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STRATEGIC POSITION - Secretary of Health

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STRATEGIC POSITION FROM TO Regional multi-specialty training hospital with specialty services in Critical Care, Infectious Diseases (Emerging and Re-emerging) and Women’s Reproductive Health with a 700 functional bed-capacity serving Central Luzon 2022: Regional multi-specialty, training hospital with end-referral specialty units in Critical Care, Infectious Diseases (Emerging and Re- emerging) and Women’s Reproductive Health, with an 850 functional bed-capacity serving Central Luzon 2028: Regional multi-specialty training hospital with end-referral specialty centers in Critical Care, Infectious Diseases (Emerging and Re- emerging) and Women’s Reproductive Health, serving Central Luzon with a 1000 bed capacity
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STRATEGIC POSITION

FROM TO

Regional multi-specialty training

hospital with specialty services in

Critical Care, Infectious Diseases

(Emerging and Re-emerging) and

Women’s Reproductive Health with a

700 functional bed-capacity serving

Central Luzon

2022: Regional multi-specialty, training

hospital with end-referral specialty

units in Critical Care, Infectious

Diseases (Emerging and Re-

emerging) and Women’s

Reproductive Health, with an 850

functional bed-capacity serving

Central Luzon

2028: Regional multi-specialty training

hospital with end-referral specialty

centers in Critical Care, Infectious

Diseases (Emerging and Re-

emerging) and Women’s

Reproductive Health, serving Central

Luzon with a 1000 bed capacity

STRATEGIC GOAL

Goal Measure BL 2022

Position Jose B. Lingad

Memorial General Hospital

as an 850 functional-bed

multi-specialty hospital with

end-referral specialty units

serving Central Luzon by

2022

Fully functional end-

referral specialty

units

Clinical

Departments

with multi-

specialty

services

Critical Care

Infectious

Diseases

(Emerging and

Re-emerging)

Women’s

Reproductive

Health

Functional bed-

capacity700 850

STRATEGY MAP 2022

Jose B. Lingad Memorial General

HospitalIm

pact

Su

pp

ort

Pro

ces

sC

ore

Pro

cess

MISSION

JBLMGH is committed to deliver effective and efficient multi-specialty services and training

through highly competent personnel, research, and new technologies.

CORE VALUES

Integrity | Commitment | Compassion |

Excellence

Position Jose B. Lingad Memorial General Hospital as an 850 functional-bed multi-specialty

hospital with end-referral specialty units serving Central Luzon by 2022

HR OrganizationInfra and Equipment

Finance

Str

ate

gic

Po

sit

ion

Better Health Outcomes

LinkagesPatient Care ResearchTraining

IT

Financial Risk ProtectionResponsive Health Systems

VISION

To be the leading end-referral regional multi-specialty training hospital in Critical Care,Infectious Diseases (Emerging and Re-emerging) and Women’s Reproductive Health

in Central Luzon by 2022.

STRATEGY MAP 2022

Jose B. Lingad Memorial GeneralHospital

Imp

act

Su

pp

ort

Pro

ces

sC

ore

Pro

ces

s

CORE VALUES

Integrity | Commitment | Compassion |

Excellence

Position Jose B. Lingad Memorial General Hospital as an 850 functional-bed multi-specialty

hospital with end-referral specialty units serving Central Luzon by 2022

HR OrganizationInfra and Equipment

Finance

Str

ate

gic

Po

sit

ion

Better Health Outcomes

LinkagesPatient Care ResearchTraining

IT

Financial Risk ProtectionResponsive Health Systems

Expand services to

improve access to

quality specialized

health care

Capacitate health care

providers to deliver

quality specialized care

Seek PRIME HRM

Accreditation to

institutionalize a

strategic HR system

Ensure people safety and

promote healthy hospital

environment for work-life

balance

Provide state-of-the-art

equipment and facilities

for an efficient delivery of

specialized services

Grow and manage resources to meet increasing demand for hospital services

Cascade expanded

services and training

opportunities to the

community for a more

functional SDN

Create a culture of

research that will improve

the quality of hospital

services and public health

Improve hospital

operations through

efficient and effective

information

communication technology

MISSION

JBLMGH is committed to deliver effective and efficient multi-specialty services and training

through highly competent personnel, research, and new technologies.

