AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER CITIZEN’S …€¦ · Process Flow in Securing Birth...

AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER

CITIZEN’S CHARTER

2019 (2nd Edition)

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AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER

CITIZEN’S CHARTER

2019 (2nd Edition)

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I. Mandate:

Amang Rodriguez Memorial Medical Center is a tertiary licensed facility, a teaching

and training center under the Department of Health. Founded in 1964, it was upgraded

into a medical center through the Republic Act No. 8019. Presently, through the

Republic Act No. 11287, it has increased bed capacity to 500 beds and upgraded

service facilities and professional healthcare.

II. Vision:

Amang Rodriguez Memorial Medical Center is an exemplary DOH tertiary hospital

ensuring the optimal state of health of Filipinos

III. Mission:

We shall provide patient-centered healthcare services, enhance staff productivity

through education and training and lead a collaborative research-based health

management program

IV. Service Pledge:

We, at the Amang Rodriguez Memorial Medical Center, commit ourselves to provide

effective and efficient health services, training and research, professional and

competent personnel, and strict compliance with service standards in the delivery of

frontline services so as to achieve excellence in quality health care guided by the

following core values:

Professional ism

Respect

Accountabi lity

Commitment

Teamwork

Integrity

Compassion

Excellence

Social Responsibil ity

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LIST OF SERVICES

Outpatient Department 6

OPD New/ Old/ OFW Patient 7

Emergency Department 10

Emergency Department Consultation 11

Health Information Management Section 15

Admitting Procedure for Charity Ward 16

Admitting Procedure for Pay Ward 17

Outpatient Department Registration of New Patients 19

Outpatient Department Registration of Old Patients 22

Outpatient Department Registration of Overseas Filipino Workers and Their Dependents

25

Procedure on Issuance of Medical Certificate, Medico-Legal Certificate and Clinical Abstract

27

Process Flow in Securing Birth Certificate (Regular Filing) 29

Process Flow in Securing Birth Certificate (Late Registration) 32

Procedure on Issuance of Certificate of Confinement 34

Procedure on Issuance of Death Certificate 36

Department of Pathology 39

Outpatient Laboratory 40

Inpatient Laboratory Request 42

Emergency Room (ER) Patient Laboratory Work Up 44

Acquisition of Blood from Blood Bank 45

Department of Radiology 51

Radiologic Procedure for Outpatients 52

Radiologic Procedure for ER and Inpatients 53

Diagnostic Unit 58

Ward/ ER Patients for ECG Procedure (Charity/ Private) 59

Outpatient for ECG Procedure (Charity/ Private) 60

Ward/ ER Patient for Arterial Blood Gas (Charity/ Private) 63

Outpatients for Arterial Blood Gas (Charity/ Private) 64

OPD/ Inpatients for Special Procedure (Charity/ Private) 66

Pharmacy Section 70

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Procedure on Dispensing of Drugs and Medicines for Outpatients 71

Procedure on Dispensing of Drugs and Medicines for Outpatients with Guarantee Letter Certificate of Medical Assistance

72

Procedure on Dispensing of Drugs and Medicines for Inpatients 75

Billing Section 77

Discharge of Inpatients 78

Statement of Account for Discharged Patients 79

Quotation for Hemodialysis 80

PhilHealth Section 81

Issuance of Documentary Requirements for Patients with Incomplete Requirements

82

Application and Outright Deduction for Patients with Complete Documentary Requirements

83

Cash Operations 86

Payment and Issuance of Official Receipts 87

Check Preparation 88

Issuance of Certified True Copy of Official Receipt 90

Issuance of Checks to Suppliers/ Contractors 92

Medical Social Works 94

Procedures on Availment of Guarantee Letter Received from Other Agency

95

Procedures on Availment of PCSO Desk ASAP-Individual Medical Assistance Program (IMAP)

95

Procedures in Availing the Services of Medical Social Work Service for Inpatients

97

Procedures in Availing the Services of Medical Social Work Service for OPD Patients

99

Engineering and Facilities Management 101

Recording and Releasing of Cadaver 102

Recording Ambulance Transfers/ Conduction 102

Recording Medico-Legal Cases 103

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Outpatient Department

Internal

7

1 OPD New/Old/OFW Patient

OPD Consultation

Office or Division: Out Patient Department

Classification: Simple Transaction Type of Transaction: Government-to-Citizen (G2C)

Who may avail: Patients who have non-urgent conditions needing medical check up CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. OPD Data Form OPD Records

2. OPD Card OPD Records

CLIENT STEPS AGENCY ACTIONS

FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Pumunta sa VITAL SIGNS area (Taas, Timbang, BP, Temperatura, Bilis ng pagtibok ng puso at paghinga) Vital Signs (Height, Weight, Blood pressure, Temperature, heart rate and respiratory rate) will be obtained by Nurse assigned vital sign area

1.1 The nurse/ nursing aide will call the patient for vital signs taking

None (Wala)

5 MINUTO hanggang 15 MINUTO depende sa dami ng naunang pasyente

5 MINUTES to 15 MINUTES depending on the volume of the previous patient

Nurse/ Nursing Aide OPD

2. Pumunta sa WAITING AREA at HINTAYIN TAWAGIN ang NUMERO Proceed to patients’ waiting area and wait for your number to be called

2.1 The nurse/ nursing aide will call the number of the patient

None (Wala)

5 MINUTO hanggang 30MINUTO depende sa dami at kondisyon ng naunang pasyente

5 MINUTES TO 30 MINUTES depending on the volume and condition of the previous patient

Nurse/ Nursing Aide OPD

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3. Magpasuri sa duktor ang pasyente (The patient shall undergo examination by the doctor)

3.1 The doctor will examine the patient, and give necessary prescription/or request for diagnostic work up

3.2 The physician will schedule when the patient will follow up

None (Wala)

CONSULTATION: (BAGONG PASYENTE)

3-5 MINUTO: ENT

5-15 MINUTO: MEDICINE PEDIATRICS SURGERY OPHTHA

15-30 MINUTO: OB-GYNE FAMILY PLANNING ANIMAL BITE DENTAL

30 -60 MINUTO: APU NTP CAM

30-60 MINUTO depende sa kondisyon ng pasyente, kung kailangan ipasuri sa ibang departamento, o kailangan sumailalim sa minor operation

30-60 MINUTES depending on the condition of the patient, whether

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required to be evaluated by another department, or required to undergo minor surgery

4. Kung kinakailangan ng TULONG PINANSYAL para sa pagpapagamot, magtungo sa tanggapan ng SOCIAL SERVICE

If you need a financial help for treatment, head to the SOCIAL SERVICE office

4.1 The social worker will classify the patient based on financial capabilities and give the corresponding financial assistance

None (Wala)

15- MINUTO hanggang 30 MINUTO depende sa dami ng naunang pasyente 15- MINUTES to 30 MINUTES depending on the volume of the previous patient

Social Worker Medical Social Works

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Emergency Department

Internal

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1 EMERGENCY DEPARTMENT CONSULTATION

Consultation of patients at the Emergency Department

Office or Division: Emergency Department

Classification: Highly Technical Type of Transaction: Government-to-Citizens (G2C)

Who may avail: Patients needing emergency medical management CHECKLIST OF REQUIREMENTS WHERE TO SECURE

Patient Identification Card (for old patients) ER or OPD Registration


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1.Patient will go to the TRIAGE AREA for initial consultation Old Patients: Present Patient Identification Card Note: Truly emergent cases may proceed directly to resuscitation area for immediate intervention

1.1 Information sheet will be given to relative to fill-out

1.2 Determine chief complaint of patient, take vital signs, triage patient to clinical department at the ER

1.3 Encode patient

information to BIZBOX

1.4 Print out ER

Patient Health Record

For New patients: Issue Patient Identification Card

1.5 Endorse ER Patient Health Record to clinical department to which the

For urgent and emergent cases: PHP 200.00 Non-emergent cases: PHP 350.00

3 minutes

Triage Clerk ER Triage Area

Triage Resident-on-Duty

ER Triage Area

Triage Clerk ER Triage Area

ER Navigators ER Triage Area

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patient is assigned

1.6 Assist patient to respective clinical department

Nursing Aide ER Triage Area

2. Patient will proceed/ be taken to the assigned department area for consultation

2.1 Obtain history and physically examine patient

2.2 Stabilize patient condition with medications and/ or emergency procedures

2.3 Issue request

for diagnostic work ups and orders further medications to be administered

2.4 Forward to

Diagnostic/ Laboratory/ Radiology request for procedures and bring patient for work up once stable

2.5 Monitor

condition of the patient

2.6 Update charges

in BIZBOX

Depends on procedures done and medication given

15 minutes Up to 4 hours

Resident-on-duty Nurse-on-duty

ER

3. Await disposition by attending resident physician

3.1 Determines disposition of the patient, either for admission,

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A. Patients for admission: (1) Bring

Request for Admission slip to Admitting Section

(2) Submit admitting documents to nurse-on-duty

B. Patients for Discharge

- Outright Discharge

- Discharged Against Medical Advice (DAMA)

discharge, or transferred.

A. Admit Patient

(1) Issue request for admission slip to relative/ caregiver of patient

(2) Prepare admitting orders

(3) Carry out admitting orders

(4) Complete Patient Admitting and Discharge (Health) Record of patient

(5) Endorse patient to Ward

(6) For admission to critical units: accompany patient to unit

B. Discharge

patient (1) Indicate

order for discharge in the ER Patient

None Depends on procedures done and medication given

15 – 20 minutes 15 – 20 minutes

Resident-on-duty ER

Resident-on-duty ER

Nurse-on-duty ER

Nurse-on-duty ER

Nurse-on-duty

ER

Resident-on-duty ER

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- Transfer to Other Hospital

- Dead on Arrival (DOA)

- ER Death (1) Obtain

appropriate discharge form

(2) Bring Form to Cashier and pay charges incurred

(3) Return with

Official Receipt and ED Clearance

(4) Present Exit

Permit to guard-on-duty

Health Record

(2) Appropriately Tag patient for discharge in BIZBOX

(3) Issue Discharge / DAMA / Transfer to Other Hospital / Interagency Referral Form

(4) Verify

official receipt and prepare discharge slip

(5) Issue Home Instruction Form, Prescriptions, and Exit Permit

(6) Validate Exit Permit

(7) Assist patient out of the hospital

Nurse-on-duty ER

Nurse-on-duty ER

Nurse-on-duty

ER

Nurse-on-duty ER

Guard-on-duty ER

Nursing Attendant ER

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Health Information Management Service

Internal

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1 Admitting Procedure for Charity Ward

Admission of patients to the charity ward

Office or Division: Health Information Management Section

Classification: Simple Type of Transaction: Government-to-Citizen (G2C)

Who may avail: Patients and their relatives who will be admitted to the charity ward of the hospital

CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Request for Admission slip Attending Physician/ ER Nurse

2. Patient Identification Card (Hospital Card) OPD Records Section/ ER Triage Section


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient/relative brings the Request for Admission slip to Admitting Section for interview.

1.1 Interviews the patient or relative of the patient to be admitted.

1.2 Fills up the Patient’s Information sheet.

1.3 Secures consent for admission.

1.4 Logs admission.

1.5 Encodes data to Hospital Information System (BIZBOX).

1.6 Issues printed clinical facesheet for patient’s Admission and Discharge Record with attached Request for Admission slip, Patient

None 10 – 15 mins Admitting Clerk

Admitting Section

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Information sheet, and Consent for Admission to relative with instruction to submit documents to ER nurse-on-duty

1.7 Gives “Paalala sa mga pasyente/bantay ng pasyente” form

1.8 Instructs patient/ patient’s relative to return to admitting doctor

2. Returns to ER and submits admitting documents to ER nurse-on-duty

2.1 Informs ward or clinical area concerned of admission

None 1 – 5 minutes ER Nurse-on-duty Emergency Room

2 Admitting Procedure for Pay Ward

Admission of patients to the Pay Ward

Office or Division: Health Information Management Section Classification: Simple Type of Transaction: Government-to-citizen (G2C) Who may avail: Patients or relatives of patients who prefers to be admitted to the Pay

Ward of the hospital CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Request for Admission slip ER Resident-on-duty of concerned department

2. Hospital Card OPD Registration/ ER Triage

3. Doctor’s admitting orders or referral letter Attending Physician


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient/relative brings the Request

1.1 Interviews the patient or

None 5 minutes Admitting Clerk Admitting Section

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for Admission slip and Patient Identification Card to Admitting Section for interview.

relative of the patient to be admitted.

