Implementing Rules and Regulations of Republic Act No. 11081
DOH Administrative Order No. 2019-0023 implements the rules and regulations of Republic Act No. 11081, which increases the bed capacity of the Veterans Regional Hospital in Bayombong, Nueva Vizcaya from 200 to 500, rebranding it as the Region II Trauma and Medical Center (R2TMC). This transformation aims to enhance the hospital's service capabilities, facilities, and healthcare personnel, aligning with national health standards and the Universal Health Care Act. The R2TMC is designated to provide comprehensive healthcare services and is tasked with developing a Hospital Development Plan to facilitate this expansion over three years. The order also outlines the necessary administrative structures, funding sources, and quality management protocols to ensure effective implementation and compliance with health regulations.
July 25, 2019
DOH ADMINISTRATIVE ORDER NO. 2019-0023
| SUBJECT | : | Implementing Rules and Regulations of Republic Act No. 11081, "An Act Increasing the Bed Capacity of Veterans Regional Hospital in Bayombong, Nueva Vizcaya from Two Hundred (200) to Five Hundred (500), Upgrading Its Services, Facilities and Professional Health Care, Authorizing the Increase of Its Medical Personnel, Changing Its Name to Region II Trauma and Medical Center, and Appropriating Funds Therefor" |
I. RATIONALE AND BACKGROUND
Veterans Regional Hospital (VRH) was established in 1918 by Dr. Gabino Vinluan, as an Expanded Clinic of the Provincial Health Office. Several name changes took place: 1925 — renamed as Bayombong Hospital; 1972 — as Major Ferdinand E. Marcos Hospital and upgraded from 50 to 100 beds; 1974 — as Major Ferdinand E. Marcos Veterans Regional Hospital and upgraded to 200 beds; 1986 — as Nueva Vizcaya Provincial Hospital; 1993 — devolved to the local government unit of Nueva Vizcaya; re-nationalized on March 3, 1995, and renamed as Veterans Regional Hospital on April 1, 1995. ATICcS
On December 15, 2016, VRH achieved quality Management Systems re-certification "ISO 9001: 2015 Certified," and updated to its new worded Scope of Registration-Hospital Operations Services (Medical, Nursing, Administrative and Support Services, Finance, Ancillary, Allied Health Services, and Health Emergency Management Services). Today, patient referrals come from over 30 hospitals and 15 Rural Health Units.
A step towards its aim to be a premier hospital in Region II is the enactment of Republic Act 11081 on October 11, 2018, upgrading its bed capacity from 200 to 500, expanding its service capabilities and renaming it as Region II Trauma and Medical Center (R2TMC).
II. OBJECTIVE
This Administrative Order sets the Implementing Rules and Regulations of Republic Act No. 11081, "An Act Increasing the Bed Capacity of Veterans Regional Hospital in Bayombong, Nueva Vizcaya from Two Hundred (200) to Five Hundred (500), Upgrading Its Services, Facilities and Professional Health Care, Authorizing the Increase of Its Medical Personnel, Changing Its Name to Region II Trauma and Medical Center, and Appropriating Funds Therefor."
III. DEFINITION OF TERMS
1. A.O. No. 2012-0012 — refers to the "Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines" issued by the DOH on July 18, 2012, as amended.
2. Act — refers to Republic Act No. 11081, "An Act Increasing the Bed Capacity of Veterans Regional Hospital in Bayombong, Nueva Vizcaya from Two Hundred (200) to Five Hundred (500), Upgrading Its Services, Facilities and Professional Health Care, Authorizing the Increase of Its Medical Personnel, Changing Its Name to Region II Trauma and Medical Center, and Appropriating Funds Therefor."
3. Level 3 Hospital — refers to the type of general hospital according to functional capacity as provided in A.O. No. 2012-0012, as amended.
4. Medical Center — refers to a hospital staffed and equipped to care for many patients and for a large number of kinds of diseases and dysfunctions using modern technology.
5. Trauma Center — a hospital equipped and staffed to provide healthcare services for patients suffering from major traumatic injuries.
IV. POLICIES AND GUIDELINES
A. General Policies
The Region II Trauma and Medical Center (R2TMC) shall provide tertiary-level of promotive, preventive, diagnostic, curative, rehabilitative and palliative health care services, as well as teaching, training and research services, also in accordance to provisions of and related issuances to R.A. No. 11223, or the "Universal Health Care Act." The Medical Center shall be fully equipped with state-of-the-art equipment and facilities, complemented by adequately trained and competent human resources for health as appropriate for a licensed and accredited Level III General Hospital. ETHIDa
The R2TMC shall strengthen its existing basic and specialty services, and aim for the improvement of its service capability and capacity while continually serving as end-referral hospital in the Nueva Vizcaya, Quirino and municipalities of southern parts of Isabela in Region 2 and the adjacent areas of the surrounding provinces of Ifugao and Nueva Ecija complementing local health systems and providers in these areas. The increase in bed capacity and expansion of services and capability shall be consistent with the R2TMC's Hospital Development Plan (HDP) as approved by the Health Facility Development Bureau (HFDB).
The existing trauma specialty center of R2TMC shall be prioritized among other centers and shall be strengthened and upgraded to adhere to the developmental standards issued by the Department of Health.
