*updated as of july 2015 - spmc

A World-Class, Service-Oriented Medical Center

*updated as of July 2015


Table of Contents

Out-Patient Department I. Clinic Consultation 1 II. Dept. of Pathology & Laboratory 2 III. Dept. of Radiology & Imaging Sciences 1. X-ray & Ultrasound (except interventional procedures) 3 2. MRI & CT-Scan 4 IV. Special Laboratory 1. Electrocardiography (ECG) 5 2. Electroencephalography (EEG) & Electromyography-Nerve Conduction Velocity (EMG-NCV) 6 3. Digestive & Pulmonary 7 V. Health Information Management Dept. (Medical Records) 1. Medical Certificate (Admitted Patients) 8 2. Medical Certificate (Outpatient & ER Cases) 9 3. Certificate of Confinement 10 4. Certificate & Supporting Documents for SSS, GSIS, HDMF & Other Insurances (Admitted Patients) 11 5. Certificate & Supporting Documents for SSS, GSIS, HDMF & Other Insurances (Outpatient & ER Cases) 12 6. Preparation of Birth Certificate 13 7. Issuance of Birth Certificate for Late Registration 14 8. Issuance of Death Certificate 15 9. Re-Issuance of Death Certificate 16 10. Borrowing of Patient Record 17 VI. Physical Medicine & Rehabilitation Section 1. Physiatrist/Rehabilitaion Medicine Consultation 18 2. Physical Therapy/Occupational Therapy 19 VII. Social Services 1. Classification of Outpatients & Discount for Consultation Fees 20 2. Discounts for Laboratory/Diagnostic Requests 21 VIII. Ambulatory Surgery 22 Main Hospital I. Pharmacy 1. Availment of Medicines & Supplies for Inpatients 23 2. Availment of Medicines & Supplies for Outpatient & Ambulatory Patients 24 II. Billing Section 1. Payward Services 25 2. Issuance of Statement of Account (SOA)/Billing Statement 26 3. PhilHealth Insurance Corp. (PHIC) Benefit Availment 27 III. Cashier Section 1. Payment Transaction 28 2. Refund of Unserved Procedure or Medicines 29 IV. Hemodialysis 30 V. Social Services 1. Classification of Inpatients 31 2. Enrollment to PhilHealth Point of Care (POC) Program of patients under C3

and D classification and Non-Active PHIC member 32

3. Patient Assistance (Referral of patients to other agencies for financial assistance, transportation,

temporary residence, informing or locating patient family) 33

VI. Patient Discharge & Planning Unit

1. Facilitate Overstaying Patients in the Hospital 34

2. Facilitate Overstaying/Abandoned Patients To Be Given Assistance for Institutional Placement and

Proper Health Care And To Reunite Them With Their Family 35

3. Referral of Discharged Inpatient and Outpatient from far flung areas to the available transient homes

in the hospital 36

VII. Human Resource Management Office

1. Issuance of Certificate of Employment 37

2. Issuance of Service Record 38

3. Request for Payslip 39

4. Request for Photocopy of Official Documents 40

5. Request for Certificate of Appearance 41

6. Request for Endorsement 42

7. Employment Verification 43

8. ID Card Issuance 44

9. Queries on Salaries, Loan Updates & Other Monetary Benefits 45

VIII. Virtual Library

1. Computer Services 46

2. Lending & Loaning Services 47

3. Research 48

Emergency Room & Trauma Center

I. Consultation 49

II. Admission

1. Payward 50

2. Service Ward 51


Table of Contents

OB Emergency Room I. Consultation 56

Heart Institute

I. Pediatric & Adult Cardiology Clinic 57

II. Heart Station/Echocardiography 58

Health Services & Specialty Clinic

I. Physical Examination and Issuance of Medical Certificate 59

Institute of Psychiatry & Behavioral Medicine

I. Psychiatric Consultation 60

II. Pharmacy 61

III. Social Services 62

IV. Neuro-Psychological Testing 63

Annexes

OPD Clinic Schedules

1. Ob-Gyne 64

2. Pediatrics 65

3. Orthopedics 66

4. Family & Community Medicine 67

5. Ophthalmology 68

6. Surgery 69

7. Internal Medicine 70

8. Dermatology 71

9. ENT-HNS 72


1 OUT-PATIENT DEPARTMENT

I. Clinic Consultation A. Who may avail? 1. Out-patients/ walk-in patients 2. Patients for follow-up 3. Patients with referral from other clinics B. Availability of services: Monday – Friday (8:00 am – 5:00 pm) C. Requirements 1. Information sheet for registration or Patients Identification Card (Yellow Card) 2. Official Receipt / Social worker approval 3. Senior citizen ID 4. Referral from other physician (if applicable) D. Person in-charge: Receiving Clerk, Doctors, Nurses, Attendants, Medical Record Staff, Social Worker and Cashier E. How to avail of the service?

Step Client/Patient Service Provider Duration of

Activity (in normal

circumstances)

Person

In-charge

Fees Form/ Document

1

New Patient/Lost Yellow Card Fills up information sheet at the Information Desk.

Assists patient/client in filling up the information sheet.

2 minutes OPD PACD/ Information Desk Staff

None Patients’ Information Sheet

(SPMC-F-HIMD-07)

Old Patient/With Yellow Card Proceed to step 3.

- - - - -

2

Submits information sheet to encoder (Medical Records Window 9 or 10).

Encodes data from the information sheet.

5 minutes Medical Records

Window 9 or 10 Staff

None None

3

Pays consultation fee to cashier or

Receives payment and gives receipt.

2 minutes Cashier P25-Yellow Card P50-

Consultation Fee

Official Receipt

Asks assistance from social worker.

Interviews and classifies patient and gives discount.

5 minutes OPD Social Worker

None None

4

Proceed to Triage. Interviews patient regarding their symptoms/complaints and guides them to the assigned clinic.

5 minutes Triage Nurse None Official Receipt; Patients

Identification Card (SPMC-F-HIMD-11);

Routing Slip (SPMC-F-MSWS-06)

Proceed to assigned clinic and waits for name to be called.

Prepares patient and gets vital signs, if any.

- Clinic Receptionist/

Nurse

None None

5 Consultation. Receives prescription and/or laboratory/procedural requests.

Examines the patient. Gives prescription and/or procedural requests.

- Doctor None None



II. Department of Pathology & Laboratory

A. Who may avail?

1.In-patient

2.Out-patient

3. Walk-In patient

B. Availability of services:

1. In-patient 24 hours Mondays to Sundays

2. Out-patient 6:30 AM to 5:00 PM Monday to Friday; except Holidays

3. Walk-In patient 6:30 AM to 5:00 PM Monday to Friday; except Holidays

C. Requirements

1. Laboratory Request from physician indicating the type of procedure

2. Patient’s Hospital Number or Patients Identification Card (Yellow Card)

3. Official Receipt

D. Person in-charge: Phlebotomist, Medical technologist, Receiving clerk

E. How to avail of the service?


Activity (in normal

circumstances)

Person

In-charge

Fees Form/ Document

1

Out-Patient Presents patient’s hospital number/yellow card and proof of payment for the requested procedure.

Verifies request in the computer and issues claim stub.

2 minutes Laboratory Clerk

Window 1 & 2

None Patients Identification Card (SPMC-F-HIMD-11) & Official Receipt

Walk-In Patients Presents doctor’s request with hospital number then pays for the procedure.

Encodes request in the computer


Window 1 & 2

None Patients Identification Card (SPMC-F-HIMD-11) & Official Receipt

2

Proceed to the extraction area for blood extraction.

Extracts blood of patient

5 minutes Phlebotomist None Laboratory Request (SPMC-F-LAB-14), (SPMC-F-LAB-16), (SPMC-F-LAB-17), (SPMC-F-LAB-18)

Submits laboratory sample (urine and stool)

Receives samples 30 seconds

Receptionist Clerk

Laboratory Request (SPMC-F-LAB-14), (SPMC-F-LAB-16), (SPMC-F-LAB-17), (SPMC-F-LAB-18)

Results will be released in the following areas:

- - - - -

Out-Patient Consulted clinic reception.

Gives the result directly to clinic of origin

5 minutes Clinic Receptionist

None Claim Stub

3

In-Patient Ward nurse station where patient is admitted.

Authorized ward person-nel prints result

5 minutes Ward Nurse/ Doctor

None Claim Stub

Walk-In Patients Laboratory counter.

Gives the result of the procedure.


Window 1 & 2

None Claim Stub

F. Duration of Release of Results: (depending on underlying condition)

CBC, Urinalysis and Fecalysis - 2 hours after submission of samples

Blood Chemistry, Serology, Immunology - 4 hours

Microbiology - 5 working days



III. Department of Radiology & Imaging Sciences

1. X-ray & Ultrasound (except interventional procedures)

A. Who may avail?

1. In-patient

2. Out-patient

3. Walk-in patient

B. Availability of services: Monday – Friday (8:00 am – 5:00 pm)

C. Requirements

1. Request from physician indicating the type of procedure

2. Patient’s hospital number or Patients Identification Card (Yellow Card)

3. Official Receipt

D. Person in-charge: Radiologic Technician, Radiology Doctor, Receiving Clerk

E. How to avail of the services?


Activity (in normal

circumstances)

Person

In-charge

Fees Form/ Document

1

Presents proof of payment for requested procedure.

Verifies request and payment in the computer.

1 minute X-ray Receiving

Clerk

None Official Receipt & Patients

Identification Card (SPMC-F-HIMD-11)

Proceed to area: - - - - -

2

X-ray Undergoes procedure.

Prepares materials and conducts the procedure.

15 minutes Radtech None None

Ultrasound Receives schedule of the procedure (depending on the required preparations as determined by the radtech in-charge or by the radiology doctor). Returns to Radiology department on the scheduled date or time to undergo procedure.

Gives schedule and requirements, if any, for the ultrasound. Conducts procedure.

2 minutes

-

Ultrasound Counter Staff

Doctor

None Ultrasound Schedule & Claim Stub

(SPMC-F-RAD-24)

3

Receives instruction and/or claim stub for the release of results.

Gives schedule of release of results and claim stub.

30 seconds X-ray Receiving

Clerk/Ultrasound

Counter Staff

None X-Ray Claim Stub (SPMC-F-RAD-06)

F. Duration of Procedure: (under normal circumstances)

X-ray - 15 minutes

Ultrasound - 1 hour

G. Duration of Release of Results: (depending on underlying condition)

X-ray - 1 to 3 working days after the procedure

Ultrasound - one working day after the procedure (3:00pm)



III. Department of Radiology & Imaging Sciences

2. MRI & CT-Scan

A. Who may avail?

1. In-patient

2. Out-patient

3. Walk-in patient


C. Requirements



3. Official Receipt

D. Person in-charge: Radiologic Technician, Radiology Doctor, Receiving Clerk

E. MRI and CT-Scan Services


Activity (in nor-

mal circumstances)

Person

In-charge

Fees Form/ Document

1

Submits CT-Scan/MRI request.

Verifies the CT-Scan request.

30 seconds CT-MRI Reception

Clerk

None MRI Request Form (SPMC-F-RAD-09) /

CT Scan Request Form

(SPMC-F-RAD-05) & Patients

Identification Card (SPMC-F-HIMD-11)

MRI Fills up and submits the MRI form 2.

Gives MRI Form 2 and assists patients in filling up.

5 minutes CT-MRI Reception

Clerk

None MRI Procedure Screening Form (SPMC-F-RAD-04)

2

Receives instruction and prescription of medical supplies.

Provides prescription and instructions for the procedure.

3 minutes Radtech/ Doctor

None MRI Appointment

Schedule (SPMC-F-RAD-13)

3

Presents proof of payment and complete medical supplies prior to scheduling of procedure.

Verifies complied requirements and payments and gives schedule for procedure.

1 minute CT-MRI Reception

Clerk

- Official Receipt

CT Scan Payment will be on the scheduled date or time of procedure.

Verifies complied requirements and payments and gives schedule for procedure.


Clerk

- None

4

Returns to Radiology department on the scheduled date or time of procedure.

Conducts the procedure. 1 minute CT-MRI Reception

Clerk/Doctor

None None

5 Receives instruction and claim stub for the release of results.

Gives instruction for the release of results and claim stub.


Clerk

None None

F. Duration of Procedure: (under normal circumstances)

MRI and CT Scan - 1 hour and 15 minutes

G. Duration of Release of Results: (depending on underlying condition)

MRI and CT Scan - one working day after procedure (3:00pm)



IV. Special Laboratory

1. Electrocardiography (ECG)

A. Who may avail?

1. In-patient (Service)

2. Out-patient (Service)

3. Walk-in patient (Private)


C. Requirements



3. Official Receipt

D. Person in-charge: ECG Technician, Special Lab Receiving Clerk


Step Client/Patient Service Provider Duration of Activity (in normal

circumstances)

Person In-charge

Fees Form/ Document

1 Presents the request and proof of payment.

Receives request and sched-ules procedure.

2 minutes Special Lab Receiving

Clerk

None Request Form

Receives schedule of the procedure (if not accommo-dated immediately).

Informs patient of the sched-ule and instructs procedural preparation.

2 minutes Special Lab Receiving

Clerk

None None 2

3 Receives schedule for the release of results.

Gives claim stub for the re-leasing of results.

1 minute Special Lab Receiving

Clerk

None None

F.1 Duration of Release of Results: 4:00pm, on the same day of the test, at their respective clinic




2. Electroencephalography (EEG) &

Electromyography/Nerve Conduction Velocity (EMG/NCV)

A. Who may avail?

1. In-patient (Service)

2. Out-patient (Service)

3. Walk-in patient (Private)


C. Requirements


2. Patient’s hospital number/ Patients Identification Card (Yellow Card)

3. Official Receipt

D. Person in-charge: EEG/EMG Technician, Special Lab Receiving Clerk


Step Client/Patient Service Provider Duration of Activity

(in normal circum-stances)

Person In-charge

Fees Form/ Document

1

New patient without HRN / Walk-In Fills up information sheet.

