Guidelines on the Implementation of the National Health Facility Registry

December 20, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0060

 

I. RATIONALE

The Universal Health Care (UHC) Act (RA 11223) states that every Filipino shall be granted immediate eligibility and access to care through a registered network of health care providers known as Health Care Provider Network (HCPN). To achieve this end, quality data from all health facilities must be submitted and exchanged within the HCPN in a timely and efficient manner. This is further emphasized in the FOURmula One (F1) Plus for Health which states the importance of quality data and use of evidence for health policy development, program planning and implementation. HTcADC

The cornerstone to implement these is the Philippine eHealth Strategic Framework 2014-2020 which specifies the Philippine Health Information Exchange (PHIE) as the infrastructure for sharing of health information among participating health care providers in the treatment and care of patients. The creation of the National Health Facility Registry (NHFR) aims to provide a master facility list that sets attributes to uniquely identify both private and public facilities and their corresponding service capability that will enable this exchange across information systems in the health sector.

Leveraging the NHFR to facilitate linking and exchange of data, such as PHIE, will produce comparable facility data sets useful for health facility operations such as supply chain, human resource management including disease reporting to unify multiple surveillance systems and tracking of patients. A functional facility registry is one that is updated regularly through standard guidelines, is accessible to public and private stakeholders, meet the data needs of consumers, and is housed in a software solution that facilitates data curation, update, and archiving of no longer valid data.

In view of this, guidelines on the NHFR implementation has been developed to address proliferation of health facility lists with different naming conventions and coding and address problems in sharing, exchange, and consolidation of data in health facilities.

II. OBJECTIVES

This Order aims to institutionalize the NHFR as the official national reference of all health facilities in the Philippines and mandates the use of NHFR in all health facilities and all their corresponding information systems.

The specific objectives of this Order are to:

1. Provide clear operational guidelines for a sustainable, reliable, and credible registry system;

2. Ensure compliance of health stakeholders with the directives and guidelines of updating health facility data; and

3. Establish NHFR as an up-to-date, participatory, and easily accessible reference directory for the HCPN.

III. SCOPE AND COVERAGE

These guidelines shall apply to all public and private health facilities in the Philippines licensed and registered by the Department of Health, including health facilities to be constructed/under construction.

IV. DEFINITION OF TERMS

For the purposes of this Order, the succeeding terms and acronyms shall be defined as follows:

1. Health facility — an institution that has health care as its core service, function or business. Health care pertains to the maintenance or improvement of the health of individuals or populations through the prevention, diagnosis, treatment, rehabilitation and chronic management of disease, illness, injury and other physical and mental ailments or impairments of human beings. (See Annex A for list of facilities and their definition)

2. National Health Data Dictionary — reference on data definitions and information standards relevant to the health sector; provides a common language for the various agencies and governments involved in health services.

3. National Health Facility Registry (NHFR) — the official and complete list of all health facilities in the country that has a unique identification code, complete and up-to-date georeferenced registry.

4. Spatial Data — also known as geospatial data; it is the data or information that identifies the geographic location of features and boundaries on Earth.

5. Validate — To check all existing content of the NHFR and ensure entries are complete and correct.

V. GENERAL GUIDELINES

1. NHFR shall serve as the official and updated reference of all health facilities in the country.

a. All health facilities, especially those with License to Operate or Certificate of Accreditation, shall be reported and included in the NHFR. Health facilities include, but not limited to, Hospitals, Infirmaries, Rural Health Units, City Health Centers, Barangay Health Stations, Birthing Homes, Drug Abuse Treatment and Rehabilitation Centers, Diagnostic/Therapeutic Facilities, Medical Facilities for Overseas Workers and Seafarers, Water Testing Facilities, Social Hygiene Clinics, Psychiatric Care Facilities, School Clinics, Kidney Transplant Facilities, Blood Service Facilities, Clinical Laboratories, Dental Clinics, Dialysis Clinics, and HIV Testing Centers. aScITE

b. The public can access and download the updated list of health facilities through the official NHFR website — nhfr.doh.gov.ph.

c. NHFR shall be available, accessible and downloadable twenty-four (24) hours a day and seven (7) days a week except during regular maintenance and technical downtimes.

d. NHFR database shall be validated and updated every March by the Department of Health through the Knowledge Management and Information Technology Service (KMITS).

