SLRWH Information Inventory - San Lorenzo Ruiz Women's ...

Agency_ Agency_Name Title Description File_Format Online_ Location_or_ Disclosure Original_Data Data_ Date_ Frequency_of_

Agency

abbreviation

Name of agency

(spelled out)

Title of the

information

Description of the

information

CSV, XLS, SHP,

KML, TXT, PDF,

DOC, etc.

Yes/No Location of

published

information or

URL for direct

download

Whether the information is either of

the following:

- Public: info can be disclosed for

public consumption regardless of

identity

- Exception: info is under the

Exceptions List

- Internal: info only for agency

consumption

- With fee: info can be disclosed

but with corresponding charges

based on the agency's

mandate/policies/business model

- Limited: info, upon verification of

the requesting party's identity,

can only be disclosed to specific

person/s and/or entity/ies

Agency or

office who

origninally

owns the

information

Unit

responsible for

the

information

The date when

the information

was initially

released (YYYY-

MM-DD)

Daily,

Annually,

Biannually,

Quarterly,

Monthly

SLRWHSan Lorenzo Ruiz

Women's Hospital

> Aging of Due and

Demandable

Obligations (FAR

No. 3)

> Monthly Report of

Disbursements (FAR

No. 4) > Quarterly

Report of Revenue

and Other Receipts

(FAR No. 5)

Financial

Accountability ReportPDF, Hard Copy Yes

http://slrwh.do

h.gov.ph/index

.php/transpare

ncy-seal-2017

urs.dbm.gov.p

h

Public SLRWH Accounting Starts 2016 Quarterly


Women's HospitalJEV Journal Entry Voucher XLS, Hard Copy No N/A Internal SLRWH Accounting GAM 2016 Daily

SLRWH Information Inventory

of 24


Women's HospitalBIR Alphalist

Alphabetical list of

employees / suppliers

who have paid tax in

line with Philippine

Revenue Regulations

XLS No N/A Limited SLRWH Accounting GAM 2016Monthly,Quart

erly & Annually


Women's HospitalBIR EFPS

Electronic Filing and

Payment System, and

it refers to the system

developed and

maintained by the

BIR for electronically

filing tax returns,

including

attachments, if any,

and paying taxes due

thereon, specifically

through the internet.

Hard Copy,

Soft CopyNo N/A Limited SLRWH Accounting N/A

Monthly,Quart

erly & Annually


Women's HospitalIndex of Payments

To record/monitor

payments made to

each creditor/payee.

It shall be maintained

by fund cluster.

XLS, Hard Copy No N/A Internal SLRWH Accounting GAM 2016 Monthly


Women's Hospital

RSMI &

Consumption

Report Per Unit

report/summarize all

issues of inventories

as basis of Accounting

for Supplies Ledger

Card.

Hard Copy No N/A Internal SLRWH Accounting 2006 Monthly


Women's HospitalRCI

Report of Check

IssuedXLS, Hard Copy No N/A Internal SLRWH Accounting 2016 Monthly


Women's HospitalGJ General Journal XLS, Hard Copy No N/A Internal SLRWH Accounting 2016 N/A

of 24


Women's HospitalFinancial Statement Financial Statement PDF, Hard Copy Yes

http://slrwh.do

h.gov.ph/index

.php/transpare

ncy-seal-2017

Public SLRWH Accounting 2016 Annually


Women's HospitalGeneral Ledger

Summarizes all

transactions recorded

in the GJ and special

journal.

Excel, Hard

CopyNo N/A Limited SLRWH Accounting 2016 Annually


Women's HospitalIncome Tax Return

file with the Internal

Revenue reporting

income, profits of

employees/supplier

Excel, Hard

CopyNo N/A Limited SLRWH Accounting 2016 Annually


Women's HospitalSubsidiary Ledger

Shows detail for each

control account in the

GL which is

maintained per

account and fund

cluster

Excel, Hard

CopyNo N/A Internal SLRWH Accounting 2016 Daily/Monthly


Women's HospitalReport of Deliveries Report of Deliveries

Excel, Hard

CopyNo N/A Internal SLRWH Accounting 2006 Monthly


Women's Hospital

Report of Collection

& Deposit

Report to record

Collection and

Deposit

Excel, Hard

CopyNO N/A Internal SLRWH Accounting N/A Weekly


Women's HospitalIIRUP

As basis to record

dropping from the

books the

unserviceable

properties carried in

the PPE accounts.