1.2 Confirms availability of rooms

1.3 Issues contract

for Pay Ward admission

2. Patient/relative signs contract for Pay Ward admission upon confirmation of availability of room

2.1 Fills up the Patient’s Information sheet.

2.2 Secures consent for admission.

2.3 Logs admission. 2.4 Encodes data to

Hospital Information System (BIZBOX).

2.5 Issues printed

clinical facesheet for patient’s Admission and Discharge Record with attached Request for Admission slip, Patient Information sheet, and Consent for Admission to relative with instruction to submit documents to

None 10 minutes Admitting Clerk Admitting Section

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ER nurse-on-duty

2.6 Gives “Paalala sa mga pasyente/bantay ng pasyente” form

2.7 Instructs patient/ patient’s relative to return to admitting doctor at the ER

3. Returns to ER and submits admitting documents to ER nurse-on-duty

3.1 Informs Pay Ward of admission

None 1 – 5 minutes ER Nurse-on-duty

Emergency Room

3 Out-Patient Department (OPD) Registration of New Patients

(Bagong Pasyente)

Registration of new patients consulting at the OPD

Office or Division: Health Information Management Section Classification: Simple

Type of Transaction: Government-to-Citizens (G2C) Who may avail: Patients who would like to consult at the OPD


1. Data Form OPD Guard-on-duty

2. Persons with Disability or Senior Citizen ID if applicable

Barangay or Municipal Hall of residence


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient/ Companion gets queueing number and Data Form (to be accomplished) from the OPD Guard-on- Duty. If PWD/SC:

1.1 Distribute the Data Forms and queueing and priority numbers

None 3 minutes Guard-on-Duty OPD

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Present the PWD/SC ID and get Priority Number and fill out Data Form. Kumuha ng numero at Data Form sa OPD Guard. Kung PWD/SC: Ipakita and SC/PWD ID, kumuha ng Priority Number sa OPD Guard at sagutan ang Data Form.

2. Proceed to patients’ waiting area in front of OPD Records Unit and wait for the number to be called. Maupo sa mga upuang nakalaan sa harapan ng OPD Records Unit at antayin na tawagin ang numero.

2.1 Calls out the number of the patient to be accommodated at the OPD registration Window 1

None 5 minutes Records Clerk OPD Records Unit

Window 1

For PWD/SC: Records Clerk

OPD Records Unit Priority Lane/ Window

3. Present the completely filled-out Data Form and number at Window 1 once number is called If PWD/SC: Present PWD/SC ID and filled out Data Form once number is called OPD Priority Lane/ Window

3.1 Receives the filled-out Data Form and queueing/ priority number

3.2 Checks for the completeness of the Data Form

3.3 Encodes data to the patient log

3.4 Prepares the OPD Health Record and

None 5 – 8 minutes Records Clerk OPD Records Unit

Window 1



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Ipakita ang sinagutang Data Form at number na galling sa gwardya sa OPD Records Clerk kapag tinawag ang numerong hawak Kung PWD/SC: Ipakita ang PWD/SC ID.

Patient Identification Card

3.5 Gives clinic

queueing number and Patient Identification card to patient

3.1 Pagtanggap ng

sinagutang Data Form

3.2 Pagsusuri sa pagkakumpleto ng Data form

3.3 Paglilista ng pasyente

3.4 Paggawa ng OPD Health Record at ng Patient Identification Card ng pasyente.

3.5 Pagbigay ng

numero at ng Patient Identification Card para sa klinika kung saan magpapatingin ang pasyente

4. Proceed to the Vital Signs area for vital signs and waitclinic’s waiting area and wait for the number to be called.

4.1 Forwards OPD Health Record to the nursing attendant of the clinic at which the patient will consult


Window 1


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Magtungo sa antayan ng mga pasyente at antayin na tawagin ang numero sa Clinic.

4.1 Pagbigay ng

OPD Health Record ng pasyente sa nursing attendant ng klinika kung saan magpapatingin ang pasyente


4 OPD Registration of Old Patients (Dating Pasyente)

Registration of old patients consulting at the OPD


Classification: Simple Type of Transaction: Government-to-Citizens (G2C)

Who may avail: Old patients consulting at the OPD CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Patient’s Identification Card (Hospital card) OPD Health Records (on initial registration)

2. Persons with Disability or Senior Citizen ID if applicable



FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present Patient’s Identification Card (Hospital Card) and get queueing number at the OPD Guard on Duty.

If PWD/SC: Present PWD/SC ID and get priority number. Ipakita ang Hospital Card at kumuha ng

1.1 Distributes queueing and/ or priority numbers

None <1 minute Guard-on-duty OPD

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number sa OPD Guard on Duty. Kung PWD/SC: Ipakita ang PWD/SC ID at kumuha ng priority number.

2. Proceed to the patient’s waiting area in front of OPD Records Unit and wait for the number to be called.

Maupo sa upuang nakalaan sa harapan ng OPD Records Unit at antayin na tawagin ang numero.

2.1 Calls out the priority or queueing number of patient whose turn it is to be accommodated Pagtawag sa numero ng pasyenteng kakausapin


Window 1



3. Present the Patient Identification Card to the OPD Records Clerk.

If PWD/SC: Present PWD/SC ID at the OPD Priority Lane/ Window

Ipakita ang Hospital Card sa OPD Records Clerk Kung PWD/SC:

3.1 Registers patient in the Bizbox

3.2 Issues queuing

number for the clinic at which the patient will consult

3.3 Retrieves OPD

Health Record of the patient

3.4 Forwards OPD

Health Record to the nursing attendant of the clinic at which

None if with Hospital Card Php 100.00 for replace-ment of lost hospital card hospital card

1 minute 8-10 minutes

Records Clerk OPD Records Unit

Window 1



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Present PWD/SC ID sa OPD Priority Lane/ Window

the patient will consult

3.1 Pagtatala sa

Bizbox.

3.2 Pagbigay ng numero para sa klinikang pagpapating-nan ng pasyente

3.3 Paghahanap ng

OPD Health Record ng pasyente

3.4 Pagbigay ng

OPD Health Record ng pasyente sa nursing attendant ng klinika kung saan magpapatingin ang pasyente

4 Proceed to the respective clinic’s waiting area and wait for the number to be called. Magtungo sa Waiting Area ng Clinic at antayin na tawagin ang numero.

4.1 Calls out number of the patient whose turn it is to be examined

4.1 Pagtawag ng

numero ng pasyenteng magpapakonsulta

None (Waiting time depends on the number of patients and complexity of cases)

Nursing Attendants OPD

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5 OPD Registration for Overseas Filipino Worker (OFW) and

Dependents

Registration of patients who are OFWs or the dependent of one.


Classification: Simple

Type of Transaction: Government-to-Citizens (G2C)

Who may avail: OFWs and their dependents


1. Data Form OPD Security Guard

2. PhilHealth Member Data Record (4 copies for new patients, 2 copies for old patients)

PhilHealth

3. Patient Identification Card (Hospital Card) OPD Registration/ ER registration


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. If New Patient: Present completely filled-out Data Form and 4 copies of PhilHealth Member Data Record to the Clerk at the OPD Records Priority Lane/Window.

*must be an active

member

If Old Patient: Present Patient Identification Card together with 2 copies of MDR only. Kung Bagong Pasyente: Ipakita ang sinagutang Data Form at 4 na Kopya ng Member Data Form (MDR) galing sa Philhealth sa Clerk ng OPD Records Priority Lane/Window.

1.1 Assesses Data Form and Registers patient in the Bizbox.

1.2 Issues queueing number for the clinic at which the patient will consult

1.3 For New Patient: Prints out OPD Health Record and Patient Identification Card

For Old Patient: Retrieves OPD Health Record of patient

1.4 Forwards OPD

Health Record to the nursing attendant of the clinic at which

None New patients: 5 -10 minutes Old patients: 3 – 8 minutes

Records Clerk OPD Records Unit

Priority Lane/ Window

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Kung Dating Pasyente: Ipakita ang Patient Identification Card kasama ang 2 Kopya ng MDR.

the patient will consult

1.1 Pagsusuri at pagtatala ng pasyente sa Bizbox

1.2 Pagbigay ng numero para sa klinika kung saan magpapatingin ang pasyente

1.3 Para sa

Bagong Pasyente: Paglimbag at pag-isyu ng Patient Health Record at Hospital Card Para sa mga Dating Pasyente: Paghanap ng OPD Health Record ng pasyente

1.4 Pagbigay ng OPD Health Record ng pasyente sa nursing attendant ng klinika kung saan magpapatingin ang pasyente

5 Wait at the designated clinic for consultation

5.1 Refer/Endorse patient/ dependent to

None 5 – 10 minutes Records Clerk


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Maghintay sa klinik para sa konsultasyon.

the respective clinic.

5.1 I-refer ang pasyente/dependent sa Clinic para sa konsultasyon.

6 PROCEDURE ON ISSUANCE OF MEDICAL CERTIFICATE (MC), MEDICO-LEGAL CERTIFICATE (ML) & CLINICAL ABSTRACT

Issuance of medical certificate, medico-legal certificate and clinical abstracts by

patients and/or legal representatives of patients

Office or Division: Health Information Management Section (HIMS) Classification: Simple

Type of Transaction: Government-to-Citizen (G2C) Who may avail: Patients who have been treated in ARMMC or their authorized

representative

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Request Form and Claim Stub Window 3 of HIMS 2. Original and photocopy of Valid ID’s of the

patient and authorized representative School, office, postal or barangay IDs or there government issued ID

3. Authorization letter from the patient or nearest kin as necessary

Patient or nearest kin of patient

4. If the patient is a minor, valid ID of the patient and of the authorized representative, and authorization letter from parent/s or guardian of the patient.

Parents and/ or authorized representative of parent/s or legal guardian of patient


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get request form at Window 3 and fill out

1.1 Issues Request form

None < 1 minute HIM Clerk HIMS

2. Submit filled out Request Form to Window 3 and get queueing number

2.1 Validates request form filled up by the requestor

None 3 minutes HIM Clerk

HIMS Window 3

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2.2 Issues queueing number to client

2.3 Calls out

number of client to be accommodated

2.4 Issues charge

slip

3. Present the charge slip and pay indicated amount at the cashier

3.1 Receives charge slip and payment

3.2 Issues official receipt

3.3 Stamps Request

Form as “Paid”

MC-PHP 150.00 ML-PHP 200.00 Abstract -PHP 100.00

5 minutes (depending on queue at the Cashier)

Cashier

Cash Operations

4. Return the stamped request form and official receipt to Window 3

4.1 Issues Claim Stub with schedule of release

4.2 Instructs the requestor to bring other requirements as necessary upon claiming of the requested documents

4.3 Retrieves

Patient Health Record

4.4 Prepares

requested document/s

None 3 minutes 3 working days

HIM Clerk

HIMS Window 3

Retrieval Clerk HIMS

Transcriptionist HIMS

5. Return to the HIMS on scheduled date and gets queueing

5.1 Hands out queueing number to clients

None < 1 minute HIM Clerk

HIMS Window 3

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number at Window 3

6. Present claim stub at Window 5 to collect the requested documents once number is called

6.1 Calls out number of the client to be accommodated

6.2 Reviews claim stub and other requirements as necessary

6.3 Retrieves prepared documents

6.4 Logs requested

documents

6.5 Issues documents requested

None 5 – 10 minutes HIM Clerk

HIMS Window 5

7 PROCESS FLOW IN SECURING BIRTH CERTIFICATE (REGULAR FILING)

Registration of birth certificate of patients born in ARMMC.



Who may avail: Parent/s or authorized representatives of the parent/s of patients born in ARMMC


1. Birth Certificate Information Sheet Delivery Room

2. Patient Identification Card of mother of patient

ER or OPD

3. Valid ID of husband or authorized representative of mother

Company, Post-office, Barangay/ Municipal Hall, Comelec, etc.

