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BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur

Telephone Nos.: (054) 473E

HISTORICAL BACKGROUND

Bicol Sanitarium was established on September 19, 1929 by the virtue of the Act 1711 of the Philippine Commission. It was then named as Bicol Treatment Station with only fortyattended to by three (3) personnel who were situated at Reagan Barracks in Legazpi City. It was the only hospital of the national government in the Bicol Region servicing the confinement and treatment of leprosy cases.

The Bicol Treatment Station was renamed Bicol Leprosarium on April 19, 1949, it was transferred to its new site Cabusao, Camarines Sur and Bicol Sanitarium became its new name.

Bicol Sanitarium is 6.5 kilometers from the National Highway and municipality of Sipocot. Situated in 379.75 hectares of land, its topography is upland surrounded by green rolnorth and west by the municipality of Sipocot, east by the municipality of Cabusao, and south by the municipality of Libmanan province of Camarines Sur.

BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur

Telephone Nos.: (054) 473-2244 (054) 472-4422 E-mail Address: [email protected]


was established on September 19, 1929 by the virtue of the Act 1711 of the Philippine Commission. It was then named as Bicol Treatment Station with only forty-five (45) patients attended to by three (3) personnel who were situated at Reagan

gazpi City. It was the only hospital of the national government in the Bicol Region servicing the confinement and treatment of leprosy cases.

The Bicol Treatment Station was renamed Bicol Leprosarium on April 19, 1949, it was transferred to its new site in San Pedro, Cabusao, Camarines Sur and Bicol Sanitarium became its new

Bicol Sanitarium is 6.5 kilometers from the National Highway and municipality of Sipocot. Situated in 379.75 hectares of land, its topography is upland surrounded by green rolling hills, bounded north and west by the municipality of Sipocot, east by the municipality of Cabusao, and south by the municipality of Libmanan province of Camarines Sur.


was established on September 19, 1929 by the virtue of the Act 1711 of the Philippine Commission. It was then

five (45) patients attended to by three (3) personnel who were situated at Reagan

gazpi City. It was the only hospital of the national government in the Bicol Region servicing the confinement and

The Bicol Treatment Station was renamed Bicol Leprosarium in San Pedro,

Cabusao, Camarines Sur and Bicol Sanitarium became its new

Bicol Sanitarium is 6.5 kilometers from the National Highway and municipality of Sipocot. Situated in 379.75 hectares of land, its

ling hills, bounded north and west by the municipality of Sipocot, east by the municipality of Cabusao, and south by the municipality of



HOSPITAL BACKGROUND

n SPECIAL HOSPITAL, PROVIDING TERTIARY CARE IN THE FIELD OF LEPROSY MANAGEMENT97 ADMITTED PATIENTS

n OPERATING MANDATE OACTUAL/IMPLEMENTING

n PHILHEALTH ACCREDITED 30

(PRIMARY) WITH LABORATORY (SECONDARY), XRAY and PHARMACY

n WITH 79 PLANTILLA POSITIONS FILLED

EMPLOYEES, 33 CONTRACTING SERVICE, 21 JOB ORDER AND 14 GRATUITY WORKERS



HOSPITAL BACKGROUND

SPECIAL HOSPITAL, PROVIDING TERTIARY CARE LEPROSY MANAGEMENT

ADMITTED PATIENTS

OPERATING MANDATE OF 450-BED; ACTUAL/IMPLEMENTING 200-BED

PHILHEALTH ACCREDITED 30-BED, LEVEL-(PRIMARY) WITH LABORATORY (SECONDARY), XRAY and PHARMACY

PLANTILLA POSITIONS FILLED, 6 CASUAL EMPLOYEES, 33 CONTRACTING SERVICE, 21 JOB

GRATUITY WORKERS

HOSPITAL BACKGROUND

SPECIAL HOSPITAL, PROVIDING TERTIARY CARE LEPROSY MANAGEMENT WITH

-1 (PRIMARY) WITH LABORATORY (SECONDARY), X-

, 6 CASUAL EMPLOYEES, 33 CONTRACTING SERVICE, 21 JOB



V I S IO N A SPECIAL-TERTIARY HOSPITAL THAT INTEGRATES PROMOTIVE, CURATIVE, REHABILITATIVE AND PREVENTIVE HEALTH SERVICES, WHICH ARE AVAILABLE, ACCESSIBLE AND AFFORDABLE QUALITY DELIVERED BY COMPETENT, CARING AND COMPASSIONATE SERVICE PROVIDERS

M I S S I O N EMPOWER THE VARIOUS STAKEHOLDERS BY PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY AND HUMAN RESOURCE DEVELOPMENT THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTIONCLINICAL HEALTH CARE SERVICES



V I S IO N

TERTIARY HOSPITAL THAT INTEGRATES PROMOTIVE, CURATIVE, REHABILITATIVE AND PREVENTIVE HEALTH SERVICES, WHICH ARE AVAILABLE, ACCESSIBLE AND AFFORDABLE QUALITY HEALTH CARE DELIVERED BY COMPETENT, CARING AND COMPASSIONATE SERVICE PROVIDERS

M I S S I O N

EMPOWER THE VARIOUS STAKEHOLDERS BY PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY AND HUMAN RESOURCE DEVELOPMENT THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTIONCLINICAL HEALTH CARE SERVICES

TERTIARY HOSPITAL THAT INTEGRATES PROMOTIVE, CURATIVE, REHABILITATIVE AND PREVENTIVE HEALTH SERVICES, WHICH ARE AVAILABLE, ACCESSIBLE AND

HEALTH CARE DELIVERED BY COMPETENT, CARING AND COMPASSIONATE SERVICE PROVIDERS

EMPOWER THE VARIOUS STAKEHOLDERS BY PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY AND HUMAN RESOURCE DEVELOPMENT THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTION AND



GOALS AND OBJECTIVES

n PROVIDE TERTIARY SERVICES IN LEPROSY MANAGEMENT

n To provide clinical and technical management in leprosy control program.

n Support the Disease free zone initiative especially in Leprosy elimination thru active case finding and advocacy.

n Prepare patients for eventual social integration.(“Halfway house project.”)

n EXPAND SERVICES OFFERED BY THE SANITARIUM

n Making available basic health essential services as mandated by AO 2005

n Provide general health care services to immediate catchments areas

n Prepare facility development and expansion plan based on approved upgrading plan

n Support facility linkages thru the referral

n IMPLEMENT PUBLIC HEALTH PROGRAMS

n Support disease free zone initiatives

n Provide community extension services

n Provide linkages and coordination with other government and nonorganizations.

n ESTABLISHED SUSTAINABLE FINANCING SCHEME

n Implement cost recovery measures

n Adopt revenue enhancement schemes

n Rational and equitable use of hospital community support system




PROVIDE TERTIARY SERVICES IN LEPROSY MANAGEMENT

To provide clinical and technical management in leprosy control program.

Support the Disease free zone initiative especially in Leprosy elimination thru active case finding and advocacy.

Prepare patients for eventual social integration.(“Halfway house project.”)

EXPAND SERVICES OFFERED BY THE SANITARIUM

basic health essential services as mandated by AO 2005

Provide general health care services to immediate catchments areas

Prepare facility development and expansion plan based on approved upgrading plan

Support facility linkages thru the referral system and inter local Health Zone (CaSiLi).

IMPLEMENT PUBLIC HEALTH PROGRAMS

Support disease free zone initiatives

Provide community extension services

Provide linkages and coordination with other government and non

HED SUSTAINABLE FINANCING SCHEME

Implement cost recovery measures

Adopt revenue enhancement schemes

Rational and equitable use of hospital community support system


To provide clinical and technical management in leprosy control program.

