REGION 1 MEDICAL CENTER

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CITIZEN’S CHARTER

2020 (1st Edition)

REGION 1 MEDICAL CENTER

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CITIZEN’S CHARTER

2020 (1st Edition)

I. Mandate:

The Region 1 Medical Center is a DOH-accredited tertiary training, teaching and research

hospital is committed to the delivery of globally competitive, accessible and affordable

healthcare services in Northern Luzon through an effective quality management system.

The R1MC continually improves the quality of services in accordance with regulatory,

statutory and industry requirements and standards.

II. Vision:

The Region 1 Medical Center is the premier multi-subspecialty tertiary training and

research hospital in Northern Luzon by 2022.

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III. Mission:

The Region 1 Medical Center shall provide affordable and quality healthcare services

enhanced by education, training and research to the needs of the people of Northern

Luzon.

IV. Service Pledge:

• To provide excellent healthcare services to R1MC clients through continuous

improvements of quality healthcare services.

• To enhance the skills and competencies of the human resource through training and

research.

• To ensure availability of adequate resources to maintain the quality assurance

programs of the Medical Center and continually improve its effectiveness.

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LIST OF SERVICES

External Services

Admitting Section - Patient Registry for Observation and Admission 10

Animal Bite Center - Outpatient Consultation 13

Acute Psychiatric Unit - Outpatient Consultation/Inter-Departmental Referrals 16

Anatomical Laboratory - Autopsy 18

Anatomical Laboratory - Cytology 20

Anatomical Laboratory - Frozen Section 23

Anatomical Laboratory - Routine Biopsy 25

Audiometry - Hearing Test 28

Billing Section - Statement of Account 29

Billing Section - Itemized Bill/Costing 31

Billing Section - Promissory Note 33

Cash Operations Section 34

Clinical Laboratory - Department of Laboratories (Routine Patients) 35

Clinical Laboratory - Department of Laboratories (Walk-In Patients) 39

Clinical Laboratory - Department of Laboratories

(Culture and Sensitivity and Water Analysis - Routine Patients) 44

Clinical Laboratory - Department of Laboratories

(Culture and Sensitivity and Water Analysis – Walk-In Patients) 46

Customer Service Representatives - Outpatient Information Desk 48

Customer Service Representatives - R1MC E-Card 50

Customer Service Representatives - Outpatient Department Queuing System 51

Customer Service Representatives - Crowd Control 52

Customer Service Representatives - OPD Side Entrance 53

Customer Service Representatives - Emergency Room 54

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Dental Section - Dental Surgery 55

Diabetes Clinic - Outpatient Consultation 59

Hemodialysis Unit - Out-Patient Department Information Desk 61

Drug Testing Laboratory - Department of Laboratories 63

Epilepsy Monitoring Center - Electroencephalography 66

Epilepsy Monitoring Center - Outpatient Consultation 70

ENT-Head and Neck Surgery Clinic - Out-Patient ENT-Head and Neck Surgery 72

ENT-Head and Neck Surgery Clinic - Outpatient Consultation 78

Family Planning Clinic - Out-Patient Family Planning Clinic 80

Family and Community Medicine Clinic - Out-Patient Department Family and Community Medicine Clinic 83 Cardiology Clinic - Non-Invasive Diagnostic Procedures 86

Cardiology Clinic - Outpatient Consultation 90 Hospital Epidemiology Center - Surveillance and Investigation 91

Hospital Epidemiology Center - Collection, Storage and Sending of Specimen 92

Hospital Epidemiology Center - Encoding of Surveillance Reports to Database 93

Hospital Epidemiology Center - Accomplishment and Submission of Event-Based Surveillance Reports 94

Hospital Epidemiology Center - Coordination and Follow-Up of Cases 95

Hospital Epidemiology Center - Provision of Copy of RITM Confirmatory Results 96

Medical Clinic - Outpatient Consultation 97

Medical Social Service - Point of Service Enrollment 99

Medical Social Service - Outpatient Department 101

Medical Social Service - Malasakit Center 102

Medical Specialty Clinic - Outpatient Consultation 103

Minor Operating Room - Outpatient Department 106

Transport and Motorpool Section - Transport of Patient 109

National Voluntary Blood Service Program - Voluntary Blood Donation 111

National Voluntary Blood Service Program - Issuance of Blood Product to In-Patients 113

National Voluntary Blood Service Program - Issuance of Blood Product to Out-Patients 115

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Obstetrics-Gynecology Clinic - Out-Patient Department 117

Obstetrics-Gynecology Ultrasound and Colposcopy Clinic 121

Pediatric Clinic - Consultation of Clients at Out-Patient Department 124

Pharmacy Section - Pharmacy Section Dispensing Counter (Cash Transaction) 126

Pharmacy Section - Pharmacy Section Dispensing Counter (Charge Transaction) 128

Pharmacy Section - Section Dispensing Counter (Sponsored Patients) 130

PhilHealth and Claims Department – Receiving / Checking of Claims Eligibility Documents 132

Physical Medicine and Rehabilitation Unit 133

Pangasinan Initiative against AIDS and STI Unit - HIV Testing Service 137

Radiology Department – XRAY 139

Radiology Department – ULTRASOUND, DUPLEX 142

Radiology Department – MRI 145

Radiology Department – CT SCAN 147

Registration Section - Patients' Data Entry, Registration and Issuance of Hospital Identification Card 150

and Clinic Queuing Slip

Security Section - Parking of Vehicles 152

Security Section - Visiting Hours 153

Surgery Clinic - Outpatient Consultation 154

Surgery Sub Specialty Clinic - Outpatient Surgery Sub Specialty Clinic 158

TB-DOTS Clinic - Outpatient Consultation/Intrahospital Referrals 164

Women and Children Protection Unit - Outpatient Department Information Desk 166

Internal Services

Accounting Department - Processing of Disbursement Vouchers 169

Acute Psychiatric Unit - Neuro-Psychiatric Examination 172

Budget Section - Budget Allocation (Processing of Documents) 175 Chief Administrative Office – Facilitation of endorsed / Received Document 177 Chief Administrative Office – Preparation of Hospital Memorandum / Communication Letters 178

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Engineering (Building Maintenance Section) - Fabrication Works 179 Engineering - Infrastructure 180 Hospital Epidemiology Center - Consolidation, Analysis,

and Distribution of Surveillance Reports on Notifiable Diseases 181

Hospital Infection Prevention and Control Management Office - Needle Stick/Sharp Objects

and Splashing Incident Reporting Among R1MC Employees 183

Hospital Infection Prevention and Control Management Office - Outbreak Investigation 185

Housekeeping Department - Issuance of Available Housekeeping Supplies 187

Human Resource Management Office - Requesting of Pertinent Documents 188

Human Resource Management Office – Submission of Applications 190

Kidney Transplant and Organ Donation Unit Office - Human Organ Donation

and Transplantation Process 192

Linen and Laundry Section 195

Management Information Service - Region I Medical Center Identification Card 199

Management Information Service - Lost Region I Medical Center Identification Card 200

Occupational and Patient Safety and Health Management Office - Employee Medical Consultation 202

Occupational and Patient Safety and Health Management Office - Baseline Medical Consultation 206

Occupational and Patient Safety and Health Management Office - Annual Medical Examination 212

Office of Strategy Management - Checking of Petty Cash Replenishment 217

Office of Strategy Management - Checking of Purchase Request 218

Planning / Mancom Office 219

Procurement Section - Procurement Documents Processing 220

Research Development & Management Center – Processing of Research Study Proposals 222

and Research-Related Documents

Transport and Motorpool Section - Transport of Personnel 225

Feedback and Complaints Mechanism 226

Directory

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External Services

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SERVICE NAME: PATIENT REGISTRY FOR OBSERVATION AND ADMISSION

Description: For registration of patient and issuance of ER Record No., Medico-Legal Form, OPD ID, Medico-Legal ID in the

Emergency Room, Consent to avail Pay/Private Room, ICU/ CCU, Clinical Coversheet, PhilHealth Forms

Office or Division: Admitting Section

Classification: Simple

Type of Transaction: Government to Client/ Government to Government

Who may avail: Everyone

CHECKLIST OF REQUIREMENTS WHERE TO SECURE

(1) PhilHealth ID of member/PhilHealth member data record (for admitted patient) (1)Initial patient diagnosis (1) Notice of Admission

Patient/Watcher/immediate relative Resident Physician on duty Resident Physician on duty

CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

Patient profiling and Registry 1. The patient/ watcher/ immediate relative

proceeds to the Admitting Section for profiling and registry of patient. Presents the Hospital Id (for old patient with record) if none, presents himself/herself for interview.

1. Receives Hospital ID (for old

patient with record), for system retrieval and update of record. If a new patient, Admitting Clerk interviews the patient/watcher/relative relevant information for profiling and registry of patient.

None

5 minutes

Admitting Clerk on duty

2. The patient/watcher/immediate relative presents the PhilHealth ID or Membership Data Record of member. If none, presents

2. Receives the PhilHealth ID or Membership Data Record. If none, Admitting Clerk

None 5 minutes Admitting Clerk on duty

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himself/herself for interview for checking of eligibility of PhilHealth (for admitted patients)

interviews patient/watcher/relative for checking of PhilHealth eligibility in the PhilHealth portal.

3. The patient/watcher/immediate relative checks the information of the patient in the monitor and waits for the issuance of Emergency Room Record No., patient’s ID(for new patient), Medico-Legal, Medico- Legal ID and proceed to the Emergency Room Area assigned

3. After the patient/watcher /immediate relative verifies the information, Admitting Clerk saves the patient information and issues Emergency Room Record Number, patient’s ID(for new patient) or Medico-Legal Card and Medico-Legal ID and indicate PIN No. of member or patient

None 5 minutes Admitting Clerk on duty

Patients for admission availing Pay/Private Room and ICU-CCU 4. The patient/watcher/immediate relative

presents the initial diagnosis given by the ER Resident Physician/Consultant

4. Receives the initial diagnosis

from the watcher/immediate relative and explain the policies/room rates at Pay/Private Room and ICU-CCU.

None

5 minutes


5. The patient/watcher/immediate relative waits for the confirmation of room.

5. Confirms the availability or room at the Pay/Private Ward and ICU-CCU

None

10 minutes


6. The patient/ watcher/immediate relative affixes his/her signature to the 2 copies of consent form and get a copy of the consent

6. Gives the 2 copies of consent form to the patient/watcher/ immediate relative to fill- out

None

2 minutes


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form and proceed to the ER section/ Ward assigned and present to the nurse on duty

6.1 Gets the other copy of

consent form for filing.

None

2 minutes


7. Preparation and Printing of Clinical Coversheet of patients for admission

7. Receives the Notice of Admission to the Emergency Room Nurse on duty/Ward Nurse on duty

None 1 minute Admitting Clerk on duty

8. Patient/member/immediate relative affixes signature on the PhilHealth Forms attached

8. Encodes, prints the Clinical Coversheet and attach PhilHealth forms needed

8.1 Admitting Clerk proceeds to area of assignment of the patient to affix his/her signature on the PhilHealth Forms needed (Patient, Member, immediate relative) If (patient is member) unable to write, to thumbmark.

8.2 Issues the Clinical Coversheet with attachment of PhilHealth Forms for MSS classification

None

None

None

5 minutes

8 minutes

2 minutes




TOTAL None 50 minutes

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SERVICE NAME: OUTPATIENT CONSULTATION Description: The outpatient department is a health care facility designed for diagnosis, observation, consultation, treatment and

intervention services to people with health problems, but does not require admission at the moment.

Office or Division: Out-Patient Department – Animal Bite Treatment Center


Type of Transaction: G2C- Government to Citizen

Who may avail: All


(1) From the system (MedSys) (1) Schedule (1) Anti-Rabies Vaccine Schedule (1) Official Receipt

Registration From Previous Consultant at the Hospital Animal Bite Treatment Center Cashier Section

CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING

TIME PERSON

RESPONSIBLE

9. Patient comes in for History taking

9. Nurses performs assessment on the patient

None

4 minutes Nurses

Animal Bite Treatment Center

10. Patient proceeds to the doctors for consultation

10. Doctors attends to the patients None 5 minutes

Doctors Animal Bite

Treatment Center

11. Patient receives prescription and charge slip. Then proceed to injection of meds after settling of hospital bills.

11. The Doctors and Nurses provides and explains medications and instructions to the client

Anti-Rabies Vaccine (Php 768.75) Injection fee Php 15 Insulin Syringe Php 7.54 10cc syringe Php 7.54 5cc Syringe Php 7.28 3cc Syringe Php 5.78

5 minutes

Doctors and Nurses


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G25 needle Php 8.71

12. Patient settles the bill 12. Cashier accepts the payment and issues official receipt

None

*Refer to concerned

department’s Citizen Charter

Cashier/PhilHealth/Billing Section

13. Patient presents the official receipt

13. Presents official receipt

None 1 minute Nurses


14. Patient receives injection of Anti Rabies Vaccine and other medications prescribed by the Physician on Duty.

14. Nurses inject needed medications.

None

Maximum of 45 minutes for

patients with skin testing of needed medication before

injection

Nurses Animal Bite

Treatment Center

15. Patient is reassessed by nurse on duty.

15. Doctor/Nurses reassess the patient after the procedure

None 5 minutes

Doctors and Nurses


16. Patient receives the schedule for the next vaccine.

16. Doctors and nurses provides and explains home instructions and medications

None

5 minutes

Doctors and Nurses


17. (if patient is not for referral) Patient receives the schedule for the next doses of their vaccine.

17. Doctors and nurses provides and explains home instructions and medications

None 5 minutes

Doctors and Nurses


18. (if the patient is for referral/admission) patient proceeds to other department

19. The Doctor/Nurses endorses the patient to another department

None 5 minutes

Doctors and Nurses


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TOTAL

Anti-Rabies Vaccine – Php 768.75 Injection fee – Php 15 Insulin Syringe – Php 7.54 10cc syringe – Php 7.54 5cc Syringe – Php 7.28 3cc Syringe – Php 5.78 G25 needle – Php 8.71

1 hour 20 minutes

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SERVICE NAME: OUTPATIENT CONSULTATION/INTER-DEPARTMENTAL REFERRALS

Description:

To treat people with mental health issues, providing information, support, and holistic care.

Office or Division: Department of Mental Health

Classification: Simple Transaction

Type of Transaction: Government to Clients

Who may avail: All patients with Mental Health problems


Hospital ID Card Registration Area


PROCESSING TIME

PERSON RESPONSIBLE

ASSESSMENT of Patient

1. Client/Guardian will fill out the secure Consent for New Consultation

1. The Nurse in-charge will explain the purpose of securing the consent for consultation

None 3 minutes Nurse on duty

1.1 The Nurse In-charge will fill out the patient information sheet and taking a brief and concise history-taking of the patient (New Client)


1.2 The Nurse In-charge will fill out the patient information sheet and taking a brief and concise history-taking of the patient (Old Client)

None

5 minutes

Nurse on duty

1.3 The Nurse in-charge will take the vital signs


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2. The Client/Guardian will be interviewed by the Medical Clerks or Interns initially for psychiatric history taking and mental status examination.

2. The Medical Clerks or Interns (If available) will gather Psychiatric History taking, Mental Status Examination and Physical Examination.

None 45 minutes (New

Patients)

20 minutes (Old Patients)

Psychiatrist on duty

Psychiatrist on duty 3. The Client and Guardian will be referred to the Psychiatrist on duty for treatment and management.

3. The Psychiatrist on duty will do the treatment and management (prescribing medication, request laboratory test, work up if needed) and refer to other SPECIALISTS if needed

None

POST-CONSULTATION of Patient

4. After the consultation, the client/guardian will go to the nurse on duty for the instruction of prescribed medication/s and for more health teachings.

4. The Nurse in-charge will explain the dosage and time to be taken of the prescribed medications to the patient

None

5 minutes

Nurse on duty

4.1 The Nurse in-charge will give health teachings, Do’s and Don’ts while taking medications

None Nurse on duty

TOTAL None

New Client: 1 hour and 4

minutes Old Client: 35 minutes

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SERVICE NAME: DEPARTMENT OF LABORATORIES Description: AUTOPSY (Post mortem Examination of Cadaver)

Office or Division: Anatomical Laboratory

Classification: High Technical

Type of Transaction: G2C - Government to Citizen, G2G - Government to Government

Who may avail: All


Consent Form (original) Department of Laboratories (Anatomical Laboratory)

Official Receipt (1 original) Cash Operations

Charge Slip (1 original) Histopath Reception Area

Claim Stub (1 original) Histopath Reception Area

Satisfaction Survey (1 original) Histopath Reception Area


TIME PERSON

RESPONSIBLE

1. Present Consent for Autopsy. 1. Receive Consent for Autopsy with written name and signature of the immediate next of kin of legal age.

None 2 minutes All Staff on Duty

2. Pay the required laboratory processing and reader’s fees at the Cashier by showing the charge slip. Make sure to secure Official Receipt that will be issued upon payment.

2. Issue charge slip of laboratory processing and reader’s fees to the watcher.

Processing Fee (Php 8,100.00)

5 minutes Cashier on duty

3. Return to the Histopath Reception Area for

3. Copy the Official Receipt Number to the entry log book.


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verification of the Official Receipt.

4. Secure Claim Stub and fill up Satisfaction Survey and drop it to the suggestion box.

4. Issue Claim Stub and Satisfaction Survey.


5. Examination. 5. Post mortem examination and processing of Tissue

None 30 days Pathologists and Residents

6. Present Official Receipt together with the Claim Stub for release of the Official Result..

6.1 The Staff checks if the result is already available and ready for releasing.


6.2 Write the Name with Signature of the claimant in the Logbook & release the Official Result.


Total End of transaction Php 8,100.00 30 days and 20

minutes

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SERVICE NAME: DEPARTMENT OF LABORATORIES Description: CYTOLOGY (Paps smears, Cell Cytology / Cell Block)


Classification: Complex


Who may avail: All


Laboratory Request (depends on examination requested) (original) All Departments / Wards






TIME PERSON

RESPONSIBLE

1. Present Laboratory Request together with the Specimen for Verification to the Histopath Reception Area.

1. Receive laboratory requests and specimens by the staff on duty.



2. Issue charge slip of laboratory processing and reader’s fees to the watcher / patient.

For Philhealth (NBB or Employed/),

Senior Citizen/PWD/4Ps

CT / Ultrasound Guided FNAB:

Processing Fee only (1,100.00),


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Cytology / Cell Block:

Processing Fee only (380.00) Fine Needle Aspiration

Biopsy: Processing Fee only (380.00)

For Pay patients:

Processing Fee (1,100.00) + Reader’s Fee (1,000.00) =

CT / Ultrasound Guided FNAB

Processing Fee (380.00) + Reader’s Fee (350.00) =

Cytology / Cell Block Processing Fee (380.00) +

Reader’s Fee (350.00) = Fine Needle Aspiration

Biopsy

For Pap’s Stain Smear Processing Fee only (160.00)

3. Return to the Histopath Reception Area for verification of the Official Receipt.




4. Issue Claim Stub and Satisfaction Survey. None 2 minutes All Staff on Duty

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5. Examination. 5. Processing of Fluids and Smears Specimen

None 10 days All Staff on Duty

6. Present Official Receipt together with the Claim Stub for release of the Official Result.

6.1 The Staff on duty checks if the result is already available and ready for releasing.




Total End of transaction *Refer to 2nd Column

(Fees to be Paid) 10 days and 20

minutes

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SERVICE NAME: DEPARTMENT OF LABORATORIES Description: FROZEN SECTION (Rush Frozen Section)




Who may avail: All


Laboratory Request (original) All Cutting Departments






TIME PERSON

RESPONSIBLE

1. Present Laboratory Request together with the Specimen for Verification.

1.Receive laboratory requests and specimens by the staff on duty.



2. Issue charge slip of laboratory processing and reader’s fees to the watcher / patient.

Processing Fee only (Php 2,600.00)

For Pay patients:

Reader’s Fee (2,500.00) = Rush Frozen Section

5 minutes Cashier on Duty




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4. Issue Claim Stub and Satisfaction Survey.


5. Examination. 5. Processing of Tissue and Reading

None 25 minutes Pathologists and Residents


6.1 The Staff on duty releases the final results after validation of the Pathologists.

None 7 minutes

All Staff on Duty



Total End of transaction Php 2,600.00 + (for Pay patients only Php 2,500.00)

45 minutes

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SERVICE NAME: DEPARTMENT OF LABORATORIES Description: ROUTINE BIOPSY (Core Needle Biopsy, Routine Tissue Biopsy, CT- Guided / Ultrasound Guided Needle Aspiration Biopsy)


Classification: High Technical


Who may avail: All


Laboratory Request (depends on examination requested) (original) All Departments / Wards






TIME PERSON

RESPONSIBLE

1. Present Laboratory Request together with the Specimen for Verification to the Histopath Reception Area.

1.Receive laboratory requests and specimens by the staff on duty.



2.Issue charge slip of laboratory processing and reader’s fees to the watcher.

For Philhealth (NBB or Employed/),

Senior Citizen/PWD/4Ps:

Biopsy-Small: Processing Fee only

(380.00),


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Biopsy-Medium: Processing Fee only

(480.00), Biopsy-Large:

Processing Fee only (700.00),

Biopsy-Extra Large: Processing Fee only

(800.00), Core Needle Biopsy:

Processing Fee only (800.00)

For Pay patients:

Processing Fee (380.00) + Reader’s Fee (350.00) =

Biopsy-Small Processing Fee (480.00) + Reader’s Fee (450.00) =

Biopsy-Medium Processing Fee (700.00) + Reader’s Fee (650.00) =

Biopsy-Large Processing Fee (800.00) + Reader’s Fee (750.00) =

Biopsy-Extra Large Processing Fee (800.00) +

Reader’s Fee (750.00) = Core Needle Biopsy

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According to size and procedure:

*Small see Appendix (excision of mass not more

than 4 cms) *Medium (excision of mass

greater than 4 cms) *Large (Organ resections)

*Extra Large (Radical resections)


3.Copy the Official Receipt Number to the entry log book.



4.Issue Claim Stub and Satisfaction Survey.


5. Examination. 5.Processing of Tissue None 21 days All Staff on Duty


6.1The Staff checks if the result is already available and ready for releasing.


6.2Write the Name with Signature of the claimant in the Logbook & release the Official Result.


TOTAL End of transaction *Refer to 2nd Column (Fees to be Paid)

21 days and 20 minutes

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SERVICE NAME: HEARING TEST Description: To identify and classify patients with hearing impairments

Office or Division: Audiometry unit

Classification: Simple (Routine)

Type of Transaction: Government to Client



(1) Receipt Cash Operations

CLIENT STEPS AGENCY ACTIONS FEES TO BE

PAID PROCESSING

TIME PERSON

RESPONSIBLE

1.Patient presents hospital ID and official receipt

1. Accepts and validate the Official receipt

Php 500.00 5 minutes Department Secretary / Audiometry Unit

2.Patient comes in for Physical Examination and Doctor performs Physical Assessment

2. Doctor performs Physical Examination and Assessment to the patient

0 5 minutes Doctor

3.Patient undergoes the procedure

3. Doctor performs the procedure 0 30 minutes Doctor/Audiometry Unit

4.Patient receives home instruction

4. Doctor provides and explains Initial results and advise schedule for Follow-up

0 5 minutes Doctor/Audiometry Unit

TOTAL Php 500.00 45 minutes

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SERVICE NAME: STATEMENT OF ACCOUNT Description: The Statement of Account is a document issued to all patients listing all hospital charges and professional fees

incurred over a given period of time.

Office or Division: Billing Section


Type of Transaction: G2C

Who may avail: All


1. Discharge notice (Medsys) 2. Doctor’s attendance sheet (Payward Patients) 3. Philhealth requirements and other pertinent records and documents 4. Official receipt

Nurse-in-charge Nurse station Medical social worker & Nurse-in-charge Cashier


PROCESSING TIME PERSON

RESPONSIBLE

1. Submit the required PhilHealth requirements to the assigned social worker in the ward for assessment and verification.

2. Wait for the instruction of the Nurse-

in-charge once Statement of Account becomes available.

1.Verifies Discharge Notice Order at the electronic hospital records (Medsys).

1.1 Retrieves patient’s ledger along with other documentary requirements from PhilHealth and Claims Department.

2.Checks previous admissions and

diagnosis of patients.

2.1 Verifies all hospital charges and deductions of applicable benefits.

None

None

None

None

1 minute

1 minute

3 minutes

7 minutes per patient


Billing Section Staff



Billing Section Staff Billing Section Staff

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3. Proceed to Billing Section to sign

and secure a copy of the patient’s Statement of Account.

4. Present official receipt to the billing

clerk after payment (for Non-NBB patients).

❖ Charity Patients ❖ Pay Patients

2.2 Generates Statement of Account

(SOA) 3.Instructs the watcher to proceed to Cashier for payment (For Non-NBB patients). 4.Acknowledges proof of payment and

releases patient’s copy of SOA along with the discharge notice (for Payward patients) to the watcher after payment.

None

None

None

1 minute

1 minute





TOTAL None

15 minutes for Charity Patients

Hour for Pay Patients

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SERVICE NAME: ITEMIZED BILL / COSTING Description: The Itemized Bill/ Costing is a document issued to patients as a requirement for those who are seeking medical

assistance.




Who may avail: Paying Patients


1. List of Requirements for PCSO Malasakit Center



RESPONSIBLE

1. Request for an Itemized Bill at Window 3.

2. Provide a photocopy of the

Statement of Account or Promissory Note.

3. Advice the watcher to wait for next

instruction.

1. Checks if the first two requirements in the list is already accomplished.

2. Request for a photocopy of the

Statement of Account/Promissory Note including watcher’s contact number.

3. Verifies the patient’s account at

Medsys/ PARS. 4. Prepares Itemized Bill. 5. Prepares charge slip for Itemized

Bill and instructs the watcher to proceed to Cashier for payment.

None

None

None

None

Php 100.00

None

1 minute

1 minute

1 minute

10 minutes

1 minute

1 minute






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4. Present official receipt to the billing clerk after payment.

5. Request for Costing at Window 3. 6. Advice the watcher to wait for the

next instruction.

7. Present official receipt to the billing clerk after payment.

6. Acknowledges proof of payment and releases patient’s Itemized Bill after payment.

7. Asks for the full name and address

of the patient. 8. Prepares Costing. 9. Prepares charge slip for itemized

Bill and instructs the watcher to proceed to Cashier for payment.

10. Acknowledges proof of payment

and releases patient’s Itemized Bill after payment.

None

None

Php 100.00

None

1 minute

2 minutes

1 minute

1 minute




TOTAL Php

200.00

15 mins. for Itemized Bill

5 mins. for Costing

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SERVICE NAME: PROMISSORY NOTE Description: The Promissory Note is a document signed by the guardian of the patient stating the remaining balance of the patient

and when will the remaining balance be settled.




Who may avail: Paying Patients




RESPONSIBLE

1. Present approval slip for promissory note.

2. Present all requirements listed. 3. Advice the watcher to wait for the

next instruction.

4. Sign the promissory note.

1. Checks if the approval slip is signed by the MCC office and CAO office.

2. Provides list of requirements. 3. Checks if requirements presented by

the watcher is complete. 4. Prepares Promissory note. 5. Releases patient’s copy of

promissory note along with the Statement of Account and discharge notice (for Payward patients) to the watcher.

None

None

None

None

None

1 minute

1 minute

3 minutes

3 minutes

2 minutes







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SERVICE NAME: CASH OPERATIONS SECTION Description: Receives payment by cash, check, credit card or automatic debit and issues receipts, refunds, or change due to

clients.

Office or Division: Cash Operations Section



Who may avail: All


1. Charge Slip 2. Statement of Account 3. Official Receipt

Nurse/Doctor/Staff – Cost Center/Clinic Billing Clerk – Billing Section Collecting Officer – Cash Operations Section


PROCESSING TIME

PERSON RESPONSIBLE

18. Presents Charge Slip or Statement of Account to Collecting Officer

1.Checks the amount, discount, patient if senior citizen, person with disability or solo parent

None 2 minutes

Watcher/Patient Collecting Officer

19. Pays the amount due and accepts the change, if any.

2.Accepts the amount paid and gives change, if any.

