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This is Student Regent Macuha's report on what transpired during the 1299th meeting of the Board of Regents (BOR). It was held last 31 July 2014 at the Executive House, UP Diliman.
For your information.
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Report of the Student Regent on the 1299th BOR Meeting
This is Student Regent Macuha's report on what transpired during the 1299th meeting of the Board of Regents (BOR). It was held last 31 July 2014 at the Executive House, UP Diliman.
For your information.
This is Student Regent Macuha's report on what transpired during the 1299th meeting of the Board of Regents (BOR). It was held last 31 July 2014 at the Executive House, UP Diliman.
For your information.
Quezon City, Philippines 1101 osr@up.edu.ph www.facebook.com/upstudentregent 9818500 loc 4511
OFFICE OF THE STUDENT REGENT Report of the Student Regent on the 1299 th BOR Meeting (Executive House, 31 July 2014, 9:20 AM)
MATTERS ARISING FROM THE PREVIOUS MINUTES
1298 th Meeting, 30 J une 2014
On the Establishment of UP Manila Primary Reproductive Health Care Center (UP PRHCC) as a Center of UP Manila with Ortoll Hall as its First Building
UP Manila Vice Chancellor for Administration, Dr. Jose Florencio Lapea Jr., presented the amended proposal for the UP PHRCC, based on the issues raised before him last BOR meeting (see attached). Among the changes in the proposal were the following: (1) instead of naming the center after the benefactor, David Ortoll, the UP Manila Administration and the donor agreed that only the building would be named after the latter; and (2) the revenue projected for the center were adjusted to accommodate non-PhilHealth members who would subscribe to its services. However, Faculty Regent Lourdes Abadingo reiterated her comments last meeting on the reason why the PGH Director was left out of the UP PRHCCs organizational structure. She said that in her interpretation, the facility would utilize the resources of PGH thus the director must have a say in the matter. Dr. Lapea responded that with PGHs thrust as a tertiary health care facility, it only caters to situations of grave conditions, i.e. caesarian delivery, etc., whereas UP PRHCC would cater to normal deliveries and the like.
During the discussion, Staff Regent Anna Razel Ramirez moved that in line with the upcoming Chancellor selection of UP Manila, she wanted the board to defer the action on this matter to give way to his/her (the newly appointed Chancellor) viewpoints regarding UP PRHCC. Dr. Lapea responded that he think that it would be non-issue to the new Chancellor since the center is not a new matter. President Alfredo Pascual agreed to this, and said that he view that the UP PRHCC would benefit in the training of students of UP Manila.
Student Regent Neill John Macuha, on the other hand, raised the question on whom shall manage the operations of UP PHRCC. He said that due to the fact that the facility would create an independent body directly under the supervision of UP Manila, he is concerned that the UP Manila Administration, and UP System Administration be accountable should anything bad happen while being managed by someone/body not from the university. Dr. Lapea assured the members of the board that UP Manila Faculty and Employees will be managing the center. He also added that in fact, a Senior Faculty of the Department of Obstetrics and Gynecology shall serve as Executive Director of UP PHRCC. In addition, majority of the staff and administrators of the facility shall come from UP Manila.
Regent Rep. Roman Romulo flagged Dr. Lapea on the latters statement that UP PHRCC is essential so that no woman who consulted shall be turned away from being provided reproductive health services (non-verbatim; emphasis supplied). Regent Romulo said that the statement of Dr. Lapea provides an escape mechanism for UP PHRCC to turn away expectant mothers who did not consult prior to giving birth. Regent Romulo also noted that this veers away from the primary objective of the University to cater to the poor. Dr. Lapea accepted the comments of Regent Romulo and reassured that the points raised shall not be the case should the BOR approve UP PHRCC.
Regent Ana Maria Gizela Gonzalez-Montinola then raised comments coming from the BOR Finance Committee, particularly that of Regent Magdaleno Albarracin Jr. Among the comments of the committee were the contingency plan of UP PHRCC should the projected revenues be on the downside, and that the President or the Chancellor monitor and evaluate the facility so that corrective measures be done should the performance of the center falls below the target.
After the issues were ironed out, Chairperson Patricia Licuanan moved that the board approve the matter. However, SR Macuha clarified if the board would also approve the creation of a trust account, in addition to approving UP PHRCC as a center, and the building be named Ortoll Hall. President Pascual answered in the affirmative regarding SR Macuhas clarification. The board then approved all three motions.
