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    Licensing Standard

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    Island
    The document outlines licensing standards for primary care facilities in the Philippines. It discusses 7 areas: 1) Personnel - facilities must have qualified staff led by a licensed physician; 2) Physical Facilities - facilities must conform to construction standards and have adequate space; 3) Equipment - facilities must have properly maintained equipment for services provided; 4) Service Delivery - facilities must provide defined individual and population-based primary care services; 5) Quality Improvement - facilities must establish quality assurance programs; 6) Information Management - facilities must properly manage patient medical records and data; 7) Environmental Management - facilities must maintain a safe environment. Adherence to the standards helps ensure efficient, effective, and quality primary care delivery.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Licensing Standard

    Uploaded by

    Island
    17 views4 pages
    The document outlines licensing standards for primary care facilities in the Philippines. It discusses 7 areas: 1) Personnel - facilities must have qualified staff led by a licensed physician; 2) Physical Facilities - facilities must conform to construction standards and have adequate space; 3) Equipment - facilities must have properly maintained equipment for services provided; 4) Service Delivery - facilities must provide defined individual and population-based primary care services; 5) Quality Improvement - facilities must establish quality assurance programs; 6) Information Management - facilities must properly manage patient medical records and data; 7) Environmental Management - facilities must maintain a safe environment. Adherence to the standards helps ensure efficient, effective, and quality primary care delivery.

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    LICENSING STANDARD

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    The document outlines licensing standards for primary care facilities in the Philippines. It discusses 7 areas: 1) Personnel - facilities must have qualified staff led by a licensed physician; 2) Physical Facilities - facilities must conform to construction standards and have adequate space; 3) Equipment - facilities must have properly maintained equipment for services provided; 4) Service Delivery - facilities must provide defined individual and population-based primary care services; 5) Quality Improvement - facilities must establish quality assurance programs; 6) Information Management - facilities must properly manage patient medical records and data; 7) Environmental Management - facilities must maintain a safe environment. Adherence to the standards helps ensure efficient, effective, and quality primary care delivery.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views4 pages

    Licensing Standard

    Uploaded by

    Island
    The document outlines licensing standards for primary care facilities in the Philippines. It discusses 7 areas: 1) Personnel - facilities must have qualified staff led by a licensed physician; 2) Physical Facilities - facilities must conform to construction standards and have adequate space; 3) Equipment - facilities must have properly maintained equipment for services provided; 4) Service Delivery - facilities must provide defined individual and population-based primary care services; 5) Quality Improvement - facilities must establish quality assurance programs; 6) Information Management - facilities must properly manage patient medical records and data; 7) Environmental Management - facilities must maintain a safe environment. Adherence to the standards helps ensure efficient, effective, and quality primary care delivery.

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    A.0. No.

    2020-0047 -A
    ANNEX A. Rev. 01 |

    Republic of the Philippines


    Department of Health
    HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

    LICENSING STANDARDS FOR PRIMARY CARE FACILITIES

    LL PERSONNEL

    There shall be an adequate number of qualified, trained and competent staff to ensure
    efficient and effective delivery of quality primary care services.

    A. Every PCF shall have a duly licensed physician, as head of the facility, to oversee
    the clinical and administrative operations of the health facility.
    B. For rural health units and urban health centers, the head of the facility shall also
    oversee the clinical and administrative operations of barangay health stations
    within their jurisdiction.
    The minimum staffing standards such as staff composition and number/ratio
    shall be set by DOH. Adjustments in the staffing pattern shall depend on the
    workload and services being provided, using applicable workload assessment
    tools.
    The staff must be competent and shall have the appropriate learning and
    development interventions and certification prescribed by DOH as a primary care
    worker.
    There shall be staff development and continuing education program at all levels
    of organization to upgrade the knowledge, attitude and skills of staff.

    IL PHYSICAL FACILITIES

    Every PCF shall have physical facilities with adequate and appropriate areas to safely,
    effectively, and efficiently provide health services to patients. As such, it shall:

    A. Conform to applicable national and local regulations for the construction,


    renovation, maintenance and repair of the same.
    B. Conform to the required space for the conduct of its activities depending on its
    workload and the services being provided, as stated in the Checklist for Review
    of Floor Plans for Primary Care Facility (ANNEX C2. Rev. 01).
    Have an approved DOH - Permit to Construct (DOH-PTC) in accordance with the
    planning and design guidelines prepared by DOH (ANNEX C1. Rev. 01).

    III. EQUIPMENT AND INSTRUMENTS

    Every PCF shall have available and operational equipment, instruments, materials and
    supplies consistent with the services it will provide. As such, it
    shall:

    A. Adequately equipped based on the primary care services it provides.


    B. Have an updated inventory, program for calibration, preventive maintenance and
    repair of equipment.
    HR
    C. Have a contingency plan in case of equipment breakdown and

    mn )

    Page 1of4
    IV. SERVICE DELIVERY

    Every PCF shall ensure that the services being delivered to patients comply with the
    standards in the Assessment Tool for Licensing of PCF (ANNEX B. Rev. 01) and
    other related relevant issuances.