4. For married parents: photocopy of Certificate of Marriage

Philippine Statistics Authority

5. For non-married parents: Barangay/ Municipal Hall

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Community Tax Certificate (Cedula) for the current year of both parents

Affidavit to use the surname of the father and acknowledgment

Notary Public


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get queueing number from window 3

1.1 Issues queueing number

None 30 seconds – 1 minute

HIM Clerk HIMS Window 3

2. Once number is called, presents queueing number and other requirements at the Window 4

2.1 Calls out the number of the client to be accommodated

2.2 Validates the requirements brought by client and the Birth Certificate Information Sheet forwarded by the Delivery Room or Operating Room Nurse

2.3 Once request is validated, issues Civil Registry Office Order of Payment slip and Order of Payment for Notary of Birth Certificate

2.4 Prepares the

official birth certificate form

None 1 minute 10 – 20 minutes <1 minute 5 minutes


Transciptionist HIMS

3. Presents Order of Payment to Office of the Local Civil Registrar of Marikina and to Notary Public and

3.1 Receives Order of Payment and actual payment

3.2 Issues official receipts

See fees below

(depends on queue at the LCR and Notary Public office)

Treasury Clerk Office of Local Civil

Registrar of Marikina

Notary Public

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pays Birth Certificate fees

4. Presents official receipts at the HIMS Window 4

4.1 Presents official Certificate of Live Birth for validation

None 5 minutes

HIM Clerk

HIMS Window 4

5. Validate and sign the official Certificate of Live Birth


5.2 Files Certificates of Live Birth at the Office of the Local Civil Registrar of Marikina City

None 1 minute 1 week


Transciptionist HIMS

6. Using the claim stub form, get the registered Certificate of Live Birth at the Office of the Local Civil Registrar of Marikina City

6.1 Issues original copy of Certificate of Live Birth

None 2 weeks after filing

Staff Office of the Civil

Registrar of Marikina City

NOTE: Requirements and processing fee for Birth Certificate registration:

MARRIED: PHP

1 Photocopy of marriage contract -

2 Hospital Birth Certificate Fee 100.00

3 Registration fee set by Marikina City Hall 100.00

Total 200.00

NOT MARRIED: PHP

1 Community Tax Certificate (Cedula, current year) of parents -

2 Personal appearance of the Father for his signature -


4 Affidavit to use the surname of the father and acknowledgment 150.00


Total 350.00

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SINGLE PARENT: PHP



Total 200.00

8 PROCESS FLOW IN SECURING BIRTH CERTIFICATE (LATE REGISTRATION)

Late registration of birth certificate of patients who were born in ARMMC.


Type of Transaction: Government-to-Citizens (G2C) Who may avail: Patients, parent/s or nearest kin of patients born in ARMMC


1. Negative Certification of Birth from Philippine Statistics Authority (PSA)


2. Notarized affidavit of 2 disinterested persons with their Cedula


3. Affidavit of Late Registration Notary Public

4. Barangay clearance of mother for late registration of birth

Barangay of residence

5. If married before child was born, PSA copy or certified true copy of marriage contract.


6. If unmarried, Community

Tax Certificate (Cedula, current year) of both parents

Affidavit to use the surname of the father and acknowledgement

Barangay or Municipal Hall of residence Notary Public

7. Birth Certificate Information Sheet Issued by Delivery Room to HIMS


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get queueing no. from window 3 and wait for the no. to be called at window 4


None 1 minute HIM Clerk HIMS Window 3

2. Presents requirements needed at Window 4 once number is called

2.1 Calls out the number of the client to be accommodated

None 10 – 20 minutes


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2.2 Validates the requirements and the Birth Certificate Information Sheet form forwarded by the Delivery Room

2.3 Once request is

validated, issues Civil Registry Office Order of Payment slip and Order of Payment for Notary of Birth Certificate

2.4 Prepares the

official birth certificate form

3. Presents Order of Payment to Office of the Local Civil Registrar of Marikina and to Notary Public and pays Birth Certificate fees

V.

3.1 Receives Order of Payment and actual payment

3.2 Issues official receipts

See fees below

(depends on queue at the LCR and Notary Public office)

Treasury Clerk Office of Local Civil

Registrar of Marikina

Notary Public

4. Presents official receipts at the HIMS Window 4

4.1 Presents official Certificate of Live Birth for validation

None 5 minutes

HIM Clerk

HIMS Window 4

5. Validate and sign the official Certificate of Live Birth


5.2 Files Certificates of Live Birth at the Office of the

None 1 minute 1 week



34

Local Civil Registrar of Marikina City

6. Using the claim stub form, get the registered Certificate of Live Birth at the Office of the Local Civil Registrar of Marikina City

6.2 Issues original copy of Certificate of Live Birth

None 2 weeks after filing

Staff Office of the Civil

Registrar of Marikina City

Processing fee for late registration: Late registration from one (1) month to one (1) year old

FOR SINGLE PARENT/ MARRIED: Fee (PHP) Total (PHP)

1. Registration fee set by Marikina City Hall 200.00 350.00

2. Affidavit of late registration 150.00

FOR NOT MARRIED:

1. Registration fee set by Marikina City Hall 200.00 450.00 2. Affidavit to use the Surname of the father and

acknowledgment, and affidavit of late registration 250.00

Late registration from two (2) years old and above

FOR SINGLE PARENT/ MARRIED: Fee (PHP) Total (PHP)

1. Registration fee set by Marikina City Hall 400.00 550.00

2. Affidavit of late registration 150.00

FOR NOT MARRIED:

1. Registration fee set by Marikina City Hall 400.00

P650.00 2. Affidavit to use the surname of the father and affidavit of

late registration

250.00

9 PROCEDURE ON ISSUANCE OF CERTIFICATE OF CONFINEMENT (ADMITTED PATIENTS ONLY)

Issuance of Certificate of Confinement to patients admitted to ARMMC



Who may avail: Patients who are currently admitted to ARMMC at the time of request


Request for certificate of confinement form HIMS Window 3

35


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get request form for certificate of confinement at window 3

1.1 Issues request form for Certificate of Confinement

1.2 Instructs the requestor to forward the request for certificate of confinement form to the nurse on duty at the ward where the patient is located

None 1 minute HIM Clerk HIMS Window 3

2. Forwards request form for Certificate of confinement to nurse-on-duty

2.1 Fills out the request form

2.2 Instructs client to return the filled-out request form to the HIMS clerk for typing and printing

None 3 – 5 minutes Nurse-on-duty Ward

3. Submits filled out request form to Window 3

3.1 Types and prints Certificate of Confinement

3.2 Post charges in BIZBOX

PHP 100.00

1 minute Transcriptionist HIMS

4. Receives Certificate of Confinement

3.3 Issues 2 copies of printed Certificate of Confinement

None < 1 minute HIM Clerk HIMS Window 3

5. Submits Certificate of Confinement to nurse-on-duty to

4.1 Receives Certificates of Confinement

None 3 minutes Nurse-on-Duty

Ward/ Clinical Area

36

have it signed by attending physician

4.2 Reviews and signs Certificate of Confinement

Attending Physician Ward/ Clinical Area

6. Presents signed Certificates of Confinement Window 3

6.1 Receives signed Certificates of Confinement and have the certificates signed by the HIMS Head

6.2 Applies dry seal of HIMS

None 3 – 5 minutes HIM Clerk and HIMS Office Head HIMS Window 3

7. Receives 2 copies of COC

7.1 Instruct the requestor to surrender the one copy of the certificate and the nurse-on-duty at the ward to attach the documents to the Patient’s Health Record

None 3 – 5 minutes HIM Clerk HIMS Window 3

10 PROCEDURE ON SECURING DEATH CERTIFICATE

Issuance of Certificate of Death to a relative or authorized representative of the

patient who died in ARMMC


Type of Transaction: Government-to-Citizen (G2C) Who may avail: Relative or authorized representative of patients who died in ARMMC


1. Original and photocopy (1) of Discharge Clearance/Exit Permit of patient

Ward or Clinical area where patient was admitted

2. Original and photocopy of valid ID of the patient and nearest kin

Company, school, COMELEC, Post Office, Barangay or Municipal Hall

3. Request for Death Certificate Form HIMS Window 3

37


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get queueing no. from window 3 and wait for the no. to be called

1.1 Issues queueing number and request form

None 30 seconds – 1 minute


2. Fill up Request for Death Certificate form and once number is called, present discharge clearance/exit permit with the form at Window 1

2.1 Validates Request for Death Certificate form

2.2 Prepares

Certificate of Death

None 5 – 10 minutes 1 working day or the next working day



3. Return to window 3 on the next working day to get queueing number


None < 1 minute HIM Clerk HIMS Window 3

4. Once number is called, validate the printed Certificate of Death then sign the informant portion of certificate

4.1 Issues charge slip

4.2 Logs certificate

None < 1 minute HIM Clerk

HIMS Window 1

5. Present charge slip and pay Death Certificate fee at the cashier

5.1 Receives charge slip and payment

5.2 Issues official

receipt

PHP 100.00

5 minutes (depending on queue at the Cashier)


6. Presents official receipt to HIMS window 1

6.1 Issues three (3) copies of official death certificate

6.2 Instruct to proceed to embalmer for signature and the municipal health office for

None 5 minutes (if already signed by the attending physician)


38

review of the certificate

39

Department of Pathology

Internal

40

1 Outpatient Laboratory

Laboratory work up of non-admitted patients

Office or Division: Department of Pathology

Classification: Simple Transaction Type of Transaction: Government-to-Citizens (G2C)

Who may avail: Non-admitted patients who require laboratory workup CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Hospital Card OPD/ ER Registration

2. Laboratory request Attending physician at the ER or OPD


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present laboratory request with complete data to OPD Laboratory. Ipakita ang laboratory request na may kumpletong delatye sa OPD lab

1.1 Receive Laboratory request

1.2 Issue charge slip for payment.

1.1 Tanggapin ang request

1.2 Bigyan ng charge slip para bayaran

None 8 minutes Laboratory Aide, Med-tech, or Administrative

aide Receiving Window

2. Present the charge slip to the cashier and pay amount indicated Iprisenta ang charge slip kahera at bayaran ang nakatakdang halalga

2.1 Receive charge slip and payment

2.2 Issue official receipt

4.2 Tanggapin ang

charge slip at bayad

4.3 Mag-isyu ng opisyal na resibo

Amount specified on the charge slip*

10 minutes Cashier OPD 2nd FLoor

5. Return to the laboratory and

5.1 Receive specimen with

10 minutes

Med-tech Extraction Area

41

submit or have specimen collected. Bumalik sa laboratoryo at magbigay ng specimen o magpakuha ng dugo

official receipt and extract blood if necessary

5.2 Label specimens

5.3 Log request and

specimen 5.4 Transport

specimen and extracted blood to main laboratory

5.5 Process

specimen.

2.1 Dalhin sa laboratory ang ipapasuri, kukuhaan ng dugo ang pasyente kung kinakailangan

2.2 Lagyan ng pangalan ang mga specimen

2.3 Itala ang

ipinagagawa at specimen

2.4 Ibigay at dalin

ang ipapasuri sa laboratory

2.5 Pagsusuri sa

laboratory

Depends on procedure requested

3 Return for the official results on the

3.1 Prepare official results.

None Release of results*

Laboratory Aide, Med-tech, or Administrative

Aide

42

date or time specified Balikan ang resulta sa araw at oras na itinakda ng laboratory

3.2 Log official results

3.3 Release official results

3.1 Ihanda ang opisyal na resulta 3.2 Itala ang mga opisyal na resulta 3.3 Ibigay sa pasyente ang mga resulta

Releasing Window

*See Comprehensive list of services

2 Inpatient Laboratory Request

Laboratory work up of admitted patients

Office or Division: Department of Pathology Classification: Simple Transaction

Type of Transaction: Government-to-Citizens (G2C) Who may avail: Admitted patients requiring laboratory workup

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Laboratory Request Attending physician


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present laboratory request to In-patient reception Dalhin ang request sa laboratory

1.1 Receive and log request

None 3 minutes Nurse-on-duty, Nursing attendant

2. Submit specimen or subject patient for blood extraction Ibigay ang ipapasuri o pakuhanan ng dugo ang pasyente kung kinakailangan

2.1 Receive specimens submitted or locate patient for blood extraction if necessary

2.2 Render laboratory request in Biz box after

See pricelist*

Receiving of specimen – 3 minutes Blood extraction – 10 minutes

Med-tech, Laboratory aide or Administrative

Aide

Med-tech

43

receive of specimen.

