DEPARTMENT OF

HEALTH (DOH) -

DAVAO CENTER FOR

HEALTH DEVELOPMENT

CITIZEN’S CHARTER

VISION

A Global Leader for attaining better health outcomes,

competitive and responsive health care systems, and

equitable health care financing.

MISSION

To guarantee equitable, sustainable and quality health

care for all Filipinos, especially for the poor, and to lead

the quest for excellence in health.

CORE VALUES

a.) Integrity - Doing what is morally right and

proper.

b.) Excellence - Striving for the best and taking pride

in the calling and practice of one’s

profession according to ethical

standards and applying appropriate

technical knowledge to best serve

the public.

c.) Compassion – Serving with sympathy and

benevolence to anybody

irrespective of race, sex, creed or

religion and upholding the

sanctity of human life

1

A. APPLICATION FOR INITIAL LICENSE TO OPERATE (LTO)/AUTHORITY TO OPERATE

(ATO) OF REGULATED HEALTH FACILITIES

S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximu

m

Time

Responsible

Officer/

Employee

1 Submit duly accomplished

Application Form and

documentary requirements

Preliminary

assessment of

application and

documents

- Hospital

Level

- Infirmary

- Birthing

Home

- Dental Lab

- Clinical Lab

- Ambulance

Service

Provider

- Psychiatric

Facility/Care

- Drinking

Water

Analysis

Laboratory

- Blood

Station/

Blood

Collecting

Unit

- PD 856

entities

If complete, receive

Application Form

and documents

If incomplete, return

documents to specify

lacking requirements

45 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

15 minutes

Administrative

Assistant

2

Pay Application Fee to the

Cashier’s Office

Infirmary= 6,000

Birthing Home

= 4,500

Clinical Laboratory-

Hospital-Based:

Primary= 2,000

Secondary= 2,500

Tertiary = 3,000

Issue Order of

Payment with

instruction to pay at

the Cashier’s Office

based on the

schedule of fees

15 minutes

Administrative

Assistant

2

3

Submit documents of proof

of payment to RD’s office

Awaits the Schedule of

Inspection of Health

Facility

Clinical Laboratory-

Institution-Based:

Primary = 3,000

Secondary = 3,500

Tertiary = 4,000

Dental Prosthetic

Laboratory-

Removable =1,000-

2,000

Fixed Removable =

2,500

Limited Services

= 1,000

Drinking Water

Analysis = 5,000

Ambulance Service

Provider =

5,000+1,000/unit

Laboratory PD 856

Entities = Prescribed

Fee (Refer to Order

of Payment Form)

Present of Proof of

payment to RLED

Schedule inspection,

send notification

letter to facility

Photocopy and

attach Official

Receipt to

Application for

submission to

Regional Director’s

Office

RD staff to receive

documents

5 minutes

5 minutes

30 minutes

RLED Staff

RD staff

Team Leader/

Licensing

Officer-in-

Charge

3

4

Ensure presence of Health

Facility Staff during

inspection for interview

and ocular inspection

Comply and submit

requirements to noted

deficiencies within 30 days

Conduct inspection

visit of facility using

DOH-HFSRB –

approved Assessment

Tool within 10 days

from receipt of

application

- Hospital

Level

- Infirmary

- Birthing

Home

- Dental Lab

- Clinical Lab

- Ambulance

Service

Provider

- Psychiatric

Facility/Care

- Drinking

Water

Analysis

Laboratory

- Blood

Station/

Blood

Collecting

Unit

- PD 856

entities

If with deficiencies,

proceed to step 5

If found non-

compliant on

inspection, notify

applicant of their

deficiencies and

facility shall be given

time to comply

within the prescribed

timeline (maximum

of 30 days)

Check compliance

based on attached

documents. Advise

client to submit the

document to the

Regional Director’s

Officer

7 hours

5 hours

4 hours

4 hours

4 hours

4 hours

5 hours

4 hours

4 hours

4 hours

15 minutes

4

5

6

Awaits feedback to

submitted compliance

Awaits the release of

License to

Operate/Authority to

Operate/Permit/Clearance

Certification

Receive the original copy

of LTO/ATO

Evaluation of

documents submitted

within 5 days

If compliant, prepare

notice of

recommendation for

issuance of

LTO/ATO/COA.