Assist patient in filling-up of information sheet then instructs patient to register at HIMD (Medical Records).

2 minutes Special Lab Receiving Clerk

None Patients’ Information Sheet (SPMC-F-HIMD-07);

EEG Request Form (SPMC-F-BIL-13);

EMG Request Form (SPMC-F-BIL-14) Old patient / With HRN

Presents request to clerk. Assist patient in filling-up of request form then instructs patient to proceed to cashier for payment of procedure.

2

Submits the information sheet at Medical Records for encoding

Encodes data. 5 minutes Medical Records Clerk

(Windows 8-10)


(SPMC-F-HIMD-07)

3

Pays for the procedure at the cashier.

Receives payment and issues official receipt.

2 minutes Cashier P2,000—EEG

P2,500—EMG-NCV

Patients’ Information Sheet (SPMC-F-HIMD-07);

EEG Request Form (SPMC-F-BIL-13);

EMG Request Form (SPMC-F-BIL-14)

4

Presents the request and proof of payment to Special Lab Clerk. Receives schedule and instructions.

Gives schedule of the procedure and instructs the patient of procedural preparations.

2-5 minutes Special Lab Receiving Clerk

None EEG Request Form (SPMC-F-BIL-13);

EMG Request Form (SPMC-F-BIL-14)

Official Receipt

5

On the scheduled date, returns to Special Laboratory for the procedure.

Conducts EEG/EMG-NCV procedure.

1-2 hours EEG/NCV Tech-nician/

Electromyo-grapher

None None

6 Receives claim stub. Instructs patient on date of

release of result. 1 minute Specal Lab

Receiving Clerk None Claim Stub

F. Duration of procedure:

EEG and EMG-NCV - 1 to 2 hours

G. Duration of Release of Results:

EEG - 2 weeks after the procedure

EMG-NCV - 30 minutes after the procedure




3. Digestive Unit & Pulmonary

Types:

1. Upper Gastrointestinal Endoscopy 3. Endoscopy 5. Bronchoscopy

2. Colonoscopy 4. Proctosigmoidoscopy

A. Who may avail?

1. All patients with gastro-intestinal problems/respiratory problems

2. Referred patients from private clinics or other

B. Availability of services: Monday – Friday (8:00 am – 4:00 pm); Saturday/Sunday/Holidays (On Call)

C. Requirements

1. Patient’s hospital number/ Patients Identification Card Yellow Card)

2. Official Receipt

*Service clients: Patients must be seen by Internal Medicine Resident on duty /Pedia/Surgery/

Gastro Resident at the respective clinic.

*Private case: patient should have a referral from the attending consultant.

D. Person in-charge: Internal Medicine Doctor or Gastro Doctor, Consultants, Endoscopist,

Anesthesiologist, Nurses /Nurse Attendant



(in normal circum-stances)

Person In-charge

Fees Form/ Document

Submits referral letter from IM clinic/ward to Endoscopy Unit.

Receives referral and evaluates patient.

2 minutes Nurse None Consultation & Re-ferral Sheet

(SPMC-F-MRO-10) 1

Go to PHIC for evaluation. Pays to cashier.


2 minutes Cashier - Endoscopy Charge Slip (SPMC-BIL-70) ;

Endoscopy Charge Slip (SPMC-BIL-71) &

Yellow Card (SPMC-F-HIMD-11)

2

3

Submits laboratory results and secure Cardio-Pulmonary Clearance and schedule of procedure at the Endoscopy Unit and Anesthesia Clearance at the Surgery Clinic.

Evaluates the patient and gives CP Clearance for endoscopy procedure. Refers to consultant and sets schedule for endoscopy.

30 minutes Gastro Resi-dent/ Anesthe-sia Resident

None CP Clearance Form (SPMC-F-MRI-13E)

4

Submits CP Clearance and Referral Sheet for admission at Internal Medicine Emergency Room 1 day prior to scheduled date.

Receives referral and admits patient from ER to Medicine Ward.

30 minutes ER Resident on Duty

None CP Clearance Form (SPMC-F-MRI-13E),

Referral Sheet (SPMC-F-MRO-10),

Yellow Card (SPMC-F-HIMD-11)

5

Undergoes endoscopy procedure.

Conducts endoscopy. 15-30 minutes Consultant/ Residents,

Anesthesiologist, Nurse

None None

6 Receives discharge instruction and official result.

Gives discharge instructions and releases result.

5 minutes Nurse None Discharge Instructions & Official Result

F. Duration of procedure:

Diagnostic procedure - 15 to 30 minutes

Therapeutic procedure - 30 to 45 minutes

G. Duration of Release of Results: 5 minutes after the procedure



V. Health Information Management Department (Medical Records)

1. Medical Certificate (Admitted Patients)

A. Who may avail?

1. Patient

2. Parent or legal guardian for minor or incompetent patient

3. Nearest of kin for deceased patients

4. Authorized representative

5. Courts and administrative bodies exercising quasi-judicial and/or investigative function


C. Requirements

Requesting party is patient or parent/legal guardian of minor patient:

1. Accomplished request form.

2. At least two (2) valid ID cards.

3. Proof of payment or Social Worker’s approval on the issuance of Medical Certificate

4. Clearance from Billing Section (Medico-Legal Cases only)

Requesting party is other than patient of legal age:

1. Accomplished request form

2. Notarized authorization letter with at least two (2) valid ID cards of the patient and representative; or

Letter request approved by the Medical Center Chief or Chief Administrative Officer; or Subpoena

duces tecum


4. Clearance form Billing Section (Medico-Legal Cases)

D. Person in-charge: Medical Records Staff In-Charge for Issuance of Medical Certificate

E. How to Avail of the Service?


circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip Receive, validate and verify request Issue charge slip

10 minutes Staff In-Charge for Issuance of

Medical Certificate

Med. Cert.: P50 Retrieval Fee (from date of discharge): *Current to 4 yrs: FREE *5 yrs - 18 yrs: P100

Request Slip (SPMC-F-HIM-01C);

Charge Slip (SPMC-F-BIL-17)

2

Present proof of payment or Social Worker’s approval

Issue claim stub 5 minutes Medical Records Staff

None Official Receipt or charge slip (SPMC-F-BIL-17) w/ social worker’s approval

After 5 or 8 working days

3

Presents claim stub with required documents.

Checks requirements

Release Medical Certificate

10 minutes Medical Records Staff

None Claim Stub (SPMC-F-HIM-06);

Medical certificate (SPMC-F-HIM-14)

4

Acknowledge receipt of medical certificate

Log in the issuance of medical certificate


None Medical certificate (SPMC-F-HIM-14);

Issuance Logbook (SPMC-LB-HIM-02A)

F. Duration of release of certificate:

Old Records: 5 working days

New Record (newly discharged patients): 8 working days from date of discharge




2. Medical Certificate (Oupatient & ER Cases)

A. Who may avail?

1. Patient


3. Nearest of kin for deceased patients


5. Courts and administrative bodies exercising quasi-judicial and/or investigative function


C. Requirements

Requesting party is patient or parent/legal guardian of minor patient:






2. Notarized authorization with at least two(2) valid ID cards of patient and representative; or Letter

request approved by the Medical Center Chief or Chief Administrative Officer; or Subpoena duces

tecum


D. Person in-charge: Medical Records Staff In-Charge for Issuance of Medical Certificate



(in normal circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip or submit draft copy of Medical Certif-icate

Receive and validate request

Issues charge slip

15 minutes

Staff In-Charge for Issuance of

Medical Certificate

Med. Cert.: P50 Retrieval Fee (from date of discharge): *Current to 4 yrs: FREE *5 yrs - 18 yrs: P100


Draft Copy of Med. Cert.

(SPMC-F-HIM-12B); Charge Slip

(SPMC-F-BIL-17)

2

Presents proof of Payment or Social Worker’s approval

Issue claim stub 5 minutes Medical Records Staff

None Charge Slip (SPMC-F-BIL-17);

Claim Stub (SPMC-F-HIM-06)

Next working day

3

Presents claim stub with required documents.

Checks requirements and release Medical Certificate.

10 minutes

Medical Records Staff


Medical certificate (SPMC-F-HIM-06)

4

Acknowledge receipt of medical certificate

Log in the issuance of Medical Certificate


None Medical certificate (SPMC-F-HIM-06);

Issuance Logbook (SPMC-LB-HIM-02B)

F. Duration of release of certificate: 1 working day




3. Certificate of Confinement (CC)

A. Who may avail?

1. Parent or legal guardian

2. Relative taking care of patient in the ward


C. Requirements

Requesting party is parent or legal guardian of minor patient:

1. Accomplished draft form that serves as request.

2. At least two (2) valid identification cards.

3. Proof of payment or Social Worker’s approval on the issuance of Certificate of Confinement


1. Accomplished draft form that serves as request.

2. Patient’s authorization letter

3. At least two (2) valid identification cards or patient and relative.

4. Proof of payment or Social Worker’s approval on the issuance of Certificate of Confinement

D. Person in-charge: Medical Records Staff In-Charge for Issuance of Certificate of Confinement



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip and fill up Draft Form of Certificate Confinement

Receive, validate and verify request Issue charge slip Send to Nurse-on-Duty (NOD) for confirmation.

10 minutes Staff in-charge for issuance of Certificate of Confinement

(CC)

P50.00 Request Slip (SPMC-F-HIM-01C);

Charge Slip (SPMC-F-BIL-17);

Draft copy of CC (SPMC-F-HIM-12A)

2

Present CC draft form with NOD confirmation, proof of payment or Social Worker’s approval and other required documents

Transcribe certificate of confinement


None Draft copy of CC (SPMC-F-HIM-12A);

Official Receipt or Charge Slip

(SPMC-F-BIL-17) w/ social worker’s

approval

Waits while Medical Records staff processes the certificate.

Facilitate signing of the Certificate of confinement

5 - minutes (non

medico-legal cases) 20- 35 minutes (for medico legal cases pending the Availability of Attending Physician)


None Certificate of Confinement

(SPMC-F-HIM-13)

3

Acknowledge receipt of Certificate of Confinement

Log in at the issuance logbook


None Certificate of Confinement

(SPMC-F-HIM-13); Issuance Logbook (SPMC-LB-HIM-02A)

F. Duration of release of certificate: 30 minutes to 1 hour




4. Certificate and Supporting Documents For SSS, GSIS, HDMF and Other Insurances (Admitted Patients)

A. Who may avail?

1. Patient


3. Nearest of kin (deceased patient)



C. Requirements

Requesting party is patient or Parent/Legal Guardian of Minor Patient:



3. Proof of payment or Social Worker’s approval on the issuance of documents



2. Notarized authorization letter with at least two(2) valid ID cards of patient and representative; or Letter

request approved by the Medical Center Chief or Chief Administrative Officer


D. Person in-charge: Medical Records Staff In-Charge for Documents Processing for Insurance Claims



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip and submit insurance claim form.

Receive, validate and verify request Issue charge slip.

10 minutes Staff in-charge for documents processing for

insurance claims

Certificate—P50 Authenticated Copy—P15/page Retrieval Fee: Current to 4 yrs—FREE 5 yrs to 18 yrs—P100



2

Present proof of payment or Social Worker’s approval.

Issue claim stub. 5 minutes Medical Records Staff

None Claim Stub (SPMC-F-HIM-06)

After 5 or 8 working days

3

Present claim stub and required docu-ments.

Check requirements. Release requested document.



Official Receipt or charge slip (SPMC-F-

BIL-17) w/ social work-er’s approval

4

Acknowledge receipt of insurance claim form and requested documents.

Log in at the issuance logbook


None Issuance Logbook (SPMC-LB-HIM-03A)







5. Certificate and Supporting Documents For SSS, GSIS, HDMF and Other Insurances (Outpatient & ER Cases)

A. Who may avail?

1. Patient





C. Requirements

Requesting party is patient:


2. At least two(2) valid ID cards


Requesting party is other than patient:


2. Notarized authorization with at least two (2) valid ID cards of patient and representative; or Letter request

approved by the Medical Center Chief or Chief Administrative Officer


D. Person in-charge: Medical Records Staff In-Charge for Documents Processing for Insurance Claims



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip and submit insurance claim form.

Receive, validate and verify request Issue charge slip.

15 minutes Staff in-charge for Documents Processing for

Insurance Claims

None Request Slip (SPMC-F-HIM-01C);


2

Present proof of payment or Social Worker’s Approval.

Check requirements then release request-ed documents


None Official Receipt or Charge Slip


approval

3

Acknowledge receipt of insurance claim form and requested docu-ments

Log in the issuance of documents


None Issuance Logbook (SPMC-F-HIM-03B)







6. Preparation of Birth Certificate

A. Who may avail?

1. Parent or legal guardian

2. Parent or legal guardian for minor, physically/mentally incapacitated patient




C. Requirements

1. Birth Data Form.

2. Valid identification card/s

3. Recent Community Tax Certificate or valid identification card

D. Person in-charge: Medical Records Staff In-Charge for Preparation of Birth Certificate



circumstances)

Person In-charge

Fees Form/ Document

1

Present filled up birth data form.

Receive and validate required information. Transcribe data to official birth certificate form. Proofread data and print copy of birth certificate.

10 minutes

10 minutes

5 minutes

Medical Records Staff in-charge for

Preparation of Birth

Certificate

none Birth Data Form (SPMC-F-HIM-11); Birth Certificate

Form

2

Review all entries on birth certificate for completeness and accuracy. Affix signature on official copy of birth certificate and “Release of Responsibility for Erroneous Entry” form.