Hard Copy NO N/A Internal SLRWH Accounting 2016 Monthly


Women's Hospital

Statement of

Account

Summary Of Patient's

Charges

PDF, DOC, Hard

CopyNo N/A Limited SLRWH

Billing and

Claims UnitN/A Daily

of 24


Women's HospitalPhilHealth Claims

Summary of

PhilHealth Benefits

PDF, XLSX,

Hard CopyNo N/A Limited SLRWH

Billing and

Claims UnitN/A Daily


Women's Hospital

SLRWH - BFARs

BAR 1, FAR 1, 1A,

1B, FAR 2 and 2A

Budget and Financial

Accountability ReportPDF, Hard Copy YES

http://slrwh.doh.g

ov.ph/index.php/t

ransparency-seal-

2017

urs.dbm.gov.ph

Public SLRWH Budget Unit 2016 Quarterly


Women's HospitalORS

Obligation Request

Status

Excel, Hard

CopyNO N/A Internal SLRWH Budget Unit GAM 2016 Daily


Women's HospitalBURS

Budget Utilization

Request Status

Excel, Hard

CopyNO N/A Internal SLRWH Budget Unit GAM 2016 Daily


Women's Hospital

Warrant Registry

Logbook - MDS

contains check

number, name of

payee and amount

paid

Hard Copy NO N/A Internal SLRWHCash Operation

UnitN/A Daily


Women's Hospital

Warrant Registry

Logbook - TF

contains check

number, name of

payee and amount

paid


UnitN/A Daily


Women's Hospital

Warrant Registry

Logbook - RFM

Contains check

number, name of

payee and amount

paid


UnitN/A Daily


Women's Hospital

Warrant Registry

Logbook - COH

Contains check

number, name of

payee and amount

paid


UnitN/A Daily


Women's Hospital

Official Receipt

Receiving Logbook

Contains name of

payee, date & amount

paid

Hard Copy NO N/A Public SLRWHCash Operation

UnitN/A Daily


Women's Hospital

Petty Cash

Receiving Logbook

Contains name of


paid


UnitN/A Upon request


Women's Hospital

Report of Check

Issued

Contains purpose of

paymnet, name of

payee & amount paid


UnitN/A Monthly

of 24

http://slrwh.doh.gov.ph/index.php/transparency-seal-2017urs.dbm.gov.ph







Women's Hospital

Cash Reciept

Record

Contains name of


paid

Soft Copy NO N/A Internal SLRWHCash Operation

UnitN/A Daily


Women's HospitalOfficial Receipt

Equivalent to the

amount paid by

customer

Hard Copy NO N/A Public SLRWHCash Operation

UnitN/A Daily


Women's Hospital

Checks

(TF,RFM,MDS &

COH)

Mode of payment to

the payeeHard Copy NO N/A Public SLRWH

Cash Operation

UnitN/A Upon Issuance


Women's Hospital

Consolidated

Nursing Service

Report

Records Containing

Patients Information,

Medical Records,

Management and

Ancillary Procedures

to be done, Staff

Attendance and

Patients Census.

Hard / Soft

CopyNo N/A Exception, Limited, Internal SLRWH

Chief Nurse

OfficeN/A Bi - annual


Women's Hospital

Quality Objective

Plan (QOP) and

Quality Objective

Plan Monitoring

(QOPM) Records

Quality Management

System documents

utilized for the

attainment of Quality

Services

DOC, Hard

CopyNo N/A Limited, Internal SLRWH

Chief Nurse

OfficeN/A

QOP - as

needed

QOPM -

monthly


Women's Hospital

SLRWH Vision,

Mission and Core

Values

Organizational Vision,

Mission and Core

Values of San Lorenzo

Ruiz Women's

Hospital

PDF, PSD, JPEG,

Hard Copy,

Soft Copy

Yes

http://slrwh.do

h.gov.ph/index

.php/about-

slrwh/our-

vision-mission-

and-core-

values

Public SLRWH DCO / QMR

Initial:

1999

Latest Revision:

2017-04-01

As Needed


Women's Hospital

SLRWH Quality

Policy

Organizational Policy

of san Lorenzo ruiz

Women's Hospital

PDF, PSD, JPEG,

Hard Copy,

Soft Copy

Yes

http://slrwh.do

h.gov.ph/index

.php/about-

slrwh/quality-

policy


Initial:

2014-01-01

Latest Revision:

2017-04-01

As Needed

of 24


Women's Hospital

Performance Pledge

of SLRWH

Organiztional Pledge

of SLRWH employees

and staff

PDF, PSD, JPEG,

Hard Copy,

Soft Copy

Yes

http://slrwh.do

h.gov.ph/index

.php/about-

slrwh/our-

performance-

pledge


Initial:

2014-01-01

Latest Revision:

2017-04-01

As Needed


Women's Hospital

SLRWH

Organizational

Chart

Organizational

Structure of SLRWH

PDF, PSD, JPEG,

Hard Copy,

Soft Copy

Yes

http://slrwh.do

h.gov.ph/index

.php/about-

slrwh/our-

organizational-

chart


Initial:

2014-03-31

Latest Revision:

2017-08-01

As Needed


Women's Hospital

SLRWH Process

Map

A graphical

description of the

business process flow

of SLRWH

PDF, PSD, JPEG,

Hard Copy,

Soft Copy

No N/A Public SLRWH DCO / QMR

Initial:

2014-03-31

Latest Revision:

