!"#$%! '('%")' #*+ +,-%,.

'
#' )#*#/".0$"#+".'
!"##$% '()*$%+ ,-.
!"#$%& ()*%"+ ,-#+"./-0
1-2/-23"* 4) 562$7289 5$/:0*
/0 1"234*" ."543"26
packages; ueliveiy mouels; infiastiuctuie; management; safety &
quality; uemanu foi caie
70 8"95)- :$2;<$2*"
national woikfoice policies anu investment plans; auvocacy; noims,
stanuaius anu uata
=0 >%<$2?9)4$%
facility anu population baseu infoimation & suiveillance systems;
global stanuaius, tools
@0 A"B4*95 ,2$B(*)#+ C9**4%"# D E"*-%$5$F4"#
noims, stanuaius, policies; ieliable piocuiement; equitable access;
quality
G0 H4%9%*4%F
national health financing policies; tools anu uata on health
expenuituies; costing
I0 J"9B"2#-4K 9%B L$3"2%9%*"
health sectoi policies; haimonization anu alignment; oveisight anu
iegulation
;"#7"-*&2< #87 =/>"-8#8:" #* ?-2>"-
/@ !"#$%& ()*%"+*
("$":%"7 ()*%"+ A/8*%-#28%* #87 1/**24$" ?2*"#*"B
(<":2C: #87 !"#$%&B()*%"+ D"*</8*"*
M$%#)294%)
,$##4N5" .4#"9#"O1K"*4P4*
Q"#K$%#"
,$##4N5" 8"95)-O16#)"? Q"#K$%#"
H4%9%*495 9**"##
B4<P4*(5) e.g. inability
to pay, infoimal fees
Payment exemptions foi an
inuiviuual, foi a specific
uisease
Pooling pie-paiu funus (fiom householus,
exteinal agencies, companies) in ways
that allow iisks to be shaieu, anu
ueciease inuiviuual payments when sick
,-6#4*95 9**"##
B4<P4*(5) e.g. uistance
to facility
0ut-ieach foi specific
uiseases; engage piivate
pioviueis
Revising plans foi the location,
constiuction oi upgiauing of health
facilities
R%$S5"BF" 9%B
#;455# 5$S (public anu
piivate pioviueis)
Woikshops anu othei
continuing euucation foi
specific uiseases
Reviseu pie-seivice tiaining cuiiicula;
systems foi licensing, accieuitation,
supeivision
1)9<< 92" K$$256
?$)439)"B
Staff get financial incentives to
uelivei specific seivices
Cleai job uesciiptions; peifoimance anu
salaiy ieview; faii, tianspaient
piomotion pioceuuies
:"9; 5"9B"2#-4K
9%B ?9%9F"?"%)
Woikshops to uevelop skills
in managing staff, buugets etc.
(e.g. in public anu Nu0
facilities)
Auuitional actions such as giving
manageis moie contiol ovei iesouices;
moie accountability foi iesults
>%"<<"*)43" 4%)"2O
#"*)$295 9*)4$% 9%B
K92)%"2#-4K
Bisease-specific cioss-sectoial
committees, usually national
level
Builuing local goveinment systems with
cioss-sectoi iepiesentation, anu explicit
pioceuuies foi public accountability
Financial incentives that iewaiu supeiioi
peifoimance
Incieaseu accountability foi peifoimance
Technological auvances in the biological anu
clinical sciences
Aging of the population anu associateu inciease
in chionic illness
Incieaseu ethnic anu cultuial uiveisity of the
population
Changes in the supply anu euucation of health
piofessionals
1
2
S
4
S
6
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
H4%9%*495 4%*"%)43"# )-9) 2"S92B #(K"24$2
K"2<$2?9%*"
1
A9%9F"?"%) >?K54*9)4$%
! Neeu foi incieaseu efficiency , piouuctivity anu
quality
! Reuesign of patient caie ueliveiy
! Bevelopment of stiategic alliances that auu value
! Incieaseu giowth of netwoiks, systems anu
physician gioups
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
A9%9F"?"%) >?K54*9)4$%
! Infoimation systems that facilitate patient-
centeieu caie acioss episoues of illness anu
"pathways of wellness"
! Effective implementation of clinical piactice
guiuelines anu ielateu case management piocess
2
>%*2"9#"B 9**$(%)9N454)6 <$2 K"2<$2?9%*"
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
A9%9F"?"%) >?K54*9)4$%
! Expansion of the continuum of caie, neeu foi new
tieatment sites to accommouate new tieatment
moualities
! Incieaseu capacity to manage caie acioss
oiganizational bounuaiies
! Neeu to confiont new ethical uilemmas
S
E"*-%$5$F4*95 9B39%*"# 4% )-" N4$5$F4*95
9%B *54%4*95 #*4"%*"#
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
A9%9F"?"%) >?K54*9)4$%
! Incieaseu uemanu foi piimaiy caie, wellness,
anu health piomotion seivices anu chionic
management