VISION

To be the leading end-referral regional multi-specialty training hospital in Critical Care, Infectious Diseases (Emerging and Re-emerging) and Women’s Reproductive Health

in Central Luzon by 2022.

PATIENT CARE ROADMAP

Expand services to improve access to quality

specialized health care

Decrease in number of referrals to other hospitals

Increase in number of referrals from other hospitals

Increase in number of recoveries

Decrease in number of mortalities

Increase in patient census for new specialized services

KRADELIVERABLES

2019 2020 2021 2022

Serv

ices s

upport

ed b

y C

linic

alP

ath

ways Critical Care

• Acute Stroke Unit (AcSU)

• OB GYNE PACU

• Surgical Intensive Care Unit

(SICU)

• Pediatric ICU

• NICU

• CVU/Neurological ICU

• Maternal and Neonatal

Emergency Transport System

• OB High Risk Unit

• Intensive Maternal Unit

• Maternal ICU • Orthopedic Critical Care

Unit

Infectious

disease

(Emerging

and Re-

emerging)

• 18-bed Isolation Building II for

emerging and re-emerging

Infectious Disease

• RTPCR for SARS COV 2 viral

RNA

• EREID ICU

• EREID OR

• EREID WARD

• EREID PACU

• EREID ER

• Isolation rooms for pregnant

infectious cases

• Respiratory Panel

• PCR Molecular Microbiology

Test

• Expansion of Pathology

and Molecular Laboratory

services for other

Emerging and re-

emerging Infectious

Diseases

Women’s

Reproductive

Health

• Perinatology Services

• Gyne-Onco Services

• Family planning services

• Basic infertility services

• Reproductive Tract Infectious

Disease Services

• The Maternal, Newborn, Children

Health and Nutrition (MNCHN)

• Basic Emergency Obstetrics and

Newborn Care (BEmONC)

• Gynecology Oncology Unit

• Family Planning Unit

• Adolescent Reproductive

Health care

• Mullerian Unit

• Reproductive Medicine Unit

(Fertility, Menopause)

TRAINING ROADMAP

Capacitate health care providers to deliver quality

specialized careIncrease in patient census for new specialized services

KRADELIVERABLES

2019 2020 2021 2022

Medical

Trained

Critical Care • 1 Pediatric-Intensivist

Infectious diseases

(Emerging and Re-

emerging)

• 1 Molecular Pathologist

• 1 Rotation of residents for

Infectious Diseases

(COVID – 19)

• 1 MOIV Training for

Emerging and Re-

emerging Infectious

Diseases (basic

orientation for additional

manpower for Infectious

Diseases)

• 1 Rotation of residents

for Infectious Diseases

(COVID – 19)

• Designation of 1 Doctor

for Field Epidemiology

Training Program (FETP)

• 1 Designation of Doctor

for Infectious Disease

Specialization for Pedia,

Adult and OB (If HR

cannot hire an IDS)

Women’s

Reproductive

Health

• 1 OB-Gyn Sonologist • 1 Perinatologist • 1 Gynecology Oncologist

• 1 Urogynecologist

• 1 Pedia - Gynecologist

Nursing

Trained

Critical Care

• 4 ICU Nurse

• 4 PICU/NICU Nurse

• 5 SICU Nurse

• 3 Maternal ICU Nurse

• 9 OB-GYN PACU Nurse

• 4 ICU Nurse

• 4 PICU/NICU Nurse

• 5 SICU Nurse

• 4 NeuroICU Nurse

• 4 ICU Nurse

• 4 PICU/NICU Nurse

• 5 SICU Nurse

• 1 Ortho Critical Care Nurse

• 2 Stroke ICU Nurse

• 2 NeuroICU Nurse

• 4 ICU Nurse

• 4 PICU/NICU Nurse

• 5 SICU Nurse

• 2 Stroke ICU Nurse

• 2 NeuroICU Nurse

Infectious diseases

(Emerging and Re-

emerging)