2017-06-01

As Needed


Women's Hospital

SLRWH Quality

Manual

Describes how San

Lorenzo Ruiz

Women’s Hospital

operates, integrating

the requirements of

ISO 9001:2015

PDF, DOC, Hard

CopyYes

http://slrwh.do

h.gov.ph/index

.php/transpare

ncy-seal-2017

Public, Limited SLRWH DCO / QMR

Initial:

2014-03-31

Latest Revision:

2017-06-01

As Needed


Women's Hospital

Compilation of

QOP, SOP and SOI

Contains all Quality

Objectives of every

units of SLRWH

PDF, Hard Copy No N/A Internal SLRWH DCO / QMR N/A As Needed

of 24


Women's Hospital

Emergency Room

Record (ER Blotter)

Patient's record w/c

include complete

name, address,

birthdate, civil status,

date & time of arrival,

condition, vital signs,

chief complain

diagnosis, treatment

given, disposition,

name of ROD, NOD

and/or encoder

Hard Copy No N/A Exception, Limited SLRWHEmergency

Room UnitN/A Daily


Women's Hospital

Emergency Room

Unit Logbook

(Admission,

Observation, Minor

Cases, Tocolysis,

Trans-in and Trans-

out, Delivery,

Medico Legal

Patient's Record Hard Copy No N/A Exception, Limited SLRWHEmergency

Room UnitN/A Daily


Women's Hospital

Patient Record on

Hospital

Information

Mamangement

Information System

(HOMIS)

Patient's record on

Hospital's Electronic

Medical Record

Soft Copy NO N/A Exception, Limited SLRWH

Emergency

Room

Unit/Health

information

Management

Unit (HIMU)

N/A Daily


Women's Hospital

In-patient and Out-

Patient Charts

Patient's chart

(Admitted and Out

Patient)

Hard Copy No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/AN/A

(Custodian)


Women's HospitalAdmission Logbook

List of admitted

patients with

admission and

discharged diagnosis


Health

Information

Management

Unit

N/A Daily


Women's HospitalBirth Registry

List of patients who

gives birth in the

institution


Health

Information

Management

Unit

N/A Daily


Women's Hospital

Fetal /Death

Registry

List of patients died in

the institutionHard Copy No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/AN/A

(Custodian)


Women's HospitalOut Patient

List of patients visited

the OPUHard Copy No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/AN/A

(Custodian)

of 24


Women's Hospital

Emergency Room

Logbook

List of patient visited

the ERHard Copy No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/AN/A

(Custodian)


Women's Hospital

Operating Room

Logbook

List of patient who

undergone a surgeryHard Copy No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/AN/A

(Custodian)


Women's Hospital

Annual Hospital

Statistical Report

Statistical Report of

the HospitalHard Copy Yes

https://ohsrs.d

oh.gov.ph/Limited SLRWH

Health

Information

Management

Unit

N/A Annually


Women's HospitalER BLOTTER

Patient's records from

emergency roomHard Copy No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/AN/A

(Custodian)


Women's HospitalBirth Certificates

One of the four copies

of Birthcerticates filed

in the municipality


Health

Information

Management

Unit

N/AN/A

(Custodian)


Women's Hospital

Medical Certificates

/ Medical Abstract

Certificates and

abstracts that

requested by the

patients

Hard copy/

July, 2018 -

softcopy

(HOMIS)

No N/A Exception, Limited SLRWH

Health

Information

Management

Unit

N/A Daily


Women's HospitalPersonal Data Sheet

Detailed information

of employees

XLS,

Hard CopyNo N/A Public SLRWH

Human

Resource

Management

Unit

Entrance To Duty

Of Employee/s

Annually Or As

Need Arises


Women's Hospital

Sworn Statements

of Assets, Liabilities

& Networth

Declared assets,

liabilities, networth

and relatives in the

government of

employees

XLS,

Hard CopyNo N/A Public SLRWH

Human

Resource

Management

Unit

Entrance To Duty

Of Employee/sAnnually


Women's HospitalDaily Time Record

Detailed working

hours rendered of

employees

Hard Copy No N/A Public SLRWH

Human

Resource

Management

Unit

Entrance To Duty

Of Employee/sMonthly


Women's Hospital

NBI, Police & Brgy.

Clearance

Clearance of

employees from

mentioned agencies

Hard Copy No N/A LimitedNBI, Police,

Brgy.

