Implementing Rules and Regulations of Republic Act No. 11286

September 30, 2019

DOH ADMINISTRATIVE ORDER NO. 2019-0038

 

I. RATIONALE AND BACKGROUND

The Central Luzon Sanitarium was established as a 2,000-bed capacity special health facility by virtue of Commonwealth Act No. 161 in 1936. Batas Pambansa Bilang 94 renamed the sanitarium to Dr. Jose N. Rodriguez Memorial Hospital (DJNRMH) in 1980. The prevalence rate of leprosy in the country steadily declined over the years, and the DOH sanitaria redirected their roles to respond to the increasing needs for general health care services. In 2007, Republic Act (R.A.) No. 9420 converted 200 of the 2,000 beds of DJNRMH for tertiary general health care. In recent years, the hospital saw sustained increase of patients' treated and admitted, again exceeding limits in bed occupancy rates. HTcADC

On April 12, 2019, the President approved R.A. No. 11286, "An Act Increasing the Bed Capacity for Tertiary General Health Care Services of the Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium in Tala, Caloocan City from Two Hundred (200) to Eight Hundred (800) Beds, Reapportioning the Authorized Two Thousand (2,000) Bed Capacity of the Hospital, Amending for the Purpose Republic Act No. 9420, and Appropriating Funds Therefor." Section 4 provides for the implementation of this Act as consistent with the development plans of the hospital.

II. OBJECTIVE AND SCOPE

This Administrative Order sets Implementing Rules and Regulations of Republic Act No. 11286, "An Act Increasing the Bed Capacity for Tertiary General Health Care Services of the Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium in Tala, Caloocan City from Two Hundred (200) to Eight Hundred (800) Beds, Reapportioning the Authorized Two Thousand (2,000) Bed Capacity of the Hospital, Amending for the Purpose Republic Act No. 9420, 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. 11286, "An Act Increasing the Bed Capacity for Tertiary General Health Care Services of the Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium in Tala, Caloocan City from Two Hundred (200) to Eight Hundred (800) Beds, Reapportioning the Authorized Two Thousand (2,000) Bed Capacity of the Hospital, Amending for the Purpose Republic Act No. 9420, and Appropriating Funds Therefor."

3. DJNRMHS — refers to Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium.

4. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11286.

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. Sanitarium — refers to a residential establishment or institution for persons affected by leprosy (PAL).

IV. POLICIES AND GUIDELINES

A. General Policies

The DJNRMHS is a teaching and training hospital that delivers promotive, preventive, diagnostic, curative, palliative care services, as well as teaching, training and research services in accordance to the provisions of and related issuances to R.A. No. 11223, or the "Universal Health Care Act." It shall maintain its mandate as sanitarium, including custodial services for persons affected by leprosy. It shall be fully equipped with state-of-the-art equipment and facilities, complemented by adequately trained and competent human resources for health appropriate for a licensed and accredited Level 3 General Hospital.

The DJNRMHS shall strengthen its existing basic services, and aim for the improvement of its service capability and achievement of 800-bed general hospital capacity. It shall serve as referral hospital primarily in Caloocan City, north of Metro Manila, and nearby municipalities of Bulacan province, complementing local health systems and providers in these areas. The increase of general hospital bed capacity and expansion of services and capability shall be consistent with the DJNRMHS'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. Name of the Hospital

The hospital is officially named Dr. Jose N. Rodriguez Memorial Hospital and Sanitarium, and its acronym is "DJNRMHS." Its official address is at Tala, Caloocan City. The Medical Center Chief (MCC) shall ensure that directory and future official documents shall bear the official name, and reflected in the DOH's National Health Facility Registry and other official databases.

2. Expansion of Services

The DJNRMHS shall formulate and submit its HDP to the HFDB through the DOH's Metro Manila Center of Health Development (CHD). The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards an 800-bed Level 3 General Hospital with specialty/sub-specialty services. The incremental annual increase of general hospital beds and expansion of service capabilities shall be achieved according to the approved HDP.

3. Health Human Resources

Based on the approved HDP, the DJNRMHS 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 DJNRMHS 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. n   Assets and Liabilities

All movable and immovable assets and records of the DJNRMHS, 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 DJNRMHS 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.

5. Infrastructure

The DJNRMHS 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 DJNRMHS 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 DJNRMHS'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 DJNRMHS 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 Metro Manila CHD shall have oversight jurisdiction and control over the DJNRMHS's operations. The Metro Manila CHD shall monitor the implementation of R.A. No. 11286, and may recommend the necessary further upgrading as guided by this Order.

The MCC of the DJNRMHS 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. 11286 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;

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.

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

 

n Note from the Publisher: Copied verbatim from the official copy. Irregular numerical sequence.