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Step Activity Fee Necessary Form Required Documents Maximum Time Responsible Officer / Employee 1 Evaluates application and other related documents for completeness, and issues order of payment PTC form Accomplished PTC form Certificate of Need (CON) 3 sets of Floor Plan (for BHFS, DOH- CAR Office, Client) DTI/ SEC Cert. AO 8 working hours (no lunch break) Charisse Teodely Apelado Reynaldo Pre Magnolia Andaya Windawila Baclig Maritess Felizco Manule Olarte 2 Receives payment PCF- P 1, 500 L1- P 2, 000 L2- P 2, 500(BHFS) L3- P 3, 000(BHFS) Order of payment Cashier 3 Receives PTC application Engr. Braille Cawis 4 Notifies disapproval or approval and release of PTC 5 working days HFERC REGULATION, LICENSING AND ENFORCEMENT DIVISION Licensing and Programs Clusters. Functions: · Disseminates Regulatory Policies & Standards for Information and Compliance · Issue Permits and Licenses · Ensures sustainability of health facilities compliance w/ regulatory standards. · Provides consultation & advisory services to stakeholders regarding health facilities regulation. Services: · Issuance of the following: a. Certificate of Need (CON) for hospitals b. Permit to Construct (PTC) of Health Facilities Enhancement Projects (HFEP) c. License to Operate (LTO) 1. Birthing Homes 2. Clinical Laboratories, except laboratories in Ambulatory Surgical Clinics, Dialysis Centers, OFW Clinics, Level 2, Level 3 and Specially Hospitals 3. Dental Laboratories 4. Level 1 Hospitals (Renewal) 5. Infirmaries 6. Psychiatric Care Facilities (Renewal) d. Authority to Operate Blood Collection Units and Blood Stations e. Certificate of Accreditation 1. Private School Dental Clinics 2. Occupational Establishments Dental Clinics 3. Laboratories for Drinking Water Analysis (Renewal)

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Page 1: REGULATION, LICENSING AND ENFORCEMENT …caro.doh.gov.ph/wp-content/uploads/2016/07/Citizens-Charter-2016.pdf · 3 Inform the Philippine Information Agency ... Drug Testing Laboratory

Step Activity Fee Necessary

Form

Required

Documents

Maximum

Time

Responsible

Officer /

Employee

1 Evaluates

application and

other related

documents for

completeness, and

issues order of

payment

PTC form Accomplished PTC form

Certificate of Need

(CON)

3 sets of Floor Plan

(for BHFS, DOH- CAR

Office, Client)

DTI/ SEC Cert.

AO

8 working hours

(no lunch break)

Charisse Teodely

Apelado

Reynaldo Pre

Magnolia Andaya

Windawila Baclig

Maritess Felizco

Manule Olarte

2 Receives payment PCF- P 1, 500

L1- P 2, 000

L2- P 2,

500(BHFS)

L3- P 3,

000(BHFS)

Order of

payment

Cashier

3 Receives PTC

application

Engr. Braille Cawis

4 Notifies

disapproval or

approval and

release of PTC

5 working days HFERC

REGULATION, LICENSING AND ENFORCEMENT DIVISION

Licensing and Programs Clusters.

Functions: · Disseminates Regulatory Policies & Standards for Information and Compliance · Issue Permits and Licenses · Ensures sustainability of health facilities compliance w/ regulatory standards. · Provides consultation & advisory services to stakeholders regarding health facilities regulation.

