Transcript DOH Rationalization Plan

Committing Full Support to the Rationalization
Program of the Department of Health Per Executive
Order 366, s. 2004
NSM Resolution No. 2005-01-02
Alexander A. Padilla
Undersecretary
Chair, Change Management Team
National Staff Meeting
April 19 – 21, 2006
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NSM Resolution No. 2005-01-02

Commit all efforts and resources in implementing the DOH
Rationalization Program
 Review and evaluate proposals and suggestions on
personnel movement
 Create a Speaker’s Bureau that will be responsible in the
dissemination of vital information relative to the guidelines
and processes of the Rationalization Plan
 Implement the moratorium of post residency dispersal
program
National Staff Meeting
April 19 – 21, 2006
NSM Resolution No. 2005-01-02 updates

Rationalization Plan for CHDs, Hospitals, and attached
agencies completed
 Central DOH Rationalization Plan for further study
 Information relative to the guidelines and processes of the
Rationalization Plan disseminated through the CMT and CMT
sub-committees
 Moratorium of post residency dispersal program through
Department Memorandum No. 2005-0180 dated 28
December 2005
National Staff Meeting
April 19 – 21, 2006
NSM Resolution No. 2005-01-02 critical issues

Employees opting for retirement under EO 366 whose
positions cannot be declared redundant.
 Employees requesting for transfer to other offices
 Excess in the PS requirement especially in hospitals
 Upgrading of entry level positions at CHDs and Hospitals
from Salary Grade 1 - 5 to SG 6
National Staff Meeting
April 19 – 21, 2006
Rationalization Plan for Centers for Health Development
National Staff Meeting
April 19 – 21, 2006
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Basis for Staffing Requirements

Staffing Requirements based on PhilHealth index for small,
medium, and large regions but excluding staffing for special
concerns e.g. BFAD satellite laboratories, HMS, etc…
 200 personnel for small regions
 225 personnel for medium regions
 250 personnel for large regions
 Staffing proposal not to exceed current PS budget
 Some CHD services shall be outsourced e.g. janitorial,
security, etc…
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the Centers for Health
Development

There shall only be one (1) Office of the Director composed of
 CHD Director
 Deputy Director
 Respective Support Staff

There shall only be two (2) Divisions in the CHD
CURRENT
PROPOSED
Administrative
Technical Services
Budget and Finance
Health Manpower Development
and Training
Local Health Support
Regulations
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the Centers for Health
Development

Medical Specialist positions in the CHDs shall be renamed as
Medical Officer positions (MO V, VI, VII).

Nurse positions shall also be progressed


i.e. provide Nurse III, IV, V positions
DOH representatives shall be renamed as Development
Management Officers (DMO).
 DMO IV for provinces and chartered cities
 DMO III for municipalities and chartered cities


Each Provincial Health Team shall have one Administrative
Officer I and one Administrative Aide
One (1) Sanitary Inspector Supervisor and one (1) Midwife
Supervisor to provide technical assistance to and address concerns
of local sanitary inspectors and midwives
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the Centers for Health
Development


One (1) Consumer arbitration Officer , SG 18
Legal Researcher positions, SG 18


Legal Officer/Attorney incumbents on permanent status shall be
converted to Co-terminus with the Incumbent (CTI) status.
Legal Officer/Attorney incumbents on temporary status shall be
offered Legal Researcher position with reduced salary

All positions under the BFAD satellite and reference
laboratories shall be part of CHD plantilla

All positions in the quarantine stations at the CHDs shall be
transferred back to the BQHIS
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the Centers for Health
Development

There will be no filling up of vacant Malaria / Schistosomiasis /
Filaria and traveling skin clinic items. Such services shall be
slowly devolved to the LGUs



Positions under the Malaria / Schistosomiasis / Filaria shall be
declared redundant.
Incumbents who do not wish to retire shall be declared their
positions CTI or be given priority to be absorbed in the vacant
CHD positions.
Incumbents of traveling skin clinic shall be absorbed by the
nearest sanitarium to the CHD, except when there is none, in
which case it will remain with that CHD.
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the Centers for Health
Development





