BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERbghmc.doh.gov.ph/wp-content/uploads/2019/12/BGHMC...Logbook 2. CF2 3. CSF 4. CF4/CF3 1-7 days from date of discharge Billing Clerk 3. RECEIVES

BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER

CITIZEN’S CHARTER 2019 (1st Edition)

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BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER

CITIZEN’S CHARTER 2019 (1st Edition)

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I. Mandate: The Department of Health (DOH) is mandated to be the over-all technical authority on health. The major mandate of DOH is to provide national policy direction and develop national plans, technical standards and guidelines on health. It is also a regulator of all health services and products; and provider of special or tertiary health care services and of technical assistance to other health providers especially to Local Government Units (LGU). With other health providers and stakeholders, the DOH shall pursue and assure the following:

Promotion of the health and well-being for every Filipino;

Prevention and control of diseases among population at risk;

Protection of individuals, families and communities exposed to health hazards & risks;

Treatment, management and rehabilitation of individuals affected by diseases and disability.

II. Vision: BGHMC is the premier referral center of Northern Luzon offering leading edge specialty services.

III. Mission: We continuously innovate our services, offer comprehensive training programs and engage in research for better health outcomes of the clients that we serve.

IV. Service Pledge: We, at the Baguio General Hospital and Medical Center commit to: -Deliver quality healthcare to our clients; -Engage in ethical corporate practices to enhance quality standards of healthcare in compliance to statutory and regulatory requirements; -Implement a quality management system and continually improve its effectiveness through sound and responsive managerial leadership; -Enhance human resource capability and adapt institutional best practices; -Implement a functional Integrated Hospital Operation and Management Program (IHOMP); -Practice a culture of transparency and accountability; - Attend to applicants or requesting parties who are within the premises of the office or agency concerned prior to the end of official working hours and during lunch break.

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V. LIST OF SERVICES

Anesthesiology Services Page 4 Billing and Claims Services Page 7 Cardiovascular Services Page 14 Cash Operations Services Page 17 Electroencephalogram (EEG) Services Page 20 Emergency Room Services Page 23 Health Information Management Office (HIMO) Services Page 25 Medical Social Work Services Page 43 Occupational Therapy Services Page 46 Out Patient Department Services Page 52 Out Patient Drug Treatment and Rehabilitation Center Services Page 61 Ophthalmology Services Page 64 Pathology Services Page 66 Pharmacy Services Page 81 Physical Therapy Services Page 94 Radiology Services Page 99 Under Five Clinic Services Page 112 Women and Children protection Unit (WCPU) Services Page 118 Malasakit Center Page 121 Dental Department Page 124 Family Medicine- Industrial Clinic Page 126 Family Medicine- Employees Health Clinic Page 130 Animal Bite Treatment Clinic Page 133 OB-Gyne OPD Page 139 Minor Operating Room-OPD Page 142 Note: Services herein listed are those with Citizen’s Charter only. Other Services are still offered by the hospital. Complete List of Services with Citizen’s Charter will be posted in the 2020 (1st Edition) Citizen’s Charter Handbook.

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ANESTHESIOLOGY SERVICES

5

FOR EMERGENCY PROCEDURES

Availability of Service: Daily, 24 hours

STEP ACTIVITIES FEE DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME (under

normal

circumstances)

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

1 Request for ‘E’

Surgery thru

phone or ‘E’

Logbook

None ‘E’ Logbook 5 mins. ER/ Ward

Nurse

2 Accepts and

refers schedule

and makes

facilities

available

OR

Fees

5 mins. Physician on

Duty/ OR Staff

3 Administration

of Anesthesia

after evaluation

Pre-operative

evaluation form +

Pre-operative

monitoring form


Duty

4 Reversal of

Anesthesia

Physician’s Order

Sheet

Depending on

Anesthesia

Technique and

Nature of

Surgery

Physician on

Duty

5 Referral to

anesthesia care

unit for

stepdown care

Physician’s Order

Sheet


Duty

6

FOR ELECTIVE PROCEDURES

Availability of Service: 8:00am to 8:00pm Weekdays; 8:00am to 12:00nn Saturday


REQUIREMENTS

MAXIMUM

TIME (under

normal

circumstances)

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

1 Submission of

predetermined

Schedule for

Elective Surgery

None ‘E’ Logbook 2:30pm Daily Ward Nurse

2 Operating Room and

Anesthesia confirms

schedule and makes

facilities available

OR

Fees

30 mins. Physician in

Charge/ OR

Staff

3 Pre-operative

Evaluation and

referral

Pre-operative

evaluation form


Charge

4 Administration of

Anesthesia

Pre-operative

evaluation form


Charge

5 Reversal of

Anesthesia

Pre-operative

evaluation form

Depending on

Technique

and Surgery

Physician in

Charge

6 Referral to

anesthesia care unit

for step-down care

Physician’s Order

sheet


Charge

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BILLING AND CLAIMS SERVICES

8

I. PREPARATION OF STATEMENT OF ACCOUNT

STE

P

ACTIVITIES FEE DOCUMENTARY

REQUIREMENT

MAXIMU

M TIME

RESPONSIB

LE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION &

ACCEPTABLE

REASON

1. RECEIVING OF

DOCUMENTS OF

PATIENT FOR

DISCHARGED

1.1 Assessment Non

e

Billing Clerk Depends on the

number of clearance

forms and

documents brought

for assessment. A. Philhealth

patient/

beneficiary

who

submitted

PHIC

Requireme

nts before

discharge

1. Complete and

properly

accomplished

Clearance Form

2. Order of

discharge,

COMPLETE

DIAGNOSIS

with the

corresponding

ICD 10 CODE, if

with

PROCEDURE

include Doctors’

Order, OR

Record

&Anesthesia

Record for the

procedure done,

date of procedure,

name of

consultants and

RVU.

Professional Slips

of consultant, if

paying patient.

3. Statement of

Account and/or

Medical

Certificate of

previous

admissions.

10 minutes

per patient

9

B. Philhealth

patient/

beneficiary

who only

submitted

PHIC

Requireme

nts upon

discharge

1. Complete and properly accomplished Clearance Form

2. PHIC

requirements for

patient who is:

a. Member

- PHIC

ID and

proof of

valid

contribut

ion

b. Depend

ent- Member

Data

Record,

Birth

Certifica

te,

Marriage

Certifica

te or any

other

documen

t that

will

prove

their

being a

depende

nt.

3. Order of discharge, COMPLETE DIAGNOSIS with the corresponding ICD 10 CODE, if with PROCEDURE include Doctors’ Order, OR Record &Anesthesia Record for the procedure done, date of procedure, name of consultants and RVU. Professional Slips

20 minutes

per patient

10

of consultant, if paying patient.

4. Statement of

Account and or

Medical

certificate of

previous

admissions.

C. Pay Patient 1. Complete and

properly

accomplished

Clearance Form

2. PF Slips of

paying patient

2 minutes

per patient

D. Charity

Patient

1. Complete and

properly

accomplished

Clearance Form

1 minute

per patient

1.2 Retrieval

of patients’ jacket

and account

1. Clearance Form 2 minutes

per patient

1.3 Generation

of PhilHealth

Benefit Eligibility

Form (PBEF)

1. Print Screen of

PBEF

information or

PHIC

Requirements

3 minutes

per patient

Depends on the

availability of the

following:

PHIC

portal

Internet

Connection

1.4 Logging of

Clearance Form with

complete documents

received for billing.

1. Complete and

properly

accomplished

Clearance Form

2 minutes

per patient

2. PREPARATION

OF STATEMENT

OF ACCOUNT

AND CLAIM

FORM 2 (CF2)

2.1 Preparation of

SOA and CF2

Non

e

Billing Clerk Depends on the

number of clearance

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A.

PhilHealth Patient

1. Clearance Form

2. Hospital Record

3. Professional Fee

slips for paying

patient

4. Other PHIC

Requirements

40 minutes

per patient

form received for

computation.

B. Paying

Patient

1. Clearance Form

2. Professional Fee

slips

10 minutes

per patient

C. Charity

Patient

1. Clearance Form 5 minutes

per patient

2.2 Printing of

SOA

2 minutes

per patient

2.3 Printing of

CF2 and Claim

Signature Form

(CSF) for PhilHealth

Patient

3 minutes

per patient

3 RELEASING AND

ACKNOWLEDGI

NG OF SOA, CSF,

PBEF/CF1, CF2 (Z

PACKAGE)

A. PhilHeath

Patient

Non

e

1. SOA

2. CSF

3. CF2 (Z

PACKAGE)

4. PBEF/CF1

5. Clearance Form

3 minutes

per patient

Releasing

Billing Clerk

Depends on the

number of

member/representati

ve who will be

acknowledging the

SOA, CSF and

PBEF/CF1.

B. Pay/Service

Patient

1. SOA

2. Clearance Form

2 minutes

per patient

Depends on the

availability of

attendant or

patient/representativ

e who will get the

Statement of

Account.

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II. PROCESSING OF CLAIMS

STE

P

ACTIVITIES FE

E

DOCUMENTARY

REQUIREMENT

MAXIMUM

TIME

RESPONSI

BLE

OFFICER/

EMPLOYE

E

ALLOWABLE PERIOD

OF EXTENSION &

ACCEPTABLE

REASON

1. CLEARS

DISCHARGES

AND

PREPARES

THE LIST OF

REQUIRED

PHIC

DOCUMENTS

FOR

REQUEST

No

ne

1. Prepared

Statement of

Account

2. Billing and

Claims’ copy

of Clearance

Form

1-3 days from the

date of discharge

Billing Clerk

2.

DISTRIBUTE

S PREPARED

FORMS (CF2,

CSF and

CF4/CF3) FOR

SIGNATURE

OF

ATTENDING

PHYSICIAN/S

TO

DIFFERENT

DEPARTMEN

TS

No

ne

1. CF2/CSF for

Signature of

Physician’s

Receiving

Logbook

2. CF2

3. CSF

4. CF4/CF3

1-7 days from

date of discharge

Billing Clerk

3. RECEIVES

PHIC

DOCUMENTS

/POS

REQUIREME

NTS AND

ATTACH IT

TO THE

STATEMENT

OF ACCOUNT

No

ne 1. Report of

Discharged Patient with PHIC (inpatient/outpatient)

2. Clinical Cover Sheet

3. Diagnostic

(Laboratory,

X-ray,

Ultrasound,

ECG, etc.)

Results

4. Operative

Record, if

with

procedures

5. POS

requirements

1-7 days to attach

the

documents/require

ments received

Billing Clerk

Depends on the following:

number of days

documents and

requirements

are forwarded

to Billing

number of

documents/requ

irements

received

13

4. COLLECTS

SIGNED

FORMS AND

ATTACHE IT

TO THE

STATEMENT

OF ACCOUNT

No

ne

1. Signed CF2

2. Signed CSF

3. Signed

CF4/CF3

1-7 days to attach

the signed forms

collected

Billing Clerk Depends on the number of

days forms are signed by

the attending physicians.

5. PROCESSES

AND

SUBMITS

CLAIM TO

PHIC

No

ne

1. Statement of

Account

2. Signed forms

3. PHIC

documents/PO

S

requirements

60 days from the

date of discharge

Billing

Officer

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CARDIOVASCULAR SERVICES

15

STEP AGENCY ACTIVITY / PROCESS FEE NECESSARY FORM RESPONSIBLE

OFFICER/STAFF MAXIMUM TIME

1 Receive and evaluate requirements, schedules, validates and orients clients/patients/ resident-in-charge. (Note: Scheduled out-patients must come at least 15minutes prior to schedule date, failure of the client to do so will forfeit his/her turn, thus accepting other patients/ clients to fill-in the slot

None CVLAB Request form properly and completely filled-up by requesting physician Approved letter of Guarantee and/or OPD Card if applicable

Receptionist/ CV Unit Tech-on-duty

30 minutes

2 Issue charge slip and instruct patient to pay at the Cashier

Please see attached

CVLAB price list

Charge slip Receptionist/ CV Unit Tech-on-duty

10 minutes

3 Record official receipt number and advise patient to wait for their name to be called.

None Official Receipt Receptionist/ CV Unit Tech-on-duty

3 minutes

4 Process registration. Call and orient patient. Get vital signs. Perform requested procedure (Note: Staff calls ward for in-patient, attendant-on-duty from ward brings in patient to CV Unit and brings the patient back to ward after the procedure)

None CVLAB Request form properly and completely filled-up by requesting physician

Receptionist / CV Unit Tech-in-charge

Depending on the procedure to be done, difficulty of case and technical factors involved: 2Decho: 2hrs Carotid: 1 hour Arterial: 2hrs Venous: 2hrs DVT: 1 hr

5 Reading and interpretation of Cardiovascular studies Encoding and proof reading of official results

None CVLAB Request form properly and completely filled-up by requesting physician

Echocardiographer/Vascular Specialist (Attending cardiologist gives the initial reading for emergency cases) Encoder/ CV Unit Tech-in-charge

OPD: 7-10 working days INPATIENT: 3-5 working days EMERGENCY: Initial reading within 24 hours

6 Receive official receipt, validates client/watcher, instruct receiver to write his/her name and signature on Release logbook. Release result

None Official receipt Receptionist/ CV Unit Tech-on-duty

15 minutes

END OF TRANSACTION

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FRONTLINE SERVICE CARDIOVASCULAR UNIT PROCEDURES

1. Echocardiography 2. Carotid Duplex Scan 3. Venous Duplex Scan 4. Arterial Duplex Scan 5. Deep Venous Thrombosis Screening

CLIENTS : Out-Patients, In-Patients, Emergency REQUIREMENTS : Doctor’s request : Approved letter of Guarantee (If Applicable) SCHEDULE OF AVAILABILITY OF SERVICE : Procedures done as scheduled accordingly : Weekdays: 8AM to 5PM CONTACT NUMBERS : +639233615102 : Local 433 FEES : Applicable Fees

PROCEDURE PRICE

2DEcho and Doppler Study P 1,500

Carotid Duplex P 1,500

Venous Study P 1,500

Arterial Study P 1,500

Deep Venous Thrombosis Screening

P 650

TOTAL MAXIMUM DURATION OF PROCESS: 45 minutes to 3 hours (depending on the requested procedure) RELEASE OF RESULT : OPD: After 7 to 10 working days : INPATIENT: 3 to 5 working days : EMERGENCY: Initial reading by the requesting Cardiologist

17

CASH OPERATIONS SERVICES

18

PAYMENT OF HOSPITAL CHARGES INCLUSIVE OF PROFESSIONAL FEES

Step Activity/Process Documentar

y

Requirement

Maximu

m Time

Person

Responsible

Reasonable

allowable

time

1 Presentation and

validation of

documents as basis of

payment/collection

Any of the

following:

Charge Slip

or

Patient's

Statement of

Account

(SOA)- Final

Bill or

Order of

Payment or

Transmittal

Payment

Form of

paying

Health

Maintenance

Organization

or

Transmittal

Letters from

paying

institution

such as

affiliated

schools,

30

seconds

Client/Collectin

g Officer

2 minutes

2 Acceptance and

counting of money

tendered

2 minutes Collecting

Officer

3 minutes

3 Encoding of items to

be paid in the Easy

Collection System and

in the HOMIS

a. Simple transaction

-

( 1 charge slip or SOA

with less than 10 items)

3 minutes 5 minutes

b. Complex

transaction - (1

charge slip with more

than 10 items listed or

more than 2 charge

slips)

8 minutes 10 minutes

4 Printing and issuance

of Official Receipt and

giving of change (if

any) for money

tendered

a. Simple transaction

-

( 1 charge slip or SOA

with less than 10 items)

1 minute 2 minutes

19

b. Complex

transaction - (1

charge slip with more

than 10 items listed or

more than 2 charge

slips)

donors and

the like.

3 minutes 5 minutes

Assumptions: Processing time is for one (1) client being served one at a time. Queuing time and systems down time is not included. Also, when payor presents documentary requirements to Collecting Officer, all reference documents should be in place.

