Implementing Rules and Regulations of Republic Act No. 11250

August 28, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0034

 

I. RATIONALE AND BACKGROUND

The current Adela Serra Ty Memorial Medical Center (ASTMMC) started as a 25-bed emergency hospital in 1961. It became the Surigao del Sur Provincial Hospital with a 50-bed capacity in 1967, then 75 beds in 1970, and then 100 beds in 1983. By virtue of Republic Act (R.A.) No. 7433, the hospital was renamed Adela Serra Ty Memorial Hospital in 1992. Then on August 12, 1997, with R.A. No. 8343, the hospital was converted to a 200-bed tertiary medical center, to be placed under the supervision of the Department of Health. HTcADC

The ASTMMC's primary catchment includes the 17 municipalities and two cities of the province, in addition to neighboring municipalities of Surigao del Norte, Agusan del Norte and Agusan del Sur provinces. It is the referral hospital to six district hospitals, three community hospitals, and 19 birthing homes within these areas. Since 2016, the ASTMMC is licensed as Level 2 general hospital, its occupancy rates ranged between 127 and 150 percent. Notably, in less than 20 years, the hospital's catchment population also more than doubled.

On March 29, 2019, the President approved R.A. No. 11250, "An Act Increasing the Bed Capacity of the Adela Serra Ty Memorial Medical Center in Tandag City, Province of Surigao del Sur, from Two Hundred (200) to Five Hundred (500) Beds, Upgrading its Services and Facilities, Authorizing the Increase of its Medical Personnel and Appropriating Funds Therefor." Section 5 of the Act provides for its immediate implementation to be included in the DOH's appropriations. CAIHTE

II. OBJECTIVE AND SCOPE

This Administrative Order sets the Implementing Rules and Regulations of Republic Act No. 11250, "An Act Increasing the Bed Capacity of the Adela Serra Ty Memorial Medical Center in Tandag City, Province of Surigao del Sur, from Two Hundred (200) to Five Hundred (500) Beds, Upgrading its Services and Facilities, Authorizing the Increase of its Medical Personnel and Appropriating Funds Therefor," and pertains only to the provisions of this Act.

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. 11250, "An Act Increasing the Bed Capacity of Adela Serra Ty Memorial Medical Center in Tandag City, Province of Surigao del Sur, from Two Hundred (200) to Five Hundred (500) Beds, Upgrading its Services and Facilities, Authorizing the Increase of its Medical Personnel and Appropriating Funds Therefor." aScITE

3. ASTMMC — refers to Adela Serra Ty Memorial Medical Center.

4. IRR — refers to Implementing Rules and Regulations of this Act.

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

6. Referral Hospital — refers to a health care institution capable of accepting referrals from other health facilities and renders specialized health care.

IV. POLICIES AND GUIDELINES

A. General Policies

The ASTMMC shall be a teaching and training hospital that delivers tertiary-level promotive, preventive, diagnostic, curative and rehabilitative care, performs research, and provides professional training programs 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 500-bed capacity Level 3 General Hospital.

The ASTMMC 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 of the Province of Surigao del Sur, and neighboring municipalities of Surigao del Norte, Agusan del Norte and Agusan del Sur provinces. The increase in bed capacity shall be consistent with the ASTMMC's Hospital Development Plan (HDP) as approved by the Health Facility Development Bureau. DETACa

B. Implementing Mechanisms

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

1. Expansion of Services

The ASTMMC shall formulate and submit its HDP to the HFDB through the DOH's Caraga Center for Health Development (CHD). The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards a 500-bed Level 3 General Hospital with additional specialty/sub-specialty services. The incremental annual increase in bed capacity and expansion of service capabilities shall be achieved in accordance with the hospital's HDP.

2. Health Human Resources

Based on the approved HDP, the ASTMMC 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 ASTMMC 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. The management shall also adhere to CSC's Program to Institutionalize Meritocracy and Excellence in Human Resource Management (PRIME-HRM).

3. Assets and Liabilities

All movable and immovable assets and records of the ASTMMC, 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 ASTMMC shall make an inventory of the existing hospital equipment and undertake upgrading to conform to the DOH standards of a Level 3 General Hospital as provided for under A.O. No. 2012-0012 as amended. Additional equipment and facilities shall be provided to complement the expansion of services consistent with the approved HDP. aDSIHc

5. Infrastructure

The ASTMMC 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, Integrated People-Centered Health Services, among others.

6. Systems Development

The ASTMMC 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). ATICcS

7. Quality Management

The ASTMMC'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, 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 ASTMMC 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 STRUCTURES

1. Administrative Control

The highest DOH-designated official of the Caraga CHD shall have oversight jurisdiction and control over the ASTMMC's operations. The CHD shall monitor the implementation of R.A. No. 11250, and may recommend the necessary further upgrading as guided by this Order. ETHIDa

The MCC of the ASTMMC 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 hospital'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. 11250 shall be sourced out accordingly:

a. Capital outlay 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; TIADCc

b. The additional Maintenance 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 No. 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. cSEDTC

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