developing a wholistic social responsibility program … · 2004. 11. 1. · developing a wholistic...

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DEVELOPING A WHOLISTIC SOCIAL RESPONSIBILITY PROGRAM IN A DEPARTMENT OF SURGERY IN THE PHILIPPINES Jeffy Guerra, MD Edgardo Penserga, MD Reynaldo O. Joson, MD, MHPEd, MS Surg Department of Surgery, Ospital ng Maynila Medical Center, Philippines [email protected]

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  • DEV

    ELO

    PIN

    G A

    WH

    OLI

    STIC

    SO

    CIA

    L R

    ESPO

    NSIB

    ILIT

    Y PR

    OG

    RAM

    IN

    A D

    EPAR

    TMEN

    T O

    F SU

    RG

    ERY

    IN T

    HE

    PHIL

    IPPI

    NES

    Jeffy

    Gue

    rra,

    MD

    Edga

    rdo

    Pens

    erga

    , MD

    Rey

    nald

    o O

    . Jos

    on, M

    D, M

    HPE

    d, M

    S Su

    rgD

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter,

    Phili

    ppin

    es

    omm

    csur

    gery

    @ya

    hoo.

    com

  • INTR

    OD

    UC

    TIO

    N

    Wor

    ld H

    ealth

    Org

    aniz

    atio

    n (W

    HO

    ) -19

    95

    ap

    peal

    ing

    to h

    ealth

    inst

    itutio

    ns

    to h

    ave

    soci

    al re

    spon

    sibi

    lity

    prog

    ram

    (SR

    P)

    to h

    elp

    atta

    in v

    isio

    n an

    d m

    issi

    on o

    f

    Hea

    lth fo

    r All

    mov

    emen

    t!

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • INTR

    OD

    UC

    TIO

    N

    Wor

    ld H

    ealth

    Org

    aniz

    atio

    n (W

    HO

    ) re

    com

    men

    ded

    guid

    elin

    es in

    form

    ulat

    ing

    and

    eval

    uatin

    g SR

    P

    -all

    gove

    rnan

    ce, s

    ervi

    ce, t

    rain

    ing,

    & re

    sear

    ch

    activ

    ities

    of h

    ealth

    inst

    itutio

    n be

    dire

    cted

    tow

    ards

    ad

    dres

    sing

    hea

    lth c

    once

    rns

    of c

    omm

    unity

    -use

    of f

    ram

    ewor

    k of

    four

    val

    ues

    in e

    valu

    atin

    g pr

    ogra

    m: r

    elev

    ance

    , qua

    lity,

    cos

    t-effe

    ctiv

    enes

    s, &

    eq

    uity

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • INTR

    OD

    UC

    TIO

    N

    Und

    er a

    new

    ste

    war

    dshi

    p in

    200

    1

    Dep

    artm

    ent o

    f Sur

    gery

    O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter (

    OM

    MC

    Sur

    gery

    )

    deci

    ded

    to d

    evel

    op w

    holis

    ticso

    cial

    resp

    onsi

    bilit

    y pr

    ogra

    m

    (SR

    P)Soc

    ial R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • GEN

    ERAL

    OB

    JEC

    TIVE

    Des

    crib

    e OM

    MC

    Sur

    gery

    SR

    P de

    velo

    pmen

    t

    from

    200

    1 to

    Jul

    y, 2

    004

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • SPEC

    IFIC

    OB

    JEC

    TIVE

    S

    Des

    crib

    e 1.

    how

    and

    why

    pro

    gram

    was

    est

    ablis

    hed

    2.gu

    idin

    g pr

    inci

    ples

    in d

    esig

    ning

    pro

    gram

    3.in

    tend

    ed re

    cipi

    ents

    4.ov

    eral

    l obj

    ectiv

    es5.

    outc

    ome

    of d

    evel

    opm

    ent

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • SPEC

    IFIC

    OB

    JEC

    TIVE

    S

    Des

    crib

    e 6.

    in

    itial

    diff

    icul

    ties

    and

    how

    thes

    e w

    ere

    over

    com

    e an

    d m

    otiv

    atio

    ns th

    at n

    urtu

    red

    deve

    lopm

    ent

    7.ta

    ngib

    le o

    utpu

    ts8.