SUGGESTIONS AND COMPLAINTS CAN BE ADDRESSED TO: MAGDALENE P. FABILLAR

Head, Cash Operations

Telefax: (074)661-7985

Local 260

EDWARD C. PUDLAO, CPA,

MBA

Financial and Management

Officer II

Telephone: (074)661-7985

Local 388

RICARDO B. RUNEZ JR., MD, FPCS, MHA,

CESE

Medical Center Chief II

Telephone: (074)661-7985

Local 223

20

ELECTROENCEPHALOGRAM (EEG) SERVICES

21

STEP

ACTIVITIES

FEE NECESSARY FORM

MAXIMUM RATE

RESPONSIBLE OFFICER

ALLOWABLE PERIOD OF EXTENSION

1 REQUEST FORM ARE EVALUATEDAND PRICED: a.INSTRUCT CLIENT TO PAY EEG FEE AT THE CASHIER OR DSWD OFFICE FOR INDIGENT CLIENTS b.INSTRUCT CLIENT TO PAY READER’S FEE AT THE EEG ROOM (FOR PAY PATIENTS)

(EEG FEE) P1,300.00 (READER’S FEE) P500.00

EEG REQUEST FORM FILLED UP BY REGISTERED PHYSICIAN

2 MINUTES

EEG TECHNICIAN

3 MINUTES

2 LOG AND SCHEDULED REQUEST. GIVE INSTRUCTIONS.

NONE EEG REQUEST FORMWITH OFFICIAL RECEIPTS

5 MINUTES

EEG TECHNICIAN

5 MINUTES

3 SECURE CONSENT.

NONE CONSENT FORM

2 MINUTES

PHYSICIAN 5 MINUTES

4 DO EEG PROCEDURE: A.CONNECT 21 CHANNEL LEADS ON CLIENTS HEAD THEM B.LET CLIENT SLEEP AND MONITOR CLIENT’S BRAIN ACTIVITY USING THE DIGITAL EEG SYSTEM

EEG REQUEST FORM

60 MINUTES

EEG PHYSICIAN

1 HOUR FOR INTUBATED/UNSTABLE IN-PATIENTS

5 INTERPRET EEG:

3 WORKING DAYS

NEUROLOGIST

2 WORKING DAYS

22

1.INITIAL READING EEG ROTATOR (RESIDENT)WITHIN 24 HOURS 2.FINAL READING BY CONSULTANT

6 ENCODE THEN RELEASE RESULTS

(ONCE AVAILABLE) 3 WORKING DAYS

EEG TECHNICIAN/EEG ROTATOR

(ONCE AVAILABLE)2 WORKING DAYS

END OF TRANSACTION

23

EMERGENCY ROOM

24

EMERGENCY ROOM

STEPS ACTIVIT

IES FEE

DOCUMENTARY

MAXIMUM

RESPONSIBLE

ALLOWABLE PERIOD

REQUIREME

NTS TIME OFFICER/ OF EXTENSION

EMPLOYEE ACCEPTABLE

REASON

1 ENTRY None None 1 min

Security Guard 2 mins.

2 TRAIGE None 2 mins.

Triage Officer 3 mins

3 REGISTRA

TION

Non

e

Emergency

Room 3 mins HOMIS Clerk 5 mins

Records

4

ASSESSM

ENT &

Varies

Emergency Room

45mins

Physician 120 mins

Record on Duty Depending on the

DIAGNOSTIC

Request: Nurse Severity

Laboratory ; Radiology

Ultrasound Laboratory

Technician

5

TREATME

NT & None

Chart or

45 mins.

Physician

60 mins. DISPOSITION

Emergency Room on Duty/

Record Nurse

ADMISSION

None

Chart or,

30mins

Physician

45 mins Admission Slip on Duty /

Nurse

DISCHARGE

None Discharge

30 mins Physician

25

HEALTH INFORMATION MANAGEMENT OFFICE (HIMO) SERVICES

26

REQUEST FOR CERTIFIED PHOTOCOPIES OF HEALTH RECORDS


REQUIREMENTS

MAXIMUM

TIME

RESPONSI

BLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

1

PATIENT/AUTHORIZED

REPRESENTATIVE SHALL

GET A QUEING NUMBER

AND WAIT FOR THEIR

CORRESPONDING

NUMBER TO BE CALLED.

NONE QUEUING

NUMBER - -

2

PATIENT/RELATIVE/AUT

HORIZED PERSON FILLS

OUT A REQUEST FORM

NONE REQUEST FORM 1 MIN HIMO

STAFF

3

HIMO STAFF

INTERVIEWS

PATIENT/RELATIVE/AUT

HORIZED PERSON AND

ASCERTAIN HIS/HER

IDENTITY THRU

PRESENTATION OF VALID

IDENTIFICATION AND

OFFICIAL DOCUMENTS

(SSS, GSIS, INSURANCE ,

NBI, PNP ETC.) .

NOTE: IF THE

REQUESTING PARTY IS

NOT THE PATIENT, AN

AUTHORIZATION LETTER

DULY SIGNED BY THE

PATIENT AND HIS/HER

VALID ID SHALL BE

NONE

REQUEST FORM,

VALID ID,

OFFICIAL

IDENTIFICATION,

AUTHORIZATION

LETTER,

OFFICIAL

DOCUMENTS

(SSS, GSIS, ETC)

5 MINS

27

PROVIDED.

6

RETRIEVAL SCANNING

AND PRINTING OF

REQUESTED

DOCUMENT/RECORDS,

HEAD OF OFFICE

CERTIFIES ALL PAGES

AND ADVICE CLIENT TO

PAY FEES AT THE

CASHIER SECTION

PHP 50.00

-

CERTIFICA

TION PHP

2.00 - PER

PAGE OF

PHOTOCO

PIED

DOCUME

NT

HEALTH

RECORD,

OFFICIAL

RECEIPT OF

PAYMENT,

PRINTED COPY

OF REQUESTED

RECORD/DOCU

MENT

1 HOUR

HIMO

STAFF,

HEAD OF

HIMO,

CASHIER

Within the

day to 3

working days

- if records

needs

completion

- if

equipment

malfunctions

- if record

especially old

ones require

more

retrieval time

and

processing

7

RECORD IN THE

RELEASING FOLDER THE

NAME AND HOSPITAL

NUMBER OF PATIENT,

REQUESTED DOCUMENT

AND OFFICIAL RECEIPT

OF PAYMENT

NONE

RELEASING

LOGBOOK,

OFFICIAL

RECEIPT OF

PAYMENT

5MIN HIMO

STAFF

8

CLIENT

ACKNOWLEDGES/

RECEIVES REQUESTED

DOCUMENTS AND

AFFIXES SIGNATURE IN

THE RELEASEING

LOGBOOK

NONE RELEASING

LOGBOOK 1 MIN

HIMO

STAFF

28

REQUEST FOR OFFICIAL DEATH CERTIFICATE

STEP ACTIVITIES FEE

DOCUMENTAR

Y

REQUIREMENT

S

MAXIMU

M TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

1

RELATIVE

/AUTHORIZED

PERSON FILL

OUT REQUEST

FORM

NONE REQUEST FORM 2 MINS

HIMO STAFF

(BIRTH AND

DEATH

TRANSCRIPTIO

N UNIT)

10 minutes

- Printer

malfunction/pape

r jam.

2

HIMO STAFF

ASCERTAINS

CLAIMANT'S

IDENTITY THRU

PRESENTATION

OF CLEARANCE

FORM AND

VALID ID NOTE:

IF THE

REQUESTING

PARTY IS NOT A

RELATIVE, AN

AUTHORIZATIO

N LETTER AND

VALID ID FROM

THE NEAREST

KIN SHALL BE

PROVIDED

TOGETHER

WITH THE ID OF

THE CLAIMANT.

NONE

CLEARANCE

FORM, ID OF

CLAIMANT,

AUTHORIZATIO

N LETTER IF

APPLICABLE

2 MINS

HIMO STAFF

(BIRTH AND

DEATH

TRANSCRIPTIO

N UNIT)

29

3

HIMO STAFF

SHALL RETRIEVE

PREFORM AND

INSTRUCT

CLIENT TO

CHECK

ACCURACY OF

DATA

RECORDED IN

THE FORM.

NONE

PRE FORM

DEATH

CERTIFICATE

3 MINS

HIMO STAFF

(BIRTH AND

DEATH

TRANSCRIPTIO

N UNIT)

4

HIMO STAFF

TRANSCRIBES

DATA IN ONE

COPY OF THE

OFFICIAL

DEATH

CERTIFICATE

AND INSTRUCT

CLAIMANT TO

RE CHECK

ACCURACY OF

DATA. IF

CORRECT,

HIMO STAFF

SHALL PRINT 3

MORE COPIES.

NONE

4 OFFICIAL

DEATH

CERITIFICATE

FORM

10 MINS

HIMO STAFF

(BIRTH AND

DEATH

TRANSCRIPTIO

N UNIT)

5

HIMO STAFF

SHALL

INSTRUCT

CLAIMANT TO

SIGN A

LIABILITY

NONE

OFFICIAL

DEATH

CERITIFICATE

FORM

2 MINS

HIMO STAFF

(BIRTH AND

DEATH

TRANSCRIPTIO

N UNIT)

30

RELEASE FORM

6

HIMO STAFF

SHALL RELEASE

OFFICIAL

DEATH

CERTIFICATE,

RECORDS

RELEASE IN THE

DEATH

RELEASING

LOGBOOK AND

LET THE

CLAIMANT

AFIFIX HIS/HER

SIGNATURE

ACKNOWLEDGI

NG RECEIPT OF

THE

CERTIFICATE

NONE

(PAYMEN

T

ALREADY

INCLUDE

D IN THE

PATIENT

BILL)

3 COPIES OF

OFFICIAL

DEATH

CERTIFICATE

3 MINS

HIMO STAFF

(BIRTH AND

DEATH

TRANSCRIPTIO

N UNIT)

NOTE: REQUEST FOR DUPLICATE COPIES DUE TO LOSS (PHP 100.00)

31

REQUEST FOR ORIGINAL MEDICAL/MEDICO LEGAL CERTIFICATES,

CLINICAL ABSTRACT, CERTIFICATION, CERTIFICATE OF CONFINEMENT

STEP ACTIVITIES FEE

DOCUMENTAR

Y

REQUIREMENT

S

MAXIM

UM

TIME

RESPONSI

BLE

OFFICER/

EMPLOYE

E

ALLOWABLE

PERIOD OF

EXTENSION

1

PATIENT/AUTHORIZED

REPRESENTATIVE

SHALL GET A QUEING

NUMBER AND WAIT

FOR THEIR

CORRESPONDING

NUMBER TO BE

CALLED.

NONE QUEUING

NUMBER - - -

2

PATIENT/RELATIVE/AU

THORIZED PERSON

FILLS OUT A REQUEST

FORM

NONE REQUEST FORM 3 MINS HIMO

STAFF

3

HIMO STAFF

INTERVIEWS

PATIENT/AUTHORIZED

REPRESENTATIVE AND

ASCERTAIN HIS/HER

IDENTITY THRU

PRESENTATION OF

VALID IDENTIFICATION

AND OFFICIAL

DOCUMENTS (SSS,

GSIS, INSURANCE , NBI,

PNP ETC.) .

NOTE: IF THE

NONE

REQUEST

FORM, VALID

ID, OFFICIAL

IDENTIFICATIO

N,

AUTHORIZATIO

N LETTER,

OFFICIAL

DOCUMENTS

(SSS, GSIS, ETC)

5 MINS HIMO

STAFF

32

REQUESTING PARTY IS

NOT THE PATIENT, AN

AUTHORIZATION

LETTER DULY SIGNED

BY THE PATIENT AND

HIS/HER VALID ID

SHALL BE PROVIDED.

4

FOR MEDICAL

CERTIFICATE, MEDICO-

LEGAL CERTIFICATE,

CLINICAL ABSTRACT

REQUESTS:

- HIMO STAFF

RETRIEVES RECORD

AND DETACH ONE

ORIGINAL COPY OF

THE DOCUMENT.

50.00 /

2.00 per

request of

additional

photocopy

OFFICIAL

RECEIPT OF

PAYMENT,

PRINTED COPY

OF REQUESTED

RECORD/DOCU

MENT

1 HOUR HIMO

STAFF

Within the day to

3 working days

- no attached

certificate and

physician needs to

be informed to

accomplish the

document

- Records

especially old

ones requires

more retrieval

time and

processing

5

FOR CERTIFICATE OF

CONFINEMENT

REQUESTS (CURRENT

RECORDS): HIMO

STAFF RETRIEVES

RECORD AND

PREPARES

COMMUNICATION

AND CHECKED BY THE

HIMO HEAD PRIOR TO

SUBMISSION TO THE

OFFICIAL

RECEIPT OF

PAYMENT,

PRINTED COPY

OF REQUESTED

RECORD/DOCU

MENT

within

the day

HIMO

STAFF,

HIMO

HEAD OF

HIMO,

CASHIER

2 to 3 working

days

- Upon availability

of the Signatory

who has to attend

to official

meetings/committ

ments

- Records

especially old

ones requires

more retrieval

33

MCC FOR SIGNATURE time and

processing

6

FOR CERTIFICATION

REQUESTS:

HIMO STAFF

RETRIEVES RECORD

AND PREPARES

COMMUNICATION

AND CHECKED BY THE

HIMO HEAD PRIOR TO

SUBMISSION TO THE

MCC FOR SIGNATURE

OFFICIAL

RECEIPT OF

PAYMENT,

PRINTED COPY

OF REQUESTED

RECORD/DOCU

MENT

3

working

days

HIMO

STAFF,

HIMO

HEAD OF

HIMO,

CASHIER

7

ADVISE CLIENTS TO

PAY FEES AT THE

CASHIER'S OFFICE

PHP 50.00

-

CERTIFICAT

ION

ADDITION

AL PHP

2.00 PER

PHOTOCO

PY

OFFICIAL

RECEIPT OF

PAYMENT,

PRINTED COPY

OF REQUESTED

RECORD/DOCU

MENT

5 MINS

HIMO

STAFF,

HEAD OF

HIMO,

CASHIER

10 MINS

- IF THERE IS A

QUEUE AT THE

CASHIERS OFFICE

8

RECORD IN THE

RELEASING FOLDER

THE NAME AND

HOSPITAL NUMBER OF

PATIENT, REQUESTED

DOCUMENT AND

OFFICIAL RECEIPT OF

PAYMENT AND

RELEASE TO CLIENT

NONE

RELEASING

LOGBOOK,

OFFICIAL

RECEIPT OF

PAYMENT

3 MINS HIMO

STAFF

9 CLIENT

ACKNOWLEDGES/

NONE RELEASING

1 MIN HIMO

34

RECEIVES REQUESTED

DOCUMENTS AND

AFFIXES SIGNATURE IN

THE RELEASEING

LOGBOOK

LOGBOOK STAFF

NOTE: The HIM Office is always committed to expedite the processing of all requests, thus

documents may be released earlier than the maximum time and allowable period of

extension.

35

REQUEST FOR CERTIFIED PHOTOCOPIES of BIRTH CERTIFICATE

FOR BILLING PURPOSES (with Acknowledgement of Paternity)

STEP ACTIVITIES FEE

DOCUMENTAR

Y

REQUIREMENT

S

MAXIM

UM

TIME

RESPONSI

BLE

OFFICER/

EMPLOYE

E

ALLOWABLE PERIOD

OF

EXTENSION

1

Receive request for

certified

photocopies of Birth

Certificate

NONE Request Form 1

minute

Birth Unit

Staff

2

Instruct Father to

present one valid ID

(Government

Issued) including

that of the mother.

NONE Valid ID’s 2

minutes

Birth Unit

Staff

3

Retrieve Preform

and instruct father

to check recorded

data for accuracy

and fills out

required fields of

the Affidavit of

Acknowledgement/

Admission of

Paternity portion at

the back of the

Preform.

