Implementing Rules and Regulations of R.A. 9420 (Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium)

March 10, 2011

DOH ADMINISTRATIVE ORDER NO. 2011-0007

 

I. Rationale/Background

The Valenzuela Medical Center (VMC) formerly Valenzuela General Hospital (VGH), is a Level IV tertiary, teaching and training hospital with 100 authorized beds mandated by virtue of RA 7218 of 1992. However, due to its big catchment population from Valenzuela City, its primary catchment area, and the Cities of Malabon, Navotas and the neighboring town of Obando and the City of Meycauayan in the Province of Bulacan, another Law was passed in 2007, RA No. 9421, Otherwise known as "An Act Upgrading the Valenzuela General Hospital in the City of Valenzuela, Metro Manila into Two Hundred (200) Bed Capacity Tertiary Level Hospital to be known as the Valenzuela Medical Center."

With its current bed capacity of 100, VMC, has a bed population ratio of 1 bed for every 1,548 (primary catchment area) and 1:2,225 population (secondary catchment area). The ideal bed population ratio of the Department of Health (in general) is 1:1,000; and the World Health Organization (WHO) standard is 1 bed for every 500 population.

For the past five years (2005-2009), VMC statistics show an average bed occupancy rate of 120%. This is beyond the Department of Health standard of 80%-85% occupancy rate for a hospital to be effectively and efficiently functional. The record shows an urgent need to increase the number of beds of Valenzuela Medical Center from 100 beds to 200 beds as mandated by RA 9421 (see Annex A). Furthermore, it is noteworthy that majority of its admitted patients are service patients classified as Class C, D and E based on DOH A.O. No. 51-A s. 2001 re: Implementing Guidelines on Classification of Patients and Availment of Medical Social Service in a Government Hospital.

Being a tertiary Level IV hospital, VMC caters to catastrophic cases in addition to a mix of other cases. Thus there is need for adequate number of health human resources with appropriately developed capabilities and skills for the hospital to achieve its goals and objectives which is more than quality patient care. The existing 191 plantilla positions at VMC are inadequate for its current bed capacity and occupancy rate. TIAEac

Therefore, it is critical to implement this Republic Act No. 9421 to effectively provide quality health care, as it is the policy of the state to "protect and promote the right to health of the people and instill health consciousness among them" (Sec. 15. Art. II. Philippine Constitution).

II. Objective

This Administrative Order sets the Implementing Rules and Regulations for the implementation of RA 9421, "An Act upgrading the Valenzuela General Hospital into a Two Hundred (200) Bed Capacity Tertiary Level Hospital to be known as the Valenzuela Medical Center".

III. Purpose

These Rules and Regulations are adopted to prescribe the guidelines, and procedures for the implementation of RA 9421, to facilitate compliance therewith and achieve the objective thereof.

IV. Definition of Terms/Acronyms

a. Act — refers here as Republic Act 9421 upgrading the subject hospital into a 200-bed tertiary level hospital to be known as Valenzuela Medical Center.

b. Bed Capacity — refers to the number of beds offered by the hospital for tertiary patient care.

c. CaMaNaVa — refers to the cities of Caloocan, Malabon, Navotas and Valenzuela.

d. CHD-MM — refers to the Center for Health Development-Metro Manila.

e. CO — refers to Capital Outlay.

f. DBM — refers to the Department of Budget and Management.

g. DOH-CO — refers to the Department of Health-Central Office.

h. Facility — refers to Valenzuela Medical Center as a health care institution.

i. IRR — refers to the Implementing Rules and Regulations.

j. MOOE — refers to the Maintenance and Other Operating Expenses.

k. PS — refers to Personal Services.

l. TelOf — refers to Telecommunications Office.

m. Tertiary Level IV Hospital — refers to teaching and training hospital (with at least one accredited residency training program for physicians) that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and sub-specialized forms of treatment, surgical procedures and intensive care; clinical services provided in level 3 hospital as well as sub-specialty clinical care; appropriate administrative and ancillary services (tertiary clinical laboratory, third level radiology, pharmacy); and nursing care provided in level 3 hospital as well as continuous and highly specialized critical care. EcTaSC

n. VMC — refers to Valenzuela Medical Center, the new name of the upgraded VGH mandated by RA 9421 of 2007.

