MMMHMC Citizen’s Charter · THE MMMHMC CITIZEN’S CHARTER Service Standards for Frontline...

MMMHMC Citizen’s Charter

as of October 10, 2018

MMMHMC Citizen’s Charter

VISION

The premier center of advanced healthcare in Northern Philippines by 2022.

MISSION

To provide excellent healthcare service, training and ethical research responsive to the needs of all stakeholders significantly contributing to the Philippine Health Agenda.

QUALITY POLICY

The Mariano Marcos Memorial Hospital & Medical Center shall ensure the highest standards of quality care delivered by compassionate, dedicated and competent staff networking with stakeholders. It shall continually improve its quality management system to the satisfaction of its

clients.

THE MMMHMC CITIZEN’S CHARTER

Service Standards for Frontline Services 1. Out-Patient Consultation-General 2. Out-Patient Services (Senior Citizen) 3. Security Monitor Process For Emergency Alerts 4. Security Monitor For Trauma Cases Admitted At The Emergency

Room 5. Security Monitor Process For Screening Watchers And Patients 6. Security Monitor For Visitors Going To Wards 7. Emergency Room Referral Flow 8. Admission 9. Medical Social Service Out-Patient (Consultation) and In-Patient

(Admission) 10. Request For Certificate Of Live Birth 11. Request For Medical Certificate (In-Patient & Out-Patient),

Certification and Medical Abstract 12. Request For Death Certificate 13. Service Workflow/Process Flow On The Availment Of Laboratory

Services for Out-Patient Consultation 14. Availment of X-Ray 15. Availment of Ultrasound 16. Availment of 2d Echo Cardiogram 17. Availment of CT-Scan 18. Pharmacy (Dispensing Prescription (Out-Patient) 19. Pharmacy (Dispensing Prescription (In-Patient) 20. Availment of Discharges (Billing) 21. Emergency Room Processing 22. Issuance of Temporary Medico-Legal Certificate at the Emergency Room Department 23. Feedback and Redress Mechanism

Annexes 1. Laboratory Service Pricelist 2. Radiology Rate 3. Room Rates

Frontline Service:

Out-Patient Consultation-General

Schedule of Availability of Service: Monday to Friday (except Weekends and Holidays), 7:00 AM- 4:00 PM

Eligible to Avail of the Service: All out-patient for consultation Documentary Requirements: Hospital card for old clients

Fees: New Php 50.00 (ID) Old/Regular Php 30.00 (Administrative Fee) Senior Citizen 20% Discount with Valid OSCA ID Lost ID Card Php 40.00 Duration: 19 minutes and 30 seconds (in normal circumstances) Procedure:

Step No.

Applicant/ Client

Service Provider

Duration of Activity

Person in

Charge

Fees Form

1 Get priority number from the guard at the main entrance of the OPD Complex

Provides priority number 1 minute OPD Guard None None

2 Wait for your priority number to be called

Call priority number 10 minutes Clerk 1 & Guard

None None

3 Proceed to Information & Registration Window- hands-in patient’s Hospital number

- Interviews patient/guardian - Receives patient’s hospital

number & gives to retrieval clerk

- Pays Administrative Fee

5 minutes Clerk 1 & 2` -New Php 50.00 (ID) -Old/Regular Php 30.00 (Administrative Fee) -Senior Citizen 20% Discount with Valid OSCA ID -Lost ID Card Php 40.00

None

Gives priority number for the Department to be consulted

Bring charts to the department to be consulted

30 seconds 3 minutes

Clerk 1& 2 Clerk

None None

4 Proceed to the designated waiting area & wait for your name/priority number to be called

- Calls patients/ priority numbers

Nurse on duty

None None

End of Transaction

Note: Average waiting time is 2 hours if with diagnostic test.

Frontline Service:

Out-Patient Consultation for Senior Citizen, Pregnant and with Disability

Schedule of Availability of Service: Monday to Friday (except Weekends and Holidays) OPD Hours 7:00 AM to 4:00 PM

Eligible to Avail of the Service: All OPD clients

Documentary Requirements: Hospital card for old clients Senior Citizen ID /PWD ID Fees: New Php 50.00 (ID) Old/Regular Php 30.00 (Administrative Fee) Senior Citizen 20% Discount with Valid OSCA ID Lost ID Card Php 40.00 Duration: 55 minutes (in normal circumstance) Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Get priority number for Senior Citizen, Pregnant, and with disabilities from the guard at the main entrance of the OPD Complex

Provides priority number for Senior Citizen, Pregnant, and with disabilities

1 minute OPD Guard None None

2 Wait for your priority number to be called Call priority number 10 minutes Clerk on duty & Guard

None None

3 Proceed to Information & Registration Window for Senior Citizen, Pregnant, and with disabilities - hands-in patient’s Hospital number -secure hospital number if new patient

- Provides Hospital number - Issues hospital number to new

patients - Retrieves OPD chart for old

patient, provides OPD chart for new patient

- Bring charts to the department to be consulted

- Pays Administrative Fee

3 minutes 8 minutes 3 minutes 5 minutes

Clerk on duty OPD Cashier on duty

-New Php 50.00 (ID) -Old/Regular Php 30.00 (Administrative Fee) -Senior Citizen 20% Discount with Valid OSCA ID -Lost ID Card Php 40.00

None

4 Proceed to the designated waiting area & wait for your name/priority number to be called

- Calls patients/ priority numbers

30 minutes Nurse on duty None None

End of Transaction

Note: Average waiting time is 2 hours if with diagnostic test.

Frontline Service:

Security Monitor for Trauma Cases Admitted At the Emergency Room

Schedule of Availability of Service: Sunday to Saturday Open 24 Hours Eligible to Avail of the Service: All Trauma Cases Admitted At the Emergency Room

Documentary Requirements: Hospital card for Old Patient Fees: Duration: Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Entrance at the Emergency Room

Assists patients or victims to Trauma room Get the description, plate number and driver’ name of the vehicle that was used in bringing the patient. Check personal belongings of any unconscious victim with the presence of any witness (e.g. nurse, doctor, relative, police) register in the logbook and keep in safe and secure. Get the name of the victim, inform PNP station or any law enforcement agency

Security Monitor (ER stationed)

None

None

End of Transaction

Frontline Service:

Security Monitor Process for Screening Watchers and Patients

Schedule of Availability of Service:

Sunday to Saturday Open 24 Hours

Eligible to Avail of the Service: All watchers and patients Documentary Requirements: Fees: None Duration: 9 minutes (in normal circumstances) Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Entrance at the ward for admitted patients

Informs the watcher of the hospital rules and regulations. Routine checks baggage/ Belongings and confiscates any deadly weapons (e.g. gun, knife) and register in the logbook.