NONE

Preform of

Birth

Certificate

5minute

s

Birth Unit

Staff

4 Transcribe and

prints out one copy

of the Official Birth

NONE Official birth

certificate,

Liability

5

minutes

Birth Unit

Staff

36

Certificate. A

liability release form

shall be signed by

the father

acknowledging that

all entries are

accurate and

correct.

Release Form

5

Prints out the three

(3) remaining

Official Birth

Certificate

NONE

Official Birth

Certificate

Form

3

minutes

Birth Unit

Staff

- Father affixes

signature above his

printed name of the

Affidavit of

Acknowledgement/

Admission of

Paternity at the

back portion of the

Birth Certificate

6

Encodes and prints

out 4 copies of the

AUSF (Affidavit to

Use Surname of the

Father). Instruct

father to bring the

document to the

ward for signing by

the mother.

NONE AUSF 10

minutes

Birth Unit

Staff

Note:

37

- If the mother is

underage/minor,

her parent/s shall

appear bringing a

valid ID together

with the father of

the baby.

- A separate AUSF

will be encoded to

be signed by the

mother of the baby

and her and

parent/s

7

Instruct the father

to bring the Four (4)

Official Birth

Certificate with the

AUSF to the lawyer

for notarization and

returns them back.

NONE

Official Birth

Certificate,

AUSF

10

minutes

Birth Unit

Staff

Within the day

- Notarization schedule

is at 10 AM and 1 PM

Note: Clients shall be

advised to return the

following day if there is

no lawyer to notarize

certificates.

8 Provide one copy of

the official

certificate and

attach it to the

AUSF. Instruct the

father to register

the AUSF at the LCR

and secure a

Certificate of

Registration.

NONE

AUSF,

Undertaking/W

aiver Form

within

the day

Birth Unit

Staff

within 5 working days

If acknowledgement is

done on the following

circumstances: 1.

During weekends or

holidays where the LCR

is closed 2. During

office hours where the

patient is to be

discharged but the

Certificate of

38

Registration will be

processed and

provided the following

day.

An

undertaking

waiver form

shall be signed

by the

father/represen

tative

acknowledging

to return the

AUSF together

with a

Certificate of

Registration

within 5

working days,

otherwise the

surname of the

child shall be

reverted to that

of the mother.

9

Receive the

Certificate of

Registration for

filing. Photocopy

and certify 3 copies

of the official Birth

Certificate.

NONE Certificate of

Registration

5

minutes

Birth Unit

Staff

Release the Php Photocopies of 2 Birth Unit

39

10

Certified

Photocopies of Birth

Certificate to be

used as attachment

for billing purposes.

A fee shall be paid

by the

father/representativ

e.

2.00/

photoc

opy

Birth

Certificate ,

Request for

photocopies

Payment

Folder

minutes Staff

Note: The


e shall record his

name, signature and

the amount paid in

a folder for

transparency. All

fees collected for

day shall be

remitted at the

Cashiers Office in

the afternoon.

11

Advise


e to claim the

original copy of

Birth Certificate at

the Local Civil

Registrar (LCR)

NONE

1

minute

Birth Unit

Staff

40

REQUEST FOR CERTIFIED PHOTOCOPIES of BIRTH CERTIFICATE

FOR BILLING PURPOSES (MARRIED/SINGLE PARENTS)


REQUIREMENTS

MAXIM

UM

TIME

RESPONSI

BLE

OFFICER/

EMPLOYE

E

ALLOWABLE PERIOD

OF EXTENSION

1

Receive request for the

Certified photocopies

of Birth Certificates

NONE Request Form 1

minute

Birth Unit

Staff

2

Retrieve Preform and

instruct

father/representative

to check data for

accuracy

NONE Preform of the

Birth Certificate

3

minutes

Birth Unit

Staff

3

Transcribe and prints

out one official copy

and instructs


to double check

entries and signs

liability form

NONE

Official Birth

Certificate

Form, Liability

Release Form

10

minutes

Birth Unit

Staff

10 minutes

- if the

documents are

brought at the ward

for checking

Note:

In the

absence of the

father, a

photocopy of

the transcribed

official Birth

Certificate will

41

be given to the

representative/

watcher with

the instruction

to bring it at the

ward for the

mother to check

accuracy of

entries.

The

document shall

be returned

back at the Birth

and Death

Transcription

Unit including a

signed liability

form.

4

Prints out the other

three (3) Official

Copies of Birth

Certificates

NONE Official Birth

Certificate

2

minutes

Birth Unit

Staff

10 minutes

- Printer

malfunction/

paper jam.

5

Photocopy and certify

3 copies of the

transcribed Birth

Certificate

NONE

Official Birth

Certificate/Phot

ocopy of Official

Birth Certificate

5

minutes

Birth Unit

Staff

6

Release the Certified

Photocopies of Birth

Certificate to be used

as attachment for

billing purposes. A fee

shall be paid by the

Php

2.00/

photoc

opy

Photocopy of

Official Birth

Certificate,

Request for

photocopies

2

minutes

Birth Unit

Staff

42

father/representative. Payment Folder

Note: The


shall record his name,

signature and the

amount paid in a

folder for

transparency. All fees

shall be remitted at

the Cashiers Office at

the end of the day.

7 Advise


to claim the original

copy of Birth

Certificate at the Local

Civil Registrar (LCR)

NONE

1

minute

Birth Unit

Staff

43

MEDICAL SOCIAL WORK SERVICES

44

I. SOCIAL WORK CLASSIFICATION to In-Patient, ER Patient and OPD Patient

STEP ACTIVITY TIME REQUIRED FORMS RESPONSIBLE

EMPLOYEE

ALLOWABLE TIME

EXTENSION

1 Signing of Consent Form and Contract of Responsibility

2 mins

Consent Contract of

Responsibility Form

Medical Social

Worker on Duty

10 minutes follow-up

for patients without

companion 2

Interview patient or representative for patient’s psychosocial assessment and classification

10 mins

Psychosocial Assessment Tool

3 Explain patients’ rights, privileges and responsibilities regarding hospital treatment.

1 min None

4 Write patient classification at the Clinical Coversheet, ER Bill or charge Slip

20 sec Clinical

Coversheet, ER Bill/Charge Slip

5 Issue MSWD Service Card for New Patients

1 min Service Card

6 Direct patient/ representative to the next service provider.

40 secs None

II. SOCIAL WORK INTERVENTIONS to In-Patient, ER Patient and OPD Patient

STEP ACTIVITY TIME REQUIRED FORMS RESPONSIBLE

EMPLOYEE

ALLOWABLE TIME

EXTENSION

1 Interview and assess walk-in, referred and reached-out patient/representative

10 mins

None

Medical Social

Worker on Duty

10 minutes follow-up

for patients without

companion 2

Provide Social Work Intervention/s 30 mins to 1 hour

3 Direct patient/representative to the next service provider.

40 secs

III. ASSISTANCE PROGRAM to In-Patient, ER Patient and OPD Patient

STEP ACTIVITY TIME REQUIRED

FORMS RESPONSIBLE

EMPLOYEE

ALLOWABLE TIME

EXTENSION

1 Interview and assess walk-in, referred and reached-out patient/representative

10 mins

For POS: Clinical Coversheet, CF1, PMRF; PCARES verification Slip

Form For MAIP:

Consent Form,

Medical Social

Worker on Duty

None

2 Provide Social Work interventions, if needed or inform other available assistance program in the hospital

5-10 mins

45

5 Provide assistance to eligible patient/s 10

mins

Application & Acknowledgement

Form Medical

Certificate or Clinical Abstract,

Certificate of Indigency,

Prescription, Costing,

Procedure Request, Hospital Bill, , Guarantee

Letter, Social Case Study

Abstract/MSWD Assessment Tool, Impormasyon ng Pasyente Form

For PCSO: Application Form,

Client Consent Form,

Acknowledgement Form, Clinical

Abstract, Costing, Charge Slip or Hospital Bill

6 Direct patient/ representative to the next service provider

40 sec None

FOR COMPLAINTS / SUGGESTIONS Make verbal or written report to:

Medical Social Worker on Duty at the OPD, Flavier Building (Satellite Office), Main Office

46

OCCUPATIONAL THERAPY SERVICES

47

OPD NEW PATIENT ( WALK-IN, NON ORTHO, ORTHO SERVICE PATIENTS)

STEP ACTIVITIES FEE DOCUMENTARY REQUIREMENTS

MAXIMUM TIME

RESPONSIBLE OFFICER/ EMPLOYEE

ALLOWABLE PERIOD OF EXTENSION ACCEPTABLE REASON

1 RECEIVING OF REFERRAL AND KIOSK

NONE OT Prescription form, BGHMC inter Departmental Referral form

5 MINUTES

OT Staff 20 – 30 MINUTES Increase number of patients The control officer assist the Physiatrist The section is having a conference /meeting Availability of room for check-Up/treatment

2 PHYSIATRIST EVALUATION/ASSESSMENT

(30 MINUTES)

NONE BGHMC Rehab med Form, OT notes form

30 MINUTES

PHYSIATRIST

3 SCHEDULING NONE OT Schedule (Computer), OT patient Schedule form

5 MINUTES

OT Staff

5 PREPARATION OF CHARGE SLIP CHARGING

50.00 HOMIS 3 mins OT Staff

5 OT ASSESSMENT AND TREATMENT

50.00 None 1-2 HOURS

OT Staff

6 DOCUMENTATION NONE OT I.E FORM, OT PEDIATRIC I.E FORM , OT NOTE FORM

10 MINUTES

OT staff

48

OPD OLD PATIENTS

STEP ACTIVITIES

FEE DOCUMENTARY REQUIREMENTS

MAXIMUM TIME

RESPONSIBLE

OFFICER/EMPLOYEE

ALLOWABLE PERIOD OF EXTENSION ACCEPTABLE REASSON

1 RECEIVING OF SCHEDULED PATIENT

And kiosk

None OT OPD schedule

5 mins OT Staff 20 – 30 MINUTES Increase number of patients The control officer assist the Physiatrist The section is having a conference /meeting Availability of room for check-Up/treatment


50.00 HOMIS 3 mins OT Staff

3 OT ASSESSMENT AND TREATMENT

None None 1- 2 hours OT staff

4 DISPOSITION /DOCUMENTATION

None OT I.E FORM, OT PEDIATRIC I.E FORM , OT NOTE FORM

10 mins OT staff

49

OPD NEW ORTHO (CONSULTANTS)

STEP ACTIVITIES FEE DOCUMMENTARY REQUIREMENTS

MAXIMUM TIME




None OT Prescription form, BGHMC inter Departmental Referral form

5 mins OT Staff Increase number of patients The control officer assist the Physiatrist The section is having a conference /meeting Availability of room for check-Up/treatment

2 SCHEDULING OF PATIENT

None OT Schedule (Computer), OT patient Schedule form, ortho consultant referral

5 mins OT Staff

3 PREPARATION OF CHARGE SLIP

None HOMIS 3 mins OT Staff

4 PT and OT ASSESSEMENT AND TREATMENT

50.00 None 1 to 2 hours

OT staff

5 DISPOSITION AND DOCUMENETATION

None OT note form 10 mins OT staff

50

IPD SERVICE PATIENT


MAXIMUM TIME



1 RECEIVING OF REFERRAL None In-patient Referral, OT In- patient monitoring form

3 Mins OT control officer

20 to 30 mins Increase number of patients The section is having a conference /meeting Late referral

2 PT/OT ASSESSMENT AND TREATMENT

35.00 None 45 – 60 Mins

OT staff

3 DOCUMMENTATION None OT note form, OT in-patient monitoring form

5 Mins OT staff

4 CHARGING 35.00 HOMIS 2 Mins OT staff

51

IPD PRIVATE PATIENT


MAXIMUM TIME



1 RECEIVING OF REFERRAL NONE In- Patient referral form

3 Mins OT Staff

2 PHYSIATRIST EVALUATION AND PT TREATMENT

None 45-60 mins Physiatrist in charge and OT staff


3 DOCUMMENTATION None Physicians order sheets, PT notes form, PT in-patient monitoring form

5 mins Physatrist and OT staff

4 CHARGING Payward 75.00, Semi Private 100.00, Private 125.00

HOMIS 2 mins OT staff

52

OUT PATIENT DEPARTMENT SERVICES

53

New Patient/Bagong Pasyente

Step Patient

Activities

Service

Provider

Activities

Fee Necessary

Form

Documentary

Requirement

Maximum

Time

Responsible

Officer/

Employee

Allowable

Period of

Extension

&

Acceptable

Reason

1 Get priority

Number and

Fill out the

Masters

Patient Index

(MPI) and the

Consent Form

to the Guard

on Duty at the

Entrance

Fill out Forms

Kumuha ng

Priority

Number at

Masters

Patient Index

(MPI) sa

guardiya na

nakatalaga sa

entrance

Punan ang

mga Forms

The

Personnel

on duty

issues the

priority

number and

Forms

Instruct

patients to

proceed to

pay the

Registration

Fee

Ang

Guardiya ay

magbibigay

ng numero

at mga

Forms

I instruct

ang

pasyente na

pumunta sa

Cashier

para

magbayad

None

Wala

MPI

Consent

Prior to the

Collection

of Personal

Information

None

Wala

1 min

1 minuto

Personnel

on Duty

Personnel

on Duty

54

ng

Registration

Fee

2

Pay

Registration

Fee at the

Cashier

(Note: Life

Time)

Bayaran ang

Registration

Fee sa Cashier

The Cashier

issues the

Official

Receipt to

the Patient

Ibibigay ng

Cashier ang

Opisyal na

Resibo sa

pasyente

Php100

(Regular)

Php 80

(Senior

and

PWD)

MPI None

Wala

5min

5 minuto

Cashier

3 Register at the

Registration

Desk

Magparehistro

sa may

Registration

Desk

The

Registration

personnel

registers

the patient

into the

HOMIS and

issues the

Hospital

Case

Number

Card

Note: The

Hospital

Case

Number

Card is a

Life Time,

present

every

hospital

visit.

None

Wala

Hospital

Case

Number

Card

None

Wala

5 min

5 minuto

Registration

Personnel

55

Ang

Registration

Personnel

ay

ireregistro

ang

pasyente sa

HOMIS at

ibibigay ang

Hospital

Case

Number

Card

Note: ang

Hospital

case

Number

Card ay

habang

buhay na

magagamit,

laging

dalhin at

ipresenta

kapag nag

pa ospital

3 Triaging of

Clinical

Assignment

Mag pa Triage

para Malaman

Triage

Officer

determines

clinical

assignment

and print

queuing

number

The room

assignment

can be seen

in the

none Cubicle

Number

None 2 min Triage

Officer

56

ang Clinic na

pupuntahan

printed

queuing

number

Ipapasya ng

Triage

Officer ang

clinical

assignment

ng pasyente

at mag

printa ng

queuing

number

Ang room

assignment

ay makikita

san a

imprentang

queuing

number

57

Old Patient

Step Patient

Activities

Service Provider

Activities

Fee Necessary

©Form

Documentary

Requirement

Maximum

Time

Responsible

Officer/

Employee

Allowable

Period of

Extension

&

Acceptable

Reason

1 Get priority

number at

the Guard

on Duty at

the Entrance

Kumuha ng

Priority

Number sa

guardiya na

nakatalaga

sa entrance

The Personnel on

Duty issues the

priority number to

patient.

