Transcript of Garin Meeting at Batasan May 20 2014

8/12/2019 Transcript of Garin Meeting at Batasan May 20 2014

1/20

Provisional Transcript

Audio Recording of meeting of Department of Health Undersecretary Janette Garin

with Members of the House of Representatives and their staff to discuss the DOH

Medical Assistance Program

Andaya Hall, Batasang Pambansa

May 20, 2014

Usec. Garin: Good afternoon everybody, Im Dr. Janette Garin representing the

Department of Health. I was actually with the House of Representatives for the past

nine years. So first and foremost in behalf of the Department of Health, allow me toapologize for all the chaos and confusions that the Medical Assistance Program has

created. Admittedly, there were a lot of lapses in our end, guidelines were being

amended I believe for 3 times. So pasensya po sa nangyari, precise for me to say that

last week before the Secretary left for Geneva, this whole program was transferred to

my office. I willingly and gladly accepted because I look at my position as something

that was given to me with confidence and something that placed be there because of

the teachings of my previous mentors in the House of Representatives like boss Tito

Raul Del Mar, so andidito po ako ngayon, we admit medyo marami ang mga reklamo,medyo marami ang confusions, so I hope, I hope you will allow us to apologize for

that, but also allow us to have a little breathing space.

For the past two days we actually reviewed all the, everything that we had

that has happened, including the guidelines, including the process, and precise for

me to say that admittedly most of the lapses were on the part of the Department

that we admit and the guidelines that was given to you was in contrary to the initial

guidelines that I presented to the Speaker and the officers of the House. Hence it

became more tedious. So we actually have a new set of guidelines, so well be giving

it in awhile. Just to mention few things. The previous administrative order that the

secretary signed will now be amended by the new AO that he signed before he left

for Geneva so just to clearly point out, well the, the GAA states that the eligible

patients are the indigent patients so nagkakaroon po ng maraming confusion because

yung iba kasi they, theres alot of definition to indigent patients so for this purpose

we defined the patients as MAP indigent patients. Okay, so the qualifications will be a

recommendation from the MAP officials, and who are the MAP officials? Kayo yan,

these are the Congressmen or your designated personnel.


2/20

So yun po ang nangyayari and the eligible patient are all patients admitted or seeking

consult in a government health care facility. Now on the implementing mechanism,

we also learned that because it was going together with PAU or the Public Assistance

Unit of the Department of Health, nagkaroon ng maraming requirements so on the

provision of Medical Assistance there were requirements as to the original complete

prescription for medicines and medical supplies, the original laboratory request, the

original physicians order request form and the statement of account all of this, so for

your previous guidelines under Section 4, B that whole paragraph has been deleted

so we, the new guidelines that you have now, its totally deleted kasi andudun nga

yung sinasabi ninyo na pinapabalik-balik yung pasyente, totoo yun kasi hinahanap

yung mga original request and the patient has to look for the doctor to sign it and

that task alone is very tedious kasi yung doktor minsan nag-ra-rounds, minsan nasa

ibang so lahat ng requirements na yun mawawala yun, also the hospitals, we had a

meeting with them last week and he said of a single contact person they are

required to have at least two contact persons in-charge of this program, the directory

of which we will give to you in awhile.

On the previous guidelines, there were also a, a, a table that reflected the guidelines

in terms of DOH-retained Hospital facilities and the non-DOH-retained hospital,

hospitals and health care facilities. Okay, basically the problem was this, for the DOH-

retained health facilities, mali naman po talaga, lalo na pag sinasabi nila na uy, sorry

po wala po ditong pondo yung Congressman ninyo, hindi po talaga dapat sabihin

yun. Okay, so we already called the attention of all the chief of hospitals and in-fact a

memo has been released to them last Friday.

So we will have three procedures, unang-una po yung pinapakiusap ng lahat na

downloading ng funds, the finance department, the finance section of the

Department of Health has facilitated that, but we understand that, because of

bureaucracy, minsan natatagalan. So if your funds are already downloaded in the

DOH hospitals. So I repeat unang-una po downloading of funds to DOH Hospitalsincluding retained hospitals that includes the regional medical centers and specialty

hospitals if your office has funds there, you can transact directly with them yung

point person nandudun, second, if in case nagpadala kayo ng pasyente, pagkapadala

ninyo ng pasyente sinabi ay wala po ditong pondo yung opisina ninyo which usually

happens, this is something that we admit should not happen but unfortunately the

process of requesting the funds and downloading it takes a lot of time. So the

proposal that we have in this case kung saka-sakaling pagdating, wala diyaan, walang

pondo yung office or whatever, we have a directory that will be given to you and thatwill be e-mailed to all your offices. In that directory, there are two persons in-charge


3/20


4/20

hospitals and when that happens, you can communicate directly to them, but just in

case, pag punta nung pasyente ninyo, pagtawag ninyo, hindi kayo agad-agad na-

entertain, we will be giving you a directory for the personnel in-charge 24/7, just give

them the name of the patient, the amount and then a guarantee letter will be

immediately forwarded to your office. The hospital will also be copied and the

personnel in-charge, the cashier office will also be texted, yung number, the amount,

and the name of the patient. Para po agad-agad na ma-entertain. That mechanism

also follows for the LGU` Hospitals.