3 minutes

Security Monitor (Staircase/Elevator monitor)

None

None

2 For watcher’s going to and from the ward always keep “watcher’s pass” visible to be organized

Check watcher’s pass Routine checks No food allowed in Styrofoam

3 minutes Security Monitor Security Monitor

None

None

3 Upon discharged present “discharge clearance”

Gets discharge clearance Registers in the logbook and checks receipts

3 minutes Security Monitor Security Monitor

None

None

End of Transaction

Frontline Service:

Security Monitor for Visitors Going to Wards


Sunday to Saturday 10-12 Noon, 3PM-8PM

Eligible to Avail of the Service: All visitors Documentary Requirements: None Fees: None Duration: 5 minutes (in normal circumstances) Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Entrance to ward Informs visitors of the hospital rules and regulations especially the visiting rules. Routine checks baggage/ Belongings and confiscates any deadly weapons (e.g. gun, knife) and no food will be allowed without “diet pass” presented. Gives visitor’s pass

5 minutes

Security Monitor Security Monitor

None

None

End of Transaction

Frontline Service:

Emergency Room Referral Flow


Sunday to Saturday Open 24 Hours

Eligible to Avail of the Service: All clients availing referral Documentary Requirements: Fees: None Duration: 35-40 minutes (in normal circumstances) Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Hand over referral from other health unit

Accepts and signs Referral Slip. Informs resident on duty of the Department concerned

5 mins Triage Officer Supervising/ER

Nurse

None

None

Gathers data and monitor vital signs Checks/records hospital number in the Emergency Room Record

o If Old Patient, request for hospital card o If New Patient, request watcher to secure hospital number at the

admitting section o If no companion, call Admitting Section and request for a hospital

number

10 mins Supervising/ ER Nurse

None

None

Assess / Examines / Evaluates patient’s condition 15-20 mins Attending Physician

None

None

Admits Patient Carries out Doctor’s Order Instructs watcher to go to the Admitting Section for Admission Forwards Laboratory and X-ray request of patient

ER Nurse

Watcher / Institutional Worker

None

None

2 Watcher goes to admitting section to request for

admission of patient

Interviews watcher and request to review and sign clinical sheet cover, including consent for admission. Gives Admission Slip and instruct watcher to proceed to Medical Social Service Section Informs concerned clinical area regarding admission

Admitting Clerk None

None

3 Watcher goes

to Medical Social

Service

Interview and give social classification. Instruct to give one (1) copy of Admission Slip to Admitting Clerk and to hand the original copy to the ER Nurse

Medical Social Worker

None

None

4 Watcher

gives Admission Slip to ER

Nurse

Verifies concerned clinical area if ready to admit the patient

Completes patient record

Transport patient to the respective ward/room assigned

2 mins

3 mins

ER Nurse

Institutional Worker

None

None

End of Transaction

Frontline Service:

Admission Schedule of Availability of Service:

Sunday to Saturday, 24 hours daily

Eligible to Avail of the Service: All clients for admission Documentary Requirements: Hospital Number ID card Fees:

Hospital Card- New Patients - P50.00 Old Patients who request for New Hospital Card - P40.00

Senior Citizen - P40.00

Admission Kit for Private Patients P250.00

*In case of Loss of Watcher's Pass P200.00 (Penalty)

Duration: 11-15 minutes (in normal circumstances) Procedure:

Step No.

Patient/Client Service Provider


Person in

Charge

Fees Form

1 Proceeds to Admitting Unit and present the Admission Slip

Checks the completeness of the Admission Slip

1 minute Admitting Clerk None Admission Slip

2 Furnishes the Admitting clerk the needed patient’s information Fills out the CSF Philhealth form to be

submitted to Billing Section before

discharge.

Signs the consent form for private patient and acknowledgement receipt for patient food trays and other dinnerware form Signs the Temporary Room Accommodation Slip

Interviews the watcher/patient for the needed information If the patient is a PHIC

member or a dependent,

admitting clerk issues a CSF

Philhealth form

to be filled up and submitted to Billing Section before discharge If the patient is a PHIC member or a dependent, admitting clerk generates the PBEF using the Philhealth Portal installed at Admitting Unit. If private, admitting clerk explains the patient’s financial obligation, checks at the admitting endorsement logbook and HOMIS the availability of private room, calls Nurse’s Station to verify if the room is ready for occupancy. If private, admitting clerk issues a consent form and acknowledgement receipt for patient food trays and other dinnerware form to be signed by the watcher/ relative. And issue a CF2 Philhealth form to be attached to patient’s chart.

3-7 minutes


CSF Philhealth form Consent form Acknowledgement receipt for patient food trays and other dinnerware form CF2

In case of unavailability of private room, admitting clerk issues a Temporary Room Accommodation Slip to be signed by the watcher/ relative.

List of Attending Physician Temporary Room Accommodation Slip

3 Reviews the correctness of data in the printed Clinical Cover Sheet (CCS) and affixes signature above his/her name.

Instructs the informant to check and sign in the Clinical Cover Sheet (CCS

1 minute


Clinical cover sheet

4 Receives the watcher’s pass Issues a watcher’s pass 1 minute Admitting Clerk None

None

5 Receives the leaflets Issues a leaflet (Hospital Policy regarding Watchers/Visitors and Patient’s Rights and obligations

1 minute Admitting Clerk None None

6 Receives the leaflet Issues a Proper Hand Washing leaflet


7 Proceeds to Medical Social Service for interview

Instructs watcher to proceed to Medical Social Service for patient classification


8 Returned back the Admission Slip to Admitting Unit and go back to the Emergency Room / Out Patient Department

Receives the Admission slip stamped by the Medical Social Service and instructs watcher to proceed to ER/OPD to give the Clinical Cover Sheet to the Nurse on duty


9 Informs the Ward Nurse for the assigned room


10 Picks up the admission slips after every shift

N/A Billing Clerk

None None

End of Transaction

Frontline Service:

Medical Social Service (Out-Patient)

Schedule of Availability of Service: Monday-Friday 8AM - 4PM except Weekdays and Holidays

Eligible to Avail of the Service: All patients Documentary Requirements: For Medical Assistance for Indigent Project (MAIP)/(PCSO-EF), other assistance

- Social Service Card - Medical Certificate - Statement of Account (SOA)/Charge Slip

Fees: None Duration: 18 minutes (in normal circumstances) Procedure:

Step No.

Client/Client Service Provider Duration of Activity

Person in

Charge

Fees Form

1 Proceed to MSS Office Interviews/evaluate/assesses patient

10 minutes Medical Social worker on Duty

None For pre – operative evaluation MMMHMC-M-MSS-QP-001 Form 2 Rev. 2 Psychosocial Assessment Tool (PAT)

2 If PARTIAL PAY: Presents charge slip to MSS office

Notes classification and patient’s

share on the charge slip/s and

records on the logbook.

3 minutes

Medical Social worker on Duty

None

None

If INDIGENT: Presents charge slip to MSS Office

Advises patient to proceed at the

Billing Section

-Extends medical assistance upon

assessment, issues social service

card and collects needed

documentary requirements for

documentation.

-Notes patient’s classification on the

charge slip/s

-Records on logbook

-Advises patient to proceed to Cost Center

5 minutes


None

MMMHMC-M-MSS-QP-007 From 1 Rev 2 Social Service Card MMMHMC-M-MSS-QP-005 Form 2 Rev 3 MAIP/PCSO EF/MHCAP Acknowledgement and Certificate of Indigency Form

End of Transaction

Frontline Service:

Medical Social Service In-Patient (Admission)

Schedule of Availability of Service: Monday-Sunday, ER/In-Patient 7:00 AM – 11:00 PM

Eligible to Avail of the Service: All patients Documentary Requirements: For Medical Assistance for Indigent Project (MAIP)/(PCSO-EF), other assistance

- Social Service Card - Medical Certificate - Statement of Account (SOA)/Charge Slip

Fees: None Duration: 16 minutes (in normal circumstances) - Admission Phase 12 minutes and 20 seconds (in normal circumstances) - Discharge Phase Procedure:

Step No.