Cost of procedure

Professional fee

2 minutes Watcher/Patient Collecting Officer

20. Receives Official Receipt as proof of payment

3.Issues Official Receipt as acknowledgement of payment

None 1 minute Watcher/Patient Collecting Officer

21. Patient/Watcher goes to revenue center 4.Patient/Watcher to proceed to the concerned revenue center for the requested procedure

None 1 minute Watcher/Patient Collecting Officer


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SERVICE NAME: DEPARTMENT OF LABORATORIES Description: CLINICAL CHEMISTRY, HEMATOLOGY, IMMUNOLOGY, CLINICAL MICROSCOPY, BACTERIOLOGY (ROUTINE PATIENTS)

Office or Division: Clinical Laboratory


Type of Transaction: G2C, G2B, G2G

Who may avail: All


Resibo (1 original) Cash Operations Statement of Account (1 original) Malasakit Center Laboratory Request (depende sa eksaminasyon na ipapagawa) (original)

Laboratory Reception Area (Counter 2 or 3)

Queuing number or letter (1 original) Laboratory Reception Area (Counter 2 or 3) Claim Stub (1 original) Laboratory Reception Area (Counter 2 or 3) Satisfaction Survey (1 original) Laboratory Reception Area (Counter 2 or 3)


TIME PERSON

RESPONSIBLE

1. Ipakita ang resibo o ang “Satement of Account” at “sample” (kung may nakolekta na) sa Reception Area para mabigyan ng numero o letra, Claim Stub at Satisfaction Survey

1.Tatanggapin at susuriin ang resibo o statement of account at sample (kung may nakolekta na), ipi-print ang laboratory request form at bibigyan ang pasyente ng numero o letra

Clinical Chemistry: 2 hrs Post Prandial (160.00) ,Albumin (210.00), Amylase

(230.00),Blood Uric Acid (160.00), CSF Sugar (160.00),

Fasting 800.00), Random Blood Sugar Blood Sugar (160.00),

HbA1C( (160.00), Lactate Dehydrogenase (310.00), Oral

Glucose Challenge Test (210.00), Oral Glucose

Tolerance Test (650.00),

8 minuto Laboratory Receptionist

36

Serum Electrolytes (750.00), Total Protein (210.00),Lipid Profile (800.00), Cholesterol

(210.00), Triglyceride (310.00), HDL (310.00), Kidney Profile

(350.00), BUN (160.00), Creatinine (190.00), Liver Profile (600.00), Bilirubin (210.00), SGOT (210.00),

SGPT (210.00), G6PD Confirmatory Test (400.00)

Hematology:

Activated Partial Thromboplastin Time (480.00), Clotting Time /

Bleeding Time (65.00), Complete Blood Count (260.00), Erythrocyte

Sedimentation Rate (160.00), Peripheral Blood Smear (160.00 + Readers Fee 150.00), Prothrombin Time (430.00), Reticulocyte Count

(310.00)

Immunology: Anti-Streptolysin O Titer (260.00), Blood Typing (160.00), C-Reactive

Protein (430.00), Dengue Test (1,100.00), HBsAg Rapid Test (260.00), Syphilis Rapid Test

(260.00), H. pylori (650.00), HAV

37

Rapid Test (525.00), HCV Rapid Test (530.00), HIV Rapid Test

(530.00), Leptospira Test (480.00), Rheumatoid Factor Test (380.00), Salmonella-Typhoid Test (850.00), Troponin I (480.00), Ft3 (415.00), Ft4 (415.00), TSH (470.00) ,AFP

(875.00), f-BHCG (650.00), CA 12-5 (1,200.00), CA 15-3 (1,200.00), CA 19-9 (930.00), CEA (875.00), tPSA (930.00), Hepatitis Profile

with Hepatitis A Virus (2,090.00), Hepatitis B Profile with Hepatitis C

Virus (2,500.00), Complete Hepatitis B Profile (3,300.00), Anti-Hepatitis B Core Enzyme Immuno

Assay (780.00), Ant-Hepatitis B Envelope Enzyme Immuno Assay (600.00), Anti-Hepatitis B Surface Enzyme Immuno Assay (600.00),

Antu Hepatitis A Virus IgM Enzyme Immuno Assay (700.00), Hepatitis

B Envelope Antigen Enzyme Immuno Assay (525.00), Hepatitis

B Surface Antigen Enzyme Immuno Assay (400.00), (Anti-

Hepatitis C Virus Enzyme Immuno Assay (530.00)

Clinical Microscopy:

38

CSF and other Body Fluid Count (160.00), Fecalysis (60.00), Fecal

Occult Blood Test (130.00), Malarial Smear (290.00), Micral Test (190.00), Pregnancy Test

(210.00), Seminal Fluid Analysis (210.00), Urinalysis (160.00)

Bacteriology:

Acid Fast Bacilli Stain (210.00), Fernings Test (120.00), India Ink (160.00), KOH (160.00), Gram Stain (160.00), Cervico Vaginal

Discharge (160.00 + Readers Fee 150.00)

2. Tatawagin ang numero o letra para makuhanan ng “sample”

2. Kukuhanan ng “sample” ang pasyente

None 8 minuto Phlebotomist

3. Pagsusuri 3. Susuriin ang mga ipinapagawang eksaminasyon

None 95 minuto Medical Technologist /

Chemist

4. Kunin ang resulta sa oras na itinakda. Ipakita ang binigay na numero o letra at ihulog sa suggestion box ang Satisfaction Survey

4. Susuriin ang resibo at yong tatatangap ng resulta at papipirmahin ang kukuha ng resulta sa duplicate copy.

4.1 Pasasagutan ang

satisfaction survey na ihuhulog sa suggestion box.

None 9 minuto Laboratory Receptionist

TOTAL Dulo ng Transaksyon PF + eksaminasyon na pinagawa 120 minuto

39

SERVICE NAME: DEPARTMENT OF LABORATORIES Description: CLINICAL CHEMISTRY, HEMATOLOGY, IMMUNOLOGY, CLINICAL MICROSCOPY, BACTERIOLOGY (WALK-IN PATIENTS)




Who may avail: All


Laboratory Request (depende sa eksaminasyon na ipapagawa) Other Hospitals Charge Slip (1 original) Laboratory Reception Area (Counter 2 or 3) Resibo (1 original) c/o Cash Operations Queuing number or letter (1 original) Laboratory Reception Area (Counter 2 or 3) Claim Stub (1 original) Laboratory Reception Area (Counter 2 or 3) Satisfaction Survey (1 original) Laboratory Reception Area (Counter 2 or 3)


TIME PERSON

RESPONSIBLE

1. Ipakita ang laboratory request at “sample” (kung may nakolekta na) sa reception area para mabigyan ng charge slip

1. Tatanggapin at susuriin and laboratory request (at “sample” kung may nakolekta na) bago bigyan ng charge slip


2. Magbayad sa kahera 2. c/o Cash Operations Clinical Chemistry: 2 hrs Post Prandial (160.00) ,Albumin (210.00), Amylase

(230.00),Blood Uric Acid (160.00), CSF Sugar (160.00), Fasting Blood Sugar (160.00),

c/o Cash Operations

c/o Cash Operations

40

HbA1C(800.00), Random Blood Sugar (160.00), Lactate

Dehydrogenase (310.00), Oral Glucose Challenge Test (210.00), Oral Glucose

Tolerance Test (650.00), Serum Electrolytes (750.00), Total

Protein (210.00),Lipid Profile (800.00), Cholesterol (210.00),

Triglyceride (310.00), HDL (310.00), Kidney Profile (350.00), BUN (160.00),

Creatinine (190.00), Liver Profile (600.00), Bilirubin (210.00), SGOT (210.00),

SGPT (210.00), G6PD Confirmatory Test (400.00)

Hematology:

Activated Partial Thromboplastin Time (480.00), Clotting Time /

Bleeding Time (65.00), Complete Blood Count (260.00), Erythrocyte

Sedimentation Rate (160.00), Peripheral Blood Smear (160.00 + Readers Fee 150.00), Prothrombin Time (430.00), Reticulocyte Count

(310.00)

Immunology:

41

Anti-Streptolysin O Titer (260.00), Blood Typing (160.00), C-Reactive

Protein (430.00), Dengue Test (1,100.00), HBsAg Rapid Test (260.00), Syphilis Rapid Test

(260.00), H. pylori (650.00), HAV Rapid Test (525.00), HCV Rapid Test (530.00), HIV Rapid Test

(530.00), Leptospira Test (480.00), Rheumatoid Factor Test (380.00), Salmonella-Typhoid Test (850.00), Troponin I (480.00), Ft3 (415.00), Ft4 (415.00), TSH (470.00) ,AFP

(875.00), f-BHCG (650.00), CA 12-5 (1,200.00), CA 15-3 (1,200.00), CA 19-9 (930.00), CEA (875.00), tPSA (930.00), Hepatitis Profile

with Hepatitis A Virus (2,090.00), Hepatitis B Profile with Hepatitis C

Virus (2,500.00), Complete Hepatitis B Profile (3,300.00), Anti-Hepatitis B Core Enzyme Immuno Assay (780.00), Ant-Hepatitis B

Envelope Enzyme Immuno Assay (600.00), Anti-Hepatitis B Surface Enzyme Immuno Assay (600.00),

Antu Hepatitis A Virus IgM Enzyme Immuno Assay (700.00), Hepatitis

B Envelope Antigen Enzyme Immuno Assay (525.00), Hepatitis

42

B Surface Antigen Enzyme Immuno Assay (400.00), (Anti-

Hepatitis C Virus Enzyme Immuno Assay (530.00)

Clinical Microscopy:

CSF and other Body Fluid Count (160.00), Fecalysis (60.00), Fecal

Occult Blood Test (130.00), Malarial Smear (290.00), Micral Test (190.00), Pregnancy Test

(210.00), Seminal Fluid Analysis (210.00), Urinalysis (160.00)

Bacteriology:

Acid Fast Bacilli Stain (210.00), Fernings Test (120.00), India Ink (160.00), KOH (160.00), Gram Stain (160.00), Cervico Vaginal

Discharge (160.00 + Readers Fee 150.00)

3. Ipakita ang resibo, laboratory request para mabigyan ng numero o letra, Claim Stub at Satisfaction Survey.

3. Tatanggapin at susuriin ang resibo at bibigyan ang pasyente ng numero o letra


4. Tatawagin ang numero o letra para makuhanan ng “sample”0

4. Kukuhanan ng sample ang pasyente


43

5. Pagsusuri. 5. Susuriin ang mga ipinapagawang eksaminasyon

Depende sa eksaminasyon na ipapagawa

95 minuto Medical Technologist /

Chemist



6.1 Pasasagutan ang



TOTAL Dulo ng Transaksyon *Refer to 2nd Column (Fees to be Paid)

120 minuto

44

SERVICE NAME: DEPARTMENT OF LABORATORIES Description: CULTURE AND SENSITIVITY AND WATER ANALYSIS (ROUTINE PATIENTS)




Who may avail: All


Resibo (1 original) Cash Operations Statement of Account (1 original) Malasakit Center Laboratory Request (depende sa eksaminasyon na ipapagawa) (original)

Laboratory Reception Area (Counter 2 or 3)

Queuing number or letter (1 original) Laboratory Reception Area (Counter 2 or 3) Claim Stub (1 original) Laboratory Reception Area (Counter 2 or 3) Satisfaction Survey (1 original) Laboratory Reception Area (Counter 2 or 3)


TIME PERSON

RESPONSIBLE

1. Ipakita ang resibo o ang “Satement of Account” at “sample” (kung may nakolekta na) sa Reception Area para mabigyan ng numero o letra, Claim Stub at Satisfaction Survey

1. Tatanggapin at susuriin ang resibo o statement of account at sample (kung may nakolekta na) , ipi-print ang laboratory request form at bibigyan ang pasyente ng numero o letra

Culture and Sensitivity – Blood (1,500.00), Culture and

Sensitivity – Urine and Other Body Fluids (1,100.00), Water

Analysis (393.00)

8 minuto Laboratory Receptionist


2. Kukuhanan ng sample ang pasyente


45

3. Pagsusuri 3. Susuriin ang mga eksaminasyon

None 5 araw

Medical Technologist /

Chemist



4.1 Pasasagutan ang satisfaction survey na ihuhulog sa suggestion box.


TOTAL Dulo ng Transaksyon

Culture and Sensitivity – Blood (1,500.00), Culture and


Analysis (393.00)

5 araw at 25 minuto

46

SERVICE NAME: DEPARTMENT OF LABORATORIES Description: CULTURE AND SENSITIVITY AND WATER ANALYSIS (WALK-IN PATIENTS)




Who may avail: All


Laboratory Request (depende sa eksaminasyon na ipapagawa) (original)

Other Hospitals

Charge Slip (1 original) Laboratory Reception Area (Counter 2 or 3) Resibo (1 original) c/o Cash Operations Queuing number or letter (1 original) Laboratory Reception Area (Counter 2 or 3) Claim Stub (1 original) Laboratory Reception Area (Counter 2 or 3) Satisfaction Survey (1 original) Laboratory Reception Area (Counter 2 or 3)


TIME PERSON

RESPONSIBLE

1. Ipakita ang laboratory request (at “sample” kung may nakolekta na) sa reception area para mabigyan ng charge slip

1. Tatanggapin at susuriin and laboratory request (at “sample” kung may nakolekta na) bago bigyan ng charge slip


2. Magbayad sa kahera 2. c/o Cash Operations Culture and Sensitivity – Blood (1,500.00), Culture and Sensitivity

– Urine and Other Body Fluids (1,100.00), Water Analysis (393.00)

c/o Cash Operations

c/o Cash Operations

3. Ipakita ang resibo at laboratory request para

3. Tatanggapin at susuriin ang resibo at laboratory request


47

mabigyan ng numero o letra, Claim Stub at Satisfaction Survey.

at bibigyan ang pasyente ng numero o letra


4. Kukuhanan ng “sample” ang pasyente


5. Pagsusuri. 5. Susuriin ang mga ipinapagawang eksaminasyon

Depende sa eksaminasyon na ipapagawa

5 araw Medical Technologist /

Chemist



6.1 Pasasagutan ang



TOTAL Dulo ng Transaksyon Culture and Sensitivity – Blood (1,500.00), Culture and


Analysis (393.00)

5 araw at 25 minuto

48

SERVICE NAME: OUT-PATIENT DEPARTMENT INFORMATION DESK Description: This is located in the 1st floor of Out-Patient department building. It provides assistance to minor and major inquiries of patients which includes check-up processes, laboratory testing, direction assistance and other hospital processes.

Office or Division: Customer Service Representatives


Type of Transaction: G2C – Government to Citizen

Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Other related information or documents related to their inquiry(if any) other hospitals/agencies Diagnostic results (if any) R1MC – Laboratory, Radiology Diagnostic request (if any) R1MC – Outpatient clinics, other hospitals/agencies Discharge plan, Tagubilin(if any) R1MC

CLIENT STEPS *steps may vary depending on the concern of the patient and they may approach any CSR

staff.

AGENCY ACTIONS FEES TO BE

PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Approaches CSR staff in the Information Desk.

1. Ask relevant questions to client’s inquiry. None 1 minute CSR Information Desk Staff

2. Provides documents that might be necessary for inquiry.

2. Checks documents related to client’s inquiry. None 2 minutes CSR Information Desk Staff

49

3. May ask process for consultation

3.Determines patient if with card (regular/e-card) or not 3.1 Regular card and non-card holders will proceed to Triage, Queuing, Registration, and Clinic Designation. 3.2 E-Card holders will proceed to Triage, E-Card kiosk/Registration, Clinic Designation

None 2 minutes CSR Information Desk Staff

TOTAL: None 5 minutes

50

SERVICE NAME: R1MC ELECTRONIC CARD (E-CARD) Description: Electronic Card is highly innovative card system of Region 1 Medical Center wherein it uses unique barcode that can pass a scanner so patients can easily be registered. There are benefits being discussed upon inquiry of any person interested to avail.




Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Government issued Identification card (if any) BIR, Post Office, DFA, PSA, SSS, GSIS, Pag-IBIG


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Asks about E-card 1.Informs the benefits of having E-Card None

5 minutes E-CARD CSR Staff

2. Avails E-card 2. Inputs patient datato generate barcode, processes payment to cashier and logs E-Card availed

For regular patients –PHP

200.00 For Seniors,

PWDs – PHP 160.00

12 minutes E-CARD CSR Staff

3. Uses the E-card immediately 3. Assists in using E-card None 3 minutes E-CARD CSR Staff

TOTAL:

For regular patients – PHP

200.00 For Seniors, PWDs – PHP

160.00

20 minutes

51

SERVICE NAME: OUT-PATIENT DEPARTMENT QUEUING AREA Description: Customer service staff assists in providing queuing number to patients or watchers registering for their consultation or follow up.




Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Government issued Identification card (if any) BIR, Post Office, DFA, PSA, SSS, GSIS, Pag-IBIG

CLIENT STEPS *steps may vary depending on the

concern of the patient and they may approach any CSR staff.


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Gives the paper from Triage Section

1. Provides queuing number based on age. 1.1 Will ask for client to prepare a government

issued identification card for registration.

1.2 Will ask for date of birth and complete address to be written at the back of the paper from Triage section in the absence of a government issued identification card.

None

2 minutes CSR Staff

2. Gives the paper from Triage Section and Hospital Identification card.

2. Provides queuing number based on age. None 1 minute CSR Staff

3. Asks for the counter corresponding to their queuing number.

3. Directs clients to counters based on their queuing number.

None 1 minute CSR Staff


52

SERVICE NAME: OPD CROWD CONTROL (FROM 1ST TO 3RD FLOOR) Description: Customer Service staff also controls or facilitates the patients or clients who are registering for check-up to maintain the area being organize and comfortable for each and every one. This service also applies to 2nd and 3rd floor of the OPD building.




Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Other related information or documents related to their inquiry (if any) other hospitals/agencies Diagnostic results (if any) R1MC – Laboratory, Radiology Diagnostic request (if any) R1MC – Outpatient clinics, other hospitals/agencies Discharge plan, Tagubilin(if any) R1MC


staff.


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Approaches CSR staff 1. Asks for any concerns from patients. None

1 minute OPD CSR Staff

2. Asks assistance in waiting area or will provide concerns

2. Facilitates crowd in waiting area or provide solutions to any concerns.

None 1 minutes OPD CSR Staff

3. May ask assistance if client doesn’t have watcher

3. Assists patients for check up until they reach the clinic that they desire.

None 1 minute OPD CSR Staff


53

SERVICE NAME: OPD SIDE ENTRANCE Description: Customer Service staff provides assistance for patients who are non-ambulatory or needs particular equipment such as wheelchairor stretcher.




Who may avail: All



CLIENT STEPS *steps may vary depending on the

concern of the patient and they may approach any CSR staff.


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Approaches CSR staff 2. 1. Asks for any assistance needed by patient

None

1 minute Male CSR Staff

2. Asks assistance in consultation, usage of wheelchair or stretcher

2. Provides consultation procedure, assists in wheelchair or stretcher

None 2 minutes Male CSR Staff

3. Asks to be assisted to their designated clinic thru elevator

3. CSR staff guides patient to their clinic None 2 minutes Male CSR Staff


54

SERVICE NAME: EMERGENCY ROOM Description: Customer service staff facilitates patients and clients in the Emergency Room Department.




Who may avail: All




staff.


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Approaches CSR staff 3. 1. Asks for any concerns from patients None

1 minute ER CSR Staff

2. Provides related documents with their concern

2. Checks documents and provides solutions None 1 minute ER CSR Staff

3. Asks assistance in waiting area or will provide concerns

3. Facilitates crowd in waiting area or provide solutions to any concerns

None 1 minute ER CSR Staff


55

SERVICE NAME: DENTAL SURGERY

Description: Procedure includes Alveoloplasty, Apicoectomy, Biopsy, Enucleation, Intermaxillary Fixation, Incision and Drainage,

Implant (without bone graft), Odontectomy, Tooth Extraction.

OPERATIVE DENTAL PROCEDURES

This covers Fluoride Treatment, Oral Prophylaxis, Orthodontic Treatment, Pits and Fissure Sealant, Root Planing(Deep Scaling),

Prosthesis, Root Canal Treatment, Dental Restoration or Dental Filling, Dental Splint.

Office or Division: Dental Section

Classification: Simple to Highly Technical Transaction


Who may avail: All


ID Registration Queuing number Registration Medical Clearance if needed Medical Clinic


TIME PERSON

RESPONSIBLE

1. ASSESSMENT:

1.1. Refer to the queuing screen before proceeding inside the clinic.

1.1. Instruct the patient to wait for the que

None 1 minutes Dental aide

1.2. Wait for the dental aide to call patient’s number.

1.2. Dental aide will call the patient's number


1.3. Fills up the Mouth Exam Record For the NEW Patient For old patient

1.3. Dental aide will give the new patient a form to be filled up, for old patient, the aide will look for the old record at the filing box


56

1.4. Sit still for an accurate assessment

1.4. Taking vital signs (BP, PR, RR, Temp.)


1.5. Listen to the advocacy 1.5. Advocacy on Dental Health Promotion

None 3 minutes Dentist/Dental aide

2. CONSULTATION of patient

2.1. Patients listen and answers all the questions 2.1. History Taking

None 5 minutes Dentist

2.2. Patient sit at the dental chair and open the mouth for dentist evaluation

2.2. Clinical examination None 5 minutes Dentist

2.3. Patient will listen to the treatment plan of the dentist and upon approval of the patient, the dentist will start the procedure.

2.3. Dental procedure / Management

Professional fee Hospital Fee

Dentist

a. Alveoloplasty Php 9600.00 Php

8400.00 1 Hour

b. Apicoectomy Php 9600.00 Php

8400.00 2 Hours

c. Biopsy Php 1764.00 Php3850.00

1 Hour

d. Root Planing(Deep Scaling) per quadrant

Php 350.00 Php150.00

1 Hour

e. Enucleation Php 9600.00 Php

8400.00 2 Hours

f. Intermaxillary Fixation Php 15000.00 Php

5000.00 2 Hours

g. Fluoride Treatment Php 350.00 Php 150.00

1 Hour

h. Incision and Drainage Php 1976.00 Php

2800.00 1 Hour

i. Implant(without bone graft) per implant fixture

Php 75000.00 Php 5000.00

6 months

57

j. Odontectomy per case Php 10000.00 Php

5000.00 4 Hours

k.Oral Prophylaxis Php 350.00 Php

150.00 1 Hour

l. Orthodontic Treatment (Impression Taking Only)

Php 200.00

20 minutes

m. Pits and Fissure Sealant per tooth

Php 350.00 Php 150.00

45 minutes

n. Prosthesis (Impression Taking Only)

Php 200.00

20 minutes

o. Root Canal Treatment per canal

Php 2800.00 Php 200.00

7 days

p. Dental Restoration or Dental Filling per cavity

Php 350.00 Php 150.00

45 minutes per cavity

q. Dental Splint Php 9500.00 Php

500.00 1 Hour

r. Tooth Extraction Php

165.00 1 Hour

3. POST CONSULTATION of patient

3.1. Patient Listens to the instructions on his prescribed medicines

3.1. Explain prescribed medication(mechanism of action, possible adverse side effects, dosage and time)

None 2 minutes Dentist

3.2 Patient Listens to the do's and don'ts of the procedure being done

3.2.Health Teaching/ Counselling None 2 minutes and 30 seconds

Dentist

3.3. Patients receives the form 3.3.Provide OPD- Alagang Pinoy Tagubilin

None 30 seconds Dentist

TOTAL: a. Alveoloplasty Php 18,000.00

b. Apicoectomy Php 18,000.00

58

c. Biopsy Php 5,614.00

d. Root Planing(Deep Scaling) Php 500 per quadrant

e. Enucleation Php 18,000.00

f. Intermaxillary Fixation Php 20,000.00

g. Fluoride Treatment Php 500.00

h. Incision and Drainage Php 3976.00

i. Implant(without bone graft) Php 80,000.00 per implant

fixture

j. Odontectomy Php 15,000.00 per tooth

k.Oral Prophylaxis Php 500.00

l. Orthodontic Treatment (Impression Taking Only)

Php 200.00

m. Pits and Fissure Sealant Php 500.00 per tooth

n. Prosthesis (Impression Taking Only)

Php 200.00

o. Root Canal Treatment Php 3,000 per canal

p. Dental Restoration or Dental Filling

Php 500.00 per cavity

q. Dental Splint Php 10,000.00

r. Tooth Extraction Php 165.00 per tooth

59

SERVICE NAME: OUTPATIENT CONSULTATION Description: The Outpatient Department is a health care facility designed for diagnosis, observation, consultation, treatment, and intervention services to people with health problems, but does not require admission at the moment.

Office or Division: Outpatient Department – Diabetes Clinic


Type of Transaction: G2C - Government to Citizen

Who may avail: All


Queuing Number (1) Registration

Hospital ID Card (1) Registration


TIME PERSON

RESPONSIBLE

22. Patient presents the queuing number and Hospital ID Card and comes in for physical examination and assessment

1. Nurses performs physical examination and assessment to the patient.

a. Fills up the Patient Information Sheet and Follow-up Assessment form.

None 10 minutes – Newly

Diagnosed patient

5 minutes – Previously Diagnosed

patient

Diabetes Nurse Educator / Nurse

on Duty Diabetes Clinic

23. Patient proceeds to the doctors for consultation, receives request/s for diagnostics tests and/or prescription

2. Doctors attends to the patients, provides the diagnostics request/s needed and gives prescription

FBS (Php 160), HBA1C (Php 800),

Creatinine (Php 190) Lipid Profile (Php 800), CBC

(Php 260), U/A (Php 160)

20 minutes Consultant / IM Resident Rotator Diabetes Clinic

60

3. (if patient is not for referral/admission) Patient receives Diabetes Clinic Discharge Instructions Form (if the patient is for referral/admission) patient proceeds to other department

3. Nurses provides and explains home instructions and medications written in the Diabetes Clinic Discharge Instructions Form

3.1 The Doctor/Nurses

endorses the patient to other department

None

None

10 minutes

30 minutes

Diabetes Nurse Educator / Nurse

on Duty Diabetes Clinic

Doctor and Nurses Diabetes Clinic

TOTAL:

FBS (Php 160), HBA1C (Php 800),

Creatinine (Php 190) Lipid Profile (Php 800), CBC

(Php 260), U/A (Php 160)

1 hour and 10 minutes

61

SERVICE NAME: OUT-PATIENT DEPARTMENT INFORMATION DESK Description: We are conveniently located in the 1st floor in front of Medical Ward after radiology building. We provide hemodialysis treatments for patients with end stage renal diseases as well as in-patients with acute kidney injuries requiring short term hemodialysis treatment.

Office or Division: Hemodialysis Unit



Who may avail: All


Queuing number (1) R1MC – Hemodialysis Unit Hospital ID (1) R1MC – Registration Diagnostic results (if any) R1MC – Laboratory, Radiology Diagnostic request (if any) R1MC – Outpatient clinics, other hospitals/agencies Discharge plan, Tagubilin (if any) R1MC – Outpatient clinics, other hospitals/agencies


TIME PERSON

RESPONSIBLE

1. Patient comes in for hemodialysis treatment as scheduled

1.1 Nurses prepare and position patients for pre HD assessment

None 5 minutes Nurses

1.2 Doctor’s give assessment and provide hemodialysis prescription

None 5 minutes Resident on Duty/ Nephrologist/Consulta

nts

1.3 Secure consent for the procedure

None 1 minute Nurses

2. Patient receives appropriate hemodialysis treatment

2.1 Machine preparation and priming of bloodlines

None 15 minutes Nurses/Nursing attendant

2.2 Access preparation None 5 minutes Nurses

62

Note: Additional time for access

problem

2.3 Treatment Proper HD Fee- 2,350 Dialyzer 1,125

Bloodlines - 350 Heparin – 150

3-4 hours Nurses

2.4 Termination of treatment 20 minutes Note: additional

time for complicated cases

Nurses

3. Patient Discharge 3.1 If not for admission

3.2 If for admission

3.1.1 Doctors and/or Nurses provide home instructions and remind next hemodialysis schedule 3.2.1 Doctors and/or Nurses endorse the patients to emergency room

None 5 minutes Resident Doctors Nurses

TOTAL:

2,350.00 Dialyzer 1,125.00

Bloodlines – 350.00

Heparin – 150.00

4 hours 56 minutes

63

SERVICE NAME: DEPARTMENT OF LABORATORIES Description: Screening Drug Testing Laboratory

Office or Division: Drug Testing Laboratory


Type of Transaction: Government to Citizen (G2C) / Government to Government (G2G)

Who may avail: All


1 Valid Photo ID (Original) 1 Request or Referral Slip (Original) 1 Official Receipt (Original)

Issued by the: Company, School, GSIS, SSS, Pag-Ibig Fund, NBI, PNP, LTO, DFA, OWWA, Post Office, PRC, OSCA, DSWD, Integrated Bar of the Philippines, BIR, COMELEC, MARINA, and others. From the Requesting Party/Agency; Requesting Clinic, Ward or Physician Cashier


PAID PROCESSING

TIME PERSON RESPONSIBLE

1. Present valid photo ID, request or referral slip and official receipt for identification and verification of client

2. Fill out the drug testing forms

1. Verifies the identity and proof of payment of Client.

2. Documents the details on the Request Slip or on the Consent and Certification Form.

3. Gives detailed instructions to

Client on how to fill out the forms.

