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Step Activity Fee Necessary
Form
Required
Documents
Maximum
Time
Responsible
Officer /
Employee
1 Evaluates
application and
other related
documents for
completeness, and
issues order of
payment
PTC form Accomplished PTC form
Certificate of Need
(CON)
3 sets of Floor Plan
(for BHFS, DOH- CAR
Office, Client)
DTI/ SEC Cert.
AO
8 working hours
(no lunch break)
Charisse Teodely
Apelado
Reynaldo Pre
Magnolia Andaya
Windawila Baclig
Maritess Felizco
Manule Olarte
2 Receives payment PCF- P 1, 500
L1- P 2, 000
L2- P 2,
500(BHFS)
L3- P 3,
000(BHFS)
Order of
payment
Cashier
3 Receives PTC
application
Engr. Braille Cawis
4 Notifies
disapproval or
approval and
release of PTC
5 working days HFERC
REGULATION, LICENSING AND ENFORCEMENT DIVISION
Licensing and Programs Clusters.
Functions: · Disseminates Regulatory Policies & Standards for Information and Compliance · Issue Permits and Licenses · Ensures sustainability of health facilities compliance w/ regulatory standards. · Provides consultation & advisory services to stakeholders regarding health facilities regulation.
Services: · Issuance of the following: a. Certificate of Need (CON) for hospitals
b. Permit to Construct (PTC) of Health Facilities Enhancement Projects (HFEP)
c. License to Operate (LTO)
1. Birthing Homes 2. Clinical Laboratories, except laboratories in Ambulatory Surgical Clinics, Dialysis Centers, OFW
Clinics, Level 2, Level 3 and Specially Hospitals 3. Dental Laboratories 4. Level 1 Hospitals (Renewal) 5. Infirmaries 6. Psychiatric Care Facilities (Renewal)
d. Authority to Operate Blood Collection Units and Blood Stations
e. Certificate of Accreditation 1. Private School Dental Clinics 2. Occupational Establishments Dental Clinics 3. Laboratories for Drinking Water Analysis (Renewal)
Step Activity Necessary
Form
Required
Documents
Maximum time Fee Responsible Person
1 Identify LGU needs through
conduct of IEC monitoring and
client satisfaction survey
IEC
monitoring
Form/CSS
Form
Filled up forms Every 2nd or 3rd
week of the month
n/a Patrick
Pineda/Benelyne
Balag-ey
2 Do a consolidation and analysis
of the monitoring results and
include provision of IEC materials
or provision of additional items
in the WFP or SWFP
Consolidation
form
ApprovedWFP
and PPMP
Within 1 week
after conduct of
monitoring
n/a Benelyne Balag-ey
3 Development and production of
IEC materials based on plan
Within 2 months
after planning
n/a Patrick Pineda
4 Allocation of IEC materials Allocation list 1 day after delivery
of IEC materials
n/a Patrick
Pineda/Benelyne
Balag-ey
5 Issuance and distribution to
clients
Requisition
and Issuance
Slip (RIS)
Acknowledged
reciept of
items in the RIS
within 2 weeks
after allocation
n/a Patrick
Pineda/Benelyne
Balag-ey
6 Conduct follow-up IEC
monitoring and CSS if necessary
to determine receipt and
satisfaction
IEC
monitoring
Form/CSS
Form
Filled up forms 1 month after
delivery
n/a Patrick
Pineda/Benelyne
Balag-ey
Step Activity Necessary Form Required
Documents
Maximum time Fee Responsible Person
1 Plan for topics to be discussed based on
monthly national health events and RESU
updates
3 weeks before actual
kapihan
n/a Patrick
Pineda/Benelyne
Balag-ey
2 Identify when and where will the Kapihan be
held
3 weeks before target
date of kapihan
n/a Patrick
Pineda/Benelyne
Balag-ey
3 Inform the Philippine Information Agency (PIA)
for the final date and place of Kapihan (The PIA
will issue a kapihan advisory to the Media)
2 weeks before
kapihan
n/a Benelyne Balag-ey
4 Invitation of resource speakers/panelists
(internal and external)
Invitation letter/
Notice of Kapihan
1 to 2 weeks before
kapihan
n/a Benelyne Balag-ey
5 Conduct of Kapihan forum
- The PIA acts as the host/anchor
- Panelists will issue their opening statements
and discuss health programs
- Media will ask questions to the panelists
- Listeners and viewers can ask questions
through text messaging
- Panelists will answer questions from the
media, listeners, viewers and host/anchor
- Panelists will issue their closing statements
Attendance sheet
CSS forms
Filled up
attendance sheet
Filled up CSS forms
Every 1st or second
week of the month
from 10:00 am to
12:00nn aired by a
local radio station
and TV network
n/a Patrick
Pineda/Benelyne
Balag-ey
6 HPS will do an After activity/kapihan report for
documentation
After actitivty
report
Accomplished after
activity report
Within one week
after kapihan
n/a Benelyne Balag-ey
2. ARD/RD
Step Activity Fee Necessary
Form
Required
Documents
Maximum
Time
Responsible
Officer/ Employee
1 Evaluates application and
other related documents
for completeness, and
issues order of payment
Necessary
Application
forms
Application forms
(for Hospitals, Gen.