Person in

Charge

Fees Form

1 A.ADMISSION PHASE:

Proceed to MSS Office

Interviews/evaluates/assesses patient

10 minutes


None

MMMHMC-M-MSS-QP-001 Form 2 Rev. 2 Psychosocial Assessment Tool (PAT)

2

-Notes Classification on the

admission Slip and Clinical Cover

Sheet

-FOR CHARITY PATIENT: Issues

Social Service Card Advocate

PSR/PIK to Non- NBB Patient.

-Advises documentary

requirements for assistance.

-Advises

patient/watcher to proceed at

Admitting Section.

6 minutes Medical Social worker on Duty

None MMMHMC-M-MSS-QP-007 From 1 Rev 2 Social Service Card MMMHMC-M-MSS-QP-005 Form 2 Rev 3 MAIP/PCSO EF/MHCAP Acknowledgement and Certificate of Indigency Form

End of Transaction

Step No.



Person in

Charge

Fees Form

1 B. DISCHARGE PHASE: If PARTIAL PAY PATIENT: If NO BALANCE BILLING (NBB)

-Discusses and agrees patient share

to the watcher.

-Informs Billing /PHIC about the

assessed patient share through on

line group chat

-Explains details of Statement of

Account (SOA)

6 minutes

2 minutes




None

None

None

None

-Records and Approves:

If; ₱5,000.00 and below

₱5,001.00 to 20,000.00 If more than ₱20,000.00

3 minutes

5 minutes

1 hour

Chief Nurse Office/MSW

OMCC/OIC/SHO/OD

(depends on the availability of their

time) Medical Social

Worker

None

None

None

None

None

None

End of Transaction

Frontline Service:

Process of Filing a Birth Certificate

Schedule of Availability of Service: Schedule of Availability of Service: Monday-Friday (except Weekends and Holidays), 8AM-5PM

Eligible to Avail of the Service: Parents who have given birth at the hospital with a valid ID If to be acknowledged by the father who is a minor, parents shall avail with the presence of father of the newborn with a valid ID If the mother is a minor and to be acknowledged by father who is of legal age, parents of both parties shall avail with the presence of father of the newborn -If not married but of legal age, the father shall avail with be valid ID For single mother, parents of the mother shall avail with a valid ID If married, the nearest kin shall avail with a valid ID Documentary Requirements: Valid ID of the requesting party /Community Tax Certificate (preferably the father of the newborn)

Valid ID for parents or requesting party Fees: Php 100.00 Duration: 15 minutes and 30 seconds – 22 minutes and 30 seconds (in normal circumstances) Procedure:

Step No.

Patient/Client

Service Provider

Duration of

Activity

Person in

Charge

Fees

Form

1 Fill-out a Request Slip for Certificate of Live Birth

Calls the Requesting Person to proceed inside

1 min HIM Staff None MMMHMC-M-MRS-G-006 - Form 2 Rev. 0 Certificate of Live Birth Request Slip

2 Show a valid ID or Community Tax Certificate

Verifies the relation of the requesting party to the newborn

1 min HIM Staff None

None

3 Provide all the information needed

Interviews and instructs the parents/nearest kin to complete the entries Instructs requesting party to pay at Cashier’s office

5-10 min HIM Staff None Draft Certificate of Live Birth

4 Show the Official Receipt to the HIM Staff and return the other copy of Charge Slip to HIM Office

Collect the charge slip and ask to show the official receipt to be written in the Birth Certificate registry

30 sec HIM Staff None

5 Review printed Certificate of Live Birth

Ask the client to review the printed Certificate of Live Birth

2-3 min

HIM Staff None Certificate of Live Birth

6 Fill-out the Waiver for Certificate of Live Birth

Ask the client to fill-out Waiver for Certificate of Live Birth (as to the correctness of the entries)

2-3 min HIM Staff None MMMHMC-M-MRS-G-006-Form 5 Rev. 0 Waiver for Certificate of Live Birth

7 Affix his/her name and signature in the Birth Registry and signs the Certificate of Live Birth in four (4) copies

Ask the client to affix his/her name and signature in the Birth Certificate Registry and signs the Certificate of Live Birth in four (4) copies

1 min HIM Staff None MMMHMC-M-MRS-G-006-Form 3 Rev. 0 Birth Registry Logbook

8 Receive the Certificate of Live Birth (in four copies)

Release four (4) copies of the Birth Certificate and advise the client to look for the Attending Physician for his/her signature

2 min HIM Staff None Certificate of Live Birth

9 Proceed at the Local Civil Registry Office

Advise the client to proceed to the Local Civil Registrar’s Office for Certificate of Live Birth Registration

HIM Staff None

10 Returns a copy (original Certificate of Live Birth) to HIMS Office

Receives the duly accomplished Certificate of Live Birth and enters the Registry Number in the Birth Registry Logbook Instructs the patient to submit the certified photocopy of the birth certificate to PhilHealth Office

1 min HIM Staff None

End of Transaction

Note: 1. Draft Certificate of Live birth are collected before 8:00 am from Monday to Friday (except Weekdays and Holidays) in Delivery Room and Post Anesthesia Care Unit (PACU) 2. If the parents or one of the parents is minor, the parents of these minors shall serve as the informant and be present during the interview with valid ID

Frontline Service: Securing Medical Certificate (In-Patient & Out-Patient), Certification and Medical Abstract

Schedule of Availability of Service: Monday-Friday (except Weekends and Holidays), 8AM-5PM

Eligible to Avail of the Service: Patient, Patient’s relative or authorized representatives (with authorization letter) Documentary Requirements: For patient’s relative or authorized representative, an authorization letter from the patient and a Valid ID or document showing his/her identity shall be required Fees:

Particulars Rate (Php)

Medico-Legal Certificate

250.00

(Less than 24 hours upon request)

150.00 ( After 24 hours upon request)

Medical Certificate

Employment 150.00

In support to request for

Financial Assistance

30.00 (For Class A&B) Indigent or Poor

50.00 (For Class C&D) Pay Patient (Partial, Full)

Insurance 150.00

Office Requirements

(leaves, etc.)

150.00

School Requirement (for

sports, etc.)

75.00

Abstract 75.00

Duration: 27-37 minutes (in normal circumstances)

PROCEDURE: Note: Should you need an assistance please approach the Section Head/Officer in-charge

Step No.