Human

Resource

Management

Unit

Entrance To Duty



Women's HospitalDrug Test Result

Clearance from use of

prohibited drugsHard Copy No N/A Limited

DOH

Accredited

Facility

Human

Resource

Management

Unit

Entrance To Duty


of 24


Women's Hospital

Neuro-

Psychometric /

Psychological

Examination Result

IQ level / emotional

readiness of

employees

Hard Copy No N/A Limited

NCMH / DOH

Accredited

Facility

Human

Resource

Management

Unit

Entrance To Duty

Of Employee/sAs Need Arises


Women's HospitalService Record

Summary of

employee movement

as to promotion,

salary increase,

LWOP, separation

XLS,


Human

Resource

Management

Unit

Entrance To Duty

Of Employee/s

Annually Or As

Need Arises


Women's HospitalMedical Record

Result of Urine,

Blood, Fecal, X-ray of

employees

Hard Copy No N/A Limited SLRWH

Human

Resource

Management

Unit

Entrance To Duty

Of Employee/s

Annually Or As

Need Arises


Women's HospitalOPCR, DPCR, IPCR

Peformance

Management Ratings

of employees


Human

Resource

Management

Unit

Entrance To Duty

Of Employee/sBi-Annually


Women's Hospital

Philippine Civil

Service Book

CSC Rules and

RegulationsHard Copy No N/A Public

Civil Service

Commission

Civil Service

Commission2008 N/A


Women's Hospital

Compendium Of

CSC Memorandum

Circulars

CSC Issuances and

UpdatesHard Copy No N/A Public

Civil Service

Commission

Civil Service

Commission2008 N/A


Women's HospitalLeave Ledger

Attendance of

employees

XLS,


Human

Resource

Management

Unit

1999-10-11 Monthly


Women's HospitalPayrolls

Salaries received and

loan repayments by

employees

XLS,


Human

Resource

Management

Unit

1999-10-11 Monthly


Women's Hospital

Competency

FrameworkCompetencies Hard Copy No N/A Limited SLRWH

Human

Resource

Management

Unit

2018-01-01 As Need Arises


Women's HospitalHospital Orders

Office orders on

training, designations,

etc


Human

Resource

Management

Unit



Women's HospitalGMIS Plantilla

XLS,

Hard Copyhttps://psipop.