Services: · Issuance of the following: a. Certificate of Need (CON) for hospitals

b. Permit to Construct (PTC) of Health Facilities Enhancement Projects (HFEP)

c. License to Operate (LTO)

1. Birthing Homes 2. Clinical Laboratories, except laboratories in Ambulatory Surgical Clinics, Dialysis Centers, OFW

Clinics, Level 2, Level 3 and Specially Hospitals 3. Dental Laboratories 4. Level 1 Hospitals (Renewal) 5. Infirmaries 6. Psychiatric Care Facilities (Renewal)

d. Authority to Operate Blood Collection Units and Blood Stations

e. Certificate of Accreditation 1. Private School Dental Clinics 2. Occupational Establishments Dental Clinics 3. Laboratories for Drinking Water Analysis (Renewal)

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Step Activity Necessary

Form

Required

Documents

Maximum time Fee Responsible Person

1 Identify LGU needs through

conduct of IEC monitoring and

client satisfaction survey

IEC

monitoring

Form/CSS

Form

Filled up forms Every 2nd or 3rd

week of the month

n/a Patrick

Pineda/Benelyne

Balag-ey

2 Do a consolidation and analysis

of the monitoring results and

include provision of IEC materials

or provision of additional items

in the WFP or SWFP

Consolidation

form

ApprovedWFP

and PPMP

Within 1 week

after conduct of

monitoring

n/a Benelyne Balag-ey

3 Development and production of

IEC materials based on plan

Within 2 months

after planning

n/a Patrick Pineda

4 Allocation of IEC materials Allocation list 1 day after delivery

of IEC materials

n/a Patrick

Pineda/Benelyne

Balag-ey

5 Issuance and distribution to

clients

Requisition

and Issuance

Slip (RIS)

Acknowledged

reciept of

items in the RIS

within 2 weeks

after allocation

n/a Patrick

Pineda/Benelyne

Balag-ey

6 Conduct follow-up IEC

monitoring and CSS if necessary

to determine receipt and

satisfaction

IEC

monitoring

Form/CSS

Form

Filled up forms 1 month after

delivery

n/a Patrick

Pineda/Benelyne

Balag-ey

Step Activity Necessary Form Required

Documents

Maximum time Fee Responsible Person

1 Plan for topics to be discussed based on

monthly national health events and RESU

updates

3 weeks before actual

kapihan

n/a Patrick

Pineda/Benelyne

Balag-ey

2 Identify when and where will the Kapihan be

held

3 weeks before target

date of kapihan

n/a Patrick

Pineda/Benelyne

Balag-ey

3 Inform the Philippine Information Agency (PIA)

for the final date and place of Kapihan (The PIA

will issue a kapihan advisory to the Media)

2 weeks before

kapihan

n/a Benelyne Balag-ey

4 Invitation of resource speakers/panelists

(internal and external)

Invitation letter/

Notice of Kapihan

1 to 2 weeks before

kapihan

n/a Benelyne Balag-ey

5 Conduct of Kapihan forum

- The PIA acts as the host/anchor

- Panelists will issue their opening statements

and discuss health programs

- Media will ask questions to the panelists

- Listeners and viewers can ask questions

through text messaging

- Panelists will answer questions from the

media, listeners, viewers and host/anchor

- Panelists will issue their closing statements

Attendance sheet

CSS forms

Filled up

attendance sheet

Filled up CSS forms

Every 1st or second

week of the month

from 10:00 am to

12:00nn aired by a

local radio station

and TV network

n/a Patrick

Pineda/Benelyne

Balag-ey

6 HPS will do an After activity/kapihan report for

documentation

After actitivty

report

Accomplished after

activity report

Within one week

after kapihan

n/a Benelyne Balag-ey

2. ARD/RD

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Step Activity Fee Necessary

Form

Required

Documents

Maximum

Time

Responsible

Officer/ Employee

1 Evaluates application and

other related documents

for completeness, and

issues order of payment

Necessary

Application

forms

Application forms

(for Hospitals, Gen.