Note: While the Office of the Student Regent recognizes the positive side of the UP PHRCC, all sectors within the university should be vigilant that UP PHRCC remain as a facility for training of UP Manila Students, in addition to serving the reproductive health care needs of the people. Since UP PHRCC is a revenue generating facility, students who shall serve at the facility must cease to pay any additional fees for their training needs. In addition, Dr. Lapea included in the proposal that the facility shall serve as a prototype for replication at SHS units in Sta. Elena, Leyte (currently UP SHS in Palo, Leyte; in the long run UPM SHS Palo shall transfer to Sta. Elena with UPV Tacloban), Baler, Aurora and Koronadal, South Cotabato.
Approval of the UP Master Development Plan: Development Principles and Guidelines
Chair Licuanan proceeded to this part of the agenda while waiting for the presentation of VP Concepcion. Staff Regent Ramirez then reported that some members of the UP Diliman community raised their concerns regarding the lack of consultation with regard to the proposal. She also added that the members of the community were afraid that they will be displaced should the plan push through. Pres. Pascual and Vice President for Development Elvira Zamora clarified that the BOR are only approving the guidelines not the whole development plan per se. VP Zamora also said that CUs, including UP Diliman, are still going to present to the board their final plans for approval. Staff Regent Ramirez then reiterated that the OVPD should hold several consultations with the whole UP community first before implementing any plans.
SR Macuha then concurred with the Staff Regent position. He said that the same members of the community also brought to the attention of the Student Regent the same concerns. SR Macuha then suggested that there should be an environmental impact assessment, social impact assessment, and an on-site long-term, sustainable relocation plans for displaced communities. VP Zamora assured SR Macuha that such steps shall be undertaken, and that there would be no members of the community that shall be displaced. Without any further discussion, the BOR approved the development principles and guidelines of the UP Master Development Plan.
UP Course Description /Niches/Academic Program Improvement
Vice President for Academic Affairs Gisela Concepcion presented the plans for the improvement of courses offered in the university. According to her, the Constituent Universities of the UP System already identified their niches. The university is also working on how to comply with the guidelines set by the ASEAN Universities Network in degree offerings. She also noted that in line with the K-12 program, there is a need to review the General Education Program in UP. In addition, VP Concepcion also noted that the OVPAA together with OVCAAs of CUs are already working on how to improve the GEs offered by the university.
After her presentation, SR Macuha asked for the complete list of the degree programs that will be potentially amalgamated by the CUs. He cited that several students, especially those doing their graduate studies, are afraid that their programs be among those that will be cut. Furthermore, he suggested that the GE courses must be developed to integrate the natural sciences, social sciences, and culture and the arts. VP Concepcion responded that as of the moment, CUs are yet to submit the list of the degrees that made it to the first cut. She also said that the comment of SR Macuha is the main reason for revisiting the GE program of the university. VP Concepcion also suggested to SR Macuha to work with her office tin order to come up with a mechanism to assess the learning that the students inculcate. SR Macuha welcomed the suggestion and shall communicate with the OVPAA regarding the matter.
Before moving on with the next matter in the agenda, Chair Licuanan said that, there is a need for rationalizing, merging, abolishing and streamlining degree programs offered by the university. It can be noted that such statement is consistent with the premise of the Aquino Administrations Roadmap for Philippine Higher Education Reform (RPHER) and only reinforces its problematic provisions such as the diminishing state funding to SUCs through the aforementioned mechanisms. This program is also in line with the upcoming ASEAN Integration 2015 which is geared towards the alteration and modification of the degree offerings in different universities in order to compete with other ASEAN universities.
The Office of the Student Regent stands by its call that UP, as the countrys premier state university, must maintain its public character and gear the development of its degree programs and education towards improving primarily the welfare of its people serving the countrys genuine interest. .
1294 th Meeting, 13 December 2013
Updates on the Socialized Tuition System
Socialized Tuition System Director Richard Philip Gonzalo was invited by the board to present updates regarding this reformed scheme in the university. He presented the data on the application and results as of July 26, 2014. Below are some pressing highlights of his discussion 1 :
The Socialized Tuition System shall now be commonly called as ST System in order to prevent confusion between the Science, Technology and Society course in the university. The alpha-numeric brackets are now changed to tuition discount brackets. The old bracketing (i.e. Bracket A to E2) shall only be used for presentation purposes. The income cut-offs for determining tuition discounts for incoming freshmen and upperclassmen are different. Only the cut-offs for freshmen (Batch 2014) were adjusted to the 30% inflation since 2006 2 . Appeals are now part of the ST system process. Out of around 43,000 undergraduate students, 40,119 responded to the system with 36,538 students applying for discounts. Majority of the 3,581 students who certified that they are not applying for tuition discounts come from UP Diliman. He said that this only suggests that the said students could afford the Php 1,500/unit tuition rate of UP. Around 698 applications (as of June 26, 2014) are still awaiting the release of results. The distribution of UP Diliman and UP Manila students with regard to bracketing is skewed to No Discount Bracket (Bracket A). In fact, Pres. Pascual acknowledged that there are none among the students of UP Manila have been placed under the Full Discount with Stipend (E2). Other CUs are more distributed to Brackets B and C. This data was also true in general for the whole system. Majority of students in Bracket E2 would come from UP Baguio, with UP Manila having the fewest number belonging to Bracket E.