• 2 PHICNA Trained and

Certified Infection Control

Nurses

• At least 2 PHICNA Trained

and Certified Infection

Control Nurse

• At least 2 PHICNA

Trained and Certified

Infection Control Nurse

• Designation of 1 Nurse

for Field Epidemiology

Training Program (FETP)

Women’s

Reproductive

Health

• 1 Family planning Nurse • 1 Family planning Nurse

• 1 Women’s Reproductive

Health Nurse

• 1 Family planning Nurse • 1 Family planning Nurse

Allied

Specialists

Trained

Critical Care • 1 Nurse Supervisor • 1 Nurse Supervisor • 1 Nurse Supervisor • 1 Nurse Supervisor

Infectious diseases

(Emerging and Re-

emerging)

• 32 Medical Technologist

Training for RTPCR

• 10 Medical Technologist

Training

• 10 Medical Technologist

Training

RESEARCH ROADMAP

Create a culture of research that will improve the

quality of hospital services and public health

Research outputs translated into hospital policy

Research outputs presented to local health board

Clinical research presented and/or published in national and/or international fora

KRADELIVERABLES

2019 2020 2021 2022

Medicine and

Nursing

Formulate research agenda

aligned to the strategic position

At least 1 community-based research from each clinical department every year

Research on COVID-19Research on epidemiology and

or infectious diseases

8 Mixed methods of

descriptive, Qualitative and

Quantitative research Tie-up

with HAU-Grad School of

Nursing

At least 1 community-based research from the nursing department every year

Admin

At least 2 approved research

proposals on identified hospital

concerns from admin

At least 1 completed non-clinical research based on identified hospital concerns from admin

department every year

At least 1 completed non-clinical research based on identified hospital concerns from finance

