BI S Teleph HISTORICA Bicol Sanitarium was the virtue of the Act 1711 o named as Bicol Treatment attended to by three (3) Barracks in Legazpi City. government in the Bicol treatment of leprosy cases. The Bicol Treatment on April 19, 1949, it was Cabusao, Camarines Sur name. Bicol Sanitarium is 6. and municipality of Sipoco topography is upland surr north and west by the municipality of Cabusao Libmanan province of Cam ICOL SANITARIUM San Pedro, Cabusao, Camarines Sur hone Nos.: (054) 473-2244 (054) 472-4422 E-mail Address: [email protected]AL BACKGROUN s established on September 19 of the Philippine Commission. I Station with only forty-five (4 personnel who were situated It was the only hospital of th Region servicing the confine . Station was renamed Bicol Le transferred to its new site in S and Bicol Sanitarium becam 6.5 kilometers from the Nationa ot. Situated in 379.75 hectares o rounded by green rolling hills municipality of Sipocot, ea o, and south by the munic marines Sur. ND 9, 1929 by It was then 45) patients at Reagan he national ement and eprosarium San Pedro, me its new al Highway of land, its s, bounded ast by the cipality of
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BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
HISTORICAL BACKGROUND
Bicol Sanitarium was established on September 19, 1929 by the virtue of the Act 1711 of the Philippine Commission. It was then named as Bicol Treatment Station with only fortyattended to by three (3) personnel who were situated at Reagan Barracks in Legazpi City. It was the only hospital of the national government in the Bicol Region servicing the confinement and treatment of leprosy cases.
The Bicol Treatment Station was renamed Bicol Leprosarium on April 19, 1949, it was transferred to its new site Cabusao, Camarines Sur and Bicol Sanitarium became its new name.
Bicol Sanitarium is 6.5 kilometers from the National Highway and municipality of Sipocot. Situated in 379.75 hectares of land, its topography is upland surrounded by green rolnorth and west by the municipality of Sipocot, east by the municipality of Cabusao, and south by the municipality of Libmanan province of Camarines Sur.
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
was established on September 19, 1929 by the virtue of the Act 1711 of the Philippine Commission. It was then named as Bicol Treatment Station with only forty-five (45) patients attended to by three (3) personnel who were situated at Reagan
gazpi City. It was the only hospital of the national government in the Bicol Region servicing the confinement and treatment of leprosy cases.
The Bicol Treatment Station was renamed Bicol Leprosarium on April 19, 1949, it was transferred to its new site in San Pedro, Cabusao, Camarines Sur and Bicol Sanitarium became its new
Bicol Sanitarium is 6.5 kilometers from the National Highway and municipality of Sipocot. Situated in 379.75 hectares of land, its topography is upland surrounded by green rolling hills, bounded north and west by the municipality of Sipocot, east by the municipality of Cabusao, and south by the municipality of Libmanan province of Camarines Sur.
HISTORICAL BACKGROUND
was established on September 19, 1929 by the virtue of the Act 1711 of the Philippine Commission. It was then
five (45) patients attended to by three (3) personnel who were situated at Reagan
gazpi City. It was the only hospital of the national government in the Bicol Region servicing the confinement and
The Bicol Treatment Station was renamed Bicol Leprosarium in San Pedro,
Cabusao, Camarines Sur and Bicol Sanitarium became its new
Bicol Sanitarium is 6.5 kilometers from the National Highway and municipality of Sipocot. Situated in 379.75 hectares of land, its
ling hills, bounded north and west by the municipality of Sipocot, east by the municipality of Cabusao, and south by the municipality of
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
HOSPITAL BACKGROUND
n SPECIAL HOSPITAL, PROVIDING TERTIARY CARE IN THE FIELD OF LEPROSY MANAGEMENT97 ADMITTED PATIENTS
n OPERATING MANDATE OACTUAL/IMPLEMENTING