Positions under the Hospital Maintenance Services (HMS)
shall be transferred to the nearest retained hospital within the
region.
Employees under Special Concern who will be absorbed in
the vacant positions shall be re-tooled.
Blood Center items shall be transferred to the proposed
Philippine Blood Center
Maximum number of driver-courier items shall be ten (10)
Entry level positions will be Salary Grade 6. Incumbents of
positions with SG 1-5 will automatically be upgraded.
However incumbents who do not meet the qualification
standards for SG 6, shall be declared Co-Terminus with the
Incumbent (CTI).
National Staff Meeting
April 19 – 21, 2006
DOH REGIONAL OFFICE
OFFICE OF THE
DIRECTOR IV &
DIRECTOR III
Medical Centers
Regional Hospitals
Retained Hospitals
Sanitaria
Management Support Staff
Special Concerns
LOCAL HEALTH
SUPPORT
RESU/HEMS
REGULATIONS
DOH (name)
Field Extension Office (province)
(formerly PHTO)
National Staff Meeting
April 19 – 21, 2006
LOCAL HEALTH SUPPORT/RESU/HEMS
OFFICE OF THE
DIRECTOR IV &
DIRECTOR III
OFFICE OF THE
DIVISION CHIEF
HEALTH
SYSTEMS &
FACILITY
DEVELOPMENT
PROGRAM
SERVICE
DEVELOPMENT
RESU/HEMS
HUMAN
RESOURCE
DEVELOPMENT
UNIT
National Staff Meeting
April 19 – 21, 2006
REGULATIONS
OFFICE OF THE
DIRECTOR IV &
DIRECTOR III
OFFICE OF THE
DIVISION CHIEF
HEALTH FACILITY,
SERVICES &
TECHNOLOGY
FOOD & DRUGS
National Staff Meeting
April 19 – 21, 2006
MANAGEMENT SUPPORT STAFF
OFFICE OF THE
DIRECTOR IV &
DIRECTOR III
OFFICE OF THE CHIEF
ADMINISTRATIVE OFFICER*
FINANCE PERSONNEL
SUPPLY
LEGAL
UNIT
INFO.
MGNT.
PLANNING
&
STATISTICS
TRANSPORT
& FACILITY
MAINTENANCE
INTERNAL
AUDIT**
*with RATA
**for decision
National Staff Meeting
April 19 – 21, 2006
SPECIAL CONCERN
OFFICE OF THE
DIRECTOR IV &
DIRECTOR III
SPECIAL CONCERNS*
• Hospital Maintenance Service
• Collaboration Center
• Malaria/Filaria/Schistosomiasis
• BFAD Satellite Laboratory
• Travelling Skin Clinic
• Blood Center
* only for selected regions
National Staff Meeting
April 19 – 21, 2006
Rationalization Plan for DOH Hospitals
National Staff Meeting
April 19 – 21, 2006
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Strategic Shifts in Hospitals
Implementing
strategy

General health
services



Highly capable
services
Upgraded facilities
Specialized health
services leading to
corporate
restructuring

Comprehensive
provision of
services

Devolution of
primary and
secondary services

High emphasis on
medical services

Strengthening of
public health
services in
hospitals
National Staff Meeting
April 19 – 21, 2006
Basis for Staffing Requirements


Approved staffing Requirements for General Hospitals
Classification of Hospitals i.e Teaching and Training,
Research etc…
 Needed positions based on authorized bed capacity per
Republic Act
 Percentage of Primary and Secondary Cases
 Hospital Conversion Plan
National Staff Meeting
April 19 – 21, 2006
Staff Requirements
Tertiary Hospital
Bed Capacity
No. of Positions
200
225
250
300
325
665
696
728
1,091
1,122
350
400
425
450
1,154
1,212
1,243
1,275
500
525
550
1,385
1,416
1,448
National Staff Meeting
April 19 – 21, 2006
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Staff Requirements
Bed Capacity
No. of Positions
Second Level
Hospital
100
150
200
300
367
416
Primary Hospital
25
50
75
65
100
149
National Staff Meeting
April 19 – 21, 2006
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Proposed Changes for entry level positions in the
Hospitals

