Integration of the Local Health

Systems into P/CWHS

(AO 2020-0021)

Engr. Rosabelle K. Villa

SHPO
Background

“The DOH, DILG, PhilHealth and LGUs shall endeavor to integrate health
systems into province-wide and city-wide health systems”
Republic Act No. 11223 or UHC Act (Section 19)

“LGUs that commit to province-wide and city-wide integration shall ensure

managerial and financial integration and provide the needed resources and
support mechanism to make the integration possible and sustainable”
UHC Act IRR (Section 19.9)

Department of Health, Philippines

Types of Health Care Provider Networks
PUBLIC MIXED PRIVATE
P/CWHS (PUBLIC/PRIVATE - owned) *to deliver Individual-based health services
*to deliver Population-based and Individual-based
health services

Apex Apex
Hospital Hospital

Tertiary Tertiary
Care Care
CONTRACTUAL
ARRANGEMENT
Secondary Public health care system may contract a private Secondary
Care facility (and vice versa) to provide services not Care
available/ to augment existing services within the
network

Primary Care Primary Care

Provider Network Provider Network

Geographic or Political Boundaries Market-Based Forces

Sub-provincial Health System

▪ Group of adjacent municipalities and component cities wherein

the PCPN is linked to a secondary or tertiary care provider.

▪ Creation shall depend on size, population and geography of the

province

▪ ILHZs and SDNs may serve as platforms for formation

Department of Health, Philippines

 Provincial / City Health Board Composition

Chairperson: Provincial Governor / City Mayor

Vice-Chairperson: Provincial / City Health Officer

Chair of Committee on PO, NGO or DOH ICC/IP Representative of

Health of the Private Sector Representative Representative, as Municipalities and
Sanggunian Representative applicable Component Cities
Panlalawigan / (R.A 8371) included in the PWHS
Panlungsod (RA 11223)*
*PHB only
Selection of Additional Health Board Members

Representative of Municipalities and ICC/IP Representative

Component Cities

Through consultations but should In accordance with Title II of the NCIP

consider the quorum and Revised National Guidelines for the
manageability of board meetings, and Mandatory Representation of Indigenous
size and geography of the province Peoples in Local Legislative Councils and
Policy-Making Bodies

Department of Health, Philippines

Functions of the P/CHB

Provincial/City Health Board

Steward of the Integrated Local Health System
Based on RA No. 7160

Propose to Sanggunian concerned the Serve as Advisory Committee to Create committees which shall advise
annual budgetary allocations for Sanggunian concerned on health local health agencies consistent with
Health matters the standards of the DOH
Functions of the P/CHB

Provincial/City Health Board

Steward of the Integrated Local Health System
Based on RA No. 11223

Set the overall health policy Manage the Special Health Fund
directions and strategic thrusts (SHF)

Exercise administrative and

Oversee and coordinate the technical supervision over health
integration and delivery of health facilities and health human
services resources within their territorial
jurisdiction
Support Units to the P/CHB

Management Support Unit

Administrative Secretariat

Assist in the management of the Provide administrative and Coordinate with necessary P/CWHS
SHF technical support stakeholders
Support Units to the P/CHB

Provincial/ City Health Office

Technical Secretariat

Coordinate with necessary P/CWHS

Oversee technical integration Provide technical supervision
stakeholders
Provincial/City Health Office
Office of the Provincial/ City
Health Officer

Administrative Unit

Health Service Delivery Health Systems Support

Division Division

Asst. PHO/CHO Officer of same level

Primary Care Hospital and other

Provider Networks Health Facilities Health Financing Information System
Operations Operations

Procurement and
Public Health Disaster Risk Performance Monitoring
Supply Chain for
Program Reduction and Health Products and
Implementation Management Services

Epidemiologic Local Health Health Human Resource

Surveillance Health Promotion Regulation Development
Support Units to the P/CHB

Technical Management Committee

Supervisor of the Sub-Provincial Health System

Monitor and evaluate

Advocate approval of integration of public health Submit reports to
funds for health and hospital services PHO

Initiate health care needs

assessment and integrated Provide policy Supervise navigation,
health planning recommendations to PHO coordination and referral
across members
Technical Management Committee Composition

Technical Staff from Member DOH Representatives of

Health Facilities Component LGUs

Administrative Staff from

Patient Representative Participating LGUs
Structure of Support Units under the P/CWHS
Local Health
PHB
Committees

MSU
Local Health
CHB
Committees

PHO MSU
Administrativ
e Unit

HSDD HSSD CHO

Administrative
Unit

Technical Technical Technical HSDD HSSD

Management Management Management
Committee Committee Committee

Sub-Provincial Sub-Provincial Sub-Provincial

Health System Health System Health System
Network Contracting

DOH to contract P/CWHS for population-based health services

Minimum Components of the P/CWHS

Primary care Epidemiologic surveillance

provider network with accessible systems
patient records

Health promotion programs Public health emergencies and

and campaigns disasters preparedness and
response
Network Contracting

PhilHealth to contract HCPNs for individual-based health services

Minimum Components of the HCPN Patient Records
Management System
Primary care provider
Members have Access network linked to
to All Levels of the secondary and/or
HCPN tertiary care providers
Patient Navigation
and Coordination
System

Provider Payment Mechanism of Pooled

Mechanism Fund Management Proof of Legal
Personality
Network Contracting

PhilHealth to contract HCPNs for individual-based health services

Minimum Requirements for HCPN Contracting

All health care facilities are licensed or All health care providers executed or signed a
accredited by the DOH performance contract
Managerial and Technical Integration

Ordinance on Unified Governance of the Functional Referral

Commitment to LHS Local Health System System Integrated Management
Integration
System

• Strategic & Investment Planning

• Information Management System
• HRH Management &
Development System
Functional Disaster Risk Functional • Procurement and Supply Chain
Proactive and Effective
Reduction Management for Epidemiologic Management System
Health Promotion • Quality Assurance System
Health (DRRM-H) System Surveillance System Programs or • Financing
Campaigns
Financial Integration

Creation of Health Board Resolution Funds Exclusively used for

Special Health Fund on SHF Use Health and Health-Related
Needs
Phases of Integration

Phase I Phase II Phase III

Preparatory Works Organization of P/CWHS Functionality Monitoring
1. Getting the commitment 1. Establish the network of 1. LGU Health Scorecard
2. Setting the baseline health facilities and services 2. Local Health System
3. Plan development 2. Implementation of policies, Maturity Levels
4. Organizing the plans, manuals and other
management structures support mechanisms
3. P/CWHS contracted by DOH
and PhilHealth
4. SHF managed by the P/CHB
Thank you