n PHILHEALTH ACCREDITED 30
(PRIMARY) WITH LABORATORY (SECONDARY), XRAY and PHARMACY
n WITH 79 PLANTILLA POSITIONS FILLED
EMPLOYEES, 33 CONTRACTING SERVICE, 21 JOB ORDER AND 14 GRATUITY WORKERS
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
V I S IO N A SPECIAL-TERTIARY HOSPITAL THAT INTEGRATES PROMOTIVE, CURATIVE, REHABILITATIVE AND PREVENTIVE HEALTH SERVICES, WHICH ARE AVAILABLE, ACCESSIBLE AND AFFORDABLE QUALITY DELIVERED BY COMPETENT, CARING AND COMPASSIONATE SERVICE PROVIDERS
M I S S I O N EMPOWER THE VARIOUS STAKEHOLDERS BY PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY AND HUMAN RESOURCE DEVELOPMENT THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTIONCLINICAL HEALTH CARE SERVICES
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
TERTIARY HOSPITAL THAT INTEGRATES PROMOTIVE, CURATIVE, REHABILITATIVE AND PREVENTIVE HEALTH SERVICES, WHICH ARE AVAILABLE, ACCESSIBLE AND AFFORDABLE QUALITY HEALTH CARE DELIVERED BY COMPETENT, CARING AND COMPASSIONATE SERVICE PROVIDERS
M I S S I O N
EMPOWER THE VARIOUS STAKEHOLDERS BY PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY AND HUMAN RESOURCE DEVELOPMENT THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTIONCLINICAL HEALTH CARE SERVICES
TERTIARY HOSPITAL THAT INTEGRATES PROMOTIVE, CURATIVE, REHABILITATIVE AND PREVENTIVE HEALTH SERVICES, WHICH ARE AVAILABLE, ACCESSIBLE AND
HEALTH CARE DELIVERED BY COMPETENT, CARING AND COMPASSIONATE SERVICE PROVIDERS
EMPOWER THE VARIOUS STAKEHOLDERS BY PROVIDING COMPREHENSIVE HEALTH CARE DELIVERY AND HUMAN RESOURCE DEVELOPMENT THAT INCLUDE HEALTH PROMOTION, DISEASE PREVENTION AND
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
GOALS AND OBJECTIVES
n PROVIDE TERTIARY SERVICES IN LEPROSY MANAGEMENT
n To provide clinical and technical management in leprosy control program.
n Support the Disease free zone initiative especially in Leprosy elimination thru active case finding and advocacy.
n Prepare patients for eventual social integration.(“Halfway house project.”)
n EXPAND SERVICES OFFERED BY THE SANITARIUM
n Making available basic health essential services as mandated by AO 2005
n Provide general health care services to immediate catchments areas
n Prepare facility development and expansion plan based on approved upgrading plan
n Support facility linkages thru the referral
n IMPLEMENT PUBLIC HEALTH PROGRAMS
n Support disease free zone initiatives
n Provide community extension services
n Provide linkages and coordination with other government and nonorganizations.
n ESTABLISHED SUSTAINABLE FINANCING SCHEME
n Implement cost recovery measures
n Adopt revenue enhancement schemes
n Rational and equitable use of hospital community support system
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
ORIGIN OF ADMITTED LEPER PATIENTS (140 Custodial Care)
29; 21%
16; 11%
50; 36%
1; 1%1; 1%
CAM NORTE-16
CATANDUANES-4
SORSOGON-10
QUEZON PROVINCE-5
MARINDUQUE-1
ORIGIN OF ADMITTED LEPER PATIENTS (140 Custodial Care)
16; 11%
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
August 24, 2009
OFFICE ORDER
NO. 14 s. 2009
TO : ALL PERSONNEL CONCERNED
This Sanitarium
SUBJECT : Setting-up of Public Assistance and Complaint Desk
In compliance with Republic Act 9485, otherwise known as An Act to Improve Efficiency in the Delivery of Government Service to the Public by Reducing Bureaucratic Red Tape, Preventing Graft and CorruptionProviding Penalties Thereof, or the Anti Red Tape Act (ARTA) of 2007, all regular employees of this Sanitarium with Salary Grade 3 and above are hereby directed to be an officer of the day of the Public Assistance and Complaint Desk (PACD), effective
Under this order, the Officer of the day assigned in PACD shall exercise the following duties and functions:
1. Must have a thorough knowledge of the Agency Frontline Service2. Must know the policies and procedures of Hospital/Agency in order to3. Must be quick/alert to serve client. 4. Must be approachable and courteous.
Attached to this Order the Public Assistance and Complaint Desk Schedule.
For strict compliance.