SR Macuha asked Prof. Gonzalo on several issues brought to his attention during consultations: (1) on why are there siblings that have different brackets; and (2) on the possibility that second degree undergraduate students to apply in ST System. Prof. Gonzalo responded that sibling were not put in different brackets brackets unless, one is a freshman and the other is an upper class, they do not live in the same household (he cited that there are different criterion based on
1 Full discussion of Prof. Gonzalo was already uploaded at the Scribd and Facebook accounts of the OSR. 2 To note, income cut-offs for future students shall follow the adjusted figures. the location of the household based on the cost of living in the area), and there might be a little detail that the siblings input different responses. FR Abadingo then inquired whether it would be possible for siblings to submit only one application. President Pascual said that the Faculty Regents suggestion would complicate the process. He also suggested to SR Macuha to produce the names of those siblings in order for the ST System Director investigate the matter.
SR Macuha also flagged Prof. Gonzalo on some complaints regarding some vague insulting questions. Pres. Pascual asked SR Macuha to send the particular insulting question to Prof. Gonzalo for modifications; Prof. Gonzalo said that they are currently assessing some of the questions listed.
NEW MATTERS FOR PRESENTATION
University of the Philippines/ University of the Philippines-Manila/Philippine General Hospital Health Insurance Scheme
Philippine General Hospital Director Dr. Jose Gonzales presented his proposal for an insurance program intended for implementation in the UP System (see attached). However, he asked the board to approve the Phase I of implementation i.e. institutionalization in UP Manila and PGH.
Staff Regent Ramirez raised the concerns of those affiliated with All UP Workers Union in UP Manila who decried the lack of consultation done within the leadership of the union. She added that this was an utter violation to the Collective Negotiation Agreement between the UP Administration and the union. All UP Workers Union is the only recognized union of all non- academic staff in the UP System. She also added that instead of instituting a Health insurance scheme, UP must uphold the Magna Carta for Health Workers which stipulates that all health workers must be provided with free health care services in the country. Last, she argues that since PGH will use part of the budget intended for benefits to PGH workers for the scheme, employees may be economically disadvantaged due to the program. There was also no plan on how this will be implemented in other CUs in the UP System.
Dr. Gonzales answered that while he did not consult the union leadership, he conducted surveys within PGH and most surveyed were in favor of the project. He also declined to uphold the Magna Carta since there was no budget for it. The PGH Director also disputed the claim that this will be economically disadvantageous to employees using illogical and baseless claims saying that the latter could afford to do vices (i.e. drinking and smoking) why not invest on a health investment.
SR Macuha then asked if the funds collected would be invested somewhere, in order for it to earn. Dr. Gonzales responded that it is prohibited by law to do such unless deposited to the Landbank of the Philippines or the Development Bank of the Philippines. SR Macuha then asked for how the scheme be sustainable as in his initial assessment, the program may eventually ran out of funds. Dr. Gonzales argued that the fears of SR Macuha shall not be the case as the funds for the scheme will almost not be used as employees will use first in chronological order their discounts, PhilHealth, private health insurance, and FAPHE before invoking the benefits of the PGH health insurance scheme.
Staff Regent Ramirez, raised a motion to defer in order to facilitate more consultations, especially with the union leadership, and to settle out several issues raised. Dr. Gonzales argued to the contrary stating that they already waited three years for the approval of the project. President Pascual agreed with Dr. Gonzales that there was enough consultation and that it needs immediate approval as the project would benefit the employees. Regent Rep. Romulo then raised that his only concern is how the project be implemented to other CUs, and that he is generally approving the first phase of the proposal. In the end, the board approved the said proposal with SR Macuha and Staff Regent Ramirez raising their objections.
REPORTS
Report of the President
Among the highlights of the report of President Pascual are the damage left by Typhoon Glenda to UP Diliman, UP Manila, UP Open University, and UP Los Baos, the latter being the worst hit among the said units. He noted that 273M will be needed for rehabilitation in UPLB alone. In addition, he also reported funding for Yolanda hit campuses with UPV Tacloban College shall receive around Php13 million, while UPM SHS Palo to receive around Php 26.6 million.
The president also reported that UP shall receive Php 13.170 billion from the initial National Expenditure Program of 2015 (NEP 2015). The NEP 2015 will further be deliberated by both houses of congress. He also reported a Php 120 million increase in the MOOE of the university in which Php 53 million shall go to PGH for drugs and medicine, and Php 66 million for scholarships. SR Macuha asked the president if he would be willing to provide a budget briefing to him in a future date, in which the president gladly accepted. FR Abadingo and Staff Regent Ramirez then said that they will join the budget briefing.