    resu

    lts u

    sing

    WH

    O e

    valu

    atio

    n cr

    iteria

    9.ex

    tent

    of i

    nteg

    ratio

    n of

    pro

    gram

    into

    cor

    e st

    rate

    gy o

    f D

    epar

    tmen

    t tha

    t will

    mak

    e it

    sust

    aina

    ble

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • MET

    HO

    DS

    Rec

    ords

    revi

    ew to

    ans

    wer

    all

    the

    ques

    tions

    pos

    ed

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SSe

    tting

    Osp

    ital n

    g M

    ayni

    la M

    edic

    al C

    ente

    r (O

    MM

    C)

    tert

    iary

    pub

    lic h

    ospi

    tal

    owne

    d by

    gov

    ernm

    ent o

    f City

    of M

    anila

    300-

    bed

    capa

    city

    cate

    rs p

    rimar

    ily to

    hea

    lth n

    eeds

    of i

    ndig

    ent r

    esid

    ents

    of

    City

    of M

    anila

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SSe

    tting

    OM

    MC

    Sur

    gery

    one

    of 1

    2 m

    edic

    al s

    peci

    alty

    dep

    artm

    ents

    of O

    MM

    C

    that

    man

    ages

    pat

    ient

    s w

    ith s

    urgi

    cal d

    isor

    ders

    or

    patie

    nts

    need

    ing

    oper

    ativ

    e tr

    eatm

    ent

    54-b

    ed c

    apac

    ity w

    ith a

    n av

    erag

    e of

    30

    00 a

    dmis

    sion

    s25

    00 o

    pera

    tions

    2500

    0 co

    nsul

    tatio

    ns p

    er y

    ear

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SSe

    tting

    OM

    MC

    Sur

    gery

    From

    200

    1 to

    200

    4

    -sur

    gica

    l res

    iden

    ts (t

    rain

    ees)