Now the other requirements, that yung table sa previous guidelines ninyo, that was

actually page four in the old requirements. What you have now is the new one.

Tinanggal na namin lahat yun. We admit its also very tedious especially if the patient

has to go to the social worker and come up with all these documentary requirements.Now on the determination of the eligibility of the patient for assistance from the

MAP, we have also deleted that because the eligibility of the patient is actually your

decision. Then also to erase all doubts we included it in the guidelines kasi yung

LGU Hospitals are concerned na baka hindi sila mabayaran or whatever.

Nakalagay na doon that within 10 working days the department is obliged to pay

them. Thats why in the letter that we sent out to the governors and the regional

directors and the chief of hospitals, we requested for their corresponding bank and

bank accounts para direkta nang bank-to-bank na magbabayad lahat, lahat-lahat,bank-to-bank na yung pagbayad ng central office sa lahat ng mga hospitals. Now,

there are also a lot of, the reason why there were a lot of requirements in the

previous guidelines, was that in the GAA that was approved, andudun na naka-

stipulate yung medicines given, laboratories done, yung mga itemized list. So all of

that will now be complied by a specific team that will be handling. So every patient,

tuloy-tuloy yung pagbigay ninyo ng assistance, but my office, there will be five, or

four or five personnel whose work will be to comply with all the requirements under

the GAA. Yung mga gamot na binibigay. So all of these requirements para hindi nayun itulak sa pasyente. Kasi kaya rin nagrereklamo yung ibang pasyente dahil napi-

pingpong sila. Ang daming opisina na pinupuntahan, which is actually not good kasi

parang pinapahirapan pa sila. So that has been deleted.

And instead it will be a responsibility of my office to comply with all of these

requirements. Now on the, on the draft memorandum of agreement with the LGU`s,

while initially we wanted to just have it signed by the chief of hospital, hindi nga raw

pi-puwede kasi they are under the direct supervision of the local government chief

executive. So the others have decided not to put funds in the LGU` hospitals but for


5/20

those who will be putting funds, our our assurance is that, hindi naman siya

magagamit ng governor kasi first, we are bound by COA rules not to download kung

wala kaming payables. So kung may guarantee letter galing sa inyo, yan po ang

babayaran ng Department of Health. Now, there were also concerns that were raised

to us. We realized na nagkaroon ng dalawang forms. And yung una kasi, I was

confused when I was receiving calls because that the entire program was handled by

another office.

Now I understood ito palang dalawang forms because itsa PAU or a Public Assistance

Unit Office, yung isang form na pinapadala sa inyo parang yung mga walk-in patient

na gustong magpatulong. The PAU office writes a recommendation and sends it to

your office. So medyo hindi maganda kasi parang ang feeling tuloy ng pasyente

nagpunta siya sa DOH, ngayon itutulak namin sa office ninyo. Pag hindi agad na-entertain ng office ninyo, marami pang salita. So the decision of the Department is to

do away with all walk-in patients because in the first place it was made clear to us

that these funds are not DOH funds but are actually funds of Congressmen who are

there to assist their constituents. So the referral letter if ever you receive one coming

from DOH, dontmind that but we already gave instruction. I mean I personally gave

instructions last week to do away with all of those. Kasi hindi pi-puwedeng yung mgs

kapag may lumalapit dun ire-refer namin sa inyo. You know best and you know better

sino ang nanganagilangan ng tulong sa distrito ninyo. Isa pa, hindi rin talaga namin

alam kung constituent ninyo because they can always say theyre from this district,

theyre from this area tapos hindi naman. Now there was also the issue of the

compilation or the collation of patients for the day before referring to the MAP.

Parang binubuo muna sila lahat before ipadala.

Syempre tumatagal din talaga. Kaya everytime na pasyente (kung) if they go to your

office, just refer them to us immediately and within 30 minutes at the most that will

be yan na yung pinaka, pinakamatagal. The guarantee letter will be e-mailed direct

to your office. Whether it will be your office here or your district office, just give usthe e-mail address but aside from that and guarantee letter is also with the

respective hospitals so yung issue na kino-collate muna lahat before gawan ng

guarantee letter mawawala na yun kasi meron nang taong in-charge for that specific

hospital. So if I`m the patient, I`ll go lets say to the office of Congresswoman

Catamco, pagdating ko dun sasabihin ko dun Cong., nangangailangan ako ng tulong.

her office will text the person in-charge then the guarantee letter goes to her office

you print it and then you can always say Ito po tulong ni Congressman, tulong po ng

opisina, dalhin ninyo lang ito sa opisina, sa hospital, sa cashier office. that will beentertained and in the guarantee letter, theres no mention of any any person in the


6/20

Department of Health, just was a mention there of a, of the indigency fund as being

used to assist them. Now meron ding mga tanong yung billing amount daw, hindi

nagko-coincide sa requested amount sa guarantee letter.