department every year

Research

Organization and

Processes

Level 2 PHREB Accreditation

Digital Abstract Presentation

Output-based research

workshop

Evidence-based

medicine workshop

Acceptance and ethics review committee approval of submitted

external research papers Level 3 PHREB Accreditation

LINKAGES ROADMAP

Cascade expanded services and training

opportunities to the community for a more

functional SDN

Increase in the number of JBLMRH-trained healthcare professionals from district

and private hospitals

Increase number of referrals received from primary and secondary hospitals

KRADELIVERABLES

2019 2020 2021 2022

In-Service Training

Program for LGU

and other private

Hospitals

At least 1 medical professional

from selected partner health

care institutions in Bataan and

Tarlac trained in critical care

management

At least 1 medical professional

from selected partner health

care institutions in Nueva

Ecija and Bulacan trained in

critical care management

At least 1 medical professional

from selected partner health

care institutions in Zambales

and Aurora trained in critical

care management

Certification

Programs for Allied

Healthcare

Professionals in

Public and Private

Hospitals

At least 1 certification program

for 3 medical technologists

from selected public and

private hospital in Pampanga

At least 1 certification program

for 3 medical technologists from

selected partner health care

institutions from Bataan and

Tarlac

At least 1 certification program

for 10 pharmacists from

selected partner health care

institutions from Pampanga

At least 1 certification program

for 3 medical technologist and

10 pharmacists from selected

partner health care institutions

from Nueva Ecija and Bulacan

At least 1 certification program

for 10 pharmacists from

selected partner health care

institutions from Bataan,

Tarlac, Nueva Ecija and

Bulacan

At least 1 certification program

for 3 medical technologists and

10 pharmacists from selected

partner health care institutions

from Zambales and Aurora

At least 1 certification program

for 10 pharmacists from

selected partner health care

institutions from Zambales and

Aurora

Practice-Based

Family and

Community

Medicine

At least 1 level 1 or 2 physician

from Pampanga hospitals

trained in practice-based

family and community medicine

at JBLMGH

At least 1 level 1 or 2 physician

from Bataan and Tarlac

hospitals trained in practice-

based family and community

medicine at JBLMGH

At least 1 level 1 or 2 physician

from Nueva Ecija and Bulacan

hospitals trained in practice-

based family and community

medicine at JBLMGH

At least 1 level 1 or 2 physician

from Zambales and Aurora

hospitals trained in practice-

based family and community

medicine at JBLMGH

Coordination with

Level 1 and 2

Hospitals

At least 1 Memorandum of

Understanding for referrals on

Critical Care, Infectious

Diseases (Emerging and Re-

emerging) and Women’s

Reproductive Health with Level

1 or Level 2 hospitals from

Pampanga

At least 1 Memorandum of

Understanding for referrals on

Critical Care, Infectious

Diseases (Emerging and Re-

emerging) and Women’s

Reproductive Health with Level

1 or Level 2 hospitals from

Bataan and Tarlac

At least 1 Memorandum of

Understanding for referrals on

Critical Care, Infectious

Diseases (Emerging and Re-

emerging) and Women’s

Reproductive Health with

Level 1 or Level 2 hospitals

from Nueva Ecija and Bulacan

At least 1 Memorandum of

Understanding for referrals on

Critical Care, Infectious

Diseases (Emerging and Re-

emerging) and Women’s

Reproductive Health with Level

1 or Level 2 hospitals from

Zambales and Aurora

HR ROADMAP

Seek PRIME HRM Accreditation to

institutionalize a strategic HR system

Availability of highly competent Human Resource for the continuity of specialty

services.

Progress on Civil Service Commission PRIME HRM accreditation level

KRADELIVERABLES

2019 2020 2021 2022

PR

IME

HR

M

Assessment of the current

capacity of the Human Resource

Management Office (HRMO) on all

four (4) HR systems.

Initiate an Assist Plan in

coordination with the Civil Service

Commission Regional Office III.

Filling of gaps identified in the

assessment of HRMO on all HR

Systems through the execution of

an Assist Plan coordinated with

the CSC Regional Office III.

Documentation and submission of

at least 25% of evidence

requirements for Level II Prime

HRM Accreditation on all HR

Systems.

Level II PRIME HRM Accreditation

on all HR Systems.

Integration of Information

Technology to all HR Systems in

preparation for Level III

accreditation.

Level III PRIME HRM

Accreditation.

Submission of evidence

requirements and application for

Level IV PRIME HRM

Accreditation.

Recru

itm

ent

and R

ete

ntion o

f S

kill

ed

Health C

are

Pro

fessio

nals

• 1 neonatologist

• 1 pediatric intensivist

• 1 surgical intensivist

• 1 Interventional Radiologist

• 1 neurosurgeon

• 1 neuro anesthesia specialist

• 1 Perinatologist

• 1 OB-Gyne Infectious Disease

Specialist

• 1 Orbit and Oculoplasty

Specialist

• 1 Geriatric specialist

• 1 Ophthalmic equipment

technician

• 1 Infectious Disease OB

Specialist

• 1 neurosurgeon

• 1 Pediatric Surgeon

• 1 Perinatologist

• 1 Pediatric Gynecologist

• 1 Breast imaging specialist

• 1 Infectious Disease Pediatric

• Designated Statistician for

HESU and Epidemiological

Researches

• Designated HESU Data

Manager

• Designated HESU and Infectious

Diseases Administrative

Assistant

• 1 Neonatologist

• 1 Surgical Intensivist

• 1 Vascular Cardiologist

• 1 Cardiovascular Intensivist

• At least 1 Infectious Disease

Specialist (Adult)

• At least 1 Infectious Disease

Specialist (Pedia)

• 1 Endocrine and Fertility and

MIS Gynecology Consultant

• 1 Urogynecologist

• 1 Pediatric Intensivist

• 1 Neuro Intensivist

INFRASTRUCTURE AND EQUIPMENT ROADMAP

Provide state-of-the-art equipment and facilities for an

efficient delivery of specialized services

Equipment purchased in WFP accepted by end-users

Infrastructure projects completed and accepted

as scheduled

KRADELIVERABLES

2019 2020 2021 2022

Equip

ment

Critical Care

• Cardiac Monitor (+18)

• Central Monitoring System

(3)

• Mechanical Ventilator (20)

• ECG Machine (3)

• Defibrillator

• CCU/CVU

• Thrombolytic agents

• 2D Pedia-echo

• Infantometer (5)

• Suction Machine (2)

• Infuction Pump

• Fetal Monitor (2)

• Fetal Doppler (2)