Failure to comply

within the timeline

would result to

disapproval of

application and

forfeiture of payment

and advise to reapply

Review for

recommending

approval

Approve and sign

LTO/ATO/Permit

Clearance/Certificati

on

Records and released

the

LTO/ATO/Permit/Ce

rtification to client

upon presentation of

notification of

issuance of LTO

1 day/

facility

1 hour

15 minutes

10 minutes

10 minutes

Licensing

Officer-in-

Charge

LOI Team

Leader

Division Chief

Regional

Director’s

Office

Records

Section

End

5

B. APPLICATION FOR RENEWAL OF LICENSE TO OPERATE/AUTHORITY TO OPERATE S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximu

m

Time

Responsible

Officer/

Employee

1 Submit duly accomplished notarized Application Form documentary requirements

Preliminary assessment of Application Form and documents

- Hospital

Level

- Infirmary

- Birthing

Home

- Dental Lab

- Clinical Lab

- Ambulance

Service

Provider

- Psychiatric

Facility/Care

- Drinking

Water

Analysis

Laboratory

- Blood

Station/

Blood

Collecting

Unit

If complete, receive

Application Form

and documents

If incomplete, return

documents to specify

lacking requirements

45 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

30 minutes

Administrative Assistant

2

Pay Application Fee at Cashier’s Office

Fees Facility *Infirmary = 6,000 *Birthing Home =4,500 Clinical Laboratory-Hospital- 2,000 Based: 2,500 *Primary = 3,000 *Secondary= *Tertiary =

Issue Order of Payment with instruction to pay at the Cashier’s Office based on the of fees for renewal

15 minutes

Administrative Assistant

6

3 4

Present proof of payment to RLED Awaits the release of License to Operate/Authority to Operate/Permit/Clearance Certification Receive the original copy of LTO/ATO

Clinical Laboratory Institution-Base *Primary = 3,000 *Secondary = 3,500 *Tertiary = 4,000 Dental Prosthetic Laboratory: *Removable/Fixed = 1,000-2,000 *Removable & Fixed = 2,500 *Limited Services = 1,000

Drinking Water

Analysis

Laboratory = 5,000

Photocopy and attach Official Receipt to application for submission to Regional Director’s Office Review for recommending approval Approve and Sign LTO/ATO/Permit Clearance/Certifica-tion Records and releases the LTO/ATO/Permit/Certification to Client upon presentation of notification of issuance of LTO

5 minutes

15 minutes

10 minutes

10 minutes

RLED Staff Division Chief Regional Director’s Office Records Section

End

7

C. APPLICATION FOR PERMIT TO CONSTRUCT (PTC) A HEALTH FACILITY

S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximum

Time

Responsible

Officer/

Employee

1

Submit duly accomplished application form and documentary requirements

*Preliminary assessment of application form and documents

- Hospital

Level

- Infirmary

- Birthing

Home

- Dental Lab

- Clinical Lab

- Ambulance

Service

Provider

- Psychiatric

Facility/Care

- Drinking

Water

Analysis

Laboratory

- Blood

Station/

Blood

Collecting

Unit

*If complete, receive Application Form and documents *If incomplete, return documents to specify lacking requirements

15 minutes Administrative Assistant

8

2 Pay Application Fee at Cashier’s Office

Fees Facility Facility amount Level 3 3,000 Level 2 2,500 Level 1 2,000 Infirmary 1,500 Birthing 1,400 home Present proof

payment to RLED

Issue Order of Payment with instruction to pay at the Cashier’s Office based on the schedule of fees for PTC application: Photocopy and attached Official Receipts to application for submission to Regional Director’s Office

15 minutes

5 minutes

Administrative

Assistant

RLED Staff

3 Awaits for result of Application submitted

Evaluate/Review Floor Plan & Site Development Plan within 10 days *a. If with deficiencies return documents with finding and recommendations to the applicant to revise the plan and resubmit for second evaluation (free of charge) If still with deficiencies after the second review, return documents with findings and advise to re-apply and pay corresponding fee. *b. If no deficiencies, prepare and process PTC for approval and signature

3 days/

facility RLED-HFERC HFEP-Engineer concerned Administrative Assistant, RLED Chief, Regional Director

4 Receive the communication and Approved PTC

Record and release the approved/ disapproved Permit to Construct (PTC) and Approved/ Disapproved Floor Plan