Patient /Client Service Provider

Duration of

Activity

Person in

Charge

Fees Form

1 Fill-out a Request Slip for Medical Certificate

Calls the Requesting Person to proceed inside

1 min HIM Staff None MMMHMC-M-MRS-G-016 Form 1 Request Slip

2 Show a valid ID or any document showing his/her identity If the requesting person is not the patient, present written authorization letter from the patient

Verifies the relation of the requesting party to the patient Checks the written authorization letter

1 min HIM Staff

HIM Staff

None Valid ID of the authorized representative and Authorization Letter

3 Provide necessary information needed 3.2.1 Have the Attending Physician fill-out the required data and return to HIM Office for encoding

3.1 For patients who are previously admitted, encode and print the required data through HOMIS using the programmed Medical Certificate form 3.2 For OPD patients, writes the Hospital Number, Name, Address in the draft Medical Certificate form 3.2.1 Ask the requesting party to have the Attending Physician to fill-out the required data and return to HIM Office for encoding 3.2.2 Encode and print using the programmed Medical Certificate (Out-patient) form Instruct requesting party to pay fee to the Cashier’s office

10-15 min 5 min 10-15 min

HIM Staff

HIM Staff

HIM Staff

HIM Staff

None MMMHMC-M-MRS-G016-Form 1 Rev. 1 Medical Certificate (In-patient);

MMMHMC-M-MRS-G016-Form 4 Rev. 1 Medical

Certificate (Out-patient); MMMHMC-M-MRS-G016-

Form 5 Rev. 1 Medical Abstract MMMHMC-M-

MRS-G016-Form 6 Rev. 1 Certification

4 Return to the Attending Physician to affix his signature in the printed Medical Certificate Show the Official Receipt to the HIM Staff and return the other copy of Charge Slip to HIM Office Affix his name and signature in the registry Get the printed copy of the dry-sealed Medical Certificate

Ask the requesting party to return to the physician who prepared the medical certificate to affix his/her signature in the printed Medical Certificate Collect the charge slip and ask to show the official receipt to be written in the Medical Certificate registry Ask the client to affix his/her signature in the appropriate boxes Dry-seal the Medical Certificate using the hospital seal and issue it to the patient/requesting party Retain a duplicate copy with the Authorization Letter for filing

HIM Staff

HIM Staff

HIM Staff

HIM Staff

None MMMHMC-M-MRS-G-016-Form 2 Rev. 0 Receiving and Releasing of Medical Certificate Registry

End of Transaction

Note: Patient or patient’s authorized representative may request medical certificate directly to the attending physician or thru HIM Office.

Frontline Service: Hospital Citizen’s Charter on Securing Death Certificate Schedule of Availability of Service: Monday-Friday (except Weekends and Holidays), 8AM-5PM

Eligible to Avail of the Service: Patient’s nearest kin or authorized representative with authorization letter from the nearest kin Documentary Requirements: The Nearest Kin of the deceased patient should have the following information ready upon registration: Deceased Complete Name (First Name, Middle Name, last Name) Sex Date of Death Date of Birth Civil Status Religion/Religious Sect Citizenship Residence Occupation Name of Father (First Name, Middle Name, Last Name) Maiden Name of Mother (First Name, Middle Name, Last Name) Fees: Php 100.00 Duration: 26-37 minutes (in normal circumstances) PROCEDURE: Should you need an assistance please approach the Section Head/Officer in-charge

Step No.

Client

Service Provider


Person in

Charge

Fees Form

1 Fill-out a Request Slip for Certificate of Death

Calls the Requesting Person to proceed inside and verifies his/her relation to the deceased person

1 min HIM Staff None MMMHMC-M-MRS-QP-009 Form 1 Rev. 1 Request Slip

2 Provide all the information needed

Interviews the requesting party (preferably the nearest kin who can provide all the needed data). Request relative/informant for signature in the “Informant” part

5-10 min 1 min

HIM Staff None Draft Certificate of Death

In cases wherein the nearest kin cannot provide all the needed information, he/she is advised to provide it after processing the discharge clearance and settling the bills

3 Process the discharge clearance of the deceased

Instruct the patient’s relatives to process his/her discharge clearance and return after settling the bills Instructs requesting party to pay the fee to the Cashier’s office Encode the data in the Death Certificate

5-10 min

HIM Staff HIM Staff

None Certificate of Death

4 Provide the Discharge Notice; Discharge Clearance; Statement of Account; and show the Official Receipt to the HIM Staff and return the other copy of Charge Slip to HIM Office

Collect the discharge clearance to be attached in the medical record, write the official receipt number and collect the charge slip to be written in the Death Certificate registry

1-2 min HIM Staff None MMMHMC-N-QP-008-Form 2 Rev.1 Discharge Notice; MMMHMC-A-PHB-QP-001 Form 3 Rev. 0 Discharge Clearance

5 Review the encoded and printed Certificate of Death

Ask the client to review the encoded Certificate Death If there are corrections, make necessary changes

5 min HIM Staff None None

6 Affix his/her name and signature in the appropriate boxes and signs the Certificate of Death.

Ask the client to affix his/her name and signature in the Certificate of Death Registry Write the cause of death in the Death Register

1 min 1 min

HIM Staff None None

7 Receive the Certificate of Death (in four copies)

Release four (4) copies of the Death Certificate Instruct the client to proceed at the City Health Office (City of Batac) and the Local Civil Registrar’s Office for Certificate Death Registration

5 min

HIM Staff None None

8 Returns a copy (original Certificate of Death) to the Health Information Management Section

Receives the duly accomplished Certificate of Death and enters the Registry Number in the Death Registry Logbook

1 min HIM Staff None MMMHMC-M-MRS-G011-Form 1 Rev. 0 Death Register

End of Transaction

Notes:

1. The discharge clearance is being given at the ward after the patient has been declared dead. This shall be processed by the patient’s nearest relative prior to the release of the Death Certificate.

2. The data needed in the Death Certificate (Cause of Death) must be completed by the Attending Physician. 3. The requesting party must know the demographic data of the deceased to be written in the Death Certificate

Frontline Service:

Availment of Laboratory Services for Out-Patient Consultation

Schedule of Availability of Service: 24 hours/daily

Eligible to Avail of the Service: All clients

Documentary Requirements: Laboratory request

Fees: Please refer to the attached pricelist below

Duration: Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 A. If request is ordered using the Official Clinical Laboratory Request Form, forward the form to the laboratory with specimen (blood, urine, etc.), Window 1

B. Get the number stub from the receptionist and wait for the number to be called

C. Sign charge slip

Print and validate charge slip entered through HOMIS then log patient’s data in the In-patient Entry Form Note: let the client/patient or watcher sign the charge slip when extraction is performed Receive and validate the laboratory request Form Receive and check suitability of collected specimen Prepare and validate charge slip

STAT: 5-15 mins Routine: 15-30 mins STAT: 10-30 mins Routine: 30 mins to 1 hour

Laboratory personnel Nurse phlebotomist

None None

Enter the laboratory request data in the In-patient Entry Form Let the patient/client sign the charged slip

2 A. Wait for specimen collection (for request with no specimen forwarded to the laboratory)

Ask permission from the ward staff to collect specimen Collect appropriate specimen

Laboratory personnel Nurse phlebotomist

Process specimen Test specimen Validate test result Report/ print test result

STAT: 30 mins to 1 hour Routine: 2-3 hours Note: waiting time may vary depending on the type of request

Laboratory personnel

3 Claim laboratory result Sign on the releasing logbook

Enter test result on the releasing logbook Release test result Check laboratory releasing logbook

STAT: 5-10 mins Routine: 10-15 mins

Ward nurse Laboratory personnel Nurse phlebotomist

Receive and refer test result to the requesting physician and attach laboratory result on the patient’s chart

End of Transaction

Frontline Service:

Hospital Citizen’s Charter of X-Ray Schedule of Availability of Service: 24 hours/daily

Eligible to Avail of the Service: All clients Documentary Requirements: X-ray request Fees: Please refer to the attached pricelist below Duration: 27-42 minutes (in normal circumstances) for routine procedures

52-1 hour and 34 minutes (in normal circumstances) for special radiographic procedures Procedure: Note: X-ray result shall be released 48 hours after the procedure

Step No.