Support the Disease free zone initiative especially in Leprosy elimination thru active

Prepare patients for eventual social integration.(“Halfway house project.”)

basic health essential services as mandated by AO 2005-0013.

Prepare facility development and expansion plan based on approved upgrading plan

system and inter local Health Zone (CaSiLi).

Provide linkages and coordination with other government and non-government



HOSPITAL STATISTICS

a. Occupancy Rate

b. Average in-patients per day(General)

c. Average OPD patients per day

d. Average ER patients per day

e. Average Length of Stay

a. Custodial Care

b. General

f. Number of Discharges

g. Net Death Rate

h. Infection Rate



HOSPITAL STATISTICS

2009 2010 2011 2012

73.23 70.02 65.71 60.04

patients per day(General) 15 18 21 26

c. Average OPD patients per day 55 63 73 96

d. Average ER patients per day 6 7 7 10

104 68 102 116

3 3 3 3

906 1132 1289 1461

1.89 0.62 0.39 0.07

0 0 0 0

2013

55.80

24

83

10

169

3

1616

0.29

0



TEN LEADING CAUSES OF CONSULTATIONS

2012

1 AURTI

2 DERMATOLOGICAL

3 URINARY TRACT INFECTION

4

HYPERTENSION

5 PULMONARY TUBERCULOSIS

6 WOUND

7 ACID PEPTIC DISEASE

8 MUSKULO SKELETAL DISORDER

9 DENTAL CARIES

10 PNEUMONIA

TOTAL

TEN LEADING ER CASES SEEN

2012

1 WOUND

2 ACUTE GASTROENTERITIS

3 URINARY TRACT INFECTION

4 ACUTE UPPER RESPIRATORY

TRACT INFECTION

5 HYPERTANSION

6 PNEUMONIA

7 BRONCHIAL ASTHMA

8 BENIGN POSITIONAL VERTIGO

9 ACUTE PEPTIC DISEASE

10 DENGUE FEVER

TOTAL




2013

2206 1 DERMATOLOGICAL

2089 2 AURTI

1272 3 HYPERTENSION

1224 4 URINARY TRACT INFECTION

864 5 WOUND

855 6 DENTAL CARIES

575 7 PULMONARY TUBERCULOSIS

DISORDER 555 8 ACID PEPTIC DISEASE

544 9 MUSKULO SKELETAL DISORDER

525 10 ARI

10,709 TOTAL

TEN LEADING ER CASES SEEN

2013

402 1 WOUND


261 3 HYPERTENSION

255 4 ACUTE GASTROENTERITIS

234 5 ACUTE UPPER RESPIRATORY

TRACT INFECTION

156 6 PNEUMONIA

123 7 ALLERGY

94 8 ACID PEPTIC DISEASE

70 9 BRONCHIAL ASTHMA

36 10 FEVER

1914 TOTAL


1815

1761

1209

URINARY TRACT INFECTION 1181

974

514

PULMONARY TUBERCULOSIS 486

453

MUSKULO SKELETAL DISORDER 453

360

9,206

395


309

ACUTE GASTROENTERITIS 300

ACUTE UPPER RESPIRATORY 297

175

147

ACID PEPTIC DISEASE 137

BRONCHIAL ASTHMA 98

26

2232



TEN LEADING CAUSES OF DISCHARGES

2012

1 ACUTE GASTRO ENTERITIS

2 PNEUMONIA

3

URINARY TRACT INFECTION 4 DENGUE FEVER

5

HYPERTENSION

6 CATARACT EXTRACTION

7 BRONCHIAL ASTHMA IN ACUTE

EXACERBATION

8

COMPLICATION OF PREGANACY

AND DELIVERY

9

ACUTE UPPER RESPIRATORY

TRACT INFECTION

10 GASTRITIS

TOTAL




2013

205 1 ACUTE GASTROENTERITIS

150 2 PNEUMONIA

98 3 HYPERTENSION


70 5 CATARACT EXTRACTION

59 6 DENGUE HEMORRHAGIC FEVER

BRONCHIAL ASTHMA IN ACUTE 40 7

ACUTE UPPER RESPIRATORY

TRACT INFECTION

COMPLICATION OF PREGANACY 39 8

BRONCHIAL ASTHMA IN ACUTE EXACERBATION

35 9 COMPLICATION OF PREGNANCY

AND DELIVERY

30 10

OTHER SIGNS SYMPTOMS AND

ABNORMAL CLINICAL AND LABORATORY FINDINGS

804 TOTAL


ACUTE GASTROENTERITIS 208

162

116


CATARACT EXTRACTION 97

DENGUE HEMORRHAGIC FEVER 51

ACUTE UPPER RESPIRATORY 44

BRONCHIAL ASTHMA IN ACUTE 38

COMPLICATION OF PREGNANCY 38

OTHER SIGNS SYMPTOMS AND ABNORMAL CLINICAL AND LABORATORY FINDINGS 32

889



CAUSES OF MORTALITY2012

1 ACUTE GASTRO ENTERITIS

2

CAP HIGH RISK

3 CORPULMONALE PNUEMONIA

4 ANEMIA, SEVERE UGIB

5 BRONCHOPNEUMONIA SEVERE

6 CONGENITAL HEART DISEASE

7 ACUTE GASTROINTESTINAL

BLEEDING

8 CHRONIC OBSTRUCTIVE PULMONARY DISEASE

9 MALNUTRITION SEVERE

10 UREMIA SECONDARY TO CKD

TOTAL



CAUSES OF MORTALITY 2013

2 1 SEPSIS NEONATORUM

1 2 PNEUMONIA ASPIRATION

1 3 PNEUMONIA SEVERE

1 4 MALNUTRITION SEVERE

1 5 MULTIPLE ORGAN FAILURE

SECONDARY TO SEPSIS

1 6 CHF, PNEUMONIA

1 7

DRUG INDUCED NEPHROPATHY

1 8

CHRONIC RENAL FAILURE

1 9 DIABETES MILLETUS

1 10 INTESTINAL OBSTRUCTION

11 TOTAL

2

2

2

1

1

1

1

1

1

1

13



AGE DISTRIBUTION: Female Leper Patients

AGE DISTRIBUTION: Male Leper Patients

1; 2%

9; 20%

16; 35%

5-9 15-19 20-29

+50

40

24; 25%

26; 28%

15-19 20-29

40-

+50





1; 2% 5; 11%

9; 19%

29 30-39 40-49 50-up

40-49

5-9 15-19 20-29

30-39

14; 15%

13; 14%

30-39 40-49 50-UP

30-39 -49

20-29

15-19



6; 13%

9; 19%

up

29

13; 14%

17; 18%

29



ORIGIN OF ADMITTED LEPER PATIENTS (140 Custodial Care)

4; 3%2; 1%

21; 13%

22; 16% 5; 3%

ALBAY-29

CAM SUR-50

MASBATE-2

SAMAR

PAMPANGA-1




29; 21%

16; 11%

50; 36%

1; 1%1; 1%

CAM NORTE-16

CATANDUANES-4

SORSOGON-10

QUEZON PROVINCE-5

MARINDUQUE-1


16; 11%



August 24, 2009

OFFICE ORDER

NO. 14 s. 2009

TO : ALL PERSONNEL CONCERNED

This Sanitarium

SUBJECT : Setting-up of Public Assistance and Complaint Desk

In compliance with Republic Act 9485, otherwise known as An Act to Improve Efficiency in the Delivery of Government Service to the Public by Reducing Bureaucratic Red Tape, Preventing Graft and CorruptionProviding Penalties Thereof, or the Anti Red Tape Act (ARTA) of 2007, all regular employees of this Sanitarium with Salary Grade 3 and above are hereby directed to be an officer of the day of the Public Assistance and Complaint Desk (PACD), effective

Under this order, the Officer of the day assigned in PACD shall exercise the following duties and functions:

1. Must have a thorough knowledge of the Agency Frontline Service2. Must know the policies and procedures of Hospital/Agency in order to3. Must be quick/alert to serve client. 4. Must be approachable and courteous.