Php 250 pesos (paid at the

Cashier)

None

None

5 minutes

Depends on the Client

Depends on

the Client

Authorized Specimen Collector (ASC)/ Clerk Personnel

Authorized Specimen Collector / Clerk Personnel

Authorized Specimen

Collector

64

3. Collect 60 ml urine specimen under the observation of the Authorized Specimen Collector (ASC)

4. Affix signature on the sealing tape

and wait for the accomplishment of the Drug Testing Forms

5. Wait while the specimen is being

examined and analyzed 6. Wait for your name to be called for

biometrics and picture taking and while your data is being entered in

4. Explains politely the process of specimen collection.

5. Observes closely the entire collection procedure and ensures security of specimen at collection site.

6. Receives and made an initial inspection of the specimen.

7. Labels and seals the

specimen in full view of the Client.

8. ASC and Client must affix their signatures on the seal.

9. Accomplishes the Drug Testing Forms.

10. Transports specimen to the working area.

11. Verifies the completeness of

the Custody and Control Form (CCF) and the volume of the specimen.

12. Prepares the specimen for analysis

13. Examines specimen for drug testing.

14. Interprets result accurately.

None

None

10 minutes

40 minutes

Authorized Specimen Collector

Analyst

65

the IDTOMIS (Integrated Drug Test Operations Management Information System)

7. Wait for the case to be documented

and sign on the Receiving Accessioning Releasing Logbook

8. Fill out the Satisfaction Survey for

service improvement

15. Captures photo and scans all fingers of the Client.

16. Encodes Client information and carefully enters test result in the system.

17. Accomplishes the Custody and Control Forms.

18. Records, releases and signs out result.

19. Receives test result from the

Analyst. 20. Records test result in the

Receiving Accessioning Releasing Logbook.

21. Guide Client to read and sign the consent regarding Data Privacy written on the lower portion of the result.

22. Informs Client to sign on the Receiving Accessioning Releasing Logbook before receiving the result.

23. Instructs client to fill out the

Satisfaction Survey.

None

None

5 minutes

Depends on the Client

Authorized Specimen Collector / Clerk Personnel

Clerk Personnel Authorized Specimen

Collector /

TOTAL PHP 250.00 60 minutes

66

SERVICE NAME: ELECTROENCEPHALOGRAPHY Description: To evaluate the electrical activity of the brain following a paroxysmal event or any activity likely to consider seizure and/or

epilepsy. This is likewise helps to detect potential problems associated with this activity.

Office or Division: Epilepsy Monitoring Center



Who may avail: All


Queuing Number (1) Registration OPD Card (1) Registration Request Form/ Charge Slip) (1) From Previous Consultation at the Hospital Official receipt (1) Cashier Patient’s Chart (1) Ward


PAID PROCESSING

TIME PERSON

RESPONSIBLE

Scheduling (OPD)

1. Present the OPD card and queuing number to the staff on duty (Nurse/EEG Technologist)

1. The staff on duty confirms the registration of patient in the Hospital Information System.

None

2 minutes Nurses/ EEG Technologist

Epilepsy Monitoring Center

2. Present the request form/charge slip to the staff on duty

2. The staff on duty will verify the request for EEG, the staff on duty will explain the procedure, and discuss date options to choose on by patient/guardian.

None 2 minutes Nurses/ EEG Technologist


3. Choose the date for the EEG procedure

3. Once patient decide the schedule of EEG, the staff on duty will include the


67

patient to the list (EEG scheduling logbook). A pre-procedure instruction will also be provided.


4. Receive charge slip (if no charge slip)

4. The staff on duty will provide charge slip None 2 minutes Nurses/ EEG Technologist


Scheduling (Inpatient)

1. Present the EEG request form the ward.

1. The staff on duty will verify the request for EEG, explain the procedure, and provide pre-procedure instructions.




EEG Recording (OPD)



None 2 minutes Nurse/ EEG Technologist Epilepsy Monitoring

Center

2. Proceed for pre-procedure Assessment

2. The Nurse and/or EEG Technologist checks the preparedness and stability of the patient (accomplished the pre-procedure instructions, vital signs)

None

5 minutes

Nurse/ EEG Technologist Epilepsy Monitoring

Center

3. EEG Recording 3. The EEG technologist will proceed with the recording

Sleep-Deprived: Adult Pediatric Routine: Adult Pediatric

Php 2,500.00 Php 3,000.00

Php 2,000.00 Php 2,500.00

30 – 45 minutes

EEG Technologist Epilepsy Monitoring

Center

68

4. Post -Recording 4. The EEG technologist will instruct the patient when to come back for the result.

None 5 minutes EEG Technologist Epilepsy Monitoring

Center

TOTAL:

Php 2,500.00 Php 3,000.00

Php 2,000.00 Php 2,500.00

57 minutes

EEG Recording (Inpatient)

1. Proceed for pre-procedure Assessment

1. The Nurse and/or EEG Technologist verifiesthe patient, checks the preparedness and stability of the patient (accomplished the pre-procedure instructions, vital signs)

None

5 minutes

Nurse/ EEG Technologist Epilepsy Monitoring

Center

2. EEG Recording 2. The EEG technologist will proceed with the recording

Sleep-deprived: Adult (paying) Adult (charity) Adult (NBB) Pedia (paying) Pedia (charity) Pedia (NBB) Routine: Adult (paying) Adult (charity) Adult (NBB) Pedia (paying) Pedia (charity) Pedia (NBB)

Php 3,700.00 Php 2,500.00

no charge Php 4,200.00 Php 2,500.00

no charge

Php 3,200.00 Php 1,500.00


no charge

30 – 45 minutes


Center

69

3. Post -Recording 3. The EEG technologist will instruct the p guardian when to come back for the result

None 5 minutes


Center

TOTAL:

Php 3,700.00 Php 2,500.00


no charge

Php 3,200.00 Php 1,500.00


no charge

55 minutes

Claiming of EEG Result (OPD and Inpatient)

1. Present the official receipt (OPD)

1. Upon receiving the receipt, the staff on duty will verify the receipt.


Center

2. Receive the result and sign to the EEG result receiving logbook (OPD and Inpatient)

2. Handover the EEG result and let the patient/guardian sign on the EEG result receiving logbook and advise accordingly


Center


70

SERVICE NAME: OUTPATIENT CONSULTATION Description: The Outpatient Department is a health care facility designed for diagnosis, observation, consultation, treatment, and

intervention services to the people with health problems, but does not require admission at the moment.

Office or Division: Epilepsy Monitoring Center



Who may avail: Patients 18 years old and below who has symptoms related to Central Nervous System.


Queuing Number (1) Registration OPD Card (1) Registration Tagubilin (if patient is for follow up checkup) (1) From Previous Consultation at the Hospital Diagnostic Parameter (if any, depends on the number of result) EMC, Radiology


PAID PROCESSING

TIME PERSON

RESPONSIBLE



None

2 minutes Nurses/ EEG Technologist


2. Data Collection/ Pre-consultation Assessment

2. The nurse on duty will conduct the initial assessment including Vital signs, Anthropometric data, chief complaint/s and health history. Refer patient accordingly.

None 5 minutes Nurse Epilepsy Monitoring

Center

Consultation

3. Assessment 3. The physician on duty will conduct a thorough investigation through PE,

None 10 minutes

Child Neurologist & Neurology Rotator

71

Neurologic Evaluation and Medical History (past, present and family


3.1 Provision of parameters (if no diagnostics were done or further investigation is needed)

3.1 The physician on duty will advised a needed diagnostic procedure if diagnosis is not clinically warranted. The Nurse/Physician on duty will provide a charge slip/ request form and assist patient accordingly

None 5 minutes Child Neurologist, Neurology Rotator &

Nurse Epilepsy Monitoring

Center

3.2 Provision of diagnosis and treatment (if all necessary parameters were made)

3.2 The Physician on duty will establish a correct diagnosis compatible to patient’s condition in correlation to important parameters like Neurodiagnostic evaluation in correlation to patient’s clinical manifestation. A correctly labeled prescription must be provided to the patient and must be included in the Alagang Tagubilin Form properly filled out including medication advise, diet, activity and follow up visit.

None 10 minutes Child Neurologist, Neurology Rotator


4. Referral of patient to other clinic and/or admission/

4. The Nurse will transfer the service on HIS and provide home instructions and assist patient accordingly. If patient is for admission, discharge the patient on HIS, print data sheet, fill out admission receiving form and accompany the patient to the emergency room.

None

5 minutes

Nurse Epilepsy Monitoring

Center


72

SERVICE NAME: ENT-HEAD AND NECK SURGERY OUT-PATIENT DEPARTMENT Description: This is located in the 1st floor of Out-Patient Department Building. The ENT-HEAD and Neck Surgery Clinic provide safe, quality, effective and affordable services through, observation, consultation, treatment and intervention services to people with health problem.

Office or Division: Out-Patient Department- ENT-HEAD and Neck Surgery Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section

Diagnostic results (if any) R1MC – Laboratory, Radiology, Ultrasound

Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies

Consent for Procedure(1) R1MC – HIMS Office

Proof of Payment (Official Receipt) R1MC – Cashier Section,Philhealth/Billing Section

Queuing number (1) R1MC – Registration Consent for Admission(1)

R1MC – HIMS Office Consent to Avail Private Service(1)

R1MC-Admitting Section Tagubilin (if patient is for follow up checkup) From Previous Consultation at the Hospital

73


TIME PERSON

RESPONSIBLE

1. Patient comes in for Physical Examination and Assessment

1. Nurses perform Physical examination and assessments top the patient.

None 10 minutes Nurse on Duty ENT-HEAD and Neck

Surgery Clinic

2. Patient proceeds to the doctors for consultation.

2. The Doctor attends to the patients.

None 30 minutes Doctors on Duty ENT-HEAD and Neck

Surgery Clinic

3. Patient receives requests for diagnostic tests and/or prescription

3. The Doctors and Nurses provides and explains home medications and instructions to the client

CBC- Php 260 Blood Typing- Php

160 APTT-Php 480 PTT-Php 430 BUN-Php 160

Creatinine-Php 190 FBS-Php 160

Serum Electrolytes-Php 750

UA -Php 160 CXR-Php 260

Ultrasound-Php 800 ECG-Php 260

5 minutes Doctor on Duty ENT-HEAD and Neck

Surgery Clinic Nurse on Duty

ENT-HEAD and Neck Surgery Clinic

4. (if patient is not for referral/admission) Patient receives Alagang Pinoy Tagubilin.

If the patient is for referral or Emergency admission) patient proceeds to other department.

4. Doctors and nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin, if patient for referral or Emergency admission nurses endorsed to other department/Emergency room.

None 15 minutes Doctor on Duty Nurse on Duty


74

5. if patient is for minor operation and procedure, patient sign the consent.

5. The Doctor obtains the signed consent from the patient after explaining the procedure.

None 5 minutes Doctors on Duty ENT-HEAD and Neck

Surgery Clinic

6. Patient receives charge slip and settles the bill.

6. Nurse provides the charge slip for procedure to the patient.

Fine needle aspiration

biopsy=PHP1700 Punch biopsy= PHP

1700 Closed bone

reduction= PHP 5500 Incision and

drainage= PHP 1200 Excision= PHP 3640

Excision biopsy= PHP PHP 3640

Suture and repair= PHP 800

Excision of mucocysts= PHP

4000 Excision of

sebaceous cyst= PHP3400

Electrocautery (1-5 lesions) = PHP 500

Diagnostic Aspiration= PHP3640

Laryngoscopy= PHP5400

25 minutes Nurse on Duty ENT-HEAD and Neck

Surgery Clinic

75

Nasal Endoscopy= PHP850

Ear flushing/cleaning=

PHP200 Removal of foreign

body(ear, nose, throat)= PHP550

7. Patient presents the official receipt/ statement of account

7. Accepts official receipt (for patients without Philhealth) or Statement of Account (for patients with Philhealth)


Surgery Clinic

76

8. If the procedure will be done at the Minor Operating Room) Patient proceeds to the MOR waiting area(if the procedure will be done at ENT-HEAD and Neck Surgery Treatment room) Patients proceeds to the nurses for reassessment

8. Doctor/Nurses reassess the patient before the procedure.

None 3 minutes Nurse on Duty


9. Patient undergoes the procedure

9. Doctors and nurses perform the procedure.

None 30 minutes Doctors and Nurses ENT-HEAD and Neck

Surgery Clinic and Minor OR

77

10. Patient receives Alagang Pinoy Tagubilin.

10. Doctors and nurses provide and explain home instructions and medications written in the Alagang Pinoy Tagubilin.

None 5 minutes Doctors and Nurses ENT-HEAD and Neck

Surgery Clinic and Minor OR

Total: *Refer to 3rd & 6th Column

(Fees to be Paid)

2 hours and 33 minutes

78

SERVICE NAME: ENT-HEAD AND NECK SURGERY OUT-PATIENT DEPARTMENT

Description: This is located in the 1st floor of Out-Patient Department Building. The ENT-HEAD and Neck Surgery Clinic provide

safe, quality, effective and affordable services through, observation, consultation, treatment and intervention services to

people with health problem.

Office or Division: Out-Patient Department- ENT-HEAD and Neck Surgery Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Diagnostic results (if any) R1MC – Laboratory, Radiology, Ultrasound Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies Consent for Procedure(1) R1MC – HIMS Office Proof of Payment (Official Receipt) R1MC – Cashier Section,Philhealth/Billing Section Queuing number (1) R1MC – Registration Consent for Admission(1) R1MC – HIMS Office Consent to Avail Private Service(1) R1MC-Admitting Section Tagubilin (if patient is for follow up checkup) From Previous Consultation at the Hospital


TIME PERSON

RESPONSIBLE

1. (if patient is for admission)Patient comes and informs the nurse for scheduled admission.

1. Nurse validates the schedule of the patient



2. Patient will sign consent for admission and consent for operation

2. The physician on duty will explain the treatment/procedure/operation



79

and ask the patient to sign the consent

3. Patient proceeds to admitting section for room reservation

3. The Nurse instructed the patient go to admitting section for room reservation



4. Patient proceed to ENT-HEAD and Neck Surgery Clinic for the completion of chart and carrying out doctor’s order

4. The Nurse accomplish the chart and carry out doctor’s order

OPD Admission Fee-Php 500

30 minutes Nurse on Duty


5. Patient transfer to ward 5. The Nurse transfer patient to the ward


Surgery Clinic TOTAL: OPD Admission Fee-

Php 500 1 hour

80

SERVICE NAME: OUTPATIENT DEPARTMENT FAMILY PLANNING CLINIC Description: This is located in the 1st floor of Out-Patient Department Building Room 105. The Family Planning Clinic provide safe, quality, effective and affordable services through the culturally acceptable Modern Family Planning methods enhanced by information education communication and counseling to the needs of the patients.

Office or Division: Out-Patient Department- Family Planning Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Diagnostic results (if any) R1MC – Laboratory, Radiology, Ultrasound Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies Consent for Procedure R1MC – Family Planning Clinic Proof of Payment (Official Receipt) R1MC – Cashier Section,Philhealth/Billing Section


TIME PERSON

RESPONSIBLE

1. Patient comes in for assessment and counseling.

1. Nurse/Midwife performs physical examination and assessment to the patients

None 10 minutes Nurses/Midwives Family

Planning Clinic

2. Patient proceeds to the doctor for consultation.


None 30 minutes Doctors Family Planning

Clinic

3. Patient signs the consent for procedure.

3. The Doctor/Nurse/Midwife obtains the signed consent from

None

10 minutes Doctors/ Nurses/Midwives

81

the patient after explaining the procedure

Family Planning

Clinic

4. Patient will receive charge slip.

4. Nurse provides the charge slip for the specific procedure requested for the patient.

Internal Examination= Php 50.00

IM Injection = Php 50.00 IUD Insertion = Php 1,200.00 IUD Removal = Php 150.00

PSI Insertion = Php 1,800.00 PSI Removal = Php 350.00

BTL = Php 1,000.00 Vasectomy = Php 3,00.00

5 minutes Nurses/Midwives Family

Planning Clinic

5. Patient settles the bill. 5. Accepts the payment and issues official receipt (for patients without Philheath)

6. Or issues Statement of Account

(for patients with Philhealth)


Planning Clinic

6. Patient presents the official receipt/statement of account to Nurse/Midwife.

7. Accepts official receipt (for patients without Philhealth)Or Statement of Account (for patients with Philhealth)


Planning Clinic

7. Patient undergoes the procedure.

8. Doctor and nurse/midwife perform the procedure.

None IUD Insertion-10minutes

IUD removal-5minutes

PSI Insertion-10minutes

PSI Removal-15minutes

Doctors/ Nurses/Midwives

Family Planning

Clinic

82

BTL-30minutes Vasectomy-30minutes

8. Patient is reassessed 9. Doctor/Nurse/Midwife reassess the patient after the procedure

None IUD Insertion/Remo

val; PSI Insertion

Removal-10 minutes BTL-2-3hrs

Doctors/ Nurses/Midwives

Family Planning

Clinic

Patient receives Alagang Pinoy Tagubilin

10. Doctor/Nurse/Midwife provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin

None 10 minutes Doctors/ Nurses/Midwives

Family Planning

Clinic

TOTAL:

Internal Examination = Php 50.00

IM Injection = Php 50.00 IUD Insertion = Php

1,200.00 IUD Removal = Php 150.00

PSI Insertion = Php 1,800.00

PSI Removal = Php 350.00 BTL = Php 1,000.00

Vasectomy = Php 3,00.00

IUD Insertion-2hrs

IUD Removal-1hr 55mins

PSI Insertion-2hrs

PSI Removal- 2hrs 5mins BTL-5hrs 10mins

Vasectomy 2hrs 10mins

83

SERVICE NAME: OUT-PATIENT DEPARTMENT FAMILY AND COMMUNITY MEDICINE CLINIC Description: This is located in the 1st floor of Out-Patient Department Building Room 101.The Family and Community Medicine Clinic is a broad medical specialty providing on-going, comprehensive health care for the individual and the family.

Office or Division: Out-Patient Department- Family and Community Medicine Clinic



Who may avail: 12 years old above


Hospital Identification card (if any) R1MC – Registration


Diagnostic request (if any) R1MC – Outpatient Clinics

Proof of Payment (Official Receipt) R1MC – Cashier Section


PAID PROCESSING

TIME PERSON RESPONSIBLE

1.ASSESSMENT:

1. Patient comes in for Physical Examination and

Assessment.

1.Nurses performs Physical Examination and assessment of vital signs and chief complaints

None 15 minutes Nurses Family Medicine Clinic

2.CONSULTATION of patient


2.Doctors attends to the patients for history taking and consultation

None 30 minutes Physicians Family Medicine Clinic

84

3. Patient receives treatment or management

3.Doctors and/or Nurses administers treatment or management

None

90 minutes Physicians/ Nurses Family Medicine Clinic

4. Patient receives requests for diagnostic tests and/ or prescription

4.Doctors and nurses provides and explains home medications and instructions to the client

Injection Fee= Php 15.00

IM Injection= Php 50.00

Chest X-Ray AP & LAT =Php

530.00 Professional Fee (X-ray) = Php 200.00 Complete

BloodCount= Php 260.00

Urinalysis= Php 160.00

Fecalysis= Php 60.00

Drug Test= Php 250.00

30 minutes Physicians/Nurses Family Medicine Clinic

3.POST CONSULTATION of patient (ipaliwanag ang tungkol sa pagsusuri ng doctor ang kaukulang payo na kailangan)

5. If patient is not for referral/admission: Patient receives Alagang Pinoy

5.Doctors and Nurses provides and explains home instructions

None 15 minutes Physicians/Nurses Family Medicine Clinic

85

Tagubilin and fills up the Client Satisfaction Survey

and medications written in th Alagang Pinoy Tagubilin

6. If patient is for referral/admission: Patient is transferred to other department

6. Doctors/ Nurses endorses the patient to other department

None 15 minutes Physician/Nurses Family Medicine Clinic

TOTAL:

*Refer to 4th Column

(Fees to be Paid)

3 Hours 15 Minutes

86

SERVICE NAME: CARDIOLOGY CLINIC (NON-INVASIVE DIAGNOSTIC PROCEDURES) Description: The Outpatient Department is a health care facility designed for diagnosis, observation, consultation, treatment and intervention, and non-invasive diagnostic procedure services to the people with health problems, but does not require admission at the moment.

Office or Division: Out-Patient Department – Cardiology Clinic (Non-Invasive Diagnostic Procedures)



Who may avail: All


1 Charge slip From referring clinic 1 Receipt Cashier


TIME PERSON

RESPONSIBLE

1. ECG: Present the Official Receipt and Charge Slip to Heart Station Staff and wait for your name to be called. STRESS TEST: Present the Official Receipt and Charge Slip to Heart Station Staff and wait for your name to be called. 2D ECHO: Present the Official Receipt and Charge Slip to Heart Station Staff

1. Heart Station staffs will receive and verify handed requests.

1.1 Nurse will give schedule with

an instruction form to properly prepare for the procedure

1.2 Heart Station staffs will

receive and verify handed requests.

ECG Machine – Php 260 PF – Php 150 Total: Php 410

Stress Test– Php 2550 PF – Php 650

Total: Php 3200

2D ECHO Machine – Php 2100

PF – Php 700 Total: Php 2800

3 minutes

15 minutes

3 minutes

Heart Station Staffs Cardiology Clinic

Heart Station Staffs/Doctors

Cardiology Clinic


Cardiology Clinic

87

and wait for your name to be called.

2. ECG: Prepare for the procedure. Remove any gadget, jewelry and other metals. STRESS TEST: Proceed to the unit at the schedule provided. Preparation: Assessment of patient’s identification, history, vital signs taking, and recording of height and weight. 2D ECHO: Preparation: Assessment of patient’s identification, history, vital signs taking, and recording of height and weight.

2. Nurse instructs the patient. 2.1 Assessment of patient’s identification, history, vital signs taking, and recording of height and weight. Nurse instructs the patient to wear gown 2.2 Preparation: Assessment of patient’s identification, history, vital signs taking, and recording of height and weight. Nurse instructs the patient to wear gown

None

None

None

10 minutes

40 minutes

15 minutes

Nurses Cardiology Clinic


Cardiology Clinic

Cardiac Sonographer

Cardiology Clinic

3. ECG: Patient lie down on bed and prepare patient for the procedure STRESS TEST: Patient lie down on bed and prepare patient for the procedure 2D ECHO: Patient lie down on bed and prepare patient for the procedure

3. Nurse will attach ECG leads for the procedure

3.1 Nurse will attach ECG leads for the procedure. Doctors and nurses will facilitate the procedure 3.2 Cardiac Sonographer will attach Surface Chest ECG leads

None

None

None

10 minutes

90 Minutes

30 minutes

Doctors/Heart Station staffs

Cardiology Clinic

Doctors/Heart Station staffs

Cardiology Clinic

Cardiac Sonographer

Cardiology Clinic

88

and perform 2D ECHO procedure.

4. Patient will wait for the: ECG: Printed ECG strip. Wait for 2 days for the official result STRESS TEST: Wait for 2 days for the official stress test result 2D ECHO: Wait for the official result for 3 days.

4. Heart station staffs will print ECG strips for the patient.

4.1 Nurse will encode official stress test result 4.2 The cardiac sonographer will transpose measured values to worksheet and will be handed to the cardiologist for reading. 4.3 Nurse/Cardiac sonographer will encode results and inform the patient if echo result is already.

None

None

None

10 minutes

2 days

2 days

Hearts station staffs Cardiology Clinic

Hearts station staffs

Cardiology Clinic

CCU Nurse/Cardiac Sonographer

Coronary Care Unit

5. ECG: Follow up after 2 days for the Official ECG Result STRESS TEST: Follow up after 2 days for the official Stress Test result 2D ECHO: Follow-up after 3 days for the official 2D Echo result

5. Heart station staffs will release official results to patient.

5.1 Heart station staffs will release official results to patient. 5.2 Nurse/Cardiac sonographer will encode results and inform the patient if echo result is already.

None

None

None

2 days

2 days

3 days

Hearts station staffs Cardiology Clinic

Hearts station staffs

Cardiology Clinic

CCU Nurse/Cardiac Sonographer

Coronary Care Unit

89

TOTAL:

ECG TOTAL: STRESS TEST: 2D ECHO TOTAL:

Php 410

Php 3200

Php 2800

2 days. 43 minutes

2 days.


3 days.

43 minutes

90

SERVICE NAME: CONSULTATION OF CLIENTS AT OUT-PATIENT DEPARTMENT Description: The Outpatient Department is a health care facility designed for diagnosis, observation, consultation, treatment, and intervention services to the people with health problems, but does not require admission at the moment.

Office or Division: Out-Patient Department – Cardiology Clinic



Who may avail: Patients >19 years old


1 Queuing Number Registration 1 OPD Card Registration 1 Tagubilin (if patient is for follow up checkup) From Previous Consultation at the Hospital


PROCESSING TIME

PERSON RESPONSIBLE


1. Nurses performs Physical examination and assessment to the patient

None 15 minutes Nurses Cardiology Clinic


2. Doctors attends to the patients None 30 minutes Nurses Cardiology Clinic


3. Doctors and/or nurses administer treatment or management

None 90 minutes Nurses Cardiology Clinic



None 30 minutes Doctors and Nurses Cardiology Clinic

5. (If the patient is not for referral or admission ) Patient receives “Alagang Pinoy Tagubilin”.

(if the patient is for referral/admission) patient proceeds to other department

5. Doctors and nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin

The doctors/nurses endorse the patient to the other department.

