Implementing Rules and Regulations of Republic Act No. 11287
The Department of Health (DOH) Administrative Order No. 2019-0032 implements the regulations for Republic Act No. 11287, which increases the bed capacity of the "Amang" Rodriguez Memorial Medical Center (ARMMC) from 300 to 500 beds and enhances its facilities and healthcare services. The ARMMC, originally established as a 25-bed hospital, has undergone several expansions to meet the growing healthcare needs of eastern Metro Manila and nearby areas. The order outlines objectives, including the development of a Hospital Development Plan (HDP) and compliance with health standards, while ensuring the hospital operates as a Level 3 General Hospital. Funding for the expansion will come from various sources, including government appropriations and public-private partnerships. The order will take effect fifteen days after publication, and any invalid provisions will not affect the remaining regulations.
August 27, 2019
DOH ADMINISTRATIVE ORDER NO. 2019-0032
| SUBJECT | : | Implementing Rules and Regulations of Republic Act No. 11287, "An Act Increasing the Bed Capacity of the 'Amang' Rodriguez Memorial Medical Center from Three Hundred (300) to Five Hundred (500) Beds, Upgrading the Service Facilities and Professional Health Care Therein, and Appropriating Funds Therefor" |
I. RATIONALE AND BACKGROUND
By virtue of Republic Act (R.A.) No. 3862, in 1964, the Marikina Valley Emergency Hospital was established as a 25-bed capacity hospital. It was later renamed as Eulogio Rodriguez Sr. Memorial Hospital, a tertiary-level provincial hospital with 100 beds. The hospital's capacity increased to 150 beds in 1992, then to 300 beds in 2007. R.A. No. 9419 renamed the hospital "Amang" Rodriguez Memorial Medical Center (ARMMC). HTcADC
Situated in the City of Marikina, the ARMMC's catchment area covers eastern Metro Manila, contiguous municipalities of the Province of Rizal such as San Mateo and Rodriguez, and the City of Antipolo. Its implementing beds has exceeded 113 percent its authorized bed capacity in 2018, clearly in need to increase its capacity further as referral institution for tertiary care.
On April 12, 2019, the President approved Republic Act No. 11287, "An Act Increasing the Bed Capacity of the 'Amang' Rodriguez Memorial Medical Center from Three Hundred (300) to Five Hundred (500) Beds, Upgrading the Service Facilities and Professional Health Care Therein, and Appropriating Funds Therefor." Section 5 provides for immediate implementation of this Act through the Department of Health's programs and appropriations.
II. OBJECTIVE AND SCOPE
This Administrative Order sets the Implementing Rules and Regulations of Republic Act (R.A.) No. 11287, "An Act Increasing the Bed Capacity of the 'Amang' Rodriguez Memorial Medical Center from Three Hundred (300) to Five Hundred (500) Beds, Upgrading the Service Facilities and Professional Health Care Therein, 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. CAIHTE
2. Act — refers to Republic Act (R.A.) No. 11287, "An Act Increasing the Bed Capacity of the 'Amang' Rodriguez Memorial Medical Center from Three Hundred (300) to Five Hundred (500) Beds, Upgrading the Service Facilities and Professional Health Care Therein, and Appropriating Funds Therefor."
3. ARMMC — refers to "Amang" Rodriguez Memorial Medical Center.
4. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11287.
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 hospital capable of accepting patients referred by other health care facilities, and of rendering specialized health care services. aScITE
IV. POLICIES AND GUIDELINES
A. General Policies
The ARMMC shall be 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." The hospital 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 ARMMC shall strengthen its existing basic services, and aim for the improvement of its service capability and capacity serving as an end-referral hospital in eastern Metro Manila and the Province of Rizal, 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 ARMMC's Hospital Development Plan (HDP) as approved by the Health Facility Development Bureau (HFDB). DETACa
B. Implementing Mechanisms
The implementation of the Act shall be supported by the following guidelines:
1. Expansion of Services
The ARMMC shall formulate and submit its HDP to the HFDB. The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP) leading towards a 500-bed Level 3 General Hospital with specialty and sub-specialty services. The incremental annual increase in bed capacity and expansion of service capabilities shall be achieved within five (5) years of implementation of this Act.
2. Health Human Resources
Based on the approved HDP, the ARMMC 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. HEITAD
The ARMMC 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 ARMMC, 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 ARMMC 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 ARMMC 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 ARMMC 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 ARMMC'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 ARMMC 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 for Metro Manila hospitals and medical centers shall have oversight jurisdiction and control over the ARMMC's operations. The official shall monitor the implementation of R.A. No. 11287, and may recommend the necessary further upgrading as guided by this Order. ETHIDa
The Medical Center Chief (MCC) of the ARMMC 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. 11287 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