Entry level positions shall be Salary Grade 6. Incumbents of
positions with SG 1-5 will automatically be upgraded.
However incumbents who do not meet the qualification
standards for SG 6, shall be declared Co-Terminus with the I
Incumbent (CTI).
 Entry level for nurses shall be based on the provision of the
Nurses Act which is SG 15
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the Position Title of Chief of
Hospitals
CURRENT
PROPOSED
Med. Center Chief II
Med. Center Chief I
27
27
Chief of Hospital IV
Chief of Hospital IV
27
27
Chief of Hospital III
Chief of Sanitarium III
District Health Officer II
26
26
Chief of Hospital IV
Chief of Hospital III
Chief of Hospital III
27
26
26
Chief of Hospital II
Chief of Sanitarium II
25
25
Chief of Hospital II
Chief of Hospital II
25
25
Chief of Sanitarium I
Chief of Hospital I
24
24
Chief of Hospital I
Chief of Hospital I
24
24
National Staff Meeting
April 19 – 21, 2006
Proposed Changes cont…

District Health Officer I in the Public Health of CHD Metro Manila will be abolished. If with incumbent, it will
be declared Co-Terminus with Incumbent (CTI)

DHO I position in the hospital will be converted to Chief,
Medical Professional Staff position
National Staff Meeting
April 19 – 21, 2006
Proposed Changes in the entry level for Medical
Specialists and Resident Physicians
CURRENT
PROPOSED
Medical Specialist II
Medical Specialist I
22
21
Medical Specialist III
Medical Specialist III
23
23
Medical Officer III
Medical Officer IV
18
20
Medical Officer IV
Medical Officer V
20
22
 There will be no Medical Specialist positions in the Central
Office and the Centers for Health Development
National Staff Meeting
April 19 – 21, 2006
ORGANOGRAM FOR SPECIALTY HOSPITAL
BOARD OF TRUSTEES
EXECUTIVE DIRECTOR
(Chief Executive Officer)
Continuous Quality Improvement
((CQI) Program
Integrated Hospital Operations &
Mgt. Program (IHOMP Unit)
Legal Affairs
Internal Audit
Professional Education & Training
Medical
Office of the Deputy
Director for Nursing
Services
Nursing
Non-Medical
Office of the Deputy
Director for Medical
Services
Dept. of Laboratory
- All Nursing Depts. **
- Will vary per specialty
hospital
Research
Dept. of Radiology
- All Clinical Depts. **
- Will vary per
specialty hospital
Medical Records
Division
Bids & Awards Committee (BAC)
Office of the
Deputy Director
for Finance
Accounting
Division
Budget &
Planning Division
Cash Mgt
Division
Patient
Business
Division
Office of the Deputy Director for
Hospital Operations & Mgt
Support
Admin.
Department
Corp./Business
Services
Social Service
Personnel
Division
Purchasing
Division
Building Admin.
Division
Nutrition &
Dietetics
Division
Material Mgt.
Division
Pharmacy Div.
Engineering
& Mgt. Div
National Staff Meeting
April 19 – 21, 2006
Tertiary Teaching and Training
Non-Corporate Hospital
200-500 bed
Office of the Chief of
Hospital
Integrated Hospital Operations &
Mgt. Program (IHOMP Unit)
Continuous Quality Improvement
((CQI) Program
Legal Affairs
Internal Audit
Professional Education & Training
Medical
Surgery
Therapeutics
Committee
Surgery
Dept. of Laboratory
Medicine
Blood Bank
Public Health Unit
OB-GYN
Dept. of Radiology
Operating Room
Pediatrics
Medical Records
Out Patient
Department
Bids & Awards Committee (BAC)
Non-Medical
Medical Service
Nursing Service
Clinical
Areas
Nursing
Research
Finance
Medical Records
Committee
Hospital Operations
& Mgt Support
Accounting
Administrative
Service
Budget & Planning
Personnel
Cash Management
Medicine
OB-GYN
Pediatrics
Ear, Nose & ThroatHead Neck Surgery
Delivery Room
Emergency Room
Specialized
Care Area
Anesthesiology
Ear,Nose & Throat
Head, Neck Surgery
SICU
Dental
*Others
SICU
Others
Special Services
Burn Unit
Rehab. Med.
Respiratory Med.
Dialysis
*Others:
Ortho/Urology/Neuro/Other