V. Policies and Guidelines

The City of Valenzuela has a Memorandum of Understanding (MOU) with the Telecommunications Office (TelOf) dated 23 February, 2010 (attached as Annex C). Under the MOU, the City government shall develop and utilize the portion of Telof's property, the parcel of land located in Bgy. Karuhatan, Valenzuela City. The Register of Deeds of the City of Valenzuela issued TCT V-28569 (attached as Annex D) as evidence. The lot will be used exclusively for the delivery of basic social services to the general public. Included in the Local Government Unit's (LGU) site development plan for the subject lot is a portion for the proposed expansion of the existing Valenzuela Medical Center (VMC) which is allocated 958 sq. meter lot where the new 7-storey hospital building will rise.

A. General Policies

With the above mentioned proposed infrastructure development plan and the rehabilitation of the existing VMC building, the hospital shall provide a tertiary level of curative and rehabilitative care, fully equipped with modern equipment and adequately staffed by competent human resources. The upgrading of VMC shall be consistent with the City-Wide Rationalization Plan of Health Care Delivery System based on Health Needs of the City of Valenzuela.

VI. Implementing Guidelines

In support of the Valenzuela Medical Center's Implementing Rules and Regulations, the following guidelines shall be implemented:

1. Expansion of Role

For FY 2012, the Department of Health shall appropriate to the Valenzuela Medical Center the estimated total funding cost for its hospital upgrading which amounts to Six Hundred Ninety Four Million Three Hundred Sixty Three Thousand One Hundred Ninety Nine (P694,363,199) Pesos allocated for the following: cCAaHD

Non-Recurrent Cost for:
	Civil Works, Equipment and service vehicle	-	P393,629,999
Recurrent Cost:
	Personal Services (including additional positions	-	214,367,120.56
	MOOE (to include rentals of 3 storey bldg.)	-	86,366,080.00
			–––––––––––––––
Total	-	P694,363,199.00
			==============

2. Structural Reorganization

The existing VMC Organization shall be restructured to create the following department:

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

2. Integrated Hospital Operations & Management Program

B. Medical Service

1. Office of the Chief of Medical Professional Staff

2. Medical Training Office

3. Clinical Group

a. Out Patient Department

b. Emergency Room

c. Department of Medicine

d. Department of Surgery

e. Department of Pediatrics

f. Department of Obstetrics & Gynecology

g. Department of Anesthesia

4. Ancillary Group

a. Department of Laboratory

b. Department of Radiology

c. Department of Dental

d. Department of Rehabilitation

5. Allied Health Group

a. Health Information Management

b. Nutrition & Dietetics

c. Pharmacy

d. Medical Social Work

C. Nursing Service

a. Office of the Chief Nurse

b. Clinical Nursing Units

c. Operating Room

d. Delivery Room ISTDAH

D. Specialized Care Units

a. Post Anesthesia Care Unit (PACU)

b. Neonatal Intensive Care Unit (NICU)

c. Medical Intensive Care Unit (MICU)

d. Surgical Intensive Care Unit (SICU)

e. Pediatric Intensive Care Unit (PICU)

f. Central Supply & Sterilization

E. Hospital Operations and Patient Support Service

a. Office of the Chief Administrative Officer

b. Human Resource Management

c. Procurement

d. Property & Supply

e. Engineering & Facilities Management

f. Admitting/Information

g. Housekeeping/Laundry

F. Finance Service

a. Office of the Finance Officer

b. Budget

c. Accounting

d. Billing and Claims

e. Cash Operations EAcTDH

3. Health Human Resource

VMC shall continue to honor the positions, seniority, security and other rights of tenure of medical and non-medical personnel of the Valenzuela Medical Center. It shall also make an evaluation of the existing health human resources and upgrade positions and number of human resources to conform to the DOH standards for a tertiary general care. Based on the DOH standard staffing pattern for a 200 bed tertiary health care, the hospital shall implement the approved Revised Organization and Staffing Standards in Government Hospitals.

