Implementing Rules and Regulations of Republic Act No. 11325, "An Act Upgrading the Mindanao Central Sanitarium in Pasabolong, Zamboanga City into a Tertiary Level Hospital, Increasing Its Bed Capacity for General Care Services from Fifty (50) to Two Hundred (200) Beds, and Appropriating Funds Therefor"
DOH Administrative Order No. 2019-0053 outlines the Implementing Rules and Regulations (IRR) for Republic Act No. 11325, which upgrades the Mindanao Central Sanitarium (MCS) in Zamboanga City into a tertiary-level hospital with an increased bed capacity from 50 to 200. This initiative responds to the growing demand for medical services in the area and aims to enhance MCS's capabilities to provide comprehensive healthcare while maintaining its original mandate for treating Hansen's Disease. The order establishes guidelines for service expansion, human resource development, infrastructure improvement, and quality management to ensure compliance with national health standards. It also details the funding mechanisms necessary for the implementation of the Act. The order takes effect 15 days after publication, ensuring MCS can evolve to meet the community's healthcare needs effectively.
November 13, 2019
DOH ADMINISTRATIVE ORDER NO. 2019-0053
| SUBJECT | : | Implementing Rules and Regulations of Republic Act No. 11325, "An Act Upgrading the Mindanao Central Sanitarium in Pasabolong, Zamboanga City into a Tertiary Level Hospital, Increasing Its Bed Capacity for General Care Services from Fifty (50) to Two Hundred (200) Beds, and Appropriating Funds Therefor" |
I. RATIONALE AND BACKGROUND
Zamboanga Leprosarium and Mindanao Central Treatment Station, then situated in Santa Cruz, Zamboanga City, were created in 1930 for the treatment of persons affected by leprosy. They moved to another location in the city, Calarian, in 1955, and thence became the Mindanao Central Sanitarium (MCS). In 1980, MCS transferred to its current location in Pasabolong, Zamboanga City. With the introduction of effective multi-drug therapy that significantly reduced cases of Hansen's Disease, the sanitaria under the Department of Health (DOH) were redirected to provide general medical services to the general population in addition to sustaining services of the National Leprosy Control Program. HTcADC
Influx of patients seeking consultation and admission in the city has been increasing over the past years. MCS shared this burden with Zamboanga City Medical Center, the only DOH Level 3 General Hospital in the city, most notably during the Zamboanga siege in 2013. Between 2014 and 2017, the fast rising number of patients exceeded the approved 50-bed capacity of the MCS.
On April 17, 2019, the President signed Republic Act No. 11325, "An Act Upgrading the Mindanao Central Sanitarium in Pasabolong, Zamboanga City into a Tertiary Level Hospital, Increasing its Bed Capacity for General Care Services from Fifty (50) to Two Hundred (200) Beds, and Appropriating Funds Therefor." Section 3 provides for immediate implementation of this Act through the DOH's programs and appropriations.
II. OBJECTIVE AND SCOPE
This Administrative Order sets the Implementing Rules and Regulations of Republic Act No. 11325, "An Act Upgrading the Mindanao Central Sanitarium in Pasabolong, Zamboanga City into a Tertiary Level Hospital, Increasing its Bed Capacity for General Care Services from Fifty (50) to Two Hundred (200) Beds, 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. 11325, "An Act Upgrading the Mindanao Central Sanitarium in Pasabolong, Zamboanga City into a Tertiary Level Hospital, Increasing its Bed Capacity for General Care Services from Fifty (50) to Two Hundred (200) Beds, and Appropriating Funds Therefor."
3. IRR — refers to the Implementing Rules and Regulations of R.A. No. 11325.
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. MCS — refers to Mindanao Central Sanitarium.
6. Sanitarium — refers to a residential establishment or institution for persons affected by leprosy (PAL).
IV. POLICIES AND GUIDELINES
A. General Policies
MCS shall provide promotive, preventive, curative and rehabilitative care in accordance to provisions of and related issuances to R.A. No. 11223, or the "Universal Health Care Act." It shall sustain the functions of its original mandate as a sanitarium. 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 2 General Hospital.
MCS shall strengthen its existing basic services, and aim for the improvement of its service capability and capacity serving as a tertiary hospital with departmentalized clinical services in the City of Zamboanga. The increase in bed capacity and expansion of services and capability shall be consistent with the MCS' Hospital Development Plan (HDP) as approved by the Health Facility Development Bureau (HFDB).
B. Implementing Mechanisms
The implementation of this Act shall be supported by the following guidelines:
1. Expansion of Services
MCS shall develop and submit its HDP to the HFDB through the DOH's Zamboanga Peninsula Center for Health Development (CHD). The HDP shall be consistent with the Philippine Health Facility Development Plan (PHFDP), and shall provide plans for incremental annual increases in beds and commensurate services towards a 200-bed capacity Level 2 General Hospital.
2. Health Human Resources
Based on the approved HDP, MCS shall request for an increase of 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 September 23, 2013. aScITE
MCS 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, 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 MCS, as well as its liabilities and obligations shall be properly documented and be accounted for in accordance with existing policies and guidelines.
4. Equipment
MCS shall make an inventory of the existing hospital equipment and undertake upgrading to conform to 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
MCS shall implement and seek the support of the DOH for the construction, repair and/or renovation of its physical infrastructure, consistent with the approved HDP, and shall conform 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
MCS 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 MCS' 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.
MCS shall complete all stages and become certified with the Performance Governance System towards its organization development and performance improvement, as guided by DOH performance accountability measures such as the Hospital Scorecard.
V. IMPLEMENTING STRUCTURE
A. Administrative Control
The highest DOH-designated official of the Zamboanga Peninsula CHD shall have oversight jurisdiction over the MCS' operations. The CHD shall monitor the implementation of R.A. No. 11325, and may recommend the necessary further upgrading as guided by this Order.
The Medical Center Chief (MCC) of MCS 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.
B. Sourcing and Use of Funds
The amounts necessary to carry out the provisions of R.A. No. 11325 shall be sourced out accordingly:
1. 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 partnerships, and/or financing modes or schemes subject to prevailing government rules and regulations;
2. The additional Maintenance and Other Operating Expenses (MOOE) resulting from hospital expansion shall be sourced from the GAA, hospital income including PhilHealth payments, public-private partnerships, and/or other financing modes or schemes;
3. Personal Services (PS) to carry out the full implementation of the staffing pattern following the DBM-DOH Joint Circular No. 2013-01, and other related issuances shall be sourced out from the GAA and other sources; and
4. 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. aDSIHc
(SGD.) FRANCISCO T. DUQUE III, MD, MScSecretary of Health
Published in the Philippine Daily Inquirer on February 3, 2020.