None

None

15 minutes

15 minutes

Doctors and Nurses Cardiology Clinic

Doctors and Nurses

Cardiology Clinic

TOTAL: None 3 hrs. 25 minutes

91

SERVICE NAME: SURVEILLANCE AND INVESTIGATION Description: Conduction of surveillance and case investigation on the different reportable notifiable diseases in accordance to Philippine Integrated Disease Surveillance and Response (PIDSR) standard case definitions

Office or Division: Hospital Epidemiology Center


Type of Transaction: G2C - Government to client

Who may avail: Patients with notifiable diseases only


Principal R1MC identification card Registration or Admitting Section

Representative R1MC identification card of patient Registration or Admitting Section


PROCESSING TIME

PERSON RESPONSIBLE

24. Present the R1MC identification card

20. Check the R1MC identification card and verify identity of patient

None 2 minutes Disease Surveillance Officer (DSO)

25. Sign the consent for interview 21. Explain the purpose of the interview and ask for consent


26. Answer queries needed in the case investigation

22. Interview the patient/guardian and fill out the Case Investigation form (CIF)/ Case Report Form (CRF)

None 15 minutes per case

Disease Surveillance Officer (DSO)

27. Inform the Head/MD’s about the reportable case


28. Check the CIF/ CRF accomplished by the DSO


HEC Head/MD’s


92

SERVICE NAME: COLLECTION, STORAGE AND SENDING OF SPECIMEN Description: Specimen collection, proper storage at hospital laboratory, and sending of specimen to Research Institute for Tropical Medicine (RITM) for confirmatory testing



Type of Transaction: G2C - Government to client; G2G - Government to government

Who may avail: Patients with notifiable diseases only; Research Institute for Tropical Medicine (RITM) only


None Not Applicable


PROCESSING TIME

PERSON RESPONSIBLE

1. Follow the process of specimen collection

1. Check the chart order for the required specimen to be collected for confirmatory testing


2. Fill out of the Case Investigation form (CIF)/ Case Report Form (CRF) to be used as laboratory request


3. Ensure facilitation of collection of specimen None 8 hours Disease Surveillance Officer (DSO)

4. Assist in the transport and storage of collected specimen in the hospital laboratory


5. Preparation of linelist, proper packaging and sending of the collected specimen to RITM for confirmatory testing

None 1 hour HEC Data Encoder / Disease Surveillance

Officer (DSO)

6. Sending of specimen to RITM every Wednesday except holidays and during state of calamity.

None 20 minutes HEC Data Encoder / Disease Surveillance

Officer (DSO)

TOTAL: None 10 hours

93

SERVICE NAME: ENCODING OF SURVEILLANCE REPORTS TO DATABASE Description: Encoding of surveillance reports into the Philippine Integrated Disease Surveillance and Response (PIDSR) and Epi Info Software and sending to higher level health agencies



Type of Transaction: G2G - Government to government

Who may avail: Regional Epidemiology and Surveillance Unit (RESU); Provincial Epidemiology and Surveillance Unit (PESU); and Provincial Department of Health Office (PDOHO)


None Not Applicable


PROCESSING TIME

PERSON RESPONSIBLE

1. Encode surveillance reports into the PIDSR and EPI INFO software daily


HEC Data Encoder

2. Send the encoded reports (Database) every Tuesday of the week to higher level health agencies namely RESU, PESU, and PDOHO

None 10 minutes HEC Data Encoder


94

SERVICE NAME: ACCOMPLISHMENT AND SUBMISSION OF EVENT-BASED SURVEILLANCE REPORTS (ESR)

Description: Accomplishment of event-based surveillance reports (ESR) and submission to higher level health agencies




Who may avail: Regional Epidemiology and Surveillance Unit (RESU); Provincial Epidemiology and Surveillance Unit (PESU); and Provincial Department of Health Office (PDOHO)


None Not Applicable



RESPONSIBLE

1. Accomplish written report using the ESR form for the Notifiable Diseases under Category I, confirmed positive cases, and mortalities under Category I and Category II

None 1 hour per case Disease Surveillance

Officer (DSO)

2. Check and approve the ESR accomplished by the DSO

None 15 minutes per case HEC Head/MD’s

3. Submit the ESR to RESU, PESU and PDOHO thru electronic mail

None 15 minutes HEC Data Encoder

TOTAL: None 1 hour and 30

minutes

95

SERVICE NAME: COORDINATION AND FOLLOW-UP OF CASES Description: Accomplishment of event-based surveillance reports (ESR) and submission to higher level health agencies Coordination of investigated notifiable disease cases to CHOs/MHOs




Who may avail: City Health Officers (CHO’s)/Municipal Health Officers (MHO’s)


None Not Applicable



RESPONSIBLE

1. Inform the CHO’s and MHO’s concerned of identified notifiable cases through SMS or electronic mail

None 5 minutes per case HEC Head/MD’s

2. Follow up cases previously coordinated None 2 weeks HEC Head/MD’s

TOTAL: None 2 weeks, 5 minutes

96

SERVICE NAME: PROVISION OF COPY OF RITM CONFIRMATORY RESULTS Description: Provision of copy of received RITM confirmatory results to concerned hospital personnel and patients



Type of Transaction: G2G - Government to government; G2C - Government to client

Who may avail: Attending physician; Chief resident; Infectious disease consultant; Patients with notifiable diseases; and City Health Officers (CHO’s)/Municipal Health Officers (MHO’s)


Principal - R1MC identification card Registration or Admitting Section

Representative - R1MC identification card of patient Registration or Admitting Section


PROCESSING TIME

PERSON RESPONSIBLE

1. Provide copy of received RITM confirmed positive results to the attending physician, chief resident and infectious disease consultant.

None 30 minutes HEC Staff

2. Inform CHO’s/ MHO’s on confirmed positive cases thru sms except for some emerging-reemerging diseases

None 5 minutes per case HEC MD’s

1. Present the R1MC identification card in the HEC office

3. Check the R1MC identification card and verify identity of patient

None 2 minutes HEC Staff

2. Sign in the Client Releasing Logbook

4. Release copy of RITM result to patient/guardian.

None 10 minutes Disease Surveillance Officer/ HEC Data

Encoder/HEC MD’s

TOTAL: None

Concerned hospital personnel and CHO’s/MHO’s:

35 minutes Client: 12 minutes

97

SERVICE NAME: OUTPATIENT CONSULTATION

Description: Health care facility designed for diagnosis, observation, consultation, consultation, treatment, and intervention services

to the people with health problems, but does not require admission at the moment.

Office or Division: Out-Patient Department - Medical Clinic

Classification: Simple Transaction Type of Transaction: Government to Client

Who may avail: Clients 19 years old and above CHECKLIST OF REQUIREMENTS WHERE TO SECURE OPD card/ ID (1) Registration Queuing number (1) Registration Tagubilin (if patient is for follow up check-up) (1) From previous consultation at the hospital or upon discharge

from ward


PROCESSING TIME

PERSON RESPONSIBLE

1. ASSESSMENT:

1.1. Patient comes in for Physical Examination and Assessment

1.1. Nurses performs Physical Examination and assessment of vital signs and chief complaints

None 15 minutes Medical Clinic Nurse

2. CONSULTATION of patient

2.1. Patient proceeds to the physicians for consultation

2.1. Doctors attends to the patients for history taking and consultation

None 30 minutes Medical Clinic Physician

2.2. Patient receives treatment or management

2.2. Doctors and/or Nurses administers treatment or management

None 90 minutes Medical Clinic Physicians and

Nurses

2.3. Patient receives requests for diagnostic tests and/ or prescription

2.3. Doctors and nurses provides and explains home medications and instructions to the client


Nurses 3. POST CONSULTATION of patient (ipaliwanag ang tungkol sa pagsusuri ng doctor/ dentista at kaukulang payo na kailangan)

98

3.1. If patient is not for referral/admission: Patient receives Alagang Pinoy Tagubilin and fills up the Client Satisfaction Survey

3.1. Doctors and Nurses provides and explains home instructions and medications written in th Alagang Pinoy Tagubilin


Nurses

If patient is for referral/admission: Patient is transferred to other department

3.2. Doctors/ Nurses endorses the patient to other department


Nurses

TOTAL: None 3 hours and 25

minutes

99

SERVICE NAME: POINT OF SERVICE ENROLLMENT Description: Point of Service is an onsite rapid enrollment program to ensure that all admitted service patients will become a member of Philhealth, thus enjoying free and accessibility health care program.

Office or Division: Medical Social Service



Who may avail: All


Philhealth Care Verification Philhealth Care Office (Malasakit Center) PMRF (Personal Membership Registration Form) R1MC-Admitting Section Birth Certificate/Marriage Contract PSA or Respective Municipalities/Cities wherein the patient

was registered


PAID PROCESSING TIME

PERSON RESPONSIBLE

1. Present yourself for Point of Service Eligibility Screening

1.1 Verification at Philhealth Cares if patient has an old PIN.

1. Retrieving of Intake Sheets/MSWD Assessment Tool from Medical Social Service ER

1.1 Assessment if a patient has PIN through Philhealth Portal. Instruction to watchers to verify at Philhealth Cares for its eligibility.

None 30 Minutes -SWO-on-duty

-Philhealth Care Representative

2. Submit yourself for enrollment process. Fill out and Submission of Personal Membership Registration Form (PMRF)

2. Enrollment via Point of Service Portal None 40 Minutes -SWO-on-duty

100

3. Post-enrollment Procedure -Secure NBB Slip

3. Issues NBB Slip to patient/relative and does necessary coding to patient’s record for identification of POS enrollment. Printing of Registration Slip.

None 20 Minutes -SWO-on-duty

4. Submit necessary documents such as Birth Certificate or Marriage Contract for completion of documents

4. Makes proper documentation and necessary reports for the program

None 1hour (dependent on the availability of other document)

-SWO-on-duty

TOTAL: None 2 hours and 30

minutes

101

SERVICE NAME: MEDICAL SOCIAL SERVICE-OPD Description: Medical Social Service-OPD evaluates and provides healthcare services for the out-patients. Likewise, to help patients in mobilizing resources to meet and sustain the patient’s treatment needs.



Type of Transaction: G2C - Government to Citizen

Who may avail: All


-Hospital Identification Card Registration -Statement of Account/Charge Slip Billing Section/OPD Clinics -Doctor’s Request/Referral Slip OPD Clinics



PERSON RESPONSIBLE

1. Present Hospital ID/ Doctor’s Request with Charge Slip/Referral Slip

1. Queuing officer to give queuing number to patients

None 2 minutes Queuing officer

2. Wait for your number to be called

2. Social Worker to attend to the patient’s necessary concerns

None 20 minutes Social Worker-on-duty

3. Submit yourself for evaluation and classification

3. Social Worker to conduct interview for patient’s classification and assessment of needs.


TOTAL : None 37 minutes

102

SERVICE NAME: MALASAKIT CENTER Description: It is an area in which various payors (e.g. PCSO and DOH MAIP desks) was housed to streamline the process for patients in availing financial assistance.




Who may avail: All


-Hospital Identification Card Registration -Statement of Account/Charge Slip Billing Section/OPD Clinics -Doctor’s Request/Referral Slip OPD Clinics



PERSON RESPONSIBLE

1. Present patient’s Statement of Account/Doctor’s Request with charge Slips or Referral to the Queuing Officer for a number queue indicating the Agency table for transaction

1. Queuing Officer to issue queuing number per agency concerned based on patient’s need.

None 2 minutes Admin Staff/Patient

Action Center

2. Wait for your number indicated at the Queuing machine

2. Numbers will be called for the necessary transactions by respective Agency Representative/Staff


3. Submit yourself for Evaluation and Assistance

3. Patient will be assessed for their needs by respective Agency staff/representative and gives necessary assistance.

None 20 minutes Social Worker-on-duty/Agency Staff/

Representative


103

SERVICE NAME: OUT-PATIENT DEPARTMENT MEDICAL SPECIALTY CLINIC

Description: This is located in the 2nd floor of Out-Patient Department Building Room 211. The Medical Specialty Clinic provide safe,

quality, effective and affordable services through the culturally acceptable Modern Family Planning methods enhanced by information

education communication and counseling to the needs of the patients.

Office or Division: Out-Patient Department- Medical Specialty Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Diagnostic results (if any) R1MC – Laboratory, Radiology, Ultrasound Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies Consent for Procedure R1MC – Family Planning Clinic Proof of Payment (Official Receipt) R1MC – Cashier Section, PhilHealth/Billing Section


TIME PERSON

RESPONSIBLE

1. Patient comes in for assessment and counseling.

1. Nurse/Midwife performs physical examination and assessment to the patients

None 15 minutes Nurses Medical Specialty

Clinic




Clinic


3. The Doctor/Nurse obtains the signed consent from the patient after explaining the procedure

None

10 minutes Nurses Medical Specialty

Clinic

104



Chemotherapy fee= Php 1, 680.00

Arthrocentesis= Php 500

Intraarticular Injection= Php 500

Intralesional Injection= Php 500

Esophagogastroduodenoscopy/

Colonoscopy= (no PhilHealth- Php

15,000, With PhilHealth -no

excess)

5 minutes Nurses Medical Specialty

Clinic

5. Patient settles the bill. 5. Accepts the payment and issues official receipt (for patients without PhilHealth) Or issues Statement of Account (for patients with PhilHealth)


Clinic

6. Patient presents the official receipt/statement of account to Nurse/Midwife.

6. Accepts official receipt (for patients without PhilHealth)Or Statement of Account (for patients with PhilHealth)


Clinic


7. Doctor and nurse/midwife perform the procedure.

None Chemotherapy= 4-8 hrs

Arthrocentesis= 30 mins

Intraarticular Injection= 5 mins

Nurses Medical Specialty

Clinic

105

Intralesional Injection= 5 mins


Colonoscopy= 2 hrs

8. Patient is reassessed 8. Doctor/Nurse/Midwife reassess the patient after the procedure

None Nurses Medical Specialty

Clinic

9. Patient receives Alagang Pinoy Tagubilin

9. Doctor/Nurse/Midwife provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin


Clinic

TOTAL:

Chemotherapy fee= Php 1, 680.00

Arthrocentesis= Php 500

Intraarticular Injection=Php 500

Intralesional Injection=Php 500


Colonoscopy= (no PhilHealth - Php

15,000, With PhilHealth -no

excess)

Chemotherapy= 4-8 hrs

Arthrocentesis= 30 mins

Intraarticular Injection= 5 mins

Intralesional Injection= 5 mins Esophagogastrod

uodenoscopy/ Colonoscopy= 2

hrs

106

SERVICE NAME: OUT-PATIENT DEPARTMENT-MINOR OPERATING ROOM Description: This is located in the 2nd floor of Out-Patient Department Building Room 201.This covers the procedures that are involving little risk to the life of patient specifically, an operation on the superficial structures of the body or a manipulative procedure that does not involve a serious risk compared to major surgery.

Office or Division: Out-Patient Department- Minor Operating Room



Who may avail: All


Doctor’s Order for Operation R1MC – Surgical Clinic

Consent for Operation R1MC – Surgical Clinic


Proof of Payment: (Patients with Philhealth-Statement of Account+ Official Receipt) R1MC- Philhealth/Billing Section

(Patient without Philhealth- Official Receipt) R1MC-Cashier Section



PERSON RESPONSIBLE


1. Nurses check the completion of requirements and proceed to physical examination and assessment

None 7 minutes Nurses Minor Operating

Room

2. Patient undergoes the operation

2. Doctors and Nurses prepare and perform the procedure

None (already settled at the

referring clinics)

Core Needle Biopsy-30 minutes

Circumcision-20 minutes

Doctors, All Staff Minor Operating

Room

107

Diagnostic Aspiration-20 minutes

Disarticulation- 2 hours Electrocautery-30 minutes

Excision-3 hours Excision Biopsy-3 hours Fine Needle Aspiration

Biopsy- 20 minutes

Incision Biopsy-30 minutes Release of Trigger Finger-1

hour Removal of Wires/Removal of

Foreign Body-1 hour Suturing/Resuturing-30

minutes Ungiectomy/Partial

Ungiectomy-20 minutes Section Biopsy-30 minutes Wound Exploration-3 hours

3. Patient is reassessed 3. Doctor/Nurses reassess the patient after the procedure

None 10 minutes Doctors, All Staff Minor Operating

Room

4. Patient receives Algang Pinoy Tagubilin, (if the patient is not for referral/admission)

4. Doctors and Nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin


Room

108

5. Patient proceeds to other department(if the patient is for referral/admission)

5. The Doctor/Nurses endorses the patient to other department


Room

TOTAL: None

Core Needle Biopsy-1hr 12mins

Circumcision- 1hr 2mins Diagnostic Aspiration-1hr

2mins Disarticulation-2hrs 42mins Electrocautery-1hr 12mins

Excision-3hrs 42mins Excision Biopsy-3hrs

42mins Fine Needle Aspiration

Biopsy-1hr 2mins Incision Biopsy- 1hr 12mins Release of Trigger Finger-

1hr 42mins Removal of Wires/Removal of Foreign Body-1hr 42mins

Suturing/Resuturing-1hr 12mins

Ungiectomy/Partial Ungiectomy-1hr 2mins

Section Biopsy-1hr 12mins Wound Exploration-

3 hrs 42mins

109

SERVICE NAME: TRANSPORT OF PATIENT

Description: Transport and Motorpool Services.

Office or Division: Transport and Motorpool Section Classification: Simple

Type of Transaction: G2C - Government to Citizen Who may avail: All

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Official Receipt Request form

Cashier / Collecting Section Various Wards


TIME PERSON

RESPONSIBLE

1. Receiving of endorsement by the nurse on duty of patient for transport

1. Receive endorsement of patient for transport

None 2 Minutes Driver on duty and Nurse on

duty

2. Issuance of charge slip 2. Issuance of charge slip referred at the distance travel reference costing

None 1 Minute Driver on duty

3. Charge slip paid by the watcher at the cashier / collecting section

3. Issuance of Official Receipt Refer to the distance travel reference costing

2 Minutes Collecting Officer

4. Return the official receipt to the transport section

4. Photocopy of official receipt None 1 Minute Driver on duty

5. Preparation of the trip ticket for details of transport and proper signing of the authorized representative

None 10 Minutes Driver on Duty and Authorized representative

on duty

6. Preparation of the vehicle for inspection

None 5 Minutes Head Dispatcher

110

7. Ward informs the section that the patient is ready for transport

None 2 Minutes Driver on duty and Nurse on

duty

8. Transport of patient to the location stated in the trip ticket

None Based on the trip stated in the trip

ticket

Driver on duty

9. Refueling of vehicle before arriving to the station

Based on the fuel consumed by the vehicle

5 Minutes Driver on duty

10. Inspection of vehicle upon arrival


TOTAL:

20 kilometers below Php 1000, Php 57 per kilometer if exceeds to

minimum km, Metro Manila w/o physician & nurse Php 17,000

43 Minutes

111

SERVICE NAME: VOLUNTARY BLOOD DONATION Description: A volunteer blood donor should undergo Selection and Screening process before blood collection because as a general rule, only persons in normal health with a good medical history and absence of high-risk behavior associated with transfusion-transmissible infections shall be accepted as donor of blood for therapeutic use. This is also to ensure that both the blood donor and as well as the recipient of the blood product is protected.

Office or Division: Department of Laboratories (NVBSP)



Who may avail: All


Blood Donor History Questionnaire (1) NVBSP Information Education Campaign (IEC) (1) NVBSP Client Satisfaction Survey Form (1) NVBSP Confidential Unit Exclusion Form (1) NVBSP


PROCESSING TIME

PERSON RESPONSIBLE

1. Magbibigay ng pagkaka-kilanlan 1. Tatanggapin at ichecheck ang pagkakakilanlan sa donor

None 5 Minuto Bloodbank Staff

2. Sasagutin ang Blood Donor History Questionnaire

2. Magbibigay ng Blood Donor History Questionnaire para masagutin ng Blood Donor


3. Sasailalim sa Donor Selection at Screening

3. Gawin ang mga sumusunod: 3.1 Interview 3.2 Vital Signs 3.3 Physical Examinations 3.4 Blood Typing

None

5 Minuto 5 Minuto 5 Minuto 5 Minuto

Bloodbank Staff

112

3.5 Hemoglobin Testing 5 Minuto

4. Magpapakuha ng dugo 4. Pagkuha ng Dugo sa Blood Donor (Phlebotomy)


5. Makikinig at sasagotin ang Client Satisfaction Survey

5. Pangangalaga, counselling at pagbigay ng IEC, CUE at Client Satisfaction Survey form pagkatapos makuhanan ng dugo ang Donor

None 15 minuto Bloodbank Staff

TOTAL: None 1 oras at 7

minuto

113

SERVICE NAME: ISSUANCE OF BLOOD PRODUCT TO IN-PATIENTS Description: Issuance of blood product to Patient admitted at Region 1 Medical Center based on the Physician’s Blood Request.




Who may avail: All


Information Education Campaign (IEC) (1) NVBSP Blood request form (1) Ward Client Satisfaction Survey Form (1) NVBSP Request Blood Units Issuance and Acknowledgement Form (1) NVBSP


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Magbibigay ng Blood Request Form 1. Babasahin ang request None 5 Minuto Bloodbank Staff

2. Makikinig sa pagpapaliwanag ng polisiya

2. Bibigyan ng kaukulang paliwang ang pasyente o kamag anka ng payente ukol sa polisiya ng pagkuha ng dugo


3. Lalagda sa kasunduan at sasagutin ang Client Satisfaction Survey Form

3. Pagpapalagda sa kasunduan (Request Blood Units Issuance and Acknowledgement Form) at pagbigay ng IEC at CSS None 5 Minuto

Bloodbank Staff

4. Maaari nang makabalik ang Cliente sa Ward

4. Ichacharge sa Bill ng pasyente ang kaukulang halaga para sa crossmatching at Blood Handling Fee

WB - PHP1,800 PRBC - PHP1,500 PLT.CON - PHP1,000

2 Minuto Bloodbank Staff

114

FFP - P1,000 Crossmatching Fee - PHP 430

TOTAL

WB - PHP1,800 PRBC - PHP1,500 PLT.CON - PHP1,000 FFP - P1,000 Crossmatching Fee - PHP 430

22 Minuto

115

SERVICE NAME: SERVICE NAME: ISSUANCE OF BLOOD PRODUCT TO OUT PATIENTS Description: Issuance of blood product to Patient admitted in a hospital other than Region 1 Medical Center based on the Physician’s Blood Request




Who may avail: All


Information Education Campaign (IEC) (1) NVBSP Blood request form (1) Ward Client Satisfaction Survey Form (1) NVBSP Testing result Form (1) NVBSP Request Blood Units Issuance and Acknowledgement Form (1) NVBSP Official Receipt (1) Cash Operations


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Magbibigay ng Blood Request Form 1. Babasahin ang request ang pagkakakilanlan sa donor


2. Makikinig sa pagpapaliwanag ng polisiya

2. Bibigyan ng kaukulang paliwang ang pasyente o kamag anka ng payente ukol sa polisiya ng pagkuha ng dugo


3. Lalagda sa kasunduan at sasagutin ang Client Satisfaction Survey Form

3. Pagpapalagda sa kasunduan (Request Blood Units Issuance and Acknowledgement Form) at pagbigay ng IEC at CSS

None


4. Magbabayad ng Blood Service Fee sa Kahera

4. Irehistro ang pasyente sa MedSys (mga bagong pasyente na wala pang

WB PHP1,800

5 Minuto c/o Kahera

116

record sa ospital)Pagbabayarin ng Blood Service Fee ang pasyente o bantay sa kahera

PRBC PHP1,500 PLT.CON PHP1,000 FFP PHP1,000

5. Ibibigay ang Offical Receipt 5. Kukunin ang Official Receipt Number at ihahanda ang dugo sa tamang lalagyan

None


6. Tatanggapin ang dugo 6. Ibibigay ang dugo at Testing result form. Palalagdain ang pasyente o bantay ng pasyente ng katibayan ng pagtanggap ng dugo.

None


TOTAL:

FWD/WB Php1,800.00

PRBC Php 1,500.00

PLT.CON Php 1,000.00

FFP Php 1,000.00

37 Minuto

117

SERVICE NAME: OUT-PATIENT DEPARTMENT OB-GYN CLINIC Description: The Outpatient department is a health care facility designed for diagnosis, observation, consultation, treatment and intervention service people with health problems, specifically in Ob-gyn cases but does not require admission at the moment.

Office or Division: Out-Patient Department- OB-GYN Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Diagnostic results (if any) R1MC – Laboratory, Radiology Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies Consent for Procedure R1MC – OB-GYN Clinic Proof of Payment (Official Receipt) R1MC – Cashier Section,Philhealth/Billing Section

CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON

RESPONSIBLE

29. Patient comes in for Assessment and Counseling

23. Nurses performs Physical examination and assessment top the patient

None 5 minutes Nurses/Midwives Ob-Gyn Clinic


24. Doctors attends to the patients

None 15 minutes Doctors Ob-gyn Clinic


25. Doctors and/or nurses administer treatment or management

Injection fee/Internal Examination= Php 50.00, Endometrial Biopsy= Php 1,250, Punch Biopsy= Php

1,950, Cauterization=

15 minutes Nurses/ Midwives

Ob-gyn Clinic

118

Php 1,250, Papsmear/Gramstain=

Php 160

32. Patient settles the bill 26. Accepts the payment and issues official receipt (for patients without Philhealth)

Or issues Statement of Account (for patients with Philhealth)

None 1 hr Cashier/Philhealth/Billing Section

33. Patient presents the official receipt/ statement of account

27. Accepts official receipt (for patients without Philhealth) Or Statement of Account (for patients with Philhealth)

None 5 minutes Nurses/Midwives Ob-gyn Clinic

28. Patient prepares for the procedure.

6. Patient prepares. 6.1 For IM and IE patient must be relax, patient should be in lithotomy position for better result 6.2 For endometrial and punch biopsy.patient should take analgesic meds.before the procedure

Patient/Nurses Ob-gyn Clinic

119

6.3 for patient undergoing cauterization drape the patient and must provide their own materials needed for the procedure such as, underpad and tissue paper. 6.4 for paps smearing the patient it should be after 14 days of menstruation and no coitus for 3-5 days

29. Patient undergoes the procedure

7. Doctors and nurses perform the procedure

None IE / Injection (5 mins), Endometrial / Punch / Cauterization (2 hrs), Papsmear/Gramstain

(30 mins)

Doctors Nurses/Midwives

Ob-gyn Clinic

8. Patient is reassessed 8. Doctor/Nurses reassess the patient after the procedure a. The Doctors and Nurses

provides and explains home medications and instructions to the client

None 15 minutes Doctors Nurses/Midwives

Ob-gyn Clinic

9. Patient receives Alagang Pinoy Tagubilin and fills up the Client Satisfaction Survey

9. Doctors and nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin

None 5 minutes Doctors Nurses/Midwives

Ob-gyn Clinic

120

10. (if patient is not for referral/admission) Patient receives Alagang Pinoy Tagubilin and fills up the Client Satisfaction Survey (if the patient is for referral/admission) patient proceeds to other department

10.Doctors and Nurses/Midwives provides and explains home instruction and medications and medications written in the Alagang Pinoy Tagubilin The Doctor/Nurses endorses the patient to other department

None

None

5 minutes

5 minutes

Doctors and Nurses/Midwives

Ob-gyn Clinic

Doctors and Nurses/Midwives

Ob-gyn Clinic

TOTAL:

IE/Injection fee= Php 50.00, Endometrial biopsy= Php 1,250,

Punch biopsy= Php 1,950, Cauterization=

Php 1,250

IE/Injection (30 mins.), Endometrial/

Punch/ Cauterization (2 hrs.),

Papsmear/ Gram stain (30 mins)

121

SERVICE NAME: OUT-PATIENT DEPARTMENT OB-GYN ULTRASOUND AND COLPOSCOPY CLINIC Description: This is located in the 1st floor of Out-Patient Department Building Room 107. An ultrasound scan uses high-frequency sound waves to make an image of a person’s internal body structures. Doctors commonly use ultrasound to study a developing fetus (unborn baby), a person’s abdominal and pelvic organs. The images can provide valuable information for diagnosing and treating a variety of diseases and conditions. Colposcopy is a minor procedure in which a special microscope is used to examine the surface of the cervix for abnormalities.

Office or Division: Out-Patient Department- OB-GYN Ultrasound and Colposcopy Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section

Diagnostic results (if any) R1MC – Laboratory, Radiology

Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies

Consent for Procedure R1MC – OB-GYN Colposcopy/Ultrasound Clinic

Proof of Payment (Official Receipt) R1MC – Cashier Section, Philhealth/Billing Section


TIME PERSON

RESPONSIBLE

1. Patient comes in for physical examination, assessment and verification of request.

1. Nurse performs physical examination, assessment and verification of the request from the patient.

None 5 minutes Nurses OB-GYN

Ultrasound/ Colposcopy Clinic

122


2. The Doctor/Nurse obtains the signed consent from the patient after explaining the procedure.

None 10 minutes Doctor/Nurses OB-GYN




TVS/TRS = Php 1,250 PVS/BPS = Php

1,600 Colposcopy = Php

9,500

10 minutes Nurses OB-GYN


4. Patient settles the bill. 4. Accepts the payment and issues official receipt (for patients without Philheath)

Or issues Statement of Account (for patients with Philhealth)

None 20 minutes Cashier/Philhealth/billing Section

5. Patient presents the official receipt/statement of account to Nurse.

5. Accepts official receipt (for patients without Philhealth)Or Statement of Account (for patients with Philhealth)

None 5 minutes Nurses OB-GYN


6. Patient prepares for the procedure.

6. Patient prepares.

6.1 For TVS and TRS patient bladder must be must be emptied.

6.2 For PVS and BPS bladder can be full.

6.3 Patient should wear hospital gown and must provide their own materials needed for ultrasound such as condom, disposable

None 15 minutes Patient/Nurses OB-GYN


123

diaper, underpad and tissue paper.

6.4 For colposcopy avoid scheduling your colposcopy during your period, don’t have vaginal intercourse the day or two before colposcopy, don’t use tampons and vaginal medications the day or two.


7. Doctors and nurses perform the procedure.

None Ultrasound 60 minutes Colposcopy 20 minutes

Doctor and Nurses OB-GYN


8. Patient is reassessed by doctor and does the prompt and accurate encoding of results.

8. Doctor/Nurses reassess the patient after the procedure and do the prompt and accurate encoding of results.

None 10 minutes Doctor and Nurses OB-GYN


9. Patient received the verified results.

9. Doctor/Nurses verifies the ultrasound and colposcopy result.

None 15 minutes Doctor and Nurses OB-GYN


TOTAL:

TVS/TRS = Php 1,250

PVS/BPS= Php 1,600 Colposcopy = Php

9,500

TVS/TRS= 2 hours and 30

minutes PVS/BPS=


Colposcopy= 1 hour and 50

minutes

124

SERVICE NAME: CONSULTATION OF CLIENTS AT OUT-PATIENT DEPARTMENT

Description: The Outpatient Department is a health care facility designed for diagnosis, observation, consultation, treatment, and intervention

services to the people with health problems, but does not require admission at the moment.