2. NHFR shall follow eHealth standards.

a. NHFR shall use terminologies consistent with the National Health Data Dictionary.

b. Spatial data collection procedure shall conform to the Geographic Data Collection Protocols of the Department of Health posted at DOH website with the link: www.doh.gov.ph/gps-protocols and attached as an annex in the NHFR Manual.

c. NHFR data shall at all times be kept secured and protected.

d. It shall follow a standard documentation for monitoring updates.

3. All health facilities shall display their NHFR code in a metal plate (Annex B).

VI. SPECIFIC GUIDELINES

1. Inputting data into the NHFR

a. Only the Department of Health through the Knowledge Management and Information Technology Service (KMITS), Centers for Health Development (CHD) Regulation, Licensing and Enforcement Division (RLED) and Provincial DOH Office (PDOHO) Development Management Officers (DMO) shall input and edit data in the NHFR.

b. NHFR user accounts shall be created: One (1) for the RLED unit of the CHD, one (1) for the Information and Communications Technology (ICT) unit of the CHD, and one (1) for each PDOHO DMO. For user account application and management, refer to the NHFR Manual of Operations or at nhfr.doh.gov.ph/manual.

c. The PDOHO DMOs shall use the NHFR Data Collection Form (Annex C) to collect updated information from Barangay Health Stations (BHS) and Rural Health Units (RHU).

2. Updating the NHFR

a. The PDOHO DMOs shall update the data of BHSs and RHUs and the central and regional licensing officers shall update the data of all licensed health facilities of DOH.

b. The CHD Health Facility Development Unit (HFDU) shall coordinate with the PDOHO DMOs and CHD RLED and inform them of the necessary updates that must be reflected in their regions' list of health facilities in the NHFR. In coordination with the Provincial Health Office, the HFDU shall liaise for data quality and oversight.

c. The PDOHO DMOs, central and regional licensing officers together with KMITS shall check the validity of the information in the NHFR every first quarter of the year.

3. Monitoring and reporting

a. KMITS shall create status reports of NHFR updates which shall be disseminated to the CHDs.

b. NHFR shall conform to a vetted monitoring and evaluation framework to guide impact and use. (Annex D)

VII. ROLES AND RESPONSIBILITIES

1. Knowledge Management and Information Technology Service (KMITS) shall:

a. Oversee and manage operational activities regarding NHFR forming a technical working group who will update policies and plans on NHFR;

b. Lead consultative and advisory activities with regard to the conceptual and regulatory aspects of the registry;

c. Review and approve the updated attribute data submitted by NHFR users;

d. Provide technical assistance/training to build capacity in using the system;

e. Resolve issues, concerns and problems on the development, utilization, and implementation of the system;

f. Implement NHFR monitoring and evaluation mechanisms to improve data quality and use including documenting and reporting of users' feedback and recommended improvements in the system.

2. Centers for Health Development (CHD) shall: HEITAD

a. Request from KMITS, unique NHFR codes for newly licensed, registered or about to be constructed health facilities;

b. Update new attributes of all health facilities already captured in the NHFR;

Note: Refer to the NHFR Manual of Operations for the personnel responsible and step-by-step guide for the updating process.

c. Provide technical assistance to NHFR users in their respective region;

d. Assist KMITS in conducting capacity building activities;

e. Report issues, concerns and problems encountered while using NHFR; and

f. Recommend prospective improvements of the system;

g. Include NHFR facility codes when identifying health facilities in all their activities (i.e., data collection, reports list, etc.).

3. All Health Facilities shall:

a. Ensure that their health facility is registered in NHFR;

b. Report changes in health facility attributes to DMOs;

c. Require electronic medical record system developer or service provider to use NHFR Facility Code, if using a non-DOH certified electronic medical record system;

d. Display NHFR metal plates prominently in health facilities; and

4. Other Government Agencies (GA), Non-Government Agencies (NGA), Government-Owned and Controlled Corporations (GOCCs), private sector, and Local Government Units (LGU) shall:

a. Include NHFR facility codes when identifying health facilities in all their activities (i.e., data collection, reports list, etc.) in coordination with DOH.