    A. Primary care services, both individual- and population-based, shall be defined


    and set into guidelines by DOH and PhilHealth.
    B. All government PCFs shall provide both individual-based and population-
    based primary care services.
    C. All private PCFs shall provide individual-based primary care services.
    D. Ancillary services of PCF include the following:
    — Clinical laboratory
    WN
    Diagnostic radiologic services
    Pharmacy
    Birthing services
    OMA Dental services
    Ambulance service (Type 1)
    Ancillary services may be outsourced and located outside the premises of PCF,
    through a valid Memorandum of Agreement with DOH or FDA-licensed health
    facilities or services within the primary care provider network.
    . Clinical laboratory services, either provided within the PCF or outsourced from
    one or more DOH-licensed clinical laboratories, shall include the following:
    = Complete blood count with platelet count
    Urinalysis
    Fecalysis
    Fecal occult blood test
    CXL
    Lipid profile (total cholesterol, HDL, LDL, triglycerides)
    Fasting blood sugar
    Oral glucose tolerance test
    Pap smear
    Creatinine
    10. Blood typing
    11. Screening for hepatitis B, syphilis, and HIV
    12. Sputum microscopy or Nucleic acid amplification test
    13. Dengue rapid test
    . In DOH-identified endemic areas, additional appropriate diagnostic test/s shall
    be provided, either within the PCF or outsourced from one or more DOH-
    licensed clinical laboratories (example: Kato Katz Schistosomiasis, Malaria
    smear, Filaria smear, slit-skin smear, and rapid plasma reagin for Syphilis).
    . Every PCF shall have documented administrative Standard Operating
    Procedures (SOP) for the provision of its services.
    Every PCF shall have documented technical policies and procedures for
    individual-based and/or population-based primary care services, based on
    policies, guidelines, and Manual of Procedures issued by DOH and PhilHealth.
    Every PCF shall have documented policies and procedures on the
    establishment and/orits participation in the primary care provider network.
    PCFs that provide primary care services through digital technologies for health

    nd
    and mobile health services, shall adhere to the existing or

    Page 2 of 4
    telemedicine guidelines issued by DOH Knowledge Management and
    Information Technology Service (KMITS).

    V. QUALITY IMPROVEMENT (QI) ACTIVITIES

    Every PCF shall establish and maintain a system for continuous


    quality improvement
    activities.

    A. Each shall have policies and procedures on Quality Assurance Program


    PCF

    (QAP) and continuous quality improvement.


    B. The Quality Assurance Program shall have a written plan and its
    implementation shall be continuous with period reviews.

    VI. INFORMATION MANAGEMENT

    Every PCF shall maintain a system of communication, recording and reporting and
    releasing of patient’s results, in adherence to Republic Act (RA) No. 10173 also known
    as the “Data Privacy Act of 2012” and RA No. 11332 also known as the “Mandatory
    Reporting of Notifiable Diseases and Health Events of Public Health Concern Act.”

    A. Medical Records
    B. Validated Electronic Medical Records (EMR)
    C. Proof of submission of data to National Database of Human Resources for Health
    Information System (NDHRHIS)
    D. Technical records/logbooks of:
    1. Sentinel/adverse events
    2. Navigation, coordination and referrals of patients through the Primary Care
    Provider Network and Health Care Provider Network
    E. Administrative records of:
    Minutes of the Meeting
    Attendance logbook
    201 Personnel Staff files
    Reports of DOH inspection and monitoring activities
    Preventive and corrective maintenance of equipment
    RE Maintenance and monitoring of health facility
    F. Records Management
    1. There shall be documented policies and procedures on access to and
    confidentiality of patient’s information. Likewise, the right of the patient to
    obtain records of treatment and other relevant medical information shall be
    observed.
    2. Retention and disposal of medical records and other relevant information
    whether paper-based or electronic media shall be in accordance with the
    standards promulgated by DOH or by competent authorities for such purposes.

    Page 3 of4
    VII. ENVIRONMENTAL MANAGEMENT

    PCF shall ensure that the environment is safe for its patients and staff, including the
    general public.

    A. There shall be a program of proper maintenance and monitoring of physical


    facilities.
    B. There shall be procedures for the proper disposal of infectious wastes and toxic
    and hazardous substances in accordance with RA 6969, also known as “Toxic
    and Hazardous Substances and Nuclear Wastes Act” and other related policy
    guidelines and/or issuances.
    There shall be a “No smoking policy” and that the same shall be strictly enforced.
    There shall be a contingency plan in case of accidents and emergencies.

    Page 4 of 4

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