Lab. Xray facilities)

Other related

documents indicated

in the application

forms

8 working

hours (no

lunch

break)

Magnolia Andaya

Windawila Baclig

Maritess Felizco

Manule Olarte

2 Receives payment Pls. refer to

schedule of fees

(AO 2007–

0023)

Order of

payment

Cashier

3 Receives complete

application form and

other related documents

30 working days

(Initial

Application)

5-7 working

days (LTO

Renewal)

Jude Layugan

Braille Cawis

Vanesssa Lumbania

Charis Taguibos

Raul Sominestrado

4 Notifies disapproval or

approval and release of

LTO

Magnolia Andaya

Windawila Baclig

Maritess Felizco

Manuel Olarte

Step Activity Fee Necessary

Form

Required

Documents

Maximum

Time

Responsible Officer/

Employee

1 Evaluates application and

other related documents

for completeness, and

issues order of payment

CON form Accomplished

Certificate of

Need (CON)

8 working

hours (no

lunch break)

Charisse Teodely Apelado

Reynaldo Pre

Magnolia Andaya

Windawila Baclig

Maritess Felizco

Manule Olarte

2 Receives payment P 2, 000 Order of

payment

Cashier

3 Receives complete

application form and other

related documents

Engr. Braille Cawis

4 Notifies disapproval or

approval and release of

CON

30 working

days

CON Committee/

Licensing Officer

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Step Activity Necessary

Form

Required

Documents

Maximum time Fee Responsible

Person

1 Collection/solicitation and writing

of articles/feature stories

From January to

May for 1st issue

and July to

November for 2nd

issue

n/a Patrick

Pineda/Benelyne

Balag-ey

2 Editing and lay-outing of articles Whole month of

May for 1st issue

and November for

2nd issue

n/a Patrick Pineda

3 Printing of newsletter June for 1st issue

and December for

2nd issue

n/a Patrick Pineda

4 Allocation of newsletter Allocation list 1 day after delivery n/a Patrick

Pineda/Benelyne

Balag-ey

5 Distribution of newsletter to

clients and stakeholders

Requisition

and Issuance

Slip (RIS)

Acknowledged

reciept of items

in the RIS

July for 1st issue

and January for

2nd issue

n/a Patrick

Pineda/Benelyne

Balag-ey

6 Conduct follow-up IEC monitoring

and CSS if necessary to determine

receipt and satisfaction

IEC

monitoring

Form/CSS

Form

Filled up forms 1 month after

delivery

n/a Patrick

Pineda/Benelyne

Balag-ey

Step Activity Necessary

Form

Required

Documents

Maximum time Fee Responsible

Person

1 Identify at least 3 or more health

events/health advisories to be

packaged as script and aired to local

radio station basing on the

scheduled health events for the

month

2 weeks before the

next month of airing

n/a Patrick Pineda

2 Inform the local radion station for

any additional health event or

activity to be aired

1 week before the

scheduled airing

n/a Patrick Pineda

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Step Activity Fee Necessary

Form

Required

Documents

Maximum

Time

Responsible

Officer/

Employee

1 Evaluates documents for

completeness, issues order of

payment if documents are

complete and instructs applicant

to photocopy official receipt after

payment

Refer to

schedule of

fees AO 29

s.2000

2 sets of

Application

form

Pls. refer

to BHDT

Citizens

charter

8 working

hours (no

lunch

break)

Jude Layugan

2 Receives payment As per

required

fees

Order of

payment

Cashier

3 Receives complete application

form and photocopy of official

receipt

Jude Layugan

4 Release of LTO 10 working

days

INITIAL RENEWAL

PCF – Infirmary - Basic

Clinical Laboratory

Primary 2,000.00 1,500.00

Secondary 2,500.00 2,000.00

Drug Testing Laboratory

Screening 5,000.00 5,000.00

Dialysis Clinic 3,000.00 3,000.00

Level 1 Hospital – Basic

Clinical Laboratory

Secondary 2,500.00 2,000.00

Tertiary 3,000.00 2,500.00

Drug Testing Laboratory

Screening 5,000.00 5,000.00

Dialysis Clinic 3,000.00 3,000.00

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Step Agency Action Timeline Person Responsible

