Implementing Rules and Regulations of Republic Act No. 11085

June 25, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0012

 

I. RATIONALE AND BACKGROUND

Dr. Paulino J. Garcia Memorial Research and Medical Center-Talavera Extension Hospital (DR. PJGMRMC-TEH) in Talavera, Nueva Ecija was created by virtue of B.P. 396, s. of 1983 and operated at a 10-bed capacity with 17 personnel in 1985. DR. PJGMRMC-TEH's facilities have since been upgraded from 10 beds to accommodate 50 beds by virtue of R.A. 8527, s. of 1998, and as stated in its Revised Implementing Rules and Regulations signed and approved on November 7, 2017, declaring full administrative and technical provision of the Department of Health to DR. PJGMRMC-TEH and that the Chief of Hospital II shall be responsible for monitoring the implementation of the Act. DcHSEa

On September 28, 2018, Republic Act 11085, or the law entitled "An Act Upgrading the Dr. Paulino J. Garcia Memorial Research and Medical Center Talavera Extension Hospital in the Municipality of Talavera, Province of Nueva Ecija, to a Level II Hospital and Increasing its Bed Capacity from Fifty (50) to One Hundred (100) Beds to be Now Known as the Talavera General Hospital, and Appropriating Funds Therefor," mandates further improvement of the health service delivery in Nueva Ecija. Also, it shall ensure the provision of quality, efficient and effective direct health care services for the residents of Talavera and its neighboring municipalities henceforth.

II. OBJECTIVE

This Administrative Order sets the Implementing Rules and Regulations of Republic Act (R.A.) No. 11085, "An Act Upgrading the Dr. Paulino J. Garcia Memorial Research and Medical Center Talavera Extension Hospital in the Municipality of Talavera, Province of Nueva Ecija, to a Level II Hospital and Increasing its Bed Capacity from Fifty (50) to One Hundred (100) Beds to be Now Known as the Talavera General Hospital, and Appropriating Funds Therefor." SaCIDT

III. DEFINITION OF TERMS AND ACRONYMS

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 (R.A.) No. 11085, "An Act Upgrading the Dr. Paulino J. Garcia Memorial Research and Medical Center Talavera Extension Hospital in the Municipality of Talavera, Province of Nueva Ecija, to a Level II Hospital and Increasing Its Bed Capacity from Fifty (50) to One Hundred (100) Beds to be Now Known as the Talavera General Hospital, and Appropriating Funds Therefor."

3. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11085.

4. Level 2 Hospital — refers to the type of general hospital according to functional capacity as provided in A.O. No. 2012-0012, as amended. SCaITA

5. TGH — refers to the Talavera General Hospital.

IV. POLICIES AND GUIDELINES

A. General Policies

The TGH shall provide secondary-level of promotive, preventive, diagnostic, curative, rehabilitative, and palliative health care services, also in accordance to provisions of and related issuances to R.A. No. 11223, or the "Universal Health Care Act." The Hospital shall be fully equipped with appropriate equipment and facilities, complemented by adequately trained and competent human resources for health as appropriate for a licensed and accredited 100-bed Level II General Hospital.

The TGH shall strengthen its existing services, and aim for the improvement of its service capability and capacity while continually serving as referral hospital in the Province of Nueva Ecija and nearby provinces. The increase in bed capacity and expansion of services and capability shall be consistent with the TGH's Hospital Development Plan (HDP) as approved by the Health Facility Development Bureau (HFDB).

B. Implementing Mechanisms

The implementation of the Act shall be supported by the following guidelines: cHECAS

1. Expansion of Services

The TGH shall develop and submit its Hospital Development Plan (HDP) to the HFDB through the Center for Health Development (CHD)-Central Luzon. The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards a 100-bed Level 2 General Hospital. The incremental annual increases in bed capacity and commensurate services shall be achieved within five (5) years of implementation of this Act.

2. Health Human Resources

Based on the approved HDP, the TGH 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 TGH shall honor the positions, security of tenure, and other rights of its human resource complement. The Hospital 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. aTHCSE

3. Assets and Liabilities

All movable and immovable assets and records of the TGH, as well as its liabilities and obligations shall be properly documented and be accounted for in accordance with existing policies and guidelines.

4. Equipment

The TGH shall make an inventory of the existing hospital equipment and undertake upgrading to conform to the DOH standards of a Level 2 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.

5. Infrastructure

The TGH 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. AHDacC

6. Systems Development

The TGH 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 General Hospital. It shall implement an electronic information system conforming to the basic requirements of the Integrated Hospital Operations and Management Program (IHOMP).

7. Quality Management

The TGH'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. cAaDHT

The Hospital 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 Center for Health Development-Central Luzon (CHD-CL) shall have oversight jurisdiction and control over the TGH's operations. The CHD-CL shall monitor the implementation of R.A. No. 11085, and may recommend the necessary further upgrading as guided by this Order.

The Chief of Hospital (COH) of the TGH shall be accountable and responsible for the implementation of quality standard hospital operations and management. The COH shall establish responsibility accounting as means of management control and determine respective contributions and performances of the Hospital's division and units. The MCC shall also submit developmental plans, financial and statistical reports to the DOH Central Office. IDSEAH

2. Sourcing and Use of Funds

The amounts necessary to carry out the provisions of R.A. No. 11085 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;

c. Personal Services (PS) 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. aCIHcD

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