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NSM Resolution No. 2005-01-02

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. NSM Resolution No. 2005-01-02.

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NSM Resolution No. 2005-01-02

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  1. 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

  2. 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

  3. 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

  4. 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

  5. Rationalization Plan for Centers for Health Development

  6. 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…

  7. 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 Local Health Support Technical Services Regulations Budget and Finance Health Manpower Development and Training

  8. 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

  9. 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

  10. 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.

  11. 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).

  12. 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)

  13. 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

  14. REGULATIONS OFFICE OF THE DIRECTOR IV & DIRECTOR III OFFICE OF THE DIVISION CHIEF HEALTH FACILITY, SERVICES & TECHNOLOGY FOOD & DRUGS

  15. OFFICE OF THE DIRECTOR IV & DIRECTOR III OFFICE OF THE CHIEF ADMINISTRATIVE OFFICER* PLANNING & STATISTICS TRANSPORT & FACILITY MAINTENANCE LEGAL UNIT INFO. MGNT. INTERNAL AUDIT** FINANCE PERSONNEL SUPPLY MANAGEMENT SUPPORT STAFF *with RATA **for decision

  16. 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

  17. Rationalization Plan for DOH Hospitals

  18. Strategic Shifts in Hospitals

  19. 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

  20. Staff Requirements

  21. Staff Requirements

  22. 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

  23. Proposed Changes in the Position Title of Chief of Hospitals CURRENT PROPOSED Med. Center Chief II 27 Chief of Hospital IV 27 Med. Center Chief I 27 Chief of Hospital IV 27 Chief of Hospital III 26 Chief of Hospital IV 27 Chief of Sanitarium III Chief of Hospital III 26 District Health Officer II 26 Chief of Hospital III 26 Chief of Hospital II 25 Chief of Hospital II 25 Chief of Sanitarium II 25 Chief of Hospital II 25 Chief of Sanitarium I 24 Chief of Hospital I 24 Chief of Hospital I 24 Chief of Hospital I 24

  24. 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

  25. Proposed Changes in the entry level for Medical Specialists and Resident Physicians • CURRENT PROPOSED • Medical Specialist II 22 Medical Specialist III 23 • Medical Specialist I 21 Medical Specialist III 23 • Medical Officer III 18 Medical Officer IV 20 • Medical Officer IV 20 Medical Officer V 22 • There will be no Medical Specialist positions in the Central Office and the Centers for Health Development

  26. 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 Research Nursing Medical Non-Medical Bids & Awards Committee (BAC) Office of the Deputy Director for Hospital Operations & Mgt Support Office of the Deputy Director for Nursing Services Office of the Deputy Director for Medical Services Office of the Deputy Director for Finance Accounting Division Corp./Business Services Dept. of Laboratory Admin. Department • All Nursing Depts. ** • Will vary per specialty • hospital Budget & Planning Division Dept. of Radiology Social Service Personnel Division Cash Mgt Division - All Clinical Depts. ** - Will vary per specialty hospital Material Mgt. Division Purchasing Division Patient Business Division Pharmacy Div. Medical Records Division Building Admin. Division Engineering & Mgt. Div Nutrition & Dietetics Division

  27. 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 Research Bids & Awards Committee (BAC) Medical Nursing Non-Medical Nursing Service Medical Service Therapeutics Committee Finance Hospital Operations & Mgt Support Medical Records Committee Accounting Surgery Dept. of Laboratory Out Patient Department Clinical Areas Administrative Service Corporate/Business Services Medicine Blood Bank Budget & Planning Surgery Public Health Unit OB-GYN Dept. of Radiology Personnel Social Services Cash Management Medicine Operating Room Pediatrics Medical Records Procurement OB-GYN Delivery Room Patient Business Anesthesiology Out Patient Department Material Management Property & Supply Pediatrics Emergency Room Ear,Nose & Throat Head, Neck Surgery Specialized Care Area Admitting Billing Pharmacy Ear, Nose & Throat-Head Neck Surgery Specialized Care Area MICU Nutrition & Dietetics Ophthalmology SICU Engineering & Maint. Ophthalmology MICU Dental PICU *Others SICU Others Equipt./Bldg. Maint Waste Mgt. Transport Services NICU PICU NICU Special Services General Services Special Services Linen/Laundry Housekeeping Solid Waste Mgt. Waste water Mgt. Security Burn Unit Burn Unit Rehab. Med. Rehab. Med. Respiratory Med. Respiratory Med. Dialysis Dialysis *Others: Ortho/Urology/Neuro/Other Sub-Specialty Trng

  28. 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 Research Bids & Awards Committee (BAC) Medical Nursing Non-Medical Nursing Service Medical Service Therapeutics Committee Finance Hospital Operations & Mgt Support Medical Records Committee Accounting Surgery Dept. of Laboratory Out Patient Department Clinical Areas Administrative Service Corporate/Business Services Medicine Blood Bank Budget & Planning Surgery Public Health Unit OB-GYN National Reference Laboratory Personnel Social Services Cash Management Medicine Operating Room Pediatrics Dept. of Radiology Procurement OB-GYN Delivery Room Patient Business Anesthesiology Material Management Medical Records Property & Supply Pediatrics Emergency Room Ear,Nose & Throat Head, Neck Surgery Out Patient Department Admitting Billing Pharmacy Ear, Nose & Throat-Head Neck Surgery Specialized Care Area Nutrition & Dietetics Specialized Care Area Ophthalmology Engineering & Maint. Ophthalmology MICU MICU Dental *Others SICU SICU Others Equipt./Bldg. Maint Waste Mgt. Transport Services PICU PICU NICU NICU General Services Special Services Special Services Linen/Laundry Housekeeping Solid Waste Mgt. Waste water Mgt. Security Burn Unit Burn Unit Rehab. Med. Rehab. Med. Respiratory Med. Respiratory Med. Dialysis Dialysis *Others: Ortho/Urology/Neuro/Other Sub-Specialty Trng

  29. 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 Research Bids & Awards Committee (BAC) Medical Nursing Non-Medical Nursing Service Medical Service Therapeutics Committee Finance Hospital Operations & Mgt Support Medical Records Committee Accounting Surgery Dept. of Laboratory Out Patient Department Clinical Areas Administrative Service Corporate/Business Services Medicine Blood Bank Budget & Planning Surgery Public Health Unit OB-GYN Dept. of Radiology Personnel Social Services Cash Management Medicine Operating Room Pediatrics Medical Records Procurement OB-GYN Delivery Room Patient Business Anesthesiology Out Patient Department Material Management Property & Supply Pediatrics Emergency Room Ear,Nose & Throat Head, Neck Surgery Specialized Care Area Admitting Billing Pharmacy Ear, Nose & Throat-Head Neck Surgery Specialized Care Area MICU Nutrition & Dietetics Ophthalmology SICU Engineering & Maint. Ophthalmology MICU Dental PICU *Others SICU Others Equipt./Bldg. Maint Waste Mgt. Transport Services NICU PICU NICU Special Services General Services Special Services Linen/Laundry Housekeeping Solid Waste Mgt. Waste water Mgt. Security Burn Unit Burn Unit Rehab. Med. Rehab. Med. Respiratory Med. Respiratory Med. Dialysis Dialysis Organogram of Hospital with National Reference Laboratory *Others: Ortho/Urology/Neuro/Other Sub-Specialty Trng

  30. THANK YOU

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