1 National Staff Meeting April 19 – 21, 2006 Committing Full Support to the Rationalization Program of the Department of Health Per Executive Order 366, s NSM Resolution No Alexander A. Padilla Undersecretary Chair, Change Management Team

National Staff Meeting April 19 – 21, 2006 NSM Resolution No  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 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 dated 28 December 2005

National Staff Meeting April 19 – 21, 2006 NSM Resolution No 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 to SG 6

5 National Staff Meeting April 19 – 21, 2006 Rationalization Plan for Centers for Health Development

National Staff Meeting April 19 – 21, 2006 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 CURRENT PROPOSED Administrative Local Health Support Administrative Local Health Support Technical Services Regulations Technical Services Regulations Budget and Finance Budget and Finance Health Manpower Development Health Manpower Development and Training and Training

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 OFFICE OF THE DIRECTOR IV & DIRECTOR III LOCAL HEALTH SUPPORT RESU/HEMS REGULATIONS DOH (name) Field Extension Office (province) (formerly PHTO) Medical Centers Regional Hospitals Retained Hospitals Sanitaria Management Support Staff Special Concerns DOH REGIONAL OFFICE

National Staff Meeting April 19 – 21, 2006 LOCAL HEALTH SUPPORT/RESU/HEMS OFFICE OF THE DIRECTOR IV & DIRECTOR III HEALTH SYSTEMS & FACILITY DEVELOPMENT OFFICE OF THE DIVISION CHIEF HUMAN RESOURCE DEVELOPMENT UNIT RESU/HEMS PROGRAM SERVICE DEVELOPMENT

National Staff Meeting April 19 – 21, 2006 OFFICE OF THE DIRECTOR IV & DIRECTOR III OFFICE OF THE DIVISION CHIEF FOOD & DRUGS HEALTH FACILITY, SERVICES & TECHNOLOGY REGULATIONS

National Staff Meeting April 19 – 21, 2006 MANAGEMENT SUPPORT STAFF FINANCEPERSONNELSUPPLY PLANNING & STATISTICS INFO. MGNT. LEGAL UNIT INTERNAL AUDIT** TRANSPORT & FACILITY MAINTENANCE OFFICE OF THE DIRECTOR IV & DIRECTOR III OFFICE OF THE CHIEF ADMINISTRATIVE OFFICER* *with RATA **for decision

National Staff Meeting April 19 – 21, 2006 * only for selected regions 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

17 National Staff Meeting April 19 – 21, 2006 Rationalization Plan for DOH Hospitals

National Staff Meeting April 19 – 21, 2006 Strategic Shifts in Hospitals Implementingstrategy  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

20 National Staff Meeting April 19 – 21, 2006 Staff Requirements Bed Capacity No. of Positions Tertiary Hospital ,0911, ,1541,2121,2431, ,3851,4161,448

21 National Staff Meeting April 19 – 21, 2006 Staff Requirements Bed Capacity No. of Positions Second Level Hospital Primary Hospital

National Staff Meeting April 19 – 21, 2006 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 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 Sanitarium II 25 Chief of Hospital II 25 Chief of Sanitarium I 24 Chief of Hospital I 24 Chief of Hospital I 24

National Staff Meeting April 19 – 21, 2006   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 Proposed Changes cont…

National Staff Meeting April 19 – 21, 2006 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

National Staff Meeting April 19 – 21, 2006 ORGANOGRAM FOR SPECIALTY HOSPITAL EXECUTIVE DIRECTOR (Chief Executive Officer) Internal Audit Research Legal Affairs Professional Education & Training MedicalNon-Medical Nursing Office of the Deputy Director for Nursing Services Office of the Deputy Director for Medical Services Admin. Department Corp./Business Services Social Service Pharmacy Div. Nutrition & Dietetics Division Dept. of Laboratory Dept. of Radiology Medical Records Division Patient Business Division - All Nursing Depts. ** - Will vary per specialty hospital BOARD OF TRUSTEES Office of the Deputy Director for Finance - All Clinical Depts. ** - Will vary per specialty hospital Personnel Division Engineering & Mgt. Div Material Mgt. Division Office of the Deputy Director for Hospital Operations & Mgt Support Accounting Division Budget & Planning Division Cash Mgt Division Purchasing Division Building Admin. Division Bids & Awards Committee (BAC) Continuous Quality Improvement ((CQI) Program Integrated Hospital Operations & Mgt. Program (IHOMP Unit)