dbm.gov.phN/A Limited SLRWH

Human

Resource

Management

Unit


of 24

https://psipop.dbm.gov.ph/

https://psipop.dbm.gov.ph/


Women's HospitalNDRHIS HR Report

XLS,

Hard Copyndhris.gov.ph N/A Limited SLRWH

Human

Resource

Management

Unit



Women's HospitalCBC Result

Official result of CBC

examination are used

for diagnostic

PDF, Hard Copy No N/A Exception, Limited SLRWHLaboratory

UnitN/A As Needed


Women's HospitalUrinalysis Result

Official result of Urine


for diagnostic


UnitN/A As Needed


Women's HospitalFecalysis Result

Official result of Fecal


for diagnostic


UnitN/A As Needed


Women's Hospital

Blood Chemistry

Result

Official result of Blood

chemistry


for diagnostic


UnitN/A As Needed


Women's HospitalSerology Result

Official result of

Serology examination

are used for

diagnostic


UnitN/A As Needed


Women's HospitalHIV Result

Official result of HIV


for diagnostic


UnitN/A As Needed


Women's HospitalGenExpert Result

Official result of

Genexpert


for diagnostic


UnitN/A As Needed


Women's Hospital

Histopathology

Result

Official result of

Histopath


for diagnostic


UnitN/A As Needed


Women's Hospital

Endorsement

Logbook

Daily census of

in-patients Hard copy No N/A Exception, Limited SLRWH

Medical

ServiceN/A Daily


Women's Hospital

Minutes of the

Meeting logbook

Minutes of Meeting

and Medical AuditHard copy No N/A Exceptional, Limited, Internal SLRWH

Medical

ServiceN/A Monthly


Women's HospitalISO documents

QOP, QOPM, SOP/SOI,

Risk registry, CPG's

DOC, Hard

copyNo N/A Limited, Internal SLRWH

Medical

Service2017-06-01 As Needed

of 24


Women's HospitalMSWU Logbook

Lists Of Admitted

PatientsHard Copy No N/A Exception, Internal SLRWH

Medical Social

Work UnitN/A Daily, Monthly


Women's HospitalReferral Logbook

Lists Of Patients

ReferredHard Copy No N/A Exception, Internal SLRWH

Medical Social



Women's Hospital

ORE Patients

Logbook

List of Patients

Enrolled At OREHard Copy No N/A Exception, Internal SLRWH

Medical Social



Women's HospitalReceiving Logbook

List Of For Receiving

Documents Hard Copy No N/A Internal SLRWH

Medical Social



Women's HospitalPsychosocial Form

Filled Out

Psychosocial FormHard Copy No N/A Exception, Internal, Limited SLRWH

Medical Social

Work UnitN/A Daily


Women's Hospital

Manual For Medical

Social Worker 5th

Edition

Manual Hard Copy No N/A Public DOHMedical Social

Work Unit2010 N/A


Women's Hospital

AO 31 amended

guidelines for the

implementation of

RA 747 an act to

regulate the fees to

be charged against

patients in

government

hospitals and

charity clinics

classifying patients

according to their

financial conditions

Guidelines For The

Classification Of

Patients

Hard Copy No N/A Public DOHMedical Social

Work Unit2015-07-20 N/A


Women's Hospital

AO 2017-0003 Map

Guidelines

Guidelines For The

Implementation Of

Map

Hard Copy No N/A Public DOHMedical Social

Work Unit2017-02-01 N/A


Women's HospitalDiet List

Lists Of Admitted


Nutrition And

Dietetics UnitN/A Daily, Monthly

of 24


Women's Hospital

Referral Form For

Diet Counseling

Filled Out Referral

FormHard Copy No N/A Exception, Internal SLRWH

Nutrition And

Dietetics UnitN/A Daily, Monthly


Women's Hospital

In/Out Documents

Logbook

List Of For Receiving

Documents Hard Copy No N/A Internal SLRWH

Nutrition And

Dietetics UnitN/A Daily


Women's Hospital

Meal Census

Logbook

Census Of Admitted


Nutrition And

Dietetics UnitN/A N/A


Women's HospitalMeal Serving Time

Lists Of Admitted


Nutrition And

Dietetics UnitN/A Daily


Women's Hospital

Hospital Nutrition &

Dietetics

Management

Manual

Manual Hard Copy No N/A Public DOHNutrition And

Dietetics Unit2010 N/A


Women's Hospital

AO NO. 2016 - 0020

Standardization Of

Per Capita budget

For Meal Provision

Of Patients Of The

DOH And LGU

Hospital In The

Country

The Amount Of At

least PHP 150.00 for

1,800 cal./day as

prescribed by the

physicians is

applicable to all diets

served meals.

Hard Copy No N/A Public DOHNutrition And

Dietetics Unit2016-07-13 N/A


Women's Hospital

Operation Logbook,

Delivery logbook,

Specimen logbook,

OR Technique,

Scheduled

Operation,

Anesthesia logbook,

EINC logbook

For record purposes Hard Copy No N/A Exception, Limited, Internal SLRWH

Operating and

Delivery Room

Unit

N/A

Annually,

Quarterly,

Monthly


Women's Hospital

Quality Objectives

and Plans

Out-Patient Unit

Quality Objective

statement and plans

for Quality for the

unit's continual

improvement of its

processes.

DOC, Hard


Out-Patient

Unit

October 2016 (last

revision done

January 3, 2018)

Annually/ as

needed

of 24


Women's Hospital

Standard Operating

Procedures

Out-Patient Unit's

Standard Operating

Procedures for OPU's

Core Processes- with

corresponding

interfaces from

different units and or

services (From

medical Consultation,

Dental Consultation,

Vaccination,

Inventory and

submission of reports)

DOC, Hard


Out-Patient

Unit

October 2016 (last

revision done

January 3, 2018)

Annually/ as

needed


Women's Hospital

Standard Operating

Instructions

Out-Patient Unit's

Standard Operating

Instructions for OPU's

detailed and specific

processes within the

unit.

DOC, Hard


Out-Patient

Unit

October 2016 (last

revision done

January 3, 2018)

Annually/ as

needed


Women's Hospital

Out-Patient Unit

Birth Plan

Patient's guide for

pregnancy and

delivery.

DOC, Hard


Out-Patient

UnitJanuary 2013 As needed


Women's Hospital

Out-Patient Unit

Pre-Natal Card

Patient's Pre-Natal

consultation record

(Patient's

Demographic

information, type of

classification, Date of

consultation, weight,

Blood pressure,

Fundic height, Fetal

heart tone, Tetanus

Toxoid

administration, Age of

Gestation, Physician's

name who did the

consultation, remarks

and next follow-up)

DOC, Hard

copyNo N/A Exception, Limited, Internal SLRWH

Out-Patient


of 24


Women's Hospital

Out-Patient Unit

Daily Dental Health

Accomplishments

Dental form

comprising of

patient's name,

address, dental

diagnosis and

intervention done.

DOC, Hard


Out-Patient



Women's Hospital

Out-Patient Unit

Dental medical

Waiver

Dental Waiver form

for patients who will

undergo tooth

extraction

DOC, Hard


Out-Patient

UnitÁpril 2016 As needed


Women's Hospital

Out-Patient Unit

Dental Diseases and

Services Report

Dental report form

comprising of

patient's census

DOC, Hard


Out-Patient

UnitÁpril 2016 As needed


Women's Hospital

Obstetrics Out-

Patient form

OPU Obstetric form

for patient

demographic data,

OB History taking,

assessment, plan,

management and

follow-up.

DOC, Hard


Out-Patient



Women's Hospital

Individual Dental

Health Record

Contains Dental

assessment of

patients for

consultation

(condition of teeth, #

of dental carries

amongst others)

DOC, Hard


Out-Patient



Women's Hospital

Vaccine

temperature

Monitoring Chart

Monitoring form for

Vaccine Refrigerator's

Temperature (Body

and freezer of Ref.)