We already gave instructions for the hospitals, kung kunwari ang pinabigay ninyongtulong is four thousand or lets say five thousand. Yung billing niya kasi nabawasan pa

pala ng Philhealth or whatever naging lets say three thousand five hundred na lang

para hindi na tumagal, pakuha ninyo na lang ng take home meds niya. Kasi meron

namang mga gamot din na inuuwi sa bahay so pakuha na lang dun. Idadagdag na lang

nila sa bill yun. The hospital wouldn`t mind as long as the amount stipulated in the

guarantee letter will be the amount will be the amount that the hospital will honor.

If the bill is like five thousand and the guarantee letter is four thousand five hundred

then they have to pay for the 500 kasi medyo mahirap silang i-ano... Okay, the other

issue was that yung nagbabago let`s say meron kayong pondo na ni-request and we

fully understand na sa dami ng nakakaharap ninyo syempre minsan, minsan kasi

napansin namin meron kayong constituents nag-aaral sa ibang probinsya o ibang

region, naaksidente dun nagkasakit whatever happens. Wala kayong pondo dun. So

instead of waiting for the downloaded funds, the personnel in-charge dun ulit sa

directory na ibibigay at i-e-mail namin sainyo within the day, yun ulit ang tatawagan.

Kasi nakalagay naman doon even yung hospital na hindi sa distrito ninyo. So we will

still honor that as long as yung pondo ninyo may naiwan pa na hindi siya fullydownloaded dun sa isang hospital. So yun yung pi-puwede but if i`ts like fully

downloaded at nautilized na, makikiusap naman kami na mahirap on our part kasi

the funds that are remaining are actually funds for use of the other Congressmen.

Yung on the memorandum of agreement that will be signed by the local

government chief executive, there was also this concern na ni-re-refer pa sila sa

social worker. Well, admittedly it really takes time especially na yung municipal social

welfare officer isa lang siya, pag nag-bi-break siya or nag-li-leave wala na.

Since its DOH and the hospital has the capability to determine and in the new new

guidelines, the definition of indigent patients and eligible patients is those seeking

consult and admitted in the government health care facilitiy. Then our legal

department also agreed that we dont need a social worker para hindi na sila

pupunta at di na sila mahihirapan. The mere fact that they sought consult in a

government health facility, thats enough. Now what would be the requirement for

the guarantee letter to be honoured, di ba meron yung mga dati original prescription,

original clinical abstract, original medical certificate, social workers, mga blah

blah blah. Pinatanggal na namin lahat yun. Kasi sad to say, tama din na maga lit kayo


7/20

because we realized that many if not all of the hospitals meron palang corresponding

charges for this, so hindi namin alam yun, our apologies for that. Every document

pala na ni-re-require yung clinical abstract, medical certificate. Meron palang bayad.

So yung pasyente syempre, mas lalong nagagalit. At yun pala yung battle net, so ini-

explain ng hospital na, hindi, ini-entertain namin yan, kulang lang yung

requirements. Ngayon nung tinanong namin yung mga pasyente, eh kasi yung

requirements pala, may bayad din. So ang pangit tingnan. So all of that requirements

had been deleted because this is a requirement of the PAU office. Part kasi yun ng

parang ISO certification. So these were all deleted. The only requirement that the

guarantee letter will be requiring is an attach hospital billing. Okay, because from that

hospital billing, magkakaroon na kami ngayon ng papel na puwede naming i-trace

para dun sa lahat ng mga requirements for COA and GAA purposes so thats all the

ay just last last concernpala.

Ang daming tumatawag tungkol sa procurement of medicines. While we would like to

support that, our dilemma is that our hands are tied because in the funds that were

approved, naka-specify kasi siya na hospital assistance. May we just request na kung

pu-pwede for the next year, specified dun na puwede yung procurement of

medicines for medical missions because as of now, DBM does not allow us. Actually,

ang tiningnan din namin, hindi rin kasi solely ma-blame yung DBM kasi ang naging

problema, parang yung, may mga COA reports not related to PDAF but related to

procurement of medicines, in some hospitals and in some LGU`s. And because of

these, parang naging damay-damay ang lahat. So while they are doing things to

resolve that, hindi muna in-allow. So yun naman yung medyo dilemma namin but

then if you have medical missions these are like out patient, you can group them

together like oh you can have a diabetes clinic or you can have a hypertensive clinic

and then the laboratories and the medicines that they will be using can be charged to

the hospital. So pu-pwede po yung ganun. Yes, sir.

Question from the audience:Good afternoon po! Asec!

Usec. Garin:Hi bossing!