EDGARDO R. SARMIENTO, MD.,CEO VI
Chief of Sanitarium II
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
In compliance with Republic Act 9485, otherwise known as An Act to Improve Efficiency in the Delivery of Government Service to the Public by Reducing Bureaucratic Red Tape, Preventing Graft and CorruptionProviding Penalties Thereof, or the Anti Red Tape Act (ARTA) of 2007, all regular employees of this Sanitarium with Salary Grade 3 and above are hereby directed to be an officer of the day of the Public Assistance and Complaint Desk (PACD), effective immediately.
Under this order, the Officer of the day assigned in PACD shall exercise the following duties and functions:
Must have a thorough knowledge of the Agency Frontline Service Must know the policies and procedures of Hospital/Agency in order to guide the public properly
Must be approachable and courteous.
Attached to this Order the Public Assistance and Complaint Desk Schedule.
EDGARDO R. SARMIENTO, MD.,CEO VI
In compliance with Republic Act 9485, otherwise known as An Act to Improve Efficiency in the Delivery of Government Service to the Public by Reducing Bureaucratic Red Tape, Preventing Graft and Corruption, and Providing Penalties Thereof, or the Anti Red Tape Act (ARTA) of 2007, all regular employees of this Sanitarium with Salary Grade 3 and above are hereby directed to be an officer of the day of the Public
Under this order, the Officer of the day assigned in PACD shall exercise the following duties and functions:
guide the public properly
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
STEPS & PROCEDURES IN FILING COMPLAINTS
STEPS
1. Present orally in the first instance complain 2. Listen to complaint 2.1 Within three (3) days from the date complaint
presented, inform complainant orally of his 3. Listen to decision 4. If not satisfied with oral decision, may submit
complaint, writing, to the next higher superior thru his immediate supervisor
5. Forward the written complaint, with his
within twenty four (24) hours to the next higher 6. Study/review complaint 6.1 Within five (5) days from receipt of complaint in writing
his decision 7. Set for a dialogue 8. If not satisfied with the decision, may appeal
complainant in writing to the Chief of Sanitairum 9. Review the issue involve and forward the complaint
to the Grievance Committee for proper sanction. 10. Resolve complaint or grievance within ten (10) days
and send decision to the complainant 11. Agree/consider the case closed. If not satisfied,
with prior decisions, may submit, thru channels, his complainant or grievance in writing to the Regional Health Director for final disposition
Note: Any officer or employee who violates the procedure for seekprescribed under Section 5 hereof, shall be subject to administrative disciplinary action.
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
Present orally in the first instance complain Complainant
Within three (3) days from the date complaint presented, inform complainant orally of his decision
Immediate Supervisor
Complainant
If not satisfied with oral decision, may submit complaint, writing, to the next higher superior thru
Complainant
Forward the written complaint, with his comments, within twenty four (24) hours to the next higher
Immediate Supervisor
Within five (5) days from receipt of complaint in writing
Next Higher Supervisor
Administrative Officer or personnel incharge, as the case may be
If not satisfied with the decision, may appeal complainant in writing to the Chief of Sanitairum
Review the issue involve and forward the complaint to the Grievance Committee for proper sanction.
Chief of Sanitarium
Resolve complaint or grievance within ten (10) days and send decision to the complainant
Grievance Committee
case closed. If not satisfied, with prior decisions, may submit, thru channels, his complainant or grievance in writing to the Regional Health Director for final disposition
Complainant
Any officer or employee who violates the procedure for seeking redress of complaints and grievances as prescribed under Section 5 hereof, shall be subject to administrative disciplinary action.