• Cardiac Monitors (40)

• Mechanical Ventilators (70)

• Defibrillator (+4)

• ECG (+20)

• 2D Echocardiogram bedside (4)

• ABG Machine (2)

• E-cart (4)

• Central Monitoring System (+1)

• Digital weighing scale

• Bed scale

• Fetal monitor (4)

• Fetal doppler (4)

• ER beds (10)

• Suction Machine (5)

• Capnograph (10)

• Incubators with weighing scales (10)

• Infant warming device with

electronic and rectal thermometers

(5)

• Infusion pump (20)

• Firefly Bili Light (10)

• Transport Incubators (2)

• Neonatal Monitors with apnea alarm

and NIBP (+10)

• Cardiac monitor with 6 parameters

• Portable X-ray (2)

• Cardiac monitors

• Hemoperfusion Machine

• Video Laryngoscopes

• 6 Heavy Duty Suction Machine

• 1 Mobile X-ray

• 3 High Flow Nasal Cannula

Oxygen Therapy

• 200 High Flow Oxygen Therapy

Machine With Nasal Cannula

(Adult, Pediatrics, Neonate)

• 6 High Flow Cannula

• 30 Powered Air Purifying

Respirator

• 26 Transport Stretcher

• 2 OR Lamp – Portable

• 2 Cautery Machine

• 1 Full PACS (Upgrade of the

existing mini PACS)

• 1 OR Microscope

• 1 ENT Treatment Unit

• 1 Endoscopy/Colorectal Tower

• Digital copies of HESU data (IT

support)

• Procurement of machine for

Respiratory Pathogen/ viral Panel

• Procurement of UV light equipment

• Procurement of terminal HEPA

filters and high-efficiency pre-filters

• Allocation of decontamination rooms

• Additional negative pressure rooms,

positive pressure rooms

• Procure cartridges for other

Genxpert tests (CT/NG,

Trichomoniasis, Hepatitis B DNA,

GBS, etc.)

• Plan for Negative Pressure

Rooms (ISO Building) (with

differential pressure gauges

outside the room and a

local alarm system to

monitor fan status)

• Plan for Waste Treatment

Machine

• CCTV cameras connected

to Infectious Disease and

Control Office and nurse

stations

INFRASTRUCTURE AND EQUIPMENT ROADMAP

Provide state-of-the-art equipment and facilities for an

efficient delivery of specialized services

Equipment purchased in WFP accepted by end-users

Infrastructure projects completed and accepted

as scheduled

KRADELIVERABLES

2019 2020 2021 2022

Equip

ment Infectious

diseases

(Emerging

and Re-

emerging)

• 2 CS Set

• 1 Basic Ortho Set

• 1 TAHBSO Set

• 4 Anesthesia Machine with

Ventilator and Patient Monitor

• 4 Convective Warmer

• 4 Cautery Machine, Heavy Duty

• 4 OR Instrument Table

• 4 OR Lamp – Ceiling Mounted

• 4 OR Table Surgery

• 4 OR Lamp – Portable

• 6 Cardiac Monitor, Portable, 5

Parameters

• 1 Plasma Freezer 747l Net

Volume

• 2 Continuous Renal

Replacement Therapy

Multifunctional for CRRT And

Plasma Therapy

• 6 Hemodialysis

• 2 Portable Reverse Osmosis

Machine

• 3 Fiberoptic Laryngoscope

(Adult)

• 3 Fiberoptic Laryngoscope

(Neonate)

• 1 Video Laryngoscope, Flexible

Type

• 2 Mechanical Ventilator (For

Adult, Pediatric, Infant and

Neonate)

• 1 Video Laryngoscope, Rigid

Type

• 1 2d Echo Machine (1 Adult; 1

Pediatric with Neonatal Probe)

INFRASTRUCTURE AND EQUIPMENT ROADMAP

Provide state-of-the-art equipment and facilities for an

efficient delivery of specialized services

Equipment purchased in WFP accepted by end-users

Infrastructure projects completed and accepted

as scheduled

KRA

DELIVERABLES

2019 2020 2021 2022

Equip

ment

Infectious

diseases

(Emerging

and Re-

emerging)