Report of the Student Regent 3
SR Macuha inquired to Chair Licuanan on her statement that the Disbursement Acceleration Program. Chair Licuanan agreed to clarify once she brought the data on how the SUCs supposedly benefitted from the program.
In addition, SR Macuhas report on the Lucio Tan Legacy Forest was denied out right by VP Zamora. She clarified that there were no forest to be named after Tan, and no members of the community being harassed and displaced. She noted that there was indeed a Memorandum of Understanding but this only stipulates the donation of seedlings to the UPLB Land Grant in Siniloan, Laguna.
3 For a full copy of the report, please refer to the Scribd and Facebook account of the OSR. Mostly written in this part were the clarifications made by the members of the BOR. The Student Regent also reported the reactions and appeal of different student formations with regards to the recently approved Code of Student Conduct. President Pascual then noted the manifestations of students. The same was true for the SRs report regarding the appeal of UPV Chancellor Espinosa and Vice Chancellor Yunque asking for help in settling the debt that they personally guaranteed. SR Macuha was also advised to write to Regents Sen. Cayetano and Rep. Romulo (which already left the meeting), and Alumni Regent Rivera (who was absent) to re-echo the said request.
GENERAL GOVERNANCE
Appointment of University Officials
The Board appointed the following as:
Director of Office of Alumni Relations, UP System Prof. Jose Wendell P. Capili University Librarian, UP Diliman Mr. Chito N. Angeles 4
OTHER MATTERS
On the Motion of the Student Regent
In light of the havoc caused by the implementation on the Universitys socialized tuition mechanism, the Student Regent submitted a motion to the Board of Regents through Pres. Alfredo Pascual which states the following:
1. Adopt the Mendoza Report 5 ; 2. Further adopt the recommendation of an accessible uniform tuition rate system, in lieu of the Socialized Tuition Scheme in the University; 3. Create through the OSR a Special Committee to recommend and report to the Board a policy proposal of an accessible uniform tuition rate system; 4. Hold the implementation of the Socialized Tuition Scheme and all policies concerned therewith IN ABEYANCE pending the Board policy on the said policy proposal; and 5. In view of the suspension, revert the tuition rate of the University pre-socialized Tuition Scheme to forty pesos (Php 40) across all units in the University.
It is disheartening to note that an attempt to make UP education truly accessible has once again been halted by the Board of Regents through the dismissal of this motion. Pres. Pascual halted SR Macuhas discussion stating that the Mendoza Report which was included in the item has already been adopted. In an attempt to water down this pressing concern, Pres. Pascual claimed that the Study Group on Admissions has been created to investigate only into the
4 There were two nominees for the post, Mr. Angeles and Ms. Verna C. Lee. The search committee and UPD Chancellor recommended Mr. Angeles due to his expertise on IT systems. However, several librarians lobbied that Ms. Lee be appointed instead. This was raised by the Staff and Faculty Regent, but unfortunately, Pres. Pascual noted that it is a reality that library systems are now modernizing thus Mr. Angeles be appointed. The board proceeded without voting on the matter, effectively appointing Mr. Angeles. 5 Originally titled Democratizing UP Education. Already uploaded at the OSRs Scribd account for reference. UPCAT being the main reason why poor students are being screened out as those who come from rural areas are less endowed. While this may be true, SR Macuha asserted that another important factor in the admissions process of the University, which must not be divorced from the examination, is matriculation itself. Adding that the mere existence of high matriculation fees in UP as maintained by socialized tuition mechanisms disables students coming from low socio- economic backgrounds to pursue their studies. Apart from the Mendoza report, the discussion of having an accessible uniform tuition rate has also been denied. Chair Licuanan interrupted the argument between SR Macuha and Pres. Pascual advising the Student Regent to first settle the matter with Pascual as it has already been discussed during the railroaded approval of the reforms to the STFAP.
In the spirit of serving the students and the people I STILL remain,
NEILL JOHN G. MACUHA Student Regent University of the Philippines System Jos Florencio F. Lapea, Jr. M.A., M.D., FPCS Professor & Vice Chancellor for Administration
DATE
CHRONOLOGY OF EVENTS 10 December 2010 MOA between UP Manila-PGH-PGH Medical Foundation for the Construction of a Primary Reproductive Health Care Center for the Department of Obstetrics and Gynecology BOR Confirmation 1265 th Meeting, 17 December 2010 13 December 2011 OPRHCC was inaugurated. 12 April 2012 Deed of Donation and Acceptance between UP Manila and PGH Medical Foundation, Inc.