PERSON RESPONSIBLE
Administrative Officer or personnel incharge, as the
ing redress of complaints and grievances as
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
RATIONALIZATION OF HOSPITAL RATES FEES AND CHARGES
SPECIAL PROCEDURES ACUTE PERITONEAL DIALYSIS CAUTERIZATION per area affected CIRCUMCISION CORD DRESSING DEBRIDEMENT per area affected DOPPLER EAR PIERCING ECG EXCHANGE TRANSFUSION INCISION AND DRAINAGE INTUBATION Pedia Adult LUMBAR TAP PARACENTESIS PHYSICAL EXAMINATION For school (student) For employment REMOVAL OF SUTURES SUTURING per stich THORACOSTOMY UMBILICAL CATHETERIZATION PACKAGES *Based on PHilHealth Rates DELIVERY (NORMAL) NEWBORN CARE NBS KIT MEDICAL CASES & OTHER SURGICAL PROCEDURES
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
RATIONALIZATION OF HOSPITAL RATES FEES AND CHARGES
SECONDARY HOSPITAL
750.00 per use of OR
MAX
7,500.00
7,500.00
1,600/day
800.00/day per patient
400/day per patient
400/day per patient*
*Free for Class D and discounted for Class C
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
LABORATORY SERVICES CLINICAL MICROSCOPY FECALYSIS OCCULT BLOOD TEST PREGNANCY TEST URINALYSIS BACTERIOLOGY SPUTUM SLIT SKIN SMEAR GRAM STAIN KOH MOUNT BLOOD BANK AND SEROLOGY BLOOD TYPING HbSAg BLEEDING FEE HISPATHOLOGY PAP’S SMEAR MANUAL PROCEDURE URINE PROTEIN BENEDICT’S TEST DUPLICATE COPY OF LABORATORY RESULT PT TREATMENT/UNNA PATCH RADIOLOGY SERVICE
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
Verify if old patient If NO, accomplish pre-HOMIS form and submit with the priority number to HIMS for issuance of hospital number and new chart. If YES, submit Hospital I.D. to HIMS with the priority number for retrieval of records
-
Pre-Form Hopital I.D. (Green Card)
3. Issuance of Charge Slip for consultation fee to Patient/Relative
Consultation fee : P 50.00 BP : P 10.00 TPR: P 20.00 Hosp. I.D.: New – P 20.00 Replacement – P 50.00
Charge Slip
4.
Payment of consultation fees at the cashier then present Official Receipt to HIM staff
As charged
Charge Slip
5.
Hands the patient’s chart to OPD nurse
Patient’s
6.
Takes and record patient’s vital signs and chief complaint
- Patient’s
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
Pre-HOMIS Form Priority Number Hospital I.D. (Green Card)
5 - 8 minutes
PatientHIM staffHIMS
Charge Slip Charge Slip 0 - 1 minute
HIM staff
Charge Slip
Official Receipt
2-8 minute patient
Patient’s chart
Patient’s chart 1 minute. HIM
Patient’s chart
Patient’s chart 5-7
minutes
Nurse / Nursing
Attendant
Responsible Person/s
Allowable Period of Extension
& acceptable
Reason
patient
Patient HIM staff
HIM staff 1 minute
patient 2 minutes
HIM staff 1 minute
Nurse / Nursing
Attendant 2 minutes
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
7
Conduct of health education while waiting for consultation
-
8 Conduct medical and physical examinations and prescribe orders
Patient’s
Prescriptions
9
Check if patient is admissible. If YES, Physician-on-duty admits patient and nurse accomplish Patient’s Chart and endorse patient to Emergency Room
Admission
Prescriptions
10
If patient not admissible, carry out doctor’s order: If patient needs diagnostic examinations, refer to department concerned. (Refer to process owner) If requiring procedure, carry out as ordered (e.g. Nebulization, injection, etc.)
As charge
Diagnostic/ procedure
request
12 Make necessary documentation
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
The Out Patient Departmant ( OPD ) of the Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible Service Performance and Pledge to achieve the following:
Response time per transaction
Person Responsible
2 minutes
Alex Bongalos
HIM staff
10 minutes
Josefina A. Calinao, RM
Eugene Steve Aguilar, RN
10 minutes
Leila V. Villafuerte, RN
5 minutes
30 minutes
Amelita T. Perilla, RN Eugene Steve Aguilar, RN
5 minutes
Amelita T. Perilla, RN
Eugene Steve Aguilar, RN
2 minutes
Amelita T. Perilla, RN
Eugene Steve Aguilar, RN
30 minutes
Amelita T. Perilla, RN
30 minutes
Resident on Duty
15 minutes
Resident on Duty
) of the Bicol Sanitarium, Cabusao, Camarines Sur is committed to
Signature
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
10. Internal Examination
1 minute
11. I & D 10
minutes
12. Pre-natal check-up 10
minutes 13. Nebulization 30 minutes
14. Medical & Physical Examination
5 - 15 minutes
15. Wound Dressing 5-10 minutes
16. Conduct lectures on Various Health Programs
10 minutes
Prepared by: AMELITA T. PERILLA, RN Nurse I/OPD In-Charge
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
EDGARDO R. SARMIENTO, MD, CEO VI Chief of Hospital II
SUSAN C. BARRAMEDA, MD Medical Specialist II
JOSEFINA F. BARBOSA Medical Technologist II
MARIANNE M. IBARBIA Medical Technologist I
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
DENTAL SECTION
INTRODUCTION
The Dental Section of Bicol Sanitarium provides dental health services to all clients, both of general service and leprosy care. These cover all levels of dental prevention, health promotion, early diagnosis and treatment of oral diseases such as dental caries and gum diseases.