• 10 Cardiac Monitor With 2 CMS

Unit (Lot)

• 2 Medicine and Instrument

Cabinet

• 4 Fan Filter Unit with HEPA

Filter

• 17 Suction Machine

• 2 Appendectomy Set

• 5 Parameter Cardiac Monitor,

Portable

• 2 E-Cart

• 4 Mobile Plasma Air Sterilizer

• 2 ECG Machine

• 3 Biphasic Defibrillator with

AED/ECG

• 2 Video Laryngoscope,

Handheld

Women’s

Reproductiv

e Health

• Colposcope

• Cryotherapy

• Fetal Monitor (2)

• Fetal Dopplers (2)

• Ultrasound Machine with

Transabdominal and Transvaginal

probe and guide

• Mammogram

• Breast ultrasound

• DEXA- Bone Scan

• Acquisition of laparoscopic

hand instruments

INFRASTRUCTURE AND EQUIPMENT ROADMAP

Provide state-of-the-art equipment and facilities for an

efficient delivery of specialized services

Equipment purchased in WFP accepted by end-users

Infrastructure projects completed and accepted

as scheduled

KRA

DELIVERABLES

2019 2020 2021 2022

Infrastructure

Critical Care

• Renovation of 3 Bed

Maternal ICU

• 10 Bed Trauma Ward

• 6 Bed Burn Unit

• 10 Bed SICU

• 42 Bed EREID ICU

Upgrading of Medical Intensive Care Unit

Ortho Intensive Care Unit

Infectious

diseases

(Emerging and

Re-emerging)

• Renovation of 3rd to 6th

Floor of Medicine

Building for EREID

Facilities

• Renovation of 7th Flr

New OPD Building for

Mole Lab

• Installation of Negative

Pressure Equipment and

HEPA Filter for ORs and

ICU

• 4-story Center for Infectious Diseases Building

for Emerging and Re-emerging Infectious

Diseases

• 2-story Pathology and Molecular Laboratory

Building

• Expansion of the existing Waste holding Area

• Office Space

Women’s

Reproductive

Health

7-storey Women’s Reproductive Health Center Building with

Bunker

WCPU Renovation

Awaiting placement and availability of clinics in the

new building

PEOPLE SAFETY AND EXPERIENCE ROADMAP

Ensure people safety and promote healthy hospital environment

for work-life balance

Decrease sentinel events

Increase employee job satisfaction

KRADELIVERABLES

2019 2020 2021 2022

Patient

Safety

• Bundles of Care

• Enhance Braiden Pressure Ulcer Assessment Tool

• Medication Safety Protocol

• Correct Patient Identification Protocol

• Fall Prevention Protocol

• Correct site, procedure and surgery protocol

• Improve effective communication protocol

• Creation of Patient Safety Manual

for Each Unit

• Hospital Safety Committee Chair/

MCC Approved Hospital Order for

Patient Safety Subcommittee

• Hospital Safety Committee/ Chair

MCC Approved Reporting Tool

• Continued implementation and

monitoring of patient safety

programs

Employee

Safety

• Immunization

• Risk at Work Training (Needlestick, Radiation, PPE,

Electrical)

• Telephone/Output Messenger

Consultation

• Flu Vaccination

• Ergonomic Safe Workplace (e.g.

Office Layouts)

• Workplace Mental Health Program

During the Covid-19 Pandemic

• Proper Handwashing

• Appropriate Donning and Doffing

• On-line (Face-to-Face)

Consultation

• Pneumococcal Disease Vaccination

• Continued implementation and

monitoring of employee safety

programs

Employee

Satisfaction

• Conduct and analyze survey as basis for employee

relations program

• Identify employee relations program

• Implement employee relations

programs to support “new normal”

in the time of pandemic

• Evaluate effectiveness of employee

relations program through a survey.

• Institutionalize employee relations

program and employee job

satisfaction measurement tool.

