UPDATES IN THE REGULATION OF HOSPITALS AND OTHER HEALTH FACILITIES ATTY. NICOLAS B. LUTERO III, CESO III Director IV Health Facilities and Services Regulatory Bureau Pag Lisensyado... ProtektaD@HReorganization of the Department of Health spats en OFFICE OF THE SECRETARY DEPARTMENT PERSONNEL ORDER No. 2016- 282. SUBJECT: 07 July 2016, ‘Dapariment of Health Dope of ih nds 1S aed it tay pi of he De ‘Administration. Under the curent leadership, Department of Health policies and sll fe worked n te flloing de @) sae ts: 1) ives bea free ones 2 cabin te servic very sews 3) pring pion fo he Pag Lisensyado... ProtektaD@Hcoercing | Es = ‘OIG-ASEC. Marine Taino C-USEC. Aagnettdp.Peraita DICASEC. Kenneth. Ronquillo ASECEIme qs. Punzelan ae) aa Ea i afl TT | SEC. tstorF Santina Js Norn Luzon 1G SEC. Mya. cabot SeuthLuman/ MCRAE. Santiago Viryae-O1C-ASEC, LeoitaP Gongoon Mindanag-DI-AS6¢ Abdul Duroms, J oneal una Pag Lisensyado... ProtektaD@Office for Health Regulation \ > Undersecretary: Agnette P, Peralta, MSc. (Officer-in-charge) > Directors/Heads of Offices » Bureau of Quarantine Dr. Ferdinand Salcedo = Director IV \ > Dr. FerchitoAvelino - Director i > Food and Drug Administration > Ms. Mara Lourdes Santiago - OIC Director-General and Concurrently OK-DDG for Internal Management > Dr Maria Rosette Vergeire, Director Ml, OIC Deputy Director-General for Field Regulatory Operations Of > Health Facilities and Services Regulatory Bureau \ > Atty, Micolas 8, Luter, Director IV > Dr. Ma. Vilma V. Diez, Director It > Pharmaceutical Division > Dr. Anna Metissa Guerrero, Division Chief Pag Lisensyado... ProtektaD@HHealth Facilities and Services Regulatory Bureau THE BUREAU IN THE DOH THAT HAS THE AUTHORITY AND LEGITIMACY TO. REGULATE HEALTH FACILITIESAND SERVICES (RA 4226) > Republic Act 4226, otherwise known as the Hospital Licensure Act of 1965 > R.A. 4688 - Clinical Laboratory Law = National Blood Services Act = Comprehensive Dangerous Drugs Act > R.A. 9288 - Newborn Screening Act P.D. 4542 - Providing for the Regulation and Licensing of Dental Prosthetic Laboratories . > Executive Order No. 119 series 1987 > Executive Order No. 102 series 1999 DOH Administrative Order No. 147 series 2004 Pag Lisensyado... ProtektaD@HHealth Facilities and Services Regulatory Bureau uaa eee Mya Col esol Pata Ga san Nn ae CESO MS. TERESAM. SALGADO Picea Pete Tat Oca te eesFunctions > To set standards for regulation of health facilities and servi > To create/modify inspection and monitoring tools from time ti > To disseminate regulatory policies, standards and forms for information and guidelines of the Regional Offices \ > To provide consultation and technical assistance to stakehol including regulatory officers from the DOH-ROs in regulati: facilities and services Pag Lisensyado... ProtektaD@HRegulatory, Licensing and Enforcement Division (RLED) > Regulatory Division of the DOH in the Regional Offices > Issues the following: > Permit to Construct: for Birthing homes and HFEP Projects > Certificate of Need > License to Operate: Birthing Home; Clinical Laboratory (except Laboratories in OI Clinics, Level 2, Level 3 and Specialty Hospitals); Dental Laboratories; Level 1 H (renewal); Infirmary; and Psychiatric Facility (renewal) > Authority to Operate Blood Collection Unit and Blood Station > Certificate of Accreditation: Private School Dental Clinics; Occupational dental clinics; Laboratory for Drinking Water Analysis (renewal) Pag Lisensyado... ProtektaD@HADMINISTRATIVE ORDER No. 2012-0012-A Amendment to Administrative Order (A.O.) No. 2012-0012 Entitled “Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines Pag Lisensyado... ProtektaD@HWhy is the amendment necessary? > Change of names due to the Rationalization Plan > Simplify regulatory process » Alignment with PhilHealth » Execute and deliver Service Delivery Network and Universal Health Care Pag Lisensyado... ProtektaD@HHighlights of the AO Pag Lisensyado... ProtektaD@HHighlights of the AO 1. The Health Facilities and Services Regulatory Bureau (HFSRB) and Regional Offices (RO) of the DOH shall stipulate in the License to Operate (LTO) all of the services identified, minimum and add-on services, that a health facility is capable of providing All hospitals duly licensed by the DOH shall be deemed qualified for accreditation by PhilHealth with Basic Participation without the need for pre-accreditation survey. PhitHealth shall reimburse hospitals and other _ health facilities based on its service capability provided it is stipulated and required in the PhilHealth applicable policy Pag Lisensyado... ProtektaD@HHighlights of the AO 3. Level 3 Hospitals - Teaching and/or training hospital with at least any two (2) accredited residency training program for physicians i any medical / surgical specialty or subspecialty 4. For personnel requirement > For Level 3 Government Hospitals » The Chief of Hospital or Administrative Officer has