NSM Resolution No. 2005-01-02

11National Staff MeetingApril 19 – 21, 2006

Committing Full Support to the Rationalization Committing Full Support to the Rationalization Program of the Department of Health Per Executive Program of the Department of Health Per Executive

Order 366, s. 2004Order 366, s. 2004

NSM Resolution No. 2005-01-02NSM Resolution No. 2005-01-02

Alexander A. PadillaAlexander A. PadillaUndersecretary Undersecretary

Chair, Change Management TeamChair, Change Management Team

National Staff MeetingApril 19 – 21, 2006

NSM Resolution No. 2005-01-02NSM 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


NSM Resolution No. 2005-01-02 updatesNSM 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


NSM Resolution No. 2005-01-02 critical issuesNSM 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


Rationalization Plan for Centers for Health DevelopmentRationalization Plan for Centers for Health Development


Basis for Staffing RequirementsBasis 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…


Proposed Changes in the Centers for Health Proposed Changes in the Centers for Health DevelopmentDevelopment

There shall only be one (1) Office of the Director composed ofThere shall only be one (1) Office of the Director composed of CHD DirectorCHD Director Deputy DirectorDeputy Director Respective Support StaffRespective Support Staff

There shall only be two (2) Divisions in the CHDThere shall only be two (2) Divisions in the CHD

CURRENTCURRENT PROPOSED PROPOSED

AdministrativeAdministrative Local Health Support Local Health Support Technical Services Technical Services Regulations Regulations Budget and Finance Budget and Finance Health Manpower DevelopmentHealth Manpower Development and Training and Training



Medical Specialist positions in the CHDs shall be renamed as Medical Specialist positions in the CHDs shall be renamed as Medical Officer positions (MO V, VI, VII).Medical Officer positions (MO V, VI, VII).

Nurse positions shall also be progressed Nurse positions shall also be progressed i.e. provide Nurse III, IV, V positionsi.e. provide Nurse III, IV, V positions

DOH representatives shall be renamed as Development DOH representatives shall be renamed as Development Management Officers (DMO).Management Officers (DMO).

DMO IV for provinces and chartered citiesDMO IV for provinces and chartered cities DMO III for municipalities and chartered citiesDMO III for municipalities and chartered cities

Each Provincial Health Team shall have one Administrative Each Provincial Health Team shall have one Administrative Officer I and one Administrative AideOfficer I and one Administrative Aide

One (1) Sanitary Inspector Supervisor and one (1) Midwife One (1) Sanitary Inspector Supervisor and one (1) Midwife Supervisor to provide technical assistance to and address concerns Supervisor to provide technical assistance to and address concerns of local sanitary inspectors and midwives of local sanitary inspectors and midwives



One (1) Consumer arbitration Officer , SG 18One (1) Consumer arbitration Officer , SG 18 Legal Researcher positions, SG 18 Legal Researcher positions, SG 18

Legal Officer/Attorney incumbents on permanent status shall be Legal Officer/Attorney incumbents on permanent status shall be converted to Co-terminus with the Incumbent (CTI) status.converted to Co-terminus with the Incumbent (CTI) status.

Legal Officer/Attorney incumbents on temporary status shall be Legal Officer/Attorney incumbents on temporary status shall be offered Legal Researcher position with reduced salary offered Legal Researcher position with reduced salary

All positions under the BFAD satellite and reference All positions under the BFAD satellite and reference laboratories shall be part of CHD plantillalaboratories shall be part of CHD plantilla

All positions in the quarantine stations at the CHDs shall be All positions in the quarantine stations at the CHDs shall be transferred back to the BQHIStransferred back to the BQHIS



There will be no filling up of vacant Malaria / Schistosomiasis / There will be no filling up of vacant Malaria / Schistosomiasis / Filaria and traveling skin clinic items. Such services shall be Filaria and traveling skin clinic items. Such services shall be slowly devolved to the LGUsslowly devolved to the LGUs

Positions under the Malaria / Schistosomiasis / Filaria shall be Positions under the Malaria / Schistosomiasis / Filaria shall be declared redundant. declared redundant.

Incumbents who do not wish to retire shall be declared their Incumbents who do not wish to retire shall be declared their positions CTI or be given priority to be absorbed in the vacant positions CTI or be given priority to be absorbed in the vacant CHD positions.CHD positions.