Attached to this Order the Public Assistance and Complaint Desk Schedule.

For strict compliance.

EDGARDO R. SARMIENTO, MD.,CEO VI

Chief of Sanitarium II



ALL PERSONNEL CONCERNED

This Sanitarium

up of Public Assistance and Complaint Desk

In compliance with Republic Act 9485, otherwise known as An Act to Improve Efficiency in the Delivery of Government Service to the Public by Reducing Bureaucratic Red Tape, Preventing Graft and CorruptionProviding Penalties Thereof, or the Anti Red Tape Act (ARTA) of 2007, all regular employees of this Sanitarium with Salary Grade 3 and above are hereby directed to be an officer of the day of the Public Assistance and Complaint Desk (PACD), effective immediately.


Must have a thorough knowledge of the Agency Frontline Service Must know the policies and procedures of Hospital/Agency in order to guide the public properly

Must be approachable and courteous.

Attached to this Order the Public Assistance and Complaint Desk Schedule.


In compliance with Republic Act 9485, otherwise known as An Act to Improve Efficiency in the Delivery of Government Service to the Public by Reducing Bureaucratic Red Tape, Preventing Graft and Corruption, and Providing Penalties Thereof, or the Anti Red Tape Act (ARTA) of 2007, all regular employees of this Sanitarium with Salary Grade 3 and above are hereby directed to be an officer of the day of the Public


guide the public properly



STEPS & PROCEDURES IN FILING COMPLAINTS

STEPS

1. Present orally in the first instance complain 2. Listen to complaint 2.1 Within three (3) days from the date complaint

presented, inform complainant orally of his 3. Listen to decision 4. If not satisfied with oral decision, may submit

complaint, writing, to the next higher superior thru his immediate supervisor

5. Forward the written complaint, with his

within twenty four (24) hours to the next higher 6. Study/review complaint 6.1 Within five (5) days from receipt of complaint in writing

his decision 7. Set for a dialogue 8. If not satisfied with the decision, may appeal

complainant in writing to the Chief of Sanitairum 9. Review the issue involve and forward the complaint

to the Grievance Committee for proper sanction. 10. Resolve complaint or grievance within ten (10) days

and send decision to the complainant 11. Agree/consider the case closed. If not satisfied,

with prior decisions, may submit, thru channels, his complainant or grievance in writing to the Regional Health Director for final disposition

Note: Any officer or employee who violates the procedure for seekprescribed under Section 5 hereof, shall be subject to administrative disciplinary action.



STEPS & PROCEDURES IN FILING COMPLAINTS

PERSON RESPONSIBLE

Present orally in the first instance complain Complainant

Within three (3) days from the date complaint presented, inform complainant orally of his decision

Immediate Supervisor

Complainant

If not satisfied with oral decision, may submit complaint, writing, to the next higher superior thru

Complainant

Forward the written complaint, with his comments, within twenty four (24) hours to the next higher

Immediate Supervisor

Within five (5) days from receipt of complaint in writing

Next Higher Supervisor

Administrative Officer or personnel incharge, as the case may be

If not satisfied with the decision, may appeal complainant in writing to the Chief of Sanitairum

Review the issue involve and forward the complaint to the Grievance Committee for proper sanction.

Chief of Sanitarium

Resolve complaint or grievance within ten (10) days and send decision to the complainant

Grievance Committee

case closed. If not satisfied, with prior decisions, may submit, thru channels, his complainant or grievance in writing to the Regional Health Director for final disposition

Complainant

Any officer or employee who violates the procedure for seeking redress of complaints and grievances as prescribed under Section 5 hereof, shall be subject to administrative disciplinary action.

PERSON RESPONSIBLE

Administrative Officer or personnel incharge, as the

ing redress of complaints and grievances as



RATIONALIZATION OF HOSPITAL RATES FEES AND CHARGES

SPECIAL PROCEDURES ACUTE PERITONEAL DIALYSIS CAUTERIZATION per area affected CIRCUMCISION CORD DRESSING DEBRIDEMENT per area affected DOPPLER EAR PIERCING ECG EXCHANGE TRANSFUSION INCISION AND DRAINAGE INTUBATION Pedia Adult LUMBAR TAP PARACENTESIS PHYSICAL EXAMINATION For school (student) For employment REMOVAL OF SUTURES SUTURING per stich THORACOSTOMY UMBILICAL CATHETERIZATION PACKAGES *Based on PHilHealth Rates DELIVERY (NORMAL) NEWBORN CARE NBS KIT MEDICAL CASES & OTHER SURGICAL PROCEDURES




FEES/CHARGES

200.00

150.00

200.00

75.00

100.00

50.00

100.00

200.00

150.00

100.00

200.00250.00

85.00

150.00

50.00100.00

50.00

50.00

750.00

PACKAGES *Based on PHilHealth Rates

6,500.00

1,750.00

550.00

ES & OTHER SURGICAL PROCEDURES


FEES/CHARGES

200.00

150.00

200.00

75.00

100.00

50.00

100.00

200.00

150.00

100.00

200.00 250.00

85.00

150.00

50.00 100.00

50.00

50.00

750.00

6,500.00

1,750.00

550.00




OPERATING ROOM FEE (Per PHilHealth Rates)

RVU 30 AND BELOW RVU 31-80 RVU 81-600 (RVU X 15 PCF) RVU 81-146 RVU 147-500 RVU 501-600 ROOM AND BOARD Single Room

Air-conditioned room with TV and Ref

Three-in-a-room

Air-conditioned room

PhilHealth Ward

With Electric fan

Service Ward

With Ceiling Fan

LABORATORY SERVICES BLOOD CHEMISTRY BUA BUN CHOLESTEROL CREATINNINE FBS:RBS TRIGLYCERIDES AST/GOT ALT/GPT HDL/LDL HEMATOLOGY CBC CT/BT Hgb/Hct PERIPHERAL SMEAR PLATELET COUNT




OPERATING ROOM FEE (Per PHilHealth Rates)

SECONDARY HOSPITAL

750.00 per use of OR

1,200.00

MIN.