Question from the audience:My question is regarding health facilities that doesnt

have any medicines or medical supplies considering that Ive heard in the recent

news that some private almost all private hospitals in Metro Manila will not honor

cleans completion considering that Philhealth itself owes these hospitals these

private hospitals is having a hard time of facilitating for the papers in cleaning the

hospital for the Philhealth benefit of the patient. Kasi po that is one side kasi sa aminsa probinsya, talaga pong minsan ang ospital ang for example in Biliran there is only


8/20

one hospital which is the provincial hospital. There is no private hospital, there is no

national government hospital. The nearest national government hospital is two hours

away. Now, most of the patients are really poor. Some of them needs immediate

attention, immediate operation surgical operation like that and has a lot of

prescriptions needed for the operations to be conducted immediately. Unfortunately,

lets agree that all mostly of the government hospitals especially in the rural areas

doesnt have the medicines.

Usec. Garin: The medicines these are for LGU`s Hospitals not from, hindi yung

DOH hospital.

Question from the audience:Yes Kasi po ang ginagawa namin dun, during there

was PDAF and Im a doctor kasi. So ang ginagawa komino-MOA ko sa government

and then we abide by all of the COA rules. Ano bang requirement ng COA? Dahil pag

pinasok mo sa LGU yan, the LGU must be responsible for the funds under all COA

rules so mangyayari po dyan kailangan ng social profiling. Kailangan ko ng medical

certificate or hospital abstract. Hahanapan po sila ng, ng resibo ng mga gamot kaya

nangyayari po mas effective nun because nasa LGU ang pondo. Nagpa-facilitate ang

district office. Kung walang gamot sa loob ng ospital sa emergency room, kami mismo

ang bumibili sa botika sa labas, may resibo, nakapangalan sa pasyente para pag ni-

liquidate namin sa COA, malinis. Walang dahilan na kung saan napunta yung pondo

pero kung tatanggalin po natin ngayon yung mga requirements na I dont know if the,the COA will acceptable sa kanila na walang mga supporting justifications. Just

hospital bill lang kasi alam ninyo po kung hospital bill lang ang sagot ng DOH pa, eh

talagang kawawa ang mahihirap dahil ang hospital walang gamit, walang gamot,

walang anaesthetics, halos wala.

Usec. Garin: Okay, for the COA, sa sa ganitong sistema lets go back to the ano

please... Okay for this kasi, for the guarantee letter, it will be acceptable to COA

because the patients bill will allow us to look into what we call the WEB PAIS. So

what DOH has setup is an internet linkage among all our hospitals, that we encode

the patients name,we get their records. So ibig sabihin, actually hindi na yun iko -

comply kasi meron na lang kaming mga tao na taga-comply nun. So we transfer the

burden of the patients to our staff. Now, yung sa LGU`s we will we will make

immediately presentations with the DBM kasi yung downloading of funds, hindi

namin alam kung papayagan in the previous meetings kasi, hindi pi-pwede kung wala

kang billing basis.

Now, what we can actually do is that, I dont know if it will be of much help. What wecan do is possibly include it in the MOA that the governor who will sign kasi yung


9/20

governor naman yung may pondo, the governor who will sign will also manifest that

while they are signing kasi its actually income for them eh kasi kaysa ang nangyayari

ngayon yung pasyenteng walang pambayad, hindi mo naman mapilit, with the

Congressional fund now, yung pasyenteng walang pambayad, aside from Philhealth

kahit papaano nadadagdagan ang pondo ninyo. So ang mangyayari dun, its also a

welcome income for them. Then maybe in the MOA, we will stipulate that its their

mandate to provide the basic meds and the commonly used medicines in their

hospital. So thats one that they can do, but after this meeting allow me to have

some time to make representations with DBM and COA on, on how we are going to

facilitate the, yeah, pwedeng dun na lang sa first slide. Next slide please. No, no, no,

slide, previous slide, okay so this is the new term that will be included. Yung eligible

beneficiary, so we do away with the social worker, with the assessment whatsoever,

they are seeking consultation, sinama namin yung rehab per request of other

congressmen, examination or other... regardless of room category, okay kasi meron

namang mga pasyente na hindi raw tinatanggap kasi nasa semi-private room or

private room. Unfortunately, there are illnesses that mandates (sic) their isolation or

minsan puno yung hospital. Hindi naman nila kasalanan na sa private room sila. So

isasama na lang siya. Ito lang yung problema namin yung professional fees.

Maybe you can help us with, ito talaga its, its really COA We, we made several

representations, binabalik naman ng COA sa amin which is somehow true kasi, as, as

indigent patients hindi, lalo na kapag Philhealth, meron na kasing professional fee.

Supposed to be yung doctor hindi na sumisingil. Kaya siya hindi nadya-justify kasi like

in the case actually in a meeting with Philhealth, I put forward a proposal sabi ko sa

Philhealth, baka naman pi-puwede kasi what happens is if Im the doctor, pasyente

kunwari pasyente si cong., Cong. Henry Pryde Teves. May Philhealth siya or HMO,

what Philhealth and MHO does, is that they pay the hospital for the medical bills, the

PF goes direct to my bank account. Ganun po yun. So sa government hospitals,

ganun din. The Philhealth goes direct to the bank account of the doctor.

