Review of 3 Medical Bills filed in Congress

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Review of 3 Medical Bills filed in Congress

• Anna York P. Bondoc-Sagum, MD
• Representative, 4th District Pampanga

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• Vice Chairman, Committee on Health 13th Congress
• Deputy Majority Floor Leader 14th Congress
• 4th district of Pampanga Macabebe, Masantol,
  San Simon, Apalit, Candaba, Sto Tomas, Minalin,
  San Luis
• Member of Nacionalista Party

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• UP Medicine 1993
• Residency Internal Medicine Lenox Hill Hospital
  NY, NY USA
• Fellowship in Pulmonary and Critical Care
  Memorial Sloan Kettering Cancer Center, NY NY USA
• Diplomate, American Board of Internal Medicine
• Clinic at St Lukes Medical Center and Cardinal
  Santos Medical Center

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An Act Institutionalizing the Human Resources for
Health Network as a Structure to Support Human
Resources for Health Development in the
Philippines

• Author Hon. Carlo Diasnes, MD
• Status HB 5223 - Pending
• Committee on Health

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Human Resources for Health NetworkFeatures of
the Bill

• 14 members DFA, DILG, DOLE, DBM,POEA, OWWA,
  TESDA, NEDA, CFO, CHED, PRC, CSC, GSIS, and SSS
• Address policies, programs, projects, and monitor
  all activities, formulate database on health
  migration

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Present Agencies Working on Migration

• CHED education curriculum, how many students?
• DOLE Projection of demand local and
  international, job placement and policy formation
• DOH Data base, policies, employment locally
  (government hospitals)

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(No Transcript)
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Do we really need another agency?

• Rationalization
• Overlapping functions and mandates
• Within the mandate of DOH and DOLE
• Close coordination of different agencies and
  data sharing
• E.O. or A.O. as an alternative solution

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Case Study

• NURSING Policies and implementation are a BIG
  DISASTER!
• Lack of political will
• Lack of planning
• Poor implementation
• Government intervention necessary

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An Act to Manage Medical Residency Training
Programs in the Philippines

• Author Hon. Carlo Diasnes, MD
• Status HB 5222 Pending with the Committee on
  Health

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Medical Residency Act of 2008

• Creation of the Phil Medical Accreditation
  Council
• Post-Graduate MD programs
• - accreditation training institution
• - supervisory
• - evaluation
• - foreign MD
• Salaries
• - grade 22, overtime and night differential pay

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Local Situation

• Historically supervision, accreditation etc under
  individual societies e.g. Phil College of
  Surgeons, POGS
• Salary Private
• paid by hospital or drug company
• 13T month approx 1st Y resident
• Fellowship drug company mostly
• PUBLIC
• GAA under personal services (PS)
• Fellowships GAA, private individuals such as
  FG, drug company scholarship

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Comments

• Philhealth diplomate compensation
• Multiple societies Philippine Society of
  Cutaneous Medicine and Philippine Dermatological
  Society
• Non board passers Philippine Academy of Medical
  Specialists
• Diplomate Limit the specialty practice to older
  doctors

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US Accreditation Council for Graduate Medical
Education (ACGME)

• Private, independent, non profit accrediting
  organization since 1981
• Improve health care
• Evaluates and accredits medical residency
  programs
• American Board Medial Specialists, American
  Hospital Association, AMA, Association of
  American Medial Colleges, Council of Medical
  Specialty Societies
• Source www.acgme.org

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• Salary Paid by Medicare and Medicaid
• 1st yr. 44,000
• 2nd yr. 46,000
• 3rd yr. 48,000
• 4th yr. 52,000
• Unionization
• Labor Issues Employees vs. Students

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• We need to RESPECT residents and fellows as our
  future colleagues!

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Comments

• Residency oversight function of the government?
• Specialty society
• - Limit membership
• - Protecting practice of older doctors
• How about those trained abroad?
• Protect rights of young doctors
• Slave Labor
• Not justly compensated

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An Act Increasing the Entry Level Salary of
Priority Human Resources for Health

• Author Hon. Carlo Diasnes, MD
• Status HB 5224 - Pending with the Committee on
  Health since Oct. 2, 2008

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Entry Level Salary of Priority Human Resources
for Health

• To provide higher starting salaries for all
  health care workers
• Covers both the government and private sectors

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Comments Great!

• Whos going to pay?
• LGUs Can 4th or 5th class municipalities
  afford it?
• No penalty for non-observance
• Magna Carta not even implemented