National Staff Meeting April 19 – 21, 2006 *Others: Ortho/Urology/Neuro/Other Sub-Specialty Trng Office of the Chief of Hospital Integrated Hospital Operations & Mgt. Program (IHOMP Unit) Legal Affairs Professional Education & Training Continuous Quality Improvement ((CQI) Program Internal Audit Research Bids & Awards Committee (BAC) MedicalNursingNon-Medical Nursing Service Medical ServiceFinanceHospital Operations & Mgt Support Clinical Areas Out Patient Department Surgery Medicine OB-GYN Pediatrics Ear, Nose & Throat- Head Neck Surgery Ophthalmology *Others Public Health Unit Operating Room Delivery Room Emergency Room Specialized Care Area MICU SICU PICU NICU Respiratory Med. Rehab. Med. Burn Unit Special Services Dialysis Surgery Medicine OB-GYN Pediatrics Anesthesiology Ear,Nose & Throat Head, Neck Surgery Ophthalmology Dental Others Therapeutics Committee Medical Records Committee Dept. of Laboratory Blood Bank Dept. of Radiology Medical Records Out Patient Department Specialized Care Area MICU SICU PICU NICU Special Services Burn Unit Respiratory Med. Rehab. Med. Dialysis Accounting Budget & Planning Cash Management Patient Business AdmittingBilling Administrative Service Corporate/Business Services Social Services Material Management Pharmacy Personnel Procurement Property & Supply Nutrition & Dietetics Engineering & Maint. Equipt./Bldg. Maint Waste Mgt. Transport Services General Services Linen/Laundry Housekeeping Solid Waste Mgt. Waste water Mgt. Security Tertiary Teaching and Training Non-Corporate Hospital bed

National Staff Meeting April 19 – 21, 2006 Hospital with National Reference Laboratory *Others: Ortho/Urology/Neuro/Other Sub-Specialty Trng Office of the Chief of Hospital Integrated Hospital Operations & Mgt. Program (IHOMP Unit) Legal Affairs Professional Education & Training Continuous Quality Improvement ((CQI) Program Internal Audit Research Bids & Awards Committee (BAC) MedicalNursingNon-Medical Nursing Service Medical ServiceFinanceHospital Operations & Mgt Support Clinical Areas Out Patient Department Surgery Medicine OB-GYN Pediatrics Ear, Nose & Throat- Head Neck Surgery Ophthalmology *Others Public Health Unit Operating Room Delivery Room Emergency Room Specialized Care Area MICU SICU PICU NICU Respiratory Med. Rehab. Med. Burn Unit Special Services Dialysis Surgery Medicine OB-GYN Pediatrics Anesthesiology Ear,Nose & Throat Head, Neck Surgery Ophthalmology Dental Others Therapeutics Committee Medical Records Committee Dept. of Laboratory Blood Bank Dept. of Radiology Medical Records Out Patient Department Specialized Care Area MICU SICU PICU NICU Special Services Burn Unit Respiratory Med. Rehab. Med. Dialysis Accounting Budget & Planning Cash Management Patient Business AdmittingBilling Administrative Service Corporate/Business Services Social Services Material Management Pharmacy Personnel Procurement Property & Supply Nutrition & Dietetics Engineering & Maint. Equipt./Bldg. Maint Waste Mgt. Transport Services General Services Linen/Laundry Housekeeping Solid Waste Mgt. Waste water Mgt. Security National Reference Laboratory

National Staff Meeting April 19 – 21, 2006 *Others: Ortho/Urology/Neuro/Other Sub-Specialty Trng Organogram of Hospital with National Reference Laboratory

30 National Staff Meeting April 19 – 21, 2006 THANK YOU