VIII. REPEALING CLAUSE

All Orders, rules, regulations, and other related issuances inconsistent with or contrary to this Order are hereby repealed, amended, or modified accordingly. All other provisions of existing issuances which are not affected by this Order shall remain valid and in effect.

IX. EFFECTIVITY

This Order shall take effect immediately.

(SGD.) FRANCISCO T. DUQUE III, MD, MScSecretary of Health

ANNEX A

Health Facilities Dictionary

Health facilities primarily offer direct health service delivery while health offices provide other services to support and/or facilitate the administration and management of health care services. At times, these functions are integrated within a single institution and proper identification of function is necessary to avoid multiplicity of considering the total count of health facilities.

1. HEALTH FACILITY — an institution that has health care as its core service, function or business. Health care pertains to the maintenance or improvement of the health of individuals or populations through the prevention, diagnosis, treatment, rehabilitation and chronic management of disease, illness, injury and other physical and mental ailments or impairments of human beings.

2. HEALTH OFFICE — a barangay, municipal, city, province, regional government and private offices that do not provide direct health services or with health services not defined as their core service, function or business. These include administrative and management offices of municipal, city, provincial and regional health units. Ex., Municipal Health Office, City Health Office, Provincial Health Office, Regional Health Office, research offices, etc.

Ownership of health facilities can be divided into:

1. Government — a health facility created by law. A government facility may be under the National Government, DOH, Local Government Unit (LGU), Department of National Defense (DND), Philippine National Police (PNP), Department of Justice, State Universities and Colleges (SUCs), Government Owned and Controlled Corporations (GOCCs) and others. (A.O. No. 2012-0012)

2. Private — a health facility owned, established and operated with funds through donation, principal, investment or other means by an individual, corporation, organization. A private health facility may be a single proprietorship, partnership, corporation, cooperative, foundation, religious, non-government organization and others. (A.O. No. 2012-0012)

HEALTH FACILITIES — DEFINITIONS AND FUNCTIONS: (in alphabetical order)

1. AMBULATORY SURGICAL CLINIC — a health facility which is primarily organized, constructed, renovated or otherwise established for the purpose of providing elective surgical treatment of outpatients whose recovery, under normal and routine circumstances, will not require inpatient care. (A.O. No. 183, s. 2004, A.O. No. 24, s. 1994)

2. BARANGAY HEALTH STATION (BHS) — a government primary health facility that provides primary care services at the barangay level; is focused on preventive and promotive population-based health services, assists in patient navigation as a satellite health facility of the Rural Health Unit (RHU) and Urban Health Unit (UHU); and follows the standards set by the DOH. The BHS is equivalent to the Barangay Health Center of the Local Government Code of 1991. The term health center is sometimes used by communities to refer to these facilities; see related Rural Health Unit/Urban Health Unit.

3. BIRTHING HOME — a short-stay, non-hospital based health facility that provides maternity services including prenatal and postnatal care, normal spontaneous delivery and care of newborn babies to low-risk mothers and babies.

4. BLOOD SERVICE FACILITY (BSF) — a unit, agency or institution providing blood products. The types of BSF are Blood Station (BS), Blood Collecting Unit (BCU), Hospital Blood Bank (BB), and are Blood Center (BC) (Regional, Sub-National and National). (A.O. No. 2008-008)

5. CLINICAL LABORATORY — a health facility where tests are done on specimens from the human body to obtain information about the health status of a patient for the prevention, diagnosis and treatment of diseases. The tests include, but are not limited to, the following disciplines: clinical chemistry, hematology, immunohematology, molecular biology and cytogenetics. The total testing process includes pre-analytical, analytical and post analytical procedures. (R.A. No. 4688, A.O. No. 2007-0027)

a) General Clinical Laboratory — provides the following minimum service capabilities such as, but not limited to, routine hematology, qualitative platelet determination, routine urinalysis, routine fecalysis, blood typing, etc.

b) Specialized Clinical Laboratory — offers highly specialized laboratory services that are not provided by a general clinical laboratory.