Issue claim stub with instructions and schedule of claiming parents copy at the Local Civil Registrar’s Office.


None Birth Certificate Form;

Release of re-sponsibility for

erroneous entry form

(SPMC-F-MRI-21K);

Claim Stub (SPMC-F-HIM-05A)

3 Acknowledge receipt of Claim Stub.

Log in at the issuance logbook. 5 minutes Medical Records Staff

none Issuance Logbook (SPMC-LB-HIM-01B)




7. Issuance of Birth Certificate For Late Registration

A. Who may avail?

1. Parent

2. Legal Guardian

3. Department of Social Welfare and Development


C. Requirements

1. Birth Certificate Claim Stub

2. Valid identification card/s

3. Death Certificate of biological parent/s in case of demise

4. Certificate of No Record/Registration from LCR and NSO

5. Recent Community Tax Certificate

6. Letter request from the Head of DSWD duly approved by the Chief Administrative Officer or

Medical Center Chief

7. Affidavit of Loss or Sworn Statement for failure to register with the Local Civil Registrar

8. Proof of payment or Social Worker’s Approval

D. Person in-charge: Medical Records Staff In-Charge for Preparation of Birth Certificate



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request form and present valid identification card/s.

Receive, validate and verify request. Issue charge slip

15 minutes Medical Records Staff in-charge for

Preparation of Birth

Certificate

none Birth Data Form (SPMC-F-HIM-11); Birth Certificate

Form

2

Pays to Cashier. Receives payment and gives receipt.

2 minutes Cashier P100.00 Request Slip (SPMC-F-HIM-01C);


3

Review all entries on birth certificate for completeness and accuracy. Affix signature on official copy of birth certificate and “Release of Responsibility for Erroneous Entry” form.

Issue claim stub with instructions and schedule of claiming parents copy at the Local Civil Registrar’s Office


none Birth Certificate Form;

Release of re-sponsibility for

erroneous entry form

(SPMC-F-MRI-21K);

Claim Stub (SPMC-F-HIM-05A)

After 5 working days

4

Check accuracy of entries in the Birth Certificate and affix signature.

Release Birth Certificate with instruction to complete the registration process with Local Civil Registrar in Davao City.



Form on “Pamaagi sa

Pagrehistro” of Birth Certificate (SPMC-F-HIM17A)

5

Acknowledge receipt of Claim Stub.

Log in at the issuance logbook.



Issuance Logbook (SPMC-LB-HIM-01B)

F. Duration of release of certificate: 5 working days




8. Issuance of Death Certificate

A. Who may avail?

1. Parent or Legal Guardian

2. Nearest of kin or Legal heirs

3. Funeral Homes Representative


C. Requirements

1. Hospital Clearance/Hospital Statement of Account

2. At least two (2) valid identification cards of claimant

3. Birth Certificate, Marriage Contract, Sworn Statement, if necessary

4. Approved request duly signed by the Chief Administrative Officer or Medical Center Chief

D. Person in-charge: Medical Records Staff In-Charge on Issuance of Death Certificate



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request form and present hospital clearance/hospital statement of account and valid identification card/s.

Interview client to verify relationship (w/ valid IDs or Sworn Statement). Retrieve patient’s record. Note: A. If statement of account is

not available, advice client to secure from Billing Section. B. If clearance and statement of account is not settled, advice client to pay, or ask assistance from social worker.

10 minutes Medical Records Staff in-charge of Issuance of

Death Certificate

none Request Slip (SPMC-F-HIM-01B);

Statement of Account

(SPMC-F-BIL-11)

2 Check patient’s data for completeness and Accuracy.

Type and proof read entries on death certificate.


none Death Certificate Form

3

Review entries on death certificate for completeness and accuracy then affix signature. Affix signature on official copy of Death Certificate and “Release of Responsibility for Erroneous Entry” form.

Release death certificate with instruction to complete the registration process with Local Civil Registrar in Davao City.


none Death Certificate Form;


pagrehistro” of Death Certificate (SPMC-F-HIM-17B)

4

Acknowledge receipt of Death Certificate

Log in at the issuance logbook 5 minutes Medical Records Staff



Pagrehistro” of Birth Certificate (SPMC-F-HIM17A)



V. Issuance of Certificates and Supporting Documents for Insurances

9. Re-Issuance of Death Certificate

A. Who may avail?

1. Parent or Legal Guardian

2. Nearest of kin or Legal heirs

3. Funeral Homes Representative


C. Requirements


2. At least two (2) valid identification cards

3. Affidavit of Loss or Sworn Statement for non-registration of previously issued Death Certificate

4. Certificate of No Record from Local Civil Registrar and National Statistics Office

5. Proof of payment or Social Worker’s Approval

D. Person in-charge: Medical Records Staff In-Charge on Issuance of Death Certificate



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip for the re-issuance of Death Certificate (DC) and present valid identification card/s.

Interview client’s to verify relationship with the deceased. Issue charge slip.

15 minutes Medical Records Staff in-charge on

the re-issuance of

death certificate

Re-issuance Fee - P100.00 Retrieval Fee: Current to 4 yrs. – FREE 5 yrs.- 18 yrs - P 100.00

Request slip (SPMC-F-HIM-01B);



2

Present proof of payment or Social Worker’s approval and other required documents.

Type and proof read death certificate.


none Official Receipt or Charge Slip


approval; Death Certificate

Form

3

Review entries on death certificate for completeness and accuracy then affix signature. Affix signature on official copy of “Death Certificate” and “Release of Responsibility for Erroneous Entry” Form.

Release death certificate with instruction to complete the registration process with Local Civil Registrar in Davao City.




pagrehistro” of Death Certificate (SPMC-F-HIM-17B)

4 Acknowledge receipt of Death Certificate.

Log in at the issuance logbook.


none Issuance logbook (SPMC-F-HIM-06B)

F. Duration of release of certificate: 5 working days




10. Borrowing of Patient Medical Record

A. Who may avail?

1. Hospital Staff in charge of Patient Care

1.1 Medical Specialist 1.4 Psychologist

1.2 Resident Physician 1.5 Medical Social Worker

1.3 Nurse 1.6 Other Allied Service Provider

2. Researcher/s from other agency

3. Billing Staff for PHIC Claims

4. Government Insurance Agencies (PHIC, SSS, GSIS, etc.)

5. DOH Surveillance Team

6. Other government agencies


C. Requirements

Non-Hospital Staff:

1. Request letter from Head of Agency and duly approved by the Hospital Research Committee or


2. Valid identification cards

3. Proof of payment, if necessary

Hospital Staff:

1. Request slip/letter with the approval of the following:

1.1 Medical Specialist: Medical Center Chief or Chairman of the Research Committee

1.2 Attending Physician: Chief Resident or Department Chairman or Chief Training Officer

1.3 Nurses: Chief or Assistant Chief Nurse

1.4 Allied Service Provider: Chief Administrative Officer

D. Person in-charge: Medical Records Staff In-Charge on Borrowing and Releasing of Patient Record



circumstances)

Person In-charge

Fees Form/ Document

1

Accomplish request slip or present duly approved letter-request.

Interview client and validate request.

Secure approval from the Head of Health Information Management Department (HIMD).

Issue charge slip, if necessary.

15 minutes Medical Records Staff in-charge of

borrowing and releasing of

patient records

P100.00 (if necessary)

Request Slip (SPMC-F-HIM-01D);

Charge Slip SPMC-F-BIL-17


2

Present identification card and copy of request, or proof of payment, if necessary.

Release medical records. 10 minutes Medical Records Staff

none Official Receipt (if necessary)

3 Acknowledge receipt of borrowed records.

Log in at the borrower’s index card.


none Borrower’s Index (SPMC-F-HIM-09)

F. Duration of release of record: 3 working days



VI. Physical Medicine and Rehabilitation Section

1. Physiatrist/Rehabilitation Medicine Consultation

A. Who may avail?

1. In-Patient

2. Outpatient

3. Walk-in patient (Referred patient from other clinics/hospitals)


C. Requirements

1. Patient’s hospital number/Patient Identification Card (Yellow Card)

2. Referral letter from attending physician

3. Proof of payment

D. Person in-charge: Physiatrist/Rehab Consultants, Physical Therapist, Occupational Therapist and Clerk



circumstances)

Person In-charge

Fees Form/ Document

1 Stay at the waiting area for your name to be called.

Call patient’s name Prepare patient’s chart.

5mins Clerk None None

2

Undergoes interview. Check and file all necessary documents for consultation Provide initial interview Endorse patient for consultation.

5-10 mins Clerk None Daily Patients Logbook

(SPMC-LB-REHAB-01);

(SPMC-F-OPDA-PTR-01); (SPMC-F-MRO-06A)

3 Undergoes consultation. Evaluate, assess, and plan

management for rehabilitation. 15-30 mins Physiatrist None (SPMC-F-MRO-06A)

4 Proceed to the Clerk and get schedule.

Schedule patient for physical/occupational therapy treatment.

5 mins Clerk None None



VI. Physical Medicine and Rehabilitation Section

2. Physical Therapy/Occupational Therapy

A. Who may avail?

1. In-Patient

2. Outpatient

3. Walk-in patient (Referred patient from other clinics/hospitals)


C. Requirements

1. Patient’s hospital number/Patients Identification Card (Yellow Card)

2. Referral letter from attending physician

3. Proof of payment

D. Person in-charge: Physiatrist/Rehab Consultants, Physical Therapist, Occupational Therapist and Clerk



circumstances)

Person In-charge

Fees Form/ Document

1

Proceed to Physical Medicine and Rehabilitation Section and get priority number. Present yellow card.

Call patient’s priority number and get the yellow card. Retrieve patient’s chart. Bill the patient.

5-10 mins Clerk None Patients Identification Card

(SPMC-F-HIMD-11);

Billing Slip (SPMC-F-BIL-79)

2

Pays to the Cashier. Process payment for Physical Therapy/ Occupational Therapy session

5-10 mins Cashier PT session- P150.00 OT session P 150.00

None

3 Present receipt to Rehab clerk.

Copy the official receipt (O.R.)number to the Daily Patients Logbook.

5 mins Clerk None Daily Patients Logbook

(SPMC-LB-REHAB-O1)

4

Undergoes Physical Therapy/Occupational Therapy session.

Assess, treat, and perform Rehabilitation management as stated in the referral. Document the findings during the session.

45 mins- 1hour

Physical Therapist/

Occupational Therapist

P150.00 PT/OT/Progress Notes

(SPMC-F-MRO-06B)

F. Duration of procedure: 45 minutes to 1 hour



VII. Social Services

1. Classification of Out-patient & Discount for Consultation Fees

A. Who may avail?

1. Out-patient (Old and New)

3. Patients referred from other agencies

4. Clients covered by Special Law, Republic Acts, Executive Orders

5. Walk-In Patients

B. Availability of service: Monday - Friday (7:00 am - 6:00 pm)

C. Requirements

1. All clients: Interviewed/classified by social worker.

2. Patients referred from other agencies: LGU, Lingap/CMAP, Media

3. SPMC patients with referral from doctors and nurses.

D. Person-in-charge: Social Worker



circumstances)

Person In-charge

Fees Form/ Document

1

Undergoes interview. Interviews patient and gets initial data for giving of discount or free consultation. Updates patient record.

Medical Social Worker

None Assessment Tool (SPMC-F-MSWD-03);

Daily Accomplishment

Report (SPMC-F-MSWD-30)

3- 5 minutes

(Depending on client

response)

Receives routing slip with discount and instructions from Social Worker.

Gives routing slip to patient with FULL consultation discount and instructs patient to proceed to Triage. Gives discount FOR DISCOUNTED CONSULTATION FEES. Instructs patients to pay remaining balance to Cashier then proceed to Triage.


None Routing Slip (SPMC

-F-MSWD-06)



VII. Social Services

2. Discounts for Laboratory/Diagnostic Requests

A. Who may avail?

1. Out-patient (Old and New)



B. Availability of service: Monday - Friday (7:00 am - 6:00 pm)

C. Requirements







circumstances)

Person In-charge

Fees Form/ Document

1

Patients coming in from clinics asks discounts for the lab/diagnostic requests.

Interviews patient and gets initial data about patient’s living condition.

Classifies/Updates patient record.

3 - 5 minutes


response)





Patients with lab/diagnostic requests from other hospitals or Non-senior citizens: No discount given. Instructs patient to pay at the cashier. Senior citizens: 20% discount for lab/diagnostic requests, provided Senior Citizen ID is available. Instructs patient to pay balance at the cashier. CMAP: Gives printout lab request for LINGAP assistance. Instructs patient to proceed to Patient Assistance Desk (PAD) for other financial/medical assistance.

For class D patients, instructs patient to go directly to laboratory or other Cost Centers for their examination/procedure.

3 - 5 minutes


response)


None Routing Slip (SPMC-F-MSWD-06),

Referral Letter (SPMC-LB-MSWS-23)



VIII. Ambulatory Surgery

A. Who may avail?

Referred patients from clinical departments who will undergo minor, medium and selected

major surgery cases.


C. Requirements

1. Referral from clinical departments

2. Patient’s hospital number/Patients Identification Card (Yellow Card)

3. Official Receipt

D. Person in-charge: Nurses, Doctors, Anesthesiologists, Post- anesthesia care unit nurses



circumstances)

Person In-charge Fees Form/ Document

1

Patient enters the unit and wear patient’s gown.

Assists patients in wearing gown and unnecessary belongings.

10 minutes Nurse None Patients Identification

Card (SPMC-F-HIMD-11)

2 Goes into the pre-holding area for final pre-operative evaluation.

Evaluates patient’s requirements, physical and medical condition for operation.

