Implementing Rules and Regulations of Republic Act No. 11107

June 25, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0017

 

I. RATIONALE AND BACKGROUND

The Bataan General Hospital and Medical Center (BataanGHMC), formerly known as Bataan Provincial Hospital is a Department of Health retained hospital that was first established as a war hospital with 20-bed capacity hospital on November 30, 1941. In 1942, it was opened to the public, upgraded to 50-bed capacity, and started to accept Medicare patients in the 70's. AHCETa

In 1983, it was integrated in the Provincial Health Office as a 200-bed capacity hospital. By virtue of Republic Act 7160 known as Local Government Code, the hospital was devolved to the province in 1992. However, Congressman Enrique T. Garcia Jr. prompted BataanGHMC's renationalization when deficient funds from its Internal Revenue Allotment (IRA) for decentralization caused the decline in the facility's quality of hospital care.

In February 1998, Republic Act 8561 as authored by Congressman Garcia Jr. was enacted to upgrade the hospital into a tertiary level II hospital increasing its bed capacity from 200 to 350. On July 13, 2018, although BGHMC has been licensed as Level 3 with 214 authorized bed capacity, the 350-bed capacity as provided in RA 8561 was not yet licensed or authorized due to lack of infrastructure despite the 5-year occupancy rate of more than 150%. cHaCAS

To make way for improved facilitation of healthcare and services and address its consistently high occupancy rate, on October 30, 2018, Republic Act No. 11107 was signed and approved to increase BataanGHMC's bed capacity to 500 from 350 and to upgrade the medical center into a Level III teaching and training hospital.

II. OBJECTIVE

This Administrative Order sets the Implementing Rules and Regulations of Republic Act (R.A.) No. 11107, "An Act Upgrading the Bataan Provincial Hospital in the Province of Bataan into a Level III Teaching and Training Hospital to be now known as the Bataan General Hospital and Medical Center and Appropriating Funds Therefor and for Other Purposes."

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. ScHADI

2. Act — refers to Republic Act (R.A.) No. 11107, "An Act Upgrading the Bataan Provincial Hospital in the Province of Bataan into a Level III Teaching and Training Hospital to be now known as the Bataan General Hospital and Medical Center and Appropriating Funds Therefor and for Other Purposes."

3. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11082.

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. BataanGHMC — refers to the Bataan General Hospital and Medical Center.

IV. POLICIES AND GUIDELINES

A. General Policies

The BataanGHMC 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.

The BataanGHMC 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 Province of Bataan and the adjacent areas of the surrounding provinces of Tarlac, Pampanga and Bulacan, 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 BataanGHMC'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. Change in Name

The Bataan General Hospital shall be renamed as Bataan General Hospital and Medical Center. The acronym shall be known as "BataanGHMC." The official address shall be at the Manahan Street, Tenejero, Balanga City, Bataan. aICcHA

The Medical Center Chief shall ensure that directory and future official documents adhere to the new hospital name and be reflected in the DOH-National Health Facility Registry and other official databases.

2. Expansion of Services

The BataanGHMC 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 500-bed Level 3 General Hospital and Medical Center with specialty and sub-specialty services. The incremental annual increases in bed capacity shall be achieved within two (2) years of implementation of this Act and expansion of service capabilities as medical center shall be implemented not more than five (5) years upon approval of this IRR.

3. Health Human Resources

Based on the approved HDP, the BataanGHMC 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. HSCATc

The BataanGHMC 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.

4. Assets and Liabilities

All movable and immovable assets and records of the BataanGHMC, 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 BataanGHMC 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 BataanGHMC 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 BataanGHMC 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 BataanGHMC'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 international organizations that support national or local standards. Its management shall comply with the gender and development (GAD) mainstreaming policies for government bureaucracies. IDTSEH

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 Center for Health Development (CHD)-Central Luzon (CL) shall have oversight jurisdiction and control over the BataanGHMC's operations. The CHD-CL shall monitor the implementation of R.A. No. 11107, and may recommend the necessary further upgrading as guided by this Order.

The Medical Center Chief (MCC) of the BataanGHMC 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 division and units. The MCC shall also submit developmental plans, financial and statistical reports to the DOH Central Office. DaIAcC

2. Sourcing and Use of Funds

The amounts necessary to carry out the provisions of R.A. No. 11107 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 SICDAa

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. TAacHE

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