6. CUSTODIAL CARE FACILITY — a health facility that provides long term care, including basic human services like food, shelter to patients with chronic or mental illness, patients in need of rehabilitation owing substance abuse, people requiring ongoing health and nursing care due to chronic impairments and a reduced degree of independence in activities of daily living. (A.O. No. 2012-0012)

7. DENTAL CLINIC — a section or clinic in a hospital or non-hospital based facility with standard dental equipment, instruments and supplies plus all the anesthetic and sterilization apparatus that provides basic and/or expanded outpatient services for oral health education, oral examination, fluoride application, oral prophylaxis, tooth filling, tooth extraction, root canal, minor surgeries. May also offer specialized dentistry service such as orthodontic treatment, cosmetic dentistry, prosthodontic dentistry and diagnostic dental services. ETHIDa

8. DIAGNOSTIC FACILITY — a type of health facility that examines the human body or specimens from human body (except laboratory for drinking water analysis) for the diagnosis, sometimes treatment of diseases. The test covers the pre-analytical, analytical and post analytical phases of examination. (A.O. No. 2012-0012) Examples: Clinical Laboratory, Drug Testing Facility, Radiologic Facility, HIV Testing Center, Water Testing Facility

9. DIALYSIS CLINIC — a health facility where a cleansing process using dialyzing equipment (artificial kidney) and appropriately recognized procedures is performed. (A.O. No. 2012-0001)

10. DRUG ABUSE TREATMENT AND REHABILITATION CENTERS — a health facility that provides comprehensive patient drug treatment and rehabilitation services which ranges within a spectrum of medical and psychological management. This is further classified into:

a. Non-residential Treatment and Rehabilitation Center/Outpatient Center — a health facility that provides diagnosis, treatment and management of drug dependents on an outpatient basis. It may be a drop-in/walk-in center, recovery clinic, or any other facility with consultation and counseling as the main services provided, or may be an aftercare service facility. Patients diagnosed with moderate substance use disorder are oftentimes referred to this center.

b. Residential Treatment and Rehabilitation Center/Inpatient Center — a health facility that provides comprehensive and rehabilitation services utilizing any of the accepted modalities as described in the Manual of Operations towards the rehabilitation of a person with substance use disorder in an inpatient basis. Patients diagnosed with severe substance use disorder are often times admitted to this center.

c. Residential Treatment and Rehabilitation Center with Outpatient Service Capability — a health facility that provides both outpatient and inpatient service.

11. DRUG TESTING FACILITY — a health facility that is capable of testing a specimen to determine the presence of dangerous drugs therein.

a. SCREENING LABORATORY — a laboratory capable of drug screening test to eliminate negative specimen from further consideration and to identify the presumptively positive specimen.

b. CONFIRMATORY LABORATORY — a laboratory that performs qualitative and quantitative examination of a specimen independent from that of a drug screening test.

12. GENERAL HOSPITAL — a type of hospital that provides services for all kinds of illnesses, disease, injuries or deformities. A general hospital shall provide medical and surgical care to the sick and injured, maternity, newborn and child-care. It shall be equipped with the service capabilities needed to support board certified/eligible medical specialist and other licensed physicians rendering services in, but not limited to Clinical Services (Family Medicine; Pediatrics; Internal Medicine; Obstetrics and Gynecology; Surgery), Emergency Services, Out Patient Services, Ancillary and Support Services such as clinical laboratory, imaging facility and Pharmacy. (A.O. No. 2012-0012); see related Hospital and Specialty Hospital

a. Service capability of general hospitals are the following:

1. Level 1 Hospital — Non-departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality with clinical services that include general medicine, pediatrics, obstetrics and gynecology, surgery and anesthesia. Provides appropriate administrative and ancillary services (clinical laboratory, radiology, pharmacy) and provides nursing care for patients who require intermediate, moderate and partial category of supervised care for 24 hours or longer. (A.O. No. 2012-0012)

2. Level 2 Hospital — Departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality, as well as particular forms of treatment, surgical procedures and intensive care. Same clinical services provided in Level 1 Hospital, as well as specialty clinical care. Provides appropriate administrative and ancillary services (clinical laboratory, radiology, pharmacy), gives total nursing and intensive skilled care. (A.O. No. 2012-0012)

3. Level 3 Hospital — Teaching and training hospital that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and sub specialized forms of treatment, surgical procedure and intensive care. Same clinical services provided in Level 2 Hospital, as well as sub-specialty clinical care. Provides appropriate administrative and ancillary services (clinical laboratory, radiology, pharmacy), nursing care and continuous and highly specialized critical care. (A.O. No. 2012-0012)

13. HALFWAY HOUSE — a community-based, short term, housing facility for those in recovery from physical, mental, and emotional disabilities, including those suffering from mild to moderate drug & alcohol dependence, with a structured environment and crucial support in reintegrating into society.