Donation: Ortoll Primary Reproductive Health Care Center (Constructed by virtue of a Construction Agreement between the UPMDFI and MAC Torres Enterprise) Amount of donation: P14,696,157.95
Noted with Appreciation by the Board of Regents 1281 st Meeting 26 July 2012 23 May 2012 Proposal for the establishment of OPRHCC Trust Fund 7 June 2012 UP Manila Legal Office opined that to establish a trust fund, the OPRHCC should be formally created as a Center under UP Manila, undergoing the process prescribed by the University for the creation of units/centers. 01 July 2012
OPRHCC started soft operations as a Facility, not a Center
DATE
CHRONOLOGY OF EVENTS 29 July 2013 Initiation of process to formally establish OPRHCC as a UP Manila Center (UP Manila VCPD, PGH Medical Foundation Officers, UP Manila Legal Officer, OPRHCC Officers: 1) Submission of formal proposal for Establishment of OPRHCC for BOR approval, though channels 2) Operation of OPRHCC put on hold until formal recognition 3) OPRHCC books examined by UP Manila Internal Audit Office 22 November 2013 Formal proposal submitted to UP System, through Office of Vice President for Development. Comments and suggestions were received from the Office of the Vice President for Administration 8,15,30 January 2014 27 February 2014 Meetings conducted by VCA with PGH Medical Foundation officers, ORTOLL management, departments of OBGYN & FCM, Chiefs of Accounting, Budget, Internal Audit Offices to review proposal and address suggestions and concerns of the UP VPA 4 March 2014 Revised formal proposal approved by CMT and CAC, with inputs from Deans of CM, CN, CAMP, SHS, NTTC incorporated. 12 March 2014 Final formal proposal for the establishment of OPRHCC submitted for Board of Regents action, thru the office of the Secretary of the University and of the Board of Regents; subsequent clarifications requested by President and Secretary complied with. UP Primary Reproductive Health Care Center envisioned as a Center under the University of the Philippines Manila designed to provide training and management of reproductive health care cases, including but not limited to uncomplicated obstetric cases, family planning methods and family planning research The University of the Philippines Manila Primary Reproductive Health Care Center shall be the CENTER OF EXCELLENCE for training and provision of all reproductive health care services, reproductive health research and the management of uncomplicated obstetric cases To provide comprehensive care to uncomplicated pregnant patients from their prenatal to postnatal courses
To provide initial evaluation and management of uncomplicated miscarriages
To provide family planning counseling and services, including surgical elective family planning methods, particularly bilateral tubal ligation and vasectomy
To serve as an extension training facility for Health Science Professionals
To serve as a training center for Basic Emergency Obstetrics and Newborn Care (BEmONC)
To serve as a training center for the Family Planning Competency Based Training Levels I, II and III courses
To provide such other primary reproductive health care services as may be deemed necessary
To provide primary reproductive health care
To complement the goal of the Department of Health in encouraging facility-based deliveries
To serve the non-urgent/emergent obstetric and gynecologic patients of Philippine General Hospital thereby allowing patients who require tertiary care to be accommodated at the Obstetric Admitting Section Complex and Out-patient Department To provide comprehensive care for uncomplicated multigravid patients from prenatal to postnatal care including Essential Newborn Care (ENC)
To address high neonatal mortality rate via evidence-based protocol (Unang Yakap)
To provide a venue for training and education of resident physicians (OB-Gyn and Family & Community Medicine), medical interns & clinical clerks, and health professions students (Medicine, Nursing, Midwifery, Physical Therapy) and practitioners To serve as a venue for collaboration with other stakeholders with similar thrust
UP Manila Chancellor Dean, College of Medicine Dean, College of Nursing Dean, School of Health Sciences Dean, College of Allied Medical Professions Executive Director OPRHCC Assistant Director for Services Assistant Director for Training Assistant Director for Administrative Affairs Assistant Director for Services Chair, Department of Obstetrics and Gynecology Chair, Department of Family Medicine Advisory Board Executive Director Assistant Director for Services Chief of Family Planning Clinic Assistant Director for Services Chief of Birthing Unit OB GYN Consultant on Duty Family Planning Fellow OB GYN Resident Coordinator Obstetrician on Duty (OOD) Family Medicine Rotator Medical Interns and students Midwifery Students Assistant Director for Training Assistant Director for Administrative Affairs Personnel Finance Supply And Purchasing Physical Plant Maintenance Assistant Director for Services Chair, Department of OB GYN Chair, Department Family Medicine Head nurse Nurse-on- duty (NOD) Nursing students Nursing Aides Assistant Director for Services UP PRHCC will be operated as an independent and self-sustaining facility Directly under UP Manila With fiscal authority to hire and police its own staff, manage its income and expenditures to sustain its operations.