Office or Division: Out-Patient Department – Pediatric Clinic



Who may avail: Patients 18 years old and below

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Queuing Number (1) Registration OPD Card (1) Registration Tagubilin (if patient is for follow up checkup) (1) From Previous Consultation at the Hospital


PAID PROCESSING

TIME PERSON

RESPONSIBLE


1. Nurses performs Physical examination and assessment top the patient

None

15 minutes Nurses Pediatric Clinic


2. Doctors attends to the patients None 30 minutes Doctors Pediatric Clinic


36. Doctors and/or nurses administer treatment or management.

Injection Fee Chest X-Ray AP & LAT Professional Fee (X-ray) Complete Blood Count Urinalysis

Php 50 Php 530 Php 200 Php 260 Php 160 Php 60

Php 400

90 minutes Doctors and Nurses Pediatric Clinic

125

Fecalysis G6PD confirmatory Newborn Screening (Expanded)

Php 1,750



None 30 minutes Doctors and Nurses Pediatric Clinic

*(if patient is not for referral/admission) Patient receives AlagangPinoyTagubilin and fills up the Client Satisfaction Survey

*(if the patient is for referral/admission) patient proceeds to other department

5. Doctors and nurses provides and explains home instructions and medications written in the AlagangPinoyTagubilin

5.1. The Doctor/Nurses endorses the

patient to other department

None

None

15 minutes

15 minutes

Doctors and Nurses Pediatric Clinic

Doctors and Nurses Pediatric Clinic

TOTAL: Depends on the Procedure done

Php 50 Php 530 Php 200 Php 260 Php 160 Php 60

Php 400 Php 1,750

3 hrs. 15 minutes

126

SERVICE NAME: PHARMACY SECTION DISPENSING COUNTER (CASH TRANSACTION) Description:The Pharmacy is located at the ground floor of the 5-storey Out-Patient building near the R1MC main entrance. Its function is to provide medicines and required medical/surgical supplies to R1MC patients (In-and Out-Patients) and the general public.

Office or Division: Pharmacy Section



Who may avail: All


Prescription / Charge Slip R1MC OPD Clinics, PAY wards, Emergency Room and other hospital / agencies

Pharmacy Cost Center Slip Official Receipt

R1MC Pharmacy Section R1MC Collecting Office – Cashier Windows


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Present patient prescription and / or give the required information (patient’s complete name and ward). 1.1 Present Senior Citizen ID

or any document showing patient’s birth date / Disability ID Card / Employees ID of the patient for discount if any.

1. Check the completeness of the prescription presented or searches the patient’s name on the Hospital Information System for request. If not found, encode it.

1.1 Verify the authenticity of the

information written on the prescription against the identification Card presented if any.

None 1 Minute Dispensing Pharmacist

127

1.2 Assess the availability and price the prescribed medicines and supplies.

2. Get the Pharmacy Cost Center Slip for payment.

2. Encode the patient information, print and issue Pharmacy Cost Center Slip.

None 2 Minutes Dispensing Pharmacist

3. Pay the required fees at the Collecting Office by showing the Pharmacy Cost Center Slip.

3. Accept the payment based on the Pharmacy Cost

Center Slip. 3.1. Issues the Official Receipt

Cost of Medicines &

Supplies

Note: Please see the Citizen’s Charter of

Collecting Section for the time frame.

Cashier

4. Return to the Pharmacy and present the Pharmacy Cost Center Slip and Official Receipt to get the paid item/s.

4.1 Sign on the “Discount Logbook"

for Senior Citizen and other discounts if any.

4. Check the official receipt if all the items on the prescription have been paid.

4.1 List down the discounted item on

the “Discount Logbook” and let the client sign.


5. Claim the paid item/s and the Official receipt.

5. Dispense the paid item/s. None 1 Minute Dispensing Pharmacist

TOTAL Cost of

Medicines & Supplies

5 minutes

128

SERVICE NAME: PHARMACY SECTION DISPENSING COUNTER (CHARGE TRANSACTION) Description: Prescribed medicines of PhilHealth members and their dependents may be charged depending on whether they are Paying PhilHealth members or “No Balance Billing” members. For Paying PhilHealth members, their medicines can be charged within 24-hours of admission or up to ₱ 4,200 credit limit after 24-hours. For No Balance Billing (NBB) members, there is no credit limit as long as the medicines are available in the Pharmacy.




Who may avail: R1MC In-Patient Only


Prescription / Charge Slip R1MC Wards, Emergency Room Pharmacy Cost Center Slip R1MC Pharmacy Section Official Receipt (If Credit Limit is exceeded) R1MC Collecting Office – Cashier Windows


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Give the required information (patient’s complete name and ward).

1.1 For Excess PhilHealth coverage, follow Steps 2 to 5 of PHARMACY SECTION DISPENSING COUNTER (CASH TRANSACTION)

1. Check the completeness of the prescription presented or searches the patient’s name on the Hospital Information System for request.

1.1 If the total price exceeds the

PhilHealth coverage, send the patient representative to the Cashier to pay before claiming the item/s.


129

2. Sign the Pharmacy Cost Center Slip to acknowledge the items taken.

2. Encode, print and issue Pharmacy Cost Center Slip

None 2 Minutes Dispensing Pharmacist

3. Get the charged item/s. 3. Dispense the charged item/s. None 1 Minute Dispensing Pharmacist


130

SERVICE NAME: PHARMACY SECTION DISPENSING COUNTER (SPONSORED PATIENTS)

Description: Not all patients can afford to pay their medicines in cash. Thus, out-patient whose medicines cannot be charged, seek sponsors. This activity is coursed through R1MC’s Malasakit Center which approves the Fund Acknowledgement Slip to be presented to the Pharmacy to be able to claim the prescribed medicine/s.




Who may avail: R1MC Out-Patients


Priced Prescription / Charge Slip R1MC Pharmacy Section Malasakit Center Signed (Approved) Prescription / Charge Slip R1MC Malasakit Center


PROCESSING TIME

PERSON RESPONSIBLE

1. Present patient Prescription / Charge slip together with the proof of sponsorship “Fund Acknowledgement Slip”.

1.1 Give required patient information (complete name and ward).

1. Check the completeness of the prescription / Charge Slip presented.

1.1 Verify the authenticity of the

information written on the prescription / charge slip and the Fund Acknowledgement Slip presented

1.2 Assess the availability and price the prescribed medicines and supplies.


131

2. Present the priced prescription / charge slip to Malasakit for fund approval.

2. Verify fund existence and sufficiency.

2.1 Approved and signs the priced

prescription / charge slip.

None Note: Please see the Citizen’s Charter of

Malasakit Center for the time frame.

Medical Social Service Worker

3. Return to the Pharmacy and present the approved and signed prescription / charge slip by Malasakit Center.

3. Verify the authenticity of the Malasakit official’s signature on the prescription / charge slip.


4. Claim the item/s. 4. Dispense the item/s. None 1 Minute Dispensing Pharmacist


132

SERVICE NAME: RECEIVING / CHECKING OF CLAIMS ELIGIBILITY DOCUMENTS Description: Receive Philhealth requirements to check if the patient is illegible to avail Philhealth benefits.

Office or Division: Philhealth and Claims Department


Type of Transaction: G2C Government to Clients

Who may avail: All Citizens


1- PBEF; PMRF; Birth Certificate; Marriage Contract; Senior Citizen ID; 4P’s ID; any other Valid ID; Retirement

Voucher/Service Record; Proof of Payment; Certificate of Eligibility; DSWD Certification; Philhealth Dialysis Database Confirmation Letter. (Case to case basis whichever is applicable)

Philhealth Office Medical Social Service Office Philippine Statistics Authority (PSA) Dept. of Social Welfare & Development (DSWD) Former Employer


PROCESSING TIME

PERSON RESPONSIBLE

1. Patient / Watcher must accomplish all requirements and submit to Philhealth Office.

1.1 Receive the required documents 1.2 Check if eligible to avail philhealth benefits 1.3 Ensure that all documents are fully accomplished 1. 1.4 Endorse fully accomplished requirements

to Billing Section for the processing of Bill of the patient

None

None

None

None

1 minute

1 minute

2 minutes

1 minute

Philhealth Staff Philhealth Staff Philhealth Staff Philhealth Staff

Total

5 minutes

133

SERVICE NAME: PHYSICAL MEDICINE AND REHABILITATION UNIT Description:

Physical Medicine and Rehabilitation (PM&R), also known as Physiatrist or Rehabilitation Medicine, aims to enhance and

restore functional ability and quality of life to those with physical impairments or disabilities affecting the brain, spinal cord, nerves,

bones, joints, ligaments, muscles, and tendons.

Physical Therapy or Physiotherapy is a physical medicine and rehabilitation specialty that remediates impairments and promotes

mobility, function, and quality of life through examination, diagnosis, prognosis, and physical intervention (therapy using mechanical

force and movements). It is carried out by physical therapists (known as physiotherapists in most countries).

Occupational Therapy practice means the therapeutic use of occupations, including everyday life activities with individuals, groups,

populations, or organizations to support participation, performance, and function in roles and situations in home, school, workplace,

community, and other settings. It is carried out by occupational therapists.

The Physical Medicine and Rehabilitation (PM&R) unit shall be open Mondays to Saturday from 8:00 AM to 5:00 PM except on

holidays.

Consultations for patient shall be with Physiatrist schedule, while the rest of the workday will be devoted to inpatients, research, and

training activities (PT Interns & Medical Clerks).

Office or Division: Admitting Section


Type of Transaction: Government to Client/ Government to Government



1-Referral from primary doctor In-Patient ward / Out-Patient ward 1-Result of Ancillary Procedures Radiology Department; Neurology Department; Laboratory

Department 1-Charge Slip PM&R Reception Area 1-Official Receipt Cash Operations 1-Tagubilin Form PM&R Reception Area

134


TIME PERSON

RESPONSIBLE

1. Ipakita ang Referral galing sa pangunahing manggagamot sa PM&R reception area para maitala sa konsultasyon ng Physiatrist.Para sa dating pasyente: Ipakita ang Tagubilin

1. Tatanggapin at susuriin ang referral slip. 1.1 Pagtitipon at pagtatala ng demographic profile at vital signs ng pasyente sa PM&R Clinical Record at Consultation Logbook (para sa in-patient) 1.2 Pagtatakda ng konsultasyon ng Physiatrist.

None 10 minuto Physical Therapy Technician /

Physical Therapist / Occupational

Therapist

30. Pagsusuri ng Physiatrist (Para sa mga dating pasyente: Sundin ang araw at oras na itinakda para sa konsultasyon upang muling suriin) 1.1 Dalhin ang mga Result ng Ancillary Procedures para ipakita sa physiatrist (para sa mga bagong pasyente) 1.2 Pumirma ng Informed Consent Form para sa pagkonsulta at pagpapaterapi

31. Pagkalap ng impormasyong medikal

2.1 Pagsasagawa ng Pisikal na eksaminasyon 2.2 Pagbibigay ng karagdagang diagnostic exam at masinsinang pagsusuri ng resulta. 2.3 Pagbibigay ng Therapeutic Prescription:

- Gamot - Physical Therapy - Occupational Therapy

None 30 minuto Physiatrist

135

2.4 Pagbibigay ng referral para sa pagsanguni ng iba pang espesyalista kung kinakailangan.

3. Kumuha ng Charge Slip sa PM&R Reception Area 3.1 Magbayad sa Cashier at kunin ang opisyal na resibo (Sa mga nagnanais na makakuha ng diskwento dalhin ang Charge slip sa Medical Social Service) 3.2 Ibalik ang resibo galing sa Cashier sa PM&R reception area upang maitala ang numero ng resibo.

3. Itala ang pagsusuri at kaukulang impormasyon ng pasyente sa MedSys upang makapagprint ng Charge slip. 3.1 Ibigay sa itinakdang therapist ang rekord ng pasyente. 3.2. Itala ang numero ng resibo at ibalik ito sa pasyente

PT Service: Code 1 (ICT) Php 100 Code 2 (ILT) Php 100 Code 5 (PIT) Php 550 Code 6 (ES, Thermal, Thera Ex) Php 210 Code 7 (ES, Thermal, Diathermy, Thera Ex) Php 310 Code 10 (additional area) Php 50 Code 8 (Acupuncture) Php 330 OT Service Code 6 (Thera Ex) Php 210

15 minuto Physical Therapy Technician

136

4. Hintaying tawagin ng itinakdang terapis upang masimulan ang therapeutic prescription na ibinigay ng Physiatrist. Buohin ng itinakdang bilang ng sesyon ng terapi bago ang muling pagsusuri sa physiatrist.

4. Pagsasakatuparan ng therapeutic prescription sangayon sa ibinigay ng Physiatrist 4.1 Paggawa ng susunding skedyul ng pasyente, pagbibigay ng bagong tagubilin form, pagrekord ng mga ginawang hakbang at iba pang karagdagang impormasyon ukol sa kondisyon ng pasyente, at pagbibigay ng karagdagang paalala sa pasyente. 4.2 Pagtatakda ng konsultasyon para sa muling pagsusuri ng physiatrist

None 90 minuto Physical Therapist / Occupational

Therapist

TOTAL:

Depende sa combinasyon ng PT/OT services

*refer to 3rd column (fees to be paid)

145 minuto

137

SERVICE NAME: HIV TESTING SERVICE

Description: A service provided to client who seek to know their HIV status through voluntary testing.

Office or Division: Pangasinan Initiative against AIDS and STI (PINAS) Unit


Type of Transaction: Government to Citizen

Who may avail: All

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Hospital Card ID (1) Registration – Counter 1


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Get a queuing number at the clinic. And wait for the nurse to call your number.

1. Provide a queuing number outside the unit and prepare the needed forms for screening.

None 1 Minute PINAS Staff

2. Pre-test counseling 2. Introduce self to client. 2.1 Provide clear and concise information and explanation on HIV and AIDS, the benefits of testing, process of testing, possible results, waiting time and the confidentiality of the result.

None 20 Minutes PINAS Counsellor

3. Sign the informed consent and completion of the counseling form.

3. Allow client to sign the informed consent voluntarily

3.1 Verify the information written at the counseling form.


4. Extraction of blood specimen and waiting of the result.

4. Make a request form and charge slip for the test.

Free except for

Employment/

15 Minutes

PINAS Staff

138

4.1 For employment and travel purposes, inform client to pay at the cashier prior to extraction.

4.2 For free test, the nurse will process the charge slip at the Malasakit Center.

4.3 Extraction of the blood and testing analysis is done by the proficient medical technologist of the laboratory department.

4.4 Inform client to return to clinic after 2 hours.

Travel Abroad: Php

530.00

2 Hours

HIV Proficient Medical

Technologist

PINAS Staff

5. Return to the unit for posttest counselling.

5. Verify client’s identity prior to release of the result.

5.1 Provide a concise and informative explanation about the test result.


TOTAL:

For Employment and Travel

Abroad Php 530.00

3 Hours and 6 Minutes

139

SERVICE NAME: X-RAY Description: X-ray procedures offered include Cervical Open Mouth, Cervical Spine APL, Mandible AP, Mandible APL, Mandible

APO, Mastoid Series, Nasal Bone APL, Paranasal Sinuse, Skull Calwell's View, Skull-Towne's View, Skull-Water’s View, Skull APL,

Skull AP, Temporomandibular Joint, Cervico-thoraco Spine APL, Chest AP, Chest Apicolordotic View, Chest APL(Pedia), Chest

Lateral Decubitus, Chest Lateral View, Thoracic Cage, Lumbo-sacral APL, Pelvis AP, Pelvis Lateral, Plain Abdomen Upright, Plain

Abdomen Upright/Supine, Plain Abdomen, Plain Abdomen Lateral Decubitus, Plain KUB, Thoraco-lumbar APL View, Barium Enema,

Cystography/Urethrography, Distal Colonogram,, Esophagram/Barium Swallow, Fistulogram/Cystogram, Hysterosalphingography,

Intra-Operative Cholangiogram, KUB-IVP, Small Intestinal Series, T-tube Cholangiogram, Upper GI series, Ankle APO, Ankle APL,

Ankle Mortise, Arm APL (Humerus), Forearm AP, Forearm APL, Foot APO, Foot Lateral, Hand APO, Hand AP lateral, Leg APL, Leg

AP, Thigh APL, Thigh AP, Elbow APL, Thigh APL (Femur), Wrist APL, Wrist APL, Portable X-ray, Skeletal survey, Babygram. X-ray

OPD services are available every weekday from 8:00 AM to 4:00 PM. X-ray services are available 24 hours daily.

Office or Division: Department of Radiology


Type of Transaction: G2C - Government to Client

Who may avail: All


Official Receipt (1 original; for out-patients only) Cash Operations X-ray Request Form Radiology Reception Area


PROCESSING TIME

PERSON RESPONSIBLE

1.Present the X-ray request form together with the official receipt to the Radiologic Technologist/receptionist.

1.The Radiologic Technologist will process the X-Ray request encoded by the different clinical nurses through Medsys Program. 1.1 If patient’s procedure requires preparation (e.g.

Please refer to

the charge

slip

2 Minutes 5 Minutes

Radiologic Technologist


140

1.1 If the requested procedure requires preparation (e.g. bowel preparation), follow the instructions and come prepared on the scheduled time.

bowel preparation), ask the patient to come back in a given schedule with instructions.

1. Provide personal information e.g. name, age, sex, and address to the Radiologic Technologist for identification and record purposes.

The Radiologic Technologist will log the patient's data and procedure requested in the logbook.

None 2 Minutes


2.Proceed to the x-ray exam room to undergo the requested radiologic procedure. 2.

2.The patient will be brought to the X-ray room for the requested procedure by the Radiologic Technologist who will perform the requested examination.

a. Routine procedure e.g. chest, extremities

Special procedures e.g. T-tube, IOC

None 10 Minutes 1 Hour


3.Wait for the releasing of the examination result. 3.

3.Reading/interpreting of image by the Radiologic Residents/Radiologist. Encoding of official result through the Medsys Program. Results will be available for releasing for the ff. after: 1) Out-patient 2) In-patient 3) special procedures

None 24 Hours 24 Hours 48 Hours

Radiologist / Residents

141

4. Present the x-ray request form and claim the result. Sign the duplicate copy of result.

5.Releasing of official results. 5.1Inspect the request form of patient 5.2Hand the result to the patient Ask the patient to sign the duplicate copy of his/her result for record-keeping purposes.

None 10 Minutes


TOTAL: 1) Out-patient 2) In-patient

3) special procedures

24 Hours, 29

Minutes 24 Hours, 29

Minutes 49 Hours, 19

Minutes

142

SERVICE NAME: ULTRASOUND, DUPLEX

Description: Ultrasound services are catered for both in-and out-patients and are available from Monday to Friday 8:00 AM to 4:00

PM. Ultrasound covers Ultrasound Guided Paracentesis, Ultrasound Guided Thoracentesis, Ultrasound Guided FNAB,

Sonomammogram Ultrasound, Single Ultrasound, Soft Tissue Mass Ultrasound, Cranial, Thyroid, Chest, Hepatobiliary (HBT), KUB,

Whole Abdomen, Inguino-scrotal/labial, Chest, Neck, Upper Abdomen, Lower Abdomen.

Duplex services are catered for both in-and out-patients and are available every Friday 8:00 AM to 12:00 PM. Duplex scan covers

Carotid, Renal, Inferior Vena Cava, Right Upper Extremities Arterial, Left Upper Extremities Arterial, Bilateral Upper Extremities

Arterial, Right Upper Extremities Arterial-Venous, Left Upper Extremities Arterial/Venous, Bilateral Upper Extremities

Arterial/Venous, Right Lower Extremities Arterial/Venous, Left Lower Extremities Arterial/Venous, Bilateral Lower Extremities

Arterial/Venous.




Who may avail: All


Official Receipt (1 original; for out-patients only) Cash Operations Ultrasound/Duplex Request Radiology Reception Area


PROCESSING TIME

PERSON RESPONSIBLE

1.Present the ultrasound/duplex request form and official receipt to the Radiologic Technologist on duty/receptionist.

1.The Radiologic Technologist will receive the request and receipt for the ultrasound procedure from the patient and log the data in the logbook.

Please refer to charge

slip

5 Minutes


143

1.1If the requested procedure requires preparation (e.g. 8 hours fasting), follow the instructions and come prepared on the scheduled time. 2.

If patient’s Ultrasound/ /Duplex Scan procedure requires preparation (e.g. 8 hours fasting), patient will be asked to come back on a given schedule with instructions.

3. Provide personal information e.g. name, age, sex, and address to the Radiologic Technologist for identification and record purposes.

The Radiologic Technologist will log the patient's data and procedure requested in the logbook.

None 2 Minutes Radiologic Technologist

5. Proceed to the Ultrasound exam room to undergo the requested procedure.

2.The Radiologic Technologist will do the procedure requested with the Radiology Resident.

1.Ultrasound Duplex

None

30 Minutes 2 Hours


6. Wait for the result/s of the examination. 4. The Image will be read/ interpreted by the Radiology Resident and checked by the Radiologist. Official result is encoded via the Medsys.

1.Ultrasound -inpatient

-outpatient

2. Duplex


slip

23 Hours, 13 Minutes

3 Hours, 13

Minutes

72 Hours

Radiologist / Resident

144

7. 5. Present the request form and claim the examination result.

5. The Radiologic Technologist will check the receipt and release the official result. The recipient will sign a logbook documenting the turn-over of the results.


3.Present the ultrasound/duplex request form and official receipt to the Radiologic Technologist on duty/receptionist. 3.1If the requested procedure requires preparation (e.g. 8 hours fasting), follow the instructions and come prepared on the scheduled time.

2.The Radiologic Technologist will receive the request and receipt for the ultrasound procedure from the patient and log the data in the logbook.

If patient’s Ultrasound/ /Duplex Scan procedure requires preparation (e.g. 8 hours fasting), patient will be asked to come

back on a given schedule with instructions.


slip

5 Minutes


TOTAL: 1.Ultrasound

- inpatient - outpatient

2. Duplex

24 Hours 4 Hour

74 Hours, 17

Minutes

145

SERVICE NAME: MRI

Description: MRI procedures offered include Brain routine, Cranial + MRA + MRV, Cranial Seizure / Dementia, Whole Abdomen,

Lower Abdomen / Upper Abdomen, MRCP, Temporal Bone, Orbit, Paranasal Sinuses, Thoracic, Upper / Lower Extremity per

region, Cervical Spine, Thoracic Spine, and Lumbar Spine. MRI services are available Monday to Friday, 8:00 AM to 4:00 PM.




Who may avail: All


Official Receipt (1 original) Cash Operations MRI Request Form Radiology Reception Area


PROCESSING TIME

PERSON RESPONSIBLE

1.Present the MRI request form together with the official receipt to the Radiologic Technologist/receptionist.

1.1 If the requested procedure requires preparation (e.g. NPO preparation, Lab Test Creatinine, weigh patient), follow the instructions and come prepared on the scheduled time.

1.The Radiologic Technologist will process the MRI request encoded by the different clinical nurses through Medsys Program.

1.1 Scheduling of special procedures. (Giving instructions and preparations prior to procedure).


slip

5 Minutes

20 Minutes



2.Provide personal information e.g. name, age, sex, and address to the Radiologic

The Radiologic Technologist/receptionist will log the patient's data and


146

Technologist/receptionist for identification and record purposes.

procedure requested in the logbook.

2.Proceed to the MRI exam room to undergo the requested MRI procedure. 8.

The Radiologic Technologist will do the procedure requested.

None 2 Hours Radiologic Technologist

4.Wait for the releasing of the examination result. 9.

3.The Radiologic technologist will transfer the image to the monitor to be read by the Radiologist/ Radiology Resident. 4.1 The Image will be read/interpreted by the Radiology Resident and checked by the Radiologist. Official result is encoded via the Medsys.

None


slip

1 Hour

5 Days


Radiologist/ Residents

10. Present the MRI request form and claim the result.

The official result will be forwarded to the ward to be attached to the patient’s chart. The recipient will sign a logbook documenting the turn-over of the results.


TOTAL None 5 Days, 3 Hours, 40 Minutes

147

SERVICE NAME: CT SCAN

Description: CT scan services are catered for both in-and out-patients and are available 24 hours daily. CT scan procedures offered

include Angiogram Abdominal Aorta, Entire Abdomen, Lower Abdomen, Upper Abdomen, Chest, Lungs, Mediastinum, Cranial with

contrast, Cranial with Coronal Cuts, Larynx/Neck, Cervical Spine, Salivary Glands, Temporal Bone, TMJ, Orbit, Nasopharynx,

Paranasal Sinuses, Pituitary/Sella, Angiogram Pulmonary Artery, Angiogram Thoracic Aorta, Angiogram Head/Neck, Extremity per

region, Cervico-Lumbar, Cervico-Sacral, Cervico-Thoracic, Cervico-Thoraco-Lumbar, Combination of 2 regions.




Who may avail: All


Official Receipt (1 original; for out-patients) Cash Operations CT Scan Request Form Radiology Reception Area


PROCESSING TIME

PERSON RESPONSIBLE

1. Present the CT scan request form together

with the official receipt to the Radiologic

Technologist/receptionist.

1.1 If the requested procedure requires preparation (e.g. bowel preparation), follow the instructions and come prepared on the scheduled time.

1. The Radiologic

Technologist will process the

CT scan request encoded by

the different clinical nurses

through Medsys Program.

1.1 Scheduling of special procedures. (Giving instructions and preparations prior to procedure).


slip

2 Minutes

15 Minutes



148

2. Provide personal information e.g. name, age, address, contact number, etc. to the Radiologic Technologist/ receptionist for identification and record purposes.

2. The Radiologic

Technologist/receptionist will

log the patient's data and

procedure requested in the

logbook.


3.Proceed to the CT scan exam room to undergo the requested radiologic procedure. 11.

The Radiologic Technologist will do the procedure requested.

None 1 Hour Radiologic Technologist

4. Wait for the releasing of the examination result. 12.

4.The Radiologic technologist will transfer the image to the monitor to be read by the Radiologist/ Radiology Resident. 4.1 The Image will be read/interpreted by the Radiology Resident and checked by the Radiologist. Official result is encoded via the Medsys.

None


slip

20 Minutes

5 Days


Radiologist/ Residents

13. Present the CT scan request form and claim the result.

5.The Radiologic Technologist will forward the official results of inpatients to the wards. For outpatients, the Radiologic Technologist will contact the patients to inform them of the availability of their result.


149

The Radiologic Technologist will ask the recipient to sign the logbook documenting turn-over of results.

TOTAL: None 5 Days, 1 Hour, 52 Minutes

150

SERVICE NAME: PATIENTS' DATA ENTRY, REGISTRATION AND ISSUANCE OF HOSPITAL

IDENTIFICATION CARD AND CLINIC QUEUING SLIP

Description: Registration of patient and issuance of clinic queuing slip

Office or Division: Registration Section





1-Triage Form Triage Area 1- Counter Queuing Slip Customer Representative Queuing Area


PROCESSING TIME

PERSON RESPONSIBLE

4. Present the Hospital ID at the Triage Area for assessment/referral to designated clinic.

1.Doctors will assess patient’s status and complaints and refer to appropriate clinic for proper check-up

None None Family Medicine Doctors/Nurses And Customer Service

Representative

5. Present the hospital ID and triage form to the Customer Service Representative for a Registration queuing slip.

2.CSR will issue queuing slip None None Customer Service Representative

14. Patient take his/her seat and wait for the queuing number to appear at the queuing monitor.

3.Flash patient’s queuing number

None 2 mins Registration Staff

15. Once his/ her queuing number appears, submits the Hospital ID, Queuing slip and Triage Form for log in to designated clinic. For Senior Citizen, PWD and Pregnant Women proceed at Counter 2. For New Patients and

4.Patient’s information is verified and accurately encoded and logged to assigned clinic

None 5 mins Registration Staff

151

Lost IDs proceed to Counter 1 and Counter 3 for Old Patients.

16. Patient will get his/her clinic queuing slip at Clinic Kiosk to be issued by a Registration staff.

5.Issuance of queuing slip to appropriate clinics

None 1 min Registration Staff

TOTAL None 8 mins

152

SERVICE NAME: PARKING OF VEHICLES Description: Parking of Vehicles covers the admission of client’s or employee’s vehicle in the hospital premise.