14. HIV TESTING CENTER — a health facility credited by the Health Facilities and Services Regulatory Bureau (HFSRB), capable of performing HIV Testing by medical technologists that have undergone the training on HIV Testing Proficiency. (A.O. No. 2014-0005)

15. HOSPICE — a health facility that provides hospice care defined as a component of palliative care of a chronically ill, terminally ill or seriously ill patient's pain and symptoms, otherwise known as end-of-life care that consists of medical, psychological, spiritual and practical support or patients unable to perform self-care and with declining conditions despite definitive treatment and other disease modifying interventions. (IRR of R.A. No. 11215)

16. HOSPITAL — a place devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment and care of individuals suffering from illness, disease, injury or deformity, or in need of obstetrical or other medical and nursing care. The term 'hospital shall also be construed as any institution, building or place where there are installed beds, or cribs, or bassinets for twenty-four-hour use or longer by patients in the treatment of diseases, diseased-conditions, injuries, deformities, or abnormal physical and mental states, maternity cases, and all institutions such as those for convalescence, sanitaria or sanitaria care, infirmities, nurseries, dispensaries and such other names by which they may designated. (R.A. No. 4226); see related General Hospital and Specialty Hospital

17. HUMAN STEM CELL (CELLULAR THERAPY FACILITY) — a facility that may act as an entity providing the service of cellular therapy product collection and a location where cellular therapy product processing activities are performed in support of its clinical program. The facility may also serve as the storage area for cellular therapy product for future processing, distribution or administration. (A.O. No. 2013-0012)

18. INFIRMARY — a health facility that provides emergency treatment and care to the sick and injured, as well as clinical care and management to mothers and newborn babies. It provides basic, non-complex inpatient, diagnostic, and treatment services usually by general practitioners. The need for infirmaries is decided according to the local context. (R.A. 4226, A.O. No. 2012-0012)

19. IN-VITRO FERTILIZATION CENTER — a health facility that performs in-vitro fertilization and other health related services that has passed accreditation of the DOH.

20. MEDICAL FACILITIES FOR OVERSEAS WORKERS AND SEAFARERS — a health facility that conducts Pre-Employment Medical Examination (PEME). It refers to a complete medical examination during screening to determine physical and mental fitness to work for overseas workers and seafarers for inter-island/overseas employment. (A.O. No. 101-2004) AIDSTE

21. MEDICAL OUTPATIENT CLINIC — a health facility that provides ambulatory general or specialized outpatient care to patients with injuries or infirmity requiring the range of non-urgent to immediate care, commonly addressing minor and non-life threatening illnesses and injuries. Examples: Family Planning Clinic, HIV Clinic, Social Hygiene Clinic, School Clinic, Office Clinic

22. MENTAL HEALTH FACILITY — refers to any establishment, or any unit of an establishment, which has, as its primary function the provision of mental health services. (R.A. No. 11036)

23. MOBILE HEALTH SERVICE — a mobile motorized resource with ability to transport, transfer, carry and provide health services. These mobile resources are housed and offered as a service of a "mother" health facility or health office. Ex. Ambulance, Mobile clinic, Mobile dental van, Mobile x-ray

24. NATIONAL REFERENCE LABORATORY — the highest level of laboratory in the country, mandated to provide laboratory confirmatory services, provide training, perform surveillance, do outbreak response, provide External Quality Assurance, perform kit evaluation, and do research. NRL may have designated Sub-National Laboratories (SNL).

