Republic of the Philippines Department of Health OFFICE OF THE SECRETARY November 29, 2022 MEMORANDUM FOR: GLORIA NENITA V. VELASCO, MD, DipEpi, MScPH Director III Epidemiology Bureau FROM: — RAZJL NIK h M. HAO, MD, MBA, MSc Diredtor IV, Standards and Sectoral Strategy Disease Prevention and Control Bureau ANTHONY B. CU, MD, MPM PH-EOH, CESE Director [V, Implementation Strategy an¢-Gaordination Disease Prevention and Control Bureau SUBJECT: Response to Pending Issues / Concerns and Agreements in the Field ‘Health Service Information System (FHSIS) Oral Health Indicators ‘This is in response to the November 15, 2022 memorandum pertaining to the pending issues in the Field Health Service Information System (FHSIS) indicators on Oral Health. Please refer below for the response of the Disease Prevention and Control Bureau (DPCB). INDICATORS ISSUES AND REMARKS/RESPONSE CONCERNS September 30, 2022 FHSIS Data Validation and Reconci ion | Basic Oral Health | How many times should | Basic Oral Health Care (BOHC) per Care (BOHC) the BOHC per client be | client shall be reported "once" within reported within the | the year or annually in relation to the quarter / year? eligible population with the denominator also being measured annually. Building 1, San Laaro Compound Rizal Aven, Sta, Cruz, 1013 Manila © Tink Line 651-7600 fsa 1108, 1111, 112,113, Diret Line: 711-9502; 711-9503 Fax: 743-1829 « URL: htp/www.doh gov. ph; e-mail: dohosce doh gov phDecayed-Missing, and Filled Teeth If the DMFT case in the same as the previous year, does it need to be reported again in the succeeding year? succeeding year is the | Adhere to what is stipulated in the 2018 Field Health Services Information System (FHSIS) Manual of Procedures (MOP), which states that "Proportion of clients 5 years old and above with cases of Decayed-Missing Filled Teeth (DMFT)." In which case, it refers to both old and new. March 11, 2022 FHSIS Data Validation and Reconcili ion Basic Oral Health Care (BOHC) Is 100% data acceptable or not? To reconsider service target if >100% not acceptable | More than 100% is not acceptable. The service target was based on the FHSIS. MOP 2018 which was coordinated and consulted with the Oral Health Regional Coordinators. The service target is determined based on the region’s ability to comply with the target, Sune 10, 2022 EB-DPt ‘CB Virtual Meeting Basic Oral Health Care (BOHC) for Senior Citizens Based on the FHSIS MOP, BOHC (for senior citizens) refers to the one or more of the following services provided to senior citizens: (1) Oral Examination AND Q) Education and counseling on good oral hygiene, diet and adverse effects of tobacco/smoking and alcohol and sweetened beverages/food AND (if necessary) Oral Urgent ‘Treatment (OUT) What do we mean by “one or more of the following services”? Does it mean provision of Oral Examination, OR Education and counseling, OR (if necessary) OUT? To make the statement standard and uniform with other indicator/age, it should be: BOHC refers to the provision of the following (1) Oral Examination AND (2) Education and counseling on good oral hygiene, diet and adverse effects of tobacco/smoking and alcohol and sweetened beverages/food AND, if deemed necessary or as needed (3) Oral Urgent Treatment (OUT): relief of pain, extraction of unsavable teeth and referral of complicated cases to higher level In addition, can we remove the “as needed” for BOHC of Pregnant womenOr rather is it provision of Oral Examination AND Education and counseling OR (if, necessary) OUT? Individual Patient | Legend for red code is Red for: Treatment Record ~ | missing (see p. 223 of the | D (Decayed) (permanent) Oral Health FHSIS MOP) D (deciduous teeth) Condition fcmteain””””"Ypiann] Dx / dx (indicated for extraction) oommaawtonren { Sone ‘Thank you for your continued support.