Ibibigay ng

Empleyadong

nakatalaga

Priority Number at

i- instruct ang

pasyente na

magtungo sa

Triage Kiosk

kasama ang

hospital case

number card

None

Wala

None

Wala

Hospital Case

Number Card

Hospital Case

Number Card

1 min

1 min

Personnel

on Duty

Personnel

on Duty

3 Triaging for

Clinical

Assignment

Mag pa

Triage para

Malaman

ang Clinic na

pupuntahan

Triage Officer

determines

clinical

assignment and

print queuing

number

The room

assignment can be

seen in the

printed queuing

number

Ipapasya ng

Triage Officer ang

clinical

assignment ng

pasyente at mag

none Cubicle

Number

None 2 min Triage

Officer

58

printa ng queuing

number

Ang room

assignment ay

makikita san a

imprentang

queuing number

Note: Registration time is between 7:00am – 3:30pm Mondays to Friday and 7-11AM only on Saturdays

For Complaints and Suggestion you may proceed to the Public Assistance and Complaint Desk located at the OPD Ground Floor

or may write your complaints and suggestion and drop it at the PACD Dropbox.

For Senior Citizen, Persons with Disability and Pregnant women (8 to 9 months of gestation) shall be prioritized in the line at

the Registration Area. Once prioritized at the registration it is already automatic that you get a prioritized slot at the cubicle.

59

Old Patient with Lost Hospital Case Number Card

Step Patient

Activities

Service Provider

Activities

Fee Necessary

Form

Documentary

Requirement

Maximum

Time

Responsible

Officer/

Employee

Allowable

Period of

Extension

&

Acceptable

Reason

1 Get Priority

Number at

the

Personnel

on Duty at

the Entrance

Kumuha ng

Priority

Number sa

guardiya na

nakatalaga

sa entrance

The Personnel on

Duty shall issue the

priority number to

patient.

Ibibigay ng

Guardiyang sa

Pasyente ang

Priority Number at

i- instruct ang

pasyente na

magtungo sa

Triage Kiosk

None

Wala

None

Wala

None

Wala

1 min

1 min

Personnel

on Duty

2. Pay Penalty

Fee at the

Cashier

Bayaran ang

Penalty Fee

sa Cashier

The Cashier shall

receive the

Registration

payment and

issues the Official

Receipt to the

Patient

Tatanggapin ng

Cashier ang bayad

para sa penalty fee

at ibibigay ang

opisyal na resibo sa

pasyente

20

Php

20

Pesos

Masters

Patient

Index

Masters

Patient

Index

None

Wala

5min

5 min

Cashier

3 Present the

Official

Receipt and

your

complete

name to the

The Registration

personnel shall

retrieve your

hospital number

through the HOMIS

and issues

None

None

None

5min

60

Registration

Personnel

and

Duplicate

Copy of the

Hospital

Case

Number

Card shall

be issued

Ipakita ang

resibo ng

binayarang

fee at

Magpagawa

ng Hospital

Case

Number

card sa

Registration

duplicate of the

Hospital Case

Number Card.

Instruct the patient

to fall in line at the

Triage Kiosk Area

Ang Registration

Personnel ay

ireretrieve ang

inyong hospital

case number sa

HOMIS at mag

issue ng duplicate

na hospital case

number card. I

iinstruct ang

pasyente na

pumila sa Triage

Kiosk

Wala

Wala

Wala

5 min

4 Triaging for

Clinical

Assignment

Mag pa

Triage para

Malaman

ang Clinic na

pupuntahan

Triage Officer

determines clinical

assignment and

print queuing

number

The room

assignment can be

seen in the printed

queuing number

Ipapasya ng Triage

Officer ang clinical

assignment ng

pasyente at mag

printa ng queuing

number

Ang room

assignment ay

makikita san a

imprentang

queuing number

None

Wala

Cubicle

Number

Cubicle

Number

None

Wala

2 min

2 min

Triage

Officer

61

OUT PATIENT DRUG TREATMENT AND REHABILITATION CENTER SERVICES

62

STEP PROCESS

FEE

NECESSARY FORM

MAXIMUM TIME


/ACCEPTABLE REASON

RESPONSIBLE PERSON

1

Registration/ Fill out Consent Form Prior to Collection of Personal Information/ Blotter

PhP 20.00

Consent Form Blotter Form

15 minutes

Administrative Clerk

2

Referral for Drug Test with Accomplished Laboratory request form

PhP 250.00

Laboratory request form

3 minutes Administrative Clerk

3 Administer screening test

Free

SASSI MAQ WHO ASSIST

90 minutes

30 minutes /Comprehension level of the examinee

Psychologist

4

Conduct Drug Dependency Examination of client

Free

Drug Dependency Evaluation form

120 minutes

Psychiatrist/ DOH-Accredited Physician

5 Social Case Study

Free ASI-Lite CF, Social Case Study Report

90 minutes

Social Worker

6

Admission to Primary Care Program

Free

Service Agreement & Guardian’s Consent

6 months 1 month ODTRC Staff

Suggestions and Complaints can be addressed to: RICARDO B. RUNEZ, JR., MD, FPCS, MHA, CESE OFFICE OF THE OMBUDSMAN CIVIL SERVICE COMMISSION

Medical Center Chief II (02)- 927-4102, (02) 927-2404 (02) 932- 0111

Baguio general Hospital and Medical Center 0926-6994-703 0917-8398272

Gov. Pack Road, Baguio City

Telephone Nos. (074) 442-3165; 661-7910 loc. 223 CONTACT CENTER NG BAYAN: 8888

CITIZEN’S CHARTER FOR PRIMARYCARE PROGRAM

63

STEP PROCESS FEE NECESSARY FORM

MAXIMUM TIME

ALLOWABLE PERIOD OF EXTENSION/ ACCEPTABLE REASON

RESPONSIBLE OFFICER

1

Registration/ Fill out Consent Form Prior to Collection of Personal Information / Blotter

PhP 20.00

Blotter Form 15 minutes

Administrative Clerk

2

Referral for Drug Test with Accomplished Laboratory request form

PhP 250.00

Laboratory request form

3 minutes Administrative Clerk

3

Administer Screening Test

Free

SASSI MAQ WHO ASSIST

90 minutes

30 minutes /Comprehension level of the examinee

Psychologist

4 Social Case Study

Free

ASI-Lite CF, Social Case Study Report

90 minutes

Social Worker

5

Conduct Drug Dependency Examination of client

Free

Drug Dependency Evaluation form

120 minutes

Psychiatrist/ DOH-Accredited Physician

6

Admission to the Aftercare program

Free

Service Agreement & Guardian’s Consent

18 months

1 month/Completeness of sessions

ODTRC Staff

CITIZEN’S CHARTER FOR AFTERCARE PROGRAM

64

OPTHALMOLOGY SERVICES

65

STEP ACTIVITIES FEE NECESSAR

Y FORMS MAXIMUM TIME

RESPONSIBLE STAFF/ OFFICER


1 Present

Biometry request

NONE

Request form from

the physician

1 min Resident/

Nurse/ Technician

10-15 minutes:

The responsible staff/ officer were sent out on an urgent errand.

The department is having conference or meeting.

There are still patients seen by other doctors at the examination room.

2

Pay the amount

written in the request

form or charge slip

P400.00 PER EYE

Physician’s Order Form Prescription Form with

written amount

Cahier’s Procedure

Cashier’s Office

3. Present

receipt of payment

NONE

Receipt form

1 min Resident/

Nurse/ Technician

4. Start

Biometry reading

NONE

NONE 10 mins Resident/

Nurse/ Technician

5.

Give biometry results to patient

NONE

Printed result or request

form from the

physician

1-2 mins Resident/

Nurse/ Technician

66

PATHOLOGY SERVICES

67

CITIZEN’S CHARTER ANATOMIC PATHOLOGY


REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER /

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

1

Assessment

of Specimen

and

Laboratory

Request

Form

None

Completely filled

out laboratory

request form

2 mins. Laboratory

Receptionist

5 mins.

-

Incompletely

filled out

laboratory

request form.

-

Mislabeled

specimen

2

Classification

of Specimen

and

Charging of

Laboratory

Fee

None

Completely filled

out laboratory

request form

2 mins. Laboratory

Receptionist

60 mins.

- Downtime

of HOMIS

- Power

interruption

3

Payment of

Laboratory

Test Fee

(for OPD

patients

only)

Depends

on the

specimen

submitted

Charge Slip

and

laboratory

request

c/o Cashier Cashier c/o Cashier

4

Submission

of Specimen

and Request

Form

(for OPD

patients,

show official

receipt)

None

Completely

filled out

laboratory

request form and

official receipt

2 mins. Laboratory

Receptionist

20 mins.

- Increased

number of

specimens at

the

reception area.

68

5

Performance

of the

Laboratory

Test

None

Completely

filled out

laboratory

request form

Histopathology

and

Cytopathology:10

working days

Immunohisto-

chemistry:

5 working days

from the time of

running

Medical

Technologist

Pathologist

Resident /

Physician

5 working

days

-

Interconsultant

referral

- Pull out of

specimens and

tissue blocks

for

reprocessing,

regrossing,

recuts and

restaining of

slides

Exemptions:

machine

breakdown

and

unavailability

of reagents

6 Release of

Result None

Result,

Release logbook

and follow-up

form

A. For patients

personally

claiming their

laboratory

results:

1. Present a valid

identification

5 mins. Laboratory

Receptionist

1 hour

- Review of

Slides and

editing of

written report

- Increased

number of

patients at

the reception.

69

card/document

2. Present

Official Receipt

of payment

/MAP

Endorsement

letter

B. For relatives

or other person

authorized by the

patient:

1. Present a valid

identification

card/document

2. Present an

identification

card of the

patient with

signature

3. Submit a

written

authorization

letter duly signed

by the patient

4. Present

Official Receipt

of payment/MAP

endorsement

letter

(In compliance to

Data Privacy Act

2012)

FOR COMMENTS AND SUGGESTIONS, PLEASE ADDRESS THEM TO:

ZARLYN R. BANAÑA,RMT

CHIEF MEDICAL TECHNOLOGIST

DEPARTMENT OF PATHOLOGY

AND

RHESA MICHELLE M. WONG, MD.,FPSP

HEAD, DEPARTMENT OF PATHOLOGY

70

A. MAIN LABORATORY (MAIN)

STEP ACTIVI

TIES FEE

DOCUMENT

ARY

REQUIREME

NTS

MAXIMU

M TIME

RESPONSI

BLE

OFFICER /

EMPLOYE

E

ALLOWABLE

PERIOD OF

EXTENSION /

ACCEPTABLE

REASON

1

Submissi

on of

Specime

n and /or

Laborato

ry

Request

Form

None

Completely

filled out

laboratory

request form

( For NBB

patients,

request form

shall be signed

by Consultant-

in-Charge and

NBB stamped)

10 mins.

Laboratory

Receptionist

, Medical

Technologis

ts,

Physician,

Nurse,

Nursing

Attendants

15 mins

- Incompletely filled

out

Laboratory request.

- Unacceptable sample

(clotted/hemolyzed,Q

NS,etc)

2 Chargin

g of Fees

Depends

on the

Laborat

ory

test/s

requeste

d

(Please

refer to

Service

Menu)

Laboratory

request form

with

corresponding

price for each

test requested

-For OPD

patients 10

mins. -In -

patients

15 mins

Laboratory

Receptionist

60 mins. - Downtime

of HOMIS15 mins

- Increased number of

patients

3

Payment

of

Laborato

ry Test

Fee (For

OPD

patients

only)

None

Charge slip

and

Laboratory

Request Form

c/o Cashier Cashier

*Patients availing

Medical Assistance

Program, Social

Service, Z-package,

Philhealth - please

refer to Billing,

Medical Social Service

and Malasakit Center

Citizen's Charter.

71

4

Submissi

on of

Official

Receipt

and

Sample

Collectio

n for

OPD

patients

None

Official

Receipt,

Medical

Assistance

Program

endorsement

letter/ signed

charge slip

(for Social

Service/PHIC/

Z-package),

and

completely

filled out

Laboratory

Request Form

5 mins.

Laboratory

Receptionist

Medical

Technologis

t

15 mins.


patients -

Difficult extraction

-Patient not in the

reception area.

- Uncooperative

patient

Exemptions: Patients

availing Medical

Assistance Program,

Social Service, Z-

Package, PhilHealth

(Please refer to Billing,

Medical Socail Service

and Malasakit Center

Citizen's Charter)

5

Checkin

g-in

through

LIS,

perform

ance of

the test

None Laboratory

Request

Please

refer to

Service

Menu

Medical

Technologis

t

Pathologist

Resident /

Consultant

120 mins

- Increased

number of

patients

- Repeat testing

including samples that

need dilution

72

and

printing

of results

- Recollection of

sample - Referral

* In case of machine

breakdown and

unavailability of

reagents/supplies:

a. For OPD - Not

Available

b. For NBB

patients - to be sent out

to other laboratory.

Availability of result

depends on the turn-

around-time of the

referral laboratory.

6 Release

of

Laborato

ry Result

None

Release

logbook,

Laboratory

result

A. For

patients

personally

claiming their

laboratory

results: 1. Present a

valid

identification

card/document

10 mins

For OPD

patients

For In-

Patient,spec

ific warding

time:

6:00 am

10:00 am

1:00 pm

3:00 pm

6:00 pm

10:00 pm

Medical

Technologis

t

30 mins.

- For OPD patients

- Tests for

confirmation


patients

120 mins

- For In-Patients after

the

scheduled time

- Increased workload

in the laboratory

- Patient cannot be

locate in the ward.

73

2. Present

Official

Receipt of

payment/MAP

Endorsement

letter

B. For

relatives or

other person

authorized by

the patient: 1. Present a

valid

identification

card/document

2. Present an

identification

card of the

patient with

signature

3. Submit a

written

authorization

letter duly

signed by the

patient

4. Present

Official

Receipt of

payment/MAP

endorsement

letter

(In

compliance to

Data Privacy

Act 2012)





AND



74

B. ER SATELLITE LABORATORY

STE

P

ACTIVITI

ES FEE

DOCUMENTA

RY

REQUIREME

NTS

MAXIM

UM

TIME

RESPONSIB

LE

OFFICER /

EMPLOYE

E

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

1

Submissio

n of

Specimen

and /or

Laborator

y Request

form

None

Completely

filled out

Laboratory

Request form

3 mins.

Patient's

Watcher,

Physician,

Nurse,

Laboratory

Receptionist

15 mins. - Incompletely filled

out

Laboratory

request.

- unacceptable

sample that needs

recollection

(clotted/hemolyzed,QN

S,etc)

2 Sample

Collection None

Completely

filled out

laboratory

request form

5 mins.

Medical

Technologis

t

10 mins. -difficult extraction or

uncooperative patient,

30 mins - patient not in

their ER bed, due to

procedures like UTZ/

Xray

3 Charging

of Fees

through

MIS

Depends

on the

Laborat

ory

test/s

requeste

d

Charge Slip or

laboratory

request with

corresponding

price for each

test request

5 mins.

Medical

Technologis

t

10 mins. - increased number of

patients

- Downtime of MIS (

manual entry to LIS is

done )

4

Bar coding

and

Checking-

in of

specimen

through

LIS

None

Printed

barcode,

Laboratory

Request

5 mins.

Medical

Technologis

t

10 mins. -increased number of

patients

- Downtime of LIS

75

5

Performance of the test, validation and printing of results

None Laboratory

Request

25 mins.

- Hema,

CM/Para

50mins.

- Clin

Chem and

Serology

rapid tests

Medical

Technologis

t,

Pathologist

Resident or

Consultant

10 mins. -Hematology, Clinical

Microscopy and

Parasitology

1 hour -Routine

Clinical Chemistry and

Serology

2 hours -

Immunochemistry

For HIV/hepatitis

profile -

refer to TAT of Main

Laboratory (4 Hrs)

1 hour

- specimen is brought

to main lab for

processing and referral

6 Release of Laboratory Result

None

Result,

Releasing

Logbook ( In

Compliance to

Data Privacy

Act of 2012)

A. For patients

personally

claiming their

laboratory

results:

1. Present a

valid

identification

card/document

B. For

relatives or

other person

authorized by

the patient:

1. Present an

identification

card of the

patient with

signature.

2. Submit a

written

authorization

letter duly

signed by the

patient.

1 min.