DOC, Hard

copyNo N/A Internal SLRWH

Out-Patient



Women's Hospital

Child Immunization

Record

Immunization record

of patient during OPU

consultation

Print-out from

DOHNo N/A Exception, Limited, Internal SLRWH

Out-Patient


of 24


Women's Hospital

Consolidated "Ang

unang linggo ng

pagpapasuso"(Year

013-2016)

OPU form for

discharged Newborn

monitoring their input

(breastfeeding

frequency) and

output (urine and

stool)

DOC, Hard


Out-Patient



Women's Hospital

Consolidated

Requisition and

Issuance Slip 2014-

2017

OPU Requisition slips

collated per year

DOC, Hard

copyNo N/A Internal SLRWH

Out-Patient



Women's Hospital

OPU Minutes of

meeting (2014-

2017)

Output of OPU

minutes of meeting

per month

DOC, Hard


Out-Patient



Women's Hospital

Documentation of

OPU lectures (2014-

2016)

Contains attendance

sheet and photo

attachment per

lectures conducted

DOC, Hard


Out-Patient



Women's Hospital

OPU's Citizen's

Charter

Form that contains

OPU's Citizen's

charter indicating

waiting time per

patient transaction

and process.

PDF, JPEG No N/A Public SLRWHOut-Patient



Women's HospitalOPU's Risk Registry

OPU documents that

contains Risk events

that happened/might

happen in the unit

with corresponding

existing controls, and

action plans to

minimize and address

the risk

XLS,

Hard CopyNo N/A Internal SLRWH

Out-Patient



Women's Hospital

OPU Doctor's

Attendance

Logbook

Physician's logbook

for attendanceHard Copy No N/A Internal SLRWH

Out-Patient


of 24


Women's Hospital

OPU Breastfeeding

and Lactation

logbook

Registry logbook for

Breastfeeding

patients

Hard Copy No N/A Exception, Limited, Internal SLRWHOut-Patient



Women's Hospital

OPU Intsrument

Logbook


OPU instruments

(Removal of suture

instruments)

Hard Copy No N/A Internal SLRWHOut-Patient



Women's Hospital

OPU Pre-natal

schedule logbook


pre-natal patients

who will undergo




Women's Hospital

OPU Minutes of

Meeting (Family

Planning Logbook)

Documentation of

minutes of meeting

for Family Planning

Committee

Hard Copy No N/A Limited, Internal SLRWHOut-Patient



Women's Hospital

OPU Minutes of

Meeting (Staff

logbook)

Documentation of

minutes of meeting

for OPU staff (for

deletion)

Hard Copy No N/A Limited, Internal SLRWHOut-Patient



Women's Hospital

OPU Notification

Logbook


Notification of

elective cases at OPU




Women's Hospital

OPU Pre-Operative

logbook


patient for pre-

operative evaluation

of Anesthesiologist at

ODRU




Women's Hospital

OPU Post-operative

infection/Omphaliti

s logbook


patient and newborn

with omphalitis and

with Surgical site

infection



of 24


Women's Hospital

OPU Receiving

logbook

Registry logbook

outgoing OPU

documents




Women's Hospital

OPU Schedule of

Operation logbook

Registry logbook of

elective cases at OPUHard Copy No N/A Exception, Limited, Internal SLRWH

Out-Patient



Women's Hospital

OPU Summary of

Census Logbook


OPU CensusHard Copy No N/A Limited, Internal SLRWH

Out-Patient



Women's Hospital

OPU Minor

Operation logbook


OPU Minor casesHard Copy No N/A Exception, Limited, Internal SLRWH

Out-Patient



Women's Hospital

Retention and

Disposition logbook


OPU documents for

storage and for

disposal




Women's Hospital

Inter-Unit Referral

Logbook


patients referred to

other type of

consultation, if

admitted and or

transferred.




Women's Hospital

Teenage Pregnancy

Logbook


pre-natal patients

below 18 years old



of 24


Women's Hospital

OPU Internal

medicine, Family

Medicine and

Surgery Schedule

Logbook


IM, FM and Surgery

patients for

scheduling.




Women's Hospital

OPU Post-Natal,

Dental and Gyne

Schedule Logbook


Post-Natal, Dental

and Gyne patients for

scheduling.




Women's Hospital

OPU Well Baby, Sick

Baby and CRC

Schedule Logbook


Well Baby, Sick Baby

and CRC patients

scheduling.




Women's Hospital

STI-AIDS NEC Form

A

National

Epidemiology Center

Form A for HIV

Screening containing

demographic

information and

health history.