All income and receipts such as donations shall be deposited in a Trust Account under University of the Philippines Manila created for the UPPRHCC, in accordance with standard government accounting and auditing rules and regulations.
1. Philhealth Reimbursements 2. Training and Administrative Fees 3. Donations 4. Rentals
1. Philhealth Reimbursements
With full implementation of the universal coverage initiative of the government, all public and private patients who come to the center should be covered by Philhealth:
Maternal package Family Planning package such as bilateral tubal ligation, vasectomy Intrauterine device insertions Dilatation and curettage for patients with uncomplicated spontaneous, incomplete miscarriages
2. Training and Administrative Fees
As a Center of Excellence for training and research in reproductive health, the UP PRHCC will conduct regular monthly seminars, refresher courses for health workers, didactic and practical training for local and ASEAN / international health professionals and students while administrative fees will be charged from research grants obtained and conducted at the UP PRHCC 3. Donations
The UP PRHCC will be authorized to accept grants and endowments from international and local organizations and funding agencies, such as, but not limited to:
UP Manila Development Foundation, Inc. Philippine General Hospital Medical Foundation, Inc. United Nations Population Fund (UNFPA) World Health Organization (WHO) United States Agency for International Development (USAID) Australian Agency for International Development (AusAID) Japan International Cooperation Agency (JICA) Commission on Population (POPCOM) Philippine Government, thru, but not limited to the Department of Health (DOH) 4. Rentals
The UP PRHCC will accept rental from tenants whose functions are related to family planning and reproductive health services
Rental fees shall also be charged for the use of the UP PRHCC conference and training rooms and shall conform to the existing recommendations of University of the Philippines Manila, and such agreements or contracts of lease/rental shall conform to the standard procedures of University of the Philippines Manila Personnel Services: salaries, allowances and other mandated benefits of the Centers organic staff Maintenance and Other Operating Expenses: medical, office and housekeeping supplies, communication, utilities and repairs and maintenance of OPRHCCs facilities Capital Outlay: new equipment and apparatus, major renovation and upgrading of facilities Professional Fees of consultants (from Philhealth reimbursements) Administrative Overhead
Procedure PHIC Facility Fee (Level 1 Facility) No of Deliveries per day Number of Days TOTAL NSD 3, 900.00 2 365 2 847 000.00 Curettage 6 600.00 2 365 4 818 000.00 * No other sources like Training, Rental, etc. (PHIC remittance lower if under PGH) Minimum conservative figures TOTAL
7 665 000.00 Assumptions: 10% Annual increase in census and 5% annual inflation Required admissions: 2 normal deliveries and 2 miscarriages Cost of medicine and supplies controlled at Php 2000 (NSD) and Php 1000 (curettage) Fixed plantilla salaries and PHIC compensation package and contributions, SSS and PAGIBIG contributions remain constant in 10 years
Procedure PHIC Facility Fee (Level 1 Facility) No of Deliveries per day Number of Days TOTAL NSD 3, 900.00 3 PHIC + 6 Non 365 4 270 500.00 Curettage 6 600.00 2 365 7,227,000.00 * No other sources like Training, Rental, etc. (PHIC remittance lower if under PGH) Minimum conservative figures (at 9 beds) TOTAL
11,497,500.00 Assumptions: 10% Annual increase in census and 5% annual inflation Required admissions: 3 normal deliveries and 2 miscarriages Cost of medicine and supplies controlled at Php 2000 (NSD) and Php 1000 (curettage) Fixed plantilla salaries and PHIC compensation package and contributions, SSS and PAGIBIG contributions remain constant in 10 years No patients who consulted turned away ( with 1:2 ratio - 6 non PHIC members shouldered)
Personnel Services 2 007 203.60 Miscellaneous and other Operating Expenses Utilities Electricity Water Telephone Janitorial Security Services
60,000.00 TOTAL 9,968,203.60 Increased supplies to absorb non PHIC patients
Year 1 Year 3 Year 5 Year 10 No of Deliveries 730 883.3 1 068.79 1 721.30 Philhealth 2 847 000.00 3 444 870.00 4 168 292.70 6 713 077.08 Curettage 4 818 000.00 5 829 780.00 7 054033.80 11 360 591.00 TOTAL Income 7 665 000.00 9 274 650.00 11 222 326.50 18 073 669.05
Year 1 Year 3 Year 5 Year 10 No of PHIC Deliveries
1,095.00
1,324.95
1,603.19
2,581.95 Philhealth 4,270,500.00
5,167,305.00
6,252,439.05
10,069,615.61 Curettage 7,227,000.00 8,744,670.00 10,581,050.70 17,040,887.96 TOTAL Income 11,497,500.00 13,911,975.00 16,833,489.75
27,110,503.58 (+1,100,000)*
28,210,503.58 * From research grants, tenants, etc..