2.3 Process

specimen

2.4 Prepare official results

2.5 Log official

results

2.6 Release results to nurse station

2.1 Tanggapin ang

ipapasuri o hanapin at kunan ng dugo ang pasyente kung kinakailangan

2.2 I-rekord ang gagawing pagsusuri sa bizbox

2.3 Pagsusuri sa

laboratoryo

2.4 Ihanda ang opisyal na resulta

2.5 Itala ang opisyal

na resulta

2.6 Dalhin ang resulta sa nurse station

Processing – depends on procedure requested Release of results*

Med-tech, Laboratory aide or Administrative

Aide

* See Comprehensive list of services

44

3 Emergency Room (ER) Patient Laboratory Work Up

Laboratory work up of patients consulting at the emergency room

Office or Division: Department of Pathology Classification: Simple Transaction

Type of Transaction: Government-to-Citizen (G2C) Who may avail: Patients requiring laboratory workup

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Laboratory Request Attending physician


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present laboratory request with complete data to ER Laboratory.

Ipakita ang laboratory request na may kumpletong delatye sa laboratoryo sa ER

1.1 Present laboratory request to ER satelite laboratory

1.1 Dalhin ang

request sa ER - laboratoryo)

None 3mins Nurse on Duty, Nursing attendant

ER

2. Submit specimen or subject patient for blood extraction Ibigay ang ipapasuri o pakuhanan ng dugo ang pasyente kung kinakailangan

2.1 Receive specimen and extracted blood in ER Satellite Laboratory

Ibigay ang ipapasuri at kuhaan ng dugo ang pasyente sa ER-satellite laboratory

2.2 Charge

Laboratory request in Biz box after extraction and receive specimen at ER Satellite Laboratory

See pricelist*

1 – 2 hours Med-tech, Laboratory Aide

ER Satellite Laboratory

45

I-charge ang gagawing pagsusuri sa bizbox

2.3 Transport specimen and extracted blood to main laboratory

Ibigay at dalin ang ipapasuri sa laboratory

2.4 Process

Specimen Pagsusuri sa laboratory

2.5 Release of

results to ER Satellite laboratory

Dadalhin ang resulta sa ER-satellite laboratory

*See Comprehensive list of services

4 Acquisition of Blood from Blood Bank

Acquisition of blood products from the blood bank for admitted patients

Office or Division: Department of Pathology Classification: Highly Technical

Type of Transaction: Government-to-Citizen(G2C) Who may avail: In and Out Patients who needs Blood

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Blood Request Form Blood Bank Office

2. Crossmatching Request Blood Bank Office


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

46

1. Give the Blood Request form or Cross matching Request to Blood Bank Staff. Ibigay ang Blood Request form sa Blood Bank Staff.

1.1 Receive the Blood Request form or Cross matching Request to Blood Bank Staff.

Tanggapin ang Blood Request form

1.2 Prepare the

blood units 1.3 Perform

crossmatching procedure.

Ihanda ang dugo at gawin ang crossmatching

1.4 Charge to billing

via Biz box

Blood units Whole blood - PHP 1800 Packed Red Blood Cells – PHP 1, 500 Other component – PHP 1,000 Crossmatching – PHP 330

5 minutes 1 hour

Med-Tech-on-Duty Blood Bank

2. Receive the blood product

Tanggapin ang dugo

2.1 Release the blood. Ibigay ang dugo

None 5 minutes Med-Tech-on-duty Blood Bank

Comprehensive List of Services

SERVICES CLASSIFICATION

DOCUMENTARY

REQUIREMENTS

FEE PROCESSING TIME

HEMATOLOGY ER/STAT OPD/In Patient

1. Malarial Smear Highly Technical

Laboratory Request

120.00 3hrs & 3Omins

3hrs & 30mins

2. Peripheral Blood Smear

Highly Technical

Laboratory Request

150.00 3hrs & 30mins

3hrs & 30mins

3.Hemoglobin/Hematocrit Highly Technical

Laboratory Request

150.00 1hr & 30mins 3hrs & 30mins

47

4. Complete blood count Highly Technical

Laboratory Request

230.00 1hr & 30mins 3hrs & 30mins

5. Platelet Count Highly Technical

Laboratory Request

110.00 1hr & 30min 3hrs & 30mins

6. Clotting Time/ Bleeding Time

Highly Technical

Laboratory Request

130.00 1hr & 30mins 1hr & 30 mins

7. Prothrombin Time Highly Technical

Laboratory Request

250.00 1hr & 30mins 3hrs & 30min

8. Activated Prothrombin time

Highly Technical

Laboratory Request

250.00 1hr & 30min 3hrs & 30mins

PARASITOLOGY Highly Technical

1. Fecalysis Highly Technical

Laboratory Request

70.00 1hr & 30min 3hrs & 30mins

2. Concentration Technique

Highly Technical

Laboratory Request

150.00 1hr & 30min 3hrs & 30mins

3. Scotch tape swab Highly Technical

Laboratory Request

100.00 1hr & 30min 3hrs & 30min

4. Fecal Occult Blood Highly Technical

Laboratory Request

100.00 1hr 1hr & 30mins

5. Kato-Katz Method Highly Technical

Laboratory Request

100.00 1hr & 30mins 3hrs & 30 mins

CLNICAL MICROSCOPY

1. Urinalysis Highly Technical

Laboratory Request

80.00 1hr & 30min 3hrs & 30mins

2. Pregnancy test Highly Technical

Laboratory Request

150.00 45mins 1hr & 30mins

3. Urine KOH Highly Technical

Laboratory Request

120.00 1hr & 30mins 1hr & 30mins

4. Urine Ketone Highly Technical

Laboratory Request

80.00 45mins 1hr & 30min

5. RBC Morphology Highly Technical

Laboratory Request

100.00 - 1 hr & 30 min

6. CSF & other body fluids

Highly Technical

Laboratory Request

230.00 2hrs & 30mins

4hrs & 30min

SEROLOGY

1. Anti-HBs Highly Technical

Laboratory Request

600.00 - 4hrs & 30mins

2. CA 125 Highly Technical

Laboratory Request

1200.00 - 4hrs & 30mins

3. CEA Highly Technical

Laboratory Request

1000.00 - 4hrs & 30mins

4. FT3 Highly Technical

Laboratory Request

750.00 - 4hrs & 30mins

48

5. FT4 Highly Technical

Laboratory Request

750.00 - 4hrs & 30mins

6. HAV IGM Highly Technical

Laboratory Request

1400.00 - 4hrs & 30mins

7. T3 Highly Technical

Laboratory Request

700.00 - 4hrs & 30mins

8. T4 Highly Technical

Laboratory Request

500.00 - 4hrs & 30mins

9. TPSA Highly Technical

Laboratory Request

1800.00 - 4hrs & 30mins

10. Troponin I Quantitative

Highly Technical

Laboratory Request

1250.00 - 4hrs & 30mins

11. TSH Highly Technical

Laboratory Request

920.00 -- 4hrs & 30mins

12. Dengue Duo Highly Technical

Laboratory Request

1000.00 1hr & 30mins 3hrs & 30mins

13. HBsAg Screening Highly Technical

Laboratory Request

200.00 - 3hrs & 30mins

14. Salmonela typhi Highly Technical

Laboratory request

550.00 - 3hrs & 30mins

15. C- Reactive Protein Highly Technical

Laboratory request

300.00 - 3hrs & 30mins

16. Rheumatoid factor Highly Technical

Laboratory request

350.00 - 3hrs & 30mins

17. Anti-Streptolysin O Highly Technical

Laboratory request

350.00 - 3hrs & 30mins

18. Leptospirosis Highly Technical

Laboratory request

650.00 - 3hrs & 30mins

19. HACT/PICT Screening

Highly Technical

Laboratory request

FREE - 3hrs & 30mins

BACTERIOLOGY

1. Blood Culture with ARD

Highly Technical

Laboratory request

1430.00 - 7 days

2. Blood Culture without ARD

Highly Technical

Laboratory request

740.00 - 7 days

3. Culture and Sensitivity Highly Technical

Laboratory request

640.00 - 3-5 days

4. Gram Stain Highly Technical

Laboratory request

70.00 1hr & 30 mins

1hrs & 30 mins

5. Xpert MTB/ RIF Highly Technical

Laboratory request

FREE Within the day

5-7 working

days

6. AFB&DSSM Highly Technical

Laboratory request

120.00 - 5-8hrs

7. KOH Highly Technical

50.00 1hr & 30 mins

1hr & 30 min

49

8. Stool Culture Highly Technical

Laboratory request

640.00 - 3-5 days

HISTOPATHOLGY

1. Surgical Biopsy (Small specimen)

Highly Technical

Laboratory request

300.00 - 5-7 working

days

2. Surgical Biopsy (Medium specimen)

Highly Technical

Laboratory request

500.00 - 5-7 working

days

3. Surgical Biopsy (Large specimen)

Highly Technical

Laboratory request

500.00 - 7-10 working

days

4. Surgical Biopsy (Radical specimen)

Highly Technical

Laboratory request

800.00 - 7-10 working

days

5. Pap smear Highly Technical

Laboratory request

50.00 - 5-7 working

days

6. Fine Needle Biopsy Highly Technical

Laboratory request

300.00 - 5-7 working

days

7. Cell Cytology Highly Technical

Laboratory request

300.00 - 5-7 working

days

8. Frozen Section Biopsy Highly Technical

Laboratory request

1,200.00 - 1 hour

BLOOD BANK

1. Blood typing Highly Technical

Laboratory request

130.00 1hr 1hr

2. Crossmatching (Broad Spectrum)

Highly Technical

Laboratory request

330.00 - 1hr & 30mins

3. Coombs test Highly Technical

Laboratory request

330.00 - 1hr & 30mins

CLINICAL CHEMISTRY

1. Fasting Blood Sugar Highly Technical

Laboratory request

140.00 1hr & 30 mins

4hrs & 30 mins

2. SGOT Highly Technical

Laboratory request

155.00 - 4hrs & 30 mins

3. SGPT Highly Technical

Laboratory request

155.00 - 4hrs & 30 mins

4. Total Protein Highly Technical

Laboratory request

130.00 - 4hrs & 30 mins

5. Ionized calcium Highly Technical

Laboratory request

375.00 - 1 hr & 30 mins

6. Troponin I (Qualitative)

Highly Technical

Laboratory request

740.00 1 hr 1 hr

50

7. Oral Glucose Concentration Test (OGCT)

Highly Technical

Laboratory request

195.00 - 4 hrs & 30 mins

8. 2 HRS PPBS Highly Technical

Laboratory request

190.00 - 4 hrs &30 mins

9. Globulin Highly Technical

Laboratory request

- - 4 hrs & 30 mins

10. A/G Ratio Highly Technical

Laboratory request

270.00 - 4 hrs & 30 mins

11. LDH Highly Technical

Laboratory request

160.00 - 4 hrs & 30 mins

12. Albumin Highly Technical

Laboratory request

120.00 - 4 hrs & 30 mins

13. ALP Highly Technical

Laboratory request

110.00 - 4 hrs & 30 mins

14. Amylase Highly Technical

Laboratory request

160.00 - 4 hrs & 30 mins

15. Blood Uric Acid Highly Technical

Laboratory request

120.00 - 4 hrs & 30 mins

16. Blood Urea Nitrogen Highly Technical

Laboratory request

120.00 1 hr & 30 mins

4 hrs & 30 mins

17. Cholesterol Highly Technical

Laboratory request

85.00 - 4 hrs & 30 mins

18. CKMB Highly Technical

Laboratory request

375.00 2 hrs & 30 mins

4 hrs & 30 mins

19. Creatinine Highly Technical

Laboratory request

100.00 1 hr & 30 mins

4 hrs & 30 mins

20. HDL Highly Technical

Laboratory request

120.00 - 4 hrs & 30 mins

21. Oral Glucose Tolerance Test (OGTT)

Highly Technical

Laboratory request

520.00 - 4 hrs & 30 mins

22. Bilirubin (TB,B1,B2) Highly Technical

Laboratory request

110.00 - 4 hrs & 30 mins

23. Triglycerides Highly Technical

Laboratory request

170.00 - 4 hrs & 30 mins

24. Calcium Highly Technical

Laboratory request

210.00 1hr & 30 mins

1hr & 30 mins

25. Sodium Highly Technical

Laboratory request

180.00 1hr & 30 mins

1hr & 30 mins

51

Department of Radiology

Internal

52

1 Radiologic Procedure for Out-Patients

Radiologic procedures for oupatients

Office or Division: Department of Radiology Classification: Highly Technical

Type of Transaction: Government-to-Citizens (G2C) Who may avail: Out-patients

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Request form OPD (Attending Physician)

2. Hospital card OPD triage

3. Request charge slip Radiology Information Area (Receptionist/Clerk/RadTech)

4. Schedule slip RadTech

5. Receipt Cashier


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present request to Radiology Reception/Information area