4. Assets and Liabilities

All assets, movable and immovable, and records of VMC as well as its liabilities and obligations shall be properly documented and be accounted for by the Property Section following the existing policies and guidelines.

5. Equipment

The VMC shall make an inventory of all the existing hospital equipment and undertake upgrading to conform to DOH standards fitted for a tertiary level IV medical center. Listings for this is found in the Hospital Development Plan which is attached and form part of this Order.

6. Infrastructure and Facilities

VMC shall implement its Hospital Infrastructure Development Plan as follows:

a. Rental of Office Building in front of the hospital and construction of new 7-storey annex building (see Annex K and L)

b. Completion and utilization of annex building

c. Rehabilitation of old building

d. Completion of rehabilitation of old building and termination of rental of office building  

7. Environmental Safety

The VMC shall prepare a proposed design plan and the required budget for the following:

a. Sewerage Treatment Plan

b. Fire and Sprinkler System

c. Waste Management

8. Systems Development

VMC shall continue to develop its services and referral systems towards an end-referral tertiary health care institution. The VMC shall continue to improve its implementation of hospital standards, systems and procedures of hospital operations through the Integrated Hospital Operations and Management Program (IHOMP) and pursue the functionalization and utilization of the Hospital Operations and Management Information System (HOMIS). DTISaH

9. Quality Management

VMC shall continue its quality improvement program based on the PhilHealth Benchbook Standards and the DOH Hospital score card which sets policies and standard operating procedures consistent with the DOH policies and thrust.

A. Implementing Structure

1. Administrative Control

The Chief of Hospital of VMC shall be accountable and responsible for the implementation of quality standard hospital operations and management and submits developmental and financial reports to the DOH-CO through the CHD-Metro Manila. The Department of Health-Health Service Delivery Cluster Office in coordination with the Center for Health Development-Metro Manila shall have jurisdiction over the Hospital operations and management. It shall monitor the implementation of RA 9421. ECAaTS

2. Sourcing and Use of Funds

The amount necessary to carry out the implementation of Republic Act No. 9421 shall be sourced out accordingly.

2.1 Capital investment for infrastructure and equipment shall be sourced from the DOH General Appropriations Act (GAA) of 2011/2012 as the case may be.

2.2. The additional maintenance and operating expenses resulting from the hospital expansion shall be sourced from the hospital income, Philippine Health Insurance Corporation (PHIC) reimbursements and other sources.

2.3. A hospital business plan shall be developed to ensure hospital viability in the short and long term.

VI. Repealing/Separability Clause:

Provisions from previous issuances that are inconsistent or contrary to the provisions of this Order are hereby rescinded and modified accordingly. If any provision of this order is declared unauthorized or rendered invalid by any court of law or competent authority, those provisions not affected thereby shall remain valid and effective.

All laws, decrees, orders, rules and regulations or part thereof inconsistent with RA 9421 are hereby repealed or amended accordingly.

VII. Effectivity:

This Administrative Order shall take effect fifteen (15) days after publication in a newspaper of general circulation.

(SGD.) ENRIQUE T. ONA, MD, FPCS, FACSSecretary of HealthDepartment of Health

ATTACHMENT

Republic Act No. 9421

ANNEX C *

Memorandum of Understanding

KNOW ALL MEN BY THESE PRESENCE:

This Memorandum of Understanding (MOU) executed on this 23rd day of February 2010, in the City of Valenzuela, by and between:

The TELECOMMUNICATIONS OFFICE, a government agency under the Commission on Information and Communications Technology, duly organized and existing under the laws of the Republic of the Philippines, with principal address at A. Roces Avenue, Quezon City, herein represented by its Assistant Secretary, the Honorable FRANCISCO S. PEREZ II, and hereinafter referred to as TELOF;

- and -

The CITY OF VALENZUELA, a local government unit, duly organized and existing under and by virtue of Philippine Laws, with office address at MacArthur Highway, Barangay Karuhatan, Valenzuela City, represented in this act by its City Mayor, the Horable SHERWIN GATCHALIAN, and hereinafter referred to as the "LGU". TADcCS