1 Receiving of verified complaint-affidavit

Immediately M. Bania-ao

2 Sending of meditation proper

1 day from receipt of complaint

M. Bania-ao /Atty. V.Z. de Jesus

3 Conduct of mediation proper

15 days from receipt of complaint

Atty. V.Z. de Jesus

4

If compromise agreement is reached, decision and dismissal of case

15 days from termination of mediation

Atty. V.Z. de Jesus

If no compromise agreement is reached, sending of summons and notice of hearing/filing of position paper for arbitration

1 day from termination of

mediation M. Bania-ao / Atty. V.Z. de Jesus

Proceed to step 5 and 6 only when there is no compromise agreement

5 Conduct of arbitration 15 days from receipt of last pleading

Atty. V.Z. de Jesus

6 Rendering of decision 15 days from termination of arbitration

Atty. V.Z. de Jesus

Step Agency Action Person

Responsible

1 Receipt of complaint D. Bulalin/M. Bania-ao

2 Agency acknowledges receipt of complaint Director IV

3 Agency acts on the complaint, as appropriate Atty. V.Z. de Jesus

4 Attorney III recommends proper action on the

complaint

Atty. V.Z. de Jesus

5 Agency furnishes complaints actions taken on

the complaint

Director IV

)

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INITIAL RENEWAL

4,500.00 3,000.00

INITIAL RENEWAL

Blood Collection Unit 1,500.00 1,500.00

Blood Station 1,400.00 1,400.00

INITIAL RENEWAL

PCF – Infirmary -

Basic 6,000.00 5,500.00

Clinical Laboratory

Primary 2,000.00 1,500.00

Secondary 2,500.00 2,000.00

Pharmacy 1,000.00 1,000.00

Drug Testing

Laboratory Screening 5,000.00 5,000.00

Dialysis Clinic 3,000.00 3,000.00

Level 1 Hospital –

Basic 6,500.00 6,000.00

Clinical Laboratory

Secondary 2,500.00 2,000.00

Tertiary 3,000.00 2,500.00

Pharmacy 1,000.00 1,000.00

Dialysis Clinic 3,000.00 3,000.00

INITIAL RENEWAL

Primary 2,500.00 2,000.00

Secondary 3,000.00 2,500.00

Page 8: REGULATION, LICENSING AND ENFORCEMENT …caro.doh.gov.ph/wp-content/uploads/2016/07/Citizens-Charter-2016.pdf · 3 Inform the Philippine Information Agency ... Drug Testing Laboratory

Step Activity Necessary Form Required Documents Maximum Time Fee Responsible

Person

1

Assessment and

review of

required

documents

CEMT Form 4-

A

-Medical Certificate

-Professional Tax Receipt (PTR)

-Professional Identification Card

-Certificate of Credit Units Earned (CEE), 30 units

-Certificate of Registration

-1 pc 1x1 ID picture

-2 pcs 2x2 IP picture

-Duly accomplished and signed CEMT Form 3

15 min N/A HRMDS Staff

2 Processing and

Payment of Fees

Order of

Payment

Renewal Fee Receipt/Official Receipt 15 mins P 250 HRDMS Staff-

Order of

Payment

Cashier -Official

Receipt

3 Approval and

signing of

Renewal

Certificate of Registration 10 working

days if RD is

on OB

N/A Regional

Director

4 Releasing Official Receipt

Authorization Letter (if license holder is unable to

appear personally)

5 mins N/A HRMDS Staff

1. Issuance of pre-positioned logistics (Drugs, Medicines for Health Emergencies)

2. Helps in the screening and selection of Human Resources for Health for deployment

3. Monitoring and Evaluation

· Human Resources for Health

·Programs including Health Leadership and Governance for the Poor (HLGP)

4. Coaching of local personnel on health matter

5. Technical Assistance Provision

· Capability Building

· Planning

· Program/Project Management

· Policy Formulation

· Health Facilities Improvement

6. Data/Knowledge Management

7. Advocacy

8. Networking & Collaboration

3. MANAGEMENT SUPPORT DIVISION

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Step Activity Fee Necessary

Form Required Documents Maximum Time

Responsible

Officer/Employee

1

Evaluation of documentary

requirements.