25. NEWBORN HEARING SCREENING REFERENCE CENTER — shall refer to the central facility at the National Institutes of Health (NIH) that defines testing and follow-up protocols, maintains an external laboratory proficiency testing program, oversees the national testing database and case registries, assists in training activities in all aspects of the program, and oversees content of educational materials. (R.A. No. 9709)

26. NEWBORN SCREENING REFERENCE CENTER — central facility at the National Institutes of Health, Philippines (NIHP) that defines testing and follow up protocols, maintains an external laboratory proficiency testing program, oversee the national testing database and case registries, assist in training activities in all aspects of the New Born Screening (NBS) program, oversee content of educational materials, recommends establishment of New Born Screening Centers (NSCs) and act as the Secretariat of the Advisory Committee on Newborn Screening. (IRR of R.A. No. 9288)

27. NUCLEAR MEDICINE FACILITY — a health facility, presently regulated by Philippine Nuclear Research Institute (PNRI), embracing all applications of radioactive, materials in diagnosis, treatment or in medical research, with the exception of the uses of sealed radiation sources in radiotherapy. (A.O. No. 2012-0012)

28. NURSING HOME — a residential facility providing a high level of long-term custodial, personal or nursing care for persons such as the aged or the chronically ill. The facility may also provide palliative and/or hospice care at end of life.

29. OFFICE CLINIC — a medical outpatient clinic inside a professional work or employment environment that provides primary care services including treatment of minor ailments, immediate management of emergency cases, health education, health promotion and referral to an appropriate facility; see related Medical Outpatient Clinic.

30. OUTPATIENT DRUG TREATMENT FACILITY — a community-based drug recovery facility which adheres to a specific integrated model of treatment for people affected by drug use. It provides a continuum of care from outreach and low threshold services and involves the coordination of a number of health, social and other non-specialist services needed to meet the patient's needs. An Outpatient Drug Treatment Facility within a Drug Abuse Treatment and Rehabilitation Center (DATRC) or Hospital is recognized as its service or unit and not as a separate facility.

31. PHARMACEUTICAL OUTLET — refer to entities licensed by appropriate government agencies, and which are involved in compounding and/or dispensing and selling of pharmaceutical products directly to patient or end-users. (R.A. No. 10918)

32. PHYSICAL THERAPY AND REHABILITATION FACILITY — a health facility concerned with the maximal restoration or development of physical, psychological, social, occupational and vocational functions in persons whose abilities have been limited by disease, trauma, congenital disorders, or pain to enable people to achieve their maximum functional abilities. It involves the diagnosis, evaluation and management of people of all ages with physical and/or cognitive impairment and disability. (A.O. No. 2012-0012)

33. POLYCLINIC — a health facility which is a combination of three (3) or more medical outpatient clinics that provides general and/or specialist examination and treatment to patients and offers diagnostic laboratory and imaging services.

34. PRIMARY CARE FACILITY — a type of health facility that provides population and individual based-health services that accessible, continuous, comprehensive and coordinated care that is accessible at the time of need, including a range of services for all presenting conditions. It also serves as the initial point of contact for individual based services, through its ability to navigate and coordinate referrals to other health care providers in the health care delivery system, when necessary. Examples of Primary Care Facilities are Urban Health Centers in cities, Rural Health Unit, and health stations.

35. QUARANTINE CLINIC — a designated health facility for referral of suspect/s or probable case/s of public health emergency of international concern where people who have been exposed to an illness, usually an infection, but are not ill or have not yet shown any sign of the illness are restricted to. (IRR of R.A. No. 9271)

36. RADIOLOGIC FACILITY — a health facility concerned with the use of imaging techniques in the study, diagnosis and x-ray guided treatment of disease. This includes the use of x-rays in general radiography and fluoroscopy, interventional radiology, lithotripsy, computed tomography, mammography, bone densitometry, and tumor localization and simulation.

37. RECOVERY CLINIC — a non-residential treatment facility where specialized consultations, evaluations and treatment may be provided for those recovering from drug use.

38. RURAL HEALTH UNIT/URBAN HEALTH UNIT (RHU/UHU) — a government primary health facility that serves as first contact of primary care services in the municipality or city delivering health promotion, disease prevention, health maintenance, counselling, patient education, diagnosis and management & treatment of acute and chronic illnesses and referrals. It ensures a follow-through course of treatment of a person as whole and provides both population- and individual-based health services. It provides leadership in patient navigation and coordination in a network and follows the standards set by the DOH. The RHU/UHU is equivalent to the Municipal or City Health Center of the Local Government Code of 1991. The term health center is sometimes used by communities to refer to these facilities; see related Barangay Health Station.