WITNESSETH: That

WHEREAS, the TELOF owns several parcels of land located in Bgy. Karuhatan, Valenzuela City, Metro Manila as evidenced by TCT Nos. V-28569, V-28571, V-28572 and T-1474 issued by the Registry of Deeds of Valenzuela; (copies attached as Annexes "A", "B", "C" and "D" respectively);

WHEREAS, the LGU plans to develop and utilize a portion of the said lot as a one-stop center for government offices catering exclusively in the delivery of basic social services to the general public;

WHEREAS, the LGU shall develop the remaining portion of the lot as a housing project for families that may be displaced as a result of its project;

WHEREAS, the LGU has expressed its desire to TELOF and the latter has agreed allow the LGU to develop, utilize and market the property.

NOW, THEREFORE, for and in consideration of the above premises, the Parties do hereby commit to undertake the following:

1. Purpose of the MOU

This MOU is entered into to formalize the intent of both TELOF and the LGU to utilize and develop the former's property located in Barangay Karuhatan, Valenzuela City, Metro Manila, as a social service site to cater to the needs of the general public, and more particularly, the residents of Valenzuela City.

2. Scope of Agreement

2.1 The Agreement shall involve the utilization and development of a portion of TELOF's property located in Barangay Karuhatan, Valenzuela City, Metro Manila (copy of sketch plan attached as Annex "E");

2.2 A Joint Management Committee composed of a maximum of five (5) representatives each from TELOF and the LGU shall be formed to oversee, monitor and manage the implementation of each party's responsibilities, as stipulated in this Agreement. The Committee shall periodically meet and report any findings and recommendations arising from the Agreement's implementation, to the Assistant Secretary, TELOF and the Mayor of Valenzuela City.

3. Obligations of the Parties

3.1 TELOF's responsibilities under this MOU shall be as follows:

3.1.1 Identify the site to be used for purposes of this MOU; DCISAE

3.1.2 Allow the LGU to improve, develop and utilize the property in accordance with its site development plan;

3.1.3 Execute such other activities deemed necessary for the successful completion of the project.

3.2 The LGU's responsibilities under this MOU shall be as follows:

3.2.1 Coordinate periodically with TELOF in the preparation of its site development plan;

3.2.2 Ensure that the best interest of TELOF and that of the beneficiaries of its housing project in the area are taken care of;

3.2.3 Allocate and release appropriate funding support for the project; and

3.2.4 Execute such other activities deemed necessary for the successful completion of the project.

4. Understanding of the Parties

4.1 The parties hereto agree that they share the common goal of upholding the welfare and development of Valenzuela City and its constituents;

4.2 The LGU shall exclusively provide appropriate funding support for this project and shall develop the area at no cost to TELOF;

4.3 In the implementation of this Agreement, proper coordination with TELOF shall be periodically made to ensure the success of the project;

4.4 In exchange for the use of TELOF's property, the LGU shall provide a housing project for the beneficiaries of the former's housing project in the area.

4.5 A Joint Venture Agreement shall be entered into by and between the parties detailing therein the financial and commercial aspect of this MOU. cCSDTI

5. Amendments

At any time during the effectivity of this MOU, TELOF and the LGU may modify or amend in writing the existing terms and conditions or requirements of this MOU as circumstances may warrant. Any modification or amendment hereto shall become valid and binding only when the same is in writing and signed by both parties hereto;

6. Duration and Effectivity of the MOU

This Agreement shall be valid and existing for a period covering the entirety of the project starting from the date of signing of this MOU unless otherwise revised, cancelled or terminated for cause in accordance with the provisions hereof. This MOU shall take effect upon the signing hereof by the parties hereto.

IN WITNESS WHEREOF, the Parties have signed this Memorandum of Understanding in the place and on the date first above written.