2,200.00

2,200.00 7,500.00

7,500.00

conditioned room with TV and Ref 1,600/day

conditioned room 800.00/day per patient

With Electric fan 400/day per

With Ceiling Fan 400/day per patient*

*Free for Class D and discounted for Class C

160.00 160.00 160.00 195.00 160.00 250.00 200.00 200.00 300.00

155.00 100.00 100.00 300.00 150.00


SECONDARY HOSPITAL

750.00 per use of OR

MAX

7,500.00

7,500.00

1,600/day

800.00/day per patient

400/day per patient

400/day per patient*

*Free for Class D and discounted for Class C



LABORATORY SERVICES CLINICAL MICROSCOPY FECALYSIS OCCULT BLOOD TEST PREGNANCY TEST URINALYSIS BACTERIOLOGY SPUTUM SLIT SKIN SMEAR GRAM STAIN KOH MOUNT BLOOD BANK AND SEROLOGY BLOOD TYPING HbSAg BLEEDING FEE HISPATHOLOGY PAP’S SMEAR MANUAL PROCEDURE URINE PROTEIN BENEDICT’S TEST DUPLICATE COPY OF LABORATORY RESULT PT TREATMENT/UNNA PATCH RADIOLOGY SERVICE



100.00 100.00 250.00 125.00

130.00 130.00 130.00 130.00

65.00 230.00 200.00

200.00

50.00 50.00

DUPLICATE COPY OF LABORATORY RESULT 15.00

250.00



JOSE RAUL F. RUSTIA, MD Medical Officer III

MARIA ISABEL F. AGUILAR,Medical Officer III

JIMMY T. DELA VIÑA, MDMedical Officer III



EDGARDO R. SARMIENTO, MD, CEO VI Chief of Hospital II

SUSAN C. BARRAMEDA, MD Medical Specialist II

NARCISA LOUELLA N. BONACUA, MD Medical Specialist I

MARIA ISABEL F. AGUILAR, MD Medical Officer III

VIRGINIA M. RAYALA, MDMedical Officer III

JIMMY T. DELA VIÑA, MD Medical Officer III (PT)

POLYANN T. MANJARES Medical Specialist II

VIRGINIA M. RAYALA, MD



PALLATIVE

JOHN SIME D. JEREMIAS Nurse I

EMERGENCY ROOM/ DELIVERY ROOM

BERNARD L. TOLENTINO Nurse II

SONIA B. PANUELOS Nurse I

NANETTE B. AGUILAR Nurse I

JASON R. Nurse I

NORMA B. LUZADA Nursing Attendant I

HEGINA M. DELOS SANTOS Nursing Attendant I




SHIRLEY P. ORAIN, RN, MAN Nurse II

CLINICAL

LEILA V.VILLAFUERTE Nurse I

PUBLIC HEALTH

ROMMELLA C. DE LEON Nurse II

MICHELLE C. BARBONIONurse I

RAQUEL D. BERMILLO Nurse I

JASON R. ASUERO Nurse I

FRANCIA D. VILLANUEVA Nursing Attendant I

EDNA D. AZUELA Nursing Attendant I

GLENDA L. BASBASNursing Attendant I

OUT-PATIENT DEPARTMENT

AMELITA T. PERILLA Nurse I

EUGENE STEVE C. AGUILAR Nurse I

JOSEFINA A. CALINAO Nursing Attendant II

MICHELLE C. BARBONIO

GLENDA L. BASBAS Nursing Attendant I



FLOW CHART: OPD DEPARTMENT

Patient gets priority number

Issuance of Charge Slip

Release

Provide Health Education

Take Vital Signs and Chief

Examination of the Patient

Admit patient



FLOW CHART: OPD DEPARTMENT

.

Start

Patient gets priority number

Old Patient?

Payment to Cashier

Accomplish pre-HOMIS form


Release of patient’s Chart to OPD Nurse

Provide Health Education

Take Vital Signs and Chief Complaint

End

Examination of the Patient

Carrying out of Doctor’s Order

For Admission?

Documentation

No

Yes

.



Step-by-step Procedures

S T E P

Activities

Fee Necessary

1.

Patient gets Priority number at OPD entrance

-

2.

Verify if old patient If NO, accomplish pre-HOMIS form and submit with the priority number to HIMS for issuance of hospital number and new chart. If YES, submit Hospital I.D. to HIMS with the priority number for retrieval of records

-

Pre-Form Hopital I.D. (Green Card)

3. Issuance of Charge Slip for consultation fee to Patient/Relative

Consultation fee : P 50.00 BP : P 10.00 TPR: P 20.00 Hosp. I.D.: New – P 20.00 Replacement – P 50.00

Charge Slip

4.

Payment of consultation fees at the cashier then present Official Receipt to HIM staff

As charged

Charge Slip

5.

Hands the patient’s chart to OPD nurse

Patient’s

6.

Takes and record patient’s vital signs and chief complaint

- Patient’s



step Procedures – OPD Consultation

Necessary Form

Documentary Requirement

Maximum Time

ResponsiblePerson/s

- Priority Number

0 - 1 minute

patient

-HOMIS Form

Hopital I.D. (Green Card)

Pre-HOMIS Form Priority Number Hospital I.D. (Green Card)

5 - 8 minutes

PatientHIM staffHIMS

Charge Slip Charge Slip 0 - 1 minute

HIM staff

Charge Slip

Official Receipt

2-8 minute patient

Patient’s chart

Patient’s chart 1 minute. HIM

Patient’s chart

Patient’s chart 5-7

minutes

Nurse / Nursing

Attendant

Responsible Person/s

Allowable Period of Extension

& acceptable

Reason

patient

Patient HIM staff

HIM staff 1 minute

patient 2 minutes

HIM staff 1 minute

Nurse / Nursing

Attendant 2 minutes



7

Conduct of health education while waiting for consultation

-

8 Conduct medical and physical examinations and prescribe orders

Patient’s

Prescriptions

9

Check if patient is admissible. If YES, Physician-on-duty admits patient and nurse accomplish Patient’s Chart and endorse patient to Emergency Room

Admission

Prescriptions

10

If patient not admissible, carry out doctor’s order: If patient needs diagnostic examinations, refer to department concerned. (Refer to process owner) If requiring procedure, carry out as ordered (e.g. Nebulization, injection, etc.)

As charge

Diagnostic/ procedure

request

12 Make necessary documentation



- IEC Materials 10-15

HEPODesignate/Program

Coordinators

Patient’s Chart

Prescriptions

Patient’s Chart Lab. Results X-ray result ECG results

5 – 15 minutes

Physicianon-duty

Admission chart

Prescriptions

Admission chart

5 – 10 minutes

Physicianon-duty

OPD Nurse

Diagnostic/ procedure

request

Patient’s chart

1 - 2 minutes

15 - 30 minutes

Physicianon-duty

OPD Nurse

OPD logbooks 1-3

minutes OPD Nurse

HEPO-Designate/ Program

Coordinators

-

Physician-duty 3 minutes

Physician-duty

OPD Nurse

3 minutes

Physician-duty

OPD Nurse

OPD Nurse



The Out Patient Departmant ( OPDprovide the highest possible Service Performance and Pledge to achieve the following:

Service Response time per transaction

1. Issuance of OPD Card 1-2 minutes

2. Taking of vital signs and chief complaints

5–10 minutes

3. Regular immunization

5-10 minutes

4. Regular Injection After negative skin test ( ANST )

3-5 minutes

30 minutes

5. Electrocardiogram ( ECG )

3-5 minutes

6. Random Blood Sugar ( RBS )

1-2 minutes

7. PAP Smear Procedure 30 minutes

8. Removal of Suture

10-30 minutes

9. Removal of foreign Bodies

5 - 15 minutes



SERVICE PLEDGE

The Out Patient Departmant ( OPD ) of the Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible Service Performance and Pledge to achieve the following:

Response time per transaction

Person Responsible

2 minutes

Alex Bongalos

HIM staff

10 minutes

Josefina A. Calinao, RM

Eugene Steve Aguilar, RN

10 minutes

Leila V. Villafuerte, RN

5 minutes

30 minutes

Amelita T. Perilla, RN Eugene Steve Aguilar, RN

5 minutes

Amelita T. Perilla, RN


2 minutes



30 minutes


30 minutes

Resident on Duty

15 minutes

Resident on Duty

) of the Bicol Sanitarium, Cabusao, Camarines Sur is committed to

Signature



10. Internal Examination

1 minute

11. I & D 10

minutes

12. Pre-natal check-up 10

minutes 13. Nebulization 30 minutes

14. Medical & Physical Examination

5 - 15 minutes

15. Wound Dressing 5-10 minutes

16. Conduct lectures on Various Health Programs

10 minutes

Prepared by: AMELITA T. PERILLA, RN Nurse I/OPD In-Charge



1 minute

Resident on Duty

10 - 20 minutes

Resident on Duty

10 -15

minutes

Resident on Duty /

Family Planning Coordinator

30 minutes



15 minutes

Resident on Duty

10 minutes



10 - 20 minutes

Rommella C. De leon, RN, MAN

Program Coordinators

Approved by


EDGARDO R. SARMIENTO, MD, CEO VI




SUSAN C. BARRAMEDA, MD





NIÑO R. IBARBIA Radiologic Technologist II





JOSEFINA F. BARBOSA





JOSEFINA F. BARBOSA Medical Technologist II

MARIANNE M. IBARBIA Medical Technologist I



DENTAL SECTION

INTRODUCTION

The Dental Section of Bicol Sanitarium provides dental health services to all clients, both of general service and leprosy care. These cover all levels of dental prevention, health promotion, early diagnosis and treatment of oral diseases such as dental caries and gum diseases.