a Master’s Degree in Hospital Administration or related course AND at least five (5) years experience ina supervisory / managerial position. » Grandfather's Clause may be accepted in place of the Master’s Degree in Hospital Administration (or related course), provided that the individual is fifty-five (55) years old and above, AND currently holding the position for at least five years, > Atwo-year moratorium is granted to all those who are yet to finish their Degree Pag Lisensyado... ProtektaD@HHighlights of the AO 4. For personnel requirement. > For Level 3 Private Hospitals > The Medical Director or Administrative Officer has a Master's Degree in Hospital Administration or related course AND/OR at least five (5) years experience ina supervisory / managerial position. » Atwo-year moratorium is granted to all those who are yet to finish their Master’s Degree > The Chief of Clinics (for Levels 2 and 3) must be a Diplomate/Fellow of a specialty and/or subspecialty society AND must have at least five (5) years a supervisory / manager » The Department Head (for Levels 2 and 3) must be a Diplomate/Felloy specialty and/or subspecialty society Pag Lisensyado... ProtektaD@HHighlights of the AO 4. For personnel requirement. > Consultant Physicians (for Level 3 hospitals) must be a Diplomate/Fellow of specialty and/or subspecialty society 5. Each RO shall submit a summary of violations on a semi-annual bi to HFSRB stating among others, the name of the health facility, a location, its violation and the course of action taken. However, in decisions for suspension, cancellation or revocation of the LTO or COA or non-issuance/disapproval of DOH-PTC, the HFSRI or the RO Director shall transmit a complete copy of the files to tl Secretary of Health within seven (7) days from issuance of said decision. Pag Lisensyado... ProtektaD@HDecisions of the HFSRB or the RO Director shall be automatically reviewed by the Secretary of Health and/or or her two (2) undersecretaries within thirty (30) days from receipt of the decision as stated | Section VI-F.5 of this order Reports and complaints on disapproval or non-issuance or revocation of PTC by HFSRB shall also be automatically reviewed by the Secretary of health and/or his or her two (2) Undersecretaries within thirty (30) days. Pag Lisensyado... ProtektaD@Highlights of the AO HFSRB or RO Director suspension, cancellation or revocati license and certificate shall be stayed pending review by tl Secretary of Health and/or his or her two (2) Undersecretari If the review is not acted on by the Secretary of Health and ‘Tok his or her two (2) undersecretaries within the 30-day period, the decision of the HFSRB or RO Director shall be enforced. Pag Lisensyado... ProtektaD@HHighlights of the AO An additional one (1) Year moratorium is given to ALL GENERAL HOSPITALS including INFIRMARIES, to complete all requirements under the new classification of health facilities on or before 18 August 2016. Pag Lisensyado... ProtektaD@HAdditional Guidelines » All hospitals and other health facilities shall adhere and ensure strict compliance to policies and procedures on infection prevention and control; surveillance of Healthcare Associated Infection (HAI) and anti-microbial resistance (AMR) and antibiotic stewardship. Pag Lisensyado... ProtektaD@HWho are involved in the development of policies and standards? Consultation with and participation of stakeholders in the development of policies and standards Pag Lisensyado... ProtektaD@HHow do we address areas of ambiguity? » For stakeholders » Attendance to Regional Conference of PHA and PHAPI > Conduct of orientation by HFSRB and RLEDs » For Licensing Officers > Updates for the Different Professions > Conduct of National Consultative dialogue Pag Lisensyado... ProtektaD@HTake Home Lessons > All policies and standards are published in the DOH (www.doh.s HFSRB (http: //hfsrb.doh.gov.ph) website » All announcements with regards to public consultations are also p the website > Please find time to read and understand > If you have comments or suggestions, you can write the office eith through courier or email (hfsrb@doh.goy. ph) Building 15, San Lazaro Compound, Rizal Avenue, Sta. Cruz, Ma ; (02) 651-7800 (trunk line) Loc. 2511 (RCED) 2525 (SI 2528 (QAMD) 2505 (Admin) Pag Lisensyado... ProtektaD@HOther Issuances > Administrative Order No. 2016-0029 - Rules and Regulations Governing the Licensure of Ambulances and Ambulance Service Providers > Rules and Regulations Governing the Licensure of Medical Oncology Clinics - DRAFT for finalization Pag Lisensyado... ProtektaD@HReminders > Submission of Online Hospital Statistical Reports > 2014 - long overdue but still submit > 2015 - March 31, 2016 > 2016 - March 31, 2017 Pag Lisensyado... ProtektaD@HThe Battle cry of the Department of Health under the Duterte Administration: ALL FOR HEALTH TOWARDS HEALTH FOR ALL... ACHIEVE!!! Pag Lisensyado... ProtektaD@H