PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS

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

2. BACKGROUND OF VISALSOK POLY CLINIC Visalsok Poly Clinic Was established since February-1994 41beds ( 10 beds for Extra Reservation ) Kind of services : Inpatient General Medicine General Surgery Gynecology and Obstetric Emergency ENT PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 1 of 12

3. BACKGROUND OF VISALSOK POLY CLINIC (Cont.) • Outpatient • General Medicine Consultation • General Surgery Consultation • Gynecology Consultation • ENT Consultation • Laboratory • Imagery Ward • X-ray • Ultrasound • CT-Scanner PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 2 of 12

4. 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 3 of 12

5. 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 Cambodia’s regional training centers • All physicians, nurses and midwives are allowed to participate in National and International Conference to always upgrade their skills PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 4 of 12

6. PUBLIC AND PRIVATE ENGAGEMENT (Cont.) • 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 5 of 12

7. 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 6 of 12

8. 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 poor—saving 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 7 of 12

9. 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 hospitals—difficult to get loan for expansion but if possible the interest rate is too high to afford • High tax for medical equipment PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 8 of 12

10. CHALLENGES (Cont.) • 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 9 of 12

11. 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 10 of 12

12. 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 SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 11 of 12

13. THANK YOU! PRIVATE SECTOR’S PERSPECTIVE ON THE IMPLEMENTATION OF RULES AND REGULATIONS Dr. Chea Sam An, General Manager, Visalsok Poly Clinic 12 of 12