15 minutes Nurse None None

3 Undergoes operation. Conducts the operation. 1-2 hours Doctor None None

4

Patient is transferred to Pos-Anesthesia Care Unit or Recovery Room for post-operative monitoring.

Monitors the post-operative condition of the patient and administers post operative medicine and oxygen until his full recovery.

3-4 hours Anesthesiologist/ PACU Nurse

None None

5

Receives home medications, instructions and schedule for post-operative check-up.

Gives instructions and home medication and discharges patient from PACU.

15 minutes PACU Nurse None None


23 MAIN HOSPITAL

I. Pharmacy

1. Availment of Medicine and Supplies for INPATIENTS

A. Who may avail?

All inpatients with prescriptions.

B. Availability of services: Everyday (24 hours)

C. Requirements

1. Prescriptions

2. Official Receipt

D. Person in-charge: Pharmacist, Nurses, Cashier



circumstances)

Person In-charge

Fees Form/ Document

Socialized patients Presents prescription at the pharmacy to verify availability.

Verifies the request and encodes and prices and classifies the prescribed medicine (Forward stocking or Regular Stocks).

3 minutes Pharmacist None Prescription (SPMC-F-PHA-04A to F)

1

Pay patients, PHIC patients Requests and availment of medicines shall be done by nurses in the ward stations through the pneumatic tube.

Receives the request and sends medicines through the pneumatic tube. Dispenses medicine to ward station through pneumatic tube (except the injectable anti-biotic drug; pharmacist shall call the nurse to get said medicine from the pharmacy.

20 minutes Nurse in Ward Station/

Pharmacist

None Note Proof of Items Received

2

Socialized patients Pays the prescribed medicine as to classification.


2 minutes Cashier - Prescription (SPMC-F-PHA-04A to F)

3

Socialized patients Presents official receipt and prescription then receives prescribed medicine or supply.

Receives prescription and checks official receipt then dispenses medicine or supply.



24 MAIN HOSPITAL

I. Pharmacy

2. Availment of Medicine and Supplies for Walk-Inpatients (OPD, Ambulatory Patients)

A. Who may avail?

All walk-in patients with prescriptions.


C. Requirements

1. Prescriptions

2. Official Receipt

D. Person in-charge: Pharmacist, Nurses, Cashier



circumstances)

Person In-charge

Fees Form/ Document

1

Presents prescription at the pharmacy to verify availability and price

Verifies the request and encodes and prices and classifies the prescribed medicine (Forward stocking or Regular Stocks) and determines the prices of the prescribed medicines. For PHIC members Dispenses and records the approved medicine. For Non-PHIC members Instructs client to settle the payment.


2

Receives payment and issues official receipt

2 minutes Cashier - Prescription (SPMC-F-PHA-04A to F)

Settles the payment of the prescribed medicine.

Asks assistance (CMAP, LINGAP or Social Service discount).

5 minutes Social Worker

- Prescription (SPMC-F-PHA-04A to F)

3

Presents the request and official receipt and/or proof of assistance then receives medicines.

Receives prescription and dispenses medicine.


Official Receipt


25 MAIN HOSPITAL

II. Billing Section

1. Payward Services

A. Who may avail?

All patients who prefer the payward room accommodation

B. Availability of services: Everyday, from 8:00 am—6:00 pm

C. Requirements

1. Proof of payment

D. Person in-charge: Billing Clerk, Cashier



circumstances)

Person In-charge

Fees Form/ Document

Asks availability of payward room accommodation at the payward counter.

Assigns or reserves the payward room accommodation to the Patient.

2 minutes Payward Counter

clerk

None None

1 Undergoes orientation on

payward accommodation and conforms the patient’s certification form.

Orients about payward policies and guidelines and estimates of charges and issues deposit slip for admission

25 minutes Payward Counter

clerk

Patient certification form

(SPMC-F-BIL-09)

2 Pays the deposit for payward accommodation at the Cashier.


5 minutes Cashier P5,000 to P10,000

Deposit slip (SPMC-F-BIL-08-A)

3

Returns to Billing Section and presents the proof of payment of the deposit.

Approves request for payward accommodation and calls the payward nurse station for the admission.

3 minutes Billing Clerk

(Payward Counter)

Official receipt


26 MAIN HOSPITAL

II. Billing Section

2. Issuance of Statement of Account (SOA)/Billing Statement

A. Who may avail?

All patients who have availed of hospital services


Inpatient: Everyday, including holidays (8:00 am—6:00 pm)

Out-patient: Mondays— Fridays, excluding holidays (8:00 am—6:00pm)

C. Requirements

1. Patient’s Chart

D. Person in-charge: PHIC Evaluator, Medical Evaluator, Billing Clerk, Nursing Attendant/Nurses,

Billing Counter Clerk



circumstances)

Person In-charge

Fees Form/ Document

1

Submits complete patient's chart with MGH order.

Receives the patient's chart and generates print out of details of supplies and medicines and photocopies patient's documents as required by PHIC.

Evaluator Clerk Patients Chart, Copy of Clinical coversheet and other medical Attachments

30minutes

Assigns PHIC Case Rate. Medical Evaluator

Copy of Clinical coversheet and other medical Attachments

Prepares Statement of Account and attaches claim stub per chart.

Billing Clerk Patients chart with Claim Stub

Calls concerned wards for pick up of billed patient’s charts.

Evaluator Clerk Patients chart with Claim Stub

2

Receives billed patient's chart with attached claim stub and distributes claim stubs to patients.

Releases billed patient's chart with attached claim stub.

5minutes Evaluator Clerk Patients chart with Claim Stub

3

Presents claim stub and receives SOA.

Receives claim stub and releases SOA.

5minutes Nurse Attendant/

Nurse/ Billing Counter

Clerk

Stament of Account (SPMC-F-BIL-11)


27 MAIN HOSPITAL

II. Billing Section

3. PhilHealth Insurance Corp. (PHIC) Benefit Availment

A. Who may avail?

All patients who are active PHIC member


Main Billing Everyday, including holidays (7:00 am—7:00 pm)

OPD Mondays— Fridays, excluding holidays (8:00 am—6:00pm)

OB Billing Everyday, including Holidays (8:00 am—7:00 pm)

RDU Billing Everyday, including Holidays (8:00 am—7:00 pm)

C. Requirements

1. Completely filled up PHIC documents

1.1 Claim Form 1 (CF1)

1.2 PhilHealth Membership Registration Form (PMRF)

1.3 Proof of Contribution

1.4 Membership Data Form (MDR)

2. Certifications—Birth, Marriage, Baptismal, Barangay, etc.

3. SOA, if with previous admission (3 months prior to current admission)

D. Person in-charge: Queuing Counter Clerk, Receiving Counter Clerk


circumstances)

Person In-charge

Fees Form/ Document

1

Asks requirement to avail PHIC benefit.

Gives the list of requirement and instructs to comply properly fill up PHIC form and other supporting documents to avail PHIC benefits.

3minutes Queuing counter in

charge

None PHIC CF1

2

Submits all the required Documents: In patients May be submitted within confine-ment Out patient for procedure All requirements must be complied before date of Procedure.

Receives and evaluates the submitted PHIC documents with the supporting documents. If complete, issues Philhealth Data Sheet (PDS) and SPMC PHIC card for IN PATIENT and PHIC approval of procedure for OUT PATIENT.

15 minutes Receiving counter clerk

None PMRF; MDR;

Valid ID; Birth or

Marriage or Baptismal or

Barangay certificates

IN PATIENT Presents SPMC PHIC Benefit Card to pharmacy, laboratory, and radiology section. OUT PATIENT Presents PHIC approval of procedure to clinics and Ambulatory Surgery Unit(ASU).

Dispenses/renders services to patients. Schedules procedure.

-

Pharmacy, Radiology, Laboratory In-charge

OPD clinical nurses

None None

3

When PHIC benefits of inpatient exhausted, asks to upgrade the PHIC allotment to patient. Goes to Nurse Station and ask for current diagnosis/procedure and go back to Billing Section for evaluation.

Evaluates case of patient and determines the status of PHIC benefits. If it is upgradable, adds the PHIC allotment. If it is not upgradable, endorses patient to Social Work.

15 minutes Billing Clerk & Medical

Evaluator

None None


28 MAIN HOSPITAL

III. Cashier Section

1. Payment Transactions

A. Who may avail?

Clients who will pay for their bills, medicines, laboratory and other diagnostic procedures.


C. Requirements

1. Diagnostic request, Prescription or Hospital Bill

D. Person in-charge: Cashier



circumstances)

Person In-charge

Fees Form/ Document

1

Presents the request, prescription or bill.

Verifies and approves in the computer the request, prescription or bill of the Patient.

30 seconds

Cashier None Procedure Re-quest/

Prescription/ Statement of

Account (SPMC-F-BIL-11)

2 Pays the request, prescription or bill.

Receives and counts the payment

45 seconds

Cashier - None

3 Receives the Official Receipt of payment and checks the change (if available).

Issues official receipt and gives the change (if any).

30 seconds

Cashier None Official Receipt


29 MAIN HOSPITAL

III. Cashier Section

2. Refund of Unserved Procedure or Medicine

A. Who may avail?

Clients seeking refund for unserved procedures or medicines and bills covered by PhilHealth.


C. Requirements

1. Official receipt of unserved request with note of justification from doctor or pharmacist.

2. Note of justification from Billing Head/In-charge for PhilHealth refunds.

D. Person in-charge: Cashier (Window 1), Doctor, Pharmacist, Accounting Clerk



circumstances)

Person In-charge

Fees Form/ Document

1

Presents the request, prescription or bill.

Verifies and approves in the computer the request, prescription or bill of the Patient.

30 seconds

Cashier None Procedure Request/

Prescription/ Statement of


2 Pays the request, prescription or bill.

Receives and counts the payment

45 seconds

Cashier - None

3 Receives the Official Receipt of payment and checks the change (if available).

Issues official receipt and gives the change (if any)

30 seconds

Cashier None Official Receipt

F. Duration of Release of Refund: Cash Refund

Refunds will be released immediately upon submission of the official receipts to Cashier (Window 1) from 8:00am – 5:00pm during Monday – Friday only. *Only official receipts with note of justification will be accommodated.

*** ONLY OUTRIGHT REFUNDS are allowed during Saturdays, Sundays and Holidays.

Cheque Refund (P50,000 and above) Released after 3 working days.


30 MAIN HOSPITAL

IV. Hemodialysis

A. Who may avail?

Patient for hemodialysis treatment.

B. Availability of service: Monday - Saturday (7:00 am - 11:00 pm)

C. Requirements

1. Medical request or referral

2. Hospital Bill

3. Proof of payment

D. Person-in-charge: Dialysis Receiving Staff, Cashier, Nurse, Doctor, Nurse Attendant



circumstances)

Person In-charge

Fees Form/ Document

1

Presents the medical request/ referral of doctor to dialysis unit.

Receives the referral and encodes the patient Orients the patients for dialysis procedures

3 minutes Dialysis Receiving

Staff

None Request/ Referral

2

Gets the schedule and bill for dialysis.

Gives the orientation, schedule, requirements (especially the PHIC requirement) and bills for dialysis to the patient.

10 minutes Dialysis Receiving

Staff

None None

3 Settles the bill of the patient. Receives payment and issues

official receipt. 2 minutes Cashier - Statement of


Submits the proof of payment of the dialysis bill.

Records the payment of the dialysis.

1 minute Dialysis Receiving

Staff

None Official Receipt

4

Waits for name to be called. - - - - -

5 Enters the dialysis room for the preparation of the hemodialysis treatment.

Prepares the dialysis machine. 25 minutes Nurse None None

6 Undergoes hemodialysis procedure.

Assesses and takes and records the vital signs of patient.

4 hours & 20 minutes

Nurse/ Doctor

None None

7 Recovery period from hemodialysis procedure.

Monitors blood pressure of patient and heart rate of patient.


8

Assisted to be brought out from the dialysis room.

Advises patients to rest for 15 minutes and takes the hemodialysis blood and weight of the patient.

2 minutes Nurse Attendant

None None

F. Duration of Procedure (Dialysis): 4 hours and 20 minutes


31 MAIN HOSPITAL

V. Social Services

1. Classification of Inpatients

A. Who may avail?

1. Inpatient (Old and New)



B. Availability of service: Daily (8:00 am - 6:00 pm)

C. Requirements







circumstances)

Person In-charge

Fees Form/ Document

Undergoes interview. Interviews and/or review the case of the patient. Updates patient record.

3- 5 minutes


response)





1 Receives classification card, instructions on the programs and services of the hospital and the benefits and limitations of the service card.

Classifies the patient and issues classification card. Orients the client about the pro-grams and services of the hospi-tal. Explains the benefits and limitations of the service card

Service Card (SPMC-F-MSWD-06)


32 MAIN HOSPITAL

V. Social Services

2. Enrollment to PhilHealth Point of Care (POC) Program of patients under C3

and D classification and Non-Active PHIC member

A. Who may avail?





C. Requirements







circumstances)

Person In-charge

Fees Form/ Document

1

Undergoes interview.

Interviews and/or review the case of the patient. Updates patient record. Checks eligibility status of the patient before PHIC enrollment.





5 - 10 minutes


response)

Provides pertinent patient information. Submits PMRF and CF1 to Billing Section then goes back to Social Service to get POC-PIN.

Fills up form for Hospital-Sponsored Philhealth Membership (POC Program):

PMRF CF1

Enrolls patient with C3 and D classification to PHIC through the On-Site Rapid Enrollment System. Instructs patient to submit PMRF and CF1 to Billing Section POC Window. Waits for PHIC approval to give POC Personal Identification Number (POC-PIN) to client.