1.1 Evaluates the request for the procedure

None 5 mins to 10 mins Receptionist/ Clerk/ Radiologic

Technologist Radiology

2. Requests for charge slip form

2.1 Issuance of charge slip thru bizbox for out-patient

See Price list

5mins to 10mins Receptionist/ Clerk/ Radiologic

Technologist Radiology

3. Pays the amount charged

3.1 Proceeds to Cashier

None N/A Cashier Cash Operations

4. Presents the paid charge slip

4.1 Scheduling through unisched of the patients

None 5mins to 10mins Clerk/ Radiologic Technologist

Radiology

5. Return Request and Receipt to Designated Area according to the procedure requested

5.1 Review of patient data/ Provision of consents

None 5mins or Depends on queue and length of procedure

Radtech Radiology

53

6. Patient to be taken to the procedure room

6.1 Procedure Proper

None Depends on Procedure and patient condition

Radiology Technologist

Radiology

7. Claims of result by presenting the receipt

7.1 Releases the result

None X-ray: 3 working days

US:

within 24 hours MG: 2 working days

CT/MRI routine:

3 workings CT/MRI special procedure: 5 working days

Clerk / Radiologic Technologist

Radiology

2 Radiologic Procedure for ER and In-Patients

Radiologic procedures for ER and admitted patients

Office or Division: Department of Radiology

Classification: Highly Technical Type of Transaction: Government-to-Citizen (G2C)

Who may avail: ER and In-patients CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Request form ER/ward (Attending Physician)

2. Hospital card ER triage

3. Schedule slip RadTech


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Presents request to Radiology Reception/Information area

1.1 Evaluates the request for the procedure

1.2 Issuance of charge slip thru bizbox for ER and in-patients

None See Price list None

5 mins to 10 mins 5mins to 10mins 5mins to 10mins

Patient/Companion and Receptionist/ Clerk/

Radiologic Technologist

Receptionist/ Clerk/

Radiologic Technologist

Clerk/ Radiologic

Technologist

54

1.3 Scheduling of patients

1.4 Review of

patient data/ Provision of consents

None

5mins to 10mins Clerk/ Radiologic

Technologist

2. Patient taken to the procedure room

2.1 Procedure Proper

2.2 Release of Result (delivered to wards)

None

Depends on Procedure and patient condition X-ray: 24 hours release to nurse station US: 24 hours

release to ward MG: 2 working days release to wards CT/MRI routine: 3 working days release to wards CT/MRI special procedure: 5 working days

Radiology Technologist Radiology

List of Rates for Procedures:

ULTRASOUND PROCEDURE/EXAMINATION HOSPITAL RATES

PF PAY SERVICE

1 Abdominal 400.00

2,000.00 1,600.00

2 Upper Abdomen (HBT, Pancreas, Spleen) 240.00

1,200.00

960.00

3 HBT (Liver, Gall Bladder, Bilary Tree) 120.00

600.00

480.00

4 Liver (Single Organ) 100.00

450.00

350.00

5 Gall Bladder (Single Organ) 100.00

450.00

350.00

6 Pancreas (Single Organ) 100.00

450.00

350.00

7 Spleen (Single Organ) 100.00

450.00 350.00

55

8 Kidney (Single Organ) 120.00

600.00 480.00

9 KUB 150.00

750.00 600.00

10 Lower Abdomen (KUB, Prostate, Inguinal) 160.00

800.00

640.00

11 Urinary Bladder 100.00

450.00 350.00

12 Pelvic 120.00

600.00 480.00

13 Chest/Lung 100.00

450.00 350.00

14 Cranial 140.00 700.00

560.00

15 Thyroid/Neck 110.00 550.00

440.00

16 KUB-Prostate 160.00 800.00

640.00

17 Soft Tissue 100.00 450.00

350.00

18 Scrotum/Prostate 140.00 700.00

560.00

19 Inguino-Scrotal 150.00 750.00

600.00

20 Transrectal 170.00 850.00

680.00

21 Breast 140.00 700.00

560.00

22 Fast 170.00 850.00

680.00

UTZ GUIDED :

1 UTZ Guided Cyst Aspiration per organ per organ

2 UTZ Guided Biopsy per organ per organ

3 Nephrostomy 220.00 1,100.00

880.00

4 Paracentesis 220.00 1,100.00

880.00

5 Thoracic 220.00 1,100.00

880.00

6 Whole Abdomen per organ per organ

ULTRASOUND PROCEDURE/EXAMINATION HOSPITAL RATES

56

PF PAY SERVICE

1 Abdominal 400.00 2,000.00

1,600.00

2 Upper Abdomen (HBT, Pancreas, Spleen) 240.00

1,200.00

960.00

3 HBT (Liver, Gall Bladder, Biliary Tree) 120.00

600.00

480.00

4 Liver (Single Organ) 100.00

450.00

350.00

5 Gall Bladder (Single Organ) 100.00

450.00

350.00

6 Pancreas (Single Organ) 100.00

450.00

350.00

7 Spleen (Single Organ) 100.00 450.00

350.00

8 Kidney (Single Organ) 120.00 600.00

480.00

9 KUB 150.00 750.00

600.00

10 Lower Abdomen (KUB, Prostate, Inguinal) 160.00

800.00

640.00

11 Urinary Bladder 100.00 450.00

350.00

12 Pelvic 120.00 600.00

480.00

13 Chest/Lung 100.00 450.00

350.00

14 Cranial 140.00 700.00

560.00

15 Thyroid/Neck 110.00 550.00

440.00

16 KUB-Prostate 160.00 800.00

640.00

17 Soft Tissue 100.00 450.00

350.00

18 Scrotum/Prostate 140.00 700.00

560.00

19 Inguino-Scrotal 150.00 750.00

600.00

20 Transrectal 170.00 850.00

680.00

21 Breast 140.00 700.00

560.00

22 Fast 170.00 850.00

680.00

57

UTZ GUIDED :

1 UTZ Guided Cyst Aspiration per organ per organ

2 UTZ Guided Biopsy per organ per organ

3 Nephrostomy 220.00 1,100.00

880.00

4 Paracentesis 220.00 1,100.00

880.00

5 Thoracic 220.00 1,100.00

880.00

6 Whole Abdomen per organ per organ

58

Diagnostics Section

Internal

59

1 Ward / ER Patients for ECG Procedure (Charity/ Private)

Performance of electrocardiogram to patients at the emergency room or wards

Office or Division: Diagnostic Unit


Who may avail: Ward / ER Patients in need of ECG CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Doctor’s Request Nurse Station

2. Charge Slip Diagnostic Unit


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. 1.1 Present doctor’s request

Ipakita ang “request” na galling sa doctor

1.2 To receive

request

Pagtanggap ng “request”

None 1 min. Nurse-on Duty Ward

Diagnostic Staff Diagnostic Unit Nurse-

2. Undergo ECG at bedside Sumailalim sa ECG

2.1 Perform ECG Pagsagawa ng ECG

2.2 Recording and

releasing of result Pagtatala at pagbibigay ng resulta

2.3 For in-patients – ECG tracing is given to nurse and collected once seen by doctor.

Charity PHP 300 Private PHP 300 +PF

5-10 mins. (depends on patient’s status and cooperation)

60

Para sa mga nakalagak na pasyente sa ospital – “ECG tracing” ay binibigay sa nars at kinokolekta pagkatapos makita ng doctor.)

2.4 For ER patients

– ECG tracing is given to nurse and/ or doctor and be place on patient’s chart. Para sa mga pasyente sa “ER”- “ECG tracing” ay binibigay sa nars at/ o sa doktor at nilalagay sa “chart” ng pasyente

2.5 Official Result: after 3 working days

None 1 min. Diagnostic Staff Diagnostic Unit

2 Out- Patients for ECG Procedure (Charity/ Private)

Performance of electrocardiogram to out-patients.



Who may avail: Out-patients in need of ECG CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Doctor’s Request Patient / Companion

61


3. Claim Form Diagnostic Unit

4. Official Receipt (OR) Cashier


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present doctor’s request Ipakita ang “request” na galling sa doctor

1.1 To receive request


1.2 Issuance of Charge Slip for payment

Pagbibigay ng “charge slip” upang makapagbayad

None 1 min. Diagnostic Staff

Diagnostic Unit

2. Proceeds to Cashier to make payment

2.1 Cashier renders the charge slip (if cash payment) and issued official receipt.

2.2 If asking for medical assistance, referral to Medical Social Service.

Charity PHP 300 Private PHP 300

5 mins. (Depends on the line at the Cashier (if cash payment) / Medical Social Service (if medical assistance)

Cashier Cash Operations

Medical Social Worker

Medical Social Works

3. Present official receipt (OR)/ Charge Slip with Medical Social Worker Approval

Pagpapakita ng resibo/ “charge slip”na aprubado ng “Medical Social Worker”

3.1 Acceptance of receipt (OR)/ Charge Slip

Pagtanggap ng resibo/ “charge slip”

None 1 minute

Diagnostic Staff Diagnostic Unit

62

Official Result: after 3 working days

4. Undergo ECG at Diagnostic Unit

Sumailalim sa ECG

4.1 3.2 ECG Done Pagsagawa ng ECG

4.2 Issuance of Claim Form indicating release date with attachment of OR/ Charge slip Pagbigay ng “Claim Form” na may petsa kung kalian babalikan ang resulta,kalakip ang resibo at “charge slip”

4.3 Prepares official results

None 5 – 10 minutes (depends on patient’s status and cooperation) 3 working days


5. Presents ID and claim form for the release of Official Result on the scheduled date of release Ipakita and pagkakilanlan at “Claim Form” para sa pagkuha ng resulta

5.1 Checks the ID and claim form presented Tinitignan and pagkakilanlan at ang pinakitang “claim form”

5.2 Releases the result and record.


63

Ibigay ang resulta at itala ang kumuha nito.

3 Ward / ER Patients for Arterial Blood Gas (Charity/ Private)

Performance of arterial blood gas (ABG) to patients at the ER or Wards



Who may avail: Ward / ER Patients in need of ABG CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Doctor’s Request Nurse Station


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present doctor’s request

Ipakita ang “request” na galing sa doctor

1.1 To receive request


None 1 minutes Diagnostic Staff

Diagnostic Unit

2. Undergo ABG Sumailalim sa ABG

2.1 Arterial Blood Gas done Pagsagawa ng eksaminasyon

2.2 Prepare official result

Paghanda ng opisyal na resulta

2.3 Recording and

releasing of result Pagtatala at pagbibigay ng resulta


5-10 mins. (depends on patient’s status and cooperation) 1 minute

Diagnostic Staff

Diagnostic Unit

64

2.4 Arterial Blood

Gas result (2 copies) is given to nurse and/ or doctor and be place on patient’s chart. Resulta ng eksaminasyon (2 kopya) ay binibigay sa nars at/ o sa doktor at nilalagay sa “chart” ng pasyente

4 Out- Patients for Arterial Blood Gas (Charity/ Private)

Performance of arterial blood gas (ABG) to outpatients

Office or Division: Diagnostic Unit Classification: Highly Technical

Type of Transaction: Government-to-Citizens (G2C) Who may avail: Outpatients in need of ABG

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 3. Doctor’s Request Patient / Companion




FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present doctor’s request Ipakita ang “request” na galing sa doctor

1.1 To receive request Pagtanggap ng “request”

1.2 Issuance of

Charge Slip for payment

None 1 min. Diagnostic Staff

Diagnostic Unit

65

Pagbibigay ng “charge slip” upang makapagbayad

2. Proceed to cashier to make payment Magbayad sa kahero

2.1 Cashier renders the charge slip (if cash payment) and issued official receipt.

2.2 If asking for medical assistance referred to Medical Social Service.


5 mins. (Depends on the line at the Cashier (if cash payment) / Medical Social Service (if medical assistance)



3. Present official receipt (OR)/ Charge Slip with Medical Social Worker Approval

Pagpapakita ng resibo/ “charge slip”na aprubado ng “Medical Social Worker”

3.1 Acceptance of receipt (OR)/ Charge Slip Pagtanggap ng resibo/ “charge slip”

None < 1 minute


4. Undergo ABG Sumailalim sa ABG

5.1 ABG Done Pagsagawa ng ABG

5.2 Prepare official result Paghanda ng opisyal na resulta

5.3 Recording and

releasing of result

None 5-10 mins. (depends on patient’s status and cooperation)

Diagnostic Staff

Diagnostic Unit

66

Pagtatala at pagbibigay ng resulta

5. Receive official result Pagkuha ng opisyal na resulta

5.1 Releases the result and record. Binibigay ang resulta at tinatala ang kumuha nito

None 1 minute Diagnostic Staff Diagnostic Unit

5 OPD/ In- Patients for Special Procedure (Charity/ Private)

Performance of special diagnostic procedures


Classification: Highly Technical Type of Transaction:

Government to Citizen

Who may avail: OPD/ In- Patients in need of special procedures CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Doctor’s Request Patient / Companion


3. Claim Form Diagnostic Unit



FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present doctor’s request for scheduling

(Ipakita ang “request” na galing sa doctor para mabigyan ng araw ng eksaminasyon)

1.1 To receive request and schedule (Pagtanggap ng “request” at pagtatala ng araw ng eksaminasyon)


2. Patient undergoes the procedure

(Pagsailalim sa mga sumusunod ng eksaminsyon)

2.1 Procedure done (pagsagawa ng eksaminasyon)

None Bronchoscopy, Endoscopy, Proctosigmoidoscopy: 14-30 mins.