Medical

Technologis

t

2 mins. - increased number of

patients claiming

results

76

C. BLOOD BANK

STE

P

ACTIVITIE

S FEE

DOCUMENTA

RY

REQUIREMEN

TS

MAXIMU

M TIME

RESPONSIBLE

OFFICER /

EMPLOYEE

ALLOWAB

LE PERIOD

OF

EXTENSIO

N

ACCEPTAB

LE REASON

1 Submission

of request

for Blood

Unit/s

None

Completely

filled out

request form

5 mins. Blood Bank Staff,

Attending Physician

30 mins. - Incompletely

filled out

request

form. - Long

queue

2 Reservation

of

Blood Units

None

Completely

filled out

Request

form

15 mins. Blood Bank Staff

30 mins.

-

Incompletel

y filled out

request

form

- Long

queue

3

Secure

crossmatchi

ng request

from

Blood Bank

None Crossmatching

Request form 5 mins. Blood Bank Staff

30 mins. - Blood

sample shared

with other sections

4

Submission

of blood

sample and

completely

filled out

crossmatchi

ng form

None Crossmatching

Request form 5 mins.

Blood Bank

Staff, Attending

Physician

30 mins.

-

Incompletely filled out

crossmatching

request forms

-Unlabelled Sample

- Labelled

sample does

not match entry in the

crossmatching

form

- Insufficient sample

77

5 Performanc

e of Tests None

Crossmatching

Request form,

Crossmatching

Result form,

Crossmatching

Logbook

4 hours Blood Bank Staff

Pathology Resident/consultant

1.5 hours - Incompatible

crossmatching

- Discrepant

blood typing

- For referral

6

Payment of

Fees/

Charging

for in-

patients

Processing

Fee: Packed RBC:

1,500.00

FFP: 1,000.00

Cryoprecipita

te: 1,000.00

Whole Blood:

1,800.00

Platelet Concentrate:

1,000.00

Charge Slip c/o Cashier Cashier c/o Cashier

7

Release of

Blood/

Blood

Component

s and other

Blood

Products

None

Properly filled

out blood

product

request slip

from

authorized

person

15 mins.

(Packed Red

Blood

Cells/Whole

Blood)

30

mins.(Fresh

Frozen

Plasma)

30

mins.(Platelet

Concentrate

&

Cryoprecipita

te)

Blood Bank Staff,

Attendant/Nurses/Doctors

30 mins. - Incompletely

filled out blood product

request slip

- Discrepant

blood typing in

the blood

product

request slip

- Failure to inform Blood

Bank for

thawing of

FFP and Cryoprecipitat

e

NOTE: Step 6 for In-patients and Hemodialysis patients only.

78

D. OUT PATIENT DEPARTMENT

STE

P ACTIVIT

IES

FEE DOCUMENT

ARY

REQUIREME

NTS

MAXIM

UM

TIME

RESPONSI

BLE

OFFICER /

EMPLOYE

E

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

1 Submissio

n of

Specimen

and /or

Laborator

y Request

Form

None Completely

filled out

laboratory

request form

10 mins. Laboratory

Receptionist,

Medical

Technologist

s,

Physician

15 mins.

- Incompletely filled

out Laboratory

Request Form.

- Unacceptable

sample

(clotted/hemolyzed,Q

NS,etc)

2 Charging

of Fees

Depends

on the

Laborator

y test/s

requested

(Please

refer to

test menu)

*Patients

who can

not afford

the test

fee/s shall

be

referred to

the

Medical

Social

Service

for

classificati

on.

Charge Slip or

Laboratory

Request with

corresponding

price for each

test request

for OPD

patients

-c/o

cashier

Laboratory

Receptionist,

Supervised

Medical

Technology

Interns,

Medical

Technologist

s

15 mins.

- Downtime of

HOMIS

79

3 Submissio

n of

Official

Receipt

for OPD

patients

and

Sample

Collection

None Official

Receipt ,

Completely

filled out

Laboratory

Request

Medical

Assistancce

Program

Endorsement

letter and

signed

chargeslip

15 mins. Laboratory

Receptionist,

Medical

Technologist

15 mins.


patients

- Difficult extraction

-Patient not in the

reception area.

- Uncooperative

patient

Exemption:

Patients availing

Medical Assistance

Program, Social

Service, Z- package,

Philhealth (Please

refer to Billing,

Medical Social

Service and Malasakit

Center Citizen's

Charter)

4 Checking-

in through

LIS,

performa

nce of the

test and

printing of

results

None Laboratory

Request

Please

refer to

Laborator

y Service

Menu

Laboratory

Receptionist,

Medical

Technologist

,

Pathologist,

Resident /

Consultant

90 mins

- Except Culture and

Sensitivity (1 day)


patient -

Prioritization of test to

be done

- Machine

breakdown

- Unavailability of

reagents /supplies

- Repeat testing

-Recollection of

sample

- Referral

5 Release of

Laborator

y Result

None Release

Logbook,

Laboratory

Result

For patients

personally

claiming their

laboratory

results:

1. Present a

valid

identification

card/document

10 mins

for OPD

patients

Medical

Technologist

15mins

- for OPD patients

-Tests for

confirmation

-Increased number of

patients

80

2. Present

Official

Receipt of

payment/ MAP

endorsement

letter

B. For

relatives or

other person

authorized by

the patient:

1. Present a

valid

identification

card/document

2. Present an

identification

card of the

patient with

signature

3. Submit a

written

authorization

letter duly

signed by the

patient

4. Present

Official

Receipt of

payment/MAP

endorsement

letter

(In compliance

to Data

Privacy Act)





AND



81

PHARMACY SERVICES

82

CITIZEN'S CHARTER IN PATIENTS - ONCOLOGY PHARMACY

STEP ACTIVITY FEE DOCUMENTARY REQUIREMENTS

MAXIMUM TIME

RESPONSIBLE PERSON/EMPLOYEE

ALLOWABLE PERIOD OF EXTENSION/ACCEPTABLE REASON

1 RECEIVE CHEMOTHERAPY PROTOCOL

NONE CHEMOTHERAPY PROTOCOL

1 MINUTE PHARMACIST

2 CHECK COMPLETENESS OF FORM AND DOSE


1 MINUTE PHARMACIST 3 MINUTES VERIFICATION OF DOSE

3

CHARGE MEDICINES TO PATIENT'S ACCOUNT IN HOMIS & PRINT CHARGE SLIP


1-3 MINUTES

PHARMACIST

4 PREPARE MEDICINES, LABELS AND FILL OUT CHEMOTHERAPY FORM

NONE CHEMOTHERAPY PROTOCOL AND CHEMOTHERAPY FORM

1-3 MINUTES

PHARMACIST 5 MINUTES

5 DOUBLE CHECK PREPARED LABELS & MEDICINES FROM CHEMO PROTOCOL


1 MINUTE PHARMACIST

6 RECONSTITUTION OF CHEMOTHERAPY DRUGS

NONE CHEMOTHERAPY PROTOCOL/ LABEL

15 MINUTES

PHARMACIST 20 MINUTES DEPENDING ON THE PROTOCOL

7

DOUBLE CHECK PREPARED IV ADMIXTURES FROM CHEMOTHERAPY PROTOCOL


1-2 MINUTES

PHARMACIST

83

8 INFORM THE WARD THAT MEDICINE IS READY FOR PICK UP


1 MINUTE PHARMACIST

9 RELEASE PREPARED MEDICINES TO NURSING ATTENDANT, CHARGE SLIP & CHEMO PROTOCOL FOR SIGNATURE


5 MINUTES PHARMACIST

10

RETRIEVE SIGNED CHEMOTHERAPY PROTOCOL


1 MINUTE PHARMACIST

OUT PATIENTS - ONCOLOGY PHARMACY W/ PHILHEALTH & MAIP

STEP

ACTIVITY FEE DOCUMENTARY REQUIREMENTS

MAXIMUM TIME



1 RECEIVE CHEMOTHERAPY PROTOCOL

NONE CHEMOTHERAPY PROTOCOL PHILHEALTH AVAILMENT FORM AND GUARANTEE LETTER (MAIP)

1 MINUTE PHARMACIST

2 CHECK COMPLETENESS OF FORMS, PRESCRIPTIONS &DOSE CHECK LATEST UPDATED RECORD OF MAIP FUNDS DULY SIGNED BY

NONE PRESCRIPTION CHEMOTHERAPY PROTOCOL GUARANTEE LETTER (MAIP)

2 MINUTE PHARMACIST

3 MINUTE REFERRAL OF DOSE AND COMPLETION OF DOCUMENTARY REQUIREMENTS OF PATIENTS

84

PERSONNEL ASSIGNED IN MALASAKIT CENTER

PHILHEALTH AVAILMENT FROM(OPD PHILHEALTH) SENIOR CITIZENS/PWD - VALID ID & MEDICINES PURCHASE BOOKLET

3 CHARGE MEDICINES AND MEDICAL SUPPLIES USED TO PATIENT'S ACCOUNT IN HOMIS


1-3 MINUTES

PHARMACIST

4 PREPARE MEDICINES, LABELS AND FILL OUT CHEMOTHERAPY FORM

NONE CHEMOTHERAPY PROTOCOL AND CHEMOTHERAPY FORM

1-3 MINUTES


5 DOUBLE CHECK PREPARED MEDICINES AND LABELS AGAINST CHEMOTHERAPY PROTOCOL

NONE CHEMOTHERAPY PROTOCOL AND LABEL

1 MINUTE PHARMACIST

6 PREPARE IV ADMIXTURES OF CHEMOTHERAPY DRUGS


15 MINUTES

PHARMACIST 20 MINUTES DEPENDING ON THE PROTOCOL

7 DOUBLE CHECK PREPARED MEDICINES AGAINST


1-2 MINUTES

PHARMACIST

85

CHEMOTHERAPY PROTOCOL

8 INFORM ONCOLOGY NURSE THAT THE MEDICINES ARE READY FOR PICK UP


1 MINUTE PHARMACIST

OUT-PATIENT SALES

STEP


MAXIMUM TIME



1 PRICE PRESCRIPTION & PRINT CHARGE SLIP

NONE PRESCRIPTION SENIOR CITIZENS/PWD - VALID ID & BOOKLET

1 MINUTE PHARMACIST

2 INSTRUCT PATIENT TO PAY TO THE CASHIER

NONE CHARGE SLIP

1 MINUTE PHARMACIST

3 RECEIVE CHARGE SLIP, OFFICIAL RECEIPT & COPY THE OR NUMBER

NONE CHARGE SLIP OFFICIAL RECEIPT

1 MINUTE PHARMACIST

4

DISPENSE MEDICINE W/ PATIENT COUNSELLING

NONE 1-3 MINUTES


OR SATELLITEPHARMACY - IN PATIENTS


MAXIMUM TIME



1 RECEIVE AND CHECK PRESCRIPTIONS FOR COMPLETENESS & VALIDITY

NONE

PRESCRIPTIONS RESTRICTED ANTIBIOTIC SURVEILLA

2 MINUTES

PHARMACIST 10 MINUTE VERIFICATION OF APPROVAL OF RESTRICTED ANTIBIOTICCS

86

NCE (RAS) FORMS FOR RESTRICTED ANTIBIOTICS

2 CHARGE PRESCRIPTIONS TO PATIENT'S ACCOUNT IN HOMIS AND PRINT CHARGE SLIP

NONE

PRESCRIPTIONS

5 MINUTES

PHARMACIST 10 MINUTES - WAITING FOR CONFIRMATION OF APPROVAL OF RESTRICTED ANTIBIOTICS

3 PREPARE MEDICINES NONE

PRESCRIPTION

5 MINUTES

PHARMACIST

4 DISPENSE MEDICINES TO NURSE/NURSING ATTENDANT/ANESTHESIOLOGIST

NONE

PRESCRIPTION

5 MINUTES

PHARMACIST

5 TALLY DISPENSED MEDICINES W/ NURSE/NURSING ATTENDANT/ANESTHESIOLOGIST

NONE

PRESCRIPTION CHARGE SLIP

5 MINUTES

PHARMACIST

6 ISSUE PRESCRIPTION FOR SIGNATURE AND CHARGE SLIP TO NURSE/NURSING ATTENDANT/ANESTHESIOLOGIST

NONE


3 MINUTES

PHARMACIST

7 RETRIEVE SIGNED PRESCRIPTIONS FROM NURSE/NURSING ATTENDANT

NONE

PRESCRIPTION

2 MINUTES

PHARMACIST

IN PATIENTS & ADMISSION - MAIN PHARMACY


MAXIMUM TIME



1 RECEIVE AND CHECK PRESCRIPTIONS FOR

NONE PRESCRIPTIONS RESTRICTED ANTIBIOTIC SURVEILLAN

2 MINUTES

PHARMACIST 10 MINUTE VERIFICATION OF APPROVAL OF RESTRICTED ANTIBIOTICCS

87

COMPLETENESS & VALIDITY

CE (RAS) FORMS FOR RESTRICTED ANTIBIOTICS

2 CHARGE PRESCRIPTIONS TO PATIENT'S ACCOUNT IN HOMIS AND PRINT CHARGE SLIP

NONE PRESCRIPTIONS

5 MINUTES

PHARMACIST 10 MINUTES - WAITING FOR CONFIRMATION OF APPROVAL OF RESTRICTED ANTIBIOTICS

3 PREPARE MEDICINES

NONE PRESCRIPTION

20 MINUTES

PHARMACIST

4 DISPENSE MEDICINES TO NURSE/NURSING ATTENDANT

NONE PRESCRIPTION

10 MINUTES

PHARMACIST

5 TALLY DISPENSED MEDICINES W/ NURSE/NURSING ATTENDANT

NONE PRESCRIPTION CHARGE SLIP

10 MINUTES

PHARMACIST

6 ISSUE PRESCRIPTION FOR SIGNATURE AND CHARGE SLIP TO NURSE/NURSING ATTENDANT RETRIEVE SIGNED PRESCRIPTIONS AND PHARMACY COPY OF CHARGE SLIPS

NONE PRESCRIPTION CHARGE SLIP

3 MINUTES

PHARMACIST

88

OUT PATIENT - SALES/MAIN PHARMACY

PATIENT/S - PRESENT PRESCRIPTION AT WINDOW 4 PRIORITY WILL BE GIVEN TO SENIOR CITIZENS, PWD & PREGNANT WOMEN


MAXIMUM TIME



1 RECEIVE & CHECK PRESCRIPTION/S FOR COMPLETENESS, VALIDITY & AVAILABILITY OF PRESCRIBED MEDICINES OR MEDICAL SUPPLIES *Return prescriptions of non-PNF medicines to patient/watcher

NONE

PRESCRIPTION SENIOR CITIZENS/PWD - VALID ID & MEDICINES PURCHASE BOOKLET

3 MINUTES

PHARMACIST

2 PRICE PRESCRIPTIONS INFORM TOTAL AMOUNT TO THE PATIENT & PRINT CHARGE SLIP

NONE

PRESCRIPTION SENIOR CITIZENS/PWD - VALID ID & MEDICINES PURCHASE BOOKLET

5 MINUTES

PHARMACIST 7 MINUTES ADJUSTMENT OF THE QUANTITY OF MEDICINES TO BE PAID NOT TO EXCEED A SPECIFIED AMOUNT

3 INSTRUCT PATIENT TO PAY TO THE CASHIER & TO QUEUE AT WINDOW 2 AFTER PAYING FOR THE DISPENSING OF PAID MEDICINES/SUPPLIES