Sub-Specialty Trng
Property & Supply
Admitting
Billing
Pharmacy
MICU
MICU
NICU
Material
Management
Nutrition & Dietetics
Ophthalmology
Ophthalmology
PICU
Specialized Care Area
Social
Services
Procurement
Patient Business
Out Patient Department
Corporate/Business
Services
Engineering & Maint.
PICU
NICU
Special Services
Burn Unit
Rehab. Med.
Equipt./Bldg. Maint
Waste Mgt.
Transport Services
General Services
Linen/Laundry
Housekeeping
Solid Waste Mgt.
Waste water Mgt.
Security
Respiratory Med.
Dialysis
National Staff Meeting
April 19 – 21, 2006
Office of the Chief of
Hospital
Hospital with National Reference
Laboratory
Integrated Hospital Operations &
Mgt. Program (IHOMP Unit)
Continuous Quality Improvement
((CQI) Program
Legal Affairs
Internal Audit
Professional Education & Training
Medical
Surgery
Out Patient
Department
Bids & Awards Committee (BAC)
Non-Medical
Therapeutics
Committee
Medical Service
Nursing Service
Clinical
Areas
Nursing
Research
Surgery
Dept. of Laboratory
Medicine
Blood Bank
Public Health Unit
OB-GYN
National Reference Laboratory
Operating Room
Pediatrics
Dept. of Radiology
Finance
Medical Records
Committee
Hospital Operations
& Mgt Support
Accounting
Administrative
Service
Budget & Planning
Personnel
Cash Management
Medicine
OB-GYN
Pediatrics
Ear, Nose & ThroatHead Neck Surgery
Delivery Room
Emergency Room
Specialized
Care Area
Anesthesiology
Ear,Nose & Throat
Head, Neck Surgery
Specialized Care Area
Dental
MICU
*Others
SICU
Others
SICU
PICU
PICU
NICU
NICU
*Others:
Ortho/Urology/Neuro/Other
Sub-Specialty Trng
Special Services
Burn Unit
Burn Unit
Rehab. Med.
Rehab. Med.
Dialysis
Admitting
Billing
Pharmacy
Ophthalmology
MICU
Respiratory Med.
Material
Management
Property & Supply
Out Patient Department
Ophthalmology
Special Services
Social
Services
Procurement
Patient Business
Medical Records
Corporate/Business
Services
Nutrition & Dietetics
Engineering & Maint.
Equipt./Bldg. Maint
Waste Mgt.
Transport Services
General Services
Linen/Laundry
Housekeeping
Solid Waste Mgt.
Waste water Mgt.
Security
Respiratory Med.
Dialysis
National Staff Meeting
April 19 – 21, 2006
Organogram of Hospital with
National Reference Laboratory
Office of the Medical
Center Chief
Integrated Hospital Operations &
Mgt. Program (IHOMP Unit)
Continuous Quality Improvement
((CQI) Program
Legal Affairs
Internal Audit
Professional Education & Training
Medical
Surgery
Therapeutics
Committee
Surgery
Dept. of Laboratory
Medicine
Blood Bank
Public Health Unit
OB-GYN
Dept. of Radiology
Operating Room
Pediatrics
Medical Records
Out Patient
Department
Bids & Awards Committee (BAC)
Non-Medical
Medical Service
Nursing Service
Clinical
Areas
Nursing
Research
Finance
Medical Records
Committee
Hospital Operations
& Mgt Support
Accounting
Administrative
Service
Budget & Planning
Personnel
Cash Management
Medicine
OB-GYN
Pediatrics
Ear, Nose & ThroatHead Neck Surgery
Delivery Room
Emergency Room
Specialized
Care Area
Anesthesiology
Ear,Nose & Throat
Head, Neck Surgery
SICU
Dental
*Others
SICU
Others
Special Services
Burn Unit
Rehab. Med.
Respiratory Med.
Dialysis
*Others:
Ortho/Urology/Neuro/Other
Sub-Specialty Trng
Property & Supply
Admitting
Billing
Pharmacy
MICU
MICU
NICU
Material
Management
Nutrition & Dietetics
Ophthalmology
Ophthalmology
PICU
Specialized Care Area
Social
Services
Procurement
Patient Business
Out Patient Department
Corporate/Business
Services
Engineering & Maint.
PICU
NICU
Special Services
Burn Unit
Rehab. Med.
Equipt./Bldg. Maint
Waste Mgt.
Transport Services
General Services
Linen/Laundry
Housekeeping
Solid Waste Mgt.
Waste water Mgt.
Security
Respiratory Med.
Dialysis
National Staff Meeting
April 19 – 21, 2006
THANK YOU
National Staff Meeting
April 19 – 21, 2006
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