Implementing Rules and Regulations of Republic Act No. 11087

June 25, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0014

 

I. RATIONALE AND BACKGROUND

In 1992, the Zamboanga Regional Hospital in Zamboanga City was converted into the Zamboanga City Medical Center (ZCMC) by virtue of Republic Act (R.A.) No. 7272. As the hospital continued to evolve towards its role as a modern medical center serving the western side of Mindanao, in 2013, the ZCMC's minimum bed capacity increased from 250 to 500 beds by the passage of R.A. No. 10613. In the same year, the ZCMC was licensed by the Department of Health, and accredited by the Philippine Health Insurance Corporation as a Level 3 general hospital with a 300-bed authorized capacity. cSEDTC

The ZCMC is the only teaching and training hospital in the Zamboanga Peninsula, and it serves as the end-referral health facility of the local health systems in the region's and nearby municipalities, cities and provinces. Future development of the ZCMC is strained by limitations of physical facilities, human and financial resources. In 2013, its implementing bed capacity was pegged at 400. Thus, R.A. No. 11087, "An Act Increasing the Bed Capacity of the Zamboanga City Medical Center from Five Hundred (500) to Eight Hundred (800) Beds, Amending for this Purpose Republic Act No. 7272, as Amended" was signed into law by the President on on October 10, 2018.

II. OBJECTIVE

This Administrative Order sets the Implementing Rules and Regulations of Republic Act (R.A.) No. 11087, "An Act Increasing the Bed Capacity of Zamboanga City Medical Center from Five Hundred (500) to Eight Hundred (800) Beds, Amending for this Purpose Republic Act No. 7272, as Amended."

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 No. 11087, "An Act Increasing the Bed Capacity of Zamboanga City Medical Center from Five Hundred (500) to Eight Hundred (800) beds, Amending for this Purpose Republic Act No. 7272, as Amended."

3. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11087.

4. Level 3 Hospital — refers to the type of general hospital according to functional capacity as provided in A.O. No. 2012-0012, as amended.

5. 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.

6. ZCMC — refers to Zamboanga City Medical Center.

IV. POLICIES AND GUIDELINES

A. General Policies

The ZCMC shall provide tertiary-level 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. AIDSTE

The ZCMC 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 Zamboanga Peninsula and the adjacent areas of the surrounding provinces, complementing local health systems and providers in these areas. The increase in bed capacity and capability shall be consistent with the ZCMC'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:

1. Expansion of Services

The ZCMC shall develop and submit its Hospital Development Plan (HDP) to the HFDB through the Zamboanga Peninsula Center for Health Development. The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards an 800-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 two (2) years of implementation of this Act.

2. Health Human Resources

Based on the approved HDP, the ZCMC 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 ZCMC 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.

3. Assets and Liabilities

All movable and immovable assets and records of the ZCMC, 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 ZCMC 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. SDAaTC

5. Infrastructure

The ZCMC 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.

6. Systems Development

The ZCMC 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).

7. Quality Management

The ZCMC'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.

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 Zamboanga Peninsula Center for Health Development (CHD-Zamboanga Peninsula) shall have oversight jurisdiction and control over the ZCMC's operations. The CHD-Zamboanga Peninsula shall monitor the implementation of R.A. No. 11087, and may recommend the necessary further upgrading as guided by this Order.

The Medical Center Chief (MCC) of the ZCMC 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 determine 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. AaCTcI

2. Sourcing and Use of Funds

The amounts necessary to carry out the provisions of R.A. No. 11087 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. acEHCD

VII. EFFECTIVITY

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

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