Office or Division: Security Section


Type of Transaction: G2C – Government to Citizen; G2G – Government to Government

Who may avail: All


External

Plate no. of the vehicle (1) LTO (any branch) Parking Ticket (1) Collecting Officer or Parking Guard on Duty

Internal

Vehicle Pass Sticker (1) Human Resource Management Office


PROCESSING TIME

PERSON RESPONSIBLE

38. Entry at the hospital’s parking area. 1. Inspection upon entry at the hospital.

1.2 Check if there is an available parking space.

None 5 minutes Guards on Duty

39. Receive Parking Ticket if space available (External); Showing of Vehicle Pass Sticker (Internal).

2. If space is available, issue a parking ticket; Checking of Vehicle Pass Sticker (Internal).

2.1 Record the vehicle’s plate number.

None 3 minutes

Guards on Duty

40. Parking of the vehicle. 3. Assistance to the parking of the vehicle to a designated area.



153

SERVICE NAME: VISITING HOURS Description: Visiting Hours covers the admission of watchers in the charity wards in a given specific time for them to visit their patients.

Office or Division: Security Section



Who may avail: All


Government Issued Identification Card (1 original) SSS, GSIS, PhilHealth, Driver’s License, etc. Watcher’s ID (1) Guard on Duty at the Center Gate


PROCESSING TIME

PERSON RESPONSIBLE

1. Entry at the Hospital’s Center Gate 1.1 Present a government issued ID

1. Inspection of baggage 1.1 Receive ID 1.2 Issue Watcher’s ID Give directions to the ward.


2. Retrieval of the given ID upon exit. 2. Retrieval of Watcher’s ID None 2 minutes Guards on Duty


154

SERVICE NAME: CONSULTATION OF CLIENTS AT OUT-PATIENT DEPARTMENT Description: The outpatient department is a health care facility designed for diagnosis, observation, consultation, treatment, and intervention services to people with health problems, but does not require admission at the moment.

Office or Division: Out-Patient Department – Surgery Clinic



Who may avail: All


Queuing Number (1) Registration

Hospital ID (1) Registration

Consent for Procedure (1) Surgery Clinic

Proof of Payment ➢ Patients without Philhealth: Official Receipt (1) or ➢ Patients with Philheatlh: CF4 (1)

Cashier Section Philhealth/Billing Section

Tagubilin (if patient is for follow up checkup) (1) From Previous Consultation at the Hospital


TIME PERSON

RESPONSIBLE

ASSESSMENT


1.Nurses performs Physical examination and assessment to the patient

None 15 minutes Nurses Surgery Clinic

CONSULTATION


2.Doctors attends to the patients

None 30 minutes Doctors Surgery Clinic

3.a. If the patient is for procedure

155

3.a.1 Patient signs the consent for procedure

1.The Doctor obtains the signed consent from the patient after explaining the procedure

None 10minutes Doctors Surgery Clinic

3.a.2 Patient receives charge slip

2.Nurse provides the charge slip for procedure to the patient

Injection Fee: Php 50 Wound Dressing: Php 100 Incision and Drainage: Php 200 Debridement: Php 3640 Insertion/Change of Catheter: Php 100 Proctoscopy: Php 500 Core Needle Biopsy: Php 2800 Circumcision: Php 500 Diagnostic Aspiration: Php 3640 Electrocautery: Php 150-500 Excision: Php 3640 Excision Biopsy: Php 3640 Fine Needle Aspiration Biopsy: Php 300-4900 Incision Biopsy: Php 3640 Suturing/Resuturing: Php 300 Ungiectomy/Partial Ungiectomy: Php 3640 Section Biopsy: Php 3640 Wound Exploration: Php 8260

5 minutes Nurses Surgery Clinic

3.a.3 Patient settles the bill 3.Accepts the payment and issues official receipt (for patients without Philhealth)

None *Refer to concerned

department’s Citizen Charter

Cashier/Philhealth/Billing

Section

156

4.1Approves and Issues for for Philhealth (for patients with Philhealth)

3.a.4 Patient presents the official receipt/ CF4

5.Accepts official receipt (for patientswithout Philhealth) Or CF4 (for patients with Philhealth)

None 5 minutes Nurses Surgery Clinic

3.a.5 (if the procedure will be done at the Minor Operating Room) Patient proceeds to the MOR waiting area

(if the procedure will be done at the Surgery Sub Specialty Clinic) Patients proceeds to the doctor/nurses for reassessment

6.Nurse transfers the patient to the MOR waiting area 6.1Doctor/Nurses reassess the patient before the procedure

None

None

5 minutes

3 minutes

Nurses Surgery Clinic

Doctors and Nurses

Surgery Clinic

3.a.6 Patient undergoes the procedure

7.Doctors and nurses perform the procedure

None 2 hours Doctors and Nurses

Surgery Clinic

3.a.7 Patient is reassessed 7.1Doctor/Nurses reassess the patient after the procedure

None 10 minutes Doctors and Nurses

Surgery Clinic

3.b POST CONSULTATION

3.b.1 (if patient is not for referral/ admission/ procedure) Patient receives Alagang Pinoy Tagubilin and fills up the Client Satisfaction Survey

1.Doctors and nurses provide and explains home instructions and medications written in the Alagang Pinoy Tagubilin

None

15 minutes

Doctors and Nurses

Surgery Clinic

157

3.b.2 (if the patient is for referral/admission) patient proceeds to another department

2.The Doctor/Nurses endorses the patient to another department

None 10 minutes Doctors and Nurses

Surgery Clinic

TOTAL:

Injection Fee: Php 50 Wound Dressing: Php 100

Incision and Drainage: Php 200 Debridement: Php 3640

Insertion/Change of Catheter: Php 100

Proctoscopy: Php 500 Core Needle Biopsy: Php 2800

Circumcision: Php 500 Diagnostic Aspiration: Php 3640

Electrocautery: Php 150-500 Excision: Php 3640

Excision Biopsy: Php 364 Fine Needle Aspiration Biopsy:

Php 300-4900 Incision Biopsy: Php 3640

Suturing/Resuturing: Php 300 Ungiectomy/Partial Ungiectomy:

Php 3640 Section Biopsy: Php 3640

Wound Exploration: Php 8260


158

SERVICE NAME: OUT-PATIENT DEPARTMENT SURGERY SUB SPECIALTY CLINIC

Description: This is located in the 2nd floor of Out-Patient Department Building Room 207. The Surgery Sub Specialty Clinic provide

safe, quality, effective and affordable services through, observation, consultation, treatment and intervention services to people with

health problem.

Office or Division: Out-Patient Department- Surgery Sub Specialty Clinic



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section Diagnostic results (if any) R1MC – Laboratory, Radiology, Ultrasound Diagnostic request (if any) R1MC – Outpatient Clinics, other hospitals/agencies Consent for Procedure(1) R1MC – HIMS Office Proof of Payment (Official Receipt) R1MC – Cashier Section,Philhealth/Billing Section Queuing number (1) R1MC – Registration Consent for Admission(1) R1MC – HIMS Office Consent to Avail Private Service(1) R1MC-Admitting Section Tagubilin (if patient is for follow up checkup) From Previous Consultation at the Hospital


TIME PERSON

RESPONSIBLE


1. Nurses performs Physical examination and assessment top the patient.

None 10 minutes Nurse on Duty Surgery Sub

Specialty Clinic

2. Patient proceeds to the doctors for consultation.


None 20 minutes Doctors on Duty Surgery Sub Specialty

Clinic

159



CBC- Php 260 Blood Typing- Php 160

BUN-Php 160 Creatinine-Php 190

FBS-Php 160 Serum Electrolytes-Php

750 UA -Php 160 CXR-Php 260

ECG-Php 260

5 minutes Doctor on DutyNurse on Duty

Surgery Sub Specialty Clinic

4. (if patient is not for referral/admission) Patient receives Alagang Pinoy Tagubilin

if the patient is for referral/admission) patient proceeds to other department.

4.Doctors and nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin,if paitient for referral nurses endorsed to other department.

None

5 minutes Doctor on Duty Nurse on Duty

Surgery Sub Specialty Clinic

5. if patient is for minor operation and procedure, patient sign the consent.

5. The Doctor obtains the signed consent from the patient after explaining the procedure.

None 5 minutes Doctors on Duty Surgery Sub Specialty

Clinic

6. Patient receives charge slip. 6. Nurse provides the charge slip for procedure to the patient

IFC insertion-Php 150 Change of Dressing-

Php 100 Incision and Drainage-

Php 200 Debridement -Php

3,640 NGT Insertion -Php

100

5 minutes Nurse on Duty Surgery Sub

Specialty Clinic

160

7.Patient settles the bill 7.Accepts the payment and issues official receipt (for patients without Philhealth) or issues Statement of Account (for patients with Philhealth)

None 20 minutes Cashier/ Philhealth/ Billing Section

8.Patient presents the official receipt/ statement of account

8.Accepts official receipt (for patients without Philhealth) or Statement of Account (for patients with Philhealth)


Specialty Clinic

9. if the procedure will be done at the Minor Operating Room) Patient proceeds to the MOR waiting area(if the procedure will be done at Surgery Sub Specialty Clinic) Patients proceeds to the nurses for reassessment

9.Doctor/Nurses reassess the patient before the procedure.


Specialty Clinic

10.Patient undergoes the procedure 10.Doctors and nurses perform the procedure

None 30 minutes Doctors and Nurses Surgery Sub

Specialty Clinic

11.Patient is reassessed 11.Doctor/Nurses reassess the patient after the procedure

None

5 minutes Doctors and Nurses Surgery Sub

Specialty Clinic

12.Patient receives Alagang Pinoy Tagubilin.

12.Doctors and nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin.

None


Specialty Clinic

13.(if patient is for admission)Patient comes and informs the nurse for scheduled admission.

13.Nurse validates the schedule of the patient


Specialty Clinic

161

14.Patient will sign consent for admission and consent for operation

14.The physician on duty will explain the treatment/procedure/operation and ask the patient to sign the consent


Specialty Clinic

15.Patient proceeds to admitting section for room reservation

15.The Nurse instructed the patient go to admitting section for room reservation


Specialty Clinic

16.Patient proceed to surgery sub specialty clinic for the completion of chart and carrying out doctor’s order

16.The Nurse accomplish the chart and carry out doctor’s order



Specialty Clinic

17.Patient transfer to ward 17.The Nurse transfer patient to the ward


Specialty Clinic

18.(if patient is for vascular access)Patient signs the consent for procedure.

18.The Doctor obtains the signed consent from the patient after explaining the procedure.

None

5 minutes Doctor on Duty Surgery Sub

Specialty Clinic

19.Patient transfer to operating room for the procedure

19.The Nurse transfer the patient to operating room

None 10 minutes Doctors and Nurses Surgery Sub

Specialty Clinic

20.Patient undergoes the procedure 20.The Doctors and nurses perform the procedure

None 3 hours Doctors and Nurses Operating Room

21.Patient proceed to surgery specialty after procedure and reassessed patient.

21.Doctor/Nurses reassess the patient after the procedure.

None


Specialty Clinic

22.Patient/watcher receive charged slip from Operating Room

22.Nurse from Operating Room provides the charged slip

Avf creation-Php 17,860 PF-Php 7,140

Av gafting-Php 17,860

5 minutes Nurse on Duty Operating Room

162

PF-Php 7,140 Permanent Cath

Insertion-Php 10,800 PF-Php 4,200

23.Patient settles the bill 23.Accepts the payment and issues official receipt (for patients without Philhealth)or issues Statement of Account (for patients with Philhealth)

None 20 minutes Cashier/ Philhealth/ Billing Section

24.Patient presents the official receipt/ statement of account

24.Accepts official receipt (for patients without Philhealth) or Statement of Account (for patients with Philhealth)


Specialty Clinic

25.Patient receives Alagang Pinoy Tagubilin.

25.Doctors and nurses provides and explains home instructions and medications written in the Alagang Pinoy Tagubilin.

None


Specialty Clinic

TOTAL:

CBC- Php 260 Blood Typing- Php

160 BUN-Php 160

Creatinine-Php 190 FBS-Php 160

Serum Electrolytes-Php 750

UA -Php 160 CXR-Php 260 ECG-Php 260

IFC insertion-Php 150

6 hours, 48 minutes

163

Change of Dressing-Php 100

Incision and Drainage -Php 200

Debridement -Php 3,640

NGT Insertion -Php 100


Avf creation-Php

17,860 PF-Php 7,140

Av gafting-Php 17,860 PF-Php 7,140

Permanent Catheter Insertion-Php 10,800

PF-Php 4,200

164

SERVICE NAME: OUTPATIENT CONSULTATION/ INTRAHOSPITAL REFERRALS Description: A health care facility designed for diagnosis, observation, consultation, treatment and intervention services to people

who are presumptive TB.

Office or Division: Out-Patient department - TB-DOTS Clinic


Type of Transaction: Government to Clients

Who may avail: All


Referral Form (if any) Sputum AFB and / Genexpert Examination Referring Physician/ Referring Institution/ TB –DOTS Clinic


PROCESSING TIME

PERSON RESPONSIBLE

ASSESSMENT/CONSULTATION of Patient

1. Patient comes in for physical examination, assessment and history taking

❖ If patient is for admission he/she is advised to proceed to the emergency room

❖ If patient is not for admission patient is instructed to proceed with the requested examination/ management

1. Doctors and nurse in-charge performs physical assessment including concise history taking to the patient

1.1 Doctors/ nurse In-charge refers the patient to the emergency room if for admission 1.2 The doctor/ nurse In-charged explains the procedure, turn-around time, possible results and issues a “PAUNAWA FORM”

None

None

None

10 minutes

5 minutes

10 minutes

Doctors/Nurse on duty

Doctors/Nurse on duty

Doctor/Nurse/PMDT staff on duty

2. Patient receives request for diagnostic test and/or prescription and referred to a specialist/PMDT staff if needed

2. The doctor/ nurse In-charged explains the procedure, turn-around time, possible results

None

5 minutes

Doctor/Nurse/PMDT staff on duty

165

❖ If positive/ bacteriologically confirmed, patient is enrolled for treatment / referred to a TB-DOTS facility of choice

❖ If negative, patient is referred to the TBDC(TB Diagnostic Committee) for review and decision

and issues a “PAUNAWA FORM”

2.1 The Nurse in-charge will explain the dosage and time to be taken of the prescribed medications including the possible side effects Do’s and Don’ts while taking the medications. 2.2 The Nurse- in charge will explain the TBDC result and advice to return to the referring Physician or institution

None

None

15 minutes

10 minutes

Nurse on duty

Nurse on duty

POST CONSULTATION OF PATIENT

3. Patient receives treatment card or Referral form or reply slip.

3. The Nurse in-charge provides a treatment card/referral form or reply slip to the referring facility including health teachings


TOTAL None 45 minutes (for enrolled

cases)

30 minutes (for regular

cases)

166

SERVICE NAME: OUT-PATIENT DEPARTMENT INFORMATION DESK Description: We are conveniently located in the 2nd floor Old OPD Building Rm 205. We provide for an acute treatment set-up for

victims of violence with provisions for psychosocial interventions and facilitation of referrals to the different agencies for support.

Office or Division: WOMEN and Children Protection Unit



Who may avail: All Abused Women and Children

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Queuing number (1) R1MC – Women and Children Protection Unit Hospital ID (8am-4pm) R1MC – WCPU (4pm -8am) R1MC – Admitting Section Request for Medico Legal Examination 1 Original Copy(Local PNP, NBI & CIDG)

1 Original Copy ( Local Registry Office , PSA & Whole Body Picture)

Diagnostic results (if any) R1MC – Laboratory, OB UTS Section


PROCESSING TIME

PERSON RESPONSIBLE

6. Sign in the Daily Registry Form 1. Give the Daily Registry Form to the Victim/Survivor or Authorized Representative

None 5 minutes WCPU Staff

2. Submit required documents to Table 1 2.1 Present the referral letter, or

PNP/NBI/CIDG request 2.2 Clear photocopy of birth certificate

from Local/Municipal Registry Office, NSO

2.3 Latest whole body picture of the victim/survivor and for initial verification and assessment

2. Receive the required complete documents 2.1 Start processing the request for initial verification

and assessment 2.2 Secure consent for examination

167

3. Submit for Screening, Interview, Intake, Complete History taking Physical & Ano-Genital Examination of the victim / survivor

3.Screening, Interview and Examination of Patient

3.1 The Medical Social Worker starts to document the narration of the victim / survivor, assessment of the victim and counselling of the victim / survivor.

None 2 hours Medical Social Worker

4. Victim/Survivor receives appropriate treatment

4. The attending physician secure the consent for the complete medico-legal examination/ collection of specimen/counselling/risk assessment if needed

4.1 Collection of Specimen will be sent to the Laboratory by the WCPU Staff

4.2 Wait for the Laboratory Results

None

None

5 minutes

Attending Physician

Laboratory

Wcpu Staff

5. Abused Victim Discharge 5.Attending physician finalizes the medico-legal report

None 5 minutes Attending Physician

5.1 Issuance of a copy of certified photo copy of medico-legal report

None 5 minutes Wcpu Staff

5.2 Inter &/or Intra – referral to other agency (if necessary)

None 10 minutes and within a day

Psychologist / Psychiatrist & concerned

department/agency

TOTAL: None 5 hours 35

minutes

168

Internal Services

169

SERVICE NAME: PROCESSING OF DISBURSEMENT VOUCHERS Description: Accounting Department processes disbursement vouchers for payment to creditors (Personnel Services, Purchase Orders/Job Orders, Consignments, TEVs, utilities and others)

Office or Division: Accounting Department

Classification: Simple Type of Transaction: G2G - Government to Government employee or other Government Agency

Who may avail: One-by-one CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Disbursement Voucher 2. General Payroll 3. Budget Utilization Requests and Status (BURS)/Obligation Request and Status (ORS)

Material and Management Division/Human Resource Management Office Human Resource Management Office Budget Office


PAID PROCESSING

TIME PERSON

RESPONSIBLE 1. Submits claims, vouchers, payroll and

other supporting documents 1. Receives and evaluates

documents as to completeness and propriety. If incomplete, return the documents to the originating office. If complete, prepare/process the voucher. Computes and re-computes the amount and records the claim in the Index of Payment

None within 3 days from receipt

(depending on the nature and

volume of transactions, and completeness of

supporting documents submitted)

Material and Management Staff

Material and Management Division

Human Resource Management Staff Human Resource

Management Office Accounting staff in charge Accounting

Department

2. Endorses the disbursement voucher to the concerned office/personnel for

None 3 minutes Accounting staff in charge

Accounting Department

170

Certification on Box A of Disbursement Voucher

Chief of Administrative Office staff

Chief of Administrative Officer Office Material and

Management Staff Material and

Management Division Human Resource Management Staff Human Resource

Management Office

3. Receives the disbursement voucher from the concerned office/personnel who certified the Box A

None 2 minutes Chief of Administrative Office staff

Chief of Administrative Officer Office Material and

Management Staff Material and

Management Division Human Resource Management Staff Human Resource

Management Office Accounting staff in-

charge Accounting Department

4. Endorses the disbursement voucher to the Budget Section for preparation of ORS/BUR


Accounting Department Budget Staff

Budget Section

171

5. Receives the disbursement voucher with ORS/BUR from the Budget Section

None 2 minutes Budget Staff Budget Section

Accounting staff in charge


6. Forwards disbursement voucher to the Accountant for final review and signature

None 15 minutes (depending on the nature of transactions)

Accounting staff in charge

Accounting Department Accountant Accounting Department

7. Releases disbursement voucher for approval of the Medical Center Chief and preparation of check



Medical Center Chief Staff

Medical Center Chief Office

Cashier Staff Cashier Section

TOTAL: None 3 Days, 28 minutes

172

SERVICE NAME: NEURO-PSYCHIATRIC EXAMINATION Description: To provide reliable and valid evaluation of neuro-psychiatric screening result which assess the cognitive maturity, self-concept, mental ability and emotional intelligence of newly hired and promoted employees prior to deployment to their workplace

Office or Division: Department of Mental Health


Type of Transaction: Government to Government

Who may avail: Region 1 Medical Center Employees


Hospital ID Card Official Receipt

Registration Area Cashier


PAID PROCESSING

TIME PERSON

RESPONSIBLE

REGISTRATION AND PAYMENT

1. Client goes to the Registration Area to register and to get Hospital ID Card

1.Examiner will instruct the examinee to get hospital ID and register at the registration area (R1MC Main)

None 2 minutes Registration Personnel

2. Clients proceeds to Department of Mental Health (R1MC Annex) for the processing of the Neuro-Psych fee

2.Examiner will instruct the examinee to proceed at Department of Mental Health building (R1MC Annex) for the issuance of charge slip.

None

10 minutes

Billing In-Charge

3. Client proceeds to the cashier to pay

3.Examiner will instruct the examinee to pay the required amount to the cashier and secure the official receipt

R1MC-Newly Hired-

Php 500 R1MC

Promotion- Php 350

Cashier

173

4. After payment, client shall proceed to the Department of Mental Health building (R1MC Annex) testing room for the Neuro-Psychiatric Assessment

4.Examiner will direct the examinee to the testing room to give the instructions for the test

None 5 minutes

THE NEURO-PSYCHIATRIC SCREENING 2 hours and 30

minutes Examiner

1. Client shall fill-up the client’s monitoring sheet

1. Using the Client’s Monitoring Sheet, examinee will fill out the form for basic information

None 3 minutes Examiner

2. Client shall be oriented with the flow or process of testing

2. Examiner will discuss the flow and the time allotted per battery test which will take 2-3 hours.


3. Client will start to fill the Individual Inventory

3. Examiner will instruct the examinee to accomplish the Individual Inventory honestly and sincerely and may disclose anything with his/her consent


4. Client shall start taking the test upon the direction of the examiner

4. After giving the house rules and the instructions to the examiners the examinee may immediately answer the battery tests and encourage not to use cellphone during the duration of the exam

None Examiner

174

5. Client will be oriented on the result of the examination

5. After the administration of the battery tests, examinees will be informed of the status of the result 2-3 working days and will be forwarded to Human Resource


TEST SCORING AND EXAMINATION 3 hours Examiner

1. The Client will come back after 3 working days for the release of result

1. Examiner will start scoring the tests with the aid of a manual and answer key

None

30 minutes for each test

Examiner

1.1 Examiner (psychometrician) will subject the result for review and validation of the Psychologist and to be noted/ approved by the Psychiatrist

None Examiner and Psychiatrist

1.2 Psychometrician/ Psychologists will prepare the result and the necessary attachment for validation and approval of Psychiatrists before the release of the result.

None 1 minute per clearance

Psychiatrist

TOTAL

R1MC-Newly Hired-

Php 500 R1MC

Promotion- Php 350


175

SERVICE NAME: BUDGET ALLOCATION (PROCESSING OF DOCUMENTS)

Description: Budget Section processes and prepares Budget Utilization Request and Status (BURS) and Obligation Request and Status (ORS) for every Purchase Orders, Job Orders and Disbursement Vouchers (Personnel Services, Replenishments, Reimbursements, Consignments, Bill payments, Travel expenses, and Contract of Service payments).

Office or Division: Budget Section


Type of Transaction: G2G- Government to Government employee or other government agency

Who may avail: One-by-one


1. Disbursement Voucher 2. Purchase Order/ Job Order 3. Budget Utilization Requests and Status (BURS); Obligation Request and Status (ORS)

Accounting Staff in-charge- Accounting Office Procurement staff in charge- Procurement Section Budget Staff in-charge- Budget Section


PROCESSING TIME

PERSON RESPONSIBLE

1. Presents papers to be processed

- Disbursement Vouchers (Personnel Services, Replenishments, Reimbursements, Consignments, Bill Payments, Travel Expenses, Contract of Service payments - Purchase Orders/ Job

Orders

1. Receives and checks Disbursement Vouchers, Purchase Orders/ Job Orders for completeness - If incomplete, return to Accounting Office/ Procurement Section for corrections or additional attachments.

2. Process Documents - Prepares Budget Utilization Request and Status (BURS), and/or Obligation Request and Status (ORS) control numbers for vouchers, Purchase/ Job Orders with complete attachments.

None

None

3 minutes

4 minutes

Accounting Staff in-charge Accounting Office

Procurement Staff in-charge

Procurement Section Budget Staff in-charge

Budget Section

Budget Staff in-charge Budget Section

176

3. Endorse processed papers to Chief Administrative Office - Checks for accuracy and signs BURS/ ORS with complete attachments

None 3 minutes Budget Staff in charge Budget Section

Chief Administrative Officer

Chief Administrative Office

4. Return signed documents to Budget Section None 3 minutes Chief Administrative Officer staff

Chief Administrative Office

5. Reviews and signs BURS/ORS for approval, accuracy and completeness

None 2 minutes Budget Officer Budget Section

6. Endorses verified and signed BURS/ ORS with complete attachments to Accounting Office

None 2 minutes Budget Staff in charge Budget Section

Accounting Staff in-charge Accounting Office


177

SERVICE NAME: FACILITATION OF ENDORSED / RECEIVED DOCUMENT Description: Ensure proper accountability on the process of appropriate disposition of concerns contained on the endorsed/ received communication letters and all other forms of document intended for various purpose(s).

Office or Division: Office of the Chief Administrative Officer



Who may avail: All Offices, Units, Departments, and Sections Concerned


-No Specific Attachment Required, and/or -Attachment Required is Case-to-Case Basis

Must be provided by the Concerned Office


PROCESSING TIME

PERSON RESPONSIBLE

1.Submit/ endorse the letter/document

1. Receive the submitted/endorsed letter/document None 5mins Submit/ endorse the letter/document

2. Identify and Verify/check the required signature or notation of proper offices/ officers concerned

None 15mins

3. Refer/Submit to Chief Administrative Officer (CAO) as soonest possible time

None 30mins-1hr

4. Proper evaluation and disposition/instruction of CAO the matter/ concern contained in the letter/ document

None 1-2days (depends on availability)

5. Endorse the letter/ documentation to the concerned office/ area based on the given disposition or instruction of CAO – for the execution of the concerned; and/or for referral or final approval of the Medical Center Chief Office

None 3-5hrs upon released

TOTAL End of Transaction None 2days, 6hrs and 20mins

178

SERVICE NAME: PREPARATION OF HOSPITAL MEMORANDUM / COMMUNICATION LETTERS

Description: Preparation of Hospital Memorandum/ Communication Letters.

Office or Division: Chief Administrative Office



Who may avail: Medical Center Chief Office (MCCO)


None Not applicable


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. Delivery of Instruction 1. Receive the instruction and ask for the specific details

None 30mins CAO Staff

2. Composition or formulation of the memorandum and submission to CAO

None 1-2days CAO Staff

3. CAO for review and possible appropriate revision(s)

None 1day (upon the

availability of CAO)

CAO

4. Editing/ Revision None 30mins-1hr CAO Staff 5. Final Checking and Initial or

Signature of CAO None 3-5hrs

(upon the availability of CAO)

CAO

6. Endorsement to MCCO for final approval and signature

30mins-1hr (upon initial of

CAO)

CAO Staff

TOTAL End of Transaction None 3 days, 7 hours and 30 minutes

179

SERVICE NAME: FABRICATION WORKS Description: Assembly of desired office furniture/facilities needed on their working area.