SECTION VISION
A basic component of hospital health service that integrates promotive, curative, preventive and rehabilitative oral health services, delivered by competent efficient dental staff.
SECTION MISSION
To deliver excellent and compassionate dental includes promotion, prevention and clinical oral health services.
SECTION GOALS 4.1.1 Attainment of a quality oral health care through a comprehensive dental services
SERVICE VALUES
4.1.2 The dental section service value is to serve dental patients with comprehensive dental services
with utmost responsibility, courage and efficiency.
FUNCTION OF DENTAL
The Dental Service operates the following: 4.1.3 Administrative – to conduct the affairs of the dental service in accordance with the established
administrative procedures of the hospital. To keep and maintain proper records and submit necessary reports.
4.1.4 Consultative – to act through customary channels in an advisoryto dental health of the patient.
4.1.5 Clinical – to render professional, diagnostic, preventive and treatment services to patients in
accordance with concepts of modern scientific dentistry and to evaluate these services periodically.
4.1.6 Educational – to participate actively in the total health education program of the hospital; to
orient the medical and dental staff in the problems of oral health as it relates to the total health care of the patient.
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
provides dental health services to all clients, both of general service and leprosy care. These cover all levels of dental prevention, health promotion, early diagnosis and treatment of oral diseases such as dental caries and gum diseases.
A basic component of hospital health service that integrates promotive, curative, preventive and rehabilitative oral health services, delivered by competent efficient dental staff.
To deliver excellent and compassionate dental program by providing comprehensive oral health care that includes promotion, prevention and clinical oral health services.
Attainment of a quality oral health care through a comprehensive dental services
service value is to serve dental patients with comprehensive dental services with utmost responsibility, courage and efficiency.
DENTAL
The Dental Service operates the following:
to conduct the affairs of the dental service in accordance with the established administrative procedures of the hospital. To keep and maintain proper records and submit
to act through customary channels in an advisory capacity on all problems related to dental health of the patient.
to render professional, diagnostic, preventive and treatment services to patients in accordance with concepts of modern scientific dentistry and to evaluate these services
to participate actively in the total health education program of the hospital; to orient the medical and dental staff in the problems of oral health as it relates to the total health
provides dental health services to all clients, both of general service and leprosy care. These cover all levels of dental prevention, health promotion, early diagnosis and treatment of oral
A basic component of hospital health service that integrates promotive, curative, preventive and
program by providing comprehensive oral health care that
Attainment of a quality oral health care through a comprehensive dental services
service value is to serve dental patients with comprehensive dental services
to conduct the affairs of the dental service in accordance with the established administrative procedures of the hospital. To keep and maintain proper records and submit
capacity on all problems related
to render professional, diagnostic, preventive and treatment services to patients in accordance with concepts of modern scientific dentistry and to evaluate these services
to participate actively in the total health education program of the hospital; to orient the medical and dental staff in the problems of oral health as it relates to the total health
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
EDGARDO R. SARMIENTO, MD, CEO VIChief of Hospital II
SUSAN C. BARRAMEDA, MD
EVA P. CASULLA, DMD
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
EDGARDO R. SARMIENTO, MD, CEO VI Chief of Hospital II
SUSAN C. BARRAMEDA, MD Medical Specialist II
EVA P. CASULLA, DMD Dentist II
LILIA B. DE HITTA Administrative Aide I
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
4.2 RESPONSIBLITIES
A. Dentist II
1. Performs dental services, diagnosis, and curative, preventive, restorative, rehabilitative dental health care within the limits of the available facilities
2. Engages in dental health education program
3. Refers patients to the physician for medical care/advice or to other a
4. Supervises the maintenance cleanliness and orderliness of dental clinic
5. Ensures adequate supply of dental clinic
6. Integrates dental health services intro the overall activities of the health unit in the delivery of primary health care