Lab. Xray facilities)
Other related
documents indicated
in the application
forms
8 working
hours (no
lunch
break)
Magnolia Andaya
Windawila Baclig
Maritess Felizco
Manule Olarte
2 Receives payment Pls. refer to
schedule of fees
(AO 2007–
0023)
Order of
payment
Cashier
3 Receives complete
application form and
other related documents
30 working days
(Initial
Application)
5-7 working
days (LTO
Renewal)
Jude Layugan
Braille Cawis
Vanesssa Lumbania
Charis Taguibos
Raul Sominestrado
4 Notifies disapproval or
approval and release of
LTO
Magnolia Andaya
Windawila Baclig
Maritess Felizco
Manuel Olarte
Step Activity Fee Necessary
Form
Required
Documents
Maximum
Time
Responsible Officer/
Employee
1 Evaluates application and
other related documents
for completeness, and
issues order of payment
CON form Accomplished
Certificate of
Need (CON)
8 working
hours (no
lunch break)
Charisse Teodely Apelado
Reynaldo Pre
Magnolia Andaya
Windawila Baclig
Maritess Felizco
Manule Olarte
2 Receives payment P 2, 000 Order of
payment
Cashier
3 Receives complete
application form and other
related documents
Engr. Braille Cawis
4 Notifies disapproval or
approval and release of
CON
30 working
days
CON Committee/
Licensing Officer
Step Activity Necessary
Form
Required
Documents
Maximum time Fee Responsible
Person
1 Collection/solicitation and writing
of articles/feature stories
From January to
May for 1st issue
and July to
November for 2nd
issue
n/a Patrick
Pineda/Benelyne
Balag-ey
2 Editing and lay-outing of articles Whole month of
May for 1st issue
and November for
2nd issue
n/a Patrick Pineda
3 Printing of newsletter June for 1st issue
and December for
2nd issue
n/a Patrick Pineda
4 Allocation of newsletter Allocation list 1 day after delivery n/a Patrick
Pineda/Benelyne
Balag-ey
5 Distribution of newsletter to
clients and stakeholders
Requisition
and Issuance
Slip (RIS)
Acknowledged
reciept of items
in the RIS
July for 1st issue
and January for
2nd issue
n/a Patrick
Pineda/Benelyne
Balag-ey
6 Conduct follow-up IEC monitoring
and CSS if necessary to determine
receipt and satisfaction
IEC
monitoring
Form/CSS
Form
Filled up forms 1 month after
delivery
n/a Patrick
Pineda/Benelyne
Balag-ey
Step Activity Necessary
Form
Required
Documents
Maximum time Fee Responsible
Person
1 Identify at least 3 or more health
events/health advisories to be
packaged as script and aired to local
radio station basing on the
scheduled health events for the
month
2 weeks before the
next month of airing
n/a Patrick Pineda
2 Inform the local radion station for
any additional health event or
activity to be aired
1 week before the
scheduled airing
n/a Patrick Pineda
Step Activity Fee Necessary
Form
Required
Documents
Maximum
Time
Responsible
Officer/
Employee
1 Evaluates documents for
completeness, issues order of
payment if documents are
complete and instructs applicant
to photocopy official receipt after
payment
Refer to
schedule of
fees AO 29
s.2000
2 sets of
Application
form
Pls. refer
to BHDT
Citizens
charter
8 working
hours (no
lunch
break)
Jude Layugan
2 Receives payment As per
required
fees
Order of
payment
Cashier
3 Receives complete application
form and photocopy of official
receipt
Jude Layugan
4 Release of LTO 10 working
days
INITIAL RENEWAL
PCF – Infirmary - Basic
Clinical Laboratory
Primary 2,000.00 1,500.00
Secondary 2,500.00 2,000.00
Drug Testing Laboratory
Screening 5,000.00 5,000.00
Dialysis Clinic 3,000.00 3,000.00
Level 1 Hospital – Basic
Clinical Laboratory
Secondary 2,500.00 2,000.00
