Rationalizing Hospital Human Rationalizing Hospital Human

Resources:Resources: DOH Hospital Rationalization under EO 366DOH Hospital Rationalization under EO 366

ALEXANDER A. PADILLA

Undersecretary of Health

Chairperson

Change Management Team

Executive Order 366Executive Order 366

Directing a Strategic Review of the Operations and Organizations of the

Executive Branch and Providing Options and Incentives for Government Employees

Who May be Affected by the Rationalization of the Functions and Agencies of the Executive Branch

THE DOH MANDATESTHE DOH MANDATES

THE 1987 CONSTITUTIONTHE 1987 CONSTITUTION

The State shall endeavor to make health services available to all people at affordable cost

THE ADMINISTRATIVE CODE OF 1987THE ADMINISTRATIVE CODE OF 1987

The Department (of Health) shall be primarily responsible for the provision and delivery of health services and regulation of providers of health goods and services

THE LGC OF 1991THE LGC OF 1991

The devolution of powers , functions, and responsibilities on direct service delivery of the DOH to local government units

THE EXECUTIVE ORDER 102THE EXECUTIVE ORDER 102

Redirecting the functions and operations of the DOH thru re-engineering as a result of the devolution

BASIS OF PROPOSED HOSPITALBASIS OF PROPOSED HOSPITALSTAFFING STAFFING

PHASE IN Plan

1. Further upgrading and specialization of services2. Corporate restructuring3. Increase staffing based on new standards

PHASE OUT Plan

1. Devolve primary and secondary services or lower level facilities

BASIS OF PROPOSED HOSPITAL BASIS OF PROPOSED HOSPITAL STAFFING STAFFING

DBMs Approval of Standard Staffing for Hospitals.

1. Classification of Hospital (Teaching & Training, Research etc.).

2. Percentage of primary and secondary cases.

3. Hospital Conversion Plan.

4. Needed position based on Authorized Bed Capacity (ABC) per Republic Act.

General GuidelinesGeneral Guidelines

No person will be laid-off or demoted in keeping with existing Civil Service Commission rules on reorganization

Even with redeployment, whether in the Central Office, CHDs, or DOH hospitals, one continues to be part of the DOH family

All appointments will be generic in nature with no specific areas of assignment

Heads of agencies i.e. hospital chiefs and CHD directors shall have a fixed term and shall be rotated every end of the term

General Guidelines

No upgrading of entry level positions The grouping of functions will reflect the DOH’s major reform areas

The DOH Rationalization Program will have a personnel budget that shall not exceed the present Personal Service Allocation

DOH shall be developed as a Knowledge Organization

General Guidelines

Medical Specialist as a nomenclature shall be used in hospitals as against Medical Officer for public health (except Medical Officer trainees/service)

Designation of Officer-in-Charge in the absence of the Medical Center Chief/Chief of Hospital shall follow the hierarchical structure of position.

Hospitals shall use a performance based budget

Outsource services which are not primary mandates of the hospital e.g. laundry/linen, ambulance drivers/utility workers

General Guidelines

Part Time Medical Specialists are allowed to go on private practice Hospitals are liable with the performance of their staff

Automatic licensing for DOH hospitals

Review of existing Qualification Standards for Chief of Hospital positions

Hospitals are under Centers for Health Development

HOSPITALSHOSPITALS

CONVERSION OF THE FOLLOWING POS.F R O M T O

Medical Center Chief II 27 Chief of Hosp. IV 27 Med. Center Chief I 26 Chief of Hosp. IV 27 Chief of Hosp. III 26 Chief of Hosp. IV 27

Chief of San. III 26 Chief of Hosp. III 26 District Health Off. II 26 Chief of Hosp. III 26

HOSPITALSHOSPITALS

CONVERSION OF THE FOLLOWING POS.

F R O M T O

Chief of Hosp. II 25 Chief of Hosp. II 25

Chief of San. II 25 Chief of Hosp. II 25

Chief of Hosp. I 24 Chief of Hosp. I 24

Chief of San. I 24 Chief of Hosp. I 24

HOSPITALSHOSPITALS

District Health Officer I pos. under the Public Health of CHD - Metro Manila will be abolished, if with incumbent it will be declared CTI

DHO I pos. in hospital will be converted to CMPS position

Creation of Lactation Specialist position

HEPO III, SG - 18 East Avenue Medical Center to be included as

Corporate Hospital

Hospital Proposal Updates

DOH Hospital Rationalization Plan will be separate from CO/CHD Rat Plan awaiting approval of Standard Staffing Requirements by DBM

Administrative support staff will be under Contract of Service (job order) pending approval of Hospital Rat Plan. Hiring shall be within the authorized staffing pattern of hospitals consistent with DBMs GMIS.