Philhealth Membership Reg-

istration Form (PMRF),

Claimant Form 1 (CF1),

POC Routing Slip (SPMC-F-MSWD-07),

POC Daily Monitoring Sheet (SPMC-F-MSWS-11),

On-Site Rapid En-rollment (ORE),

Payment Slip De-tail (PSD),

POC Logbook (SPMC-LB-MSWS-03)


33 MAIN HOSPITAL

V. Social Services

3. Patient Assistance (Referral of patients to other agencies for financial assistance,

transportation, temporary residence, informing or locating patient family)

A. Who may avail?





C. Requirements







circumstances)

Person In-charge

Fees Form/ Document

1

Undergoes interview.

Interviews and/or review the case of the patient. Updates patient record.

5 - 10 minutes


response)


Assessment Tool (SPMC-F-MSWD-03);



None

Receives service card. Provid

Issues service card with patient classification. Facilitates referral from ward, especially patients needing psychosocial management. Asks and clarifies client needs. Contacts agencies who can give financial assistance. Makes referral letter to agency and gives the request to the client to be submitted to the agency. Facilitates panawagan to contact or locate patient family.

Service Card (SPMC-F-MSWD-06),

Ward Referral (SPMC-

F-MSWD-01), Social Profile

(SPMC-F-MSWS-08), Progress Note (SPMC

-LB-MSWS-10), Referral Letter (SPMC

-LB-MSWS-23), Pana-wagan

(SPMC-LB-MSWS-04)


34 MAIN HOSPITAL

VI. Patient Discharge Planning Unit

1. Facilitate Overstaying Patients in the Hospital

A. Who may avail?

1. Admitted patients and their watchers

B. Availability of service:

Monday– Friday, including Holidays (8:00 am - 6:00 pm)

Saturday, including Holidays (8:00 am - 5:00 pm)

C. Requirements: None

D. Person-in-charge: PDPU Staff



circumstances)

Person In-charge

Fees Form/ Document

1

Patient or watcher in their bed at the ward or waiting areas.

Goes to patient/watcher to offer service and check on patient who are ordered “may go home” but haven’t been discharged yet.

10 minutes PDPU Staff Referral Form (SPMC-F-PDPU-01);


Form (SPMC-F-PDPU-30)

None

Verbalize the problem as to why they were not yet discharged.

Interview the client and listen to client’s explanation.

Progress Note (SPMC-F-PDPU-10)

2

20 minutes PDPU Staff None

3

Listens to PDPU staff and acknowledges their advice.

Gives instructions or advice on what to do and gives referral form for other agencies (private or government) for assistance.

20 minutes PDPU Staff None Progress Note (SPMC-F-PDPU-10);

Referral and Assessment

(SPMC-F-PDPU-14)

4

Proceeds to MSWS with Referral note from PDPU.

Gives referral note to MSWS for hospital bill consideration.

10 minutes PDPU Staff None Referral Note (SPMC-F-PDPU-11)


35 MAIN HOSPITAL


2. Facilitate Overstaying/Abandoned Patients To Be Given Assistance for Institutional

Placement and Proper Health Care And To Reunite Them With Their Family.

A. Who may avail?

1. Admitted patients




C. Requirements

1. None




circumstances)

Person In-charge

Fees Form/ Document

1

Patient in their bed at the ward or waiting areas.

Goes to patient to offer service and gather pertinent data for family tracing.

10 minutes PDPU Staff Referral Form (SPMC-F-PDPU-01);



None

Verbalize the problem as to why they were not yet discharged.

Interview the client and listen to client’s sentiments.

Progress Note (SPMC-F-PDPU-10)

2

30 minutes PDPU Staff None

3

Listens to PDPU staff and acknowledges their advice.

Family tracing through coordination with other agencies (private and government).

30 minutes PDPU Staff None Progress Note (SPMC-F-PDPU-10);

4 Informed of Home Conduction.

Prepares requirements and proceeds with Home Conduction with proper documentation.

45 minutes PDPU Staff None Certificate of Appearance

(SPMC-F-PDPU-06)


36 MAIN HOSPITAL


3. Referral of Discharged Inpatient and Outpatient from far flung areas to the

available transient homes in the hospital.

A. Who may avail?

1. Admitted patients, Outpatients and their watchers




C. Requirements

1. Referral from Doctor.




circumstances)

Person In-charge

Fees Form/ Document

1

Patient and watcher presents referral for temporary shelter.

Interview and assess the patient and/or watcher.

5 minutes PDPU Staff None Daily Accomplishment


2

Listens to PDPU Staff and acknowledges their advice.

Gives referral form for temporary shelter. 20 minutes PDPU Staff None Referral/ Doctor’s Referral

(SPMC-F-PDPU-14)


37 MAIN HOSPITAL


1. Issuance of Certificate of Employment

A. Who may avail?

1. SPMC Personnel

1.1 Plantilla 1.2 Job Order Contractual

2. Retirees/Resignees


Monday - Friday (8:00am - 5:00pm)

C. Requirements

1. Filled-up Request Slip

2. Proof of Payment

D. Person-in-charge: HRMO Staff, Chief Administrative Officer, Chief Nurse, Section Heads, Cashier



circumstances)

Person In-charge

Fees Form/ Document

1 Fills out request slip.

Receives and bills request. 2 minutes HRMO Staff None Request Slip (SPMC-F-HRM-11)

2

Pays to cashier. Receives payment and issues official receipt.

2 minutes Cashier P60 - abroad P30 - local

For government

transaction purposes - No

Fee

Request Slip (SPMC-F-HRM-11)

3

Gives official receipt to HRMO staff.

Verifies request then instructs client to return on the next working day. Encodes and prints certificate of employment. Certifies/approves certification. Stamps official seal of certification.

2 minutes

5 minutes

5 minutes

1 minute

HRMO Staff

Chief Admin Officer/Chief

Nurse/Section Heads

HRMO Staff

Request Slip (SPMC-F-HRM-11);

Official Receipt

4

Claims certificate of employment.

Logs and releases certification.

2 minutes HRMO Staff None None

F. Release of Request: 1 working day after filing of request


38 MAIN HOSPITAL


2. Issuance of Service Record

A. Who may avail?

1. SPMC Personnel





C. Requirements


2. Proof of Payment

D. Person-in-charge: HRMO Staff, Chief Administrative Officer, Cashier



circumstances)

Person In-charge

Fees Form/ Document


Receives and bills request. 2 minutes HRMO Staff None Request Slip (SPMC-F-HRM-11)

2


2 minutes Cashier P60 - abroad P30 - local

For government

transaction purposes - No

Fee

Request Slip (SPMC-F-HRM-11)

3


Verifies request then instructs client to return on the next working day. Updates and prints service record. Certifies/approves service record. Stamps official seal to service record.

2 minutes

5 minutes

5 minutes

1 minute

HRMO Staff

Chief Admin Officer/Chief

Nurse/Section Heads

HRMO Staff

Request Slip (SPMC-F-HRM-11);

Official Receipt

4

Claims service record.

Logs and releases certification.

2 minutes HRMO Staff None None



39 MAIN HOSPITAL


3. Request for Pay Slip

A. Who may avail?

SPMC Personnel




C. Requirements


2. Proof of Payment

D. Person-in-charge: HRMO Staff, Cashier



circumstances)

Person In-charge

Fees Form/ Document


Receives and bills request.

1 minute HRMO Staff None Request Slip (SPMC-F-HRM-11)

2 Pays to cashier. Receives payment and

issues official receipt. 2 minutes Cashier P15 - for 2nd

copy Request Slip

(SPMC-F-HRM-11)

3 Gives official receipt to HRMO Staff.

Verifies request then prints pay slip.

3 minutes HRMO Staff None Request Slip (SPMC-F-HRM-11);

Official Receipt

4 Claims pay slip. Releases pay slip. 1 minute HRMO Staff None None


40 MAIN HOSPITAL


4. Request for Photocopy of Official Documents

- DTR - PRC License - Appointment - SALN

- PES - Board Rating - Job Order Contract

A. Who may avail?

SPMC Personnel




C. Requirements


2. Proof of Payment




circumstances)

Person In-charge

Fees Form/ Document


Receives and bills request.

1 minute HRMO Staff None Request Slip (SPMC-F-HRM-11)

2 Pays to cashier. Receives payment and is-

sues official receipt. 2 minutes Cashier P15/page Request Slip

(SPMC-F-HRM-11)

3

Gives official receipt to HRMO Staff.

Verifies request then prints pay slip. Retrieves file for reproduction. Photocopy official document. Certifies copy of document.

3 minutes

5 minutes

3 minutes

2 minutes

HRMO Staff

HRMO Head

None Request Slip (SPMC-F-HRM-11);

Official Receipt

4 Claims documents. Releases document. 2 minute HRMO Staff None None


41 MAIN HOSPITAL


5. Request for Certificate of Appearance

A. Who may avail?

Other government employees



C. Requirements

1. Travel Order

D. Person-in-charge: HRMO Staff



circumstances)

Person In-charge

Fees Form/ Document

1

Submits Travel Order.

Receives Travel Order from client. Prepares Certificate of Appearance. Approves Certificate of Appearance.

1 minute

3 minutes

3 minutes

HRMO Staff

HRMO Staff

HRMO Staff

HRMO Head

None Travel Order

2 Claims Certificate of Appearance.

Releases Certificate of Appearance.

1 minute HRMO Staff None None


42 MAIN HOSPITAL


6. Request for Endorsement

A. Who may avail?

1. SPMC Personnel





C. Requirements

1. Filled-up request slip

2. Supporting documents

D. Person-in-charge: HRMO Staff, Medical Center Chief



circumstances)

Person In-charge

Fees Form/ Document

1

Submits request with complete supporting docu-ments.

Receives request and supporting documents. Checks completeness of supporting documents. Prepares endorsement. Approves endorsement.

1 minute

3 minutes

5 minutes

5 minutes

HRMO Staff

HRMO Staff

HRMO Staff


None Request Slip (SPMC-F-HRM-11)

2 Claims endorsement.

Logs and releases endorse-ment.

1 minute HRMO Staff None None



43 MAIN HOSPITAL


7. Employment Verification

A. Who may avail?

1. Other government agencies/Private Entities



C. Requirements

1. None




circumstances)

Person In-charge

Fees Form/ Document

1

Query through phone.

Receives telephone verifications. Retrieves employee’s data. Answers client’s queries.

1 minute

2 minutes

2 minutes

HRMO Staff None None


44 MAIN HOSPITAL


8. ID Card Issuance (Laminated ID Card and/or Wallet ID)

A. Who may avail?

1. SPMC Personnel

Plantilla Job Order Contractual

2. Affiliates

a. Auxilliary Staff

b. Trainees

c. Medical Interns



C. Requirements

1. Filled-up ID Issuance slip

2. Proof of payment




circumstances)

Person In-charge

Fees Form/ Document

1 Fills out ID Issuance Slip.

Receives and bills request. 2 minutes HRMO Staff None ID Issuance Slip (SPMC-F-HRM-15)

2


2 minutes Cashier P50 - Laminated ID

P100 - Wallet ID

New ID for plan-tilla personnel - free of charge

Replacement -

with charge

ID Issuance Slip (SPMC-F-HRM-15)

3


Checks data and assigns employee number, if new employee. Approves request for ID Issuance. Endorses to ID Production Staff. ID Production.

2 minutes

1 minute

1 day after filing of re-

quest

30 minutes

HRMO Staff

HRMO Head

HRMO Staff

HRMO ID Prod Staff

ID Issuance Slip (SPMC-F-HRM-15);

Official Receipt

4 Claims ID card. Logs and releases ID. 2 minutes HRMO Staff None None

F. Release of Request: 3 working days after filing of request


45 MAIN HOSPITAL


9. Queries on Salaries, Loan Updates and Other Monetary Benefits

A. Who may avail?

SPMC Personnel




C. Requirements





circumstances)

Person In-charge

Fees Form/ Document

1

Fills out request slip.

Receives request for verifica-tion. Provides data to queries.

1 minute

5 minutes

HRMO Staff None Request Slip (SPMC-F-HRM-11)


46 MAIN HOSPITAL

VIII. VIRTUAL LIBRARY

1. Computer Services

A. Who may avail?

SPMC Personnel Affiliates

Plantilla Clerks Job Order Contractual PGIs



C. Requirements

1. SPMC ID or Any Valid ID

D. Person-in-charge: Librarian, Library Staff



circumstances)

Person In-charge

Fees Form/ Document

1

Sign-in at the log sheet.

Provides log sheet. 1 minute Librarian or Library Staff

None SPMC ID/ Any Valid ID;

Log Sheet (SPMC-F-LIB-02)

2 Uses library computer.

Address the client’s needs, if there are any.

- Librarian or Library Staff

None None

3 Saves document, if any.

Assists the client in saving their documents

2 minutes Librarian or Library Staff

None None

4 Sign-out at the Log Sheet.


None Log Sheet (SPMC-F-LIB-02)


47 MAIN HOSPITAL


2. Lending and Loaning Services

A. Who may avail?

SPMC Personnel




C. Requirements





circumstances)

Person In-charge

Fees Form/ Document

1

Sign-in at the log sheet.


None SPMC ID/ Any Valid ID;

Log Sheet (SPMC-F-LIB-02)

2

Old users Fill up book card

Provides book card 5 minutes

Librarian or Library Staff

None Book Card

New Users

Fill up registration for library privilege form then fills up book card

Provides registration form and book card

Registration For Library Privilege

(SPMC-F-LIB-01)

3 Receives requested book or journal.

Gets the requested book or journal then attaches book card to registration the form

5-15

minutes

Librarian or Library Staff

None None

4 Sign-out at the Log Sheet



Upon returning book or journal

5 Returns the book or journal.

Detaches book card from registration form then returns it to the book.


