Association of Deans of Philippine Colleges of Nursing, Inc.

(ADPCN, Inc)

59th ADPCN Annual Convention and

General Assembly

Topic: “Integrating Health-Related Laws in Nursing

Education and Practice”

Roger P. Tong-an, DMPA, MAN, RN

Undersecretary of Health
Administration and Financial Management Team
Article XIII, Sec. 11 of the 1987 Constitution

“The state shall adopt an integrated and comprehensive

approach to health development and shall endeavor to
make essential goods, health and social services available
to all people at an affordable cost…”
 Republic Act 9173
“Philippine Nursing Act of 2002”
provides a more responsive nursing profession, repealing
for the purpose RA 7164 otherwise known as Philippine
Nursing Act of 1991.
 Republic Act 7305
Magna Carta of Public Health Workers (PHW)

enacted to afford benefits and other entitlements to

healthcare workers and provide opportunities for capability
building and skills enhancement to be adept in the
execution of health programs and projects
 Republic Act 7160
The Local Government Code

devolution of powers and responsibilities

from the national government to local
government units
FOURmula 1+
DEPARTMENT OF HEALTH
DEPARTMENT OF HEALTH
Based on Administrative Order No. 2018-0014
Strategic Framework and Implementing Guideline
for FOURmula One Plus for Health (F1+)
► Aims to attain the goals outlined in the
1) PDP 2017-2022,
2) SDG 2030
3) AmBisyon Natin 2040

► Builds on the concept of FOURmula

One for Health 2005-2010

► A MEDIUM TERM STRATEGIC

FRAMEWORK 2017-2022 which
expands the four pillars and emphasizes
performance accountability towards the
Filipino People

FINANCING
To secure sustainable
investments to improve
health outcomes and ensure
efficient and equitable use of
health resources
► Efficiently mobilize and distribute more resources for
health
• Innovative health taxes, efficient collection and progressive premium
payments; income retention and fiscal autonomy; private health insurance
and HMOs
►Rationalize health spending
• Population-based and personal insurable health services; pooling of funds;
fixed co-payments and No-balance billing; multi-year budget
►Focus financial resources towards high impact
interventions
• Focus on basic and essential; programs for the poor, marginalized and
vulnerable; contributory PDP, SDGs and Ambisyon 2040
 ►Access to quality essential health products &
services
• Essential health service package for all life stages and
specialized services; public health strategies (disease-free zones,
prevention and control; surveillance and monitoring; health
promotion, health emergency)
SERVICE DELIVERY
►Ensure equitable access to health facilities
To ensure the • SDN-responsive HFEP, compliance to standards of care, step-
accessibility of essential down and chronic care
quality health services at ►Ensure equitable distribution of HRH
appropriate levels of
• Aligned with health facilities expansion; engage other NGAs to
care ensure adequate production and quality HRH; Equitable
distribution (high compensation in GIDA)

►Engage service delivery networks (SDNs)

• Providers organized into SDN; families assigned to SDN;
gatekeeping mechanisms; two-referral systems
 ► Harmonize and streamline regulatory systems and
processes
• One-stop shop, automation; 3rd party accreditation; conflict of
interest reviewed and managed; compliant with international
standards; public information
► Innovative regulatory mechanisms for equitable
REGULATION distribution of quality and affordable health goods
To ensure high quality and
and services
affordable health products, • Regulation-specific capacity building; national fee schedule;
network licensing, risk and outcome-based regulation; HRH
devices, facilities and services
production and distribution)
 ► Strengthen sectoral leadership & management
• Stronger position on social determinants of health; participatory
governance; readiness in possible shifts in government; TA to LGUs
based in LIPH
► Improve organizational development & management
GOVERNANCE • Responsive organizational structure, staffing pattern and skill mix;
competency-based learning and succession planning

To strengthen leadership & ► Improve processes for procurement & supply chain
management capacities, management
coordination, and support • Improve system for planning, forecasting, coordination and
mechanisms necessary to determination of health goods; strengthen procurement and logistics
ensure functional, people-
management system
centered and participatory
health systems ► Ensure generation and use of evidence in health policy
dev’t and decision making
• Culture of research and evidence use; improve access to data; HTA
institutionalization
 ►Improve transparency and
accountability
• Integrate tools and systems; performance accountability;
scorecards
Performance
►Shift to outcome-based
Accountability
management approach
To use management systems to • Regular monitoring and reviews; performance link to
drive better execution of policies incentives
and programs in the DOH while
ensuring responsibility to all
stakeholders
“We need leaders not in love with
money, but with justice. Not in
love with publicity but in love
with humanity.”
- Martin Luther King, Jr.,
Thank You