SECTION VISION

A basic component of hospital health service that integrates promotive, curative, preventive and rehabilitative oral health services, delivered by competent efficient dental staff.

SECTION MISSION

To deliver excellent and compassionate dental includes promotion, prevention and clinical oral health services.

SECTION GOALS 4.1.1 Attainment of a quality oral health care through a comprehensive dental services

SERVICE VALUES

4.1.2 The dental section service value is to serve dental patients with comprehensive dental services

with utmost responsibility, courage and efficiency.

FUNCTION OF DENTAL

The Dental Service operates the following: 4.1.3 Administrative – to conduct the affairs of the dental service in accordance with the established

administrative procedures of the hospital. To keep and maintain proper records and submit necessary reports.

4.1.4 Consultative – to act through customary channels in an advisoryto dental health of the patient.

4.1.5 Clinical – to render professional, diagnostic, preventive and treatment services to patients in

accordance with concepts of modern scientific dentistry and to evaluate these services periodically.

4.1.6 Educational – to participate actively in the total health education program of the hospital; to

orient the medical and dental staff in the problems of oral health as it relates to the total health care of the patient.



DENTAL SECTION

provides dental health services to all clients, both of general service and leprosy care. These cover all levels of dental prevention, health promotion, early diagnosis and treatment of oral diseases such as dental caries and gum diseases.

A basic component of hospital health service that integrates promotive, curative, preventive and rehabilitative oral health services, delivered by competent efficient dental staff.

To deliver excellent and compassionate dental program by providing comprehensive oral health care that includes promotion, prevention and clinical oral health services.

Attainment of a quality oral health care through a comprehensive dental services

service value is to serve dental patients with comprehensive dental services with utmost responsibility, courage and efficiency.

DENTAL

The Dental Service operates the following:

to conduct the affairs of the dental service in accordance with the established administrative procedures of the hospital. To keep and maintain proper records and submit

to act through customary channels in an advisory capacity on all problems related to dental health of the patient.

to render professional, diagnostic, preventive and treatment services to patients in accordance with concepts of modern scientific dentistry and to evaluate these services

to participate actively in the total health education program of the hospital; to orient the medical and dental staff in the problems of oral health as it relates to the total health

provides dental health services to all clients, both of general service and leprosy care. These cover all levels of dental prevention, health promotion, early diagnosis and treatment of oral

A basic component of hospital health service that integrates promotive, curative, preventive and

program by providing comprehensive oral health care that

Attainment of a quality oral health care through a comprehensive dental services

service value is to serve dental patients with comprehensive dental services

to conduct the affairs of the dental service in accordance with the established administrative procedures of the hospital. To keep and maintain proper records and submit

capacity on all problems related

to render professional, diagnostic, preventive and treatment services to patients in accordance with concepts of modern scientific dentistry and to evaluate these services

to participate actively in the total health education program of the hospital; to orient the medical and dental staff in the problems of oral health as it relates to the total health



EDGARDO R. SARMIENTO, MD, CEO VIChief of Hospital II


EVA P. CASULLA, DMD





EVA P. CASULLA, DMD Dentist II

LILIA B. DE HITTA Administrative Aide I



4.2 RESPONSIBLITIES

A. Dentist II

1. Performs dental services, diagnosis, and curative, preventive, restorative, rehabilitative dental health care within the limits of the available facilities

2. Engages in dental health education program

3. Refers patients to the physician for medical care/advice or to other a

4. Supervises the maintenance cleanliness and orderliness of dental clinic

5. Ensures adequate supply of dental clinic

6. Integrates dental health services intro the overall activities of the health unit in the delivery of primary health care

7. Accomplishments and maintains records of patient’s examination and treatment

8. Attends meetings, seminar, conferences and updates

9. Does other related works as may be assigned by his immediate supervisor.

B. Administrative Aide I

1. Assessment of patients

2. Receiving/retrieving of patient’s records

3. Preparation of dental instrument and equipment

4. Arranging of sterile instruments

5. Counting of dental instruments

6. Cutting of gauze

7. Packaging of gauze

8. Prepare charge slip

9. Maintain cleanliness of Dental Section

10. Attends meetings, seminar and updates



services, diagnosis, and curative, preventive, restorative, rehabilitative dental health care within the limits of the available facilities

Engages in dental health education program

Refers patients to the physician for medical care/advice or to other agency for secondary level care

Supervises the maintenance cleanliness and orderliness of dental clinic

Ensures adequate supply of dental clinic

Integrates dental health services intro the overall activities of the health unit in the delivery of primary

Accomplishments and maintains records of patient’s examination and treatment

Attends meetings, seminar, conferences and updates

Does other related works as may be assigned by his immediate supervisor.

Administrative Aide I (Dental Aide)

Receiving/retrieving of patient’s records

Preparation of dental instrument and equipment

Arranging of sterile instruments

Counting of dental instruments

cleanliness of Dental Section

Attends meetings, seminar and updates

services, diagnosis, and curative, preventive, restorative, rehabilitative dental health

gency for secondary level care

Integrates dental health services intro the overall activities of the health unit in the delivery of primary



Title: ORAL EXAMINATION AND TREATMENT FOR DENTAL PATIENT

1.0 Purpose: To have a common procedure in handling patient for oral examination and dental treatment

2.0 Scope: This shall apply to all dental patients consulting in the Out 3.0 References: Standards for Hospital Dental Health Service Manual 4.0 Procedure:

Key Activities Details

Receives patient with OPD chart

Verify if old or new patient If NO, interviews patient, makes dental record and issues dental ID card If YES, proceed to next step

Retrieve patient’s dental record

Performsand evaluation of oral care needed by the patient

Perform required dental treatment (e.g tooth extraction)

Old Patient?