Safe

Hospital

IT ROADMAP

Improve hospital operations through efficient and effective

information communication technology

Number of modules, reports, features information system

modified and created

Upgrading of computer hardware and software

KRADELIVERABLES

2019 2020 2021 2022

Infr

astr

uctu

re

Wireless connection to Doctor’s

quarter

OPD Building Cabling

Mobile Hotspot Frontline Building

Isolation Ward Wireless

Connection

Conversion of 4th Floor

Auditorium Building to Online –

Konsulta at TeleKonsulta System

Station Center

Fiber Optic Connection

(Building to Building)

JBLMGH Cloud Storage

Improvement of Personnel

information system

Info

rmation S

yste

m

HIM system

Improvement of the personnel

information system

Electronic Records Storage

System

Online-Konsulta at Tele-Konsulta

System

Molecular and Diagnostic

Pathology Laboratory System

Personnel Information System

(Digital Copies)

Electronic Records Registry

System

(Records)

Turnover of MEDIX HIS from

outsourced provider to IHOMP

Full access to Database system by

IHOMP

MEDIX HIS mobile application Improvement of the MEDIX HIS

Equip

ment

Computer Upgrade

FINANCIAL MANAGEMENT ROADMAP

Grow and manage resources to meet increasing

demand for hospital services

Increase revenues from non-PHIC financial sources

Decrease in percentage of PHIC RTH

Decrease in number of emergency purchases

Decrease in the reported discrepancies between actual and system

generated data

KRADELIVERABLES

2019 2020 2021 2022

Non-PHIC Financial

Sources

At least 1 MOA forged with

government agencies for the

Annual Physical Exam of

personnel.

At least 1 MOA forged with

government agencies for the APE or

random drug testing of their

personnel as mandated by CSC.

At least 1 MOA forged with government agencies for the Annual

Physical Exam of personnel.

Creation of Hospital

Rate/Pricing Committee

Identify specific drugs and medicines

that can be offered for sale to out-

patients/non-patients

PHIC

Reimbursement

Make a proposal for the creation of

Hospital Rates/Pricing Committee.

Make a proposal to consider creation of PHIC Committee to act as focal

group for the PHIC Benefit Packages Availment.

Conduct Root-Cause Analysis

regarding RTH claims.10% Decrease in the RTH

PhilHealth Claims.

10% Decrease in the RTH PhilHealth

Claims.

Procurement

Management Plan

At least 1 functional unit compliant

to the Automated Critical Stock

Level Monitoring System – Supply

At least 2 additional functional unit

compliant to the Automated Critical

Stock Level Monitoring System –

Pharmacy and CSR

At least 1 additional functional

unit compliant to the Automated

Critical Stock Level Monitoring

System – Lab

At least 1 additional functional unit

compliant to the Automated Critical

Stock Level Monitoring System – Radio

Materials

Management

At least 1 functional unit compliant

to the Automated HIS issuances in

inventory reporting

At least 2 additional functional unit

compliant to the Automated HIS

issuances in inventory reporting

At least 1 additional functional

unit compliant to the Automated

HIS issuances in inventory

reporting

At least 1 additional functional unit

compliant to the Automated HIS

issuances in inventory reporting

CORE PROCESSES

Objective # Measure 2018 2019 2020 2021 2022

A

Expand services

to improve

access to quality

specialized

health care

1

# of referrals

to other

hospitals

Critical care 91 76 3650% decreased

from baseline

75% decreased

from baseline

Women’s

Reproductive Health1 0 0

70% decreased

from baseline

100% decreased

from baseline

Infectious diseases

(Emerging and Re-

emerging)

10% decreased

from baseline

30% decreased

from baseline

70% decreased

from baseline

100% decreased

from baseline

2

# referrals

from other

hospitals

Critical care 552 1,004 76850% increased

from BL

75% increased

from BL

Women’s

Reproductive Health1, 794 849 1, 346

70% increased

from BL

95% increased

from BL

Infectious diseases

(Emerging and Re-

emerging)

30% increased

from baseline

50% increased

from BL

70% increased

from BL

100% increased

from BL

3

Patient

census for

new

specialized

services

Critical care 1, 420 1, 764 450 30% 40%

Women’s

Reproductive Health6, 801 3, 194 4, 021 30% 40%

Infectious diseases

(Emerging and Re-

emerging)

