Family

Registration
and Family
Oriented
Medical
Records
Learning Objectives:

Construct a comprehensive
family health care with the
used of the Family oriented
medical records
 Contents:
• Discuss levels of involvement to patients
• Principles in family-oriented primary
care
• Partners in family welfare and health
including PHIC
• Universal Health Care, Primary Care,
and Family Registration
• Family oriented medical records
 Strong Family
Orientation
❖ Parents sacrifice loneliness to provide for
the family’s needs
❖ “In sickness and health till death do us
part” but not in times of abused and
violence endangering life of family
members.
❖ Philippine Family Code(1987)- family
support includes: medical attendance and
delineates responsibilities of members as
to who is expected to take care of their
sick
❖ Illness in the family have its impact to
each family members (Alip 2014)
Family Oriented Primary Care Principles
in Family Centred Medical care

❖ Family oriented health care on a

biopsychosocial approach
❖ Primary focus of health care
❖ Triad Care Partnerships - Patient,
Family and Clinician
❖ Family oriented clinician reflects
on their part of treatment plan
 Comparison of levels of involvement of
physicians and families
Physicians Involvement Levels of family
Involvement
Level 1 Minimal emphasis on the Minimal contact
family

Level 2 Providing medical Information and

information and advice collaboration

Level 3 Eliciting feelings and Feelings and support

provide emotional support

Level 4 Systematic family Primary care family

assessment and planned assessment/counseling
intervention
Level 5 Family therapy Medical family Therapy
 Partners in Family Welfare
and Health
• 2003 DOLE - DO 56 “Rationalizing the implementation
of Family Welfare Program (FWP)
1. Reproductive Health and responsible parent hood
2. Education/Gender equality
3. Spirituality or value formation
4. Income Generation/Livelihood/Cooperative
5. Medical health care
6. Environmental Protection
7. Nutrition
8. Sports and leisure
9. Housing
10. Transportation
11. 2009 - Employers are to form Family Welfare
Committee
Partners in Family Welfare
and Health
•NORKIS Group of Companies 1990
- comprehensive Health
Maintenance Program to promote
health.
•Chain of Malls create health
care plan for their employers
shows decrease absenteeism,
less hospitalisation and less cost
which led to more productive
workforce. Alba-Concha, 2013.
National Health Insurance Program
Guiding Principles Version 2013
1.Allocation of national 11.Maximum
resources community
2.Universality participation
3.Equity 12.Compulsary coverage
4.Reponsiveness 13.Cost-sharing
5.Social solidarity 14.Professional
6.effectiveness responsibility health
care providers
7. Innovation
15.Public health service
8.Devolution
16.Quality services
9.Fiduciary
responsibility 17.Cost containment
10.Informed Choice 18.Care for the indigent
19. NBB
Universal Health Care
Primary Care Benefits
and Family Registration
•Strategies
1.Provide adequate financial risk
protection to families
2.Ensuring that families have
sustainable access to modern
health care facilities and services
3.Attaining health related MDG
through focus public health
efforts
Financial Issues in Primary
Care
❖ php 500 / family /yr + php100 as
incentives based on submitted
reports
Primary Care Providers

❖ Health care institution

❖ Health care professionals
❖ Health maintenance organisation
❖ Community-based health care
organisation
Primary Care Providers

❖ Payment SCHEME
1.Fee-for-service
2.Capitation
3.Case-based payment
4.Global budgets
5.Other payment mechanism
approved by PHIC board
Alaga ka Tsek up
❖ “ Alamin at Gamitin
Para sa Maayos na
Buhay campaign”
Partnership between PHIC
and PAFP
❖ PAFP participate in:
1.Advocacy work
2.Standard setting
3.Capacity building
4.Service delivery
Family Oriented Medical
Records
 Challenges of
Family Practice
and CONCEPTS
COMMUNITY ORIENTED

comprehensive
continuous Family
curative Centered
rehabilitative
 Concept of Family-oriented
Medical Record

Extend beyond the individual

and nuclear family medical
records it also includes
•family assessment tools
•health beliefs of the family
•family roles with regards to
health
•family wellness plan
 Basic Parts FOMR

A. Summary of Socio-demographic data of

nuclear family members
B. Family Assessment tools and Wellness plan
C. Consultation of each Family members
(Family summary sheets)
A. Records of initial consult for each
member
B. problem list
parts of family
Assessment Tools
❖ Genogram
❖ Family APGAR
❖ Family Map
❖ Health belief
interview
family wellness plan
family screening immunization lifestyle counseling
member changes needs
Family Summary Sheet
date of name age/sex present dx chronic reminder
visit illness of next
follow-up
problem list
NAME:

date problem management lab what to date

problem results check for problem
started next was resolve
follow-up
 Keeping Track of the
QUALITY Medical Records
❖ Continuously
improve record
keeping leading to an
easy retrieval and
contribute to manage
patient’s
information
Keeping Track of the
QUALITY Medical Records
❖ Are the records easy to retrieve?
❖ Are the records legible?
❖ Are the records arrange
chronologically?
❖ Do records also keep tracks
preventive services for patients
and family?

25
E-Records, Privacy,
Confidentiality other issues
❖ A staff of community-based
primary care practitioner
perceived electronic records as
cost-effective for it eliminates the
need for a paper-based system and
also helps facilitate communication
among staff member. Wager and
White 2000; Alba-Concha 2015
 E-Records, Privacy,
Confidentiality other issues
❖ Confidentiality and Privacy of patient
and family; Philippines via Republic
Act 10173 entitled “An act
protecting individual personal
information in information and
communication system in the
government and private sector,
creating for this purpose a national
privacy commission, and for other
purpose” as classified record as
sensitive personal information.
 GENOGRAM ASSESS STAGE ASSESS ISSUES:
MEDICAL/EMOTIONA/
SOCIAL
unattached young
adult

newlywed couple

family with young

children

families with
adolescents

launching family

family with ageing

members
 DIFFENTIAL ANTICIPATORY MANAGEMENT
DIAGNOSIS/
IMPRESSION
unattached young
adult

newlywed couple

family with young

children

families with
adolescents

launching family

family with ageing

members
 PRIORITIZE - MANAGEMENTS
BIOMEDICAL PSYCHOLOGICAL SOCIAL

unattached young
adult

newlywed couple

family with young

children

families with
adolescents

launching family

family with ageing

members
 THANK YOU
SEE YOU NEXT
MEETING