None None

6 Sign-out at the Log Sheet


None None


48 MAIN HOSPITAL


3. Research

A. Who may avail?

SPMC Personnel Affiliates




C. Requirements





circumstances)

Person In-charge

Fees Form/ Document

1 Sign-in at the Log Sheet.

Provides log sheet and determine the needs of the user or client.

1 minute Librarian or Library Staff


2

Fills up request form. Fills up Research Services logbook.

Provides request form and logbook for client to fill up.


None Request Form (SPMC-F-LIB-03);

Research Services Logbook

(SPMC-LB-LIB-01)

Returns to library after 1 working day.

Informs the client of the availability of the requested research topic then asks client to return to library with their electronic storage devices.


None None

3

Or waits for the emailed document.

Emails the requested research topic to client.


None None

5 Sign-out at the Log Sheet.

Provides Log Sheet. 1 minute Librarian or Library Staff



49 EMERGENCY ROOM

I. Consultation

A. Who may avail?

All patients needing surgical (General Surgery, ENT-HNS, Orthopedic, Ophthalmology, Neurosurgery),

medical and pediatric emergency attention.

B. Availability of service: Everyday (24 hours)

C. Requirements: None

D. Person-in-charge: Doctors, Triage Nurses, Nursing Attendants/Handler, Admitting Clerk



circumstances)

Person In-charge

Fees Form/ Document

1

Arrives at the entrance of the Emergency Room.

1 minute Handler None None

Trauma Patients Direct to Trauma Center entrance.

Assists and transports patient to Trau-ma Triage area.


Non-Trauma Patients Direct to ER Triage Area.

Assists and transports patient to Triage area.


2 Fills up patient’s data form. Provides patient’s data form. 2 minutes Triage Nurse None Patient’s Data

Form (SPMC-F-ADM-01)

3

Submits the filled up patient’s data form to ER registration area for encoding. Then receives printed ER Clinical Form.

Encodes / registers the personal data of the patient and prints the ER Clinical Form.

2 minutes Registration None Patient’s Data Form

(SPMC-F-ADM-01);

ER Clinical Form (SPMC-F-MRI-10A)

4 Gives the printed ER Clinical Form to triage nurse.

Takes and records vital signs and inter-views / evaluates patient of his/her complaint.

2 minutes Registration/Triage Nurse

None ER Clinical Form (SPMC-F-MRI-10A)

5

Proceeds to respective depart-ments for examination.

Assists the patient towards resident on duty. (For emergency cases, triage nurse assist patient to CIU for immediate interventions.)

15 minutes Nurse/ Handler

None None

Trauma Center ENT-HNS, Ophthalmology General Surgery, Orthopedics, Neurosurgery

Assists the patient towards resident on duty. (For emergency cases, triage nurse assist patient to CIU for immediate interventions.)


None None

Main ER Entrance Family Medicine, Internal

Medicine, Pediatrics

Assists the patient towards resident on duty. (For emergency cases, triage nurse assist patient to Resuscitation Area for immediate interventions.)


None None

6

Receives assessment/ examina-tion by the doctor for initial treat-ment.

Takes medical history and examines the patient administers prescribed inter-ventions or medication. Provides pre-scription and encodes request for la-boratory and diagnostic procedure.

2 minute Doctor None None

7

Stays at the observation area while watcher is processing the request for laboratory and diag-nostic examination.

Monitors patient and gives medication (as ordered).

- Doctor/ Nurse - Laboratory/ Diagnostic Request

8 Claims results of laboratory on specified time and submit them to resident on duty.

Interpret result and gives order for patient’s disposition.

2 minutes Doctor/ Nurse None Claim Stub/ Laboratory

Results

For admission Fills up the informed consent form.

Provides admission order. 2 minutes Doctor None Informed Consent For Admission

(SPMC-F-MRI-21A) 9

For discharge Receives home medications and discharge form

Provides discharge order and prescrip-tion.

2 minutes Doctor None


50 EMERGENCY ROOM

II. Admission

1. Service Ward

A. Who may avail?

ER patients needing admission.

B. Person-in-charge: Doctors, Nurses, Nursing Attendants, Admitting Clerk, ER Billing Clerk

C. Requirements:

1. Admission order from doctor 3. PHIC ID (for PHIC member)

2. Consent for admission and

D. How to avail of the service?


circumstances)

Person In-charge

Fees Form/ Document

1

Fills and signs up the consent form for admission.

Doctor advises admission, informs client of their right to refuse. If client agrees to be admitted, sees to it that the Informed Consent Form is signed. Prepares Patient Chart for admission and gives the ER Clinical Form with admitting diagnosis, attached signed Informed Consent and directs client to go to Admitting Section.

5 minutes Doctor None Informed Consent For Admission

(SPMC-F-MRI-21A);

ER Clinical Form

(SPMC-F-MRI-10A)

2

Submits consent form for admission to Admitting Section for encoding and receives clinical cover sheet.

Checks the Informed Consent Form, encodes the Admitting order and prints the Clinical Cover Sheet.

5 minutes Admitting Clerk

None Informed Consent For Admission

(SPMC-F-MRI-21A)/ Clinical Cover

Sheet (SPMC-F-MRI-01A)

For PHIC patient Directs the client to ER Billing Unit.

For non-PHIC patient Directs client to social worker for classification and return to Doctor with Admitting Papers/Clinical Cover Sheet.

3

PHIC Member Proceeds to ER Billing Section and present clinical cover sheet and PHIC ID (if available).

Stamps “PHIC Temporary” on Clinical Cover Sheet. Gives yellow card and other forms to be filled up. Instructs client to submit all necessary PHIC documents to continue availing of the benefit.

5 minutes ER Billing Clerk

None Clinical Cover Sheet

(SPMC-F-MRI-01A)/ PHIC ID

Non-PHIC Member Proceeds to medical social worker for classification.

Interviews client and gives classification.



(SPMC-F-MRI-01A)

4 Waits for Doctor’s order for admission chart.

Prepares admission chart. 5 minutes Doctor None

Submits the clinical cover sheet to the attending doctor/nurse.

Receives Clinical Cover Sheet and attaches all other documents.

10 minute Doctor/Nurse


(SPMC-F-MRI-01A) 5

Patient is transported to the service ward.

When room is available, transports and endorses patient with its chart to the Ward.

- Nursing Attendant

None None


51 EMERGENCY ROOM

II. Admission

2. Payward

A. Who may avail?

1. Patients with elective request from OPD 3. Patients with referral from outside clinic

2. ER patients needing admission

B. Person-in-charge: Doctors, Triage Nurses, Nursing Attendants, Admitting Clerk, Cashier, Billing Clerk

C. Requirements:

1. Admission order from doctor 3. PHIC ID (for PHIC member)

2. Consent for admission and




Person In-charge

Fees Form/ Document

1

Fills and signs up the consent form for admission.

Doctor advises admission, informs client of their right to refuse. If client agrees to be admitted, sees to it that the Informed Consent Form is signed. Prepares Patient Chart for admission and gives the ER Clinical Form with admitting diagnosis, attached signed Informed Consent and directs client to go to Admitting Section.

5 minutes Doctor None Informed Consent For Admission

(SPMC-F-MRI-21A)

2

Submits consent form for admis-sion to Admitting Section for en-coding and receives clinical cover sheet.

Checks the Informed Consent Form, encodes the Admitting order and prints the Clinical Cover Sheet.



(SPMC-F-MRI-21A)/ Clinical Cover

Sheet (SPMC-F-MRI-01A)

For PHIC patient Directs the client to ER Billing Unit.

For non-PHIC patient Directs client to return to doctor with the admit-ting papers.

3

Proceeds to Main Billing Section to inquire for available room.

If room is available: Explains the requisites and bylaws for a Payward admission. Attaches the admission order and informed consent form, Payward deposit slip with the following information: 1. Room number 2. Name of doctor – specified as to house or private case.



(SPMC-F-MRI-21A);

Payward Deposit Slip

(SPMC-F-BIL-08A)

4

Submits clinical cover sheet and receives payward deposit slip.

Encodes and generates 2 copies of Clinical Cover Sheet and allows the client to sign the informant portion.



(SPMC-F-MRI-01A);

Payward Deposit Slip

(SPMC-F-BIL-08A)

5 Pays the deposit for payward admission.

Receives payment and issues receipt. 2 minutes Cashier - Payward Deposit Slip

(SPMC-F-BIL-08A)

6

Presents the official receipt of payment of deposit with clinical cover sheet to the Main Billing Section.

Issues the Payward (green) card where all the charges will be posted.

1 minute Billing Clerk

None Official Receipt/ Clinical Cover

Sheet

7

Receives the green card from billing clerk and returns to the admitting doctor for disposition to the ward.

Transports and endorses the patient and admission papers to the Nurse on Duty in the ward station.

2 minutes Billing Clerk/Doctor

None

Green Card

8

Accepts clinical cover sheet and attaches it to patient’s chart then endorses patient chart to nurse on duty.

2 minute Doctor None Clinical Cover Sheet

(SPMC-F-MRI-01A)

Submits clinical cover sheet to the doctor to be attached to pa-tient’s chart.

Nurse on duty endorses patient to payward nurse on duty.


9 Patient is transported to the payward.

Transport patient to the payward. - Nursing Attendant

None None


52 EMERGENCY ROOM

III. Discharge

A. Who may avail?

ER patients for discharge.

B. Person-in-charge: Doctors, Nurses, ER Billing Clerk, Cashier, Social Worker, Security Guard

C. Requirements:

Discharge slip from Doctor




Person In-charge

Fees Form/ Document

1

Receives discharge slip ER billing charges and home medications from doctor.

Provides discharge slip, ER billing charges and prescription.

2 minutes Doctor None Discharge Slip (SPMC-F-BIL-80);

ER Billing Charges

(SPMC-F-BIL-80)

2

Presents discharge slip to ER Billing Section

Prints the Billing or Statement of Account of the patient.


None Discharge Slip (SPMC-F-BIL-80);

ER Billing Charges

(SPMC-F-BIL-80)

3

Pays to Cashier or Receives payment and issues official receipt.

2 minutes Cashier - Statement of


Asks assistance of the Social

Worker/Lingap/CMAP.

Interviews client and gives discount. 10

minutes

Social

Worker -

4

Goes back to ER nurse for clearance.

Checks discharge slip and receipt. Signs the discharge slip with instructions for home meds.

1 minute Nurse None Discharge Slip (SPMC-F-BIL-80)/

Official Receipt/ Statement of


5 Presents signed discharge slip to the security guard.

Checks signed discharge slip. 1 minute Security Guard

None Discharge Slip


53 EMERGENCY ROOM

IV. Medico Legal Services

A. Who may avail?

Inpatients, outpatients and walk-in patients.

B. Person-in-charge: Doctors, Nurses, ER Billing Clerk, Cashier, Admitting Clerk

C. Requirements:

Patients with medico legal complaints on untoward incident occurring not more than 24 hours.




Person In-charge

Fees Form/ Document

1 Proceed to triage area for screening and assessment.

Screens and Assesses the patient and provides Patient’s Data Form

5 minutes Triage Nurse

None None

2 Fills up patient’s data form and submits it to Admitting Clerk for encoding.

Encodes the personal data of patient and prints the ER Clinical Form


None Patient’s Data Form

(SPMC-F-ADM-01)

3 Proceeds to respective department for consultation.

Conducts medical examination and treatment to patient - Doctor None

ER Clinical Form

(SPMC-F-MRI-10A)

Requests for medical certificate (if patient may go home).

Issues a discharge charge slip to the patient that includes the request for medical certificate 5 minutes Doctor None 4

Discharge Slip (SPMC-F-BIL-80)

and ER Billing Charges

(SPMC-F-BIL-80)

5 Presents the discharge slip to ER Billing Section.

Prints the Billing or Statement of Account of the patient


None Discharge Slip (SPMC-F-BIL-80)

6

Pays the bill, including the request for medical certificate, at the Cashier.


2 minutes Cashier - Statement of Account

(SPMC-F-BIL-11) & Discharge Slip (SPMC-F-BIL-80)

7

Presents the official receipt to the nurse for discharge instructions.

Forwards/Hands the ER Clinical Form to the Registration Clerk for preparation of Medical Certificate.

5 minutes Nurse None Statement of Account

(SPMC-F-BIL-11) & Official Receipt

8

Goes to ER Registration and asks the registration clerk for medical certificate.

Prepares and issues the Medical Certificate/s.

Instructs client to go back to Doctor for signature.

10 minutes

Registra-tion Clerk

None Statement of Account

(SPMC-F-BIL-11) & Official Receipt

9

Returns to attending doctor for signature.

Affixes the signature and license number on the two (2) copies of the Medical Certificate.

Indicates no. of days patient is advised to rest.

Instructs client to return to ER Registration Clerk.

1 minute Doctor None Medical Certificate

(SPMC-F-HIM-14);

10 Receives the original, signed and sealed copy of medical certificate.

Issues the original signed and sealed copy and keeps the duplicate of medical certificate

3 minutes Registra-tion Clerk

None Medical Certificate

(SPMC-F-HIM-14)


54 EMERGENCY ROOM

V. Laboratory Examination

A. Who may avail?

Emergency room patients.

B. Person-in-charge: ER Laboratory Receiving Clerk, Cashier

C. Requirements:

Note from the doctor.




Person In-charge

Fees Form/ Document

1

Proceeds to ER Laboratory for verification of encoded request. (Optional: submits blue stub to ER Laboratory)

Prints and gives the laboratory request to the phlebotomist for blood collection.

2 minutes ER Laboratory Receiving

Clerk

None Note from Doctor

2

Undergoes blood extraction. Given instruction of proper specimen collection of urine and stool.

