entitled to separation benefits equivalent to one month basic salary for every year of service or proportionate share thereof in addition to the terminal fee benefits to which he/she is entitled under existing laws, SECTION 8. Implementing Authority. Following the approved RSP, the DOH Secretary, in addition to his authority to implement the RSP is hereby authorized to determine the type of agencies and facilities necessary to carry out the Department's mandate and roles, including the pilot testing of programs and such-pre corporization of hospitals following strictly the principles of efficiency and effectiveness. SECTION 9. Effectivity. This Executive Order shall take effect immediately DONE in the City of Manila this 24th day of May in the year of Our Lord, Nineteen Hundred and Ninety-Nine.
Vision: "What You Need, Where You Need, Just In Time"
Mission: To provide transparent and professional logistics services to health providers through the most effective and efficient means.
Order 102 has identified the fol lowing genera l functions under its three specific roles in the hea lth sector: 1. Leadership in Health • Makes pol icies and regu lations • Serves as the nationa l pol icy and regu latory institution • Provides leadersh ip in formu lation , mon itoring and eva luation of nationa l hea lth pol icies, plans and programs • Serves as advocate in the adoption of hea lth pol icies, plans and programs to address nationa l and sector concerns. 2. Enabler and Capacity Builder • Innovate new strategies in hea lth to improve the effectiveness of hea lth Programs • Ensures improved publ ic participation in pol icy-decision making • Mon itor and eva luate nationa l hea lth plans, programs and pol icies • Ensure h ighest ach ievable standards of qua l ity hea lth care, hea lth promotion and hea lth protection . 3. Administrator of Specific Services • Manage selected nationa l hea lth faci l ities and hospita ls with modern and advanced faci l ities that sha l l serve as nationa l referra l centers, and selected hea lth faci l ities at sub-nationa l levels that are referra l center for loca l hea lth system . • Adm in isters d irect services for emergent hea lth concerns that requ ire new compl icated technologies that it deems necessary for publ ic welfare, adm in ister specia l components of specified programs l ike TB, sch istosom iasis, H IV-AIDS. • Adm in ister hea lth emergency response services, includ ing referra l and networking system for trauma, in juries and catastroph ic events, in cases of epidem ic and other widespread publ ic danger.
1. PRIMARY LEVEL OF health care FACILITIES •
2.
are the rural health units, their sub-centers, chest clinics, malaria eradication units, and schistosomiasis control units operated by the DOH; puericulture centers operated by League of Puericulture Centers; tuberculosis clinics and hospitals of the Philippine Tuberculosis Society; private clinics, clinics operated by the Philippine Medical Association; clinics operated by large industrial firms for their employees; community hospitals and health centers operated by the Philippine Medicare Commission and other health facilities operated by voluntary religious and civic groups (Williams-Tungpalan, 1981). SECONDARY LEVEL OF HEALTH CARE FACILITIES
•
are the smaller, non-departmentalized hospitals including emergency and regional hospitals.
•
Services offered to patients with symptomatic stages of disease, which require moderately specialized knowledge and technical resources for adequate treatment.
3.
TERTIARY LEVEL OF HEALTH CARE FACILITIES •
are the highly technological and sophisticated services offered by medical centers and large hospitals. These are the specialized national hospitals.
•
Services rendered at this level are for clients afflicted with diseases which seriously threaten their health and which require highly technical and specialized knowledge, facilities and personnel to treat effectively (WilliamsTungpalan, 1981)
Executive Order 102 MALACAÑANG MANILA BY THE PRESIDENT OF THE PHILIPPINES EXECUTIVE ORDER NO. 102 REDIRECTING THE FUNCTIONS AND OPERATIONS OF THE DEPARTMENT OF HEALTH WHEREAS, the Department of Health, hereafter referred to as DOH, has been transformed from being the sole provider of health services, to being a provider of specific health services and technical assistance provider for health, as a result of the devolution of basic services to local government units; WHEREAS, the DOH seeks to serve as the national technical authority on health, one that will ensure the highest achievable standards of quality health care, health promotion and health
protection, from which local governments units, non-government organizations, other private organizations and individual members of civil society will anchor their health programs and strategies; WHEREAS, to effectively fulfill its refocused mandate, the DOH is required to undergo changes in roles,: functions, organizational processes, corporate values, skills technology and structures; WHEREAS, Section 20, Chapter 7, Title I Book III of Executive Order No. 292 series of 1987, otherwise known as the Administrative Code of 1987, empowers the President of the Philippines to exercise such powers and functions as are vested in him under the law: WHEREAS, Section 78 of the General Provisions of RA 8522, otherwise known as the General Appropriations Act of 1998, empowers the President to direct changes in organization and key positions of any department, bureau or agency; WHEREAS, Section 80 of the same General Provisions directs heads of departments, bureaus and agencies to scale down, phase out or abolish activities no longer essential in the delivery of health services; NOW, THEREFORE, I, JOSEPH EJERCITO ESTRADA, President of the Republic of the Philippines, by virtue of the powers vested in me by law, do hereby order the following: SECTION 1. Mandate. Consistent with the provisions of the Administrative Code of 1987 and RA 7160 (the Local Government Code), the DOH is hereby mandated to provide assistance to local government units (LGUs), people's organization (PO) and other members of civic society in effectively implementing programs, projects and services that will: a) promote the health and well-being of every Filipino; b) prevent and control diseases among populations at risks; c) protect individuals, families and communities exposed to hazards and risks that could affect their health; and d) treat, manage and rehabilitate individuals affected by disease and disability. SECTION 2. Roles. To fulfill its responsibilities under this mandate, the DOH shall serve as the: a) lead agency in articulating national