Human Resource Development

1
Human Resource Development Management

• Theme 2

2
Definition of terms

• Health professionals graduates of formal degree
  programs practicing as health care
  professionals
• Higher Education Institutions (HEIs) schools
  offering degree programs in the health sciences
  and professions distinct from graduates of
  vocational and technical schools
• Health human resource development planning,
  production management (retention, supporting,
  developing) of HPs

3
General framework used
4
Planning of Human Resource on Health (HRH)

• Issues challenges

• Suggested solutions

• Health sciences graduates do not adequately match
  what society needs in terms of number,
  distribution, areas of specialization
• There is no centralized and reliable databank
  that can be used as baseline for planning
  directions and supply of HRH

• Enhance the existing institution based at DOH to
  network with other agencies to
• Serve as central databank of HRH statistics
• Track down where the HPs are (local abroad)
• Enable the sharing of resources and exchange of
  data

5
Planning of HRH

• Issues challenges

• Suggested solutions

• Health professionals do not adequately match what
  society needs in terms of number, distribution,
  areas of specialization no integrated fully
  operational plan for HRH with HRH network but
  lack teeth to implement the plan
• There is no centralized and reliable databank
  that can be used as baseline for planning
  directions and supply of HRH

• Strengthen the mandate of the HRH network and
  support for full implementation
• By Executive Order (short term)
• By legislation (long term)
• Establish the Information System on HRH that form
  the bases for planning and implementation

6
Planning of HRH

• Issues challenges

• Suggested solutions

• Health professionals do not adequately match what
  society needs in terms of number, distribution,
  areas of specialization no integrated fully
  operational plan for HRH with HRH network but
  lack teeth to implement the plan
• There is no centralized and reliable databank
  that can be used as baseline for planning
  directions and supply of HRH

• Clarify review the mandates of DOH other
  agencies re HRH planning and development
• HRH plan to consider both professionals and
  paraprof/technical/vocational HWs particularly
  DOH, CHED, TESDA
• Strengthen the HRH network and support for full
  implementation of the plan bureaucratic
  processes
• Establish the Information System on HRH that form
  the bases for planning and implementation

7
Planning of HRH

• Issues challenges

• Suggested solutions

• Health sciences graduates do not adequately match
  what society needs in terms of number,
  distribution, areas of specialization
• There is no centralized and reliable databank
  that can be used as baseline for planning
  directions and supply of HRH

• Review overlaps in practice of various
  professionals particularly in the light of DOH
  programs like BnB and pharmacy, sputum microscopy
  etc being done by non-medtech personnel,
  immunizations by midwives, proposed nurse
  anesthetists etc.
• Short-term DOH to consider safety and competency
  and to avoid violations in HP Practice Laws
• Long-term Consider an Omnibus Law for the HP

8
Production of HRH supply

• Issues challenges

• Suggested solutions

• HRH Plan to guide opening of programs/schools
• Ensure that HS graduates remain socially
  accountable to their country by
• Requiring them to render return service to the
  Philippines for at least 2 years this should be
  accompanied with increase in plantilla/positions
  for employment
• HEIs emphasize role model values and patriotism
  in their curricula

• There is an oversupply of RNs, PTs, Optometrists
  and OTs undersupply of MDs, DDMs, SPs, Med
  Techs, Pharmacists adequate supply of
  Nutritionists Dietitians
• A huge proportion of HPs leave work abroad

9
Production of HRH quality

• Issues challenges

• Suggested solutions

• HEIs to
• Conduct comprehensive curriculum review and
  revise as necessary
• Create an environment that gives pride in the
  health professions and not as passport to work
  abroad
• Strict monitoring of compliance to PSGs of HEIs,
  to include deregulated schools
• Review how SUC programs can also be
  monitored/regulated
• (Refer to Retention Strategies)

• There is decreasing quality of graduates as
  observed in
• Low passing rates in licensure examinations
• Increasing proportion of health professionals
  choosing to be in another career like call
  centers and shifting in degree programs

10
Production of HRH curriculum testing

• Issues challenges

• Suggested solutions

• HRH Plan
• Clarify which agency, PRC or CHED, has the
  mandate for the opening and closing of
  programs/schools
• Develop incentives and retention strategies for
  enrollment in undersubscribed programs/professions
  
• Revision of Med Act of 1959, RA 1243, Hosp
  Residency Law and PD 1424
• Formulate operational guidelines regarding
  admission of foreign students in both
  undergraduate and graduate degree programs,
  including residency
• More scholarships/incentives for graduate
  programs for HPs