Initial Operational

Permit

Updated Water

Analysis

10 minutes Engr. Nelson G.

Cara

2 Release of Operational

Permit

10 working days

Engr. Nelson G.

Cara

Step Activity Fee Necessary

Form

Required

Documents Maximum Time

Responsible

Officer/Employee

1

Evaluation of documentary

requirements for completeness.

Issuance of order of payment if

documents passed evaluation.

Engineers

Report

1 hour

Engr. Nelson G.

Cara

2 Payment of fees Php2, 600.00 Order of

payment

10 minutes Cashier

3 Receives photocopy of official

receipt

5 minutes

Engr. Nelson G.

Cara 4

Inspection and Assessment of

Proposed Water Refilling

Station

Establishments

within Baguio City

and La Trinidad,

Benguet-10 working

days

For other provinces-

30 working days

5 Release of Operational Permit 10 working days

1. LOCAL HEALTH SUPPORT DIVISION

Page 10: REGULATION, LICENSING AND ENFORCEMENT …caro.doh.gov.ph/wp-content/uploads/2016/07/Citizens-Charter-2016.pdf · 3 Inform the Philippine Information Agency ... Drug Testing Laboratory

Step Activity Necessary

Form

Required Documents Maximum

Time

Fee Responsible Person

1

Assessment and

review of required

documents

CEUE Form

4-A

-Medical Certificate

-Professional Tax Receipt (PTR)

-Professional Identification Card

-Certificate of Credit Units Earned (CEUE),

30 units

-Certificate of Registration

-1 pc 1x1 ID picture

-2 pcs 2x2 IP picture

-Duly accomplished and signed CEMT

Form 3

15 min N/A HRMDS Staff

2 Processing and

Payment of Fees

Order of

Payment

Renewal Fee Receipt/Official Receipt 15 mins P 250.00 HRDMS Staff-Order of

Payment Cashier-

Official Receipt

3 Approval and

signing of Renewal

Certificate of Registration 10 working

days if RD

is on OB

N/A Regional Director

4 Releasing Official Receipt

Authorization Letter (if license holder is

unable to appear personally)

5 mins N/A HRMDS Staff

Step Activity Necessary

Form

Required

Documents

Maximum Time Fee Responsible Person

A. Certificate of Completion

1 Requestor fills up a form, HRMDS

Staff verifies from Masterlist if

name exists

Request

Form

Accomplished

Level 1 and 2

Evaluation

10 mins N/A Ms. Jennifer Ruiz/Mr.

Rex Bate

2 Prepare Certificate of Completion 5 mins N/A Mr. Rex Bate/Ms.

Siena Judan

3 Release to RD/ARD’s Office for

Signature

Within 30 mins if

RD/ARD is

present

N/A Ms. Siena

Judan/HRMDS Staff

B. Certificate of Employment

1 Requestor fills up a form, HRMDS

Staff verifies from Masterlist if

name exists

Request

Form

10 mins N/A Ms. Siena

Judan/HRMDS Staff

2 HRMDS Staff prepares certificate

for signature of Chief Administrative

Officer/Supervising Administrative

Officer

10 mins N/A Ms. Siena

Judan/HRMDS Staff

)

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Step Activity Fee Necessary

Form

Required

Documents Maximum Time

Responsible

Officer/Employee

1 Evaluation of documentary

requirements for completeness.

Issuance of order of payment if

documents passed evaluation.

Project

Description 1 hour

Engr. Nelson G.

Cara

2 Payment of fees:

Private Sludge Collection Php2,600.00

Order of

payment

10 minutes Cashier Private Sludge Treatment and

Disposal

Php2,800.00

Private Sludge Collection,

Treatment and Disposal

Php3,000.00

3 Receives photocopy of official

receipt

5 minutes

Engr. Nelson G.