Tertiary 3,000.00 2,500.00
Drug Testing Laboratory
Screening 5,000.00 5,000.00
Dialysis Clinic 3,000.00 3,000.00
Step Agency Action Timeline Person Responsible
1 Receiving of verified complaint-affidavit
Immediately M. Bania-ao
2 Sending of meditation proper
1 day from receipt of complaint
M. Bania-ao /Atty. V.Z. de Jesus
3 Conduct of mediation proper
15 days from receipt of complaint
Atty. V.Z. de Jesus
4
If compromise agreement is reached, decision and dismissal of case
15 days from termination of mediation
Atty. V.Z. de Jesus
If no compromise agreement is reached, sending of summons and notice of hearing/filing of position paper for arbitration
1 day from termination of
mediation M. Bania-ao / Atty. V.Z. de Jesus
Proceed to step 5 and 6 only when there is no compromise agreement
5 Conduct of arbitration 15 days from receipt of last pleading
Atty. V.Z. de Jesus
6 Rendering of decision 15 days from termination of arbitration
Atty. V.Z. de Jesus
Step Agency Action Person
Responsible
1 Receipt of complaint D. Bulalin/M. Bania-ao
2 Agency acknowledges receipt of complaint Director IV
3 Agency acts on the complaint, as appropriate Atty. V.Z. de Jesus
4 Attorney III recommends proper action on the
complaint
Atty. V.Z. de Jesus
5 Agency furnishes complaints actions taken on
the complaint
Director IV
)
INITIAL RENEWAL
4,500.00 3,000.00
INITIAL RENEWAL
Blood Collection Unit 1,500.00 1,500.00
Blood Station 1,400.00 1,400.00
INITIAL RENEWAL
PCF – Infirmary -
Basic 6,000.00 5,500.00
Clinical Laboratory
Primary 2,000.00 1,500.00
Secondary 2,500.00 2,000.00
Pharmacy 1,000.00 1,000.00
Drug Testing
Laboratory Screening 5,000.00 5,000.00
Dialysis Clinic 3,000.00 3,000.00
Level 1 Hospital –
Basic 6,500.00 6,000.00
Clinical Laboratory
Secondary 2,500.00 2,000.00
Tertiary 3,000.00 2,500.00
Pharmacy 1,000.00 1,000.00
Dialysis Clinic 3,000.00 3,000.00
INITIAL RENEWAL
Primary 2,500.00 2,000.00
Secondary 3,000.00 2,500.00
Step Activity Necessary Form Required Documents Maximum Time Fee Responsible
Person
1
Assessment and
review of
required
documents
CEMT Form 4-
A
-Medical Certificate
-Professional Tax Receipt (PTR)
-Professional Identification Card
-Certificate of Credit Units Earned (CEE), 30 units
-Certificate of Registration
-1 pc 1x1 ID picture
-2 pcs 2x2 IP picture
-Duly accomplished and signed CEMT Form 3
15 min N/A HRMDS Staff
2 Processing and
Payment of Fees
Order of
Payment
Renewal Fee Receipt/Official Receipt 15 mins P 250 HRDMS Staff-
Order of
Payment
Cashier -Official
Receipt
3 Approval and
signing of
Renewal
Certificate of Registration 10 working
days if RD is
on OB
N/A Regional
Director
4 Releasing Official Receipt
Authorization Letter (if license holder is unable to
appear personally)
5 mins N/A HRMDS Staff
1. Issuance of pre-positioned logistics (Drugs, Medicines for Health Emergencies)
2. Helps in the screening and selection of Human Resources for Health for deployment
3. Monitoring and Evaluation
· Human Resources for Health
·Programs including Health Leadership and Governance for the Poor (HLGP)
4. Coaching of local personnel on health matter
5. Technical Assistance Provision
· Capability Building
· Planning
· Program/Project Management
· Policy Formulation
· Health Facilities Improvement
6. Data/Knowledge Management
7. Advocacy
8. Networking & Collaboration
3. MANAGEMENT SUPPORT DIVISION
Step Activity Fee Necessary
Form Required Documents Maximum Time
Responsible
Officer/Employee
1
Evaluation of documentary
requirements.