So minsan, hindi alam ng pasyente na meron na siyang binayad. So what we are

recommending is they give the money or the PF direct to the patient, the patient

then pays that to the doctor. Then magtatawaran na sila para may semblance ng

bayad. We have a pending proposal about dun sa Philhealth, and medyo nag-okay

naman sila initially, kasi ang nangyayari ngayon, people do not know na yung doktor

nababayaran na pala ng Philhealth. Kaya pag sumisingil sila, akala naman ng pasyente

talagang walang naibayad.Nagdodoble actually. Kasi like hinahanap mo, so philhealth

like will pay you eight thousand so thats something we would like to solve. Will thisstill get refunds from payment? Actually, yung sa ngayon. Ahh, kasi yung walang


10/20


11/20

Usec.Garin: Yes, yes, yes Actually as long as the patient is indigent and even if it is a

pay patient, tapos walang specialist na available, Philhealth covers them as long as

the doctor is Philhealth accredited.

Question from the Audience: So they are fully-covered po?

Usec.Garin: Yes, yes. Kaya lang yung Philhealth kasi meron silang like, for this case, ito

yung PF. For this case, ito yung PF. Sometimes kasi, the other doctors would charge

parang... plus, plus, plus.

Question from the Audience: Yun nga po eh, kasi halimbawa manininingil po ng,

yung neurologist, maninigil po siya kung minsan po ng 120, 000.00. Yan po ang ano.

Syempre hindi naman po mamimili yung pangyayari, ay hindi makakapamili kung sino

yung tao kung mahirap ba siya o mayaman, ang masama, ang mahirap po sa isangmahirap na tao ay maaksidente hindi lamang po sa, sa motorsiklo, whatever accident

may happen to an individual, ay masasagot po ba yun? Kung minsan 120, 000, kung

minsan 200, 000. Halimbawa po kung minsan kasi mayroon din pong inaatake nasa

isang okasyon biglang inatake at dinala po sa heart center, or sa ibang specialty

hospital, masasagot po ba yun ng point of care?

Usec.Garin: For the Philhealth enrolment, yes. And the fee corresponding to that

Philhealth allows. Unfortunately and admittedly, nakakahiya mang sabihin, meron

talagang ibang doctors na they take advantage, so nagcha-charge sila ng malaki. May

taripa naman supposedly yun pero yung iba nga hindi sumusunod. Because, unlike

the lawyers, they have IBP. For the doctors, wala kasing integrated PMA. It was

actually the law that I believe congresswoman Binay, myself, and, bothers with they

are pushing before kasi there is no body, dapat din kasi, tama naman na sumingil kasi

hanapbuhay nila yun, pero yung tolerable, ang nangyayari kasi parang kanya-kanya

na, wala nang sinusunod. That is why na we have a pending proposal with Philhealth

maybe you can help us with that, na yung payment ng professional fee na

reimbursement goes direct to the patient para yung pasyente dala-dala na yung peraibabayad niya dun sila magne-negotiate. Kasi nangyayari sa ngayon talaga, it goes

direct to the doctor.

Question from the Audience: Saka po Usec, kung hindi po masasagot lahat ng

Philhealth, that is why concern po kami na maunawaan po ng COA at ng DBM na sana

po yung aming ahh, ahh allotted funds for the medical assistance ay mabigyan po ng

pagkakataon na makapag-rekomenda po kami ng professional fee din po pandagdag

dun sa hindi po ma-accommodate ng Philhealth.


12/20

Usec.Garin: Yeah, ahm we will also wait the presentations pero siguro sa, ito kasi

yung ngayon nakasama ito doon kasi previously mayroon yatang na-disallow yung

COA yun sa, sa PDAF pa before so thats why pero yung isa naman dun ahm, maybe

we should also inform the patients that there is this law lalo na kung government

hospital eh hindi pwedeng ma-hold yung patient. So kung nabayaran na yan

supposed to be yung hospital pwede na silang i-release.

Question from the Audience: Usec. Halimbawa po ah isang mahirap na pasyente na

lumapit sa amin na, na by emergency cases eh nalagay po sa private hospital how can

we be of help to them?

Usec.Garin: Through the medical assistance program that ahm, you, you recommend

as long as they are in the government facility ahm, ah private hospital.

Question from the Audience: Private po private po nadala po kasi yun po ang

pinakamalapit.

Usec.Garin: The, the solution talaga dun is you transfer.

Question from the Audience: In the, in the real sense po eh, Usec. nangyayari po kasi

yan.

Usec.Garin: Yeah, yeah, we understand marami pong nangyayaring ganyan. Pero

marami din pong immediately eh nililipat. Acutally there is a proposal to expand yung

medical assistance program to include the private hospitals. Kaya lang yung eto nga

yung ngayon madalian kasi siya during the budget hearing, Atleast like ahmn, we now

have 3 sets for request for the next budget.

Question from the Audience: Yun po kasing ah, alam ko yung funds na allotted for

every district ay it has to be identified by a, a district congressman or or party-list

ahm, ahh.