Incumbents of traveling skin clinic shall be absorbed by the Incumbents of traveling skin clinic shall be absorbed by the nearest sanitarium to the CHD, except when there is none, in nearest sanitarium to the CHD, except when there is none, in which case it will remain with that CHD.which case it will remain with that CHD.



Positions under the Hospital Maintenance Services (HMS) Positions under the Hospital Maintenance Services (HMS) shall be transferred to the nearest retained hospital within the shall be transferred to the nearest retained hospital within the region.region.

Employees under Special Concern who will be absorbed in Employees under Special Concern who will be absorbed in the vacant positions shall be re-tooled.the vacant positions shall be re-tooled.

Blood Center items shall be transferred to the proposed Blood Center items shall be transferred to the proposed Philippine Blood Center Philippine Blood Center

Maximum number of driver-courier items shall be ten (10)Maximum number of driver-courier items shall be ten (10) Entry level positions will be Salary Grade 6. Incumbents of Entry level positions will be Salary Grade 6. Incumbents of

positions with SG 1-5 will automatically be upgraded. positions with SG 1-5 will automatically be upgraded. However incumbents who do not meet the qualification However incumbents who do not meet the qualification standards for SG 6, shall be declared Co-Terminus with the standards for SG 6, shall be declared Co-Terminus with the Incumbent (CTI).Incumbent (CTI).


OFFICE OF THE DIRECTOR IV &

DIRECTOR III

LOCAL HEALTH SUPPORT

RESU/HEMS

REGULATIONS

DOH (name) Field Extension Office (province)

(formerly PHTO)

Medical CentersRegional HospitalsRetained HospitalsSanitaria

Management Support StaffSpecial Concerns

DOH REGIONAL OFFICE


LOCAL HEALTH SUPPORT/RESU/HEMS


DIRECTOR III

HEALTH SYSTEMS &

FACILITYDEVELOPMENT

OFFICE OF THE DIVISION CHIEF

HUMAN RESOURCE

DEVELOPMENTUNIT

RESU/HEMSPROGRAM SERVICE

DEVELOPMENT



DIRECTOR III

OFFICE OF THE DIVISION CHIEF

FOOD & DRUGSHEALTH FACILITY,

SERVICES &TECHNOLOGY

REGULATIONS


MANAGEMENT SUPPORT STAFF

FINANCE PERSONNEL SUPPLYPLANNING

&STATISTICS

INFO.MGNT.

LEGALUNIT

INTERNALAUDIT**

TRANSPORT& FACILITY

MAINTENANCE


DIRECTOR III

OFFICE OF THE CHIEF ADMINISTRATIVE OFFICER*

*with RATA **for decision


* only for selected regions

SPECIAL CONCERN


DIRECTOR III

SPECIAL CONCERNS*

• Hospital Maintenance Service• Collaboration Center• Malaria/Filaria/Schistosomiasis• BFAD Satellite Laboratory• Travelling Skin Clinic• Blood Center


Rationalization Plan for DOH HospitalsRationalization Plan for DOH Hospitals


Strategic Shifts in HospitalsStrategic Shifts in Hospitals

ImplementingImplementingstrategystrategy

General health General health servicesservices

Highly capable Highly capable servicesservices

Upgraded facilitiesUpgraded facilities Specialized health Specialized health

services leading to services leading to corporate corporate restructuringrestructuring

Comprehensive Comprehensive provision of provision of servicesservices

Devolution of Devolution of primary and primary and secondary services secondary services

High emphasis on High emphasis on medical services medical services

Strengthening of Strengthening of public health public health services in services in hospitalshospitals


Basis for Staffing RequirementsBasis 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


Staff RequirementsStaff Requirements

Bed CapacityBed Capacity No. of PositionsNo. of Positions

Tertiary HospitalTertiary Hospital 200200

225225

250250

300300

325325

665665

696696

728728

1,0911,091

1,1221,122

350350

400400

425425

450450

1,1541,154

1,2121,212

1,2431,243

1,2751,275

500500

525525

550550

1,3851,385

1,4161,416

1,4481,448


Staff RequirementsStaff Requirements

Bed CapacityBed Capacity No. of PositionsNo. of Positions

Second LevelSecond Level

HospitalHospital

100100

150150

200200

300300

367367

416416

Primary HospitalPrimary Hospital 2525

5050

7575

6565

100100

149149


Proposed Changes for entry level positions in the Proposed Changes for entry level positions in the HospitalsHospitals

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


Proposed Changes in the Position Title of Chief of Proposed Changes in the Position Title of Chief of HospitalsHospitals