    m

    ain

    wor

    kfor

    ce o

    f Dep

    artm

    ent

    rang

    ing

    from

    15

    to17

    -con

    trac

    tual

    , par

    t-tim

    e su

    rgic

    al c

    onsu

    ltant

    s (fa

    culty

    )ra

    ngin

    g fr

    om 1

    5 to

    24

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SSe

    tting

    OM

    MC

    Sur

    gery

    and

    OM

    MC

    -per

    enni

    ally

    face

    d w

    ith p

    robl

    em o

    f log

    istic

    s to

    sup

    port

    ope

    ratio

    ns

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SW

    hen

    and

    How

    SR

    P St

    arte

    d &

    Why

    the

    Inve

    stm

    ent

    2001

    ne

    w s

    tew

    ard

    -new

    vis

    ion-

    mis

    sion

    -n

    ew s

    et o

    f cor

    e va

    lues

    -e

    mph

    asiz

    ed s

    ocia

    l res

    pons

    ibili

    ty

    not o

    nly

    tow

    ards

    prim

    ary

    exte

    rnal

    clie

    nts

    indi

    gent

    Man

    ila p

    atie

    nts

    but F

    ilipi

    no c

    itize

    nry

    as m

    uch

    as p

    ossi

    ble

    and

    to s

    urgi

    cal r

    esid

    ents

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SW

    hen

    and

    How

    SR

    P St

    arte

    d &

    Why

    the

    Inve

    stm

    ent

    Visi

    on to

    bec

    ome

    mod

    el d

    epar

    tmen

    t of s

    urge

    ry in

    Phi

    lippi

    nes

    -mod

    el in

    gov

    erna

    nce,

    ser

    vice

    , tra

    inin

    g, &

    rese

    arch

    esta

    blis

    h qu

    ality

    soc

    ial r

    espo

    nsib

    ility

    pro

    gram

    w

    hich

    cou

    ld a

    lso

    serv

    e as

    mod

    el

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SW

    hen

    and

    How

    SR

    P St

    arte

    d &

    Why

    the

    Inve

    stm

    ent

    Appe

    al b

    y W

    HO

    for a

    ll m

    edic

    al in

    stitu

    tions

    to e

    stab

    lish

    a st

    ruct

    ured

    soc

    ial r

    espo

    nsib

    ility

    pro

    gram

    OM

    MC

    Sur

    gery

    SR

    P

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SG

    ener

    al G

    uidi

    ng P

    rinci

    ples

    in D

    esig

    n of

    SR

    P

    Gov

    erna

    nce

    prog

    ram

    that

    has

    inte

    grat

    ed

    soci

    al re

    spon

    sibi

    lity

    in it

    s bu

    sine

    ss p

    lan

    Soci

    al re

    spon

    sibi

    lity

    in v

    isio

    n-m

    issi

    on &

    cor

    e va

    lues

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SG

    ener

    al G

    uidi

    ng P

    rinci

    ples

    in D

    esig

    n of

    SR

    P

    WH

    O c

    once

    pt o

    f soc

    ial r

    espo

    nsib

    ility

    All g

    over

    nanc

    e, s

    ervi

    ce, t

    rain

    ing,

    and

    rese

    arch

    act

    iviti

    es o

    f D

    epar

    tmen

    t sho

    uld

    be d

    irect

    ed to

    war

    ds a

    ddre

    ssin

    g he

    alth

    con

    cern

    s of

    com

    mun

    ity

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SG

    ener

    al G

    uidi

    ng P

    rinci

    ples

    in D

    esig

    n of

    SR

    P

    Com

    preh

    ensi

    ve p

    rogr

    amth

    at c

    onsi

    ders

    bot

    h ne

    eds

    of it

    s ex

    tern

    al a

    nd in

    tern

    al

    clie

    nts

    and

    all p

    ossi

    ble

    aspe

    cts

    of th

    eir n

    eeds

    fram

    ewor

    k of

    OM

    MC

    Sur

    gery

    SR

    P

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • Fram

    ewor

    k of

    OM

    MC

    Surg

    ery

    SRP

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

    OMMC

    Sur

    gery

    SRP

    -Op

    eras

    yon

    Pino

    y-

    Publ

    ic He

    alth

    Educ

    atio

    n-

    Advo

    cacy

    Aga

    inst

    Un

    nece

    ssar

    y Ope

    ratio

    ns

    and

    Proc

    edur

    es-

    Cost

    -effe

    ctive

    Pat

    ient

    Mana

    gem

    ent

    -He

    alth

    Prof

    essio

    n

    Educ

    atio

    n-

    Healt

    h Ac

    tion

    Rese

    arch

    es-

    Cond

    ucive

    Pra

    ctice

    Exte

    rnal

    Clien

    ts

    OMMC

    Pat

    ients

    and

    Filip

    ino

    Citiz

    enry

    Healt

    h De

    velo

    pmen

    t in

    the

    Philip

    pine

    s

    Well

    -bein

    g

    Socio

    econ

    omic

    Prod

    uctiv

    ity

    Less

    Pat

    ient a

    nd D

    iseas

    e Bur

    den

    Com

    pete

    nt C

    omm

    unity

    -orie

    nted

    Ge

    nera

    l Sur

    geon

    s

    Healt

    hy F

    ilipin

    o Ci

    tizen

    ry

    Healt

    hy F

    ilipin

    o He

    alers

    OMMC

    Gen

    eral

    Surg

    ery R

    esid

    ents

    Inte

    rnal

    Clien

    ts

  • RES

    ULT

    SG

    ener

    al G

    uidi

    ng P

    rinci

    ples

    in D

    esig

    n of

    SR

    P

    WH

    O e

    valu

    atio

    n pa

    ram

    eter

    s of

    soc

    ial r

    espo

    nsib

    ility

    pro

    gram

    R

    elev

    ance

    qual

    ityco

    st-e

    ffect

    iven

    ess

    equi

    ty

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SIn

    tend

    ed R

    ecip

    ient

    s of

    OM

    MC

    Sur

    gery

    SR

    P

    Exte

    rnal

    and

    inte

    rnal

    clie

    nts

    of D

    epar

    tmen

    t

    Exte

    rnal

    clie

    nts

    patie

    nt-c

    lient

    s of

    OM

    MC

    Sur

    gery

    (res

    iden

    ts o

    f Man

    ila)

    Filip

    ino

    citiz

    enry

    (Met

    ro M

    anila

    and

    Phi

    lippi

    nes)

    Inte

    rnal

    clie

    nts

    OM

    MC

    sur

    gery

    resi

    dent

    s

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SO

    vera

    ll O

    bjec

    tives

    of O

    MM

    C S

    urge

    ry S

    RP

    To e

    stab

    lish

    and

    deve

    lop

    a SR

    P th

    at

    1.C

    onfo

    rms

    to W

    HO

    con

    cept

    of s

    ocia

    l res

    pons

    ibili

    ty2.

    Satis

    fies

    WH

    O e

    valu

    atio

    n pa

    ram

    eter

    s3.

    Is o

    utst

    andi

    ng th

    at it

    can

    ser

    ve a

    s a

    mod

    el fo

    r oth

    er

    depa

    rtm

    ents

    of s

    urge

    ry to

    em

    ulat

    e

    Soci

    al R

    espo

    nsib

    ility

    Pro

    gram

    -D

    epar

    tmen

    t of S

    urge

    ry, O

    spita

    l ng

    May

    nila

    Med

    ical

    Cen

    ter

  • RES

    ULT

    SO

    utco

    me

    of O

    MM

    C S

    urge

    ry S

    RP

    Dev

    elop

    men

    t Ju

    ly, 2

    004

    Seve

    n sp

    ecifi

    c pr

    ojec

    ts:

    1.O

    pera

    syon

    Pin

    oy

    2.Pu

    blic

    Hea

    lth E

    duca

    tion

    3.Ad

    voca

    cies

    aga

    inst

    Unn

    eces

    sary

    Pro

    cedu

    res

    and

    Ope

    ratio

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    ry, O

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    ical

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    ter

  • RES

    ULT

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    utco

    me

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    mon

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    ical

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    ical

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    ical

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  • RES

    ULT

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    me

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  • RES

    ULT

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    ULT

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    itial

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  • RES

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  • RES

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