Consultant Resident


67

Bronchoscopy

Endoscopy

Proctosigmoidoscopy

Colonoscopy

Holter Monitoring

Spirometry

Stress Test

2D Echocardiography

Colonoscopy: 36-44 mins. Holter Monitoring: At least 24hrs. Spirometry: 35-44 mins Stress Test: 40-54 mins. 2D Echo Cardiography: 36-45 mins. (depends on patient’s status and cooperation)

3. Issuance of Charge Slip for payment (Pagbibigay ng “charge slip” upang makapagbayad)

3.1 For In- patients: Charging directly to patient account (payment upon discharge)

3.2 For Out- patient:

Cashier renders the charge slip (if cash payment) and issued official receipt. If asking for medical assistance referred to Medical Social Service.

Bronchoscopy, Endoscopy, Proctosigmoidoscopy: Charity - PHP 3,000 Private - PHP 3,000 + PF Colonoscopy: Charity - 3,000PHP Private - PHP 3,000 + PF Holter Monitoring: Charity - PHP 2,000 Private - PHP 2,000 + PF Spirometry: Charity - PHP 800

5 minutes (Depends on the line at the Cashier (if cash payment) / Medical Social Service (if medical assistance)



Social Worker Medical Social

Works

68

Private - PHP 800 + PF Stress Test: Charity - PHP 1,200 Private - PHP 1,200 + PF 2D Echo Cardiography: (Plain) Charity - PHP 2,000 Private - PHP 2,000 + PF (w/ Doppler Study) Charity- PHP 2,300 Private - PHP 2,300 + PF

4. Present official receipt (OR)/ Charge Slip with Medical Social Worker Approval (Pagpapakita ng resibo/ “charge slip”na aprubado ng “Medical Social Worker”)

4.1 Acceptance of receipt (OR)/ Charge Slip (Pagtanggap ng resibo/ “charge slip”)

4.2 Performance of Procedure

(Pagsagawa ng eksaminasyon)

a. Issuance of

Claim Form with attachment of OR/ Charge slip

(Pagbigay ng “Claim Form” kalakip ang resibo at “charge slip”)

None Official Result: Bronchoscopy, Endoscopy, Proctosigmoidos-

Diagnostic Staff

Diagnostic Unit

69

b. Indicates the

releasing date on the claim form

(Naglalagay ng petsa ng pakuha para sa resulta)

copy, Colonoscopy- within the same day of procedure 2D Echo Cardiography- after 7 working days

5. Presents ID and claim form for the release of Official Result

(Ipakita and pagkakilanlan at “Claim Form” para sa pagkuha ng resulta)

5.1 Checks the ID and claim form presented. Releases the result and record. (Tinitignan and pagkakilanlan at ang pinakitang “claim form”. Binibigay ang resulta at tinatala ang kumuha nito.)

None 1 minute Diagnostic Staff

Diagnostic Unit

70

Pharmacy Section

Internal

71

1 PROCEDURE ON DISPENSING OF DRUGS AND MEDICINES FOR OUT-PATIENTS

Dispensing of drugs and medicines to outpatients

Office or Division: Pharmacy Department- Medical Classification: Simple Transaction

Type of Transaction: Government-to-Citizen (G2C) Who may avail: Out-Patients who consulted in OPD in need of drugs and medicines

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Doctor’s Prescription Attending Physician

2. Charge Slip Pharmacy

3. Official Receipt and Copy of Charge Slip Cashier


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Presents prescription to Pharmacy

(Ipakita ang reseta sa Parmasya)

1.1 Evaluates and validates prescription for completeness;

1.2 Checks the availability of the medicine and informs the price of the medicine.

(Susuriin ang reseta at titignan kung available ang gamot na kailangan)

None (Wala)

1-2 minutes (1-2 minuto)

Pharmacist-on- duty Pharmacy

(Parmasyutiko)

2. Pays the corresponding fee at the Cashier and then return to Pharmacy after payment.

(Pumunta sa Cashier para sa bayad at bumalik sa Parmasya pagkatapos magbayad)

2.1 Issues Charge Slip in triplicate copies for payment and directs the patient/relative to pay at the Cashier

(Magbibigay ng Charge Slip para sa bibilhing gamot)

Cost of Medicine (Halaga ng gamot)

Refer to Cash Operation’s Citizen’s Charter (Sumangguni sa proseso ng Cashier)

Pharmacist-on- duty

Pharmacy

(Parmasyutiko)

Collecting Officer Cash Operations

(Kahera)

72

3. Presents the Official Receipt and copy of charge slip

(Ipakita ang Resibo at Charge Slip)

3.1 Verifies the details of the Official Receipt with the Charge Slip

(Ibeberipika ang resibo at charge slip)

None (Wala)

1-2 minutes (1-2 minuto)


(Parmasyutiko)

4. Claims the medicine(s)

(Kunin ang gamot)

4.1 Prepares and dispense the medicines; Counsels patient regarding the medication

(Ihahanda at ibibigay ang gamot sa kliyente at ituturo/ipapayo ang tamang paggamit/pag-inom ng gamot)

4.2 Records the

transaction in BIN Card

(Irerekord ang transaksyon)

None (Wala)

2-3 minutes (2-3 minuto) 1 minute (1 minuto)


(Parmasyutiko)

Pharmacist-on- duty

Pharmacy

(Parmasyutiko)

2 PROCEDURE ON DISPENSING OF DRUGS AND MEDICINES FOR OUT-PATIENTS with GUARANTEE LETTER CERTIFICATE OF MEDICAL ASSISTANCE

Dispensing of drugs and medicines for outpatients with guarantee letter certificate of

Medical Assistance

Office or Division: Pharmacy Department- Medical

Classification: Simple Transaction Type of Transaction: Government-to-Client (G2C)

Who may avail: Out-Patients with Guarantee Letter Certificate of Medical Assistance

73

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Doctor’s Prescription and Certificate of

Medical Assistance/Guarantee Letter Attending Physician / Local Government(DSWD)

2. Approved Medical Assistance/Guarantee Letter

MSW Office


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Presents prescription and Certificate of Medical Assistance/ Guarantee Letter

(Ipakita ang reseta at sulat ng tulong pinansyal)

1.1 Evaluates and validates prescription for completeness and reviews Certificate of Medical Assistance;

1.2 Checks the availability of the medicine and informs the price.

(Susuriin ang reseta at ibeberipika ang sulat ng tulong pinansyal)

(Titignan kung available ang gamot na kailangan)

None

(Wala)

1 – 2 minutes (1 – 2 minuto)

Pharmacist-on- duty (Parmasyutiko)

Pharmacy

2. Proceeds to Medical Social Service for processing of documents then returns to Pharmacy after the approval of medical assistance)

(Magpunta sa SWA para sa pagpoproseso ng dokumento at

2.1 Issues Charge Slip in triplicate copies and directs the patient/relative to proceed to Medical Social Service.

(Magbibigay ng Charge Slip

Cost of Medicine (Halaga ng gamot)

Refer to Medical Social Service’s Citizen’s Charter (Sumangguni sa proseso ng Medical Social Service)

Pharmacist-on- duty (Parmasyutiko)

Pharmacy

Social Worker Medical Social Works

74

bumalik sa Parmasya pagkatapos maaprubahan ang tulong pinansyal)

para sa gamot na kailangan)

3. Presents the copy of Charge Slip approved/signed by the Medical Social Service.

(Ipakita ang naaprubahan na Charge Slip ng SWA)

3.1 Double checks and verifies the approved Charge Slip

(Idodouble check ang naaprubahan na Charge Slip)

None

(Wala)

1-2 minutes

(1-2 minuto)


(Parmasyutiko)

4. Claims the medicines; affixes their signature on the charge slip

(Kuhain ang gamot at pumirma sa Charge Slip)

4.1 Prepares and dispense the medicines;

(Ihahanda at ibibigay ang gamot sa pasyente/ tatanggap ng gamot)

4.2 Counsels

patient regarding the medication

(Ihahanda at ibibigay ang gamot sa kliyente at ituturo/ipapayo ang tamang paggamit/pag-inom ng gamot)

4.5 Records the transaction (Irerekord ang transakyon)

None

(Wala)

7 minutes

2 minutes


(Parmasyutiko)

75

3 PROCEDURE ON DISPENSING OF DRUGS AND MEDICINES

FOR IN-PATIENTS

Dispensing of drugs and medicines for admitted patients

Office or Division: Pharmacy Department- Medical


Who may avail: Admitted patients in need of drug and medicines CHECKLIST OF REQUIREMENTS WHERE TO SECURE


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1.

1.1 Requests the medications thru Bizbox Hospital Information System and forwards the prescriptions to Pharmacy

None Refer to Nursing Service’s process

Nurse/Nursing Attendant on duty

2.

2.1 Checks the requisition and availability of medicines

Cost of medicine per charge slip

2 minutes per request

Pharmacist-on- duty

3.

3.1 Renders the requisition and prints the charge slip in duplicate copies



Pharmacist-on- duty

4.

4.1 Prepares the medicine(s) and calls/informs the ward when the medicine(s) is/are ready for pick up.



Pharmacist-on- duty

5.

5.1 Records the dispensed medicines on the BIN Card

None 2 minutes per request

Pharmacist-on- duty

76

6.

6.2 Checks and receives the medicines; affixes their signature on the charge slip

None Depends on the speed of receiving the medicines

Nurse/Nursing Attendant on duty

77

Billing Section

Internal

78

Discharge of In-Patients

Billing of admitted patients (with or without Philhealth, Charity or private)

Office or Division: Billing Section Classification: Simple

Type of Transaction: Government-to-Citizens (G2C)

Who may avail: Admitted patients who are for discharge



FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Get a number at the kiosk Machine and wait for your number to be called

Kumuha ng numero sa kiosk machine at hintayin na tawagin ang yung numero na hawak

1.1 Prepares and signs Billing Statement of admitted patient for discharge

Paggawa ng Talaan ng Bayarin para sa pasyenteng papalabas

None 30 minutes per patient

Billing Clerk-on-duty Billing Section

2. Properly fill-out all the necessary information and sign in the Log Sheet form for the Billing Statement to be released.

Isulat ang tamang impormasyon na kinakailangan sa Log Sheet para maibigay ang Billing Statement

2.1 Releases Billing Statement to patient/ relative

Pagbibigay ng Talaan ng Bayarin sa pasyente/ kamag anak

None 5 minutes Billing Clerk-on-duty Billing Section

79

2 Statement of Account for Discharged Patients

Issuance of Statement of Account to requesting discharged patients


Type of Transaction: Government to Citizens (G2C) Who may avail: Discharged patients


1. Request Form for Statement of Account Billing section


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. To properly fill out the Request Form for Statement of Account

Susulatan ang Form para sa iyong Request na Statement of Account

1.1 Receives request for Statement of Account

Pagtanggap ng aplikasyon para sa Talaan ng pinagbayaran

1.2 Prepares and signs Statement of Account

Paggawa ng Talaan ng pinagbayaran

None 5 minutes 2 days

Billing Clerk Billing Section

2. To pay at the Cashier Section for the Statement of Account to be released

Magbayad muna sa cashier para maibigay ang Statement of Account.