TELECOMMUNICATIONS OFFICE (TELOF)

(SGD.) FRANCISCO S. PEREZ IIAssistant Secretary

CITY OF VALENZUELA (LGU)

(SGD.) SHERWIN GATCHALIANMayor

SIGNED IN THE PRESENCE OF:

(SGD.) GRACIANO L. SITCHONExecutive Director

(SGD.) ROGELIO D. PEIG IICity Administrator

Acknowledgement

Republic of the Philippines ) ) S.S.

BEFORE ME, a Notary Public for and in the above jurisdiction, this ____ day March 2, 2010 personally appeared:

	CTC No.	Date/Place of Issue
FRANCISCO S. PEREZ II	____________	_____________________
SHERWIN GATCHALIAN	09265756	1-5-10/Valenzuela City

Known to me and to me known to be the same person who executed the foregoing instrument and they acknowledged to me that the same is their free and voluntary act and deed, as well as the free act and deed of the Entities/Corporations they represent. This instrument consisting of three (3) pages including this page, signed by the parties and their witnesses.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the day and place above written. DCSTAH

(SGD.) ATTY. VICENTE S. BONAOBRA II

NOTARY PUBLIC

UNTIL DECEMBER 31, 2011

PTR NO. VC 716803/01-04-10 VAL. CITY

IBP LIFE MEMBER ROLL NO. 07782 Q.C. CHAPTER

MCLE COMPLIANCE NO. II-0006650/04-24-07

ROLL NO. 47711

Doc. No. 40Page No. 42Book No. IIISeries of 2010.

ANNEX D

ANNEX K

Department of HealthCENTER FOR HEALTH DEVELOPMENT-Metro ManilaVALENZUELA MEDICAL CENTERPadrigal St., Karuhatan, Valenzuela CityTel. No. 294-6711 to 16, Telefax: 291-4259

July 27, 2010

CRISELDA G. ABESAMIS, MD, FPSP, CESO IIIDirector IVNational Center for Health Facility DevelopmentDepartment of HealthSan Lazaro Compound, Sta. Cruz,Manila

Dear Dr. Abesamis,

This is in reference to the initial implementation of R.A. No. 9421, otherwise known as "An Act Upgrading the Valenzuela General Hospital in the City of Valenzuela, Metro Manila into a Two Hundred (200) Bed Capacity Tertiary Level Hospital to be known as the Valenzuela Medical Center" because of the lack of space for expansion of the hospital and consistently high occupancy, we proposed rental of private building just in front of Valenzuela Medical Center. ICcDaA 

We are respectfully submitting herewith the attached Work and Financial Plan and other related documents to support the said activity.

For your information and guidance.

Thank you.

Very truly yours,

(SGD.) MARIO C. PANAY, MD, MHA, CESEDistrict Health Officer II

Valenzuela Medical CenterSupplemental Work and Financial Plan

For CY 2010

Reform Area

Performance

Time

Target

Item

Cost

Type

Person

See

Indicator

Frame

of Fund

Responsible

Annex

I.

Good Governance

1.

Administrative

Activities

a.

Rental of building

1.

Computation

Aug-Dec

VMC

MOOE

P975,000.00

GF

DR.

ANNEX

based on GPPB

2010

(sub

PANGILINAN

"A"

allotment

2.

Offices

from DOH

transferred

to the rented

building

3.

No. of

additional

beds

b.

Hiring additional

No. of vacant

Aug 2010

VMC

MOOE

P800,000.00

GF

SHIRLENE

ANNEX

contract of service

position hired

(sub

VIANZON

"B"

staff

allotment

from DOH

2.

Facility Development

a.

Repair/renovation

Renovation of

Aug 2010

VMC

MOOE

P225,000.00

GF

ROSELITO

ANNEX

of offices and

hospital wards

(sub

CORTEZ

"C"

wards

and offices

allotment

from DOH)

b.