Patient/Client

Service Provider

Duration of

Activity

Person in Charge

Fees

Form

1 Present completely filled out doctor’s request at the radiology department reception window

Technologist checks if examination requested needs preparation or not - If routine procedures without preparation, technologist gives charge slip to patient - if with preparation, technologist advises the patient of the pre procedure preparation and when to come back for the procedure

5-8 mins Radiologic Technologist on

duty

None XRAY request

2 Proceeds to the billing section to pay and return the official receipt and charge slip to the radiology department window

Advises patient to sit at the waiting area and wait until his name is called


duty

(please refer to the attached XRAY pricelist)

None

3 Enters the x-ray exposure room when called

Requested examination is performed and processed

5 mins -8 mins for routine procedure

30 minutes to 1 hour for special

radiographic procedures

Radiologic Technologist on

duty

None None

4 Wait for the advice of the technologist on when to come back for the result

Advises the patient on when to claim the result

3 mins Radiologic Technologist on

duty

None None

5 Presents official receipt at the radiology department reception window

Prints and releases official radiology result


duty

None None

Patient goes back to his requesting physician and presents official result

N/A N/A Requesting Physician

None None

End of Transaction

Frontline Service:

Hospital Citizen’s Charter of Ultrasound Schedule of Availability of Service:

Monday : 7:00 AM- 10:00 AM

Tuesday : 7:00 AM – 10:00 AM/2:00 PM - 4:00 PM

Wednesday : 8:00 AM- 9:30 AM/4:00 PM- 6:00 PM

Thursday : 4:00 PM- 6:00 PM

Friday : 7:00 AM – 10:00 AM

Saturday : 2:00 PM – 5:00 PM

Eligible to Avail of the Service: All clients Documentary Requirements: Ultrasound request Fees: Please refer to the attached pricelist below Duration: 1 hour and 18 minutes – 1 hour and 50 minutes (in normal circumstances) Procedure:

Note: Ultrasound result shall be released 30- 45 minutes after the procedure

Step No.

Patient/Client

Service Provider

Duration of

Activity

Person in

Charge

Fees

Form

1 Present ultrasound request at the

radiology department reception

window

Technologist instructs the

patient on pre-procedure

requirement and schedule

5 - 7 mins Radiologic

Technologist on

duty

None Ultrasound Request

2 Schedule of ultrasound is set Technologist gives charge slip

to the patient

5 – 8 mins Radiologic

Technologist on

duty

None None

3 Proceeds to the billing section then

returns official receipt and request

at the radiology department window

Advises patient to sit at the

waiting area and wait until his

name is called

30-40

mins

Radiologic

Technologist on

duty

(please refer to the attached Ultrasound pricelist)

None

4 Enters the ultrasound room when

called

Requested examination is

performed

8- 10mins Sonologist on duty None None

5 Wait for the release of the result Radiologic technologist

releases ultrasound result

30-

45mins

Radiologic

Technologist on

duty

None None

6 Result is given back to the

requesting physician

N/A N/A Requesting

Physician

None None

End of Transaction

Frontline Service:

Hospital Citizen’s Charter of 2d Echo Cardiogram Schedule of Availability of Service: Monday- Friday, except Weekends and Holidays, 8:00 AM – 5:00 PM

Eligible to Avail of the Service: All clients Documentary Requirements: 2d echo request Fees: Please refer to the attached pricelist below Duration: 1 hour and 6 minutes- 1 hour and 40 minutes (in normal circumstances) Procedure: Note: Day of Release of 2D Echo Cardiogram: After 5-7 working days

Step No.

Patient/Client

Service Provider

Duration of

Activity

Person

In Charge

Fees

Form

1 Presents 2D Echo request at Radiology reception window

Technologist instructs patient on the day and time of the examination

3– 5 mins Cardiac Sonographer

None 2D ECHO request

2 Presents request as per schedule

Gives patient charge slip 3-5 mins Cardiac Sonographer

None None

3 Proceed to Billing section for payment. Present charge slip and official receipt back to the window

Receives official receipt and doctor’s request and instructs patient to wait until his name is called

15-30 mins Cardiac Sonographer

(please refer to the attached 2d echo pricelist)

None

4 Patient enters Heart Station when called

Performs examination and advises patient when to claim result

40 – 50 mins Cardiac Sonographer

None None

5 Presents official receipt and hospital number on the day of the release of the result

Gives result after patient has signed

5 -8 mins Cardiac Sonographer/Rad

iologic Technologist on

duty

None None

End of Transaction

Frontline Service:

Hospital Citizen’s Charter of Ct-Scan

Schedule of Availability of Service: 24 hours daily/ Monday- Sunday

Eligible to Avail of the Service: All Clients Documentary Requirements: CT-Scan request Fees: Please refer to the attached pricelist below Duration: 31 minutes – 1 hour and 34 minutes (in normal circumstances) PROCEDURE:

CT-Scan result shall be released 48 hours after the procedure

Step No.

Patient/Client Service Provider Duration of Activity

Person in

Charge

Fees Form

1 Present completely filled up doctor’s CT scan request at the CT scan room

Technologist checks if examination requested needs preparation or not: -for examination without preparation, technologist gives charge slip to the patient -if with preparation, technologist advises the patient of the pre procedure preparation and when to come back for the examination

5-8 minutes Radiologic Technologist on

duty

None CT scan request

2 Proceeds to the cashier section to pay and return charge slip and official receipt to the CT scan room

Advises patient to sit at the waiting area and wait until name is called

10-40 minutes Radiologic Technologist on

duty

(please refer to the attached CT-Scan pricelist)

None

3 Enters the CT scan room when called

Requested examination is performed and processed

10-40 minutes/

procedure

Radiologic Technologist on

duty

None None

4 Wait for the advice of the technologist on when to come back for the result

Advises patient on when to come back for the result

3 minutes Radiologic Technologist on

duty

None None

5 Presents official receipt at the CT scan room

Print and release official CT scan result 3 minutes Radiologic Technologist on

duty

None None

6 Returns official result to the requesting physician

N/A N/A Requesting Physician

None None

End of Transaction

Frontline Service: Pharmacy (Dispensing Prescription (Out-Patient)



Documentary Requirements:



Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Present the prescription to Window A of the Hospital Pharmacy

Receives prescription and ask the classification of patient. a.For MMMH and MC employee, follow the Guidelines of

Employees Medical Service

b.For NON-PHIC patient; If Senior Citizen ask the SC

Identification Card and Purchase Booklet.

c. For Government Employee and qualified dependents, ask for

GE Identification Card.

d. For Person With Disability, ask for their PWD Identification

Card to avail the 20% discount

a. e. for PHIC patient, ask for the PHIC documents verified by the PHIC clerk. Cost the medicines prescribed Issue charge slip for PHIC patients

1-15mins

1-15mins

1-10mins

1-10mins

1-25mins

1-10mins

Pharmacist on duty Pharmacy Assistant

2 Give the payment to

Receives the payment. Prepares and dispense the prescribed medicines and educate the patient/watcher.

1-20mins

Pharmacist on duty Pharmacy Assistant

Pharmacist/Pharmacy Assistant

3 Proceed to Window B to receive the Official Receipt

Issues official receipt (SC, PWD,GE)

1-5mins Pharmacy Billing Clerk

End of Transaction

Frontline Service: Pharmacy (Dispensing Prescription (In-Patient)






Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Proceed to window A of the Hospital Pharmacy Nurse on Duty will call the Pharmacy through intercom for the Prescription to be filled or dispensed and recorded at the logbook.