NONE

CHARGE SLIP 3 MINUTES

PHARMACIST

89

4 RECEIVE CHARGE SLIP, OFFICIAL RECEIPT & COPY THE OFFICIAL RECEIPT #

NONE

CHARGE SLIP OFFICIAL RECEIPT

3 MINUTES

PHARMACIST

6 DISPENSE MEDICINE W/ PATIENT COUNSELLING

NONE


5 MINUTES

PHARMACIST

OUT PATIENT - PHILHEALTH, w/ MAIP & PCSO GUARANTEE LETTERS

PATIENT - PRESENT PRESCRUIPTION/S AT WINDOW 4 PRIORITY WILL BE GIVEN TO SENIOR CITIZENS, PWD & PREGNANT WOMEN


MAXIMUM TIME



1 RECEIVE & CHECK PRESCRIPTIONS & DOCUMENTS FOR COMPLETENESS, VALIDITY, LATEST UPDATE AND DATE OF VALIDITY

NONE

PRESCRIPTION SENIOR CITIZENS/PWD - VALID ID & MEDICINES PURCHASE BOOKLET MAIP & PCSO BENEFICIARIES - GUARANTEE LETTERS OPD PHILHEALTH - PHILHEALTH AVAILMENT FORM HEMODIALYSIS PATIENTS - REFILL FORM FOR ERYTHROPOE

3 MINUTES

PHARMACIST 5 MINUTES - ADDITIONAL INSTRUCTIONS TO PATIENTS TO COMPLETE REQUIREMENTS OR HAVE THEIR DOCUMENTS UPDATED

90

ITIN ALFA/BETA

2 RETRIEVE & CHECK LATEST OPD ENCOUNTER IN HOMIS

NONE

2 MINUTES

PHARMACIST

3 CHARGE PRESCRIPTIONS TO PATIENT'S ACCOUNT IN HOMIS MAXIMUM AVAILMENT FOR MAIP PATIENTS - 1 MONTH CONSUMPTION ONLY FOR MAINTENANCE MEDICINES ERYTHROPOETIN - 1 PREFILLED SYRINGE ONLY PER SCHEDULE

NONE

PRESCRIPTION

5 MINUTES

PHARMACIST

4 PRINT 2 COPIES OF CHARGE SLIPS & ISSUE TO PATIENT/WATCHER FOR SIGNATURE

NONE

CHARGE SLIP

3 MINUTES

PHARMACIST

5 RETRIEVE 1 COPY OF THE SIGNED CHARGE SLIP

NONE

CHARGE SLIP 5 MINUTES

PHARMACIST

7 DISPENSE MEDICINES/MEDICAL SUPPLIES TO

NONE

PRESCRIPTION

5 MINUTES

PHARMACIST

91

PATIENT WITH COUNSELLING

OUT PATIENTS - COSTING OF MEDICINES & MEDICAL SUPPLIES

OUT PATIENT - PHILHEALTH, w/ MAIP & PCSO GUARANTEE LETTERS

PATIENTS WILL QUEUE AT WINDOW 2 PRIORITY WILL BE GIVEN TO SENIOR CITIZENS, PWD & PREGNANT WOMEN

STEP


MAXIMUM TIME



1 RECEIVE & CHECK PRESCRIPTIONS & DOCUMENTS FOR COMPLETENESS & VALIDITY

NONE PRESCRIPTION HEMODIALYSIS PATIENTS - LATEST CLINICAL ABSTRACT FOR THE LAST 3 MONTHS

3 MINUTES

PHARMACIST

2 PRICE PRESCRIPTIONS *MAXIMUM QUANTITY TO BE PRICED IS ONE (1) MONTH CONSUMPTION OF MAINTENANCE MEDICINES

NONE PRESCRIPTIONS

4 MINUTES

PHARMACIST

3 PRINT & ISSUE COSTING/CHARGE SLIP TO PATIENT/WATCHER

NONE PRESCRIPTION

4 MINUTES

PHARMACIST 6 MINUTES REVISIONS IN PATIENT'S DATA

92

OPD SATELLITE PHARMACY

PATIENTS - PRESENT PRESCRIPTION AT THE COUNTER PRIORITY WILL BE GIVEN TO SENIOR CITIZENS, PWD & PREGNANT WOMEN

STEP

ACTIVITY FEE

DOCUMENTARY REQUIREMENTS

MAXIMUM TIME



1 RECEIVE PRESCRIPTION CHECK COMPLETENESS, VALIDITY & AVAILABILITY OF PRESCRIBED MEDICINE/S OR MEDICAL SUPPLIES *Return prescriptions of non-PNF medicines to patient/watcher

NONE

PRESCRIPTION SENIOR CITIZENS/PWD - VALID ID & SENIOR CITIZENS BOOKLET

3 MINUTES

PHARMACIST

2 PRICE PRESCRIPTIONS, INFORM TOTAL AMOUNT TO THE PATIENT & PRINT CHARGE SLIP

NONE

PRESCRIPTION SENIOR CITIZENS/PWD - VALID ID & SENIOR CITIZENS BOOKLET

3 MINUTES

PHARMACIST 5 MINUTES ADJUSTMENT OF THE QUANTITY OF MEDICINES TO BE PAID EQUIVALENT TO A SPECIFIED AMOUNT

3 RECEIVE PAYMENT OF PRESCRIPTIONS FROM PATIENT AND ENDORSE IT TO THE CASHIER INSTRUCT PATIENT TO WAIT FOR NAME TO BE CALLED

NONE


3 MINUTES

3 RETRIEVE PAID MEDICINES FROM CASHIER & COPY THE OFFICIAL RECEIPT NUMBER ON THE CHARGE SLIP

NONE

PRESCRIPTION CHARGE SLIP OFFICIAL RECEIPT

3 MINUTES

PHARMACIST

93

4 PREPARE MEDICINES & CALL OUT THE NAME OF THE PATIENT

NONE

PRESCRIPTION CHARGE SLIP OFFICIAL RECEIPT

3 MINUTES

PHARMACIST

6 DISPENSE MEDICINE W/ PATIENT COUNSELLING RETURN PARTIALLY FILLED PRESCRIPTIONS TO PATIENTS INSTRUCT PATIENTS THAT FILLED PRESCRIPTIONS WILL BE RETAINED BY THE PHARMACY

NONE


5 MINUTES

PHARMACIST

94

PHYSICAL THERAPY SERVICES

95

OPD NEW PATIENT ( WALK-IN, NON ORTHO, ORTHO SERVICE PATIENTS

OPD OLD PATIENTS

STEP ACTIVITIES

FEE DOCUMENTARY REQUIREMENTS

MAXIMUM TIME

RESPONSIBLE

OFFICER/EMPLOYEE



MAXIMUM TIME




NONE PT Prescription form, BGHMC inter Departmental Referral form

5 MINUTES

PT CONTROL OFFICER

20 – 30 MINUTES Increase number of patients The control officer assist the Physiatrist The section is having a conference /meeting Availability of room for check-Up/treatment

2 PHYSIATRIST EVALUATION/ASSESSMENT

(30 MINUTES)

NONE BGHMC Rehab med Form, PT notes form

30 MINUTES

PHYSIATRIST

3 SCHEDULING NONE PT Schedule (Computer), PT patient Schedule form

5 MINUTES

PT CONTROL OFFICER

4 KIOSK

15 mins before the scheduled time

NONE 2-3 MINUTES

PT staff


50.00 HOMIS 3 mins PT control Officer

5 PT ASSESSMENT AND TREATMENT

50.00 None 1-2 HOURS

PT

6 DOCUMENTATION NONE PT I.E FORM, PT PEDIATRIC I.E FORM , PT NOTE FORM

10 MINUTES

PT staff

96

ACCEPTABLE REASSON

1 RECEIVING OF SCHEDULED PATIENT

None PT OPD schedule

5 mins PT control officer

20 – 30 MINUTES Increase number of patients The control officer assist the Physiatrist The section is having a conference /meeting Availability of room for check-Up/treatment

2 KIOSK

15 mins before the scheduled time

PT OPD schedule

2- 3 PT staff


50.00 HOMIS 3 mins PT Control Officer

4 PT ASSESSMENT AND TREATMENT

None None 1- 2 hours PT staff

5 DOCUMENTATION None PT I.E FORM, PT PEDIATRIC I.E FORM , PT NOTE FORM

10 mins PT staff

OPD NEW ORTHO (CONSULTANTS)

STEP ACTIVITIES FEE DOCUMMENTARY REQUIREMENTS

MAXIMUM TIME




None PT Prescription form, BGHMC inter Departmental Referral form

5 mins PT control officer

Increase number of patients The control officer assist the Physiatrist The section is having a conference /meeting

2 SCHEDULING OF PATIENT

None PT Schedule (Computer), PT patient Schedule form, ortho consultant referral

5 mins PT CONTROL OFFICER

97

3 PREPARATION OF CHARGE SLIP

None HOMIS 3 mins PT CONTROL OFFICER

Availability of room for check-Up/treatment

4 PT and OT ASSESSEMENT AND TREATMENT

50.00 None 1 to 2 hours

PT staff

5 DISPOSITION AND DOCUMENETATION

None PT note form 10 mins PT staff

IPD SERVICE PATIENT


MAXIMUM TIME



1 RECEIVING OF REFERRAL None In-patient Referral, PT In- patient monitoring form

3 Mins PT control officer


2 PT/OT ASSESSMENT AND TREATMENT

35.00 None 45 – 60 Mins

PT staff

3 DOCUMMENTATION None PT note form, PT in-patient monitoring form

5 Mins PT staff

4 CHARGING 35.00 HOMIS 2 Mins PT staff

IPD PRIVATE PATIENT


MAXIMUM TIME



1 RECEIVING OF REFERRAL NONE In- Patient referral form

3 Mins Control Officer

98

2 PHYSIATRIST EVALUATION AND PT TREATMENT

None 45-60 mins Physiatrist in charge and PT staff


3 DOCUMMENTATION None Physicians order sheets, PT notes form, PT in-patient monitoring form

5 mins Physatrist and PT staff

4 CHARGING Payward 75.00, Semi Private 100.00, Private 125.00

HOMIS 2 mins PT staff

99

RADIOLOGY SERVICES

100

MAMMOGRAPHY PROCEDURES

STEP

ACTIVITIES

FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON OPD IN

1 1

REQUEST FORMS

EVALUATED AND

PRICED/CHARGED.

Please

see

Mammo

Pricelist

Radiology Request

form

(MAMMOGRAPHY)

5 mins.

Radiologic

Technologist 10 mins.

2

WATCHER /

PATIENT TO PAY

AT CASHIER on

scheduled date of

procedure or REFER

TO SOCIAL

SERVICE prior to

scheduled date of

procedure.

None

Radiology Request

Form

(MAMMOGRAPHY)

and charge slip

5 mins.

Cashier/Social

worker

1 hour

3 2

THE REQUEST

FORM ARE

LOGGED on the day

of the procedure

(after payment or

social service action)

None

Radiology Request

form

(MAMMOGRAPHY)

; X-RAY registration

form; official receipt

or social service

action.

5 min

Radiologic


4 3

DO THE MAMMO

PROCEDURES /

Secure Informed

Consent for

Intervention Special

Procedure

None

Radiology Request

form

(MAMMOGRAPHY)

30 mins. Radiologic

Technologist 1 hour

5 4

PROCESS OR

GENERATE

MAMMO IMAGES

THRU

COMPUTERIZED

RADIOGRAPHY

SYSTEM IMAGES

None

Radiology Request

Form

(MAMMOGRAPHY) 10 mins.

Radiologic

Technologist 30 mins

101

6 5

EVALUATION OF

MAMMO IMAGES

(QUALITY

ASSURANCE),

SEND TO PICTURE

ARCHIVING AND

COMMUNICATION

SYSTEM

None

Radiology Request

Form

(MAMMOGRAPHY) 5 mins.

Radiologic

Technologist/

Mammo

Radiology

Resident

Rotator

30 mins

7 6

MAMMO IMAGES

READING/

INTERPRETATION

AND PROOF

READING

None

Radiology Request

form

(MAMMOGRAPHY);

Mammography Result

form.

24 hours

Radiologist

(Breast

Specialist) /

Radiology

Resident

Mammo

Rotator

48 hours

8 7 TYPE/ ENCODE

MAMMO RESULTS None

Radiology Request

form

(MAMMOGRAPHY);

Mammography Result

form.

5 mins

Radiology

Resident

Mammo

Rotator

10 mins

9 8 RELEASING OF

RESULT None

OPD/ER: MAMMO

result, official receipt

and Letter of

Authorization if

necessary.

IN: MAMMO result,

IN patients receiving

Logbook

5 mins

Radiologic

Technologist/

Clerk

20 mins

102

COMPUTED TOMOGRAPHY PROCEDURES

STEP

ACTIVITIES

FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON OPD IN ER

1 1 1

REQUEST FORMS

EVALUATED AND

PRICED/CHARGED.

Please

see CT

Scan

price

list

Radiology Request

Form (CT SCAN);

Other Medical

Imaging Result;

For CONTRAST

STUDIES:

CREATININE

Result

10 mins.

Radiologic

Technologist/

Radiology

Resident CT

Scan Rotator

30 mins

2 2 SCHEDULING OF

PROCEDURE None

Radiology Request

Form (CT SCAN) 5 mins

Radiologic


3

WATCHER /

PATIENT TO PAY

AT CASHIER on

scheduled date of

procedure or REFER

TO SOCIAL

SERVICE prior to

scheduled date of

procedure.

None

Radiology Request

Form (CT SCAN)

and charge slip

5 mins.

Cashier/Social

worker

1 hour

4 3 2

SECURE

INFORMED

CONSENT (Special

Procedure)

None INFORMED

CONSENT 5 mins

Radiologic

Technologist/

Radiology

Resident

ULTRASOUND

Rotator

10 mins

5 4 3

THE REQUEST

FORM ARE

LOGGED on the day

of the procedure

(after payment or


None

Radiology Request

form (CT SCAN) ;

CT SCAN

registration form;

official receipt or

social service

action.

5 mins.

Radiologic


6 5 4

DO THE CT SCAN

PROCEDURE

None

Radiology Request

Form (CT SCAN)

5 mins.

Radiologic

Technologist

1 hour

103

7 6 5

IMAGES ARE

EVALUATED AND

PROCESSED

None Radiology Request

Form (CT Scan) 15 mins

Radiologic

Technologist/

Radiology

Resident CT

Scan Rotator

8 7 6

PROCESS OR

GENERATE

CT SCAN IMAGES

THRU

COMPUTERIZED

RADIOGRAPHY

SYSTEM IMAGES

SENT TO PICTURE

ARCHIVING AND

COMMUNICATION

SYSTEM


Form (CT SCAN) 5 mins.

Radiologic


9 8 7

CT IMAGES

READING/

INTERPRETATION

AND PROOF

READING

None

Radiology Request

Form (CT SCAN) 24 hours

Radiologist CT

Scan

Consultant;

Radiology

Resident CT

Scan Rotator

72 hours

10 9 8 ENCODE/ SAVE TO

FILES None

Radiology Request

Form (CT SCAN);

CT SCAN result

form

10 mins.

Radiology

Resident CT

Scan Rotator

30 mins.

11 10 9 ISSUANCE OF

RESULTS None

OPD/ER: CT

result, official

receipt and Letter

of Authorization if

necessary.

IN: CT result, IN

patients receiving

Logbook

5 mins.

Radiologic

Technologist/

Clerk

20 mins.

104

X-RAY ROUTINE PROCEDURES

STEP

ACTIVITIES

FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON OPD ER/IN

1 1

REQUEST FORMS

EVALUATED AND

PRICED/CHARGED.

Please

see x-

ray

price

list

Radiology Request

Form (X-RAY) 5 mins.

Radiologic

Technologist

30 mins

2

WATCHER /

PATIENT TO PAY

AT CASHIER or

REFER TO SOCIAL

SERVICE.

None

Radiology Request

Form (X-RAY)

and charge slip

5 mins.

Cashier/Social

worker 1 hour

3 2

THE REQUEST

FORM ARE

LOGGED on the day

of the procedure

(after payment or


None

Radiology Request

form (X-RAY) ;

X-RAY

Registration form;

official receipt or

social service

action.

5 mins.

Radiologic


4 3

DO THE X-RAY

PROCEDURE

None

Radiology Request

Form (X-RAY)

30 mins.