• There is generally decreasing trend in enrollment
  in some programs, esp Medicine in some specialty
  areas (anesth, psychiatry, radiology, pathology)
• This is greatly influenced by the increased
  demand for nursing

11
Production of HRH curriculum testing

• Issues challenges

• Suggested solutions

• PRC to review status of various professional
  examinations in terms of CB to fully implement
  CB testing
• CHED and TESDA to regulate, monitor and supervise
  the compliance of HEIs on PSGs
• CHED to review minimum standards/facilities re IT
  and other technology
• Clarify the mandate of DOH CHED with regards
  the monitoring of health facilities particularly
  the affiliation hospitals

• Not all licensure examinations are competency
  based there is PRC memo to fully implement CB
  licensure examinations
• Many schools are not yet equipped with basic
  information and communication technology (ICT)
  facilities

12
Production of HRH curriculum testing

• Issues challenges

• Suggested solutions

• Strengthen and empower research, extension and
  postgraduate programs of HEIs relate with DOHs
  and NUHRAs thrusts (refer to RD strategies)
• Regulate those that are not yet covered by PRC,
  e.g., speech pathology
• CHED and professional societies to regularly
  monitor the graduate and CPE programs
• Strengthen / implement mandatory CPE for
  relicensure

• Curricula tend to focus on instruction and not
  give the same attention to research, extension
  and post-graduate program
• Lack of regulation of some prof (e.g. Speech
  Pathology) and postgraduate programs / specialty
  certifications in Dentistry

13
Production of HRH governance

• Issues challenges

• Suggested solutions

• CHED is not consistent and lack political will in
  its implementation of policies related to
  accreditation, regulation, and granting of
  autonomous status for state universities, private
  schools and schools run by local government

• Direct the appropriate offices, e.g., CHED, PRC,
  DOLE, HEIs, professional societies, etc to be
  compliant with existing rules and regulations on
  accreditation, moratorium in cases of overlapping
  programs, suspend close HEIs when not meeting
  standard guidelines
• Review and strengthen the PRC CHED law re this

14
Production of HRH governance

• Issues challenges

• Suggested solutions

• Amendment of the Medical Act of 1959,
  particularly removing legislated course/subjects
  will give greater flexibility for innovations and
  changes under CHED
• Each profession led by the PRC Boards to review
  their own practice acts

• Present laws are no longer relevant, e.g., The
  medical act of 1959, RA 5527 (MedTech Act), etc.

15
Production of HRH governance

• Issues challenges

• Suggested solutions

• Review and amend the Philippine Nursing Act,
  specifically on the funding source to implement
  the mandated salary grade
• Review overlapping of practice of various
  professions specifically midwifery and
  immunization to include the condition under the
  supervision of an RN consider OMNIBUS Law

• Present laws are no longer relevant, e.g., The
  medical act of 1959, the Philippine nursing law,
  RA 5527 (MedTech Act), etc.

16
Management of HRH

• Issues challenges

• Suggested solutions

• Health professionals work in hazardous
  environments and are not given competitive
  compensation packages

• Enforce compliance to current labor laws for HPs
• A safe and healthy working environment that is
  also conducive to productive professional
  practice
• Minimum wage, overtime pay etc
• Establish minimum entry salary grades for the
  various HPs
• Full implementation of the Magna Carta for health
  workers
• DILG - Short-term and urgent
• Amendment to delete subject to availability of
  funds etc

17
Management of HRH

• Issues challenges

• Suggested solutions

• Wide disparity in pay and compensation package
  between local and foreign employment very low in
  the Phils with limited to no benefits esp in the
  private sector

• Enter into government-to-government agreements
  for ethical recruitment policies that benefit the
  country as a whole and promote HRH development
• Improve compensation packages /financing for HPs
  for retention

18
Affirm HEAL

• Government Compensation and Classification Act of
  2007

19
For referral to other groups

• For health care financing inclusion of
  compensation and welfare packages for HPs in the
  Philhealth program
• For R D creation of a policy to assure
  scholarships and assistantships to graduate
  students in HS
• For policy group creation of an overall body
  that will involve all sectors to pursue these
  agenda

20
Summary of policy recommendations and legislative
agenda

• Short term recommendations
• Executive orders, presidential proclamations,
  MOAs with concerned agencies to
• Institutionalize the HHRD to have more teeth
• Organize and strengthen the HEIs and their close
  relationship with each other, CHED, PRC, etc.
• Establish a government-to-government partnership
  to protect the welfare of HPs based abroad
• Long-term
• Advocacy to legislate return service of graduates
  of health science degrees
• Declare a national policy on HHRD