Oral Examination

NO

YES

Start

Receive Patient

Retrieve Dental Record

Make dental record and issue dental ID card

Dental Treatment

A



ORAL EXAMINATION AND TREATMENT FOR DENTAL PATIENT

To have a common procedure in handling patient for oral examination and dental

apply to all dental patients consulting in the Out-Patient Department

Standards for Hospital Dental Health Service Manual

Details Responsibilities Requirements

Receives patient with OPD chart

Dental Aide/ Dentist

Patient’s OPD Chart

Verify if old or new

interviews patient, makes dental record and issues dental ID card

, proceed to next

Dental Aide

Individual Treatment record Dental ID Card

Retrieve patient’s dental

Performs oral examination and evaluation of oral care needed by the patient

Dentist Individual Treatment Record

Perform required dental treatment (e.g tooth extraction)


To have a common procedure in handling patient for oral examination and dental

Patient Department

Requirements


Individual Treatment record

Dental ID Card

Individual Treatment Record



Records oral findings and treatment done

Prescribes medicines needed by the patient

Gives chairside lecture on oral care and home care

Issues charge slip for patient bill

Records dental service and Charge Slip in the logbook

Prescribe Medicine

Oral Case Lecture

Record of Oral Findings and Treatment


Recording

End

A



Records oral findings and treatment done

Dentist Individual Treatment Record Patient’s OPD Chart

Prescribes medicines needed by the patient

Dentist Prescription form Patient’s OPD Chart

Gives chairside lecture on oral care and home care

Dentist


Dental Aide Charge Slip

Records dental service and Charge Slip in the logbook

Dental Aide/ Dentist II

Dental Logbook Charge Slip



Prescription form


Charge Slip

Dental Logbook

Charge Slip



Title: ORAL PROPHYLAXIS FOR DENTAL PATIENT

1.0 Purpose: To have a systematic procedure in handling patient for oral prophylaxis 2.0 Scope: This shall apply to all dental patients consulting in the 3.0 Reference: Standards for Hospital Dental Health Service Manual

National Policy on Oral Health Booklet

4.0 Procedure:


Receive patient from nurse with patient record

Verify if old or new patient If NO, interviews patient, makes dental record and issues dental ID card If YES, retrieves dental record


Performs prophylaxis

Records procedure in the Individual Treatment Record/Dental Health done

Old Patient?

Oral Prophylaxis

NO

YES

Recording of procedure done

Start

Receive dental patient

Make dental record and issue dental ID card

Retrieve Dental Record

A



ORAL PROPHYLAXIS FOR DENTAL PATIENT

To have a systematic procedure in handling patient for oral prophylaxis

This shall apply to all dental patients consulting in the Out-Patient Department

Standards for Hospital Dental Health Service Manual

National Policy on Oral Health Booklet


Receive patient from nurse with patient

Dentist/ Dental Aide


Verify if old or new interviews

patient, makes dental record and issues dental ID card

, retrieves dental record

Dental Aide

Individual Treatment Record Dental ID Card


Performs oral prophylaxis



Records procedure in the Individual Treatment Record/Dental Health

Dentist Individual Treatment Record Patient’s OPDChart

To have a systematic procedure in handling patient for oral prophylaxis

Patient Department

Requirements

Patient’s OPD

Treatment Record

Dental ID Card

Treatment Record

Treatment Record

Patient’s OPD



Prescribes medicines to patient if required

Gives chairside lecture on oral hygiene and home care


Records dental service in the logbook OPD chart

A

Prescribing of Medicine

Oral Hygiene lecture


End

Recording



Prescribes medicines to patient if required

Dentist Patient’s OPD Chart Prescription form

Gives chairside lecture on oral hygiene and home

Dentist


Dental Aide

Charge Slip

Records dental service in the logbook OPD chart


Dental Logbook Patient’s OPD Chart

Patient’s OPD

Prescription form

Dental Logbook

Patient’s OPD



ORAL EXAMINATION AND TREATMENT FOR

FRONTLINE

SERVICE Fee

TRANSATION

1. Receive Patient 2 minutes

2. Make Dental Record and issue dental card

5-10 minutes

3. Retrieve Dental Record

5 minutes

4. Oral Examination 5-15 minutes

5. Dental Treatment · Extraction · Oral Prophylaxis · Temporary

filling · Permanent

filling

· Consultation

200.00 500.00 150.00 250.00 50.00

15 minutes30 minutes30 minutes30 minutes 5-15 minutes

6. Record of oral finding an treatment

5-10 minutes

7. Prescribe medicines 5 minutes

8. Oral Care Lecture 5 minutes

EVA P. CASULLA, DMD. Dentist II




RESPONSE TIME PER

TRANSATION

PERSON RESPONSIBLE

ALLOWABLE OF EXTENSION

ACCEPTABLE

2 minutes Lilia B. de Hitta Admin. Aide I

2 minutes does other priority work





15 minutes Eva P. Casula, DMD Dentist II


15 minutes-1 hour 30 minutes- 1 hour 30 minutes- 1 hour 30 minutes – 1hour

15 minutes

Eva P. Casula, DMD Dentist II

30 minutes to 1 hour for complicated cases30 minutes to 1 hour patient with heavy calculus deposit


minutes Eva P. Casula, DMD Dentist II


EDGARDO R. SARMIENTO, MD.,CEO VI Chief of Hospital II

DENTAL PATIENT


AND ACCEPTABLE

REASONS 2 minutes does other priority work




30 minutes to 1 hour for complicated cases 30 minutes to 1 hour patient with heavy calculus deposit




ORAL PROPHYLAXIS FOR DENTAL

FRONTLINE

SERVICE Fee RESPONSE

TIME PER TRANSATION

1. Receive dental patient

2 minutes

2. Make dental record and issue dental ID card

5-10 minutes

3. Retrieve dental patient

5 minutes

4. Oral Prophylaxis 500.00

30 minutes

5. Recording of procedure done

3-5 minutes

6. Prescribing of medicine

3-5 minutes

7. Oral hygiene lecture

5-10 minutes

8. Issuance of charge slip

2-3 minutes

9. Recording 2-3 minutes




ORAL PROPHYLAXIS FOR DENTAL PATIENT

RESPONSE TIME PER

TRANSATION

PERSON RESPONSIBLE


ACCEPTABLE REASONS







30 minutes- 1 hour Eva P. Casula, DMD Dentist II

30 minutes to 1 hour for patient with heavy calculus deposit



10 minutes Eva P. Casula, DMD Dentist I

3 minutes Eva P. Casula, DMD Dentist I

3 minutes



AND ACCEPTABLE

REASONS 2 minutes does other priority work



30 minutes to 1 hour for patient with heavy calculus deposit




SERVICE PLEDGE The Dental Section of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:

SERVICE

RESPONSE TIME PER

TRANSACTIONa. Get Dental Record

for old patient b. Make Dental

Record and dental card

5 minutes 5-10 minutes

Oral Examination 5-15 minutes

Prepare charge slip 3 minutes

OTHER SERVICES RENDERED a. Extraction b. Oral Prophylaxis c. Temporary filling d. Permanent Filling e. Daily

Consultation f. Chairside Lecture

15 minutes – 1 hour1 hour 30 minutes – 1 hour30 minutes – 1 hour5-15 minutes 5-15 minutes




SERVICE PLEDGE

The Dental Section of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:

RESPONSE TIME

TION

PERSON RESPONSIBLE SIGNATURE

Lilia B. de Hitta Admin. Aide I

Eva P. Casulla, DMD Dentist II

Eva P. Casulla, DMD Dentist II Lilia B. de Hitta Admin. Aide I

1 hour

1 hour 1 hour

Eva P. Casulla, DMD Dentist II


The Dental Section of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the

SIGNATURE





SUSAN C. BARRAMEDA, MDMedical Specialist II

BUENSANTA S.

MARITA B. LLANTOSPhysical Therapy Tech.





BUENSANTA S. DELGADO Physical Therapist I

MARITA B. LLANTOS Physical Therapy Tech.



