The Operations of Rosario District Hospital

Prof. Josefina B. BitonioPA 101 Local Governance and

Administration

Alexander N. Flores,DPAPresenter

Republic Act No. 7160 known as the Local Government Code of 1991

Basic Services and Facilities shall be devolved from the National Government to provinces, municipalities and barangays so that each Local Government Unit shall be responsible for a minimum set of services and facilities in accordance with established national policies, guidelines, and standards.

DEFINITION OF LOCAL GOVERNMENT

1. POLITICAL SUBDIVISION OF THE STATE 2. INFRA-SOVEREIGN 3.WITH TERRITORIAL BOUNDARIES 4. CONSTITUTED BY LAW; POSSESSES RIGHTS NECESSARY TO REGULATE ITS OWN AFFAIRS 5. LEGAL AUTHORITY PROVIDING SERVICES

Rationale for Local Governments

1. Promotion of “liberty” – provides access points, pressure and control

2. Promotion of “equality” – provides wide-scale

participation and fostering3. Promotes responsiveness and flexibility –

community demands to be heard4. Promotes welfare and provides services

Models of Enabling Authority

1. Traditional Bureaucratic Authority2. Residual Enabling Authority3. Market-Oriented Enabling Authority

4. Community-Oriented Enabling Authority

Republic Act No. 4226 otherwise known as Hospital Licensure Act “ The licensing agency shall study and adopt a system of classifying hospitals in the Philippines as to

1. general or special 2. service capabilities 3. size or bed capacity 4. classification of hospital whether training or not.

Administrative Order No. 2012-0012 Rules and Regulations Governing the New Classification of Hospitals and other Health Facilities in the Philippines

VISION: The Hospital is geared towards becoming

one of the centers of health manned by competent and highly motivated personnel dedicated to the service of our clientele

MISSION: The Rosario District Hospital aims to be a

center of wellness that will provide an efficient and effective health care that is accessible/affordable cost effective and equitable to the people of Rosario and its catchment areas

FUNCTIONS: Provision of a comprehensive quality health

care to all patients.

OBJECTIVES: a. To improve all facilities of the hospital by

acquiring modern equipment but at low cost to our clientele and aim for the renovation of some dilapidated parts of the hospital;

b. To appeal for the filling up of vacancies to improve hospital services.

Rosario District Hospital History 1. Infirmary

Annexed to the Rosario Health Center with:

7 staff including the chief of clinic 1 Nurse 1 Nursing Attendant 1 Driver/Maintenance 1 All around Utility 1 Radiologic Technologist 1. Supply Officer/Property Custodian

2. Rosario Emergency Hospital on April 18, 1972 inaugurated its

new building situated at Barangay Concepcion, Rosario, La Union

3. Rosario District Hospital At present Rosario District Hospital

has: 49 Permanent Employee 15 Casuals 7 Job Order 2 Detailed

The Operations Management has three Division

1. Administrative Support Services Division 2. Nursing Services Division 3. Medical Ancillary Division

Services of the Rosario District Hospital 1. Emergency Room 2. In Patient 3. Out Patient 4. Ambulance 5. Family Planning 6. Under six clinic

Source of Fund for the Operation, Programs and Projects .

1. Income generated from the services

and the Pharmacy - Regular Pharmacy - Cash Pharmacy

2. Subsidy from the Provincial Government

3. DOH – Hospital Facility Enhancement Program (HFEP)

4. Assistance from the Municipal Government of Rosario

Hospital Annual Budget for the Past 3 Years

CY 2010 - 20,791,771.00CY 2011 - 24,708,528.00CY 2012 - 28,656,178.00

Hospital Annual Income for the Past 3 Years

CY 2010 - 21,136,684.79CY 2011 - 26,039,457.06CY 2012 - 31,344,847.81

Hospital Annual Expenditure for the Past 3 Years

CY 2010 - 19,828,488.88CY 2011 - 22,758,822.20CY 2012 - 25,641, 841.81

CLASSIFICATION OF ROSARIO DISTRICT HOSPITAL1. According to Ownership Government2. According to Scope and Services General Rendering services in but not limited to the

following a. Clinical Services Family Medicine Pediatrics

Internal Medicine Obstetrics and Gynecology Surgeryb. Emergency Servicesc. Out Patient Servicesd. Ancillary and support services such as Clinical Laboratory Imaging Facility Pharmacy

3. According to Functional Capacity Level 1 a. a staff of qualified medical, allied

medical and administrative personnel headed by a Physician duly licensed by PRC.

b. Bed space for its authorized bed capacity in accordance with DOH Guidelines in the Planning and Design of Hospital

c. An operating room with standard equipment and provision for sterilization of equipment and supplies in accordance with

1. DOH Reference Plan in the

Planning and Design of an Operating Room/Theater.

2. DOH Guideline on Cleaning , Disinfection and Sterilization of Reusable Medical Devices in Hospital Facilities in the Philippines.

d. A post Operative Recovery Room e. Maternity facilities, consisting of

ward(s), room(s), a delivery room, exclusively for maternity patients and new born

f. Isolation Facilities with proper procedures for the care and control of infectious and communicable diseases as well as for the

for the prevention of cross infections g. A separate Dental Section/Clinic h. Provision for blood station i. A DOH licensed secondary clinical

laboratory with the services of consulting pathologist

j. A DOH licensed level 1 imaging facility with the services of a consulting radiologist

k. A DOH licensed Pharmacy

Best Practices

1. QUANTIFIED FREE SERVICE A services extended to the most

indigent patient through community service

2. CASH PHARMACY Income generated used in the other

services