Receives prescription and check the availability of medicines. Receives prescription through a logbook. If not available and in-PNDF look into the available stocks of medicines with similar therapeutic effects and refer to prescriber or make an Emergency Purchase If Non-PNDF, inform the patient/patient watcher about NON-PNDF policy

1-15 minutes

Batac City-30mins Laoag- 2 hours Vigan- 5hours

La Union- 8 hours

Pharmacist on duty

2 For Private/Semi-Private have reached 20,000 on PHIC benefit for medicine

Charge the prescribed medicines to HOMIS. Inform the Billing Section to make a tentative bill and let the patient/watcher to make partial payment or pay the currently prescribed medicines.

5-20mins

Charge-Pharmacist

Billing/PHIC Clerk

3 Sign the charge slip over printed name with date

Prepares medicines prescribed and dispense Within 30 minutes/ patient

Pharmacy Assistant

4 Receives the medicines prescribed

Records and files prescription of the pharmacy 1-15mins Pharmacist on duty

Pharmacy Assistant

End of Transaction

Frontline Service: Hospital Citizen’s Charter of Billing SCHEDULE OF AVAILABILITY OF SERVICE: 7:00 AM-11:00 PM, Monday to Sunday ELIGIBLE TO AVAIL OF THE SERVICE: All in-patients for discharge DOCUMENTARY REQUIREMENTS: Member Data Record or PhilHealth ID (if availing of PhilHealth benefits) FEES: None DURATION: Manual Statement of Account (SOA): 1 hour and 14 minutes to 1 hour and 59 minutes (in normal circumstances)

Automated Statement of Account (SOA): 59 minutes to 1 hour and 34 minutes (in normal circumstances) PROCEDURE:

Step No.

Patient/Client Activity Duration

of Activity Person In Charge

Fees Form

1 The attending physician coordinates to the healthcare team about impending discharge and submits professional fee slip/s for private patients to the Billing Office prior to issuance of order for discharge.

5-10 Mins Attending Physician

None None

2 The attending physician issues order for discharge and indicates the complete final diagnosis/es and/or procedure/s performed in the patient clinical chart and in the Online Discharge in the HOMIS including the corresponding ICD-10 and/or RVS code/s, respectively.

10-15 Mins Attending Physician

None None

3 Return unused drugs and medicines to the Pharmacy

The nurse on duty carries out order for discharge by facilitating the return of unused drugs and medicines to the Pharmacy, informs patient’s representative about the impending discharge of their patient.

2-3 Mins Nurse On Duty

None None

4 The nurse on duty encodes order for discharge in HOMIS and sets remarks or notes if needed.


None None

5 Radiology, Laboratory, Blood Bank staffs monitor all patients for discharge as reflected in the “Online Discharge Notice and Clearance Module”,

5-10 Mins Radiology, Laboratory

None None

verify the status of the patient if there are pending diagnostic procedures ordered or unsettled blood products and services rendered, and set the appropriate status (“Clear” or “Hold” with remarks as to why it was held).

And Blood Bank Staff

6 Proceed to Blood Bank to settle used blood products, if any Proceed to Philhealth/Billing for eligibility checking

The Discharge Officer (DO) monitors all patients for discharge, checks if listed areas (Radiology, Laboratory, Blood Bank) clear and if necessary PhilHealth documents have been accomplished including professional fee slip/s for private patients.

5-10 Mins Discharge Officer

None None

7 Once cleared and completed, the billing clerk on duty inputs the applicable PhilHealth case rate in the HOMIS to reflect the PhilHealth coverage. -If service patient, the billing clerk on duty informs the medical social worker on duty via “LAN Messenger” for them to evaluate and input the hospital share and other discounts. The billing clerk on duty then prints the Statement of Account (SOA) as soon as the medical social worker on duty informs him/her that the hospital share and other discounts have been reflected and sets the status to “Billed”.

-If private patient, the billing clerk on duty inputs the professional fee/s of physicians and other healthcare team members, if any, prints the SOA and sets the status to “Billed”.

Manual Soa

30-45 Mins

Automated Soa

15-20 Mins

Billing Clerk None None

8 DO instructs the nurse on duty to notify the patient’s representative that the SOA is ready.


None None

9 The nurse on duty notifies the patient’s representative that the SOA is ready and instructs the representative to proceed to Admitting Section to return their watcher’s ID.


None None

10 Proceed to Admitting Section to return watcher’s ID

Admitting staff receives watcher’s ID from the patient’s representative, sets the status to “Clear”

2-3 Mins Admitting Staff

None None

and instructs the representative to proceed to the Billing Office.

11 Proceed to Billing Office for issuance of SOA Proceed to Cashier for payment of bill if private/semi-private patient Proceed to Medical Social Service for interview/evaluation if service patient, then to Cashier for payment of excess bill, if any

DO issue SOA to the patient’s representative. -If patient is Non-PhilHealth, DO instructs the patient’s representative to proceed to the Cashier if full pay or to Medical Social Service if partial pay.

-If patient is a qualified member/dependent of PhilHealth, DO instructs the patient’s representative to proceed to the Cashier if full pay or with excess bill after PhilHealth coverage and other discounts, or to Medical Social Service if partial pay or indigent.


None Statement Of Account, Phic Claim Form 2 (Cf2) & Claim

Signature Form (Csf)

12 Proceed to Billing Office for issuance for discharge clearance

DO receives properly accomplished SOA stamped “PAID” by the Cashier with corresponding OR No. if full pay or with excess bill after PhilHealth coverage and other discounts or signed by Medical Social Service if partial pay or indigent from the patient’s representative and sets the status to “May Go Home”.


None None

13 DO instructs the patient’s representative to give one (1) copy of the Discharge Clearance to the nurse on duty and another copy to the security guard on duty. The remaining copy is inserted in the patient’s envelope.


None Discharge Clearance

14 Proceed to nurses station

The nurse on duty proceeds to the final process of discharging patients by setting HOMIS discharge date and time and outcome of service.


None None

End of Transaction

Frontline Service: Availment of Emergency Room Processing Schedule of Availability of Service: 24 hours/daily Eligible to Avail of the Service: All clients


Fees: Duration: Procedure:

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Gathers data & monitor vital signs

Checks / Records Hospital Number in the ER Record Hold patient, request from hospital card If new patient, issue a hospital number / card

3 – 5 mins ER Nurse

Assess/Examines/Evaluates patient’s condition 15 – 25 mins Attending Physician

Admits patient

Carries out doctor’s order

Instructs watcher to go to the admitting section for admission

Forwards laboratory & x-ray request of patient

15 – 20 mins ER Nurse

Watcher / Institutional

Worker

2 Watcher goes to Admitting Section and request for admission of patient

Interviews watcher & request to review & sign clinical sheet cover, including consent for admission slip & instruct watcher to proceed to Medical Social Service Section

Admitting Section

Informs concerned Clinical Area regarding admission

3 Watcher goes to Medical Social Service

Interview and give social classification. Instruct to give one copy of admission slip to admitting clerk & to hand the original copy to the ER Nurse

Medical Social Worker

4 Watcher gives Admission Slip to ER Nurse

Verifies concerned clinical area if ready to admit the patient

Completes patient record

Transport patient to the respective ward / room assigned

2 mins

5 mins

ER Nurse

Institutional Worker

End of Transaction

Frontline Service:

Issuance of Temporary Medico-Legal Certificate at the Emergency Room Department

Schedule of Availability of Service: 24 Hours/Daily

Eligible to Avail of the Service: All clients needing Temporary Medico-Legal Certificate Documentary Requirements: Fees: Php 150.00 Duration: 52 minutes – 1 hour and 2 minutes (normal circumstances) Procedure:

Step No.