HOSPITAL INFORMATION MANAGEMENT



HOSPITAL INFORMATION MANAGEMENTHOSPITAL INFORMATION MANAGEMENT



Title: RECORDING AND FILING OF OPD CHART 1.0 Purpose: To have a systematic

2.0 Scope: This instruction shall cover all the recording of OPD consultations and filing of OPD Chart

3.0 References: Manual of Procedure 4.0 Procedure:


HIM Clerk receive OPD chart

Codes final diagnosis inHOMIS

Records in OPD ConsultationCensus Form

Files Patient’s chart

Start

Coding of Final Diagnosis to Patient Record

Record Data

Receive OPD Chart

End

Filling of records



RECORDING AND FILING OF OPD CHART

To have a systematic process of recording and filing of OPD Chart

This instruction shall cover all the recording of OPD consultations and filing of OPD

Manual of Procedure


HIM Clerk receive OPD chart HIM-Staff OPD Chart

Codes final diagnosis in HIM-Staff OPD ChartICD-10 Manual

Records in OPD Consultation

HIM Staff

OPD ChartOPD ConsultationCensus Form

Files Patient’s chart HIM Staff OPD Chart

This instruction shall cover all the recording of OPD consultations and filing of OPD

Requirements

OPD Chart

t 10 Manual

OPD Chart OPD Consultation Census Form

OPD Chart



Title: RETRIEVAL AND RELEASING OF OPD CHART

1.0 Purpose: To have a systematic process in the 2.0 Scope: This shall cover for all OPD health record 3.0 References: Guidelines regarding Process Flow in the retrieval of OPD patient charts for consultation 4.0 Procedure:


Collects Pre-HOMIS form/Hospital ID according to priority number

Verifies the hospital ID and Pre-HOMIS Form If NO, submits preform for encoding. If YES, proceed to next step

Retrieves HOMIS registered chart and MPI

Releases chart to the OPD Encoder

Logs patient in HOMIS Registry

Retrieval of records

Old Patient? NO

YES

Start

Collection of Pre-HOMIS Form/Hospital

ID

HOMIS Registration

End

Releasing



RETRIEVAL AND RELEASING OF OPD CHART

To have a systematic process in the retrieval of patient charts at the OPD

This shall cover for all OPD health record

Guidelines regarding Process Flow in the retrieval of OPD patient charts for consultation


HOMIS form/Hospital ID according to priority

HIM Clerk Pre-HOMIS FormHospital ID

Verifies the hospital ID HOMIS Form

submits pre-HOMIS form for encoding.

proceed to next

HIM Clerk · Pre-HOMIS Form

· Master Patient Index (MPI)

· OPD Chart

Retrieves HOMIS registered chart and MPI

HIM Clerk OPD chart MPI Priority No.

Releases chart to the OPD HIM Clerk OPD Chart Hospital ID Priority No.

Logs patient in HOMIS OPD Encoder Priority No. Hospital ID MPI OPD Chart

retrieval of patient charts at the OPD

Guidelines regarding Process Flow in the retrieval of OPD patient charts for consultation

nts

HOMIS Form

HOMIS

Master Patient Index (MPI) OPD Chart



Title: HANDLING HEALTH RECORD OF PATIENTS FOR DISCHARGE 1.0 Purpose: To have a uniform procedure in handling charts of patients for discharge 2.0 Scope: This shall apply to all charts of patients upon discharge from the hospital 3.0 References: Hospital Medical Recor 4.0 Procedure:


Gather charts of discharged Patients at the Nurses Station

Check the completeness of data in every page of the chartIf NO, return the chart to Nursing Service for completionIf YES, proceed to the next step

Arrange chart according to DOH standard of patient chart sequencing

Codes chart according to disease and procedure

Records all chart of discharged patients in the Medical Records Admission & Discharge Logbook, Master Patient Index and Disease Index

Filing of Hospital record according to the DOH standard procedure

Complete data?

Chart organizing

Coding of Final Diagnosis on Discharge

NO

YES

Recording of Patient Chart

Start

Collection of patient chart

Records keeping

End



HEALTH RECORD OF PATIENTS FOR DISCHARGE

To have a uniform procedure in handling charts of patients for discharge

This shall apply to all charts of patients upon discharge from the hospital

Hospital Medical Records Management Manual 1994ICD-10 Manual


Gather charts of discharged Patients at the Nurses Station

Nurse-on-duty Patient Chart

Check the completeness of data in every page of the chart If NO, return the chart to Nursing Service for completion If YES, proceed to the next

HIM Staff

· Patient Hospital

Chart Checklist

Arrange chart according to DOH standard of patient chart

HIM Staff · Patient Hospital Chart Checklist

Codes chart according to disease and procedure

HIM Staff · ICD 10 –Alphabetical (Volume 3)

· ICD 10 –List (Volume 1)

· ICD 10- Manual (Volume 2)

Records all chart of discharged patients in the Medical Records Admission & Discharge Logbook, Master Patient Index and Disease Index Card

HIM Staff · Disease Index Card· Patient Index· HIM Admission &

Discharge logbook

Filing of Hospital record according to the DOH standard

HIM Staff Patient Hospital Chart

HEALTH RECORD OF PATIENTS FOR DISCHARGE

To have a uniform procedure in handling charts of patients for discharge

This shall apply to all charts of patients upon discharge from the hospital

Requirements

Patient Hospital Chart Checklist

Patient Hospital Chart Checklist

– Alphabetical Index (Volume 3)

–Tabular List (Volume 1)

Instruction Manual (Volume 2) Disease Index Card Patient Index HIM Admission & Discharge logbook

Patient Hospital Chart



Step-by-step Procedures – ISSUANCE OF MEDICAL AND MEDICO

S T E P S

Activities

Fee

NecessaryForm

1.

Request for issuance of Medical-and/or medico-legal certificate

None

None

2.

Interview patient to establish identity and to know the reason for request

None

None

3.

Requires the patient to accomplish request form

None

Request form

4.

Submit written request for medical certificate

None

None

5.

Submit written request for medico-legal from chief of police or other authorities signed by the head or agency

None

None

5.1 If the requesting party is the patient himself, request from police or authorized party is not necessary

6.

Receives written request for medical and/or medico-legal certificate from an authorized party

None

None



ISSUANCE OF MEDICAL AND MEDICO-LEGAL CERTIFICATE

Necessary Form


Maximum Time

ResponsibleOfficer/Employee

None

1 min

Patient/authorized party

None

5-10 mins.

HIM personnel

Request None

10 mins.

HIM personnel

None

1 min

Patient/Authorized party

None

5 min

Patient/Authorized party

None

1 min

HIM personnel

LEGAL CERTIFICATE

Responsible Officer/Employee

Allowable Period of

Extension & acceptable

Reason

Patient/authorized 5 min

10mins.-other priority work

5 min

Patient/Authorized 5 min

Patient/Authorized 5 min

5 min



7.

Verifies name of patient from the Master Patient Index(MPI) file, checks the hospital number and retrieves medical record from file

None

Hospital Chart

8.

Seeks clearance from Attending Physician

None

None

9.

Gives clearance

10.

Prepares charge slip in duplicate and instruct requesting party to pay the fee to the cashier

P25-student P50-job related

Charge slip

11.

Pays medical and/or medico-legal fee

None

None

12.

Receives payment and issues official receipt 12.1 If patient is unable to pay, advises patient to proceed to the MSS

None

None

13.

Evaluates and classifies patient

None

None

14.

Prepares Medical and/or Medico-Legal Certificate form in 3 copies

None

Med. Cert Form

15.

Forwards certificate and medical record to the attending physician for review and signature

None

Health Record and Filled up MC

16.

Reviews and signs Medical and/or Medico-legal certificate and returns it to the HIMD

None



Hospital Chart

None

10-5mins.

HIM personnel

None None

5 mins.

HIM personnel

Attending Physician

Charge slip None

1 min.