7. Accomplishments and maintains records of patient’s examination and treatment
8. Attends meetings, seminar, conferences and updates
9. Does other related works as may be assigned by his immediate supervisor.
B. Administrative Aide I
1. Assessment of patients
2. Receiving/retrieving of patient’s records
3. Preparation of dental instrument and equipment
4. Arranging of sterile instruments
5. Counting of dental instruments
6. Cutting of gauze
7. Packaging of gauze
8. Prepare charge slip
9. Maintain cleanliness of Dental Section
10. Attends meetings, seminar and updates
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
services, diagnosis, and curative, preventive, restorative, rehabilitative dental health care within the limits of the available facilities
Engages in dental health education program
Refers patients to the physician for medical care/advice or to other agency for secondary level care
Supervises the maintenance cleanliness and orderliness of dental clinic
Ensures adequate supply of dental clinic
Integrates dental health services intro the overall activities of the health unit in the delivery of primary
Accomplishments and maintains records of patient’s examination and treatment
Attends meetings, seminar, conferences and updates
Does other related works as may be assigned by his immediate supervisor.
Administrative Aide I (Dental Aide)
Receiving/retrieving of patient’s records
Preparation of dental instrument and equipment
Arranging of sterile instruments
Counting of dental instruments
cleanliness of Dental Section
Attends meetings, seminar and updates
services, diagnosis, and curative, preventive, restorative, rehabilitative dental health
gency for secondary level care
Integrates dental health services intro the overall activities of the health unit in the delivery of primary
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
Title: ORAL EXAMINATION AND TREATMENT FOR DENTAL PATIENT
1.0 Purpose: To have a common procedure in handling patient for oral examination and dental treatment
2.0 Scope: This shall apply to all dental patients consulting in the Out 3.0 References: Standards for Hospital Dental Health Service Manual 4.0 Procedure:
Key Activities Details
Receives patient with OPD chart
Verify if old or new patient If NO, interviews patient, makes dental record and issues dental ID card If YES, proceed to next step
Retrieve patient’s dental record
Performsand evaluation of oral care needed by the patient
Dentist Individual Treatment Record Patient’s OPD Chart
Prescribes medicines needed by the patient
Dentist Prescription form Patient’s OPD Chart
Gives chairside lecture on oral care and home care
Dentist
Issues charge slip for patient bill
Dental Aide Charge Slip
Records dental service and Charge Slip in the logbook
Dental Aide/ Dentist II
Dental Logbook Charge Slip
Individual Treatment Record
Patient’s OPD Chart
Prescription form
Patient’s OPD Chart
Charge Slip
Dental Logbook
Charge Slip
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
Title: ORAL PROPHYLAXIS FOR DENTAL PATIENT
1.0 Purpose: To have a systematic procedure in handling patient for oral prophylaxis 2.0 Scope: This shall apply to all dental patients consulting in the 3.0 Reference: Standards for Hospital Dental Health Service Manual
National Policy on Oral Health Booklet
4.0 Procedure:
Key Activities Details
Receive patient from nurse with patient record
Verify if old or new patient If NO, interviews patient, makes dental record and issues dental ID card If YES, retrieves dental record
Retrieve patient’s dental record
Performs prophylaxis
Records procedure in the Individual Treatment Record/Dental Health done
Old Patient?