HOSPITAL PROPOSAL UPDATESHOSPITAL PROPOSAL UPDATES

Transfer of employees in the DOH hospitals

Note:

TPDH - due to devolution

Malacanang Clinic - due to Approved Rationalization Plan of the Office of the President

HOSPITALSHOSPITALS

200-500 Bed

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I

I

I

I

I

- - - - - - - - - - - - - - - - - - - - - I

: I

I

I

I

I

I _ _ _

Others :

Ortho/Urology/Neuro/Other

Sub-Specialty Training

Chief Administrative Officer

(SG 24)

Professional Education

and Training

Chief Medical Professional Staff

(SG 26)

Department Head ( SG 23)

Proposed Organogram Tertiary Teaching and Training Non-Corporate Hospital

Chief Nurse (SG 24 )

Chief Finance Officer

(SG 24)

Chief of Hospital

(SG 27)

Integrated Hospital Operations &

Management Program (IHOMP Unit)

Continuous Quality Improvement

(CQI Program )

Nursing Non-MedicalMedical

Clinical

Areas

Out Patient

Drtment

Surgery

Medicine

ynecology

Pediatrics

Ear, Nose & Throat-

Head Neck Surgery

Ophthalmology

Others *

Surgery Dept. of Laboratory

Medicine

OB-Gynecology

Pediatrics

Anesthesiology

Ear, Nose & Throat

Head, Neck Surgery

Blood Bank

Dept. of Radiology

Medical Records

Accounting

Budget & Planning

Cash Management

Finance

Service

Administrative

Service

Corporate/Business

Services

Personnel

Procurement

Property & Supply

Social Service

Material

Manageent

Phamacy

Nutrition &

Dietetics

Engineering & Maint.

Equipt/Bldg Maint

Waste Mgt

Transport Services

General Servces

Linen/Laundry

Housekeepng

Solid Waste.

Waste Water Mgt.

Security

Out Patient Department

Therapeutics Committee

Medical records Committee

Research

Internal Audit (SG 18)Legal Affairs ( SG 20 )

Bids& Awards Committee(BAC)

Public Health Unit

Operating Room

Delivery Room

Emergency

Room

Specialized Care

Area

M I C U

S I C U

P I C U

N I C U

Specialized Care

Area

M I C U

S I C U

P I C U

N I C U

Special Services

Burn Unit

Rehab. Med.

Respiratory Med

Dialysis

Special Services

Burn Unit

Rehab. Med.

Respiratory Med

Dialysis

Dental

Ophthalmology

Others

Patient Business

Admitting Billing

ORGANIZATIONAL STRUCTUREORGANIZATIONAL STRUCTURE

MEDICAL SERVICE

SG - 26

NURSING SERVICE

SG - 24

FINANCE DIVISION

SG - 24

ADMINISTRATIVE DIVISION

SG - 24

CHIEF OF HOSPITAL

NO. OF COST NO. OF COST

POST. POST.

SPECIAL HOSPITALSAmang Rodriguez Medical Center 345 44,165,766.00 711 90,347,300.00 Jose Fabella Memorial Hospital 1,056 134,450,328.00 1,505 192,176,502.00 Jose R. Reyes Memorial Medical Center 1,163 147,365,445.00 1,510 209,352,196.00 Las Piñas Gen. Hosp. & Satellite Trauma Center 172 21,674,248.00 804 99,068,664.00 National Center for Mental Health 1,980 212,200,850.00 2,510 258,230,846.00 National Children's Hospital 435 56,269,716.00 496 65,528,134.00 Philippine Orthopedic Center 1,100 46,458,614.00 1,100 56,706,246.00 Quirino Memorial Medical Center 542 68,317,866.00 1,169 158,754,588.00 Research Institute for Tropical Medicine 465 63,818,814.00 464 66,455,520.00 Rizal Medical Center 588 76,368,316.00 1,090 145,820,662.00 San Lorenzo Ruiz Women's Hospital 33 3,603,504.00 72 8,574,210.00 San Lazaro Hospital 889 108,751,692.00 884 116,078,470.00 Tondo Medical Center 414 54,996,094.00 663 98,147,787.00 Valenzuela General Hospital 190 23,769,776.00 316 41,203,820.00

EXISTING PROPOSED

HOSPITAL RATIONALIZATION PLAN SUMMARY

NO. OF COST NO. OF COST

POST. POST.

