Implementing Rules and Regulations of Republic Act No. 11104

June 25, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0015

 

I. RATIONALE AND BACKGROUND

Mountain Province General Hospital was created thru Republic Act (RA) 1806 on June 22, 1957. From 1964 to 1977, it operated with 50 beds capacity, and later increased to 75. On April 27, 1984, the hospital was renamed Luis Hora Memorial Hospital thru Batas Pambansa Blg. 836. EcTCAD

In 1993, the hospital was devolved to the Local Government of Mountain Province thru RA 7160, known as the Local Government Code of 1991. By 1998, thru RA 8314, the hospital was re-nationalized and designated as the regional hospital of the Cordillera Administrative Region, and was renamed Luis Hora Memorial Regional Hospital (LHMRH). On June 9, 2014, thru RA 8314 n , the administrative order setting the implementing rules and regulations as regional hospital was approved.

Its strategic location in Bauko, Mountain Province made it accessible, contributing to an increase in bed occupancy rate in the last three years: 2016 — 110%; 2017 — 123%; 2018 — 131%, based on the Authorized Bed Capacity of 100. The opening of Cervantes Bridge, connecting Mountain Province to Ilocos Sur in 2013 has made the LHMRH accessible to patients from Cervantes, Ilocos Sur and the province of Abra, and including Benguet, Ifugao, and Kalinga. Baguio General Hospital and Medical Center, with its intensive tertiary care medical services, is 124 kilometers away from the Mountain Province.

II. OBJECTIVE

This Administrative Order sets the Implementing Rules and Regulations of Republic Act (R.A.) No. 11104, "An Act Increasing the Bed Capacity of the Luis Hora Memorial Regional Hospital from One Hundred (100) to Two Hundred (200) Beds, Upgrading the Service Facilities and Professional Health Care Therein, and Appropriating Funds Therefor." SDHTEC

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. 11104, "An Act Increasing the Bed Capacity of the Luis Hora Memorial Regional Hospital from One Hundred (100) to Two Hundred (200) Beds, Upgrading the Service Facilities and Professional Health Care Therein, and Appropriating Funds Therefor."

3. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11104.

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.

5. LHMRH — refers to Luis Hora Memorial Regional Hospital. HSAcaE

IV. POLICIES AND GUIDELINES

A. General Policies

The LHMRH shall provide secondary-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 hospital 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 II General Hospital.

The LHMRH shall strengthen its existing basic and specialty services, and aim for the improvement of its service capability and capacity while continually serving as referral hospital in the Mountain Province and other provinces of Cordillera Region and the adjacent areas of the surrounding provinces of Ilocos Sur, complementing local health systems and providers in these areas. The increase in bed capacity and capability shall be consistent with the LHMRH's Hospital Development Plan (HDP) as approved by the Health Facility Development Bureau (HFDB). AScHCD

B. Implementing Mechanisms

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

1. Expansion of Services

The LHMRH shall develop and submit its Hospital Development Plan (HDP) to the HFDB through the Cordillera Center for Health Development. The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards a 200-bed Level 2 General Hospital. The incremental annual increases in bed capacity and commensurate services shall be achieved within three (3) years of implementation of this Act.

2. Health Human Resources

Based on the approved HDP, the LHMRH 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 LHMRH 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.

3. Assets and Liabilities

All movable and immovable assets and records of the LHMRH, 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 LHMRH shall make an inventory of the existing hospital equipment and undertake upgrading to conform to the DOH standards of a Level 2 General Hospital 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. AcICHD

5. Infrastructure

The LHMRH 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 LHMRH 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 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 LHMRH'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. caITAC

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 Cordillera Center for Health Development (CHD-Cordillera) shall have oversight jurisdiction and control over the LHMRH's operations. The CHD-Cordillera shall monitor the implementation of R.A. No. 11104, and may recommend the necessary further upgrading as guided by this Order.

Medical Center Chief (MCC) of the LHMRH 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 Hospital's division and units. The MCC shall also submit developmental plans, financial and statistical reports to the DOH Central Office. TAIaHE

2. Sourcing and Use of Funds

The amounts necessary to carry out the provisions of R.A. No. 11104 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; ICHDca

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. cDHAES

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

 

n Note from the Publisher: Written as "thru RA 8413" in the original document.