Oral Prophylaxis
NO
YES
Recording of procedure done
Start
Receive dental patient
Make dental record and issue dental ID card
Retrieve Dental Record
A
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
30 minutes to 1 hour for patient with heavy calculus deposit
5 minutes Eva P. Casula, DMD Dentist II
5 minutes Eva P. Casula, DMD Dentist II
10 minutes Eva P. Casula, DMD Dentist I
3 minutes Eva P. Casula, DMD Dentist I
3 minutes
EDGARDO R. SARMIENTO, MD.,CEO VI Chief of Hospital II
ALLOWABLE OF EXTENSION
AND ACCEPTABLE
REASONS 2 minutes does other priority work
2 minutes does other priority work
2 minutes does other priority work
30 minutes to 1 hour for patient with heavy calculus deposit
EDGARDO R. SARMIENTO, MD.,CEO VI
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
SERVICE PLEDGE The Dental Section of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:
SERVICE
RESPONSE TIME PER
TRANSACTIONa. Get Dental Record
for old patient b. Make Dental
Record and dental card
5 minutes 5-10 minutes
Oral Examination 5-15 minutes
Prepare charge slip 3 minutes
OTHER SERVICES RENDERED a. Extraction b. Oral Prophylaxis c. Temporary filling d. Permanent Filling e. Daily
The Dental Section of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:
RESPONSE TIME
TION
PERSON RESPONSIBLE SIGNATURE
Lilia B. de Hitta Admin. Aide I
Eva P. Casulla, DMD Dentist II
Eva P. Casulla, DMD Dentist II Lilia B. de Hitta Admin. Aide I
1 hour
1 hour 1 hour
Eva P. Casulla, DMD Dentist II
EDGARDO R. SARMIENTO, MD.,CEO VI Chief of Hospital II
The Dental Section of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the
SIGNATURE
EDGARDO R. SARMIENTO, MD.,CEO VI
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
EDGARDO R. SARMIENTO, MD, CEO VI
SUSAN C. BARRAMEDA, MDMedical Specialist II
BUENSANTA S.
MARITA B. LLANTOSPhysical Therapy Tech.
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
To have a systematic process of recording and filing of OPD Chart
This instruction shall cover all the recording of OPD consultations and filing of OPD
Manual of Procedure
Details Responsibilities Requirements
HIM Clerk receive OPD chart HIM-Staff OPD Chart
Codes final diagnosis in HIM-Staff OPD ChartICD-10 Manual
Records in OPD Consultation
HIM Staff
OPD ChartOPD ConsultationCensus Form
Files Patient’s chart HIM Staff OPD Chart
This instruction shall cover all the recording of OPD consultations and filing of OPD
Requirements
OPD Chart
t 10 Manual
OPD Chart OPD Consultation Census Form
OPD Chart
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
Title: RETRIEVAL AND RELEASING OF OPD CHART
1.0 Purpose: To have a systematic process in the 2.0 Scope: This shall cover for all OPD health record 3.0 References: Guidelines regarding Process Flow in the retrieval of OPD patient charts for consultation 4.0 Procedure:
Key Activities Details
Collects Pre-HOMIS form/Hospital ID according to priority number
Verifies the hospital ID and Pre-HOMIS Form If NO, submits preform for encoding. If YES, proceed to next step
Retrieves HOMIS registered chart and MPI
Releases chart to the OPD Encoder
Logs patient in HOMIS Registry
Retrieval of records
Old Patient? NO
YES
Start
Collection of Pre-HOMIS Form/Hospital
ID
HOMIS Registration
End
Releasing
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
To have a systematic process in the retrieval of patient charts at the OPD
This shall cover for all OPD health record
Guidelines regarding Process Flow in the retrieval of OPD patient charts for consultation
Details Responsibilities Requirements
HOMIS form/Hospital ID according to priority
HIM Clerk Pre-HOMIS FormHospital ID
Verifies the hospital ID HOMIS Form
submits pre-HOMIS form for encoding.
proceed to next
HIM Clerk · Pre-HOMIS Form
· Master Patient Index (MPI)
· OPD Chart
Retrieves HOMIS registered chart and MPI
HIM Clerk OPD chart MPI Priority No.
Releases chart to the OPD HIM Clerk OPD Chart Hospital ID Priority No.
Logs patient in HOMIS OPD Encoder Priority No. Hospital ID MPI OPD Chart
retrieval of patient charts at the OPD
Guidelines regarding Process Flow in the retrieval of OPD patient charts for consultation
nts
HOMIS Form
HOMIS
Master Patient Index (MPI) OPD Chart
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
Title: HANDLING HEALTH RECORD OF PATIENTS FOR DISCHARGE 1.0 Purpose: To have a uniform procedure in handling charts of patients for discharge 2.0 Scope: This shall apply to all charts of patients upon discharge from the hospital 3.0 References: Hospital Medical Recor 4.0 Procedure:
Key Activities Details
Gather charts of discharged Patients at the Nurses Station
Check the completeness of data in every page of the chartIf NO, return the chart to Nursing Service for completionIf YES, proceed to the next step
Arrange chart according to DOH standard of patient chart sequencing
Codes chart according to disease and procedure
Records all chart of discharged patients in the Medical Records Admission & Discharge Logbook, Master Patient Index and Disease Index
Filing of Hospital record according to the DOH standard procedure
Complete data?