! Challenge of managing ethical issues associateu
with piolonging of life
4
TF4%F $< )-" K$K(59)4$% 9%B 9##$*49)"B
4%*2"9#" 4% *-2$%4* 455%"##
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
A9%9F"?"%) >?K54*9)4$%
! uieatei uifficulty in unueistanuing anu meeting
patient expectations
! Neeting the challenge of eliminating uispaiities
in caie piovision anu outcomes
! Challenge of managing an incieasingly uiveise
health seivices woikfoice
S
>%*2"9#"B ")-%4* 9%B *(5)(295 B43"2#4)6 $<
)-" K$K(59)4$%
E2$$"8826+ A&#$$"89"* @#:"7 4) %&" !"#$%&
?"$2>"-) (":%/-
A9%9F"?"%) >?K54*9)4$%
Neeu foi:
! Cieative appioaches in meeting the population's neeu foi
uisease pievention, health piomotion, anu chionic caie
management seivices
! Compensate foi shoitages in some categoiies of health
piofessionals (e.g. physical theiapy, phaimacy, & some aieas of
nuising
! Bevelop effective teams of caiegiveis acioss multiple
tieatment sites
! Bevelop woik settings conuucive to ieciuitment anu ietention
M-9%F"# 4% )-" #(KK56 9%B "B(*9)4$% $<
-"95)- K2$<"##4$%95#
6
Acute inpatient caie
1
Continuum of caie
Tieating illness 2
Naintaining &
piomoting wellness
Inuiviuual patients
S
Bealth of uefineu
populations
Tangible physical
assets
4
Intangible knowleuge
ielationship-baseu
assets
!"# %&'( )*+,-.&. /'( %&'( )*+,-.&.
F-#8*@/-+#3/8 /@ !"#$%& A#-"
All pioviueis aie
essentially similai
S
Biffeientiation baseu
on ability to auu value
Success achieveu by
incieasing maiket shaie
of inpatient aumissions
6
Success achieveu by
keeping people well
uoal is to fill beus
7
uoal is to pioviue caie
at the most
appiopiiate level
Bospitals, physicians
anu health plans aie
sepaiate
8
viitual anuoi
veitically integiateu
ueliveiy system
!"# %&'( )*+,-.&. /'( %&'( )*+,-.&.
F-#8*@/-+#3/8 /@ !"#$%& A#-"
Caie pioviueu by
autonomous health
piofessionals
9
Caie pioviueu by health
caie teams woiking
togethei in collaboiation
Infoimation is a iecoiu
foi health piofessionals'
use
1u
Infoimation is uynamic
means foi shaiing knowleuge
with patients foi theii use
Bealth piactitioneis
manage the health
oiganizations
11
Bealth piactitioneis pioviue
leaueiship foi impioving the
values of seivices ueliveieu
Bealth piactitioneis
cooiuinate seivices
12
Bealth piactitioneis actively
puisue continuous impiovement
of quality in inuiviuual &
community health
!"# %&'( )*+,-.&. /'( %&'( )*+,-.&.
F-#8*@/-+#3/8 /@ !"#$%& A#-"
!"#$%& ()*%"+ G**"83#$ H2+*
Patients shoulu ieceive caie anu be caieu
foi in an enviionment that piotects them
fiom haim.
19<"
Caie shoulu be pioviueu baseu on the best
scientific infoimation available, ensuiing
that seivices which aie likely not to benefit
patients be avoiueu.
U<<"*)43"
Caie shoulu take into account inuiviuual
patient piefeiences, neeus anu values.
,9)4"%)O
*"%)"2"B
!"#$%& ()*%"+ G**"83#$ H2+*
Caie shoulu be ueliveieu expeuitiously to
meet patient neeus with the elimination of
waiting time anu haimful uelays.
E4?"56
Caie shoulu be pioviueu in the mannei that
avoius all waste - of equipment, supplies,
iueas anu eneigy.
U<P4*4"%)
Caie shoulu not vaiy because of peisonal
chaiacteiistics such as genuei, ethnicity,
geogiaphic location, oi socio-economic
status
UV(4)9N5"
Bow can health piogiams
anu oiganizations achieve
iesults unuei *-955"%F4%F
conuitions, *-9%F4%F
emphases but 3"26 B"P4%4)"
aims.
Achieving iesults have
been coiielateu by
many stuuies with
"<<"*)43" 9%B "<P4*4"%)
?9%9F"2# 9%B
5"9B"2#.
I/-0*&/<
W("#)4$% /X List uown the challenges you believe the
Philippine Bealth Beliveiy Sectoi is facing iight now.
Iuentify the management implications of these challenges.

W("#)4$% 7X What kinu of tiansfoimation have you
obseiveu iegaiuing the Bealth Caie System in the
Philippines. Compaie the "olu view" with the "new view."

W("#)4$% =X Bow will you uefine the Philippine Bealth
System Essentials.

W("#)4$% @X Why uo uoctois neeu to be manageis anu
leaueis.