Procurement of

No. of additional

Aug 2010

VMC

MOOE

P800,000.00

GF

DONA

ANNEX

additional

equipment procured

(sub

SALMOS

"D"

equipment

allotment

rented building

from DOH)

and additional

wards

Prepared by:

Noted by:

Approved by:

(SGD.) NELINDA CATHERINE P. PANGILINAN, MD

(SGD.) MARY GRACE H. REYES, MD MPH

(SGD.) MARIO C. PANAY, MD, MHA, CESE

Medical Specialist III

District Health Officer I

District Health Officer II

Rental of Building Based on GPPB

		Rating Factors	Weight (%)	Rating
I	Location and Site Condition
	1.	accessibility	25	25
	2.	Topography and drainage	20	20
	3.	Sidewalk and waiting shed	15	15
	4.	Parking space	15	5
	5.	Economic potential	10	10
	6.	Land classification, utilization and assessment	10	10
	7.	Other added amenities	5	5
				––––	––––
				100	95
				====	====
II	Neighborhood Data
	1.	Prevailing rental rate	20	20
	2.	Sanitation and health condition	20	20
	3.	Adverse influence	15	15
	4.	Property utilization	15	15
	5.	Police and fire station	15	15
	6.	cafeterias	10	10
	7.	banking/postal/telecom	5	5
				––––	––––
				100	100
				====	====
III	Real Estate
	1.	structural condition	30	30
	2.	functionality
		a.	module	6	6
		b.	room arrangement	6	6
		c.	circulation	6	6
		d.	light & ventilation	6	6
		e.	space requirements	6	6
	3.	facilities
		a.	water supply and toilet	6	6
		b.	lighting system	6	6
		c.	elevators	6	-
		d.	fire escapes	6	3
		e.	fire fighting equipment	6	-
	4.	other requirements
		a.	maintenance	5	3
		b.	attractiveness	5	5
				––––	––––
				100	86
				====	====
IV	Free Services and Facilities
	1.	Janitorial and security	20	20
	2.	Airconditioning	20	-
	3.	Repair and maintenance	20	20
	4.	Water & light consumption	20	20
	5.	Secured parking space	20	20
				––––	––––
				100	80
				====	====
I	LOCATION & CONDITION	95 x (.20)	19
II	NEIGHBORHOOD DATA	100 x (.20)	20
III	REAL ESTATE	86 x (.50)	43
IV	FREE SERVICES AND FACILITIES	80 x (.10)	8
					––––
	Factor Value		90
					====

 

Determination of Reasonableness of Rental Rates

 

Date of construction	2009
Estimate Unit Construction Cost	P25,000/sq.m
Depreciation	20% (good condition)
Capitalization Rate	20% (Variable based on bank rate)
Factor Value	90% (based on rating)

Computation Based on Observed Depreciation

Reproduction Cost	=	estimated unit construction cost x (1 - depreciation rate) NEW BUILDING
	=	P25,000/sq.m (no depreciation NEW BUILDING)
Formula rate	=	reproduction cost x monthly capitalization rate
	=	P25,000 x (0.20/12)
	=	416.67
pay	=	P417/sq.m
Rental rate	=	formula rate x factor value
	=	P417/sq.m/month (0.90)
	=	P375.40
Rentable area	=	190 sq.m
Monthly rental	=	rentable area x rental rate
	=	P375.40 x 190
	=	P71,326.00 x (3 floors)
	=	P213,978.00 (ACTUAL RENT P195,000.00/MONTH)

 

ANNEX I

ANNEX A

Republic of the PhilippinesDepartment of HealthCENTER FOR HEALTH DEVELOPMENT-Metro ManilaVALENZUELA MEDICAL CENTERPadrigal St., Karuhatan, Valenzuela CityTel. No. 294-6711 to 16, Telefax: 291-4259