Year 1 Year 3 Year 5 Year 10 TOTAL INCOME 7 665 000.00 9 274 650.00 11 222 326.50 19 173 669.05 TOTAL EXPENSES 7 594 203.60 7 873 119.60 9 232 669.59 15 312 602.24 NET REVENUE
Year 1 Year 3 Year 5 Year 10 TOTAL INCOME 11,497,500.00 13,911,975.00 16,833,489.75 28,210,503.58 TOTAL EXPENSES 9,968,203.60 12,159,915.60 14,945,786.65 27,532,296.73 NET REVENUE 1,529,296.40 1,752,059.40 1,887,703.10 678,206.85 CUMULATIVE REVENUE 2,972,296.40 9,420,902.20 16,275,826.58 29,839,393.73 Optimum revenue achieved at Year 5 (4PHIC: 8 non PHIC); Diminishing returns years 6 - 10 if ratio of 1 PHIC: 2 non PHIC patients is maintained Pre-natal PHIC enrollment should be maximized
The rotation of OB GYN Residents will be an important solution to the decline in the numbers of performance of normal spontaneous vaginal deliveries and bilateral tubal ligations at the PGH (30 required)
These procedures form the bulk of the requisite for completing the requirements for the Part One (Written) Diplomate Examination
The evaluation rating scale of each Resident Physician Trainee will form part of the grading of each individual trainee in the overall report card of each trainee in each year level The rotation of DFCM Residents will be an important solution to the decline in the numbers of normal spontaneous vaginal deliveries they are able to perform in PGH (15 required), necessitating outside community rotations in Pasay
The UP PRHCC provides an excellent venue where a holistic approach to the care of the pregnant woman may be accomplished The UP PRHCC can provide infrastructure, patients, logistics, personnel support and clinical exposure for University of the Philippines health sciences students
University of the Philippines College of Medicine University of the Philippines College of Nursing University of Philippines College of Allied Medical Professions University of the Philippines Manila School for Health Sciences
UP HEALTH SCIENCES STUDENTS: The UP PHRCC will become an important venue to for Interns and Clerks to perform required normal deliveries
Students of the UP College of Medicine can learn basic Obstetrics topics like prenatal care and family planning. This will allow them to have early exposure to patients in a venue that can accommodate large groups of students
UP SHS Medical Students may also benefit from rotations at UP PHRCC The decreasing number of normal births in PGH means UPCN students have to rotate at Fabella Hospital to fulfill their 5 NSD requirements and experience caring for women who choose physiologic birth
The UP PHRCC can meet these requirements and be a fertile ground to enhance their communication skills and apply an obstetric team approach to assessments and interventions during the intrapartal period
Nursing students from the SHS in Leyte, Quezon & South Cotobato can also be served Emergency interventions in community settings and health teleconferencing could also be issues explored or included as deemed necessary in the module for UP School of Health Sciences rotators
UP PRHCC will serve as a prototype that will eventually be replicated in Sta. Elena, Leyte, Baler, Quezon, and Koronadal, South Cotobato; It can evolve into a hub for these satellites as a national network UP PRHCC will also provide CAMP Physical Therapy Students with the opportunity to participate in maternal and reproductive health care from the perspective of their discipline
PT rotators can conduct pre-, peri- and post-natal exercises and therapy under supervision, as part of a holistic approach
Curricular objectives, required accomplishments and evaluative measures for PT will be applied Communicate with the different levels from which Reproductive health policies, strategies and implementation are sourced
Work in partnership with national government, non-governmental organizations, private sector and communities to ensure that national guidelines and policies are upheld and strengthened
Set the standard on how a premier and modern reproductive health center could train and provide technical assistance to communities Become a center for excellence for training of health professionals in childbirth and reproductive health
Facilitate research and development and education opportunities for health research stakeholders
Be at the epicenter of the movement for reproductive health through advocacy
Evolve into the hub of a nationwide and ASEAN network of primary reproductive health centers
UNIVERSITY OF THE PHILIPPINES UNIVERSITY OF THE PHILIPPINES-MANILA PHILIPPINE GENERAL HOSPITAL HEALTH INSURANCE PROGRAM CONCEPT AND PROPOSED IMPLEMENTING GUIDELINES STATEMENT OF THE PROBLEM