Patient/ Client

Service Provider Duration of Activity

Person in

Charge

Fees Form

1 Approach the ER Nurse Supervisor or a nursing staff in/on the ward on duty.

Prepare the Temporary Medico-legal Certificate in duplicate copy and write the following: hospital number of the patient, control number of the certificate, date and time when the patient was seen by the attending physician, socio-demographic profile of the patient (name, age, sex and address)

10 mins ER Nurse Supervisor/nurse on-duty

None None

2 Inform the attending physician if and only if the patient seen at the Emergency Room is requesting for a copy of such temporary medical certificate which the latter will be used for medico-legal cases

15 minutes ER Nurse Supervisor/nurse on-duty

None None

3 Write by his/her best knowledge the following: diagnosis/findings of the attending physician, approximate duration of treatment and/or recovery (days/months, if any), disposition of the patient, printed name, signature and license number of the attending physician and the department where the physician belongs.

10-15 minutes

Attending Physician

None Temporary Medico Legal Certificate

4 Pay to the Cashier and return after payment for the recording of Official Receipt Get the Temporary Medico-legal Report

Charge the requesting patient advice the latter to return after payment at the Cashier Section for the recording of the official receipt number Enter the necessary data on the logbook (date, control number of the certificate, name of patient, findings/diagnosis, attending physician, official receipt number and clinical department who attended the patient) Give the original copy to the requesting patient and shall be charged by the nurse supervisor the

10-15 minutes 5 minutes 1 minutes

ER Nurse Supervisor/nurse on-duty/Cashier

None None

5 Endorse the duplicate copy to the Admitting Unit for temporary filing to be endorsed to HIM staff for permanent filing the following day

1 min ER Nurse Supervisor, Admitting Unit Staff, HIMS

None None

End of Transaction

Frontline Service: Feedback and Redress Mechanism Schedule of Availability of Service: Monday to Sunday, 24/hours with no noon break

Eligible to Avail of the Service: All MMMHMC clients

Documentary Requirement: Client Feedback Form

Duration: 5 minutes

Procedure 1: Feedback PACD Officer

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Proceed to the Public Assistance and Complaints Desk (PACD) ask ask for the Officer of the Day

Address any concern raised by the client and make a report of the incident as necessary

N/A Admitting Clerk None Client Feedback form

End of Transaction

Procedure 2: Feedback through the drop box

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Get client feedback form beside suggestion boxes located at the lobby (Main Building), OPD entrance, and ER

Provide client feedback form to fill out N/A HCC staff None Client Feedback Form

2 Fill-out Client feedback form Assist the client in filling out the form N/A Security Guard None None

3 Drop client feedback form at the drop box

Make a report and address any concern raised by the client.

N/A HCC in-charge/Department/sec

tion concerned

None Action plan

End of Transaction

Procedure 3: Feedback through Contact Center

Step No.

Applicant/ Client

Service Provider


Person in

Charge

Fees Form

1 Call the Contact Center ng Bayan through 1-6565 or text at 0908-8816565 for queries, feedbacks, comments or suggestions.

Address any concern relayed by the clients (Processing time varies depending on the transaction)

N/A Contact Center Agent None None

End of Transaction

Annexes

A. Laboratory Services Pricelist

HEMATOLOGY BODY FLUID ANALYSIS

301

Creatinine Clearance Test

622

Anti-HBc IgM

190

Complete Blood Count

SPECIMEN: PANCREATIC PROFILE

HEPATITIS C

- Hemoglobin Physical Examination

266

Amylase 230

Anti-HCV Screening

- Hematocrit Total Cell Count

231

Lipase 773

Anti-HCV ECLIA/EIA

- Platelet count 190

Differential Count

LIPID PROFILE- 940 THYROID FUNCTION TEST

70 Clotting Time 110

Glucose 144

Total Cholesterol 420

T3

50 Bleeding Time 330

Protein 168

Triglyceride 420

T4

95 Clot Retraction Time

189

LDH 263

HDL-Cholesterol 443

FT3

120

ABO-Rh Typing CLINICAL CHEMISTRY

365

LDL-Cholesterol 443

FT4

175

Malarial Smear BONE/JOINT ARTHRITIS TEST

LIVER FUNCTION PROFILE

443

TSH

170

Peripheral Blood Smear

161

Blood Uric Acid

154

Total Protein TUMOR MARKERS

COAGULATION STUDY 680

Rheumatoid Factor

148

Albumin 782

AFP

455

Prothrombin Time CARDIAC MARKERS

152

Direct Bilirubin 945

Beta-HCG

420

APTT 124

AST/SGOT 178

Total Bilirubin 782

CEA

ANEMIA WORK UP 448

CK-MB TEST FOR LIVER INJURY

957

CA 19-9

216

Iron

970

Trop-T qualitative

124

AST/SGOT

848

PSA(Quantitative)

1,312

CA 125

631

Total Iron Binding Capacity

445

Trop-T quantitative

124

ALT/SGPT SLE WORK UP

Unsaturated Iron Binding Capacity

1500

Trop-I qualitative

151

Alkaline Phosphatase/ALP

SLE Latex Agglutination

1,065

Folate DIABETIC PROFILE

189

LDH Anti-Nuclear Antibody

729

Ferritin 110

Fasting Blood Sugar/FBS

SEROLOGY/ IMMUNOLOGY

SYPHILIS WORK UP

BLOOD BANKING 110

Random Blood Sugar/RBS

DENGUE WORK-UP 152

Rapid Plasma Reagin

Antibody Screening 963

OGTT ___75g ___100g

1,072

DENGUE NS1 Antigen

275

TPHA

500

Cross-matching 801

OGCT ___50g ___75g

405

Dengue IgG/IgM OTHER TESTS AVAILABLE

250

Direct Coomb’s Test

1128

HbA1C HIV Testing 607

Complement 3 (C3)

250

Indirect Coomb’s Test

110

2-Hour Post-Prandial

279

Anti-HIV-1/HIV-2 Screening/Rapid

345

C-Reactive Protein

DRUG TESTING LABORATORY

975

Insulin Anti-HIV-1/HIV-2 EIA

690

Anti-streptolysin O(ASO)

220

Cannabinoid 84 Urine Ketone

HEPATITIS VIRUS INFECTION MARKERS

390

Salmonella IgG/IgM

Methamphetamine ELECTROLYTES HEPATITIS A 1,850

TORCH IgG/IgM

CLINICAL MICROSCOPY

141

Sodium 809

Anti-HAV Total Pro-BNP

328

24-h Urine Protein 141

Potassium 703

Anti-HAV IgM OTHER SERVICES:

- 24-h Urine HCG Titer

147

147

____Ionized/___ Total Calcium

HEPATITIS B 2700

Hemoglobin Electrophoresis

270

Fecal Occult Blood 141

Chloride 142

HBsAg Screening

1500

CD4 Count

343

Formalin Ether Conc. Technique

244

Magnesium 420

HBsAg ECLIA 550

Platelet F Analysis

100

Pregnancy Test RENAL FUNCTION PROFILE

614

HBeAg 400

Glucose 6-phosphate dehydrogenase

82 Routine Stool Examination

120

Blood Urea Nitrogen

611

Anti-HBe 90 Giemsa Staining

95 Routine Urinalysis 132

Creatinine 467

Anti-HBs 823

Arterial Blood Gas

268

Seminal Fluid Analysis

130

24 Hr. Urine Protein/Albumin

573

Anti-HBc Total 515

Spot Urine Albumin: Creatinine

BACTERIOLOGY HISTOPATH BLOOD UNIT/s

80 Gram Stain 150

Biopsy Level 1

2,800

Washed RBC 800

Packed RBC(1:1)