15 minutes Administrative Assistant

End

9

D. STEP BY STEP HANDLING OF APPLICATION AND ISSUANCE OF CERTIFICATE OF NEED

(CON) FOR A NEW GENERAL HOSPITAL

S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximum

Time

Responsible

Officer/

Employee

1

Submit duly accomplished application form and documentary requirements

*Preliminary assessment of application form and documents *If complete, receive Application Form and documents *If incomplete, return documents to specify lacking requirements

30 minutes Administrative Assistant

2 Pay Application Fee at Cashier’s Office Present proof of payment to RLED

Fees Facility Facility amount Hospital Level 1,2,3 2,000

Issue Order of Payment with instruction to pay at the Cashier’s Office based on the schedule of fees for PTC application: Photocopy and attached Official Receipts to application for submission to Regional Director’s Office

15 minutes

5 minutes

Administrative

Assistant

RLED Staff

3

Awaits the release of License to Operate/ Authority to Operate/ Permit/Clearance Certificate

Evaluate the

documents:

Recommend

approval/

Within fifteen

(15) working

days

CON Committee CON Committee

10

Disapproval to

Director IV/RD

Approval/

Disapproval of

CON

If disapproved,

notify the client

of the

disapproval

thru letter

Endorse

approved CON

and evaluation

report to

HFSRB

Regional Director CON Committee

4

Receive the communication and Approved CON

Record and

release the

approved

Certificate of

Need (CON)

10 minutes Administrative Assistant

End

11

PAYMENT OF SERVICES

S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximum

Time

Responsible

Officer/

Employee

A. COLLECTION

1 The Client pays the stated amount in the order payment

As per statement in the Order of Payment

Order of Payment

Within 15 minutes per single transac -tion upon receipt of Order of Payment

Amelia S. Pedreso Nancy Q. Chiang Demetrio Lerin III

B.DISBURSEMENT

1 2

Internal/External client inquire information regarding the payment of their claims External clients (Suppliers) issue O.R. for claims paid thru LDDAP and checks

None None

None Official Receipts

Internal Clients = 15 min per claim External Clients = 15 per trans w/ average of 4 transact -ion per client (Verify in the check list/eNGAS as to nature of claim as well as the amount due them) 30 min per O.R. Issued per transact -ion average of 6 transaction =Verify in the checklist/eNGAS the LDDAP no. or check no. for the reference of the claim =Pull out the filed DVs from the shelf =Retrieve DVs for easy issuance of OR of the client =Facilitate for the photocopy of DVs or LDDAP after issuance of O.R.

Cashier Staff Cashier Staff

End

12

PROCUREMENT OF GOODS/CONSULTING & CIVIL WORKS

S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximum

Time

Responsible

Officer/

Employee

1

Release of bid requirements checklist to interested bidders or suppliers of goods/ services consulting & civil works upon request

None 10 mins. Trisha Tanghal & any BAC Secretariat or Procurement Personnel

2

Payment of bid documents

Schedule of fees

Order of payment

10 mins. Amelia Pedreso/ Nancy Chiang or BAC secretariat

3 Pre-Bid Conference with interested bidders

None Bid Documents

8 hours

Bids & Awards Committee (BAC), TWG, BAC Secretariat, End Users

4 Opening of Bid with interested bidders

None Bid proposal with the eligibility, technical, and financial documents (per checklist)

8 hours BAC and BAC Secretariat TWG End User

5 Supplier (winning bidder) posts the Performance Bond

Performance Security: Good & consulting services-5% Infra Project-10% (In the form of cash, Manager’s check, Bank guarantee, Irrevocable letter of credit) Surety Bond-30%

W/in 10 days upon receipt of Notice of Award

Amelia Pedreso Nancy Chiang BAC Secretariat

13

6

Supplier (winning bidder) submits performance bond to BAC Office

None Original Official Receipt or Bank Guarantee Certificate

BAC Secretariat

7

Supplier conforms to the Notice to Proceed (NTP)

None NTP 1.Items 2. Manuals 3. Warranty Securities

15 mins. BAC Secretariat/HFEP

8

Supplier/ Contractor receives the Purchase Order (PO) or contract

None Purchase Order Contract for Infrastructure

15 mins. Benedito Cagampang HFEP Sandra Manampan

9

Supplier delivers the goods/services stated in the contract for inspection & acceptance

Warranty Security : 10% retention during the disbursement voucher processing.