2.1 Releases Statement of Account to patient/ relative

Pagbibigay ng Talaan ng pinagbayaran sa pasyente/ kamag-anak

PHP 50.00 5 minutes Billing Clerk

80

3 Quotation for Hemodialysis

Provision of quotation for hemodialysis for patients who will undergo the procedure


Type of Transaction: Government-to-Citizens (G2C) Who may avail: Patients who plans to undergo hemodialysis in ARMMC


1. Request form for Quotation for Hemodialysis

Billing Section


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. To properly fill-out the request form for Quotation for Hemodialysis

Susulatan ang Form na iyong Request para sa Quotation ng Hemodialysis

1.1 Receives request for Quotation for Hemodialysis

Pagtanggap ng aplikasyon para sa Quotation for Hemodialysis

1.2 Prepares and

signs Quotation for Hemodialysis

Paggawa ng Quotation for Hemodialysis

None 5 minutes 2 days upon request

Billing Clerk

Billing Section Billing Section Head

Financial and Management Officer II

Billing Section

2. To pay at the Cashier Section for the Quotation for Hemodialysis to be released

Magbayad muna sa Cashier Section para mabigay ang Quotation for Hemodialysis

2.1 Releases Quotation for Hemodialysis to patient/ relative

Pagbibibigay ng Quotation for Hemodialysis sa pasyente/ kamag-anak

PHP 50.00 5mins Billing Clerk

81

PhilHealth Section

Internal

82

1 Issuance of documentary requirements for patients with incomplete requirements

Service Information

Office or Division: Philhealth Section / Finance Classification:

Type of Transaction:

Claims Assessment and Outright Deduction

Who may avail: Patients and Relatives

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Patient Identification Card Admitting Office

2. Yellow Card Social Service

3. Philhealth Claim Form 2 (CF2) original copy

Admitting office; attached to patient’s medical record upon admission


a) Delivery Room; for all patient who delivered a baby whether via Normal Spontaneous Delivery or Cesarean Section.

b) Ophthalmology Office; For all patient who underwent eye procedure 66987 or 66982

5. Philhealth Member Registration Form (PMRF) original and duly signed by member/representative; with thumbmark of patient if incapacitated

a) Philhealth Verification Office (between Cashier and Admitting);upon verification of Philhealth if deemed necessary

b) Social Service Office; for Point of Service enrollees

c) Philhealth Window; for undeclared dependents & discrepancies

6. Operation Record Technique photocopy Nurse Station ; for all patients who underwent operations and procedures (RVS) as stated by doctors on their CF2’s

7. Laboratory and Imaging Results photocopy

Nurse Station; usually attached in the patient’s medical charts

8. Other Pertinent Documents (birth certificate, marriage contract, valid government issued Id’s) photocopy


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient/relative will pass the necessary documents to the Philhealth window for assessment. (Ipasa ang mga kailangan na

1.1 Checking on the completeness of documentary requirements. (Pagtsetsek ng kumpletong dokumento na

None 3mins to 5mins PhilHealth Clerk PhilHealth Section

83

importanteng dokumento para sa pagtsetsek sa bintana ng Philhealth.)

kailangan para sa pag gamit ng Philhealth.)

2. Patient/relative will wait for the queuing to be called. (Antayin ang numero para tawagin.)

2.1 Issuance of Queuing number to process documents. (Pag bibigay ng numero para tawagin at iproseso ang mga dokumento.)


2 Application and Outright deduction for patients with complete documentary requirements

Service Information

Office or Division: Philhealth Section / Finance

Classification: Type of Transaction:

Claims Assessment and Outright Deduction

Who may avail: Patients and Relatives CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Hospital Card Admitting Office

2. Yellow Card Social Service


Admitting office; attached to patient’s medical record upon admission


Delivery Room; for all patient who delivered a baby whether via Normal Spontaneous Delivery or Cesarean Section. Ophthalmology Office; For all patient who underwent eye procedure 66987 or 66982

5. Philhealth Member Registration Form (PMRF) original and duly signed by member/representative; with thumbmark of patient if incapacitated

Philhealth Verification Office (between Cashier and Admitting);upon verification of Philhealth if deemed necessary Social Service Office; for Point of Service enrollees Philhealth Window; for undeclared dependents & discrepancies

84

6. Operation Record Technique photocopy Nurse Station ; for all patients who underwent operations and procedures (RVS) as stated by doctors on their CF2’s

7. Laboratory and Imaging Results photocopy

Nurse Station; usually attached in the patient’s medical charts

8. Other Pertinent Documents (birth certificate, marriage contract, valid government issued Id’s) photocopy


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient/relative will pass the necessary documents to the Philhealth window for assessment. (Ipasa ang mgkailangan na importanteng dokumento para sa pagtsetsek sa bintana ng Philhealth.)

1.1 Checking on the eligibility of patients to avail PhilHealth Benefits through PhilHealth Information System.

(Pagtsetsek kungmaaaring makagamit ng benepisyo ang pasyente base sa system ng ospital.)

1.2 Outright

deduction of Philhealth Benefit to patient’s bills and issuance of Claim Signature Form and other forms for signature of PhilHealth member.

(Pagbabawas ng Philhealth sa bill ng pasyente at pagbibigay ng Claim Signature Form CSF at iba bang

3mins to 5mins 3mins to 5mins

PhilHealth Clerk PhilHealth Section

PhilHealth Clerk

PhilHealth Section

85

dokumentong kailangan pirmahan ng myembro ng Philhealth.)

2. The patient /relative will let the member sign on the Claim Signature Form, at the back of CF2 and PBEF (for non POS)

(Papirmahan sa miyembro ng Philhealth and Claim Signature Form, likuran ng CF2 at PBEF para sa mga regular na miyembro.)

2.1 Receive signed Claim Signature Form from patient’s relative for checking.

(Pagtanggap ng mga primadong dokumento galing sa myembro/pasyente para sa pagtsetsek.)


3. Patient/relative will return all the signed documents to the window.

(Ibabalik lahat ng mga dokumento sa bintana ng Philhealth na may kaukulan na pirma ng miyembro.)

3.1 Issuance of stub signed by Philhealth section staff to present to billing for issuance of hospital bill/clearance.

(Pagbibigay ng stub na pirmado ng Philhealth staff ng ospital para ipakita sa billing upang mabigyan ng bill/ clearance.)

None 2mins to 3mins PhilHealth Clerk

86

Cash Operations

Internal

87

1 PAYMENT AND ISSUANCE OF OFFICIAL RECEIPTS

Receipt of payment for products and/ or services

Office or Division: Cash Operations

Classification: Simple Type of Transaction: Government-to-Citizens (G2C)

Who may avail: Clients of ARMMC who need to pay for services or products CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Charge slip/ Bill to patient Concerned revenue center (Laboratory, Diagnostic, Pharmacy Sections, etc), Billing Section, Nurse Station, Emergency Room, Outpatient Department


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Secure charge slip/bill to patient from concerned revenue center/nurse station and go to cashier, line up and wait for their turn.

Pagkuha ng listahan ng mga bayarin sa revenue center/nurse station. Pumunta sa Cashier, pumila at hintayin ang inyong oras sa pagbayad

1.1 Receives charge slip to patient and corresponding payment from patient/relatives

Pagtanggap ng kaukulang bayarin mula sa mga pasyente/kamag-anak ng pasyente)

1.2 Issues official

receipt for every payment made.

Magbigay ng resibo sa lahat ng pinagbayaran

Depending on

services/ products availed

5 mins Collecting Clerk Cash Operations/

Cashier

2. Proceed to concerned revenue center/nurse station for procedure/clearance.

Pumunta sa kinauukulang revenue center

88

/nurse station/ E.R. at ipakita ang O.R. para sa clearance o ipapagawang procedure

2 CHECK PREPARATION

Preparation of checks to employees and suppliers and service providers

Office or Division: Cashier/Finance Classification: Complex

Type of Transaction: Government-to-Citizens (G2C), Government-to-Businesses (G2B) Who may avail: Employees approved for disbursement of funds and/ or suppliers/

service providers collecting payment CHECKLIST OF REQUIREMENTS WHERE TO SECURE

Approved Disbursement Voucher Financial and Management Office, Medical Center Chief Office


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Forward approved Disbursement Voucher for check preparation.

Ibigay sa Cash Operations ang aprubadong papeles at kaukulang dokumento.

1.1 Receives approved disbursement vouchers and supporting documents.

Pagtanggap ng aprubadong papeles at kaukulang dokumento.

1.2 Prepares check

and Advice of Check Issued and Cancelled (ACIC)/Payroll Register after verification of completeness of signatories on Disbursement Voucher.

None 5 minutes

10 minutes

Cash Operations Clerk

Cash Operations

Disbursing Officer Cash Operations

89

Gumawa ng tseke at Advice of Check Issued and Cancelled (ACIC)/Payroll Register pagkatapos makita kung kumpleto ang pirma sa aprobadong papeles.

1.3 Records checks

in the Report of Checks Issued and forwards to Supervising Administrative Officer for review and signature.

Itala ang nagawang mga cheke sa Talaan ng mga nagawang tseke at ipasa sa SAO para suriin at pirmahan ang tseke.

10 minutes

Disbursing Officer and Supervising

Administrative Officer Cash Operations

2. Receives and record all checks and have it signed by Authorized Signatory and return signed checks to Cash Operations Section. Pagtanggap at pagtala ng mga tseke para pirmahan ng Authorized Signatory at ibalik

2.1 Countersigns checks and forwards to receiving / releasing staff for return to cash operations section. Pagpirma ng tseke at ibalik sa Cash Operations Section

None 1 day Authorized Official Finance Division

90

sa Cash Operations Section

3. Present Authorization Letter and valid I.D. to Cash Operations clerk and issue Official Receipt.

Magprisinta ng sulat ng pahintulot and balidong pagkakakilanlan sa Cash Operations Clerk at magbigay ng resibo sa natanggap na tseke

3.1 Release original copy of check to the payee / authorized representative upon presentation of valid identification / authorization letter.

Pagbigay ng tseke sa kinatawan ng kumpanyang pagbabayaran pagkatapos magpakita ng balidong pagkakakilanlan at sulat ng pahintulot

None 10 mins. Cash clerk

3 ISSUANCE OF CERTIFIED TRUE COPY OF OFFICIAL RECEIPT

Issuance of certified true copy of official receipt upon request

Office or Division: Cashier/Finance Classification: Complex Type of Transaction: Government-to-Citizens (G2C), Government-to-Businesses (G2B) Who may avail: Persons or Business previously given official receipts by ARMMC


1. Affidavit of loss Notary Public

2. Valid I.D. School, Company, Postal Service, Comelec, Barangay or Municipal Hall

3. Authorization Letter Person or Business concerned

4. Request letter Person or Business concerned


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Submit Request letter, affidavit of

1.1 Receives letter request stating

None 5 mins.

Cash clerk Cash Operations

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loss and valid I.D. to Cash Operations clerk.

Ipasa ang sulat, sinumpaang pahayag ng pagkawala at I.D. sa Cash Operations Clerk)

the purpose to Medical Center Chief II and Affidavit of Loss.

Pagtanggap ng sulat na nakasaad ang dahilan para sa Medical Center Chief II at sinumpaang pahayag ng pagkawala

2. Present letter of request to MCC Office for approval.

Ipasa ang sulat sa opisina ng MCC para sa pagsang-ayon sa kahilingan

2.1 Instruct the patient/relative to present request letter to MCC Office for approval.

Ipadala ang sulat sa MCC para sa pagsang-ayon sa kahilingan

None 5 mins.

Cash clerk Cash Operations

3. Returns Approved letter of request to the Cash Operations office for retrieval of the official receipt.

Ibabalik sa Cash Operations ang sulat ng kahilingan para sa paghahanap ng resibo

3.1 Checks approved letter of request.

3.2 Retrieves original copy of official receipt

3.3 Photocopies

official receipt and certifies as a true copy of the original

None 3 mins.

Cash Clerk

Cash Operations

4. Present the Official Receipt for payment of CTC.

4.1 Release certified true copy of official receipt.

P5.00 1 day

Cash Clerk

Cash Operations

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Ipakita ang resibo ng pinagbayaran

Pagbibigay na may sertipikadong pagpapatotoo ng kopya ng tunay na resibo

4 ISSUANCE OF CHECKS TO SUPPLIERS/CONTRACTORS

Releasing of checks to suppliers/ contractors

Office or Division: Cash Operations Classification: Complex

Type of Transaction: Government-to-Businesses (G2B) Who may avail: Suppliers and contractors with transactions in ARMMC


1. Valid I.D. Issued by supplier/ contractor

2. Authorization Letter


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Authorized representative presents approved authorization letter from Financial and Management Officer II and valid identification from the Company to Cash Operations Clerk.