Office or Division: ENGINEERING - BUILDING MAINTENANCE SECTION

Classification: COMPLEX

Type of Transaction: G2G

Who may avail: R1MC - SECTION HEADS


Approved Letter of Request Head of Engineering Medical Center Chief


PROCESSING TIME

PERSON RESPONSIBLE

1. Formulate formal letter of request for desired fabrication

1. Counter sign the letter None 2 mins Head of Engineering

2. Bring the letter to MCC office

2.1 For approval of the Medical Center Chief 2.2 Start process the request None 5 Days

Medical Center Chief Head of Engineering

3. Submit the approved letter of request

3.1 Receive the approved letter of request 3.2 Fabrication Works / item None

2 mins 7 days

Engineering Secretary Bldg Maintenance Staff

4. Receive the request item 4. Issue Job Order to be signed by the client None 2 mins

Bldg Maintenance Staff End-User

TOTAL None 12 Day & 6 Mins

180

SERVICE NAME: ENGINEERING DEPARTMENT (INFRASTRUCTURE SECTION) Description: Engineering-Infrastructure provides compliance to end-user requirement; Review and evaluate third party service providers (contractors of the project) on a regular periodic basis. Office or Division: Engineering-Infrastructure

Classification: Highly Technical

Type of Transaction: G2B - Government to Business Entity; G2G - Government to Government

Who may avail: Contractor of the Project

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Approved Plans Building Permits

Engineering Personnel City Engineering's Office


PROCESSING TIME

PERSON RESPONSIBLE

PLANNING

1. Secure the approved plans 1. Give the approved plans to the client None 15 minutes Engineering Personnel

Engineering-Infra Section

2. Visit the site 2. Accompany the client and explain where

the site is located None 1 hour

Engineering Personnel Engineering-Infra Section

CONSTRUCTION PHASE

1. Securing of building permit forms

1. Issue the required documents for the building permits

None Within 15 days from

payment Engineering Personnel and

City Engineering

2. Start the Construction 2. Supervise/Monitor the ongoing

construction None

*Depending on the calendar days of the

contract

Engineering Personnel Engineering-Infra Section

3. Request payment for accomplishments

3. Issue accomplishment report based on actual accomplishment on site

None 2 days Engineering Personnel

Engineering-Infra Section ACCEPTANCE

1. Request for final acceptance for the project after 1 year of completion

1. Evaluate the project for completeness and issue the final acceptance

None 5 days Engineering Personnel

Engineering-Infra Section

TOTAL: None 22 days 1 hr. 15

mins

181

SERVICE NAME: CONSOLIDATION, ANALYSIS, AND DISTRIBUTION OF SURVEILLANCE REPORTS ON NOTIFIABLE DISEASES Description: Consolidation and analysis of recorded data, and distribution of accomplished surveillance reports to higher level intrahospital administrative offices


Classification: Simple/Complex


Who may avail: Medical Center Chief (MCC); Chief of Medical Professional Staff (CMPS); Chief of Clinics (COC); Health Emergency Management Service (HEMS); and Hospital Infection Prevention and Control Management Office (HIPCMO)


None Not Applicable



RESPONSIBLE

1. Accomplish consolidated report of cases investigated

a) Daily Report b) Weekly Report c) Monthly Report d) Annual Report

None

1 hour 3 hours 2 days 5 days

HEC Staff / Disease

Surveillance Officer (DSO)

2. Review, analyze, and approve reports before distribution

a) Daily Report b) Weekly Report c) Monthly Report d) Annual Report

None

30 minutes 1 hour 2 hours 3 hours

HEC Head/MD’s

182

3. Distribute the accomplished and approved Surveillance Reports

a) Daily Report: MCC, CMPS and COC b) Weekly Report: MCC, CMPS, COC,

HEMS and HIPCMO c) Monthly Report: MCC, CMPS, COC,

HEMS and HIPCMO d) Annual Report: MCC, CMPS, COC,

HEMS and HIPCMO

None

20 minutes

30 minutes

30 minutes

30 minutes

HEC Secretary

Total: None

Daily Report:1 hour, 50 minutes

Weekly Report:4 hours, 30 minutes

Monthly Report:2 days, 2 hours, 30 minutes

Annual Report:5 days, 3 hours, 30 minutes

183

SERVICE NAME: NEEDLE STICK/SHARP OBJECTS AND SPLASHING INCIDENT REPORTING AMONG R1MC EMPLOYEES Description: This is located in the 2nd floor of the Old Building near the Quality Management Office (QMS). Cater to all hospital employees who encountered needle stick/splashing incident in the facility.

Office or Division: Hospital Infection Prevention and Control Management Office


Type of Transaction: G2G – Government to Government

Who may avail: Hospital Personnel in Region 1 Medical Center


Hospital Identification card (if any) R1MC – Registration, Admitting Section, Out- Patient Department

Diagnostic results (if any) Diagnostic request (if any) Needle stick Injury Report Needle stick Injury Monitoring form

R1MC – Laboratory R1MC – Outpatient Clinic HIPCMO Office HIPCMO Office


PROCESSING TIME

PERSON RESPONSIBLE

1. Report to HIPCMO about the incident during office hours (8am-4pm Monday to Friday). During holidays, beyond office hours and weekends report to ER

1. Assist in filling up of forms and securing OPD card. 1.2 Instruct the client to inform the supervisor on duty and proceed to ER

None

None

3 minutes

2 minutes

HIPCMO staff HIPCMO

Doctor/Nurses

Emergency Room Department

2. Accompany patient to Medical Clinic for consultation

2. Accurate general data and history taking

None

None

5 minutes

5 Minutes

HIPCMO staff HIPCMO

Doctor

184

2.1 One on one discussion with the client on what he/she learned from the experience 2.2 Prompt evaluation and recommendation for management by designated doctor/physician

None

5 Minutes

HIPCMO

Doctor HIPCMO

3. Accompany patient to OPSHMO 3. For management and final disposition including laboratory tests and treatment 3.1 Explained the importance of follow up with laboratory results

None

None

3 minutes

2 Minutes

Patient/HIPCMO staff OPSHMO

HIPCMO staff HIPCMO

TOTAL: None 23 Minutes

185

SERVICE NAME: OUTBREAK INVESTIGATION Description: This is located in the 2nd floor of the Old Building near the Quality Management Office (QMS). To further prevent the spread of infections for safety of our patients as well as our healthcare workers.

Office or Division: Hospital Infection Prevention and Control Management Office


Type of Transaction: G2G – Government to Government

Who may avail: Hospital Personnel in Region 1 Medical Center


Outbreak Investigation form HIPCMO Office


PROCESSING TIME

PERSON RESPONSIBLE

1. Confirm presence of outbreak by activation of algorithm for outbreak investigation

1.Inform head of unit and respective area involved

None 2 minutes HIPCMO staff

HIPCMO

2. Data Collection 2.Accurate collection of data/information of patients and investigation of the outbreak 2.1.Review of patient’s medical records and laboratory results

None

None

5 minutes

2 Hours

HIPCMO staff HIPCMO

HIPCMO staff HIPCMO

3. Action Plan 3.Movement of patients to different locations/areas in the healthcare facility 3.1.Strict implementation of isolation practices

None

None

3 Hours

Immediate

Doctor/Nurses Wards/Areas

Doctor/Nurses Wards/Area

186

3.2.Conduction of terminal cleaning with environmental sampling of the affected area by sequential closure

None

(upon admission) 48 Hours

Nurses and Medical

Technologist Ward/Area

4. Announce end of outbreak to relevant authorities

4.Accurate outcome of report with prompt submission to authorized offices

None 72 Hours HIPCMO staff HIPCMO

TOTAL: None 3 Days,5

Hours

187

SERVICE NAME: ISSUANCE OF AVAILABLE HOUSEKEEPING SUPPLIES Description: Issue available housekeeping supplies requested by client.

Office or Division: Housekeeping Department


Type of Transaction: G2G - Government to Government

Who may avail: Government Employees


Request Issuance Slip Housekeeping Office


PROCESSING TIME

PERSON RESPONSIBLE

1.1 Check online availability of stocks.

1.2 Request thru online. (Inventory Request)

2.1 Check Online Transaction entry. 2.2 Withdrawal Posting 2.3 Supplies Issuance

None

None

None

1 Minute

1 Minute

10 Minutes

Housekeeping Staff

Housekeeping Staff

Housekeeping Staff


188

SERVICE NAME: REQUESTING OF PERTINENT DOCUMENTS Description: For the government employee requesting pertinent documents such as Certificate of Employment (COE), Regulatory requirements, Pay slip, Leave credits, Payroll, Copy of Appointment and Notice of Salary Adjustment. Multiple requests may require additional processing time of other request/s and will depend according to its type.

Office or Division: Human Resource Management Office (HRMO)

Classification: Simple & Complex (Service Record)

Type of Transaction: G2G - Government to Employee or another government agency


CHECKLIST OF REQUIREMENTS WHERE TO SECURE (1) Client Log Sheet (1) Request Form (1) Employee Identification Card

R1MC Employee Former Employee HRMO, CAO/MCC


PROCESSING TIME

PERSON RESPONSIBLE

Client profiling and Registry 1. Sign in the Client Log Sheet

in the office receiving area

1. Clarification of transactions for inquiries

and/or requesting pertinent documents

None

5 minutes

HRMO Receiving Staff

2. Fill out legibly the Request form

2. Receives the request form a. log the details in the logbook b. Forward the request form to the

responsible person

None 5 minutes HRMO Receiving Staff

3. Wait for the notification through call or text message from HRMO staff

3. Processes, reviews and verifies the details and content of the documents requested None

1-2 working days

COE HRMO Staff

189

a. Print and secure approval of authorized signature

b. The receiving staff notify the client through call or text message

5-7 working days

Regulatory Requirements HRMO Staff

Pay slip/Payroll/CTC HPO HRMO Staff

NOSA

HRMO Staff

Leave Credits HRMO Staff

Service Record

HRMO Staff

4. Receive and Claim the request documents

4. Release the request pertinent documents to client

None

5 minutes

HRMO Staff

TOTAL None

15 minutes, 2 working days & 7 working

days

190

SERVICE NAME: SUBMISSION OF APPLICATIONS Description: All qualified next-in-rank are automatically considered applicants for the above-mentioned positions and all interested applicants, kindly submit the following documents to the Human Resource Management Office (HRMO).

Office or Division: Human Resource Management Office (HRMO)


Type of Transaction: G2G - Government to Employee or another government agency


CHECKLIST OF REQUIREMENTS WHERE TO SECURE (1) Client Log Sheet (1) Application Basic credential form

(1) Applicants (Application Letter, Curriculum Vitae / Resume / PDS, Photocopies of Diploma, OTR, Training Certificates, PRC License and Board Rating/Eligibility Rating)

R1MC Employee Former Employee HRMO, CAO/MCC, PPSB Interested applicants (internal & external)


PROCESSING TIME

PERSON RESPONSIBLE

1. Sign in the Client Log Sheet in the office receiving area

1. Ask the client what positions they are applying.

None 3 minutes HRMO Receiving Staff

2. Fill out the Application basic credential form

2. Receives the application and orient the client that the application is valid for 6months.

None 3 minutes

HRMO staff

3. Submit their Application Letter, Curriculum Vitae / Resume / PDS,

4. Check and evaluate the applicant’s credentials. None 10 minutes

HRMO staff

191

Photocopies of Diploma, OTR, Training Certificates, PRC License and Board Rating/Eligibility Rating

5. Advice the applicants to wait for the notification of the schedule of interview None 3 minutes

HRMO staff


192

SERVICE NAME: HUMAN ORGAN DONATION AND TRANSPLANTATION PROCESS Description: The Kidney Transplant and Organ Donation Unit Office is located at the 2nd floor of the Old Administrative Building. It provides the opportunity to improve and extend lives thru organ donation and transplantation.

Office or Division: Kidney Transplant and Organ Donation Unit Office



Who may avail: All


Hospital Identification card (if any) R1MC – Registration, Admitting Section, Out- Patient Department

Diagnostic results (if any) R1MC – Laboratory

Diagnostic request (if any) R1MC – Outpatient Clinic


PAID PROCESSING

TIME PERSON

RESPONSIBLE

1. INITIAL INTERVIEW (Unang Pag-uusap ng Transplant Coordinator at ng Kliyente) 1.1 Client inquires inside the

Kidney Transplant Office

1.1 Start of the initial interview process 1.2 Data and history taking

None

20 minutes

Transplant Coordinator

2. PRE-TRANSPLANT ORIENTATION (Mas malalim na usapan tungkol sa kidney transplant) 2.1 Client should be

accompanied by their relatives (Dapat kasama

2.1 The process of transplantation is

explained to the donor and recipient

None

2-3 Hours

Transplant Coordinator

193

ng magbibigay at tatanggap ng bato ang kanilang mga kamag-anak)

2.2 Listen to lecture 2.3 The recipient and donor

will receive a Cetiificate of Pre-Transplant Orientation

and their relatives (Ipapaliwanag ang proceso ng transplantasyon)

2.2 Lecture Question and Answer 2.3 Issue certificate

3 LABORATORY WORK-UPS 3. Tissue typing, crossmatching and other laboratory tests will be done for both donor and recipient.

c/o laboratory

Each test has a different timetable

Nephrologist Medical Technologist

4. ETHICS COMMITEE EVALUATION AND DELIBERATION

a. Prepare documents / requirements for HTEC Presentation

4.1 The Ethics Committee will talk to the recipient and the donor regarding the ethical issues of the procedure and whether it will be approved.

Donor Evaluation fee

Approximately 3-4 Hours

Transplant Ethics

Commitee Transplant Coordinator

5. KIDNEY TRANSPLANT The kidney transplant proper where the patient is admitted in the hospital and the transplant operation is done. (I-aadmit at ooperahan ang pasyente sa ospital) 6. POST-TRANSPLANT CARE

6.1 Both donor and recipient will have regular follow-up

5.1 Admit patient. 5.2 Transplant Operation

Kidney

Transplant Package

Laboratory fee

Admission: 1-2 Hours (at ER)

Operation: Approximately

5- 6 Hours

Transplant Team

(Nephrologist, Transplant Surgeon,

Urosurgeon,Transplant Coordinator,

Transplant Nurses)

Nephrologist

194

check-up in the assigned clinic (kelangan na regular magpatingin ang nagbigay at tumanggap ng bato sa natalagang klinik)

6.1 Post –op Lab results/ Trough level determination

6.2 Consultation

Approximately 15 minutes

TOTAL: None 15 Hrs. 35 mins.

195

SERVICE NAME: LINEN AND LAUNDRY SECTION Description: Provides adequate supply of clean and sanitized linens to all hospital departments, sections and units.

Office or Division: Hospital Operation and Support Services.

Classification: Administrative Section

Type of Transaction: Laundry Service and Linen Production

Who may avail: Enter Hospital


Soiled/Clean Linen Checklist Form A -1 original (2 copies) Soiled/Clean Linen Checklist Form B- 1 original (2 copies) Request for linen change form Job Order Form-1 original (2 copies)

Linen and Laundry Section Linen and Laundry Section Nursing Station Sewing Section


PROCESSING TIME

PERSON RESPONSIBLE

Collection of soiled linens. 1. Nurse/Nursing attendants

changes the in patients gowns and linens.

1.1 Place the soiled linens at assigned laundry bags.

1.2 For infectious linens Nurse/Nursing Attendants shall place the used linens in a yellow plastic bag with label as to its content.

1.3 Signs the Submitted Soiled Linen portion of the Form A and/or Soiled /Clean Linen Checklist

1.Handling Soiled Linens 1. The collecting laundry staff shall account

and record soiled linens. 2. Nursing Attendants /Nurse shall sign:

2.1. Soiled/Clean linen Checklist Form A for

the different wards. 2.2. Soiled/clean linen checklist form B for

Special Areas.

3. Collection of linen is done 2 times a day: a. 4:00 am b. 11:00 am

None At least 1 hour and 45minutes per area.

Collecting Staff, Nursing Attendant and

/or Nurse

196

Form-B (brought by the collecting laundry staff)

2.Treatment and Washing of Linens. 3. Folding, Classifying and dispatch of

clean linens.

None 1. Sorting/Classifying-30 mins. Soiled Linens are sorted according to:

a) Very Dirty b) Dirty c) Less Dirty 2. Soaking with

solution-30 minutes, but for contagious linens- 1 hour, and is washed in a separate lavatory.

3. Pre-Washing (manual brushing) at least 2 hours

4. Washing Machine per batch-45 minutes

(at least 28 batches or 14 batches/machine a day)

5. Dryer per batch-25 minutes (at least 41 batches or 20 batches/machine)

1. Folding and Sorting of clean

Laundering Staff and Machine Operators

197

linens. per batch-at least 1 hour. Clean linens are folded and sorted as to wards (gowns, bed mattress, bed covers. Etc.)

1.1 Clean linens are dispatched to the different wards 2 times a day at 4:00am upon collection of the soiled and 1:00 pm for the use of admitted patients and to replace soiled linens of in-patients if needed.

Total: 310 minutes/

5hours and 10 minutes

2. Request for additional change of linen (as needed.)

a) Ward Nurse or Nursing Attendants on duty shall accomplish a Request for

2. Linen staff receives the accomplished form and replaces the needed item.

None 5 minutes/ transaction. Linen staff and nurse or nursing attendant.

198

Linen Change Form and sends the requesting watcher to the Laundry Section.

3. Production of Linen 1. Requesting Staff of the

different department, areas, clinics and offices shall accomplish job order form.

2. End user with specific linen requirements and desired style shall provide the raw material if not available.

1. Seamstress receives the dully

accomplished job order form and determines the linen requirements and the availability of the needed raw materials.

None 1. Simple-1 week or more depending on the number of pieces. 2. Difficult-1 month 3. Year-round production-1 year (Operating Room linens- draw sheets, wrapper, lifter e.g.)

Seamstress, End Users.

TOTAL None

320 minutes/ 6hours per load/ batch, and 365 days for sewing

area.

Note: 2 dryers and 2 washing machines.

199

SERVICE NAME: REGION I MEDICAL CENTER IDENTIFICATION CARD Description: The R1MC ID is issued to individuals that will render their services for Region I Medical Center.

Office or Division: MANAGEMENT INFORMATION SERVICE



Who may avail: All Personnel of Region I Medical Center


R1MC IDENTIFICATION CARD Client Properly Accomplished HRMO ID Form Human Resource Management Office: Table 1

ID Payment Official Receipt & Passport Size or 2x2 ID Photo R1MC Cashier


TIME PERSON

RESPONSIBLE

1. Fill-up the ID Issuance and Releasing Monitoring Sheet

1. Give the ID Issuance and Releasing Monitoring Sheet

None 3 Minutes MIS Staff

2. Submit the required documents to the MIS Receiving Staff for initial assessment and verification

2. Receive the required documents and check for completeness

2.1 Start processing the request. 2.2 Inform the client via text message when

the R1MC ID is ready for pick up.

None

Php 20 – Small ID Php 50 – Large ID

None

5 Minutes

3 Working Days

3 Minutes

MIS Staff

3. Verify and Check the Data encoded on Card

3. Release the R1MC ID to the client. None 1 Minute MIS Staff

4. Receive the R1MC ID and affix signature and date received at the ID Issuance and Releasing Monitoring Sheet

4. Give the ID Issuance and Releasing Monitoring Sheet for client receiving.


TOTAL: Php 20 – Small ID Php 50 – Large ID

3 Days & 14 minutes

200

SERVICE NAME: LOST REGION I MEDICAL CENTER IDENTIFICATION CARD Description: The R1MC ID is issued to individuals that will render their services for Region I Medical Center.

Office or Division: MANAGEMENT INFORMATION SERVICE



Who may avail: All Personnel of Region I Medical Center


R1MC IDENTIFICATION CARD

Properly Accomplished HRMO ID Form

Loss R1MC ID Payment Official Receipt Passport Size or 2x2 ID Photo

Approved Letter addressed to the Chief Administrative Officer citing the reasons of the loss

Human Resource Management Office: Table 1

R1MC Cashier Client Client


TIME PERSON

RESPONSIBLE

1. Sign in the ID Issuance and Releasing Monitoring Sheet

1. Give the ID Issuance and Releasing Monitoring Sheet


2. Submit the required documents to the MIS Receiving Staff for initial assessment and verification

*make sure to secure the Charge Slip that will be issued

2. Receive the required documents and check for completeness

2.1 Issue Charge Slip for Loss

R1MC ID if all requirements were given

None

None

5 Minutes

3 Minutes

MIS Staff

3. Pay the required fees at the nearest R1MC Cashier Station *make sure to secure Official Receipt that will be issued upon payment

3. Accept the payment based on the Charge Slip

3.1 Issue the Official Receipt

PVC ID (for Permanent/ Regular)

1st Replacement-Php.200

2nd Replacement-Php 300

3 Minutes Cashier Staff

201

Nth Replacement-(N+1) x Php 100

Laminated Film ID (Casual/ JO/ Vol/

Intern/ OJT) 1st Replacement-

Php.100 2nd Replacement-Php

150 Nth Replacement-

(N+1) x Php 50

4. Return to the MIS Office for the processing of R1MC ID and present Official Receipt.

4. Check the Official Receipt 4.1 Start Processing the Request 4.2 Inform the client via text

message when the R1MC ID is ready for pick up.

None 3 Minutes

3 Working Days

3 Minutes

MIS Staff

5. Verify and Check the Data encoded on Card

5. Release the R1MC ID to the client.

None 1 Minute MIS Staff

6. Receive the R1MC ID and affix signature and date received at the ID Issuance and Releasing Monitoring Sheet

6. Give the ID Issuance and Releasing Monitoring Sheet for client receiving.


TOTAL: *Refer to 3rd

Column (Fees to be paid)

3 days & 23 minutes

202

SERVICE NAME: EMPLOYEE MEDICAL CONSULTATION

Description: The Occupational and Patient Safety and Health Management Office (OPSHMO) being the centralized medical record-

keeper of R1MC is tasked by the management to be responsible for the medical consultation of all R1MC employees.

Office or Division: Occupational and Patient Safety and Health Management Office



Who may avail: R1MC employees


R1MC – issued Identification card (original copy) R1MC Management Information Service (MIS)


PROCESSING TIME

PERSON RESPONSIBLE

For employee medical consultation without diagnostic examination/s or referral,

1. Present R1MC-issued Identification Card.

1. Check correct employee identity. 1.1. Retrieve employee’s Medical Record.

None

3 minutes

Administrative Assistant OPSHMO

2. Undergo Pre-consultation Assessment

2.Take vital signs. 2.1 Take anthropometric

measurements. 2.2 Write chief complaint/s of the

employee on the Medical Record.

None 5 minutes


3. Undergo Medical Consultation 3. Thorough history taking and physical examination. 3.1. Clinical assessment. 3.2. Issuance of prescription as needed.

None 12 minutes

Medical Staff OSH Physician

Designate OPSHMO

203

4. For employee medical consultations requiring diagnostic examinations: 4.1. Proceed to the specified diagnostic area (Clinical Laboratory, Radiology Department or Heart Station) and present the diagnostic test request. 4.2. For diagnostic tests either in the Radiology Dept. or Heart Station, obtain charge slip. 4.3. Proceed to Billing Section and secure statement of account. 4.4 Present the Statement of Account to staff on duty of the diagnostic area. 4.5 For diagnostic test in the Clinical Laboratory, omit steps 4.2 to 4.2.2.

4. Issuance of “OSH and PRIORITY – stamped” diagnostic test request/s to the employee. 4.1. Instruct employee to proceed to specified diagnostic area and to come back with official diagnostic test/s result/s. 4.2. Provide charge slip and instruct the employee to proceed to any Billing Section. 4.3. Release Statement of Account with zero payment to the employee.

None

None

None

10 minutes

5 minutes

5 minutes


Designate OPSHMO

Staff on Duty Radiology Department

or Heart Station

Staff on Duty Billing Section

5. Undergo the specified diagnostic examination/s. 5.1. Secure the official result/s.

5. Perform either of the following specified diagnostic examination/s. 5.1Clinical Laboratory Routine Examinations 5.2 X-ray Ultrasound 5.3 ECG 5.4 Instruct employee to claim the official result.

None

None None None

Varying processing time (refer to the separate Service

Specification Table)

8 minutes 15 min.

35 minutes 5 minutes

Varying time of

release of official result (refer to the

Staff on duty Clinical Laboratory

Staff on duty

Radiology Department Staff on duty Heart Station

204

5.5 Clinical Laboratory Routine Examinations 5.6 Radiology Dept. Routine Procedures (X-ray or ultrasound) 5.7 ECG

None

None

None

separate Service Specification

Table) 2 hours

24 hours

24 hours

Staff on duty

Clinical Laboratory Staff on duty

Radiology Department

Staff on duty Heart Station

6. Return to OPSHMO for final medical assessment

6.Evaluation of the diagnostic result/s 6.1 Final clinical evaluation. 6.2 Issuance of prescription as needed.

None 12 minutes Medical Staff OSH Physician

Designate OPSHMO

7.For consultations requiring referral to another clinic 7.1. Proceed to clinic being referred to 7.2. Undergo medical evaluation

7. Fill-up referral form 7.1. Accompany and endorse employee to the staff of clinic where employee is being referred to 7.2. Instruct clinic staff to return the referral slip to OPSHMO after employee consultation.

None

12 minutes

15 minutes

Medical Staff OSH Physician Designate

OPSHMO Staff on Duty

Clinic being Referred to

TOTAL:

A. Simple consultation without diagnostic examinations or referral: B. Consultation with diagnostic examinations (Varying No. of Hours depending on the diagnostic examination/s)

None

20 minutes

3 hours

1 day, 1 hour and 27 minutes

205

B1. Clinical Laboratory: B2. Department of Radiology: B3. Heart Station: Consultation with referral:

24 hours, 57 minutes

47 minutes

(Employee Medical Consultation) qualified for multi-stage processing

206

SERVICE NAME: BASELINE MEDICAL EXAMINATION

Description: The Occupational and Patient Safety and Health Management Office (OPSHMO) is the centralized medical record-

keeper of all R1MC employees such that all employees, regardless of position and employment status shall have Baseline Medical

Examination either prior to their hiring or during their employment for those who have not complied with this examination.




Who may avail: R1MC employees –regular, contract of service or job order


R1MC-issued Identification Card for employed personnel (original copy) R1MC MIS Any government-issued Identification Card for pre-employed personnel (original copy)

PRC, DFA, PSA, SSS, GSIS, Pag-ibig, Post Office

Complete Blood Count Result with validity of 1 month from the time of the laboratory examination, and Blood Typing (1photocopy)

Clinical Laboratory where CBC was performed

Urinalysis with validity of 1 month from the time of laboratory examination (1 photocopy)

Clinical Laboratory where urinalysis was performed

Chest X-ray (PA view) with validity of 6 months from the time of the procedure (1 photocopy)

Radiology Department where the chest x-ray was performed

Drug test with validity of 12 months from the time of examination (1 photocopy) DOH Accredited drug-testing center


PROCESSING TIME

PERSON RESPONSIBLE

1. Present the required Identification Card. 1.1. Submit all the required documents.

1. Check correct employee identity. 1.1. Receive and check the validity and completeness of the requirements for baseline examination

None 2 minutes Administrative Assistant OPSHMO

207

2. Proceed to Dental Clinic 2.1. Submit the Baseline Dental Examination Stab to attending dentist 2.2. Undergo oral examination

2.. Instruct patient to undergo baseline oral examination at the Dental Clinic 2nd floor OPD Building. 2.1. Issue Baseline Dental Examination Stab 2.2. Oral examination

None

None

3 minutes

10 minutes


Dentist Dental Clinic

3. Return the Baseline Dental Examination Stab to OPSHMO 3.1. Fill-out Employee Medical Record 3.2. Undergo pre-consultation assessment

3. Take vital signs. 3.1. Take anthropometric measurements and BMI.


3.Undergo Medical Examination 3.Review the Employee Medical Record (all entries in the form are properly filled-out by the employee) 3.1. Thorough history taking and physical examination. 3.2. Clinical assessment. 3.3. Issuance of prescription as needed if there is a diagnosed medical condition.


Designate OPSHMO

4. For baseline medical examination of employees requiring additional diagnostic examinations, secure the specified diagnostic test request. 4.1. For employed personnel, proceed to the specified diagnostic area (Clinical Laboratory, Radiology

4. A. For baseline medical examination of pre-employed personnel/contract of service: 4.1.A. Issuance of the required diagnostic request/s to the employee 4.2. A. Issuance of Charge Slip 4.3.A. Instruct employee to proceed to any Billing Section for the payment

None

10 minutes


Designate OPSHMO

208

Department or Heart Station) and present the diagnostic test request. 4.2. For diagnostic tests either in the Radiology Dept. or Heart Station, obtain a charge slip. 4.3. Proceed to Billing Section and secure statement of account (for employed personnel) or pay the required diagnostic examinations (for pre-employment) 4.4. Proceed to the specified diagnostic area (Clinical Laboratory, Radiology Department or Heart Station), present the statement of account (for employed personnel) or the official receipt of payment (for pre-employment) For diagnostic test in the clinical laboratory, omit steps 4.2.1. to 4.2.3.

of the requested diagnostic examination. 4. B. For baseline medical examination of employed personnel: 4.1.B. Issuance of “OSH and PRIORITY – stamped” diagnostic request/s to the employee. 4.2.B. Instruct employee to proceed to specified diagnostic area and come back with official diagnostic test/s result/s 4.3.B. Provide charge slip and instruct the employee to proceed to any Billing Section. 4.4.B. Release Statement of Account with zero payment to the employee.