Charge Invoice & Delivery Receipts

Delivery-30 to 60 calendar days after the receipt of PO & NTP.

Any supply staff Inspectorate Committee

10 Supplier receives the payment

Disbursement Voucher and its accompany- Ing documents

Ten (10) days

Accounting, Budget & Cashier Section Staff

End

14

RECRUITMENT AND SELECTION

S

T

E

P

Activity/s

Fee

(PhP)

Documentary

Requirements

Maximum

Time

Responsible

Officer/

Employee

1 Applicant submits Application for employment

None Application letter; Personal Data Sheet (CSC Form 212 revised 2017 with attached Work Experience Sheet; CSC Eligibi-lity/PRC License; Diploma; Trans- cript of Records; Certificate of Training

10 mins. Office of the Regional Director’s Staff

2 Applicant is inform of the status of his/her application and the schedule of written examination thru text message or phone call

None 20 minutes =the applicants will be informed 10 days from submission

Human Resource Section Staff, Training Staff for Human Resource for Health Deployment Program

3 Applicant is inform on the schedule of interview thru text message or phone call

None 20 minutes =One week after the completion of interview and examination of all applicants

Human Resource Section Staff/ Training Staff for Human Resource For Health Deployment Program

4 Applicant is inform of the schedule for Psychometric examination thru text message or phone call

None 20 minutes =One week after the completion of interview of all applicants =It is also dependent on the availability of the schedule of the Psychiatric Unit of SPMC

Human Resource Staff

15

5 Successful applicant will be required to submit necessary requirements to support his/her Appointment/Contract of Services/Job Order Contract

None Two copies Personal Data Sheet (CSC Form 212) revised 2017 duly notarized; Original copy of NBI Clearance; Medical Certificate with attached Laboratory Results all original copy; Diploma and Transcript of Records authenticated by the School; CSC Eligibility duly authenticated; PRC License authenticated by PRC

30 minutes =two weeks after the approval of the result of the Comparative Assessment Report and Human Resource Merit, Promotion and Selection Board (HRMPSB)

Human Resource Section Staff/Training Staff for Human Resource for Health Deployment Program

End

PROCEDURE TO FILE COMPLAINTS

S

T

E

P

Activity/s Fee

(Php)

Documentary

Requirements

Maximum

Time

Responsible

Officer/

Employee

1 The client/ complainant submits a letter addressed to the Regional Director: DR. ANNABELLE P. YUMANG, Regional Director, DOH-DavaoCHD, Bajada, Davao City, or may call/text the “SUMBUNGAN NG BAYAN” cellphone no. at 0908-881-6565; or call (082)221-6320 RD’s Off. 305-1903 or 305-1904 connect to RLED or IMC

None a) Letter (in English, Tagalog or in dialect); b) Contact number of client/ complainant

Receiving Time; 10 minutes

Office of the Regional Director: R.D. Staff

2 Reply letter or a telephone call to client/complainant for instructions

None Letter-reply from the Office or record in the logbook if its call or text.

Letter: Up to 15 working days; Call: Up to 5 working days

As may be applicable: Dr. Ana Liza C. Jabonero-Division Head of Regulatory, Licensing & Enforcement Division (RLED) & Legal Section Head & chairperson of Patient’s Grievance & complaints Committee (PGCC); Dr. Ma. Connie D. Perez, Officer-in-Charge Asst. Regional Director Chairperson of Integrity Mgt. Committee (IMC)

3 Result of Investigation or Resolution

None Letter Up to 30 working days

As may be appli-cable; RLED; Legal Section, PGCC; IDC

End

Officer-in-Charge/Director IV

ANNABELLE P. YUMANG, MD, MCH, CESO IV Regional Director

Please let us know how we have served you:

1. Getting in touch to our Officer of the Day at the Front

Desk - Public Assistance/Complaint Desk at the main

entrance of the DOH-Davao CHD Office building.

2. Giving your feedback at our Suggestion Box located at

the Front Desk.

THANK YOU for helping us improve our services in

this office.

DOH-Davao Center for Health Development

J.P. Laurel Ave., Bajada, Davao City

Email: doh11davao@gmail.com

Website: www.ro11.doh.gov.ph

Trunklines: +63(082)305-1903/1904/1906 & 227-4073