RETAINED HOSPITALSAdela Serra Ty Memorial Medical Center 117 14,075,460.00 417 49,780,572.00 Amai Pakpak Medical Center 145 18,672,020.00 417 50,360,172.00 Baguio General Hospital & Medical Center 675 92,426,951.00 1,415 192,267,600.00 Basilan General Hospital 62 8,215,008.00 301 37,467,644.00 Bataan General Hospital 189 24,575,874.00 1,153 155,781,804.00 Batanes Regional Hospital 93 10,993,848.00 150 18,052,924.00 Batangas Regional Hospital 377 49,276,148.00 727 95,937,366.00 Bicol Medical Center 543 75,212,540.00 1,384 188,631,372.00 Bicol Regional Training & Teaching Hospital 379 47,476,565.00 737 100,237,512.00 Bicol Sanitarium 79 9,381,216.00 309 34,759,016.00 Cagayan Valley Medical Center 409 52,925,088.00 1,416 191,478,420.00 Caraga Regional Hospital 255 32,788,560.00 370 43,784,544.00 Celestino Gallares Memorial Hospital 366 49,947,858.00 754 99,201,858.00 Conner District Hospital 39 4,711,633.68 66 7,643,772.00 Corazon Locsin Montelibano Mem. Reg'l. Hosp. 432 54,726,147.00 1,291 181,760,981.00 Cotabato Regional Medical Center 359 48,279,120.00 1,214 162,215,496.00 Cotabato Sanitarium 35 4,302,036.00 39 4,583,640.00 Culion Sanitarium 204 21,635,488.00 298 34,107,028.00

EXISTING PROPOSED

HOSPITAL RATIONALIZATION PLAN SUMMARY

NO. OF COST NO. OF COST

POST. POST.

RETAINED HOSPITALSDavao Medical Center 753 96,049,212.00 1,517 218,706,192.00 Davao Regional Hospital 345 43,761,306.00 664 87,895,996.00 Don Jose Monfort Med. Center Ext. Hospital 30 3,411,168.00 107 12,773,172.00 Don Emilio Del Valle Mem Hosp 52 6,067,956.00 105 12,178,052.00 Eastern Visayas Regional Medical Center 417 59,524,753.00 827 108,541,968.00 Eversley Child Sanitarium 72 8,597,556.00 307 39,871,656.00 Far North Luzon General Hospital 57 7,608,412.00 301 36,420,012.00 Hilarion A. Ramiro Sr. Reg'l. & Teaching Hospital 245 31,281,492.00 664 87,896,960.00 Ilocos Training and Regional Medical Center 324 44,339,004.00 1,101 148,697,364.00 Jose B. Lingad Mem. Regional Hospital 354 47,208,564.00 736 96,501,210.00 Jose Rizal Mem Hosp 104 12,015,168.00 416 51,247,692.00 Jose N. Rodriguez Memorial Hospital 404 46,851,600.00 768 98,516,586.00 Labuan Public Hospital 22 2,684,796.00 66 7,834,476.00 Luis Hora Memorial Hospital 105 12,263,503.00 301 36,420,012.00 Margosatubig Regional Hospital 61 7,652,952.00 1,090 151,796,112.00 Mariano Marcos Mem. Medical Center 232 31,733,601.00 670 85,745,089.00 Mariveles Mental Ward 82 9,317,124.00 693 83,646,162.00 Mindanao Central Sanitarium 50 6,351,132.00 100 12,731,904.00 Northern Mindanao Medical Center 439 59,994,972.00 1,090 153,402,091.00

Ospital Ng Palawan 92 10,882,372.00 376 45,600,528.00

EXISTING PROPOSED

HOSPITAL RATIONALIZATION PLAN SUMMARY

NO. OF COST NO. OF COST

POST. POST.

RETAINED HOSPITALSPaulino J. Garcia Mem. Research & Med. Center 422 57,908,232.00 1,212 160,261,170.00 Region 1 Medical Center 368 46,659,618.00 1,100 149,428,932.00 Schistosomiasis Control & Research Hospital 43 5,290,696.00 132 16,002,824.00 Southern Isabela General Hospital 59 7,207,704.00 112 13,624,572.00 St. Anthony Mother and Child Hospital 56 7,434,786.00 83 10,638,738.00 Sulu Sanitarium 33 4,054,668.00 367 42,474,834.00 Talavera Extension Hospital 52 6,119,772.00 101 11,998,548.00 Talisay District Hospital 37 4,567,968.00 68 7,942,176.00 Veterans Regional Hospital 267 34,879,089.00 676 86,946,665.00 Vicente Sotto Memorial Medical Center 748 100,448,354.00 1,822 258,067,944.00 Western Visayas Medical Center 516 70,796,045.00 1,333 186,553,913.00 Western Visayas Sanitarium 48 6,307,536.00 109 13,285,896.00 Zamboanga City Medical Center 440 61,183,028.00 742 99,471,374.00 TOTAL 21,459 2,728,908,066.68 45,508 5,969,425,908.00

Lung Center of the Philippines**Philippine Heart Center**National Kidney & Transplant Institute**Philippine Children's Medical Center**East Avenue Medical Center**Taguig Pateros District Hospital*Camiguin General Hospital***

*Devolved to LGU (Taguig City), existing personnel to be assigned to different DOH hospitals

**Submitted their RP direct to DBM***Under LGU

EXISTING PROPOSED

HOSPITAL RATIONALIZATION PLAN SUMMARY

THANK YOUTHANK YOU