0 (Baseline) 0 20% 30% 40%

4

Increase in

number of

recoveries

Critical care

Women’s

Reproductive Health2, 850 1, 600 40% Increase 60%

Infectious diseases

(Emerging and Re-

emerging)

0 Covid Mortality

(Baseline)0 Covid Cases 20% 30% 40%

5

Decrease in

number of

mortalities

Critical care

Women’s

Reproductive Health21 2% decrease 2% decrease 2% decrease

Infectious diseases

(Emerging and Re-

emerging)

0 Covid Mortality

(Baseline)

0 Covid

Mortality20% 30% 40%

CORE PROCESSES

Objective # Measure 2018 2019 2020 2021 2022

B

Capacitate the

specialty unit

personnel to

deliver quality

specialized care

6

Patient

census for

new

specialized

services

Critical care 1, 420 1, 764 450 30% 40%

Women’s

Reproductive

Health

6, 801 3, 194 4, 021 30% 40%

Infectious

diseases0 (Baseline) 0 20% 30% 40%

C

Create a culture

of research that

will improve the

quality of

hospital services

and public health

7Research outputs translated into

QI hospital policy0 1 N/A 2-3 2-3

8Research outputs presented to

the local health board3 10 N/A 2-3 2-3

9

Clinical research presented

and/or published in national

and/or international fora

8 4 N/A 5-10 5-10

D

Cascade

expanded

services and

training

opportunities to

the community

for a more

functional SDN

10

Increase number of referrals

received from primary and

secondary hospitals

4, 118 7, 942 6, 017 30% 40%

11

# of

JBLMRH-

trained

healthcare

professionals

from district

and private

hospitals

Medical

Specialists170 96

N/A

At least 6At least 8 At least 10

Allied Medical

Professionals 93 119

N/A

At least 20At least 30 At least 40

SUPPORT PROCESSES

Objective # Measure 2018 2019 2020 2021 2022

A

Seek PRIME

HRM

Accreditation to

institutionalize a

strategic HR

system

12

Availability of highly competent

Human Resource for the

continuity of specialty services.

80% 70%1st 88.21

2nd 88.02

75% Filled

positions vs.

approved

authorized

staffing pattern

80% Filled

positions vs.

approved

authorized

staffing pattern

13 PRIME HRM accreditation level Level 1Assisted Level I

Assisted Level I

CSC Accredited

Level II StatusAssisted Level II

CSC Accredited

Level III

B

Provide state-

of-the-art

equipment and

facilities for an

efficient

delivery of

specialized

services

14Equipment purchased in WFP

accepted by end-users64% 76% 70% 80% 80%

17

Infrastructure projects

completed and accepted

as scheduled100%

55.64%

Due to the

delay in budget

allocation of

HFEP of DOH

CO

100% 100% 100%

C

Ensure people

safety and

promote healthy

hospital

environment for

work-life balance

18 Decrease sentinel events Patient - 16

Employee - 82Patient - 8 Patient - 3

40%

decreased from

BL

50% decreased

from BL

19Increase employee job

satisfactionN/A Baseline

N/A

20%

increased from

BL

30%

increased from

BL

>40%

increased from

BL

SUPPORT PROCESSES

Objective # Measure 2018 2019 2020 2021 2022

D

Improve hospital

operations

through efficient

and effective

hospital

information

system and

latest state of the

art health

technology

implementation

20

# of modules, reports, features

information system modified and

created

3049

20%

60

30-40%50-70% >90%

21Upgrading of computer hardware

and software10

21

20%

29

30-40%50-70% >90%

E

Grow and

manage

resources to

meet increasing

demand for

hospital services

22

Increase revenues from non-

PHIC financial sources161m

177m

10% increase

75m 1st Q

10% increase10% increase 10% increase

Decrease in percentage of PHIC

RTH13%

9.46%

< 8%

0.91%

10% decrease10% decrease 10% decrease

Decrease in # of emergency

purchases 14, 800, 201.29

3, 257, 280

30%

1ST 415, 754.38

2ND 248, 274.2570%

90% decrease

from BL

Decrease in the reported

discrepancies between actual

and system generated data

N/A 63.96%58.98% 1ST Q

52.12% 2ND Q50% 80%


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