39. SANITARIUM — is an institution established to make available hospital services specifically for Hansenites (Hansen Disease). The sanitaria serves as the referral center for the management of complications, patient and family counseling and community education for leprosy and also for the integration of its Multi Drug Therapy (MDT) treatment. (A.O. No. 2005-2013)

40. SCHOOL CLINIC — a medical outpatient clinic inside school, college or university premises that provides primary care services including but not limited to oral care, health education, health promotion, treatment of minor ailments, immediate management of emergency cases and referral to an appropriate facility, following the standards set by the DOH; see related Medical Outpatient Clinic.

41. SPECIALTY HOSPITAL — a hospital that specializes in a particular disease or condition or in one type of patient. A specialized hospital may be devoted to treatment of any the following: (A.O. No. 2012-0012); see related Hospital and General Hospital

a. Treatment of a particular type of illness or for a particular condition requiring a range of treatment.

Example of these hospitals are Philippine Orthopedic Center, National Center for Mental Health, San Lazaro Hospital

b. Treatment of patients suffering from diseases of a particular organ or groups of organs. acEHCD

Example of these hospitals are Lung Center of the Philippines, Philippine Heart Center, National Kidney and Transplant Institute

c. Treatment of patients belonging to a particular group such as children, women, elderly and others.

Examples of these hospitals are Philippine Children's Medical Center, National Children's Hospital, Dr. Jose Fabella Memorial Hospital

42. SPECIALIZED HEALTH FACILITY — a type of health facility that provides highly specialized care addressing particular conditions and/or providing specific procedures and management of cases requiring specialized training and/or equipment. Specialized health facilities within hospitals are recognized as a service/unit and not as a separate stand-alone facility. Examples: Dialysis Centers, Mental Health Facilities, Ambulatory Surgical Clinics, Drug Abuse Treatment and Rehabilitation Centers

43. TRADITIONAL AND COMPLEMENTARY MEDICINE CLINIC — a health facility that provides a broad set of health care practices that are not integrated into the dominant health care system. Examples are, but not limited to the following services: acupuncture, chiropractic, naturopathy, etc. (PITAHC ORDER 2018-109)

44. TRANSITIONAL CARE FACILITY — a type of health facility that oversees the continuity of care during the course of chronic or acute illness. The transitional care facilities also encompass both the sending and receiving aspects of transfers including, but not limited to, logistical arrangements, patient and family health education and coordination among health professionals involved in the transition. Examples: Nursing Home, Hospice, Infirmary, Halfway House

45. WATER TESTING FACILITY — a facility that performs either bacteriological, biological, physical, chemical and radiological analysis, or a combination of any of these methods to determine the potability and safety of water. (A.O. No. 2006-0024)

Prepared By:

Health System Development and Management Support Division (HSDMSD)

Health Facility Development Bureau (HFDB)

Department of Health

References for the Health Facilities Dictionary:

Republic Act 9228 entitled "Rules and Regulations Implementing Republic Act 9228 otherwise known as the "Newborn Screening Act of 2004"

Republic Act No. 9271 entitled "An Act Strengthening the Regulatory Capacity of the Department of Health in Quarantine and International Health Surveillance, Repealing for the Purpose Republic Act No. 123 of 1947, as Amended"

Republic Act 9709 entitled "An act establishing a Universal Newborn Hearing Screening Program for the Prevention, Early Diagnosis and Intervention of Hearing Loss"

Republic Act 10918 (IRR) entitled "An Act Regulating and Modernizing the Practice of Pharmacy in the Philippines, Repealing for the Purpose Republic Act Numbered Five Thousand Nine Hundred Twenty-One (R.A. 5921), Otherwise Known as the Pharmacy Law"

Republic Act No. 10354 entitled "An Act Providing for a National Policy on Responsible Parenthood and Reproductive Health"

Republic Act No. 10918 entitled "An Act Regulating and Modernizing the Practice of Pharmacy in the Philippines, Repealing for the Purpose Republic Act Numbered Five Thousand Nine Hundred Twenty-One (R.A. No. 5921), Otherwise Known as the Pharmacy Law"

Rules and Regulations (IRR) of Republic Act No. 11215 otherwise known as the National Integrated Cancer Control Act (NICCA).