Usec.Garin: Actually po, not necessarily that is why we wanted to correct that kasi

marami na yung nagrereklamo noh, correct us if I am wrong, andaming nagreklamo

na bakit daw pinapa-identify ng hospital tapos pag gusto nang ilipat, ang hirap. Ang

totoo po, hindi naman po necessary na mag-identify kayo agad, unless you want your

money downloaded there immediately. Our initial recommendation was actually,

well send the guarantee letters then bayaran agad para walang, walangtagal, walang

maraming requirements kasi the hospital structure has a lot of requirements for

indigency program natutunga kasi diyan sila eh. So to solve that, yun yung prinopose

namin. But then there were others naman were very comfortable with outright


13/20

downloading so sabi namin okay naman yun. For those na wala kayong downloaded

na pondo, actually its easier, better and more flexible kasi by the time na nagpalit ka

ng isip, kunyare party-list congressman ka, dito ka naglagay ng pondo, then mayroon

din dun kasamahan ninyo, kaibigan ninyo tumatakbo din, you want to concentrate on

this area, so very flexible, all you have to do is look at our directory tell the person in

charge you want a guarantee letter immediately to this hospital, this patient, ipadala

agad. So hindi na yung na-download na dun, babawiin mo ulit, ire-realign mo.

Mas matagal yun. So for those who were not able to submit a list of breakdown.Wala

pong problema. You just call/text Atty. (?) here Moly is the one heading the group. So

thats Moly. Kasama rin dun yung AO ko si Ethel, and then yung si Annalyn. Ito si Moly

he will be heading the staff, ito si Moly pakita mo yung Si Moly will be the one

supervising the personnel na 24/7 on 8 hours rotation to cater to your calls So yungdun sa directory ulitin ko lang dalawa lang muna yung pangalan dun may dadagdag

na pangatlo, telephone numbers and name of hospitals. So kung yung pasyenete

nandito sa hospital A, ito yung pangalan ng pasyente Hospital A, amount, text ninyo

lang yung inyong designated na office or ano padala kaagad namin yung guarantee

letter by e-mail kung walang e-mail we will fax it but at the same time we give a copy

to the cashiers office and the directors office in the hospital. Para pagkapunta yung

pasyente kung yung lumapit nandidito or district office, punta sila, ibibigay.

Question from the Audience: For clarification lang po, sana po eh lend me your ears,silence please. Hindi po tayo magkakaintindihan if everyone, all of us are talking. My

clarificatory question lamang po ako Usec. Yun po bang ating available personnel in

your office po eh can accommodate all congressmens ah concerns, regarding, with

regards (sic) to the sending of a guarantee letters kasi po katulad ko lamang po sa

aming distrito po ay napakarami po na nabibigyan ng, na binibigyan namin dati ng

guarantee letter eh kung minsan po animnapu kung minsan po eh isang daang

pasyente eh kung kami pong lahat eh almost 300 congressmen po kami can they all

accommodate all of us po for that particular day. Pangalawa po. Ay..yun po munagsgaot.

Usec.Garin: Actually yes, ahm pasensya lang po nagkaron po kasi ng konting

misunderstanding when this program came in and initially we thought it will be

assigned to my office, we trained people, kaya lang nung nagkaroon ng konting,

nagkaroon ng meeting si Sec. and with some leaders of the House, nagkaroon ng

konting miscommunication so hindi po, parang na-cut, na-cut because they thought

that, that hindi na kailangan yung gagawa ng guarantee letter, gagawa ng guidelines, I

mean gagawa nung yung mga medicines given, laboratories requested, because it will


14/20

be requested by the patient sa hospital. Yung lumabas na ngayon na may bayad pala

yung lahat ng data na yun, ahm actually ni-retrieve namin yung lahat na trinain, we

started calling them, we had a meeting last week, dinagdagan ng tao, so

makakayanan po nila. And ahm, if there will be a battle neck at some point of time,

nagdadagdag po kami nang nagdadagdag ng tao. But for now, people who were

facilitating before thats a total of 6 or 7 people ahm, now they are 14 and 21. So yun

po situation po. For sure they can accommodate everybody.

Question from the Audience: Secondly po, yung ah patients po na na-confine po or

iko-confine pa lang sa LGUs hospitals in my province po ay papano po sila mabibigyan

ng gamot ng hospital kung wala pa po kasi sabi po ninyo yun munang hospital bill ang

ibibigay, isesend po sa inyo. Tama po ba ako. Yun lang pong hospital bill ang isesend

po sa inyo at kayo po ang magda-download ng pera sa provincial government kasi itopong LGUs noh ay under po ng provincial executives ay papano po tatanggapin ng

isang LGU hospital katulad po ng samin provincial hospital sasabihin na lang po na.

