PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An General Manager Visalsok Poly Clinic Intercontinental Hotel 7 th November, 2012 NATIONAL FORUM ON PUBLIC-PRIVATE PARTNERSHIP IN HEALTH

BACKGROUND OF VISALSOK POLY CLINIC Visalsok Poly Clinic Was established since February beds ( 10 beds for Extra Reservation ) Kind of services : Inpatient General Medicine General Surgery Gynecology and Obstetric Emergency ENT PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 1of12

Outpatient General Medicine Consultation General Surgery Consultation Gynecology Consultation ENT Consultation Laboratory Imagery Ward -X-ray -Ultrasound -CT-Scanner PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 2of12 BACKGROUND OF VISALSOK POLY CLINIC (Cont.)

PUBLIC AND PRIVATE ENGAGEMENT Provide additional income for public providers Most of physicians are also working in Public Health Facilities 26 Doctors 21 Nurses 6 Midwives To ensure quality of care Provide Nursing Training: Once every three months Medicine Control conducted every 6 months Medical Equipment Maintenance Every 6 months Access to internet provided to all physicians for e- learning PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 3of12

PUBLIC AND PRIVATE ENGAGEMENT (Cont.) To ensure quality of care All physicians working in our polyclinic have registered with MCC (Medical Council of Cambodia) All nurses and midwives have graduated from Cambodias regional training centers All physicians, nurses and midwives are allowed to participate in National and International Conference to always upgrade their skills PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 4of12

Compliance with all national protocols/guidelines for treatment Inspection Committee of MOH usually come to inspect our hospital at least 2 time a year License is renewed once every 4 years Our ambulance system is only for transferring patients to public hospitals or to patients home or from homes to the clinic PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 5of12 PUBLIC AND PRIVATE ENGAGEMENT (Cont.)

Work to support referral of some severe cases to public hospitals Report and Transfer to the public hospitals for patients with some emerging infectious disease alerted by the MOH For serious patients, we rescued and transferred to public hospitals PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 6of12 PUBLIC AND PRIVATE ENGAGEMENT (Cont.)

MUTUAL BENEFITS BETWEEN PRIVATE CLINICS AND PUBLIC SECTOR Private Clinics play important part of the entire health system: Provide treatment to patients irrespective of rich or poorsaving lives is our priority Reduce the burden of public hospitals For some severe cases, we save them and refer (patients living close by, having trust, or those who are undecided where to go) Provide additional income for public providers Employment opportunities PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 7of12

CHALLENGES Ensuring modern medical equipment to meet higher standard of polyclinic is very challenging: Low capital Our current banking loan policy does not cover private hospitalsdifficult to get loan for expansion but if possible the interest rate is too high to afford High tax for medical equipment PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 8of12

Understanding which medicines are officially registered and which are not is difficult. Our compliance is to use registered drugs. Some high-cost medicines which are needed to save lives are not available in Cambodian Market PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 9of12 CHALLENGES (Cont.)

RECOMMENDATIONS TO ADDRESS THE CHALLENGES AND NEXT STEP Request to the National Chamber of commerce to provide environment conducive for Private Sector in Health to expand its standard and quality, e.g loan with very low interest rate or joint venture Medical Council should strengthen their roles to defend all the physicians over their correct treatment PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 10of12

RECOMMENDATIONS Lower tax for medical equipment How can we be informed of official registration of medicines by MoH? For high-cost medicines, they are needed to save lives but not available in the market, what should we do? PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 11of12

PRIVATE SECTORS PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 12of12 THANK YOU!