Pagbibigay ng sulat pahintulot at balidong pagkakakilanlan mula sa kinatawan ng kumpanya sa Financial and Management Officer II

1.1 Receive approved authorization letter and valid identification.

Pagtanggap aprobadong sulat pahintulot at balidong pagkakakilanlan mula sa kinatawan ng kumpanya

None 1 hour Cash Clerk Cash Operations

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2. Issues Official receipt in acknowledgement of every payment made.

Magbigay ng resibo bilang pagtanggap ng mga pinagbayaran

2.1 Release Disbursement voucher for acknowledgement receipt of payment.

Ibigay ang Disbursement voucher para sa pagpirma ng katunayan ng bayad

None 30 mins. Cash Clerk Cash Operations

3. Receives checks and certificate of taxes withheld.

Pagtanggap ng tseke at katibayan ng pagkaltas ng buwis

3.1 Release check and certificate of taxes withheld to authorized representative.

Pagbibigay ng tseke at katibayan ng pagkaltas ng buwis sa kinatawan ng kompanya

None 5 mins.

Cash clerk (Cash Operations)

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Internal

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1 PROCEDURES ON AVAILMENT OF GUARANTEE LETTER

(GL) RECEIVED FROM OTHER AGENCY

Availment of guarantee letter form another agency

Office or Division: Medical Social Worker- Medical Classification: Simple Transaction

Type of Transaction: Government-to-Citizen (G2C) Who may avail: In-Patient and Out-Patient of the hospital

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Medical Certificate (out -patient) Referring doctor


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Brings Guarantee Letter (GL) to Director’s Office for approval

1.1 Receives and approves Guarantee Letter (GL)

None 1-5 minutes Medical Center Chief

MCC Office

2. Forward GL to Medical Social Work Service Office

2.1 Receives and validates authenticity of GL

2.2 Sign charge slip or hospital bill 2.3 Encodes on the bizbox the transaction

None 5-10 minutes Medical Social Worker Medical Social Works

3. Proceed to cost center and avail needed procedure/ medicine/ clearance

If with excess amount, proceed to cashier section

3.1 Facilitate of provide medical procedure/ medicine

3.2 Issue official receipt

None

5-10 minutes Medical Social Worker

2 PROCEDURES ON AVAILMENT OF PCSO DESK ASAP- INDIVIDUAL MEDICAL ASSISTANCE PROGRAM (IMAP) Availment of PCSO Desk ASAP-Individual Medical Assistance Program (IMAP)

Office or Division: Medical Social Worker- Medical

96

Classification: Simple Transaction

Type of Transaction: Government-to-Citizen (G2C) Who may avail: For In-Patient and Out-Patient of the hospital

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Clinical Abstract/ Treatment Protocol ARMMC Medical Records

2. Valid ID Patient/ Relative

3. Prescription Referring doctor


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Gets queue number from the kiosk and wait for the number to be called

1.1 Conducts interview, assessment and brief orientation on requirements and coverage of assistance.

None 1-5 mins Medical Social Worker Medical Social

Works

2. Patient/ Relatives fills up PCSO IMAP application form

2.1 Checks, validates, completeness of the required documents and transmits the same to PCSO thru Email

2.2 Informs patient/ relative about the status of their application

2.3 Forward

PCSO GL to Billing section

2.4 For OPD

Patient, MSWD will notify the patient through text message


Works

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3 PROCEDURES IN AVAILING THE SERVICES OF MEDICAL SOCIAL WORK SERVICE FOR IN-PATIENTS

Availment of medical social work by admitted patients

Office or Division: Medical Social Worker- Medical

Classification: Simple Transaction Type of Transaction: Government-to-Citizen (G2C)

Who may avail: Admitted patients requiring the services of the Medical Social Works CHECKLIST OF REQUIREMENTS WHERE TO SECURE

1. Hospital Card Admitting Section

2. Copy Birth Certificate/ Marriage Contract/ Valid ID

Client


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Approach Medical Social Worker for interview

1.1 Conducts interview, assessment and patient’s classification.(for new patient) For old patients, updates record

1.2 Briefly orients on the available social services


Works

2. Patient/ Relative signs intake form and receives MSS Card

2.1 Request verification of Philhealth Status; active member – refer to Philhealth section for availment of benefits; For non-member/ not active – assess patient eligibility for Philhealth Point of Service Enrollment (POS)


Works

98

3. Patient/ Relative fills up PMRF Form

3.1 Check and verifies eligibility of patients

3.2 Enrollment on the system and stamps MSS Card with POS


Works

4. Patient referred with psychosocial problem or other concerns

4.1 Provides outright guidance and counseling and or appropriate Social Work intervention, case management and make close follow-up on the case


Works

5. For hospital bill assistance/ inter-agency concerns

5.1 Give instruction/ referral if there is a need to source out fund from other agencies

5.2 Indicates recommended patient share on the hospital bill and the source of fund and amount of approved assistance from other agencies

None 20-30 ins Medical Social Worker


6. Receives hospital bill and brings it to the cashier for payment if there is


Works

99

any, then proceeds to concerned ward for facilitation discharge clearance

If fully covered or NBB, proceed directly to the ward concerned for facilitation of discharge clearance

.

4 PROCEDURES IN AVAILING THE SERVICES OF MEDICAL SOCIAL WORK SERVICE FOR OPD PATIENTS

Availment of medical social work for outpatients

Office or Division: Medical Social Worker- Medical Classification: Simple Transaction

Type of Transaction: Government-to-Citizen (G2C) Who may avail: For Out-Patient of the hospital



FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Patient/ Relative directly seeks and/ or referred to OPD MSW, register at the client registration log sheet

1.1 Conducts interview, assessment and orients on the available social services, and the scope and limitation of hospital assistance

.


Works

2. Patient/ Relatives signs intake form and receives MSS Card

2.1 Stamp charge slip and indicate discounts and source of assistance and or give other instruction if


Works

100

there is need to source out fund from other agencies;

3. For patient referred with psychosocial problem

3.1 Provides outright guidance and counseling and or appropriate SW intervention/ case management

None 20-30 mins Medical Social Worker


4. Receives charge Slip and brings it to the Cashier for payment then proceeds to concerned unit for facilitation of needed procedure

If fully covered, proceed directly to the concerned unit for facilitation of request.

None 1-3 minutes

101

Engineering and Facilities Management

Internal

102

1 RECORDING AND RELEASING CADAVER

Releasing of cadaver to relatives of the deceased

Office or Division: Engineering and Facilities Management - Security Unit Classification: Simple Transaction

Type of Transaction: Government-to-Citizens (G2C) Who may avail: Relative of Deceased Patient

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Exit Permit EFM In-House Security Unit


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Present complete filled-out Exit permit/authorization for the release of cadaver

1.1 Receive, verify and record the requirement and the availability of Funeral service

None (wala)

5mins In-house Guard on duty & Nurse on duty

2. Identify body of deceased patient

2.1 Assist in the identification of the body of deceased patient and inform to Institutional worker

None (wala)

5mins In-house Guard on duty & Institutional Worker

3. Claim body of deceased patient

3.1 Sign the log sheet, Disposition of Cadaver and exit permit. Release the cadaver

None (wala)

10mins In-house Guard on duty, Mortician on duty & Senior House Officer on duty

2 RECORDING AMBULANCE TRANSFER/CONDUCTION

Ambulance conduction of patients

Office or Division: Engineering and Facilities Management Dispatcher/ Driver


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Who may avail: Patient/ Relative in need of conduction

CHECKLIST OF REQUIREMENTS WHERE TO SECURE 1. Endorsement Slip/Charge Slip ER

2. Trip Ticket EFM Dispatcher/Driver


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. For ER Patients: Inform ER charge Doctor/Nurse of patient transfer/conduction

1.1 Process availability of ambulance & Bizbox encoding

None (wala)

5mins ER Doctor/Nurse & Ambulance Driver

2. For Admitted Patients: Inform the Ward Doctor/Nurse of details of transfer/conduction and wait for transfer/conduction

2.1 Process availability of ambulance & Bizbox encoding

None (wala)

10mins ER Doctor/Nurse & Ambulance Driver

3. Present Endorsement Slip/Charge Slip to the assign ambulance driver

3.1 Prepare and Approve/ sign trip ticket

None (wala)

5mins Driver, EFM Head/Senior House Officer

4. Wait for Ambulance service

4.1 Assemble and dispatch the ambulance team that includes Doctor, Responder and Driver

None (wala)

Depends on the location / travel time

Doctor/Nurse, Driver

3 RECORDING MEDICO LEGAL CASES

Logging of medico-legal cases

Office or Division: Engineering and Facilities Management - Security Unit Classification: Simple Transaction

Type of Transaction: Government-to-Citizens (G2C) Who may avail: Patient/ Relative


104

1. Hospital Card EFM In-House Security Unit

2. Anatomical Sketch Form EFM In-House Security Unit


FEES TO BE PAID

PROCESSING TIME

PERSON RESPONSIBLE

1. Respond to all questions of the Guard-on-duty

1.1 Interview Patient/ Relative

None (wala)

5 mins In-house Guard

2. Wait for Law enforcer / investigator for further questions

2.1 Report for police blotter via phone

None (wala)

5 mins In-house Guard

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Feedback and Complaints

FEEDBACK AND COMPLAINTS MECHANISM

How to send feedback Answer the client Customer Satisfaction (CSAT) Survey Form or Patient Satisfaction Survey Form and drop them in the designated suggestion boxed located at the different offices/ service units/ wards near you, or at the Public Assistanbce Desk/ Malasakit Help Desk located at the Patio Manolet on the ground floor Contact info: 632 8 9415854 or email [email protected]

How feedbacks are processed Everyday a Customer Satisfaction representative opens the suggestion boxes, compiles and records all feedback submitted. Feedback requiring answers are forwarded to the relevant offices and they are required to answer within three (3) days of the receipt of the feedback. The answer of the office is then relayed to the concerned citizen. For inquiries and follow-ups, clients may contact the following telephone number 632 8 9415854 or email [email protected]

How to file a complaint Answer the Customer Satisfaction (CSAT) Survey Form or Patient Satisfaction Survey Form and drop them in the designated suggestion boxes located at the different offices/ service units/ wards near you, or at the Public Assictance Desk/ Malasaki Help Desk located at the Patio Manolet on the ground floor. Complaints can also be filed via telephone and/ or email. Make sure to provide the following information: - Name of person being complained - Date and time of incident - Contact number of complainant

For inquiries and follow-ups, clients may contact the following telephone number 632 8 9415854 or email [email protected]

mailto:[email protected]



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How complaints are processed The CSAT representative opens the suggestion boxes everyday and evaluates each complaint. Upon evaluation, the CSAT representative shall start the investigation and forward the complaint to therelevant office for their explanation. The CSAT reperesntative will create a report after the investigation and shall submit to the Head of the Agency for appropriate action. The CSAT representative will give feedback to the complainant. For inquiries and follow-ups, clients may contact the following telephone number 632 8 9415854 or email [email protected]

Contact Information of CCB, PCC, ARTA

ARTA : [email protected] : 1-ARTA (2782) PCC : 8888 CCB : 0906 661 6565 (SMS)



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List of Offices

Office Address Contact Information

Amang Rodriguez Memorial Medical Center

Sumulong Highway, Sto. Nino, Marikina City

Hotline 632 8 9415854 632 8 9416289 632 8 9481263

Email [email protected]

Outpatient Department 2nd Floor, OPD Building Loc. 274

Emergency Department 1st Floor, Main Building Loc. 151

Health Information Management Section

1st Floor, Administrative Building

Loc. 282

Department of Pathology

3rd Floor, OPD Building Loc. 248

Department of Radiology

2nd Floor, Administrative Building

Loc. 146/ 219

Diagnostics Unit 2nd Floor, Ward Building Loc. 134

Pharmacy Section 1st Floor, OPD Building Loc. 125

Billing Section 1st Floor, Main Building Loc. 226

PhilHealth Section 1st Floor, Main Building Loc. 226

Cash Operations 1st Floor, Ward Building Loc. 225

Medical Social Work 1st Floor, Main Building Loc. 227

Engineering and Facilities Management

1st Floor, Ward Building Loc. 109


AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER CITIZEN’S …€¦ · Process Flow in Securing Birth...

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Transcript of AMANG RODRIGUEZ MEMORIAL MEDICAL CENTER CITIZEN’S …€¦ · Process Flow in Securing Birth...