Presumptive DOH officials were in the class yesterday?

Innovation in health care in many ways

Ateneo Professional Schools
Makati City
July 17, 2016

The post tried to make the discussion interesting and level up responses by having a role playing.  The reporters and the discussants were to be officials of DOH since the reports were policy issues of the health sector.

The first to report was Dr. Elle Lim who presented the overview of the External Factors (drivers) of the health sector. He was interested in the "laylayan" (periphery) of the society.  They never see a doctor or who have access to health care facilities. They even do no have NCSO birth certificate.  Since he is aligned with the political leaning of Pres Digong (left of center) Dr. Elle would fit in theshoes of presumptive health secretary.  Hence. he would render his opinion on his report as a New Health Secretary (kind of difficult to answer?)

Then Mikee Junsay reported on (who reports direct to the current Sec of Health) on Complementary and Alternative Medicine.  Would he be an Asec for this concern?

Then the others were asked who would be Directors for Mindanao -  Dr. June2 Serrano, a kababayan of Pres Digong, Dra Donato for Region III.  

Dr. June2 (Papa June) Serrano reported on Ayurvedic Medicine (a sub specialty of the report of Mikee)  He distributed various flavors of food (we had PM snacks)

 The most exciting and interesting report was that of Dr. Nanette Bernal on Dr. Shetty.  He focussed on Operational Innovation like Wheel and Spoke, Task Shifting etc (I hope she distributes her report which is illuminating and very educational)  She mentions telemedicine and social business aspect of the work of Dr. Devi Shetty (who was the MD of Mother Teresa.  Did Mother Teresa influence Dr. Devi)  The Secretary of Health was asked to comment on Dr. Shetty's work.

He report introduced the topic of business process improvement and EDS which is in the MiCO case.

If our govt officials think and acted the way our classmates acted yesterday, the health care situation in the country would be much much better. I think the role playing motivated and awakened the class

Draft Business Plan Mikee Junsay

      I.         THIRD Party PHARMACY SERVICE PROVIDER 

Background:

The Aquino Health Agenda (AHA) supports the provision and realization of the Universal Health Care for all Filipinos, also known as the Kalusuang Pangkalahatan (KP). With its execution, the PhilHealth aims to ensure that all Filipino have an access to quality health services that are efficiently delivered, equitably distributed, fairly financed and appropriate utilized by an informed and empowered public.

In order to achieve this, the National Health Insurance or PhilHealth will implement the Outpatient Benefit Package through Primary Care Benefits Package under its new brand called TSEKAP or Tamang Serbisyong Kalusugang Pampamilya. One of the objectives is to expand the number of services for primary care includes provision of maintenance medicines for non-communicable diseases such as hypertension and diabetes.

The targeted health service providers for TSEKAP are the Rural Health Units (RHUs) and Health Centers nationwide. However, implementation issue arising because the RHUs shall provide medicines for all beneficiaries of TSEKAP, most of the RHUs run by the Local Government Units (LGUs) this men that governance depends primarily on the prioritization of the local heal executives. Most of the RHUs and HCs are not capable of sustaining its "pharmacy services" due to lack of resources or funds to finance their pharmacy. This will lead us to unavailability of medicines that eventually will inhibit these health facilities to implement TSEKAP.

    II.         Business Concept

To answer the issue of a sustainable pharmacy services a strategy for improving supply of medicines in RHUs and HC s for PhiHealth TSEKAP package shall be put in place. The RHUs and HCs that cannot provide or sustain a pharmacy service will outsource it from a third party provider.

  III.         Objectives:

a.      To provide PhilHealth accredited Rural Health Units with 32 essential medicines that will be utilized for the TSEKAP packages.

b.     To develop a system between suppliers, health facilities provider and PhilHealth through public-private partnership.

  IV.         Business Model

The TSEKAP package will be first available of all National Health Targeting System (NHTS) members or as the PhilHealth sponsored members identified by the Department of Social and Welfare Development (DSWD). Beneficiaries of about 4.7 M families will be enlisted with TSEKAP providers and be assigned to a primary care physician. The outsourced pharmacy service provider will provide medicines for these patients and be paid by the PhiilHealth. Upon issuance of prescription by physician to NHTS patients, the patient will no longer leave the RHUs and HCs without medicines.

    V.         Business Offering

  VI.       Key Result Areas

VII.       Business Organization

VIII.     Target Customers

  IX.         Financial Forecast

    X.         Exit Strategy

  XI.