None

None

None

10 minutes

5 minutes

5 minutes


Designate OPSHMO

Staff on Duty

Radiology Department or Heart

Station Staff on Duty Billing Section

5.Undergo the specified diagnostic examination/s and secure the official result/s

5.Perform either of the following specified diagnostic examination/s. 5.1 Clinical Laboratory Routine Examinations 5.2. Chest X-ray Ultrasound 5.3. ECG

None

None None

None

Varying processing time (refer to the separate Service Specification Table)

8 minutes 15 min.

35 minutes

5 minutes


Staff on duty Radiology

Department


209

5.4. Instruct employee to claim the official result. 5.5 Clinical Laboratory Routine Examinations 5.6 Radiology Dept. Routine Procedures (X-ray or ultrasound) 5.7 ECG

None

None

None

Varying time of release of official result (refer to the separate Service

Specification Table) 2 hours

24 hours

24 hours


Staff on duty

Radiology Department Staff on duty Heart Station


6. Evaluation of the diagnostic result/s 6.1. Final clinical assessment 6.2. Issuance of prescription as needed if referral is not needed.


Designate OPSHMO

7.For baseline medical examination requiring referral to another clinic, proceed to clinic being referred to. 7.1. Undergo medical evaluation

7. Fill-up referral form. 7.1. Accompany and endorse employee to the staff of clinic where he/she is being referred to. 7.2. Return the referral slip to OPSHMO after employee consultation.

None

None

12 minutes

15 minutes


Designate OPSHMO

Staff on Duty Receiving Clinic

TOTAL:

A. Baseline Medical Examination without diagnostic examinations or

referral: B. Baseline Medical Examination

with diagnostic examinations (Varying duration depending on the diagnostic examination/s)

35 minutes

210

B.1. Clinical Laboratory Procedure

B.2. Radiologic Procedure B.3. Electrocardiogram

C. Baseline Medical Examination

with referral:


1 day, 1 hour, 7 minutes


1 hour, 2 minutes

(Baseline Medical Examination) qualified for multi-stage processing

Service Specification Table

CLIENT STEPS AGENCY ACTIONS

FEES TO BE PAID PROCESSING TIME PERSON

RESPONSIBLE

For employee requiring diagnostic examinations (Employee Medical Consultation, Baseline Medical Examination and Annual Medical Examination)

Provide charge slip and instruct the employee to proceed to any Billing Section. Instruct employee to claim the official result.

Routine Examinations Requested: A. Clinical Laboratory:

Blood Typing - Php 150 BUA - Php 160 BUN - Php 160 CBC- Php- 260

Cholesterol - Php 210 Creatinine - Php 190

FBS – Php 160 Fecalysis – Php 90

Hemoglobin A1C – Php 800 HDL – Php 310

Lipid Profile – Php 500 RBS (Glucometer) – Php180

Sputum AFB - Php 210

A. Clinical Laboratory:

Blood Typing - 1 hour BUA - 2 hours BUN - 2 hours CBC- 1 hour

Cholesterol - 2 hours Creatinine - 2 hours

FBS -2 hours Fecalysis –1 hour

Hemoglobin A1C –2 hours HDL –2 hours

Lipid Profile – 2 hours RBS (Glucometer) – 45 minutes

Sputum AFB – 2 hours


211

Sputum AFB (DOTS) – Free Triglyceride -Php 210 Urinalysis - Php 160

B. Radiology Department:

Chest X-ray (PA) - Php 360 Chest APL - Php 730

Whole Abdomen Ultrasound - Php1,250

KUB Ultrasound – Php 830

C.Heart Station: ECG – Php 400

Sputum AFB (DOTS) 3 days Triglyceride -2 hours Urinalysis - 1 hour

B. Radiology Department:

Chest X-ray (PA) – 24 hours Chest APL - 24 hours

Whole Abdomen Ultrasound – 24hours

KUB Ultrasound – 24 hours C. Heart Station

ECG – 24 hours

Staff on duty Radiology

Department


212

SERVICE NAME: ANNUAL MEDICAL EXAMINATION

Description: Yearly assessment of the health status of all R1MC employees which is usually done within the birth month of a certain

employee. Aside from thorough medical examination, this also includes diagnostic tests consisting of Complete Blood Count (CBC),

Urinalysis and Chest X-Ray which are all provided free of charge.




Who may avail: R1MC employees (permanent status)


R1MC-issued Identification Card (original copy) R1MC MIS


PROCESSING TIME

PERSON RESPONSIBLE

A. Preparation of diagnostic request forms 1.Present R1MC-issued Identification Card.

1. Check correct employee identity. 1.1. Verify inclusion of the employee in the list of employees for Annual Medical Examination for a specified month


2. Receive diagnostic requests for Annual Medical Examination 2.1. Proceed to Radiology Department

2. Issue “OSH – stamped and PRIORITY - stamped” requests for CBC, Urinalysis and Chest X-Ray (PA- view) to the employee. 2.1. Instruct employee to proceed to Radiology Dept. and Clinical Laboratory. 2.2. Provide charge slip and instruct the employee to proceed to any Billing Section.

None

None

None

10 minutes

5 minutes

5 minutes



213

2.3. Release Statement of Account with zero payment to the employee.


3. Proceed to Clinical Laboratory 3.1. Undergo CBC and Urinalysis in the Clinical Laboratory 3.2. Proceed to Radiology Department 3.3. Undergo Chest X-Ray

3. Provide specimen bottle for the Urinalysis and instruct employee on proper urine collection 3.1. Blood extraction for the CBC 3.2. Forward official results to OPSHMO 3.3. Perform Chest X-ray to employee 3.4. Forward official result to OPSHMO

None

None None

None None

8 minutes

8 minutes 24 hours

15 minutes 24 hours

Staff on Duty Clinical Laboratory


B. Annual Medical Examination 4.1. Return to OPSHMO 4.2. Fill-out the Annual Medical Examination Form 4.3. Pre-consultation assessment

4.1. Take vital signs. 4.2. Take anthropometric measurements and BMI. 4.3. Retrieve official results of CBC, Urinalysis and Chest X-ray.

None

5 minutes

Administrative

Assistant OPSHMO

5. Final medical evaluation 5. Evaluation of the diagnostic result/s 5.1. Thorough history taking and physical examination. 5.2. Clinical assessment. 5.3 Issuance of prescription as needed if there is a diagnosed medical condition.


Designate OPSHMO

6. For Annual Medical Examination of employees requiring additional

6. Issuance of “OSH and PRIORITY – stamped” diagnostic request/s to the employee.

None

10 minutes


Designate

214

diagnostic examinations, secure the specified diagnostic test request. 6.1. Proceed to Clinical Laboratory and present the diagnostic test request. 6.2. For diagnostic tests either in the Radiology Dept. or Heart Station, obtain a charge slip. 6.3. Proceed to Billing Section and secure statement of account 6.4. Proceed to Radiology Department or Heart Station, present the statement of account 6.5. For diagnostic test in the clinical laboratory, omit steps 6.2.1. to 6.2.3.

6.1. Instruct employee to proceed to specified diagnostic area and come back with official diagnostic test/s result/s 6.2. For diagnostic examination either in Radiology Department or Heart Station, issue charge slip and instruct the employee to proceed to any Billing Section. 6.3. Release Statement of Account with zero payment to the employee.

None

None

5 minutes

5 minutes

OPSHMO


or Heart Station


7.Undergo the specified diagnostic examination/s and secure the official result/s

7. Perform either of the following specified diagnostic examination/s. 7.1.Clinical Laboratory Routine Examinations 7.2. Chest X-ray Ultrasound 7.3. ECG 7.4. Instruct employee to claim the official result.

None

None None

None

None

Varying processing time (refer to the separate Service

Specification Table)

8 minutes

15 min. 35 minutes

5 minutes

Varying time of

release of official


Staff on duty Radiology Department


215

7.5. Clinical Laboratory Routine Examinations 7.6. Radiology Dept. Routine Procedures (X-ray or ultrasound) 7.7.ECG

None

None

None

result (refer to the separate Service

Specification Table) 2 hours

24 hours

24 hours


Staff on duty

Radiology Department



8. Evaluation of the diagnostic result/s 8.1. Final clinical assessment 8.2. Issuance of prescription as needed if referral is not needed.


Designate OPSHMO

9. For Annual Medical Examination requiring referral to another clinic, proceed to clinic being referred to. 9. Undergo medical evaluation

9. Fill-up referral form. 9.1. Accompany and endorse employee to the staff of clinic where he/she is being referred to. 9.2. Return the referral slip to OPSHMO after employee consultation.

None

None

12 minutes

15 minutes


Designate OPSHMO

Staff on Duty

Receiving Clinic

TOTAL:

A. Annual Medical Examination without additional diagnostic examinations or referral: B. Annual Medical Examination with diagnostic examinations (Varying duration depending on the diagnostic examination/s)

1 day, 1 hour,

10 minutes

216

B.1. Clinical Laboratory Procedure B.2. Radiologic Procedure B.3. Electrocardiogram

C. Annual Medical Examination with referral:

1 day, 3 hours, 50 minutes

2 days, 2 hours, 17 minutes

2 days, 2 hours, 17 minutes

1 day, 1 hour,

10 minutes

(Annual Medical Consultation) qualified for multi-stage processing

217

SERVICE NAME: CHECKING OF PETTY CASH REPLENISHMENT Description: Verification of completeness of supporting documents for petty cash replenishment.

Office or Division: Office of Strategy Management (OSM)



Who may avail: GAD, Philhealth and Claims Section, Engineering/Electrical, MMS, Pharmacy, Motorpool

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Petty Cash Replenishment Checklist Pertinent Supporting Documents

OSM


PROCESSING TIME

PERSON RESPONSIBLE

1. Fill out the necessary field/s in the Petty Cash Replenishment Checklist Form

2. Receive the request for petty cash replenishment

None 5 minutes OSM Staff

2. Submit the pertinent supporting documents for the Petty Cash Replenishment

3. Review the completeness of the supporting documents for the petty cash replenishment

None 1 day OSM Staff

3. Comply to other requirements if deemed necessary

4. Refer to the concerned Petty Cash Custodian for incomplete or additional requirements based on the checklist if necessary.


5. Forward the complete and verified documents to the Chief Administrative Officer for approval


6. Submit to the Accounting Office for processing of Petty Cash Replenishment


TOTAL End of Transaction None 3 Days at 20

minutes

218

SERVICE NAME: CHECKING OF PURCHASE REQUEST Description: Validation of prices based on the approved OP/PPMP

Office or Division: Office of Strategy Management (OSM)



Who may avail: Dietary

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Purchase Request Procurement


PROCESSING TIME

PERSON RESPONSIBLE

1. Submit Purchase Request for review

2. Receive Purchase Request (PR) from Dietary Section for review


3. Log-in or Enter the received Purchase Request in the logbook for recording purposes


4. Validate prices of items based on the approved OP/PPMP

None 30 minutes

OSM Staff

5. Indicate the remark, “ok for posting” in the PR duly countersigned by the designated OSM Staff


6. Submit to the Chief Administrative Officer for approval


TOTAL End of Transaction None 1 hour and 5

minutes

219

SERVICE NAME: REQUEST/DOCUMENT/COMMUNICATION FOR APPROVAL Description: Various requests/documents/communications require the approval of the Medical Center Chief. These may include but are not

limited to as follows: application (job vacancies, promotions, transfer of office), presentation (product/service), medico-legal certificates,

new/revised protocol/procedures, recommendation (personnel/service).

Office or Division: Planning/Mancom Office




CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1-Request/Document/Communication Requesting Entity/Office


PROCESSING TIME

PERSON RESPONSIBLE

1. Present and submit the request/document/communication. (Ipakita ang dokumento sa lugar ng tanggapan para masuri ito.)

2.Request/document/communication will be recorded in the log book and tagged accordingly. (Isusulat ang buod ng dokumento sa aklat talaan at itatalaga ang itinakdang numero/kodigo.)

None

(Wala)

5 minutes

(5 minuto)

Personnel-on-duty

(Personnel-on-duty)

Request/document/communication will be endorsed to the Medical Center Chief Office.

(I-endorso ang dokumento sa opisina ng Medical Center Chief.)

None

(Wala)

3 minutes

(3 minuto)

Personnel-on-duty

(Personnel-on-duty)

TOTAL

None

8 minutes

(8 minuto)

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SERVICE NAME: PROCUREMENT DOCUMENTS PROCESSING

Description: The procedures deals on the communication of every end-users need that included in the PPMP, based on their

consumption report or letter of request. The Procurement Section will prepare Purchase Request, Purchase Order (PO) and Job

Order (JO) based on the Notice of Award (NOA), and Agency Procurement Request (APR) based on the availability of stock at the

Department of Budget and Management. All these Orders and Request will be forwarded to the Finance Division for budget utilization

and approval of the Head of the Procuring Entity until its contract implementations.

Office or Division: Procurement Section


Type of Transaction: Government to Employee/ Government to Government



(1) Project Procurement Management / Plan Operational Plan (1) Purchase Request (1) Purchase Order / Job Order / Agency Procurement Request

End-user / Immediate Supervisor / Medical Center Chief End-user / Procurement Staff / Medical Center Chief / OSM / BAC Office Procurement Staff / Finance Division / Medical Center Chief


PROCESSING TIME

PERSON RESPONSIBLE

END-USER 41. Submit signed Purchase Request.

7. Receives signed Purchase

Request for verification of the OSM and approval of the head of entity.

None

2-3 minutes

Procurement Staff

SUPPLIER 42. Submit signed Purchase Order / Job

Order / Agency Procurement Request.

8. Receives duly accomplished

Purchase Order / Job Order /

None

2-3 minutes

Procurement Staff

221

Agency Procurement Request for Budget Utilization of Finance

Division and approval of the head of entity.

END-USER / SUPPLIER 43. Ask queries

9. Entertain / response client

queries.

None

5-10 minutes

Procurement Staff

TOTAL:

End of Transaction None

16 minutes

222

SERVICE NAME: PROCESSING OF RESEARCH STUDY PROPOSALS AND RESEARCH-RELATED DOCUMENTS

Description: The Research Development & Management Center manages the processing of research study proposals and

research-related documents.

Office or Division: MCC/Research Development & Management Center- IRB

Classification: Highly Technical

Type of Transaction: G2G, G2B, G2C

Who may avail: Any Researcher

CHECKLIST OF REQUIREMENTS WHERE TO SECURE Research Proposal (Chapters 1, 2 and 3) Protocol Assessment Form

Researcher provided R1MC-MCC-RDM-FRM-001 (Research Center)

CLIENT STEPS AGENCY ACTIONS FEES TO BE PAID PROCESSING TIME PERSON RESPONSIBLE

1. Research Investigator prepares and submits a Full Proposal Package, Inclusive: 1.1 Accomplished Application Form 1.2 Research Study Proposal 1.3Protocol Assessment Form 1.4 Informed Consent Assessment Form 1.5 Letter of Intent 1.6 Letter of Endorsement 1.7 Curriculum vitae 1.8 GCP Certificate

1. Receiving Officer will check completeness of documents submitted; 1.1 Only complete Full Proposal Packages will be received and recorded; 1.2 Incomplete Packages will be rejected and returned to the Research Investigator 2. Receiving Officer informs the IRB chair Re proposal for Primary Review 2.1 Chair assigns a Primary Reviewer and instructs secretary to prepare Notice for Primary Review (enclosed copy of Full Proposal Package)

NONE

Within 1 hour

Receiving Officer

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2.2 Primary Reviewer receives Full Proposal package and Notice of Primary Review 3. Primary Review will be done by the assigned Primary Reviewer 4. Board Review for all proposals pre-reviewed will be presented for approval / recommendation for Notice of Decision 5. Notice of Decision will be prepared by the Staff Secretary; and will inform the Principal Investigator 6. For disapproved proposals, the Primary Reviewer will be instructed (re Notice of Decision) to Re-Submit the improved proposal for IRB review 7. For approved proposals, the Principal investigator will be instructed (re Notice of Decision) to commence with the study and submit the following during the period of study, ; 7.1 Progress Reports 7.2 Adverse Events 7.3 SARS 7.4 SUSARS

Within 20 working days

Within 20 working days

Within 72 hours

Within 20 days

Primary Reviewer IRB members Staff Secretary Principal Investigator

224

2. Documents for submission Re Approved Proposals 2.1 Progress Reports 2.2 Adverse Events 2,3 SARS 2.4 SUSARS 2.5 Request for Amendments for changes in the methodology of the study 3. Documents for Submission Re Completion of Study 3.1 Research Chapters 1,2,3,4 and 5 *In compliance with the SOP of the IRB –RDMC

** In accordance to

PCHRD-PHREB

Guidelines

7.5 Request for Amendments for changes in the methodology of the study 8. Research office receives the completed study (3 copies)

Duration of Study based on the Gantt

Chart

Principal Investigator Receiving officer

TOTAL: NONE I hour, 60 working

days, 72 hours

225

SERVICE NAME: TRANSPORT OF PERSONNEL Description: Motorpool Services.

Office or Division: Transport and Motorpool Section


Type of Transaction: G2G - Government to Government

Who may avail: R1MC Personnels


Hospital Personnel Order Human Resource Management Office


TIME PERSON

RESPONSIBLE

1. Receiving of hospital personnel order issued by the human resource management office

1. Receive hospital personnel order None 1 Minute Driver on duty and Nurse on

duty

2. Preparation of the trip ticket for details of transport and proper signing of the authorized representative

None 10 Minutes Driver on Duty and Authorized

representative on duty

3. Preparation of the vehicle for inspection


4. Transport of personnel(s) to venue/location stated in the hospital personnel order

None Based on the schedule of

events / activities

Driver on duty

5. Refueling of vehicle before arriving to the station

Purchase order signed by the authorized representative

5 Minutes Driver on duty

6. Inspection of vehicle upon arrival None 15 Minutes Head Dispatcher

TOTAL:

Purchase order signed by the authorized representative

36 Minutes

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FEEDBACK AND COMPLAINTS MECHANISM

How to send a feedback?

Via survey form: Clients may accomplish a Client Satisfaction Survey Form (CSS). Drop box for these forms are available on wards, specific clinics such as Family Medicine, OB, ENT/HAN, Surgery, Medical, Dental, Pedia clinic, Eye/Ophtha Center and Emergency Room. Via Patient Action Center Clients who would like to personally provide their feedback, may go directly to the Patient Action Center in the Out Patient Department. Via Online Client may send feedback to the R1MC Official Facebook Page through the “message” option or via R1MC Official Website linked to the R1MC Official Email Address.

227

How feedbacks are processed?

Through Client Satisfaction Survey Collection of Client Satisfaction Survey is being facilitated by Customer Service Representative for Out-Patients and Quality Management System Office for In-patients.

• Comments and Feedbacks that needs immediate actions will be forwarded to the Office of the Chief Administrative Officer for proper disposition and assessment.

• Comments and Feedbacks that do not need immediate action will be disseminated to all concerned areas. Collated Survey forms are reviewed, interpreted and reported by QMS in the quarterly management review. Through Patient Action Center Significant Feedbacks are documented and reviewed by the Patient Action Center Personnel and forwarded to the Office of the Chief Administrative Officer for action. Through Online Comments and Feedbacks Comments and Feedbacks are handled by the Office of the Chief Administrative Officer for endorsement to concerned offices/areas for initial investigation pending formal complaints submission to Chief Administrative Officer by the complainant

How to file complaints?

Walk in: Clients could submit the survey form to Patient Action Center or personally approach them to file a complaint wherein they will collect necessary information for proper assessment and forward it to the Office of Chief Administrative Officer. Via Online Complaints received by the R1MC Official Email and Messages via Facebook page are facilitated by the Office of the Chief Administrative Officer for endorsement to concerned offices/areas for initial investigation pending formal complaints submission to Chief Administrative Officer by the complainant.

228

How complaints are processed?

1. Complainant personal appearance to the office of the Chief Administrative Officer requesting mediation. 2. Initial Mediation is conducted to hear complainant’s grievances. 3. Complaints are formalized through personal drafting of formal complaints. 4. Complaint / Letter will be reviewed the Chief Administrative Officer pending endorsement to the Medical Center Chief. 5. Medical Center Chief will endorse complaint to the Ethics or Grievance Committee.* 6. Order to Show to cause will be drafted to give concerned parties avenue to discuss/explain their side.* 7. The Committee will schedule a date to convene initial hearing of case. *Items No. 5 and 6 is subject to the discretion of the Medical Center Chief

Contact Information of ARTA, PCC, CCB, R1MC

ARTA: [email protected] 8478 5093 PCC: 8888 CCB: 0908-881-6565 (SMS) R1MC: [email protected] (075) 515 - 8916

229

Office Address Contact Information

Acute Psychiatric Unit APU, R1MC, Dagupan City (075) 515-89-16, loc.# 151

Admitting/Information Admitting, R1MC, Dagupan City (075) 515-89-16, loc.# 100

Anesthesia Department OR, R1MC, Dagupan City (075) 515-89-16, loc.# 139

BAC BAC, R1MC, Dagupan City (075) 515-89-16, loc.# 214

Central Supply & Sterilization CSS, R1MC, Dagupan City (075) 515-89-16, loc.# 206

Chief Administrative Office CAO, R1MC, Dagupan City (075) 515-89-16, loc.# 219

Chief Nurse Office CNO, R1MC, Dagupan City (075) 515-89-16, loc.# 340

Chief of Clinics COC, R1MC, Dagupan City (075) 515-89-16, loc.# 274

Chief of Medical Professional Staff CMPS, R1MC, Dagupan City (075) 515-89-16, loc.# 215

Clinical Laboratory Lab., R1MC, Dagupan City (075) 515-89-16, loc.# 145

Colposcopy Clinic Colposcopy, R1MC, Dagupan City (075) 515-89-16, loc.# 304

Customer Service/Media Affairs CSR, R1MC, Dagupan City (075) 515-89-16, loc.# 144

Delivery Room DR, R1MC, Dagupan City (075) 515-89-16, loc.# 211

Dental Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 318

Derma Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 135

Diabetics Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 312

Diet Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 318

Dietary Section Dietary, R1MC, Dagupan City (075) 515-89-16, loc.# 183

Drug Testing Laboratory OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 121

Emergency Medicine Department (N) ER, R1MC, Dagupan City (075) 515-89-16, loc.# 251

Emergency Medicine Department (D) ER, R1MC, Dagupan City (075) 515-89-16, loc.# 246

Engineering and Facilities Management

Engineering, R1MC, Dagupan City (075) 515-89-16, loc.# 187

ENT Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 132

Epilepsy Monitoring Unit OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 329

Family and Community Medicine OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 150

Family Planning Clinic R1MC, Dagupan City (075) 515-89-16, loc.# 305

GAD-HCWPU GAD, R1MC, Dagupan City (075) 515-89-16, loc.# 122

230

Health Emergency Management HEMS, R1MC, Dagupan City (075) 515-89-16, loc.# 268

Heart Station OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 335

HEC HEC, R1MC, Dagupan City (075) 515-89-16, loc.# 321

Hemodialysis Unit Hemodialysis, R1MC, Dagupan City (075) 515-89-16, loc.# 193

HIMS (Medical Records) HIMS, R1MC, Dagupan City (075) 515-89-16, loc.# 496

HIPCMO HIPCMO, R1MC, Dagupan City (075) 515-89-16, loc.# 166

Histopath Section Histopath, R1MC, Dagupan City (075) 515-89-16, loc.# 218

Housekeeping Office Housekeeping, R1MC, Dagupan City (075) 515-89-16, loc.# 120

Human Resource Management Office HRMO, R1MC, Dagupan City (075) 515-89-16, loc.# 108

ICU-CCU ICU-CCU, R1MC, Dagupan City (075) 515-89-16, loc.# 181

IHOMP/IT MIS, R1MC, Dagupan City (075) 515-89-16, loc.# 105

Internal Medicine Department IM, R1MC, Dagupan City (075) 515-89-16, loc.# 194

Laundry and Linen Laundry, R1MC, Dagupan City (075) 515-89-16, loc.# 189

Legal Office Legal, R1MC, Dagupan City (075) 515-89-16, loc.# 144

Library PETS, R1MC, Dagupan City (075) 515-89-16, loc.# 338

Materials Management MMS, R1MC, Dagupan City (075) 515-89-16, loc.# 182

Medical Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 314

Medical Social Service MSS, R1MC, Dagupan City (075) 515-89-16, loc.# 134

Medical Ward Medical Ward, R1MC, Dagupan City (075) 515-89-16, loc.# 194

Minor OR Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 316

Motorpool Motorpool, R1MC, Dagupan City (075) 515-89-16, loc.# 190

NICU NICU, R1MC, Dagupan City (075) 515-89-16, loc.# 209

Nursing Office Nursing, R1MC, Dagupan City (075) 515-89-16, loc.# 267

NVBSP/Blood Bank NVBSP, R1MC, Dagupan City (075) 515-89-16, loc.# 146

OB Ward OB Ward, R1MC, Dagupan City (075) 515-89-16, loc.# 158

OB-Gyne Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 303

OB-Gyne Department OB-Gyne, R1MC, Dagupan City (075) 515-89-16, loc.# 157

Office of Strategy Management OSM, R1MC, Dagupan City (075) 515-89-16, loc.# 245

Operating Room OR, R1MC, Dagupan City (075) 515-89-16, loc.# 212

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Ophthalmology Clinic Ophtha, R1MC, Dagupan City (075) 515-89-16, loc.# 322

Organ Transplant Unit Organ, R1MC, Dagupan City (075) 515-89-16, loc.# 166

Orthopedics Clinic Ortho, R1MC, Dagupan City (075) 515-89-16, loc.# 319

OSH Management Office OSH, R1MC, Dagupan City (075) 515-89-16, loc.# 320

Out-Patient Department OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 311

Pay Ward 2nd Payward, R1MC, Dagupan City (075) 515-89-16, loc.# 192

Pay Ward 3rd Payward, R1MC, Dagupan City (075) 515-89-16, loc.# 197

Pediatrics Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 131

Pediatrics Department Pedia, R1MC, Dagupan City (075) 515-89-16, loc.# 200

Pediatrics Ward Pedia Ward, R1MC, Dagupan City (075) 515-89-16, loc.# 195

PETS PETS, R1MC, Dagupan City (075) 515-89-16, loc.# 341

Pharmacy Pharmacy, R1MC, Dagupan City (075) 515-89-16, loc.# 301

Physical Medicine and Rehab Unit PMR, R1MC, Dagupan City (075) 515-89-16, loc.# 228

Planning Office/ MCCO MCC, R1MC, Dagupan City (075) 515-89-16, loc.# 245

Pranic Office Pranic, R1MC, Dagupan City (075) 515-89-16

Procurement Office Procurement, R1MC, Dagupan City (075) 515-89-16, loc.# 248

QMS Office QMS, R1MC, Dagupan City (075) 515-89-16, loc.# 205

Radiology Department Radiology, R1MC, Dagupan City (075) 515-89-16, loc.# 171

Recovery Room Recovery, R1MC, Dagupan City (075) 515-89-16, loc.# 207

Registration Registration, R1MC, Dagupan City (075) 515-89-16, loc.# 306

Research Ethics Research, R1MC, Dagupan City (075) 515-89-16, loc.# 339

Security Office Security, R1MC, Dagupan City (075) 515-89-16, loc.# 130

Specialty Clinic Specialty, R1MC, Dagupan City (075) 515-89-16, loc.# 332

Specialty/Surgical Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 332

Surgery Department Surgery, R1MC, Dagupan City (075) 515-89-16, loc.# 160

Surgery Ward Surgery Ward, R1MC, Dagupan City (075) 515-89-16, loc.# 159

Surgical Clinic OPD, R1MC, Dagupan City (075) 515-89-16, loc.# 334

WCPU WCPU, R1MC, Dagupan City (075) 515-89-16, loc.# 125

Budget Office Budget, R1MC, Dagupan City (075) 515-89-16, loc.# 142

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Finance Service Finance, R1MC, Dagupan City (075) 515-89-16, loc.# 140

Accounting Office Accounting, R1MC, Dagupan City (075) 515-89-16, loc.# 141 Cash Operations Cashier, R1MC, Dagupan City (075) 515-89-16, loc.# 137 Philhealth & Claims Department PHIC, R1MC, Dagupan City (075) 515-89-16, loc.# 136

Billing Section Billing, R1MC, Dagupan City (075) 515-89-16, loc.# 143

Integrity Management Committee IMC, R1MC, Dagupan City (075) 515-89-16, loc.# 128

DOTS Clinic DOTS, R1MC, Dagupan City (075) 515-89-16, loc.# 500

REGION 1 MEDICAL CENTER - Psychiatric Clinic

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Transcript of REGION 1 MEDICAL CENTER - Psychiatric Clinic