Radiologic

Technologist

1 hour

5 4

PROCESS OR

GENERATE

X-RAY IMAGES

THRU

COMPUTERIZED

RADIOGRAPHY

SYSTEM IMAGES



Radiologic


6 5

EVALUATION OF

XRAY IMAGES

(QUALITY

ASSURANCE),

SEND TO PICTURE

ARCHIVING AND

COMMUNICATION

SYSTEM



Radiologic

Technologist/

X-ray

Radiology

Resident

Rotator

30 mins

7 6

X-RAY IMAGES

READING/

INTERPRETATION


Form (X-RAY) 24 Hours

Radiologist

Consultant;

Radiology

48 hours

AND PROOF

READING

Resident X-

RAY Rotator

105

8 7 ENCODE/ SAVE TO

FILES None

Radiology Request

Form (X-RAY);

X-RAY result

form

10 mins.

Radiology

Resident X-

RAY Rotator

30 mins.

9 8 ISSUANCE OF

RESULTS None

OPD/ER:X-RAY

result, official

receipt and Letter

of Authorization if

necessary.

IN: X-RAY

result, IN patients

receiving Logbook

5 min.

Radiologic

Technologist/

Clerk

20 mins.

106

X-RAY SPECIAL PROCEDURES

STEP ACTIVITIES FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON OPD IN

1 1

REQUEST FORMS

EVALUATED AND

PRICED/CHARGED.

Please

see X-

ray

pricelist

Radiology Request


Radiologic

Technologist

30 mins

2 2 SCHEDULING OF

PROCEDURE None

Radiology Request


Radiologic


3

WATCHER /

PATIENT TO PAY

AT CASHIER on

scheduled date of

procedure or REFER

TO SOCIAL

SERVICE prior to

scheduled date of

procedure.

None

Radiology Request

Form (X-RAY)

and charge slip

5 mins. Cashier/Social

worker 1 hour

4 3

THE REQUEST

FORM ARE

LOGGED on the day

of the procedure

(after payment or


None

Radiology Request

form (X-RAY) ;

X-RAY

registration form;

official receipt or

social service

action.

5 mins.

Radiologic


5 4

SECURE

INFORMED

CONSENT

None INFORMED

CONSENT 5 mins

Radiologic

Technologist/

Radiology

Resident XRAY

Rotator

10 mins

6 5

DO THE X-RAY

PROCEDURE

None

Radiology Request

Form (X-RAY)

1 hour

Radiologic

Technologist

3 hours

7 6 PROCESS OR

GENERATE None

Radiology Request


Radiologic


107

X-RAY IMAGES

THRU

COMPUTERIZED

RADIOGRAPHY

SYSTEM IMAGES

8 7

EVALUATION OF

XRAY IMAGES

(QUALITY

ASSURANCE),

SEND TO PICTURE

ARCHIVING AND

COMMUNICATION

SYSTEM



Radiologic

Technologist/

X-ray Radiology

Resident Rotator

30 mins

9 8

X-RAY IMAGES

READING/

INTERPRETATION

AND PROOF

READING

None

Radiology Request

Form (X-RAY) 24 Hours

Radiologist

Consultant;

Radiology

Resident X-

RAY Rotator

48 hours

10 9 ENCODE/ SAVE TO

FILES None

Radiology Request

Form (X-RAY);

X-RAY result

form

10 mins.

Radiology

Resident X-

RAY Rotator

30 mins.

11 10 ISSUANCE OF

RESULTS None

OPD/ER:X-RAY

result, official

receipt and Letter

of Authorization if

necessary.

IN: X-RAY

result, IN patients

receiving Logbook

5 mins.

Radiologic

Technologist/

Clerk

20 mins.

108

MRI PROCEDURES

STEP ACTIVITIES FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON OPD IN

1 1

REQUEST FORM

AND CHECKLIST &

INFORMED

CONSENT

EVALUATED AND

PRICED/CHARGED.

Please see

MRI

pricelist

Radiology Request

Form (MRI);

Other Medical

Imaging Result;

For CONTRAST

STUDIES:

CREATININE

Result

10 mins.

Radiologic

Technologist/

Radiology

Resident MRI

Rotator

30 mins

2 2 SCHEDULING OF

PROCEDURE None

Radiology Request

Form (MRI)

10 mins

Radiologic

Technologist/

Radiology

Resident MRI

Rotator

30 mins

3

WATCHER /

PATIENT TO PAY

AT CASHIER on

scheduled date of

procedure or REFER

TO SOCIAL

SERVICE prior to

scheduled date of

procedure.

None

Radiology Request

Form (MRI) and

charge slip

5 mins.

Cashier/Social

worker

1 hour

4 3

THE REQUEST

FORM ARE

LOGGED on the day

of the procedure

(after payment or


None

Radiology Request

form (MRI) ; MRI

registration form;

official receipt or

social service

action.

5 mins.

Radiologic


5 4 DO THE MRI

PROCEDURE None

MRI Request,

Creatinine Result 4 hours

Radiologic

Technologist 6 hours

6 5

IMAGES ARE

EVALUATED AND

PROCESSED


Form (MRI) 15 mins

Radiologic

Technologist/

Radiology

30 mins.

Resident MRI

Rotator

109

7 6

IMAGES ARE SENT

TO PICTURE

ARCHIVING AND

COMMUNICATION

SYSTEM


Form (MRI) 10 mins

Radiologic


8 7

MRI IMAGES

READING,

INTERPRETATION

AND PROOF

READING

None MRI Findings 5 Working

Days

Radiologist

Consultant;

Radiology

Resident MRI

Rotator

7 working days

9 8 ENCODE AND

SAVE TO FILES None MRI Findings 30 mins

Radiology

Resident MRI

Rotator

1 hour

10 9 ISSUANCE OF MRI

IMAGES IN A CD None Doctors Request 15 mins

Radiologic

Technologist

30 mins

11 10 ISSUANCE OF

RESULTS None

OPD/ER: MRI

result, official

receipt and Letter

of Authorization if

necessary.

IN: MRI result, IN

patients receiving

Logbook

5 mins Radiologic


110

ULTRASOUND PROCEDURES

STEP ACTIVITIES FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

OPD IN

1 1

REQUEST FORM

EVALUATED AND

PRICED/CHARGED.

Please see

ultrasound

price list

Radiology Request

Form

(ULTRASOUND);

Other Medical

Imaging Result

10 mins.

Radiologic

Technologist/

Radiology

Resident

ULTRASOUND

Rotator

30 mins

2 2 SCHEDULING OF

PROCEDURE None

Radiology Request

Form

(ULTRASOUND)

10 mins

Radiologic

Technologist/

Radiology

Resident

ULTRASOUND

Rotator

30 mins

3

WATCHER /

PATIENT TO PAY

AT CASHIER on

scheduled date of

procedure or REFER

TO SOCIAL

SERVICE prior to

scheduled date of

procedure.

None

Radiology Request

Form

(ULTRASOUND)

and charge slip

5 mins.

Cashier/Social

worker

1 hour

4 3

THE REQUEST

FORM ARE

LOGGED on the day

of the procedure

(after payment or


None

Radiology Request

form

(ULTRASOUND)

; ULTRASOUND

registration form;

official receipt or

social service

action.

5 mins.

Radiologic


5 4

SECURE

INFORMED

CONSENT (Special

Procedure,

TVS,TRUS,Breast,

Inguino Scrotal

ultrasound

procedures)

None INFORMED

CONSENT 5 mins

Radiologic

Technologist/

Radiology

Resident

ULTRASOUND

Rotator

10 mins

111

6 5 PERFORMANCE

OF PROCEDURE None

Radiology Request

Form

(ULTRASOUND); 1 hour

Radiologic

Technologist 4 hours

7 6

ULTRASOUND

IMAGES ARE SENT

TO PICTURE

ARCHIVING AND

COMMUNICATION

SYSTEM

None

Radiology Request

Form

(ULTRASOUND) 5 mins

Radiologic


8 7

ULTRASOUND

IMAGES READING,

INTERPRETATION

AND PROOF

READING


Form (Ultrasound) 1 hour

Radiology

Resident

ULTRASOUND

Rotator

2 hours

9 8 ISSUANCE OF

RESULTS None

OPD/ER: Ultrasound result,

official receipt and

Letter of

Authorization if

necessary.

IN: Ultrasound

result, IN patients

receiving Logbook

5 mins Radiologic


112

UNDER FIVE CLINIC SERVICES

113

STEP ACTIVITIES FEE

NECESSARY

MAXIMUM

RESPONSIBLE

ALLOWABLE PERIOD

FORM TIME OFFICER/

STAFF OF

EXTENSION

ACCEPTABLE

REASON

TRIAGE

3 minutes

1

Starts at 7:00 AM (M-F), 8:00 AM Saturdays

Yellow Growth Chart

A. Patients are classified and issued numbers

Newborn Record

TRIAGE

(first come-first served)

Other Health Records

Officer of the day

B. Temperature taking of Newborn babies and

patients with fever

2

REGISTRATION

Registration time starts at 7:00 A.M. ends at 2:30 P.M.daily

except:

Thursday starts 7:00 A.M. ends at 12:00

noon

Saturday starts at 8:00 A.M ends at 11:00

A.M.

New Patient:

A. Filling up of information sheet

Yellow Growth

20 minutes

Staff assigned in

Absence of Registration clerks

B. Interview/ recording of patient's personal

Chart for new patient

the registration

area (all temporary)

information and pertinent data in the yellow growth

Other Health Records

5 minutes

(Administrative

Multitasking of other staff

114

chart, treatment card and in the clinic's masterlist logbook

Information Sheet

for old patient

Assistant) Language/dialect barrier

C. Encoding of pertinent data in the computer.

deaf/mute, no interpreter

D. Payment of yellow growth chart or temporary card

Php20

Cashier

E. Checking of receipt , issuance of

Staff assigned in

the

filled-up yellow growth chart

Registration area

F. Socio Economic Classification

Social Worker

G. Advise on the use of Yellow Growth Chart

Staff assigned in

the

Registration

area

3

GROWTH MONITORING

Growth Chart

8 minutes

Midwife/ Nurse

A. Taking of anthropometric

measurements such as weight,length and

5 minutes

head circumference.

B. Plotting, recording of measurements

Uncooperative patient

C. Teaching, counseling parents/guardians

D. Giving of Antipyretics when necessary

115

4

ANEMIA DETECTION

Growth Chart

5-10 minutes Medical

A. Hemoglobin determination-

blood extraction

Uncooperative

patient

B. Educating parents/guardians

per patient

Technologist

on the effect of iron deficiency on

the growth and development of

children.

5

ASSESSMENT

Growth Chart

A. Clinical Assessment

30 minutes

for Nurses

5 minutes

complicated cases

Midwives

B. Review of Yellow Growth Chart data

10-20 minutes

uncooperative

patient

for mild

to

C. History taking/ physical examination

moderate cases

D. Educating, counseling parents/guardians on health

concerns

E. Preparing request for appropriate diagnostic

Lab request

form

exams Radiology

request form

F. Preparing Prescription of appropriate medicines.

Prescription form

116

6

NUTRITION

A. Assessment and evaluation of nutritional

Growth Chart

10-20 minutes

Nutritionist/ 5 minutes

status of patient.

per patient

Midwives/

Nurses

B. Educating parents/ guardians on proper

nutrition and breastfeeding.

C. Teaching mothers on how to sustain

breastfeeding

D. Counseling parents on responsible

Referral form

parenthood.

7

IMMUNIZATION

Schedule of immunizations:

BCG- 2nd & 4th Thursdays A.M. only

All other immunizations- Monday to Saturday

A. Payment of needle & syringe.

Php10 Cashier

per

B. Recording of immunization status

needle/

Growth Chart

nurse 5 minutes

syrin

ge

uncooperative

C. Administration of necessary vaccines

5 minutes

patient

to patient.

per

vaccine

D.Administration of IM medication as necessary.

administration

E. Skin testing.

117

F. Educating parents as to the importance

and reaction of vaccines/IM medication.

8

CONSULTATION

A. Assessment/evaluation/ management of

Growth Chart

5-15 minutes

Physician/ 5-60 minutes

acute/chronic illness. Referral

form per

patient Resident on

Duty Depends on the

required

medical management (e.g

B. Preparation of Patient's Chart for admission

Admission Chart

Nurse in-charge

nebulization, oral hydration,

and notification of ward concerned

(Prescription form,

laboratory confirmation)

laboratory request,

Uncooperative patient

radiology request form)

9

PHARMACY

A. Reviewing the notes in the treatment

Growth Chart

5-10 minutes

Pharmacist

card and verification of the prescribed

per patient

medicines conform/correspond to what

was ordered by the physician

B. Payment of medicines depends on

Filled out Cashier Depends on the

queue of

cost of

prescription

patient in the

cashier

medicines

C. Dispensing of medicines

118

WOMEN AND CHILDREN PROTECTION UNIT (WCPU) SERVICES

119

STEP ACTIVITIES FEE NECESSARY FORM MAXIMUN

TIME RESPONSIBLE OFFICER/STAFF


1 ENTRY OF PATIENTS 1.Greet the patient 2.Intdoruce herself, the Unit’s services 3. Ask the purpose of the visit

none 2 Social Worker(SW)

2 TRIAGE 1.Identify urgency of the condition whether with complications/not and / incident is urgent (within 72 hrs) or non- urgent(>72hrs)

none Quick check form 5 SW/WCPU physician

30 minutes-if there is no SW on duty. -If during the day ,the WCPU physician attends meetings, seminars, errands ,etc

2. Identify legal age of Client

none SW/Physician

3. Identify type of abuse and the particular department involved 4.Call the resident on duty

none 2 SW/WCPU Physician

5. Determine the presence of legal person to sign the consent

1 SW/MD 1-2hrs-If child is not accompanied by guardian, the local social welfare office will be informed to come

120

3 REGISTRATION 1.Log in the the HOMIS Portal and get case no.

none 3 SW/WCPU Physician/SW

1 day-if the system cannot be accessed.

CONSULTATION 1.Get the consent

none Consent/Pahintulot form

5 SW

2.Interview client/guardian for the general data and risk assessment of client

none WCPU Intake form/General data on client

5 SW

3.Perform forensic interview and ,physical examination, collection of specimens, photodocumentation

none WCPU Inake forms pp 2-6

2 hrs and 30 min

Resident and Consultant for OB & Pedia. Residents only for other depts. and. /SW

4-5 hrs- Residents have other assignments at E.R, OPD, wards.