Papano po ba ang communication namin? Ahm, kami po ay magbibigay ng

endorsement sa director ng LGU hospital? Or halimbawa po provincial hospitals or

district hospitals within my district magbibigay po ba ako ng endorsement sa director

para po lahat ng kanyang kailangang gawing examinations, laboratories, ultrasound,

CT scan, those are facilities available in hospitals tska po yung medicines yun po ba ay

i-endorse ko po sa district, ay sa director ng hospitals for that matter.

Usec.Garin: Yeah, we actually sent already a memo to all regional directors and we

will be making representations isa-isa po sa lahat ng hospital na any gurantee letter

na dala-dala ng pasyente galing sa opisina ng congressman, tanggapin nila because

we will also be sending a direct similar copied sila para at least alam nila na mayroon.

Now yung ipadadala namin sa congressional office ninyo na ibibigay ninyo ngayon sa

pasyente na ito po tulong ni congressman, ganyan, dadalhin ng pasyente yun di ba,

ibibigay niya sa hospital, pagdala niya sa hospital, lahat po iyon let us say at the end

of two weeks iko-compile ng hospital and then they just send it to the regional office.The regional office will now validate it with us and then we say yes, kasi magpapadala

na kami ng amount and do that fund transfer within ten working days. That is the

maximum, ten working days.

Question from the Audience: Maraming salamat po. Klarong-klaro na po. Maraming

salamat po.

Usec.Garin: So hindi po tatagal yung utang.


15/20

Question from the Audience: Magandang hapon po ulit Usec, Janet. Alam ninyo po

sa DSWD version. Yung oresent version ngayon, I was able to talk to the Secretary

Dinky and ah, ganun din ang assistance fund eh kasi from the same fund that what

the DOH will provide. Ang napagkasunduan po namin ah regarding dun sa situations

like us na malayo kami sa regional office, malayo po kami sa mga regional hospitals,

or national agencies, eh ida-download po nila, meron na po silang ginawang MOA

from the central office ang pipirma yung regional director ng DSWD at ah ida-

download po yung pondo let us say 12 million. Sabi ni Secretary Cong, kahit kalahati

lang muna, kasi masyadong malaki ang pondo so yung kalahati po i-da-download daw

sa local government na gusto mo na mag-i-implement ng programa ng DSWD at ah,

yung provincial government na yun which will be signed by the governor and the

regional director of the department yun pong pondo na yun eh responsible na po ang

LGU. So yung LGU sila na ang all the auditing policies of the government they should

abide by it. And after ma-consume yung 6 million, responsibility ng local government

na i-liquidate sa DSWD bago ma-release ang second batch ng pondo. So mas mas

magiging effective ito kaysa yung kada release for example walang ibang dapat itong

daanan kundi sa local government ah facility dahil malayo nga yung national eh kung

dalawa-dalawa liquidation tatakbo ka pa ng region malayo pa maghihintay ka pa ng

ten days, doubt it if the national government can immediately facilitate the

assessment, the liquidation of all districts in the country, dahil po isa lang ang opisina

niyan eh.

And aside sa kanilang normal standard operations, ito pa yung dagdag na trabaho

galing sa mga pondo ng ito nga former, I doubt it kung mapapabilis po natin, we are

talking here of lives of the people, health ito eh. Hindi naman ito rehabilitation, hindi

po ito, ito po ay immediate ang kailangan. Tatakbo sa emergency room. Kailangan

kaagad ng gamot alam ninyo po yun, doktor po tayo.Hindi pi-pwedeng paghintayin ng

sampung araw ito. Kung hindi puputok yan. Kaya po sa akin po bigyan po natin ng

leeway naman, lalo na yung mga lugar na katulad sa amin na ang layo namin sa

regional ah, department na kung pwde po meron namang existing COA rules.

Napakahigpit ng COA ngayon alam natin lahat.Talagang napakahirap ngayon. Kawawa

ang mga LGU ngayon, dahil talagang sobrang higpit ng COA ngayon talagang pag-

iisipan mo, na tatanungin mo muna sila tama ba itong paggastos ko bago mo gawin

para siguradong safe ka. Sa akin po sana naman sa mga ganitong sitwasyon sana

magawan naman ng paraan para kaagad na maibigay ang


16/20

Usec.Garin: We will, we will relay and then come, come back to you, magpaalam po

kami on how to go about it. Initially kasi nung napag-usapan kasi ang downloading to

LGUs when were at the DBM office, ang nasabi kasi nun is hindi kasi diretso sa

hospitals, but the premise kasi doon, nagkakaroon ng problema, kaya nga magkaiba

yung premise, now that is a very valid reason, before kasi yung nagiging problema na

kapag downloaded ang pondo, tapos kasi nag-away si Gov at si Cong or si Mayor

ginamit yung ganun hindi nan are-retrieve, that is the problem that we have now in

the health facilities enhancement. Kasi

Question from the Audience: Samin po for sigurado, excuse me, wala pong

problema sa amin.

Usec.Garin: Yeah yeah

Question fromthe Audience: kapatid ko yung governor.

Usec.Garin: We will make the necessary representations. But for the mean time.

Question from the Audience: Thank you po.