Hard Copy Yes N/A Exception, Limited, Internal SLRWHOut-Patient



Women's Hospital

Laboratory Consent

Form

SLRWH's Laboratory

Consent FormHard Copy No N/A Exception, Limited, Internal SLRWH

Out-Patient



Women's Hospital

Personal

Information Sheet

Personal Information

Sheet from NEC in

consonance with NEC

form A- copy of

Laboratory Unit

Hard Copy Yes N/A Exception, Limited, Internal SLRWHOut-Patient



Women's Hospital

Guidelines and

tools for Monitoring

HIV, Infant Feeding

and monther Baby

friendly care

guidelines and tools

for monitoring of

pregnant women




Women's Hospital

Intra-Hospital TB

Referral Form

Referral for for

patients with

presumptive PTB

DOC, Hard


Out-Patient



Women's Hospital

Smoking

Cessation/Tobacco

Control Program-

Patient Profile

SCTC form containing

patient's

demographic

information

DOC, Hard


Out-Patient


of 24


Women's Hospital

Self-Test on

Readiness to Stop

Smoking

Smoking Cessation

Self-Appraisal test for

smokers

DOC, Hard


Out-Patient



Women's Hospital

Self-Test on

Nicotine

Dependence

SCTC Self-test for

Nicotine Dependence

for smokers

DOC, Hard


Out-Patient



Women's Hospital

Self-Test on

Reasons For

smoking

SCTC Self- test on

reasons for smoking

DOC, Hard


Out-Patient



Women's Hospital

Contract to Quit

Smoking

Contract to Quit

Smoking

DOC, Hard


Out-Patient



Women's HospitalThe Quit Plan

Forms dealing with

strategies to quit

smoking

DOC, Hard


Out-Patient



Women's HospitalPrescriptions

Record containing

patient's information,

medications and

prescriber's info

Hard Copy No N/A Exception SLRWH Pharmacy Unit N/A N/A


Women's HospitalStock Cards

Contains beginning

balances of drugs and

medicines, quantities

issued and ending

balances for

monitoring and

inventory purpose.

XLS, Hard Copy No N/A Internal SLRWH Pharmacy Unit N/A Daily


Women's Hospital

Temperature

Monitoring Sheet

Recorded

temperature of

pharmaceutical

refrigerator and

storage area

XLS, Hard Copy No N/A Internal SLRWH Pharmacy Unit N/A Daily


Women's HospitalMinutes of Meeting

Recorded discussion

and resolutions

concerning pharmacy

matters

DOC, Hard

CopyNo N/A Internal SLRWH Pharmacy Unit N/A

Monthly or as

needed

of 24


Women's Hospital

Quality Objective

Plan (QOP) and

Quality Objective

Plan Monitoring

(QOPM)

Attainment of quality

services

DOC, Hard

CopyNo N/A Internal SLRWH Pharmacy Unit N/A

QOP - as

needed

QOPM -

monthly


Women's Hospital

Standard Operating

Instructions and

Procedures (SOP,

SOI)

Policies and

procedures of unit's

daily operation.

XLS, Hard Copy No N/A Internal SLRWH Pharmacy Unit N/A as needed


Women's HospitalCitizen's Charter

Step by step

instruction to patients

including time frame

for each step

Hard Copy No N/A Public SLRWH Pharmacy Unit N/A as needed


Women's Hospital

Referrences

(Hospital Pharmacy

Management

Manual, Philippine

National Formulary

(PNF), Drug Price

Reference Index

(DPRI), R.A. 8203,

5921, 6675, 3720,

6425, 9257, 9184,

9165)

Guidelines followed

by Pharmacy UnitHard Copy Yes

http://www.ph

armadiv.doh.g

ov.ph/

https://dpri.do

h.gov.ph/

elibrary.judicia

ry.gov.ph

Public DOH Pharmacy Unit N/A N/A


Women's Hospital

PDEA Semi Annual

Report

All transactions,

deliveries, issuances

concerning dangerous

drugs

XLS, Hard Copy No N/A Internal SLRWH Pharmacy Unit N/A Biannually


Women's HospitalInventory Report

Recorded

deliveries,issuances,

beginning and ending

balances of all drugs

and medicines

XLS, Hard Copy No N/A Internal SLRWH Pharmacy Unit N/A Monthly

of 24


Women's Hospital

Electronic Drug

Price Monitoring

System (EDPMS)

Includes drug

inventories with

corresponding prices.

RAR, Electronic Yeshttps://edpms.

doh.gov.ph/Internal SLRWH Pharmacy Unit N/A Quarterly


Women's Hospital

Inventory Report on

Donated Drugs

(DOH)

All deliveries,

issuances of drugs

and medicines from

Department of Health

Hard Copy No N/A Internal SLRWH Pharmacy Unit N/A Monthly


Women's Hospital

Purchase

Requisitioning

Detailed request of

requesting unitXLS, Hard Copy No N/A Public

Requesting

Unit

Procurement

Unit / Bids and

Awards

Committee

2001 Monthly


Women's Hospital

SLRWH Bidding

Documents

Detailed instruction

to bidders including

Terms and reference

and request of

Requesting Unit

XLS Yeswww.philgeps.

gov.phPublic SLRWH

Procurement

Unit / Bids and

Awards

Committee

2008 Monthly


Women's Hospital

Bidders Bidding

Requirements

a. Business Permit

b. Tax Clearance

c. Certificate of

Registration (2303)

d. Income Tax

Return

e. License to

Operate

f. PhilGEPS

Certificate/

Registration

g. Omnibus Sworn

Statement

H. Financial

Stament

I. On-Going and

Finish Project

Bidders Eligibility

Requirements Hard Copy No N/A Limited

Prospective

Bidders

Procurement

Unit / Bids and

Awards

Committee

2008 Monthly


Women's HospitalNotice of Award

summary of awarded

itemsXLS, Hard Copy Yes

www.philgeps.

gov.ph /

www.slrwh.do

h.gov.ph

Public SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly

of 24


Women's HospitalBAC Resolution

Resolution of Issues

and Concern of BACXLS, Hard Copy Yes

www.philgeps.