Collects blood sample. Instructs patient of proper sample collection. Endorses sample to MTOD.

10 minutes

ER Laboratory

Phlebotomist

None None

3

Submits samples (urine and stool) with the laboratory request and receives claim stub for the release of results.

Receives and processes the samples for laboratory examination

2 minutes

ER Laboratory Receiving

Clerk

None

Laboratory Request

(SPMC-F-LAB-14) to

(SPMC-F-LAB-18)

3 Waits for the result of laboratory test.

Process blood, urine and stool sample. 100 minutes

Medical Technologist

None Worksheets

4

Receives the laboratory result according to the specified time of release.

Prints and gives the laboratory result to the watcher/doctor

2 minutes ER Laboratory Receiving

Clerk

None Claim Stub (SPMC-F-LAB-14)

E. Duration of Release of Results: 2-4 hours


55 EMERGENCY ROOM

VI. Radiologic Procedures

A. Who may avail?

Emergency room patients

B. Person-in-charge: Radiology Technician (RadTech), Doctor, Cashier, Social Worker,

C. Requirements:

Patient Hospital Number




Person In-charge

Fees Form/ Document

1

Submit patient hospital n umber to ER X-Ray Receiving Area.

Asks client of their location at the ER and tells them to wait for their name to be called

2 minutes RadTech None Patient Hospital Number

Stays in their respective/ observation area and waits to be called.

Calls and assists patient to enter for X-ray.

5 minutes ER Transporter

None None

2 Undergoes X-Ray procedure.

Conducts X-ray procedure. 15 minutes

RadTech None None

3

Receives claim stub for the official result of X-Ray.

Gives claim stub for the release of X-ray official result, Or Doctors makes an initial reading of the X-ray result

1 minute

ER X-Ray Receiving

Clerk/ Doctor

None Claim Stub

E. Duration of Release of (Official) Results: 3 working days


56 OB—EMERGENCY ROOM

I. Consultation

A. Who may avail?

All OB and Gyne patients.

B. Person-in-charge: ER Laboratory Receiving Clerk, Cashier

C. Requirements:

Blue stub from the doctor.




Person In-charge

Fees Form/ Document

1 Receives immediate attention.

Takes the vital signs. 3 minutes Nurse None None

Fills up triage form and submits for encoding.

Assist client to fill up the information sheet and encode the data in our Hospital Information System.


None Patients’ Information

Sheet (SPMC-F-HIMD-07)

2

3

Receives the examination. Take the history; perform physical examination and determine condition/status of patient and prescribes laboratory and diagnostic procedures

30 minutes

Doctor None None

4 Collected with samples for laboratory work up.

Inserts IV and collects the blood and urine.


5 Patients for Observation Monitored at the observation.

Monitors patients. 6 hours Doctor None None

5

Patients for Admission Transported to Delivery Room, Gyne Ward, or OB Ward.

Transports patient to delivery room ,Gyne Ward or OB Ward.

5 minutes Male Nursing

Attendant None None

6 Presents the laboratory re-quest for encoding.

Encodes the laboratory request. 2 minutes

Laboratory Receiving

Clerk None

Laboratory Request

7 Settles the payment of the requests:

- - - - -

7 Pays the laboratory procedure or


2 minutes Cashier - Laboratory Re-

quest

7 Asks assistance from Social Worker/Lingap/CMAP.

Classifies patient and gives discount or referred the watcher to Lingap / CMAP.

10 minutes

Social Work-er

- Laboratory Re-

quest

8 Presents official receipt and submits the laboratory samples for processing.

Grants the request and receives samples for process. 2 minutes

Laboratory Receiving

Clerk None Official Receipt

9 Patients for Discharge Receives the hospital bill.

Gives clearance to the discharge of patient after paying the bill. 2 minutes Nurse None

Statement of Account

(SPMC-F-BIL-11)

10 Pays the bill. Receives payment and issues official

receipt. 2 minutes Cashier - Statement of


11

Presents official receipt to OB-ER Nurse Station for clearance and receives dis-charge slip.

Cleared and discharge patient.

1 minute Nurse None Official Receipt


57 HEART INSTITUTE

I. Pediatric and Adult Cardiology Clinic

A. Who may avail?

1. Patients diagnosed with specific cardiac problems as referred by private or government practitioner,

preferably a cardiologist, provided that the patient was seen first at the OPD clinic.

2. Patients who were previously admitted at the ward or seen at the Emergency Room.

3. Referred patients from OPD Clinics (Pedia/IM) with cardiac problems/complaints who require consultation and treat-

ment.

B. Availability of Service:

PEDIA Thursday (2:00 pm - 5:00 pm) Rheumatic Heart Disease & Kawasaki Disease;

Benzathine Penicillin Injection

Friday (9:00 am – 12:00 nn) Congenital Heart Disease

ADULT Monday (1:00 pm -5:00 pm) Consultation & CP Clearance; Benzathine Penicillin Injection

Wednesday (10:00 am – 12:00 nn) Consultation

Friday (1:00 pm – 5:00 pm) Consultation & CP Clearance

*Cut-off for patient registration at Triage:

Monday & Friday: 3:00 pm Wednesday: 11:00 am

C. Person-in-charge: Nurses, Clerk, Doctor, Cashier

D. Requirements:

1. Patients Identification Card (Old patients) 2. Referral letter (If available)




Person In-charge

Fees Form/ Document

Proceed to Triage window. Verify if new patient. 10 minutes

Nurse None None

1

New Patient Fill up information sheet.

Gives information sheet then registers patient information.

10 minutes

Clerk None Patients’ Information

Sheet (SPMC-F-HIM-07)

Old Patient Present Patients Identification Card.

10

minutes Clerk None

Patients Identification

Card (SPMC-F-HIM-11)

2

Proceed to Cashier for pay-ment of consultation and/or injection procedure.

Receives payment then gives official receipt with change, if any.

2 minutes Cashier

New – P75 Old – P50

Injection –

P30

Patients’ Information

Sheet (SPMC-F-HIM-07)/

Patients Identification

Card (SPMC-F-HIM-11)

3 Goes back to triage window and gives official receipt and Patients Identification Card.

Encodes the name of the patient and gets patient’s records.

3 minutes Clerk None None

4

Proceeds to waiting area for vital signs taking and consultation.

Takes the patient’s vital signs for assessment. Orients the patient and watcher.

30 minutes

Nurse None None

5

Consultation. Interviews the patient and explains the medical care/treatment. Gives instructions for home medication.

10 minutes

Doctor None None

6

Receives prescription and request for laboratory or other procedure OR Receives referral to other clinic or for admission.

Gives prescription or request for diagnostic procedure. Refers patient to other clinic or to Emergency Room for admission.

5 minutes Doctor None Consultation and Referral Sheet (SPMC-F-MRO-10)


58 HEART INSTITUTE

II. Heart Station / Echocardiography 1. 2D Echo 6. Stress Test

2. TEE 7. Stress Echo

3. IOTEE 8. Dobutamine Echo

4. 24-hours Ambulatory Holter ECG

5. Vascular Studies (Arterial, Venous and Carotid)

A. Who may avail?

1. All patients needing any of the abovementioned procedure..

B. Availability of Service: Monday - Friday (8:00 am - 5:00 pm)

C. Person-in-charge: Heart Station/Echocardiography Staff, Cashier, Doctors

D. Requirements:

1. Request for procedure 2. Proof of payment





1

Submits request for heart station/echocardiography laboratory for scheduling.

Receives request form and gives schedule the examination/procedure.

3 minutes Heart Station/

Echocardiography Staff

None Heart Station/ Echocardiographic

Section & Laboratories Form (SPMC-F-HS&EL-01)

2

Pays to Cashier. Receives payment and issues official receipt.

2 minutes Cashier - Heart Station/ Echocardiographic


Asks assistance from Social Worker, CMAP, Lingap,etc.

Interviews patient and gives discount.


3

Goes back to heart station/echocardiography laboratory at the scheduled date and presents the approved request and official receipt.

Verifies the approval of request or the payment of the procedure.

2 minutes Heart Station/

Echocardiography Staff

None

Heart Station/ Echocardiographic


& Official Receipt

4 Signs the consent for (if applicable).

Provides consents form. 5 minutes

Heart Station/ Echocardiography

Staff None Consent Form

(SPMC-F-MRI-21c)

5

Undergoes procedure. Executes the procedure.

15-40 minutes

Heart Station/ Echocardiography Staff (with resident and cardiologist on special procedure)

None None

6 Receives instructions for the release of results and claim stub.

Instructs or issues claim stub for the result. 2 minutes

Heart Station/ Echocardiography

Staff None Claim Stub

F. Duration of Release of Results: 1—2 weeks, depending on underlying condition.


59 HEALTH SERVICES AND SPECIALTY CLINIC

I. Physical Examination and Issuance of Medical Certificate

A. Who may avail?

1. Pre-employment (Local & abroad) 7. LTO

2. Annual P.E. 8. Referrals

3. Scholarship 9. Clearance for specific specialty (Ophtha, ENT-HNS, Dental,

4. School Requirements Cardio, Patho and Derma)

5. Walk-in Consultation 10. Naturalization

6. Child Adoption 11. Gender Identification


C. Person-in-charge: Information Desk Staff, Nurses, RadTech, Doctors, Laboratory Staff

D. Requirements: Patients Identification Card (Yellow Card)


Step Client/Patient Service Provider Duration of Activi-

ty (in normal

circum-stances)

Person In-charge

Fees Form/ Document

New Client Fills up information sheet at the registration area and sub-mits it to information clerk for screening.

Provides information sheet and assist patient to fill it up. Submits information sheet to the registration in-charge.

5 minutes Information Desk Staff


(SPMC-F-HIMD-07)

1

Old Client Submits yellow card to encoder.

Submits yellow card for registration. 3 minutes

Information Desk Staff

None Patients Identification Card

(SPMC-F-HIMD-11)

2

Receives instructions and information on packages. Receives yellow card.

Orients the client about the appropriate package for his needs. Gives chart for other clinical findings.

5-10 minutes

Encoder None Patients Identification Card

(SPMC-F-HIMD-11); Other clinical findings form

3 Proceed to cashier to settle the payment.


2 minutes Cashier - Patients Identification Card

(SPMC-F-HIMD-11)

4

Proceed to laboratory for blood extraction and to submit urine and stool samples. Collects urine sample at des-ignated area.

Extract blood and receives urine and stool samples. Verifies proper client identification and receipt.

15 minutes

30 minutes

Medtech

Chemist

None

Valid Identification Card &

Official Receipt

5 Proceed to radiology room. Check receipt and yellow

card then proceed with the procedure.

15 minutes

Radtech None

Patients Identification Card (SPMC-F-HIMD-11);

Official Receipt

6 If with ECG request, proceed to ECG room.

Check receipt and yellow card then proceed with the procedure.

10 minutes

Nurse/ECG Technician None


Official Receipt

7

Proceed to respective OPD clinics included in the package (Dental/Ophthalmology/ ENT).

Check other clinical findings form, official receipt then proceed to examination room.

10 minutes

Clerk/ Nurse/ Doctor

None

Patients Identification Card

(SPMC-F-HIMD-11); Official Receipt

8

Returns to HSSC and wait for laboratory and diagnostic re-sults. Vital signs will be taken when results are done.

Facilitates receipt of different diagnostic results then takes the client’s vital signs.

5—10 minutes

Nurse None


Official Receipt

9 Physical examination/medical consultation.

Examine patient. 10-15 minutes

Doctor None Chart with results

10 Receives medical certificate. Prepares and issues

medical certificate. 5 minutes


None Medical Certificate (SPMC-F-HIM-14);


60 INSTITUTE OF PSYCHIATRY & BEHAVIORAL MEDICINE

I. Psychiatric Consultation

A. Who may avail?

1. Discharged patients for follow-up.

2. Outpatients/Walk-in patients (New/Old)

3. Patients for follow-up from other units/wards of SPMC and other clinics or hospitals.

4. Patients referred from other agencies: DSWD, LGU, Lingap, CMAP, BJMP, Court.


C. Person-in-charge: Security Guards, Doctors, Nurses, Nursing Attendants, Medical Records Staff, Cashier

D. Requirements:

1. From other SPMC units/wards/clinics or hospitals:

a. A referral note from referring doctor

2. From other agencies:

a. Referral from social worker with case study

b. Referral from Barangay

c. If forensic - court order

3. If Lingap/CMAP beneficiary:

a. Voter’s ID and Barangay certificate.




Person In-charge

Fees Form/ Document

1 Secure gate pass from

guardhouse.

Provide gate pass to client. 2 minutes Security Guard None Gate Pass

2

Present the yellow card and

referring documents to Medi-

cal Records Section.

Checks documents and

encodes information. 5 minutes

Medical

Records Staff None

Patients

Identification Card

(SPMC-F-HIMD-11)/

Referral

3 Fill up triage form. Provide triage form and assist

client in filling up. 5 minutes

Medical

Records Staff None Triage Form

4 Pay consultation fee at the

Cashier.

Receives payment and issues

official receipt. 2 minutes Cashier P50 Official Receipt

5 Consultation with the

psychiatrist.

Checks and examines patient. - Doctor None

Health Record/Chart/

PHIS

6

Receives prescription and

have gate pass signed by

doctor/psychiatry social

worker.

Writes prescription and/or

signs gate pass. 5 minutes

Doctor/ Social

Worker None

Prescription (SPMC-F-PHA-04A to F)

/Gate Pass

7 Surrender gate pass to

guard house.

Receives gate pass. 1 minute Security Guard None Gate Pass



II. Pharmacy Services

A. Who may avail?

All clients.


C. Person-in-charge: Pharmacist, Cashier, Social Worker, Doctor

D. Requirements: Prescription





1

Present prescription to

pharmacist for availability of

medicines.