80 KOH 200

Biopsy Level 2

1,400

Washed RBC (1:1)

950

FFP Unscreened

1,900

Culture & Sensitivity (Conventional)

300

Biopsy Level 3

600

Washed RBC (1:2)

200

Therapeutic Phlebotomy

2,200

Culture & Sensitivity (Vitek) without bottle

600

Biopsy Level 4

900

Whole Blood (1:1)

2,000

Culture & Sensitivity (Vitek)

900

Biopsy Level 5

950

Platelet Concentrate (Unscreened)

B. Radiology Rate (as of January 2017)

X-RAY PROCEDURE RATES

SKELETAL SYSTEM

FEES (Php)

Shoulder Joint (Bilateral 347

Shoulder Joint (L or R) 227

Thoracic Cage 252

Clavicle (1 view) 227

Clavicle (Bilateral) 347

Scapula (AP view) 307

Sternum (2 views) 317

Humerus (2 views) 317

Elbow Joint (2 views) 252

Forearm (2 views) 257

Wrist (2 views) 247

Hand (2 views) 247

Pelvis (AP view) 252

Pelvis (Frog Leg view) 262

Hip Joint (Bilateral) 257

Femur (2 views) 297

Knee Joint (2 views) 262

Leg (2 views) 287

Ankle Joint (2 views) 257

Oscalsis (2 views) 257

Foot (2 views) 257

Skeletal Survey 2,342

(HEAD)

Skull AP/L 384

Mastoids Series (3 views) 444

Optic Foramen (R or L) 419

Paranasal Sinuses (3 views) 474

Orbits (2 views) 384

Orbital Series 474

Maxilla / Mandible (AP, both oblique) 474

Nasal Bone (2 views) / STL 324

Temporomandibular Joint (4 views) 604

Zygoma 304

Towne’s View / Water’s view 304

Facial Bones 304

(NECK)

Soft Tissue (2 views) 384

Foreign Body 384

(THORACIC CONTENTS)

Heart & Lungs (1 view) – Adult 252

Heart & Lungs (2 views) – Adult 467

Heart & Lungs (2 views) – Pedia 389

Heart & Lungs (portable) – Adult 302

Heart & Lungs (APL Port) - 11 yrs. old 509

Heart & Lungs (APL Port) – 1-10 yrs. old 439

Heart & Lungs (AP Port) – 1-10 yrs. old 287

Apicogram / Lordotic (1 view) 227

(VERTEBRAL COLUMN)

Cervical (2 views) 384

Thoracic Vert. (2 views) 467

Lumbar Vert. (2 views) 467

Lumbo-Sacral Vert. (2 views) 467

Cervico-Thoracic 467

Scoliosis Series 751

Thoraco-Lumbosacral 861

(ABDOMEN)

KUB 252

FPA 252

Abdomen (Upright, Supine) 467

(MISCELLANEOUS)

Fistulography 444

- Additional Shot 185

Imperforate Anus (2 views) 384

Colonography 314

(BILLIARY SYSTEM)

T-Tube Cholangiography 931

Operative Cholangiography 684

- Additional Shot (per shot) 235

(URINARY SYSTEM)

IVP 1338

Retrograde Pyelography 856

Hypertensive IVP 1468

Cystography 988

Urethrography 988

Voiding Cystomethography 988

Cystomethography 988

(DIGESTIVE TRACT SYSTEM)

Barium Swallow 1,141

UGI Series 1,141

UGIS / SIS 1,906

Barium Enema 1,601

(OBSTETRICAL PROCEDURES)

Hysterogram 981

Note: *Additional P 50.00 per exam for portable x-ray procedures. *Contrast agent and other supplies needed for special procedures are not included.

RATES FOR DRY VIEW IMAGING FILM

Dry view laser imaging film 8x10 90

Dry view laser imaging film 14x17 263

MAMMOGRAPHY PROCEDURE RATES

FEES

Mammography 1,292

ULTRASOUND PROCEDURE RATES

EXAMINATION FEES (Php)

Scan Fee 150

KUB 686

KUB-Pelvic 892

KUB-Prostate 892

Breast (Bilateral) 892

Scrotum 892

Inguinal Area 892

Prostate 686

Thyroid 892

Neck 892

Renal 636

LGBPS 686

Abdomen 836

Abdomino-Pelvic 1,092

Guided Biopsy / Aspiration 700

Hemithorax 742

Cranial 846

Pelvic 711

Doppler Venous Scan 300

Biometry 711

TAS 711

AFI Determination 711

TVS 786

TRS 786

BPS 786

Congenital Anomaly Scan 1,500

Doppler 2,800

2D-ECHO PROCEDURE RATES

FEES (Php)

2D Echo with Doppler 3,550

2D Echo with Doppler (Difficult Study) 4,000

Treadmill Stress Test 2,500

RATES FOR BARIUM SULFATE

PROCEDURE FEES (Php)

Barium Swallow 850

UGIS 850

UGIS-SIS 1,700

BARIUM ENEMA 1,700

C. Room Rates (as of August 18, 2018)

SUITE ROOM RATE (Php) SEMI PRIVATE RATE (Php)

Presidential Suite 3,500.00 201 Annex 1,000.00

Governor’s Suite 3,000.00 202 Annex 1,300.00

Director’s Suite 2,500.00 204 Annex 1,300.00

303 Annex 2,000.00 207 Annex 1,300.00

304 Annex 2,000.00 210 Annex 1,250.00

305 Annex 2,000.00 301 Annex

1,350.00

306 Annex 2,000.00 302 Annex 1,400.00

307 Annex 2,000.00 311 Annex 1,300.00

309 Annex 2,000.00 314 Annex

1,300.00

310 Annex 2,000.00 4FA Cubicle 1 1,200.00

PRIVATE ROOM RATE (Php) 4FA Cubicle 2 1,200.00

203 Annex 1,900.00 4FA Cubicle 3 1,300.00

205 Annex 1,900.00 4FA Cubicle 4 1,200.00

206 Annex 1,900.00 215 HLK 1,200.00

308 Annex 1,700.00 317 HLK 1,300.00

402 Main 1,700.00 INTENSIVE CARE UNIT (ICU)

RATE (Php)

403 Main 1,700.00 Private ICU

404 Main 1,700.00 MICU-Septic

323 OB GYNE 1,600.00 CCU 1,900.00

319 HLK 1,700.00 PICU A 1,900.00

314 HLK 1,800.00 PICU B 1,900.00

315 HLK 1,800.00 NICU A 1,900.00

214 Main 1,600.00 NICU B 1,900.00

213 Main 1,800.00 SICU 1,900.00

217 Main 1,800.00

MMMHMC Citizen’s Charter · THE MMMHMC CITIZEN’S CHARTER Service Standards for Frontline...

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Transcript of MMMHMC Citizen’s Charter · THE MMMHMC CITIZEN’S CHARTER Service Standards for Frontline...