objectives for health to guide the development of local health systems, programs and services; b) direct service provider for specific programs that affect large segments of the population, such as tuberculosis, malaria, schistosomiasis, HIV-AIDS and other emerging infections, and micronutrient deficiencies; c) lead agency in health emergency response services, including referral and networking systems for trauma, injuries and catastrophic events; d) technical authority in disease control and prevention; e) lead agency in ensuring equity, access and quality of health care services through policy formulation, standards development and regulations; f) technical oversight agency in charge of monitoring and evaluating the implementation of health programs, projects, research, training and services; g) administrator of selected health facilities at sub national levels that act as referral centers for local health systems i.e. tertiary and special hospitals, reference laboratories, training centers,
centers for health promotion; centers for disease control and prevention, regulatory offices among others; h) innovator of new strategies for responding to emerging health needs; i) advocate for health promotion and healthy life styles for the general population; j) capacity-builder of local government units, the private sector, non-government organizations, people's organizations, national government agencies, in implementing health programs and services through technical collaborations, logistical support, provision of grant and allocations and other partnership mechanisms; k) lead agency in health and medical research; l) facilitator of the development of health industrial complex in partnership with the private sector to ensure self-sufficiency in the production of biologicals, vaccines and drugs and medicines; m) lead agency in health emergency preparedness and response; n) protector of standards of excellence in the training and education of health care providers at all levels of the health care system; and o) implementor of the National Health Insurance Law; providing administrative and technical leadership in health care financing. SECTION 3. Powers and Functions. To accomplish its mandate and roles the Department shall: a) Formulate national policies and standards for health; b) Prevent and control leading causes of health and disability; c) Develop disease surveillance and health information systems; d) Maintain national health facilities and hospitals with modern and advanced capabilities to support local services; e) Promote health and well-being through public information and to provide the public with timely and relevant information on health risks and hazards; d) the resource allocation shift, specifying the effects of the streamlined set-up on the agency budgetary allocation and indicating where possible savings have been generated; f) Develop and implement strategies to achieve appropriate expenditure patterns in health as recommended by international agencies; g) Development of sub-national centers and facilities for health promotion. disease control and prevention, standards. regulations and technical assistance; h) Promote and maintain international linkages for technical collaboration; i) Create the environment for development of a health industrial complex; j) Assume leadership in health in times of emergencies, calamities and disasters; system fails; k) Ensure quality of training and health human resource development at all levels or the health care system; l) Oversee financing or the health sector and ensure equity and accessibility to health services; and m) Articulate the national hea1th research agenda and ensure the provision of sufficient resources and logistics to attain excellence in evidenced-based interventions for health.
SECTION 4. Preparation of a Rationalization and Streamlining Plan In view of the functional and operational redirection in the DOH and to effect efficiency and effectiveness in its activities, the Department shall prepare a Rationalization and Streamlining Plan (RSP) which shall be the basis of the intended changes. The RSP Plan shall contain the following: a) the specific shift in policy directions. functions, programs and activities/ strategies; b) the structural and organizational shift stating the specific functions and activities by organizational unit and the relationship of each units; c) the staffing shift, highlighting and itemizing the existing filled and unfilled positions; and d) the resource allocation shift, specifying the effects of the streamlined set-up on the agency budgetary allocation and indicating where possible, savings have been generated. The RSP shall submitted to the, Department of Budget and Management for approval before the corresponding shifts shall be affected by the DOH Secretary. SECTION 5. Redeployment of Personnel. The redeployment of officials and other personnel on the basis of the approved RSP shall not result in diminution in rank and compensation of existing personnel. It shall take into account all pertinent Civil Service laws and rules. SECTION 6. Funding. The financial resources needed to implement the Rationalization and Streamlining Plan shall be taken from funds available in the DOH, provided that the total requirements for the implementation of the revised staffing pattern shall not exceed available funds for Personnel Services. SECTION 7. Separation Benefits. Personnel who opt to be separated from the service as a consequence of the implementation of this Executive Order shall be entitled to the benefits under existing laws. In the case of those who are not covered by existing laws, they shall be entitled to separation benefits equivalent to one month basic salary for every year of service or proportionate share thereof in addition to the terminal fee benefits to which he/she is entitled under existing laws, SECTION 8. Implementing Authority. Following the approved RSP, the DOH Secretary, in addition to his authority to implement the RSP is hereby authorized to determine the type of agencies and facilities necessary to carry out the Department's mandate and roles, including the pilot testing of programs and such-pre corporization of hospitals following strictly the principles of efficiency and effectiveness. SECTION 9. Effectivity. This Executive Order shall take effect immediately DONE in the City of Manila this 24th day of May in the year of Our Lord, Nineteen Hundred and Ninety-Nine.
Vision: "What You Need, Where You Need, Just In Time"
Mission: To provide transparent and professional logistics services to health providers through the most effective and efficient means.