There is no institution sponsored comprehensive HEALTH INSURANCE program for officials, faculty and staff of the University of the Philippines. CURRENT SITUATION CURRENT FACULTY/EMPLOYEE BENEFITS PERTAINING TO HEALTH 1. PHILHEALTH (MANDATORY BY LAW) 2. ACROSS THE BOARD DISCOUNTS AT THE PHILIPPINE GENERAL HOSPITAL 3. FINANCIAL ASSISTANCE PROGRAM FOR HOSPITALIZATION EXPENSES (FAPHE) AMOUNTING TO PhP 200,000.00 MAXIMUM PER EMPLOYEE TO COVER THE WHOLE EMPLOYED PERIOD IN U.P. GENERAL OBJECTIVE TO START A COMPREHENSIVE HEALTH INSURANCE PROGRAM TO COVER ALL OFFICIALS, FACULTY AND STAFF OF THE UNIVERSITY OF THE PHILIPPINES SPECIFIC OBJECTIVES To discuss the stepladder/phasic implementation of the UP Health Insurance Program To project the cost of the creation and operation of the UP Health Insurance Program To propose funding sources for the UP Health Insurance Program
ADVANTAGES Comprehensive Health Insurance with no or minimal premium Data source for research on Occupational Health Job opportunities for Graduates, especially those who signed the Return Service Agreement Income generation opportunity in the long term Partnerships to be forged with other Colleges/Units of the University (eg. College of Business Administration, College of Economics) IMPLEMENTATION PHASES PHASE I -Coverage to start with employees in the PHILIPPINE GENERAL HOSPITAL and the Universitys Manila campus -well established health office/employees clinic -PGH is within the campus of UP Manila
PHASE I UP Health Service located in PGH will serve as the as the Health Insurance Programs clinic/office Secondary or tertiary cases will be admitted at the pay floors of the PGH Emergency cases will be transferred to PGH as soon as the patient is stable enough to be transported TRIAL RUN 2-3 years (2014-2016) Continuous evaluation IMPLEMENTATION PHASES PHASE II Coverage for the employees of the 1. UP System in Diliman 2. UP Diliman employees 3. UP Los Banos employees PHASE II UP Infirmary in Diliman will serve as the HIPs clinic/office UP Health Service Clinic in Los Banos will also serve as the HIPs clinic/office Secondary and tertiary cases from UP Diliman will be admitted at the pay floors of the PGH Option to accredit the EAST AVENUE MEDICAL CENTER PHASE II Secondary cases will be admitted at the UP Health Service in Los Banos Tertiary cases will be admitted at the pay floors of the PGH Infirmary and Health Service facilities should be upgraded to at least a secondary care facility prior to implementation of Phase II Target time to implement 3-5 years after full implementation of phase I (2017-2022) IMPLEMENTATION PHASES PHASE III 1. Coverage for all the employees of the UP System including all its constituent campuses and attached units/offices 2. Retired UP employees 3. Dependents of all UP employees PHASE III Need to harness manpower, facilities and services formed and organized by alumni and alumni groups of the UP College of Medicine May need to accredit other health facilities near each constituent campus Target time to implement is 1-2 years after full implementation of Phase II (2022-2023) IMPLEMENTATION PHASES PHASE IV
Offer the service to the public at large to provide self sustainability of the UP-HEALTH INSURANCE PROGRAM and to bolster the financial standing of the University PHASE I SPECIFICS Estimated Initial Capitalization(based on actuarial studies) PhP 26,000,000.00 Figure was generated from the 3 year FAPHE payouts(2011-2013) of PGH (about 4,000 employees) range of PhP 5.7-6.8 M per year PhP 21,000,000.00 from PGH PhP 5,000,000.00 from UP Manila EMPLOYEE BENEFIT: PhP 100,000.00/year INITIAL FUND SOURCE/CAPITALIZATION PHILHEALTH SHARE OF THE PROFESSIONAL FEES OF PHYSICIANS PHASE I SPECIFICS PGH WILL BE THE ONLY ACCREDITED HOSPITAL, ENSURES ADEQUATE CONTROL OF THE PROGRAM PROGRAM REQUIRES SETTING UP AN OFFICE EXCLUSIVELY FOR THIS PURPOSE THE FUND IS REPLENISHED ON A REGULAR BASIS BASED ON UTILIZATION PHASE I SPECIFICS NO PREMIUM FROM EMPLOYEES ADMINISTRATIVE FEES MAY BE CHARGED FOR THE CONTINUED OPERATION OF THE OFFICE ONGOING EVALUATION OF THE PROGRAM PHASE I SPECIFICS AVAILMENT OF THIS HEALTH INSURANCE PROGRAM WILL BE AFTER PHILHEALTH AND FAPHE BENEFITS ARE CONSUMED STANDARD INCLUSIONS AND EXCLUSIONS APPLY WITH SOME PERKS FOR OUR PERSONNEL LIKE PREEXISTING DISEASES, MATERNITY PACKAGES ORGANIZATION (UP MANILA AND PGH) PGH DIRECTOR(HIO DIRECTOR)
The Study of Unit Cost and Quality of Education of Ghazanfar Institute of Health Science and Private Institutes in Kabul Province For The Years of 2009-2012