B. Implementing Mechanisms
The implementation of the Act shall be supported by the following guidelines:
1. Change in Name
The Veterans Regional Hospital shall be named Region II Trauma and Medical Center. The acronym shall be officially known as "R2TMC". The official address shall be at the Brgy. Magsaysay, Bayombong, Nueva Vizcaya.
The Medical Center Chief shall ensure that directory and official documents be changed and the new hospital name shall be reflected in the DOH health facility registry and other official databases.
2. Expansion of Services
The R2TMC shall develop and submit its HDP to the HFDB through the Center for Health Development (CHD)-Cagayan Valley (CHD-CV). The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards a 500-bed Level 3 General Hospital and Medical Center with specialty and sub-specialty services. The incremental annual increases in bed capacity and commensurate services shall be achieved within three (3) years of implementation of this Act.
3. Health Human Resources
Based on the approved HDP, the R2TMC shall request for an increase in its health human resources based on DBM-DOH Joint Circular No. 2013-01, "Revised Standards and Organizational Structure and Staffing Pattern of Government Hospitals, CY 2013 Edition" dated 23 September 2013.
The R2TMC shall honor the positions, security of tenure, and other rights of its human resource complement. The Medical Center shall evaluate the existing human resource complement, re-classify and/or propose upgrading of positions, promote professional development and hire additional staff to comply and conform to the Civil Service Commission and DOH standards and intent of the Act.
The DOH upon consultation with the DBM shall develop standard organizational structure and staffing requirements for the Trauma Center and shall be integrated to the Medical Center.
4. Assets and Liabilities
All movable and immovable assets and records of the R2TMC, as well as its liabilities and obligations shall be properly documented and be accounted for in accordance with existing policies and guidelines.
5. Equipment
The R2TMC shall make an inventory of the existing hospital equipment and undertake upgrading to conform to the DOH standards of a Level 3 General Hospital and Medical Center as provided for under A.O. No. 2012-0012. Additional equipment and facilities shall be provided to complement the expansion of services consistent with the approved HDP.
6. Infrastructure
The R2TMC shall implement and seek the support of the DOH for the construction, repair and/or renovation of its physical infrastructure, consistent to the approved HDP, and conforms to all existing laws, regulations, national and international standards for hospital buildings, also in line with the Hospitals Safe from Disasters Program, the Green Healthcare Facilities Guidelines, among others.
7. Systems Development
The R2TMC shall conform to and sustain the standards of hospital operations to provide quality health care and safety for patients, health workers and other clientele of the Medical Center. It shall implement an electronic information system conforming to the basic requirements of the Integrated Hospital Operations and Management Program (IHOMP).
8. Quality Management
The R2TMC's Quality Management System shall conform to ISO 9001:2015 standards. It shall enhance operations with the implementation of the Continuing Quality Improvement Program, Patient Safety Program, and Manuals of Standards of Hospital Operations and Management by HFDB, policies and standards by Health Facilities and Services Regulatory Bureau (HFSRB), Food and Drug Administration (FDA), Philippine Health Insurance Corporation (PhilHealth) and other standards by international organizations that support national or local standards. Its management shall comply with the Gender and Development (GAD) mainstreaming policies for government bureaucracies. AIDSTE
The Medical Center shall complete all stages and become certified with the Performance Governance System towards its organizational development and performance improvement, as guided by DOH performance accountability measures such as the Hospital Scorecard.
V. IMPLEMENTING STRUCTURE
1. Administrative Control
The highest DOH-designated official of the CHD-CV shall have oversight jurisdiction and control over the R2TMC's operations. The CHD-CV shall monitor the implementation of R.A. No. 11081, and may recommend the necessary further upgrading as guided by this Order.
The Medical Center Chief (MCC) of the R2TMC shall be accountable and responsible for the implementation of quality standard hospital operations and management. The MCC shall establish responsibility accounting as means of management control and determination of respective contributions and performances of the Medical Center's divisions or units. The MCC shall also submit developmental plans, financial and statistical reports to the DOH Central Office.
2. Sourcing and Use of Funds
The amounts necessary to carry out the provisions of R.A. No. 11081 shall be sourced out accordingly:
a. Capital investments for infrastructure and equipment shall be sourced from DOH appropriations under the General Appropriations Act (GAA), hospital income including PhilHealth payments, public-private partnership, and/or other financing modes or schemes subject to prevailing government rules and regulations;
b. The additional Miscellaneous and Other Operating Expenses (MOOE) resulting from the hospital expansion shall be sourced from the GAA, hospital income including PhilHealth payments, public-private partnerships, and/or other financing modes or schemes; AaCTcI
c. Personal Services to carry out the full implementation of the staffing pattern following the DOH-DBM Joint Circular 2013-01, and other related issuances shall be sourced out from the GAA and other sources; and
d. Release of funds from the DOH shall be approved by the appropriate authority.
VI. SEPARABILITY CLAUSE
If any of the provisions under 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.
VII. EFFECTIVITY
This Order shall take effect fifteen (15) days after publication in a newspaper of general circulation. acEHCD
(SGD.) FRANCISCO T. DUQUE, III, MD, MScSecretary of Health