gov.ph /

www.slrwh.do

h.gov.ph

Public SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly


Women's Hospital

Purchase Order/Job

Order

Contract of

AgreementXLS, Hard Copy Yes

www.philgeps.

gov.ph /

www.slrwh.do

h.gov.ph

Public SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly


Women's HospitalNotice to proceed

Contract of

AgreementXLS, Hard Copy Yes

www.philgeps.

gov.ph /

www.slrwh.do

h.gov.ph

Public SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly


Women's Hospital

Abstract of Bid/

Abstract of Canvass

summary of awarded

itemsXLS, Hard Copy No N/A Public SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly


Women's Hospital

Post Qualification

ReportBid evaluation Report XLS, Hard Copy No N/A Public SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly


Women's Hospital

Supplier

Accreditation Form

List Suppliers

InformationXLS, Hard Copy No N/A Limited SLRWH

Procurement

Unit / Bids and

Awards

Committee

2001 Quarterly


Women's HospitalX-ray Result

Official Result of X-

Ray procedure are

used for diagnostic

PDF, Hard Copy No N/A Exception, Limited SLRWH Radiology Unit N/A N/A


Women's HospitalECG Result

Official Result of ECG

procedure are used

for diagnostic

Hard Copy No N/A Exception, Limited SLRWH Radiology Unit N/A N/A


Women's HospitalUltrasound Result

Official Result of

Ultrasound procedure

are used for

diagnostic

PDF, Hard Copy No N/A Exception, Limited SLRWH Radiology Unit N/A N/A


Women's Hospital2D Echo

Official Result of 2D

Echo procedure are

used for diagnostic

xls; hard copy No N/A Exception, Limited SLRWHRADIOLOGY

UNITN/A N/A

of 24


Women's HospitalDischarge Logbook

Contains patient's

personal informations

like name, age, time

and date of

admission, time and

date of diagnosis,

patient's admitting

and final diagnosis

Hard Copy No N/A Exception, Internal SLRWH Ward 1 Unit N/A Daily


Women's Hospital

Newborn Screening

and Hearing

Logbook

Contains patient's

personal informations

like name, date and

time of delivery, date

and time of blood

collection, address,

contact number,

results

Hard Copy No N/A Exception, Internal SLRWH Ward 1 Unit N/A Daily


Women's Hospital

Quality Objective

Plan and Quality

Objective Plan

Monitoring


services

DOC, Hard

CopyNo N/A Internal SLRWH Ward 1 Unit N/A

QOP - As

Needed

QOPM -

Monthly


Women's Hospital

Standard Operating

Instructions and

Procedures

Policies and


daily operation

DOC, Hard

CopyNo N/A Internal SLRWH Ward 1 Unit N/A As Needed


Women's Hospital

RSMI and

Consumption

Report

Summary of issued

and utilized supplies

Hard Copy,

Soft CopyNo N/A Internal SLRWH Ward 1 Unit N/A Monthly


Women's HospitalRisk Registry

Compilation of

possible incidents

that may occur in the

unit

DOC, Hard

CopyNo N/A Internal SLRWH Ward 1 Unit N/A As Needed


Women's HospitalStock Cards

Contains beginning

balances of medical

supplies quantities

issued and ending

balances for

monitoring and

inventory purpose.

XLS, Hard Copy No N/A Internal SLRWH WARD 2 Unit N/A Daily

of 24


Women's HospitalMinutes of Meeting

Recorded discussion

and resolutions

concerning WARD II

issues.

DOC, Hard

CopyNo N/A Internal SLRWH WARD 2 Unit N/A

Monthly or as

needed


Women's Hospital

Quality Objective

Plan (QOP) and

Quality Objective

Plan Monitoring

(QOPM)


services

DOC, Hard

CopyNo N/A Internal SLRWH WARD 2 Unit N/A

QOP - as

needed

QOPM -

monthly


Women's Hospital

Standard Operating

Instructions and

Procedures (SOP,

SOI)

Policies and


daily operation.

DOC, Hard

CopyNo N/A Internal SLRWH WARD 2 Unit N/A As Needed


Women's HospitalCitizen's Charter

Step by step

instruction to all

health care provider

and patients including

time frame for each

step

Hard Copy No N/A Public SLRWH WARD 2 Unit N/A As Needed


Women's HospitalRSMI

Summary of supplied

issued

Hard Copy,

Soft CopyNo N/A Internal SLRWH WARD 2 Unit N/A Monthly


Women's Hospital

Consumption

Report

Summary of

utilization of Supplies

Hard Copy,



Women's HospitalRisk Registry

Compilation of

possible incidents

that may happen in

the area

Hard Copy,



Women's HospitalStatistical Report

Patients Census and

its Diagnosis

Hard Copy,

Soft CopyNo N/A Limited, Internal SLRWH WARD 2 Unit N/A Monthly

of 24

SLRWH Information Inventory - San Lorenzo Ruiz Women's ...

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