Chart organizing
Coding of Final Diagnosis on Discharge
NO
YES
Recording of Patient Chart
Start
Collection of patient chart
Records keeping
End
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
Step-by-Step Procedure - PREPARATION OF BIRTH CERTIFICATE
S T E P S
Activities Fee Necessary
1.
Interview patient and verifies whether literate or not 1.1 If literate, fills up
the Birth Certificate (BC) draft form (photocopy of Form no. 40) and certifies as to accuracy and completeness of data by signing the official form
None
BC Form No. 40 w/ attached draft/photocopy
2.
1.2 If patient is illiterate, assists/fills up draft form of Birth Certificate (BC) and forwards it to supervising nurse Verifies the accuracy of data entry
None
3.
Reviews entries in the draft form and affixes his/her initial
None
4.
Endorses accomplished forms to the HIM for transcription in the official form
None
5.
Transcribes data from the pre-form or draft form into the official from (Form 40) (4copies), and forwards it to Nurse/NA
None
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
Step-by-Step Procedures – ISSUANCE OF DEATH CERTIFICATE
S T E P
Activities Fee Necessary
1.
1.Interview the nearest of kin of the deceased 2.Fills up and signs official form (Form No. 50) of Death Certificate (DC) (5copies)
None
Form No. 50Death Certificate
2.
3.Signs official form (5copies) as informant
None
Form No.50 DC properly filled up
3.
4.Completes medical certification portion of the DC and returns it to the Nurse/NA
None
Form No. 50 DC Certification of Death
4.
5.Checks completeness of data entry and forwards official DC to HIMO
None
5.
6.Receives and records DC in the register 7.Checks, reviews and validates data enters on the patient’s DC
None
6.
8.Presents clearance certificate to the HIM Clerk
None
Clearance certificate
7.
9.Establishes identity of the requesting party 10.Releases 4 copies of DC to the nearest of kin, retains one copy as official file 11.Advises patient’s relative to register the DC at the LCR 12.Retains duplicate copy of the DC
None
Valid ID
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
NOTE: For admitted HD patient Hospital register DC at LCR
Patient’s relative
10 min if attending to other urgent work
HIM Personnel 10 min if attending to other urgent work
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
SERVICE PLEDGE
The Health Information Management of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:
Service Response Time per Transaction
Prepares and consolidate Hospital Reports/quarterly and annually
1-2 weeks of succeeding month
Performs daily census and record the same in various logbooks and index cards
1-5 minutes per chart
Perform Disease coding of hospital charts
3-5 minutes
Quantitative and qualitative analysis of hospital charts
5-10 minutes
Files/retrieve OPD and Hospital Charts
1-2 minutes/ chart
Prepares Medical, Birth and Death Certificate
10-15 minutes
Prepares updated list of admitted patients
30 minutes to 1 hour
ROMINA C. IGNACIO Administrative Aide VI
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur
The Health Information Management of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the highest possible service performance and pledge to achieve the following:
Response Time per Transaction
Person Responsible
2 weeks of succeeding month
Romina C. Ignacio Virginia B. Sergio
5 minutes per chart
Romina C. Ignacio
5 minutes Virginia B. Sergio
10 minutes Romina C. Ignacio
2 minutes/ chart
Virginia B. Sergio Valeriano T. Buquid Jr.
15 minutes Virginia B. Sergio Valeriano T. Buquid Jr.
30 minutes to 1 hour
Romina C. Ignacio Virginia B. Sergio
EDGARDO R. SARMIENTO, MD, CEO VI Chief of Hospital II
The Health Information Management of Bicol Sanitarium, Cabusao, Camarines Sur is committed to provide the
Signature
EDGARDO R. SARMIENTO, MD, CEO VI Chief of Hospital II
BICOL SANITARIUMSan Pedro, Cabusao, Camarines Sur
Telephone Nos.: (054) 473E
EDGARDO R. SARMIENTO, MD, CEO VI
SUSAN C. BARRAMEDA, MD
VIRGINIA B. SERGIOAdministrative Aide IV
BICOL SANITARIUM San Pedro, Cabusao, Camarines Sur