CURRENT PROPOSED

Med. Center Chief II 27 Chief of Hospital IV 27Med. Center Chief I 27 Chief of Hospital IV 27

Chief of Hospital III 26 Chief of Hospital IV 27Chief of Sanitarium III Chief of Hospital III 26District Health Officer II 26 Chief of Hospital III 26

Chief of Hospital II 25 Chief of Hospital II 25Chief of Sanitarium II 25 Chief of Hospital II 25

Chief of Sanitarium I 24 Chief of Hospital I 24Chief of Hospital I 24 Chief of Hospital I 24


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…Proposed Changes cont…


Proposed Changes in the entry level for Medical Proposed Changes in the entry level for Medical Specialists and Resident PhysiciansSpecialists and Resident Physicians

CURRENT PROPOSED

Medical Specialist II 22 Medical Specialist III 23Medical Specialist I 21 Medical Specialist III 23

Medical Officer III 18 Medical Officer IV 20Medical Officer IV 20 Medical Officer V 22

There will be no Medical Specialist positions in the Central Office and the Centers for Health Development


ORGANOGRAM FOR SPECIALTY HOSPITAL

EXECUTIVE DIRECTOR (Chief Executive Officer)

Internal Audit

Research

Legal Affairs

Professional Education & Training

Medical Non-MedicalNursing

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 & DieteticsDivision

Dept. of Laboratory

Dept. of Radiology

Medical Records Division

Patient BusinessDivision

- 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)


*Others:Ortho/Urology/Neuro/Other Sub-Specialty Trng

Office of the Chief of Hospital


Legal Affairs



Internal Audit

Research

Bids & Awards Committee (BAC)Medical Nursing Non-Medical

Nursing Service Medical Service Finance Hospital 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


MICU

SICU

PICU

NICU

Special Services

Burn Unit

Respiratory Med.

Rehab. Med.

Dialysis

Accounting

Budget & Planning

Cash Management

Patient Business

Admitting Billing

Administrative Service

Corporate/Business Services

Social Services

Material Management

Pharmacy

Personnel

Procurement

Property & Supply

Nutrition & Dietetics

Engineering & Maint.

Equipt./Bldg. MaintWaste Mgt.Transport Services

General Services

Linen/LaundryHousekeepingSolid Waste Mgt.Waste water Mgt.Security

Tertiary Teaching and Training Non-Corporate Hospital 200-500 bed


Hospital with National Reference Laboratory


Office of the Chief of Hospital


Legal Affairs



Internal Audit

Research




Surgery

Medicine

OB-GYN

Pediatrics


Ophthalmology

*Others

Public Health Unit

Operating Room

Delivery Room

Emergency Room


MICU

SICU

PICU

NICU

Respiratory Med.

Rehab. Med.

Burn Unit

Special Services

Dialysis

Surgery

Medicine

OB-GYN

Pediatrics

Anesthesiology


Ophthalmology

Dental

Others



Dept. of Laboratory

Blood Bank

Dept. of Radiology

Medical Records



MICU

SICU

PICU

NICU

Special Services

Burn Unit

Respiratory Med.

Rehab. Med.

Dialysis

Accounting

Budget & Planning

Cash Management

Patient Business

Admitting Billing



Social Services

Material Management

Pharmacy

Personnel

Procurement

Property & Supply




General Services


National Reference Laboratory



Office of the Medical Center Chief


Legal Affairs



Internal Audit

Research




Surgery

Medicine

OB-GYN

Pediatrics


Ophthalmology

*Others

Public Health Unit

Operating Room

Delivery Room

Emergency Room


MICU

SICU

PICU

NICU

Respiratory Med.

Rehab. Med.

Burn Unit

Special Services

Dialysis

Surgery

Medicine

OB-GYN

Pediatrics

Anesthesiology


Ophthalmology

Dental

Others



Dept. of Laboratory

Blood Bank

Dept. of Radiology

Medical Records



MICU

SICU

PICU

NICU

Special Services

Burn Unit

Respiratory Med.

Rehab. Med.

Dialysis

Accounting

Budget & Planning

Cash Management

Patient Business

Admitting Billing



Social Services

Material Management

Pharmacy

Personnel

Procurement

Property & Supply




General Services


Organogram of Hospital with National Reference Laboratory


THANK YOUTHANK YOU

NSM Resolution No. 2005-01-02

Documents

Transcript of NSM Resolution No. 2005-01-02