Initial Operational
Permit
Updated Water
Analysis
10 minutes Engr. Nelson G.
Cara
2 Release of Operational
Permit
10 working days
Engr. Nelson G.
Cara
Step Activity Fee Necessary
Form
Required
Documents Maximum Time
Responsible
Officer/Employee
1
Evaluation of documentary
requirements for completeness.
Issuance of order of payment if
documents passed evaluation.
Engineers
Report
1 hour
Engr. Nelson G.
Cara
2 Payment of fees Php2, 600.00 Order of
payment
10 minutes Cashier
3 Receives photocopy of official
receipt
5 minutes
Engr. Nelson G.
Cara 4
Inspection and Assessment of
Proposed Water Refilling
Station
Establishments
within Baguio City
and La Trinidad,
Benguet-10 working
days
For other provinces-
30 working days
5 Release of Operational Permit 10 working days
1. LOCAL HEALTH SUPPORT DIVISION
Step Activity Necessary
Form
Required Documents Maximum
Time
Fee Responsible Person
1
Assessment and
review of required
documents
CEUE Form
4-A
-Medical Certificate
-Professional Tax Receipt (PTR)
-Professional Identification Card
-Certificate of Credit Units Earned (CEUE),
30 units
-Certificate of Registration
-1 pc 1x1 ID picture
-2 pcs 2x2 IP picture
-Duly accomplished and signed CEMT
Form 3
15 min N/A HRMDS Staff
2 Processing and
Payment of Fees
Order of
Payment
Renewal Fee Receipt/Official Receipt 15 mins P 250.00 HRDMS Staff-Order of
Payment Cashier-
Official Receipt
3 Approval and
signing of Renewal
Certificate of Registration 10 working
days if RD
is on OB
N/A Regional Director
4 Releasing Official Receipt
Authorization Letter (if license holder is
unable to appear personally)
5 mins N/A HRMDS Staff
Step Activity Necessary
Form
Required
Documents
Maximum Time Fee Responsible Person
A. Certificate of Completion
1 Requestor fills up a form, HRMDS
Staff verifies from Masterlist if
name exists
Request
Form
Accomplished
Level 1 and 2
Evaluation
10 mins N/A Ms. Jennifer Ruiz/Mr.
Rex Bate
2 Prepare Certificate of Completion 5 mins N/A Mr. Rex Bate/Ms.
Siena Judan
3 Release to RD/ARD’s Office for
Signature
Within 30 mins if
RD/ARD is
present
N/A Ms. Siena
Judan/HRMDS Staff
B. Certificate of Employment
1 Requestor fills up a form, HRMDS
Staff verifies from Masterlist if
name exists
Request
Form
10 mins N/A Ms. Siena
Judan/HRMDS Staff
2 HRMDS Staff prepares certificate
for signature of Chief Administrative
Officer/Supervising Administrative
Officer
10 mins N/A Ms. Siena
Judan/HRMDS Staff
)
Step Activity Fee Necessary
Form
Required
Documents Maximum Time
Responsible
Officer/Employee
1 Evaluation of documentary
requirements for completeness.
Issuance of order of payment if
documents passed evaluation.