Cara 4 Release of Environmental

Sanitation Clearance

10 working days

Step Activity Fee Necessary

Form Required Documents Maximum Time

Responsible

Officer/Employee

1

Evaluation of documentary

requirements.

Initial Operational

Clearance

Certification from

CEPMO (Details of

septage

deposited)

10 minutes Engr. Nelson G.

Cara

2 Release of Operational

Clearance

10 working days

Engr. Nelson G.

Cara

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RELEASE OF CHECKS TO WALK-IN CLIENTS

Step 1. Receive approved Disbursement Vouchers.

Step 2. Prepares checks and ensures approval within eight (8) working hours from receipt of vouchers.

Step 3. Issues checks within five (5) minutes to walk-in clients.

a. ISSUANCE OF SUPPLIES, DRUGS AND MEDICINES, MEDICAL SUPPLIES FOR WALK-IN CLIENTS (with approved Invoice Receipt for Property (IRP) and with Advance Notice)

Step 1. Materials Management Team (MMT) Staff allocates supplies/drugs and medicines, medical supplies within eight (8) working hours from receipt of IRP before pick-up.

Step 2. Materials Management Team (MMT) Staff loads supplies to requisition's vehicle in fifteen (15) minutes

b. No Invoice Receipt for Property (IRP) and no prior notice

Step 1. Bring request to Health Emergency Management System (HEMS) Staff or Program Coordinator to prepare Invoice Receipt for Property (IRP) at least 15 minutes

In pursuit of service excellence and customer satisfaction, the DOH Cordillera Administrative Regional Office conducts a Customer Satisfaction Survey for its Internal and External Customers.

The Internal Customer Satisfaction Survey applies to the official business transactions of the internal customers of the various service providers of the DOH-CAR Office. The survey form can be filled out at point of service, or during the monthly schedule.

The Customer Satisfaction Survey for External Clients applies to all walk-in external customers. The process starts with the registration of the customer in the security log and ends with the dissemination of findings and recommendations.

The results of the surveys are interpreted and reported monthly. The dissatisfactions and suggestions for improvement comments are addressed as soon as possible. The employees involved are issued a Request for Action Form, which requires a root cause analysis and action plan.

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Step Activity Fee Necessary

Form

Required

Documents Maximum Time

Responsible

Officer/Employee

1

Evaluation of documentary

requirements for completeness.

Issuance of order of payment if

documents passed evaluation.

Burial Ground

Requirements

1 hour

Engr. Nelson G.

Cara

2 Payment of fees Php2, 800.00 Order of

payment

10 minutes Cashier

3 Receives photocopy of official

receipt

5 minutes

Engr. Nelson G.

Cara

4 Inspection and Assessment of

Proposed Memorial Park

Establishments within Baguio City

and La Trinidad, Benguet-10

working days

For other provinces-30 working

days

5 Release of Initial/Operational

Permit

10 working days

Step Activity Fee Necessary

Form Required Documents Maximum Time

Responsible

Officer/Employee

1

Evaluation of documentary

requirements.

Initial Operational

Clearance

Annual Report of

Cases

10 minutes Engr. Nelson G.

Cara

2 Release of Operational

Clearance

10 working days

Engr. Nelson G.

Cara

Page 14: REGULATION, LICENSING AND ENFORCEMENT …caro.doh.gov.ph/wp-content/uploads/2016/07/Citizens-Charter-2016.pdf · 3 Inform the Philippine Information Agency ... Drug Testing Laboratory

APPROVED BY:

LAKSHMI I. LEGASPI, MD, RN, MAN Director IV

Step Activity Responsible Officer/Employee

1 Complainant reports in person, submit written

complaint, call by phone or text with proper

identification

Director IV or OIC, Integrity Management Committee

Chairperson or assigned personnel

2 DOH-CAR Office officially acknowledges

receipt of complaint

Receiving staff member

3 Forward complaint to Responsible

Person/Committee

Receiving staff member

4 Notify complainant of action taken Assigned personnel