4. Referral to Psychiatry dept

WCPU Pshyciatric Referral Form

5 MEDICAL

CERTIFICATE

1.Fill up The Medico-lega

l Certificate

2.Explain the findings to the client and/guardian 3.Let the client/guardian sign

none Medico-L:egal Certificate

15

6 DISPOSITION

1.Explain the medication 2.Risk and safety assessment of client and/family and referral to other agencies 2.Instruct client for follow-up and case update

none BGH Prescription Form. BGH Alagang Pinoy Tagubilin WCPU referral form

22 Resident SW

121

MALASAKIT CENTER

122

CITIZEN’S CHARTER

MALASAKIT CENTER

SERVICES:

I. INFORMATION

STEP ACTIVITIES

FEE DOCUMENTARY

REQUIREMENTS

MAXIMUM

TIME

RESPONSIBLE

OFFICER/

EMPLOYEE

ALLOWABLE

PERIOD OF

EXTENSION

ACCEPTABLE

REASON

1 Receives request for assistance None 3

minutes

Information

Officer

None

2 Reviews the requirements as

to completeness or correctness

2

minutes

3 Issues queuing number 15

seconds

II. PHILHEALTH SERVICES

1 Provides information to clients None Birth Certificate,

Marriage

Certificate, Valid

ID, PMRF

5

minutes

PhilHealth

Officer on

Duty

10 minutes if

with system

error

2

Verifies PHIC coverage and

status, correct information in

the Member Data Record

(MDR), if with discrepancy

5

minutes

3 Issues MDR and other related

services

10

minutes

III. DSWD SERVICES

1 Assess and provides non-

medical or protective services

None General Intake

Sheet,

Referral Form

10 to 15

minutes

DSWD

Social

Worker on

Duty

10 minutes

case to case

basis 2 Refers client to the regional

offices for financial assistance

5

minutes

IV. PCSO ENDOWMENT FUND PROGRAM

1

Assess and provides assistance

to eligible patients

None Psychosocial

Assessment Form, Application Form,

Client Consent Form,

Acknowledgement

Form, Clinical Abstract, Costing,

Prescription,

Procedure Request,

Charge Slip or Hospital Bill,

15

minutes

Medical

Social

Worker on

Duty 10 minutes if

with system

error

V. PCSO AT SOURCE ANG PROCESSING (ASAP) DESK

1 Assess and provides assistance


None PCSO Application

Form, Certificate of Acceptance, Clinical

Abstract, Costing, Final

and Itemized Hospital

Bill, Valid ID of Patient

or Representative,

Police Report for

medico-legal cases

20 to 30

minutes

Medical

Social

Worker on

Duty

1 hour or more

for the

approval of

assistance

from PCSO-

Benguet

Branch

2

Scans copy of documents and

sends to PCSO-Benguet

Branch for approval

10

minutes

VI. DOH MEDICAL ASSISTANCE TO INDIGENT PATIENTS (MAIP) PROGRAM

1 Assess and provides assistance


None Consent Form,

Application & 15

minutes

Medical

Social

15 minutes

case to case

123

2

Provides Social Work

interventions, if needed

Acknowledgement Form

Psychosocial

Assessment Form,

General Intake Form, Medical Certificate or

Clinical Abstract,

Certificate of

Indigency, Prescription, Costing,

Procedure Request,

Hospital Bill,

Impormasyon ng Pasyente Form

10

minutes

Worker on

Duty

basis or if with

system error

VII. BGHMC Budget Office (Receiving of Guarantee Letters)

1 Receives new guarantee letters None

Guarantee Letters

10

minutes Budget

Officer on

duty

15 minutes if

with system

error, or if

with multiple

guarantee

letters

2 Updates guarantee letters 5

minutes

VIII. BGHMC Advisory Board Services

1

Assess and provides assistance


None

Psychosocial

Assessment Tool,

Prescription with

costing

15

minutes

Advisory

Board

Member or Medical

Social

Worker on

duty

15 minutes

case to case

basis

FOR COMPLAINTS /

SUGGESTIONS

Make verbal or written report to:

Chief of Medical Social Work Department

1st Floor Flavier Building, BGHMC

124

DENTAL DEPARTMENT

125

126

FAMILY MEDICINE-INDUSTRIAL CLINIC

127

CONSULTATION FOR ANNUAL PHYSICAL

EXAMINATION AND PRE-EMPLOYMENT

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME

RESPONSIBLE OFFICER/STAFF


ACCEPATBLE REASON

1

SCHEDULLED CONSULTATION

NONE

MEDICAL HEALTH RECORD

3 minutes

Nurse on Duty

8 minutes - Depending on

the number of patients

3

RETRIVAL OF CHART

NONE


5 minutes

Nurse on Duty



5

VITAL SIGNS TAKING

NONE

Vital Signs Form

5 minutes

Nurse on Duty



6

WAIT FOR NAME TO BE CALLED

NONE

MEDICAL HEALTH

RECORD

10 - 20

minutes

Nurse on Duty

or Resident Doctor on Duty



7

CONSULTATION

NONE

MEDICAL HEALTH

RECORD

10 - 20

minutes

Resident

Doctor on Duty



128

SCHEDULLING FOR ANNUAL PHYSICAL EXAMINATION

AND PRE-EMPLOYMENT

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME



ACCEPATBLE REASON

1

LOG NECESSARY INFORMATION IN

THE EHS LOGBOOK

NONE

EHS LOG BOOK

1 minute

Nurse on Duty



2

PRESENT and SUBMIT

LABORATORY RESULTS

NONE

LABORATORY

RESULTS

5 minutes

Nurse on Duty



3

SECURE SCHEDULLE AND INSTRUCTION FROM EHS NURSE

NONE

NONE

5-10

minutes

Nurse on Duty



129

RELEASING OF LABORATORY REQUEST FOR ANNUAL PHYSICAL EXAMINATION AND PRE-EMPLOYMENT

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME

RESPONSIBLE OFFICER/

STAFF

ALLOWABLE PERIOD OF

EXTENSION ACCEPATBLE REASON

1


THE EHS LOGBOOK

NONE

EHS LOG BOOK

1 minute

Nurse on Duty

5 minutes

- Depending on the number of

patients

2

SECURE LABORATORY

FORMS

NONE

Clinical Pathology

Request Form Radiology Request

Form ECG Request Form

Anatomic Pathology Request Form

5 minutes

Nurse on Duty

10 minutes

- Depending on the

number of patients

3

INSTRUCTION FROM THE NURSE ON

DUTY for

NONE

NONE

5-10 minutes

Nurse on Duty

15 minutes - Depending

on the number of patients

130

FAMILY MEDICINE –EMPLOYEE HEALTH CLINIC

131

CITIZEN’S CHARTER Family and Community Medicine

INDUSTRIAL CLINIC

CONSULTATION FOR ANNUAL PHYSICAL

EXAMINATION AND PRE-EMPLOYMENT

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME


ALLOWABLE PERIOD OF EXTENSION ACCEPATBLE

REASON

1

SCHEDULLED CONSULTATION

NONE


3 minutes

Nurse on Duty


on the number of

patients

3

RETRIVAL OF CHART

NONE


5 minutes

Nurse on Duty


on the number of

patients

5

VITAL SIGNS TAKING

NONE

Vital Signs Form

5 minutes

Nurse on Duty



6

WAIT FOR NAME TO BE CALLED

NONE


10 - 20

minutes

Nurse on Duty

or Resident Doctor on Duty



7

CONSULTATION

NONE


10 - 20

minutes

Resident

Doctor on Duty



132

RELEASING OF LABORATORY REQUEST FOR ANNUAL PHYSICAL EXAMINATION AND PRE-EMPLOYMENT

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME

RESPONSIBLE OFFICER/

STAFF

ALLOWABLE PERIOD OF

EXTENSION ACCEPATBLE REASON

1


THE EHS LOGBOOK

NONE

EHS LOG BOOK

1 minute

Nurse on Duty

5 minutes

- Depending on the number of

patients

2

SECURE LABORATORY

FORMS

NONE

Clinical Pathology

Request Form Radiology Request

Form ECG Request Form

Anatomic Pathology Request Form

5 minutes

Nurse on Duty

10 minutes

- Depending on the

number of patients

3

INSTRUCTION FROM THE NURSE ON

DUTY for

NONE

NONE

5-10 minutes

Nurse on Duty



133

ANIMAL BITE TREATMENT CLINIC

134

REFILL OF PRESCRIBED MEDICATIONS

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME



ACCEPATBLE REASON

1


THE EHS LOGBOOK

NONE

EHS LOG BOOK

1 minute

Nurse on Duty



2

PRESENT MEDICATION CARD

NONE

MEDICATION CARD

2 minutes

Nurse on Duty



3

PRESCRIPTION NONE

PRESCRIPTION

FORM

5 minutes

Resident

Doctor on Duty



135

CONSULTATION for CATEGORY I, II and BOOSTER DOSE

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME



ACCEPATBLE REASON

1

WAIT FOR NUMBER TO BE CALLED

NONE

OPD CHART

2 minutes

Resident Doctor on Duty

or Nurse on Duty



2 VITAL SIGNS TAKING

NONE VITAL SIGNS FORM

5 minutes Nurse on Duty 8 minutes - Depending on


3

WOUND CARE

NONE

OPD CHART

15 minutes

Nurse on Duty

30 minutes - Uncooperative

patient

4

CATEGORIZATION CONSULTATION

NONE

OPD CHART

10 minutes

Resident on Duty or

Nurse on Duty



5

PROCEED TO CASHIER FOR PAYMENT OF ARV, ATS and TT (If no FREE ARV available at the ABTC)

CHARGE SLIP

10 minutes

Cashier

6

PRESENT OFFICIAL RECEIPT AND HANDOVER OF VACCINES

NONE

OFFICIAL RECEIPT

FROM THE CASHIER

5 minutes

Nurse on Duty

7

SKIN TEST ATS (ANTI-TETANUS SERUM)

NONE

OPD CHART

30-40

minutes

Nurse on Duty


the result of the skin test

136

- Uncooperative patient

8

VACCINATION

NONE

OPD CHART

5 minutes

Nurse on Duty



patient

9

INSTRUCTION FOR FOLLOW UP CONSULTATION

NONE

OPD CHART

5 minutes

Nurse on Duty


137

CONSULTATION for CATEGORY III

STEP

ACTIVITIES

FEE

NECESSARY FORM

MAXIMUM TIME



ACCEPATBLE REASON

1

WAIT FOR NUMBER TO BE CALLED

NONE

OPD CHART

2 minutes


or Nurse on Duty



2

VITAL SIGNS TAKING

NONE

VITAL SIGNS

FORM

5 minutes

Nurse on Duty



3

WOUND CARE

NONE

OPD CHART

15 minutes

Nurse on Duty


patient

4

CATEGORIZATION and CONSULTATION

NONE

OPD CHART

10 minutes

Resident on Duty or

Nurse on Duty



5

PHIC CONFIRMATION

NONE

Patient’s PHIC Number or PHIC Identification Card

5 minutes

Nurse on Duty

8 minutes - Downtime of

HOMIS

6

PROCEED TO CASHIER FOR PAYMENT OF ARV, ATS and TT (If NO FREE ARV available at the

ABTC)

CHARGE SLIP

10 minutes

Cashier

7

PRESENT OFFICIAL RECEIPT AND

HANDOVER OF VACCINES

NONE

OFFICIAL RECEIPT

FROM THE CASHIER

3 minutes

Nurse on Duty

138

7

SKIN TEST FOR ATS (ANTI-TETANUS

SERUM) AND RIG

NONE

OPD CHART

30-40 minutes

Nurse on Duty


the result of the skin test


8

VACCINATION OF ARV (Anti-Rabies

Vaccine) ON BOTH DELTIOD

NONE

OFFICIAL RECEPT

OPD CHART

5 minutes

Nurse on Duty


patient

9

VACCINATION OF EQUINE ANTIRABIES IMMUNOGLOBULIN

(ERIG)

None

PHIC availment

Form OPD CHART

10 minutes

Nurse on Duty Resident Doctor on Duty


the result of the skin test and area of the bite


10

INSTRUCTION

FOR FOLLOW UP CONSULTATION

NONE

OPD CHART

PEP Card

5 minutes

Resident

Doctor on Duty Nurse on Duty

139

OB-GYNE-OPD SERVICES

140

CITIZEN’S CHARTER

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY OUT-PATIENT CONSULTATION

STEP ACTIVITIES FEE NECESSARY

FORM

MAXIMUM

TIME

RESPONSIBLE OFFICER/EMPL

OYEE

ALLOWABLE PERIOD OF

EXTENSION & ACCEPTABLE

REASON

1 Patient’s number is called

none Number from triage

1 minute Physician

2 Taking of vital signs (BP, heart rate, respiratory rate, temperature, SPO2), height, and weight

none Number from triage with recorded vital signs, height and weight Patient’s chart

3 minutes Nurse If BP is elevated, patient is allowed to rest for 15-20 minutes before re-checking of BP *If BP is persistently elevated, patient is immediately referred to the emergency room

3 History taking none Patient’s chart

Uncomplicated pregnant patients: 5 minutes Gynecology patients: 10 minutes

Physician 20 minutes Uncooperative patient Unreliable history Language barrier

4 Physical examination

Dependent on the supplies needed (e.g. sterile gloves, lubricating gel, pap smear kit)

Patient’s chart

5 minutes Physician 10-15 minutes Waiting time may take longer if there is a queue for the use of the examination room

5 Clinical assessment

none Patient’s chart

Uncomplicated cases: 5 minutes

Physician 45-60 minutes Complicated cases requiring

141

Complicated: 30 minutes

multidisciplinary/subspecialty assessment/opinion and management

6 Preparation of request for appropriate diagnostic tests/examinations

none Laboratory request form Imaging request form

2 minutes Physician

7 Preparation of prescription of appropriate medicines

none Prescription form

2 minutes Physician

8 Counseling none Patient’s chart

5 minutes Physician 10-15 minutes Patient with multiple queries

9 Final disposition:

Discharged with instructions for follow-up

or

Endorsed for admission

none Patient’s chart Prescription Laboratory request Admitting orders if for admission

5 minutes Physician

142

MINOR OPERATING ROOM- OPD SERVICES

143

STEP

ACTIVITIES

FEE

DOCUMENTARY

REQUIREMENTS

MAXIMUM TIME

RESPONSIBLE OFFICER/EMPL

OYEE


ACCEPTABLE REASON

1

Presentation of queue number from the kiosk

when called upon

None

Queue Number

1 minute

Nurse on Duty

2 Vital Signs Taking None OPD Health Record

3 mins. Nurse on Duty

3

Signing of Informed Consent for the

Procedures/ Treatment

None

Consent for the Procedures/ Treatment

Form

2 mins.

Nurse on duty

4

Charging A. Proceed to cashier if without PHIC Availment form B. Proceed to Billing and Claims unit if with PHIC Availment form

Php

800.00

None

Charge slip

PHIC Availment form, OPD Minor Operation schedule form

c/o

Cashier

c/o Billing and

Claims unit

c/o Cashier

c/o Billing and Claims unit

5

Treatment/Operation

proper

None

OPD Minor Operation

Nurse’s Notes form and

Operating Room WHO Safety

Checklist form

45 mins.

Resident or

Consultant on duty,

Nurse on duty

20 mins.

depending on the

severity of the case

6

If specimen is for biopsy, submission of

specimen at the Anatomic Pathology

Department

C/O Anatomi

c Patholog

y Departm

ent

Anatomic Pathology

request form

C/O Anatomic Pathology Departme

nt

Medical

Technologist

7

Discharge of client, Health Education

None

Clearance

form, prescriptions

15 mins.

Nurse on duty,

Resident or Consultant on

duty

10 mins.,

depending on the number of patients being

discharged

144

VI. FEEDBACK AND COMPLAINTS

STEP WHAT TO DO IT WILL

TAKE

RESPONSIBLE

STAFF

1

Proceed to the nearest

Public Assistance and

Complaints Desk(PACD)

2-5 minutes PACD Member/

Information Staff

on Duty

2

A. Write your complaint or

accomplish the Customer

Satisfaction Survey (CSAT)

Form and submit to PACD,

or

B. Verbally state your

complaint to PACD

3

Wait for any

action/resolution regarding

your complaint.

5-10 minutes

depending on

the extent of

discussion

PACD are located at the following:

1. Flavier Building: Admitting Office

2. Main Building: Information Booth

3. Admin Building: Office of the Chief Administrative Officer

4. OPD Building: HIMO Registration *Those in Cancer Building can give their complaint at the OPD PACD or Office of

the Chief Administrative Officer

145

VII. LIST OF OFFICES

Office Address Contact Information

Office of the MCC BGH Compound, Baguio City

442-3165

Office of the Legal Officer BGH Compound, Baguio City

661-7981 local 382

Office of the CMPS BGH Compound, Baguio City

661-7981 local 382

Office of the CAO BGH Compound, Baguio City

442-3809

Office of the FMO BGH Compound, Baguio City

442-5243

Emergency Room BGH Compound, Baguio City

09423776040 661-7981 local 418/424

Documents

BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERbghmc.doh.gov.ph/wp-content/uploads/2019/12/BGHMC...Logbook 2. CF2 3. CSF 4. CF4/CF3 1-7 days from date of discharge Billing Clerk 3. RECEIVES