Project
Description 1 hour
Engr. Nelson G.
Cara
2 Payment of fees:
Private Sludge Collection Php2,600.00
Order of
payment
10 minutes Cashier Private Sludge Treatment and
Disposal
Php2,800.00
Private Sludge Collection,
Treatment and Disposal
Php3,000.00
3 Receives photocopy of official
receipt
5 minutes
Engr. Nelson G.
Cara 4 Release of Environmental
Sanitation Clearance
10 working days
Step Activity Fee Necessary
Form Required Documents Maximum Time
Responsible
Officer/Employee
1
Evaluation of documentary
requirements.
Initial Operational
Clearance
Certification from
CEPMO (Details of
septage
deposited)
10 minutes Engr. Nelson G.
Cara
2 Release of Operational
Clearance
10 working days
Engr. Nelson G.
Cara
RELEASE OF CHECKS TO WALK-IN CLIENTS
Step 1. Receive approved Disbursement Vouchers.
Step 2. Prepares checks and ensures approval within eight (8) working hours from receipt of vouchers.
Step 3. Issues checks within five (5) minutes to walk-in clients.
a. ISSUANCE OF SUPPLIES, DRUGS AND MEDICINES, MEDICAL SUPPLIES FOR WALK-IN CLIENTS (with approved Invoice Receipt for Property (IRP) and with Advance Notice)
Step 1. Materials Management Team (MMT) Staff allocates supplies/drugs and medicines, medical supplies within eight (8) working hours from receipt of IRP before pick-up.
Step 2. Materials Management Team (MMT) Staff loads supplies to requisition's vehicle in fifteen (15) minutes
b. No Invoice Receipt for Property (IRP) and no prior notice
Step 1. Bring request to Health Emergency Management System (HEMS) Staff or Program Coordinator to prepare Invoice Receipt for Property (IRP) at least 15 minutes
In pursuit of service excellence and customer satisfaction, the DOH Cordillera Administrative Regional Office conducts a Customer Satisfaction Survey for its Internal and External Customers.
The Internal Customer Satisfaction Survey applies to the official business transactions of the internal customers of the various service providers of the DOH-CAR Office. The survey form can be filled out at point of service, or during the monthly schedule.
The Customer Satisfaction Survey for External Clients applies to all walk-in external customers. The process starts with the registration of the customer in the security log and ends with the dissemination of findings and recommendations.
The results of the surveys are interpreted and reported monthly. The dissatisfactions and suggestions for improvement comments are addressed as soon as possible. The employees involved are issued a Request for Action Form, which requires a root cause analysis and action plan.
Step Activity Fee Necessary
Form
Required
Documents Maximum Time
Responsible
Officer/Employee
1
Evaluation of documentary
requirements for completeness.
Issuance of order of payment if
documents passed evaluation.
Burial Ground
Requirements
1 hour
Engr. Nelson G.
Cara
2 Payment of fees Php2, 800.00 Order of
payment
10 minutes Cashier
3 Receives photocopy of official
receipt
5 minutes
Engr. Nelson G.
Cara
4 Inspection and Assessment of
Proposed Memorial Park
Establishments within Baguio City
and La Trinidad, Benguet-10
working days
For other provinces-30 working
days
5 Release of Initial/Operational
Permit
10 working days
Step Activity Fee Necessary
Form Required Documents Maximum Time
Responsible
Officer/Employee
1
Evaluation of documentary
requirements.
Initial Operational
Clearance
Annual Report of
Cases
10 minutes Engr. Nelson G.
Cara
2 Release of Operational
Clearance
10 working days
Engr. Nelson G.
Cara
APPROVED BY:
LAKSHMI I. LEGASPI, MD, RN, MAN Director IV
Step Activity Responsible Officer/Employee
1 Complainant reports in person, submit written
complaint, call by phone or text with proper
identification
Director IV or OIC, Integrity Management Committee
Chairperson or assigned personnel
2 DOH-CAR Office officially acknowledges
receipt of complaint
Receiving staff member
3 Forward complaint to Responsible
Person/Committee
Receiving staff member
4 Notify complainant of action taken Assigned personnel