Usec.Garin: Nasaan yung powerpoint? Next slide, next slide, balik, balik, balik. Okay,

i-ano ko lang, i-clarify ko lang Cong, i-clarify ko lang Cong, ito ay DOH-retained

facilities without downloaded funds. Hindi ibig sabihin nun kailangan may guarantee

letter talaga lahat. Minsan kasi, agad-agad yung nagpupunta sa inyong pasyente

Heart Center pala siya o nag-aaral siya dun sa UP Visayas so nasa Western Visayas

Medical Center siya. Yung pag-download takes time. Kasi may mga documentary, kaya

sina-suggest namin na kung wala kayong downloaded pondo dun. Minsan naman

mayroong a little miscommunication, na nag-request na pala kayo ng downloading of

funds for that hospital kagaya nga namin, we extend our apologies, last week ko lang

nalaman yung case ni Congresswoman Lucy Torres na nagreklamo ng si Cong. Lucy,

may representative ba sa office ni Cong. Lucy dito? Please extend our apologies. Kasi

nung una, actually last week ko lang nalaman yung ganitong problema nung nag-i-

ednorse na nga na sinabi niya sa hospital ng pasyente na sinabihan, wala po kayong

pondo dito. So medyo hindi nga maganda ang dating.

It should not have been said. Now kung wala kayong pondo, hindi pa dumating, yun

pala yung request nila, yung request niya came in late parang nandudun sa second

batch. Yung natanggap ng hospital first batch pa lang. So kung ganung problema, dito

kayo para mas mabilis. Habang hinihintay natin yung downloading padala na kaagad

kayo ng ano request for medical assistance. Agad-agad ibibigay namin yung guarantee

letter. Kasi pag may guarantee letter na dala ang pasyente ninyo, parang PCSO yan, di


17/20

ba pag dala nila wala nang tanong yung ospital kasi yung guarantee letter good as

cash yan. Kumbaga parang SM gift cheque. Okay. The guarantee letter we give it to

your office. We send it to your office. Next slide.Next slide. Yung guarantee letter.

Okay for those who were asking this is the guarantee letter that we will make. Now

kung kunyare buo pa, we will just put it hospital bill. Ilalagay lang namin yung

breakdown nung kanya kung may breakdwon. Kung walang breakdown, we just place

the hospital bill and the amount. You see PHC 140 yung may number at may mark.

Okay that is Philippine Heart Center may corresponding number. That is actually a

code. That code will allow us to retrieve the data of the patient. Kaya yung mga

nakalagay sa GAA na mga, ito yung mga requirements, yung COA, yung medicines

given. That will not be your work. That will be our work. Because that control number

will allow us to retrieve all patients information from our computer and the

computers of the hospital. So yun po yung ibig namin sabihin. So dito tinanggal na rin

namin yung pumipirma na si Asec. Gibby Lagahid, Asec. Gibby is kaya nandyadyan

siya before kasi siya yung heading PAO office and hes the EA of Secretary Ona. We

also admit na hindi nga maganda tingnan na mayroong ibibigay kayo tapos yung

makikita ng pasyente na Asec. Lagahid so nawawalan ngayon ng points na totoo

naman na kayo ang nag-facilitate ng pondo. So thats why the new guarantee letter

will just be like this. No signatory. No mention of the secretary of the, no mention of

any EA or any personality, yan lang. E-mail namin, just give it. What is important is

you give the form that we have, because the hospitals know that when they look atthe control number, pasok na kaagad yun. Because that number will be, will

corresponding to the amount that we placed there. And that number when it comes

to us, compute nang compute na kami. At the end of two weeks alam na namin kung

magkano yung ipapadala sa kanila through bank to bank. Yes po? Ay sir, sorry sir.

Question from the audience:Good afternoon Usec.

Usec.Garin: Yeah, good afternoon sir.

Question from the audience:Good afternoon distinguished colleagues. My name is

Ted Garcia, I am the Congressman of the 2nd

district of Bataan, and a former three-

term governor. I have no queston but it might help in our discussion if I explain how

we were doing it in Bataan. In Bataan, I know the history of devolution because I was

the governor there in 1992. And when I saw that the (inaudible) sabi ko this is bound

to fail because yung kaakibat na pondo, wala. And so when I had the opportunity to

(inaudible), sad to say akala ko okay na, kulang pa rin. And so what we did is about

ten years ago, we entered into a MOA with DOH, where lahat ng MOOE ng DOH will

be matched by the province on a one-to-one basis. Binibigyan din ho namin ng MOOE


18/20


19/20


20/20

pag downloaded sa LGU, hindi na mababawi yun so yung pagda-download

siguradong walang problema. Alam natin kasi medyo liquid pa ngayon. Minsan kapag

ka end of the year, marami kasi kaming ano eh.

XXXXXXXXXX END OF TRANSCRIPT XXXXXXXXXX

Transcript prepared by office of Rep. Antonio Tinio

[email protected]

Documents

Transcript of Garin Meeting at Batasan May 20 2014