Administrative Order No. 2004-083 entitled "Rules and Regulations Governing the Licensure and Regulation of Ambulatory Surgical Clinics"

Administrative Order No. 2004-147 entitled "Amending Administrative Order No. 70-A, series 2002 re: Revised Rules and Regulations Governing the Registration, Licensure, and Operations of Hospitals and Other Health Facilities in the Philippines"

Administrative Order No. 2004-181 entitled "Rules and Regulations Governing Accreditation of Medical Facilities for Overseas Workers and Seafarers"

Administrative Order No. 2005-0013 entitled "Revised Roles and Responsibilities of the Eight (8) Sanitaria Hospitals

Administrative Order 2006-0024 entitled "Rules and Regulations Governing the Accreditation of Laboratories for Drinking Water Analysis"

Administrative Order No. 2008-0027 entitled "Revised Rules and Regulations Governing the Licensure and Regulation of Clinical Laboratories in the Philippines"

Administrative Order No. 2008-008 entitled "Rules and Regulations Governing the Regulation of Blood Service Facilities"

Administrative Order No. 2008-0010 entitled "Revised Rules and Regulations Governing the Registration and Licensure of Dental Laboratories in the Philippines"

Administrative Order No. 2012-0001 entitled "New Rules and Regulations Governing the Licensure and Regulation of Dialysis Facilities in the Philippines"

Administrative Order No. 2012-0012 entitled "Rules and Regulations Governing the New Classifications of Hospitals and Other Health Facilities in the Philippines"

Administrative Order No. 2013-0012 entitled "Rules and Regulations Governing the Accreditation of Health Facilities Engaging in Human Stem Cell and Cell-Based or Cellular Therapies in the Philippines"

Administrative Order No. 2014-0005 entitled "Revised Policies and Guidelines in the Collaborative Approach of TB and HIV Prevention and Control" SDHTEC

Administrative Order No. 2014-0012 entitled "New Guidelines on the Management of Rabies Exposures: To Provide New Policy Guidelines and Procedure to Ensure an Effective and Efficient Management for Eventual Reduction If Not Elimination of Human Rabies"

Administrative Order No. 2014-0034 entitled "Rules and Regulations on the Licensing of Establishments Engaged in the Manufacture, Conduct of Clinical Trial, Distribution, Importation, Exportation and Retailing of Drug Products and Issues of Other Related Authorizations"

Administrative Order 2018-0014 entitled "Revised Guideline in the Implementation of the One-Stop Shop Licensing System"

Dangerous Drugs Board Regulation No. 4, s. 2003 entitled "Implementing Rules and Regulations Governing Accreditation of Drug Abuse Treatment and Rehabilitation Centers and Accreditation of Center Personnel"

PITAHC Order No. 2018-109 entitled "Guidelines on the Management of Research Programs/Projects on Traditional Medicine and Complementary Medicine (TM/CM)"

M Sanford, Angela & Orrell, Martin & Tolson, Debbie & Abbatecola, Angela & Arai, Hidenori & Bauer, Juergen & J Cruz-Jentoft, Alfonso & Dong, Birong & Ga, Hyuk & Goel, Ashish & Hajjar, Ramzi & Holmerova, Iva & R Katz, Paul & Koopmans, Raymond & Rolland, Yves & Visvanathan, Renuka & Woo, Jean & Morley, John & Vellas, Bruno. (2015). An International Definition for "Nursing Home." Journal of the American Medical Directors Association. 16. 181-4. 10.1016/j.jamda.2014.12.013.

ANNEX B

National Health Facility Registry Template

Specifications for NHFR Metal Plate:

Figure 1. NHFR Metal Plate Specifications

 

Figure 2. Sample NHFR Metal Plate

 

Guidelines for Display of NHFR in Health Facility

1. Ensure that the metal plate is prominently displayed at the lobby, entrance, or reception counter of the health facility at all times.

2. Do not add any word, figure, mark, picture, design, drawings, advertisement or imprint of any nature on the metal plates.

3. Do not alter the content of the plate without prior notice to DOH. Any changes in the health facility information (Health Facility Name, Address, Contact Number, and Head of the Facility, etc.) shall be reported to the CHD.

ANNEX C

NHFR Collection Form

ANNEX D

NHFR Monitoring and Evaluation Framework