Verifies the request and

encodes and prices and

classifies the prescribed

medicine (Forward stocking or

Non-forward stocking).

1 minute Pharmacist None Prescription (SPMC-F-PHA-04A to F)

Charity Patient Proceed to psychiatry social

worker.

Interviews and classifies

patient then gives discount to

request.

5 minutes Social Worker None Prescription (SPMC-F-PHA-04A to F)

2

CMAP/Lingap Have pharmacist stamp

prescription with “Murang

Gamot”.

Stamps “Murang Gamot” to

prescription. 1 minute Pharmacist None Prescription

(SPMC-F-PHA-04A to F)

Depot Clinic Patient Have the doctor note that

patient is an authorized

recipient.

Writes note on prescription and

signs it with his name and

signature. 1 minute Doctor None Prescription


Pay Patient Consult price list.

Provide price list and assist

client. 2 minutes Pharmacist None Prescription


3 Pay to Cashier. Receives payment and issues

official receipt. 2 minutes Cashier - Prescription


4

Proceed to Pharmacy and

present official receipt.

Receives the request and

Official Receipt. For PHIC beneficiary, encodes

the requested medicine to

computer

2 minutes Pharmacist None Prescription

(SPMC-F-PHA-04A to F) & Official Receipt

5 Receive medicines. Dispenses medicine to the

client 2 minutes Pharmacist None None



III. Social Services

A. Who may avail?

1. Outpatient (Old and New)


3. Patients referred from other agencies.

4. Clients covered by special laws, Republic Acts and Executive Orders


C. Person-in-charge: Social Worker, Doctor

D. Requirements:

1. All clients: Interviewed by social worker.

2. Patients referred from other agencies:

a. A case study from referring social worker

referral note from referring doctor/agency court order if forensic case Lingap/CMAP documents

b. Clients covered by special laws/Republic Acts:

Senior Citizen - Senior Citizen ID Person with Disability - PWD ID PHIC (indigent) - 4P’s ID PHIC Regular - PHIC ID


1. New Patients




1

Client interview (if client is

incapacitated,

accompanying person is

interviewed; preferably a

Interviews patient/client. - Social Worker None Daily Accomplishment


2 Client signs psycho-social

form to affirm data.

Provides psycho-social form

and assist patient in signing. 1 minute Social Worker None

Psycho-Social

Form

3 Receive pink card Gives pink card.

2 minutes Social Worker None Service Card




1 Present pink card. Receives pink card. 1 minute Social Worker None Service Card

(SPMC-F-MSWD-06),

2

Client interview (re-take). Interviews patient.

- Social Worker None



3 Receives updated pink

card .

Updates pink card and stamps

it. 1 minute Social Worker None None



IV. Neuro-Psychological Testing

A. Who may avail?

1. Psychia OPD clients:

a. Outpatient/Walk-in client

b. Clients for follow-up from wards

c. Clients referred from psychiatrist, other disciplines, agencies and institutions.

2. Clients from Industrial Clinic of SPMC.


C. Person-in-charge: Medical Records Staff, Doctors, Nurses, Nursing Attendants, Psychologists

D. Requirements:

1. Referral from psychiatrists, other physicians other SPMC clinical departments, other agencies,

and institutions.

2. Official Receipt/Social Service Approval


1. Psychiatry OPD Patients




1 If referred, go to

Psychologist’s Office.

Schedules NPT. - Psychologist None Referral

2 Takes NPT. Administers NPT.

4 hours Psychologist None None




1 Go directly to Psychologist’s

Office.

- - Psychologist None None

2 Present referral from IC. Schedule client’s NPT and

gives appointment slip. 5 minutes Psychologist None Referral

3 After receiving appointment

slip, go to Cashier to pay.

Receives payment and issues

official receipt. 2 minutes Cashier - Official Receipt

4 Come back on the appointed

time and date for NPT.

Administers NPT. - Psychologist None Appointment Slip


64 ANNEXES

B. OPD CLINIC SCHEDULES 1. OB-GYNE 1.1 Obstetrics

1.2 Gynecology

SERVICES FREQUENCY TIME

1. Primi Gravid/Antenatal Care (new cases) Tuesday & Thursday 8:00am - 7:00pm

2. Primi Gravid/Antenatal Care Wednesday 8:00am - 7:00pm

3. High Risk Clinic Monday to Friday 1:00pm - 7:00pm

4. Low Risk & Follow-up Monday to Friday 8:00am - 12:00nn

5. Post Curettage Follow-up Monday to Thursday 1:00pm - 5:00pm

6. Post Partum/FP Monday to Friday 1:00pm - 5:00pm


1. New Patients Monday to Friday 8:00am - 12:00nn

2. Specialty Clinic Monday & Friday 8:00am - 12:00nn

3. ER Monday & Friday 8:00am - 12:00nn

4. Work-up Follow-up Monday, Tuesday & Thursday 1:00pm - 5:00pm

5. Post-op Follow-up Monday to Friday 1:00pm - 5:00pm

6. Repro/Endo Monday & Wednesday 1:00pm - 7:00pm

7. STD & Infectious Diseases Tuesday 1:00pm - 5:00pm

8. Infertility Wednesday 1:00pm - 7:00pm

9. Menopause Wednesday 1:00pm - 7:00pm

10. Personnel Check-up Thursday 1:00pm - 5:00pm

11. Trophoblastic DSE Clinic Thursday 1:00pm - 5:00pm

12. Old Patients Friday 1:00pm - 5:00pm

13. Scheduling for Surgery (Pre-op) Friday 1:00pm - 5:00pm


65 ANNEXES

B. OPD CLINIC SCHEDULES 2. PEDIATRICS


1. Pulmo Monday 1:00pm - 7:00pm

2. Gastro Monday 1:00pm - 7:00pm

3. Well Baby/NICU Tuesday & Thursday 1:00pm - 7:00pm

4. Nephrology Tuesday 1:00pm - 5:00pm

5. Immunization Wednesday 8:00am - 11:00am

6. Neuro Thursday 8:00am - 10:30am

7. Pedia Cardio (RHD-MHC) Thursday 1:00pm - 5:00pm

8.Pedia Cardio (CHD-MHC) Friday 8:00am - 11:00am

9. 2D Echo Friday 8:00am - 12:00nn

10. Endo/Genetics 1st Tuesday of the Month

11. Oncology Monday & Wednesday

Tuesday, Thursday, Friday

1:00pm - 5:00pm

10:00am - 12:00nn

12. Hematology Monday 1:00pm

13. Solid Tumor Monday 10:00am


66 ANNEXES

A. OPD CLINIC SCHEDULES 3. ORTHOPEDICS


1. General Consultation Day - Adult Orthopedics - Pediatric Orthopedics - Hand & Sports Medicine - Spine Clinic

Monday 8:00am - 5:00pm

2. Adult Orthopedics Consultation Day - Musculoskeletal Tumors - Ilizarov & Limb Lengthening Procedures - Joints & Joint Replacement - Fracture Complications & Deformities - Bone & Joint Infections - Congenital Deformities

Tuesday 8:00am - 5:00pm

3. Pediatric Orthopedics Consultation Day - Clubfoot Correction - Congenital Deformity Clinic/Correction - Bone & Joint Infections - Musculoskeletal Tumors - Fracture Complications & Deformities - Cerebral Palsy

Wednesday 8:00am - 5:00pm

4. Spine Clinic Day - Low Back Pain - Spine Tumors - Spine Trauma - Infections of the Spine - Scoliosis & Other Spinal Deformities - Degenerative Conditions & Instability of the Spine

Thursday 8:00am - 5:00pm

5. Hand & Sports Clinic Day - Hand Trauma - Congenital Deformities of the Hand - Infections of the Hand - Common Hand Conditions (Carpal Tunnel Syndrome, Trigger Finger) - Sports Injuries Day

Friday 8:00am - 5:00pm


67 ANNEXES

A. OPD CLINIC SCHEDULES 4. FAMILY & COMMUNITY MEDICINE


1. NTP/TB-DOTS Clinic (Old OPD or Manggahan) Monday to Friday 8:00am - 5:00pm

2. TBDC 2nd Thursday of the Month

4th Tuesday of the Month

8:00am - 10:00am

3. Personnel Health Services Monday to Friday 8:00am - 5:00pm

4. Asthma Clinic Asthma Club

Monday to Friday

1st Friday of the Month

8:00am - 5:00pm

1:00pm - 5:00pm

5. Geriatrics Geriatrics Club

Monday to Friday

Last Friday of the Month

8:00am - 5:00pm

8:00am - 12:00nn

6. Smoking Cessation Clinic Wednesday 1:00pm - 5:00pm

7. Hospice & Palliative Care Clinic Thursday 8:00am - 5:00pm

8. Animal Bite Clinic (at Animal Bite & Treatment Center)

Monday to Friday 8:00am - 5:00pm

9. Men’s Health Clinic Monday 8:00am - 10:00am

10. Hypertension Clinic Monday to Friday 8:00am - 5:00pm


68 ANNEXES

A. OPD CLINIC SCHEDULES 5. OPHTHALMOLOGY


1. General Ophthalmology Monday, Tuesday, Wednesday, Friday

8:00am - 5:00pm

2. Cornea & External Disease Monday & Friday

1:00pm - 5:00pm

3. Glaucoma/ Orbit/ Plastic & Lacrimal Service Tuesday & Thursday 1:00pm - 5:00pm

4. Retina Tuesday 8:00am - 5:00pm

5. Pediatric Ophthalmology, Strabismus, Neuro-Ophthalmology Tuesday 8:00am - 5:00pm

6. Vitreo-Retina Service Thursday 1:00pm - 5:00pm

8. Ophthalmic Plastic, Orbit, Lacrimal, Eye Trauma & Reconstructive Surgery

Every Last Week of the Month

8:00am - 5:00pm


69 ANNEXES

A. OPD CLINIC SCHEDULES 6. SURGERY


1. General Surgery Monday to Friday 8:00am - 7:00pm

2. Colorectal Tuesday & Thursday 8:00am - 12:00nn

3. Neurosurgery Tuesday & Thursday 1:00pm - 7:00pm

4. Uro-Surgery Monday & Friday 1:00pm - 7:00pm

5. Pedia Surgery Wednesday 1:00pm - 5:00pm

6. Breast Clinic Thursday 8:00am - 7:00pm

7. Chemotherapy Friday 8:00am - 7:00pm

8. Change Catheter Monday 8:00am - 12:00nn

9. Burn Tuesday & Friday 8:00am - 7:00pm

10. Reconstructive Wednesday 8:00am - 12:00nn

11. Pedia Wednesday 1:00pm - 7:00pm

12. Trauma Friday 8:00am - 12:00nn


70 ANNEXES

A. OPD CLINIC SCHEDULES 7. INTERNAL MEDICINE


1. Medical Clearance Monday to Friday 3:00pm - 5:00pm

2. Cardio Clinic Monday & Friday

Wednesday

1:00pm - 5:00pm

10:00am - 1:00pm

3. Pulmo Clinic Tuesday, Wednesday & Thursday 1:00pm - 7:00pm

4. Diabetes Tuesday & Wednesday 8:00am - 12:00nn

5. Onco Clinic Tuesday & Thursday 1:00pm - 7:00pm

6. Endocrine Clinic Wednesday 1:00pm - 7:00pm

7. Gastro Clinic Wednesday 1:30pm - 5:00pm

8. Liver Clinic 2nd & 4th Wednesday of the Month 1:00pm - 7:00pm

9. Rheuma Clinic 1st & 3rd Wednesday of the Month 1:00pm - 7:00pm

10. Nephro Clinic Tuesday & Thursday 1:00pm - 7:00pm

11. Hema Clinic Tuesday & Thursday 1:00pm - 7:00pm

12. Neuro Clinic 2nd & 4th Wednesday of the Month 1:00pm - 7:00pm


71 ANNEXES

A. OPD CLINIC SCHEDULES 8. DERMATOLOGY


1. OPD Consultation Monday to Friday 8:00am - 5:00pm

2. Electrocautery Monday to Friday 8:00am - 5:00pm

3. Chemical Peel Monday to Friday 8:00am - 5:00pm

4. Extraction of Milia/Molluscum Monday & Friday 8:00am - 5:00pm

5. Excision Monday to Friday 8:00am - 5:00pm

6. Intralesional Injection Monday to Friday 8:00am - 5:00pm

7. Nail Avulsion Monday to Friday 8:00am - 5:00pm

8. Biopsy (Skin Punch, Wedge) Monday to Friday 8:00am - 5:00pm

9. Pulsed Dye Laser Monday, Thursday & Friday 8:00am - 5:00pm

10. Phototherapy Monday to Friday 8:00am - 5:00pm

11. KOH, Tzanck Smeak Monday to Friday 8:00am - 5:00pm

12. Wood’s Lamp Monday to Friday 8:00am - 5:00pm

13. Patch Test Monday to Friday 8:00am - 5:00pm

14. Hansen’s Disease Thursday 8:00am - 5:00pm

15. Psoriasis Club Monthly Meeting 2nd Thursday of the Month 9:00am - 12:00nn


72 ANNEXES

A. OPD CLINIC SCHEDULES 9. ENT-HNS


1. Tumor (Head and Neck/ Oncology) Monday 8:00am

2. Ear (Otology/ Audiology/NeuroOtology) Saturday 9:00am - 10:00am

3. Sinus (Rhinology/ Allergy/ Sleep) Thursday 7:00am - 1:00pm

4. Broncho (Bronchoesophagology/Laryngology/ Endoscopy) Tuesday 10:00am

5. Plastic (Reconstructive) Friday 1:00pm

6. Trauma (Maxillofacial) Wednesday 8:00am