Proposed Offices of the Rented Building

1st Floor

1. PAY CON

a. Medicine/ent/optha

b. Surgery minor surgery/pay

c. Pedia

d. Obgyn pay con/ultrasound

2. DEPARTMENT OFFICES

A. OBGYN

B. MEDICINE

C. SURGERY

D. PEDIA

2nd Floor OPD
Before	New
MG' ROOM	OBGYN-OPD
FAMILY PLANNING	RETAIN
DOTS	MEDICINE
CR	CR
RECEIVING ROOM	RECEIVING ROOM
RECORDS	RECORDS
DENTAL	DENTAL
OB OPD	PEDIA OPD
SURGERY	SURGERY
PEDIA	SUITE ROOM
PAY CON	SUITE ROOM
MEDICINE/OPD NURSE OFFICE	NURSE STATION
PUBLIC HEALTH OFFICE	SEMI PVT 3 ROOMS
PERSONNEL'S OFFICE	SEMI PVT 3 ROOMS
2nd Floor-Wing
Rooms Before	New
BUDGET	EXTENSION OF MEDICAL RECORDS
COA	EXT. STOCK ROOM
ACCOUNTING	STOCK ROOM OF PHARMACY
HOMIS	EXT. OF CSR
3rd Floor
Before	New
Room 1 Non Pathologic	IE room & Gyne Ward
Room 2 Non pathologic & Room 3	Ob ward Uncomplicated
Pathologic
OB office	Nurse station
Private Room 2	Private Room 2
Private Room 1	Private Room 1
Semi-private Room (2 beds)	Semi-private Room (2 beds)
Semi-private room 3	OB residents quarters
Nurse Station	OB-ICU
Infirmary ward	High Risk undelivered ward
Male surgery ward	High Risk delivered ward
Female surgery ward	Gyne Onco ward
Isolation ward
4th floor
Before	New
PEDIA OFFICE	NEO ward
General pedia II	Retain
General Pedia I	Retain
Philhealth Ward	ICU-medicine 4 beds
Nurse station	Retain
ICU	Isolation room-medicine
Isolation II/nurse station	Retain
Adolescent room	Retain
Neo ward	Clean ward (pediatric surgery/cardio)
Female medical ward	Retain
Male medical ward	Retain
Chief nurse office	Special monitoring (4 beds)
Director's office	Philhealth ward
library	Female surgical ward (10 beds)
	Surgery Nurse station
EXECOM room	Male surgical ward (10 beds)
BAC office	Chapel
Nurses quarters	Retain

 

Ward	No. of Beds
OB WARD	38
OB ICU	-
SURGERY	20
MEDICINE	16
ICU MEDICINE	4
ISOLATION MEDICINE	2
PEDIA	35
SEMI PVT 4TH FLOOR	4
SEMI PRIVATE 3RD FLOOR	2
PRIVATE 3RD FLOOR	2
PRIVATE 2ND FLOOR/SUITE ROOM	2
SEMI PVT/2ND FLOOR	6
	––––
Total	131
	====

 

ANNEX B

Four Additional 35 Beds

	Staff Nurse	Nurse Supervisor
PRIVATE ROOM (2ND FLOOR)	12	1
SURGERY WARD (4TH FLR.)	12	1
PEDIA (4TH FLR.)	12	1
ICU MEDICINE	8
OPD	1
	–––	–––
Total	55	3
	===	===

TOTAL AMOUNT FOR ADDITIONAL PERSONNELS — P800,000.00

ANNEX C

Repair/Renovation of Vacated Offices/Hospitals

 

ENCLOSURE OF PROPOSED PERSONNEL OFFICE	P50,000
ENCLOSURE OF PROPOSED MINI CONFERENCE ROOM	P50,000
ENCLOSURE OF PROPOSED MALE SURGICAL WARD	P25,000
CONSTRUCTION OF COMFORT ROOM — 4 UNITS	P100,000
	–––––––––
Total	P225,000
	=========

ANNEX D

Additional Equipment for Rented Building and Ward

9 BEDS with mattress and side rails with v stands	P360,000
3 e-cart with cardiac board	P120,000
2 laryngoscope	P93,000
6 oxygen gauge	P29,700
10 bedside tables	P75,000
2 suction machine	P19,980
4 high chair (station)	P15,000
4 chart rack	P34,000
20 chart board	P2,000
4 working table	P4,000
4 wheelchair	P25,516
6 drop light	P5,760
4 emergency lights	P16,000
	–––––––––––
Total	P800,836.00
	==========

ANNEX L

Ground Floor Plan

 

Second Floor Plan

 

Third Floor Plan

 

Fourth Floor Plan

 

Fifth Floor Plan

 

Sixth Floor Plan

 

Seventh Floor Plan