HIM personnel Cashier

None None

15-20 min

Requesting party

None None

10 min

Cashier

None None

30 min

MSS

Med. Cert Form

None

10 min

Clerk

Health Record and Filled up

None

10 min

Clerk

5- 10 min

Attending Physician

HIM personnel 5-10 min other priority work

HIM personnel 5-10 min other priority work

HIM personnel 5 min

30 min-waiting time for return from cashier 30 min-waiting time for return from MSS

30 min

5 – 10 min other priority work

10 min

5- 10 min if attending to other patient



17.

Affixes seal of the hospital on the certificate

18.

Request for the official receipt

19.

Presents official receipt to the HIM clerk

20.

Records in the logbook indicating the official receipt number

21.

Asks requesting party to sign and releases the certificate (original and duplicate)

22.

Receives certificate (original and first duplicate copy) and signs in the logbook

23.

Retains the third duplicate copy for file



1 min

Clerk

1 min

Clerk

Requesting party

1 min

HIM personnel

1 min

HIM personnel

1 min

Requesting party

HIM personnel

5 min

5 min

HIM personnel 3 min

HIM personnel 5 min

5 min

HIM personnel 5 min



Step-by-Step Procedure - PREPARATION OF BIRTH CERTIFICATE

S T E P S

Activities Fee Necessary

1.

Interview patient and verifies whether literate or not 1.1 If literate, fills up

the Birth Certificate (BC) draft form (photocopy of Form no. 40) and certifies as to accuracy and completeness of data by signing the official form

None

BC Form No. 40 w/ attached draft/photocopy

2.

1.2 If patient is illiterate, assists/fills up draft form of Birth Certificate (BC) and forwards it to supervising nurse Verifies the accuracy of data entry

None

3.

Reviews entries in the draft form and affixes his/her initial

None

4.

Endorses accomplished forms to the HIM for transcription in the official form

None

5.

Transcribes data from the pre-form or draft form into the official from (Form 40) (4copies), and forwards it to Nurse/NA

None



PREPARATION OF BIRTH CERTIFICATE

Necessary Form

Documentary Requirements

Maximum Time

Responsible Officer/

Employee

BC Form No. 40 w/ attached draft/photocopy

None

30 min

Nurse/NA Parent

None

30 min

Nurse

None

10 min

Supervising Nurse

None

10 min

Supervising Nurse

None

5-10 min

HIM Clerk


Employee

Allowable Period of

Extension & Acceptable

Reason

Nurse/NA

Parent

15 min if attending to urgent needs of other patient

15 min of attending to other needs

Supervising

10 min doing other urgent work

Supervising

15 min if doing other urgent work

HIM Clerk

10 min-other priority work 30 min



6. Checks and signs the official BC and forwards it to the Attending Physician

None

7.

Receives, reviews and signs official BC and forwards it to the HIMO

None

8.

Prepares Letter of Transmittal and forwards it to the HIMO

None

Transmittal Letter

9.

Signs transmittal letter and returns it to the HIM Clerk

None

10.

Logs transmittal and BC’s, retains one copy and attaches it to the health records

None

11.

Forwards BS’s and transmittal letter to the Local Civil Registrar (LCR)

None

12.

Accomplishes the Birth Register

None

13.

Files official copy of the transmittal letter and BC

None



None

5 min

Nurse/NA

None

5 min

Attending Physician

Transmittal Letter

None

5-10 min

HIM Clerk

None

5 min

HIMO

None

5 min

HIM Clerk

None

5-10 min

HIM Clerk

None

5 min

HIM Clerk

None

5 min

HIM Clerk

Nurse/NA 10 min – other priority work 1 hour

Attending Physician

30 min – other priority work 1 hour

HIM Clerk 10-15 min

HIMO 5 min

HIM Clerk

10 min

HIM Clerk

3 hours

HIM Clerk

10 min

HIM Clerk

10 min



Step-by-Step Procedures – ISSUANCE OF DEATH CERTIFICATE

S T E P

Activities Fee Necessary

1.

1.Interview the nearest of kin of the deceased 2.Fills up and signs official form (Form No. 50) of Death Certificate (DC) (5copies)

None

Form No. 50Death Certificate

2.

3.Signs official form (5copies) as informant

None

Form No.50 DC properly filled up

3.

4.Completes medical certification portion of the DC and returns it to the Nurse/NA

None

Form No. 50 DC Certification of Death

4.

5.Checks completeness of data entry and forwards official DC to HIMO

None

5.

6.Receives and records DC in the register 7.Checks, reviews and validates data enters on the patient’s DC

None

6.

8.Presents clearance certificate to the HIM Clerk

None

Clearance certificate

7.

9.Establishes identity of the requesting party 10.Releases 4 copies of DC to the nearest of kin, retains one copy as official file 11.Advises patient’s relative to register the DC at the LCR 12.Retains duplicate copy of the DC

None

Valid ID



ISSUANCE OF DEATH CERTIFICATE

Necessary Form


Maximum Time


Employee

Form No. 50 Death Certificate

None

30 min

Nurse on Duty/NA

Form No.50 DC properly filled up

None

5 min

Patient’s relative

Form No. 50 DC Certification of Death

None

30 min

Attending Physician

None

min

Nurse on Duty/NA

None

5-10 min

HIM personnel

Clearance certificate

None

5 min


Valid ID

None 15 min

HIM Personnel


Employee

Allowable Period of

Extension & Acceptable

reason

Nurse on Duty/NA

20 – 30 if doing other urgent work


10-15 if doing other urgent work

Attending Physician

20-30 min if attending to other patients

Nurse on Duty/NA

10-15 min if doing other urgent work

HIM personnel 10 min – other priority work15 min


10 min if attending to other needs of other patients

HIM Personnel 10-15 min if attending to other urgent work



8.

13.Acknowledges acceptance of 4 copies of DC and signs in the logbook

None

Logbook

9.

14.Attaches DC to the patient’s medical records 15.Files the medical certificate in the permanent filing area

None

NOTE: For admitted HD patient Hospital register DC at LCR



Logbook

None 5 min


None

10 min

HIM Personnel

NOTE: For admitted HD patient Hospital register DC at LCR


10 min if attending to other urgent work

HIM Personnel 10 min if attending to other urgent work



SERVICE PLEDGE

The Health Information Management of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:

Service Response Time per Transaction

Prepares and consolidate Hospital Reports/quarterly and annually

1-2 weeks of succeeding month

Performs daily census and record the same in various logbooks and index cards

1-5 minutes per chart

Perform Disease coding of hospital charts

3-5 minutes

Quantitative and qualitative analysis of hospital charts

5-10 minutes

Files/retrieve OPD and Hospital Charts

1-2 minutes/ chart

Prepares Medical, Birth and Death Certificate

10-15 minutes

Prepares updated list of admitted patients

30 minutes to 1 hour

ROMINA C. IGNACIO Administrative Aide VI



SERVICE PLEDGE

The Health Information Management of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:

Response Time per Transaction

Person Responsible

2 weeks of succeeding month

Romina C. Ignacio Virginia B. Sergio

5 minutes per chart

Romina C. Ignacio

5 minutes Virginia B. Sergio

10 minutes Romina C. Ignacio

2 minutes/ chart

Virginia B. Sergio Valeriano T. Buquid Jr.

15 minutes Virginia B. Sergio Valeriano T. Buquid Jr.

30 minutes to 1 hour

Romina C. Ignacio Virginia B. Sergio


The Health Information Management of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the

Signature






VIRGINIA B. SERGIOAdministrative Aide IV





ROMINA C. IGNACIO Administrative Aide VI

VIRGINIA B. SERGIO Administrative Aide IV

VALERIANO T. BUQUID, JR. Administrative Aide III

citizen's charter 2014bicolsanitarium.doh.gov.ph/images/pdf/citizens.pdf · 6 congenital heart...

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