University of the Philippines System

Vinzons Basement, UP Diliman, 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 1299th BOR Meeting

(Executive House, 31 July 2014, 9:20 AM)

MATTERS ARISING FROM THE PREVIOUS MINUTES

1298th Meeting, 30 June 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 Lapeña 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 PRHCC’s 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. Lapeña responded that with PGH’s 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.

Lapeña 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. Lapeña 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. Lapeña on the latter’s 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. Lapeña 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. Lapeña 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 Macuha’s 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. Lapeña 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

Administration’s 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 country’s 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 country’s

genuine interest.

.

1294th 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

discussion1:

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 20062.

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

Regent’s 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 Baños, 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 Regent3

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 Macuha’s 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 SR’s 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. Angeles4

OTHER MATTERS On the Motion of the Student Regent In light of the havoc caused by the implementation on the University’s 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 Report5; 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 Macuha’s 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 OSR’s 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

José Florencio F. Lapeña, 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 1265th 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 1281st 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 Center’s organic staff

• Maintenance and Other Operating

Expenses: medical, office and

housekeeping supplies, communication,

utilities and repairs and maintenance of

OPRHCC’s 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

100 000.00

50 000.00

5 000.00

80 000.00

36 000.00

12

12

12

12

12

3 252 000.00 1 200 000.00

600 000.00

60 000.00

960 000.00

432 000.00

Supplies 2 191 000.00

Repair & maintenance

Legal and Licensing

Fees

Audit and Accounting

5 000.00

24 000.00/yr

5 000.00

12

1yr

12

60 000.00

24,000.00

60,000.00

TOTAL 7 594 203.60

Personnel Services 2 007 203.60

Miscellaneous and other Operating Expenses

Utilities Electricity

Water

Telephone

Janitorial

Security

Services

100 000.00

50 000.00

5 000.00

80 000.00

36 000.00

12

12

12

12

12

3 252 000.00 1 200 000.00

600 000.00

60 000.00

960 000.00

432 000.00

Supplies 4,565,000.00

Repair & maintenance

Legal and Licensing

Fees

Audit and Accounting

5 000.00

24 000.00/yr

5 000.00

12

1yr

12

60 000.00

24,000.00

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

70 796.40

1 401 530.40

1 989 656.91

3 861 066.82

CUMULATIVE

REVENUE

1 513 769.40 7 123 423.20 13 921 915.95 35 732 255.49

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 University’s 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 Program’s 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 HIP’s clinic/office

• UP Health Service Clinic in Los Banos will also serve as the HIP’s 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)

HIO FUND HIO CLINICAL

ASST DIRECTOR ASST DIRECTOR

OFFICE STAFF