Luisiana District Hospital - Arta


Facilitate the discharge of In-patient

This service includes the preparation of Discharge Clearance Slip and Patient Discharge Instruction

No.
Steps
Time
Person to approach


1.
___

Facilitates the admission of patient for hospital care

This service includes the preparation of Doctor's Order Sheet, Progress Note, Prescription, History Sheet, Consent for Admission, Clinical Cover Sheet, IVF Sheet, Medication Sheet, Nurses's Notes, Temperature Record, Fluid Intake/Output Monitoring Sheet

No.
Steps
Time
Person to approach


1.
Proceed to admitting area and provide all necessary information about the patient.
1.1
The Ward Nurse receives all documents attached in the Clinical Cover Sheet.
2 minutes
1.2
The ER Nurse endorses patient and medical record to Ward Nurse on duty.
3 minutes
1.3
The Admitting Clerk on duty notifies Ward regarding the new admission.
2 minutes
Jeffrey Cabrera / David Pullarca
1.4
The Nursing Attendant on duty prepares room/bed to be occupied by the patient, then assists the Nursing Attendant to transport patient to designated room.
10 minutes
1.5
The Admitting Clerk on duty interviews the patient or patient’s relative to obtain other information not included in the PIS then fills - up the demographic profile on the Clinical Cover Sheet.
5 minutes
Admitting Clerks
1.6
The Admitting Clerk on duty asks the patient or patient’s relative to sign consent for hospitalization and enter data in the computer.
3 minutes
In case of problem, please approach: Nurse on Duty

Provides drug's, medicines and other therapeutic substances

This service aims to provide/supply drugs, medicines, and other therapeutic substances that will help patient for treatment of different illnesses and carry out medical services of the hospital.

No.
Steps
Time
Person to approach


1.
Proceed to Cashier Section and present charge slip and pay
5 minutes
Marissa R. Dela Torre Billing Clerk


2.
Proceed to Pharmacy Department and submit doctor’s prescription.
Pharmacist on Duty
2.1
The Pharmacist on duty receives the prescription from the patient or patient’s relative
3 minutes
Hezel S. Alvarez Kristine Paula A. Tompong Krizza Cuala Mariela Arasa Eulogia M. Dela Torre
2.2
The Pharmacist prepares charge slip and refers patient or patient’s relative to the cashier section for payment.
2 minutes


3.
Proceed to Pharmacy Department and present official receipt
5 minutes
Pharmacist on duty
3.1
The Pharmacist dispenses the medicines to patient/ patient’s relative

Computes patient's hospital bill (Pay Patients)

This summarizes and computes patient's bill during his/her hospitalization and collects payments.

No.
Steps
Time
Person to approach


1.
Proceed to Billing Section, present charge slip for payment, Indigency documents
1.1
The Billing Clerk / Philhealth Clerk issues patient’s Statement of Account (SOA)
3 minutes
Marissa R. Dela Torre - Monday to Friday Philhealth Clerk - Saturday and Sunday
1.2
The Billing Clerk / Philhealth Clerk on duty gathers charge slips, indigency documents and others. Computes the patient’s hospital bill.
10 minutes
Marissa R. Dela Torre - Monday to Friday Philhealth Clerk - Saturday and Sunday


2.
Present Statement of Account to Cashier and pay the appropriate amount.
Marissa R. Dela - Monday to Friday Pharmacist on Duty - Saturday and Sunday

Computes patient's hospital bill (Service Patients)

This summarizes and computes patient's bill during his/her hospitalization and collects payments

No.
Steps
Time
Person to approach


1.
Present Statement of Account to Cashier and pay the appropriate amount.
Marissa R. Dela Torre - Billing Clerk Pharmacist - Saturday and Sunday
1.1
The Medical Social Welfare Officer conducts interview to determine patient’s eligibility for MSS assistance.
Estela V. Natividad - Social Welfare Officer
1.2
The MSWO refers to various indigency program (OC, PDAP, CG, etc.)


2.
Proceed to Billing Section, present charge slip for payment, Indigency documents
Marissa R. Dela Torre - Billing Clerk Philhealth Clerk - Saturday and Sunday
2.1
The Billing Clerk refers the patient or patient’s relative to the Social Welfare Officer for assessment and evaluation.
2 minutes
Marissa R. Dela Torre - Billing Clerk Philhealth Clerk - Saturday and Sunday
2.2
The Billing Clerk issues patient’s Statement of Account (SOA)
3 minutes
Marissa R. Dela Torre - Billing Clerk Philhealth Clerk - Saturday and Sunday
2.3
The Billing Clerk on duty gathers charge slips, indigency documents and others. Computes the patient’s hospital bill.
10 minutes
Marissa R. Dela Torre - Billing Clerk Philhealth Clerk - Saturday and Sunday


3.
Proceed to Chief of Hospital with MSW evaluation sheet
3.1
Approve MSW evaluation sheet or approve partial or total guarantee of bill


4.
Proceed to Billing Section
4.1
Prepare guarantee letter
4.2
Issue clearance for patient with total guarantee


5.
5. Proceed to Cashier Department, present SOA and guarantee letter and pay the appropriate amount.
Marissa R. Dela Torre - Billing Clerk Pharmacist - Saturday and Sunday

Computes patient's hospital bill (Philhealth Patients)

This summarizes and computes patient's bill during his/her hospitalization and collects payments.

No.
Steps
Time
Person to approach


1.
Proceed to Billing Section, submit accomplished Philhealth Form
1.1
The Billing Clerk issues patient’s Statement of Account (SOA)
3 minutes
Marissa R. Dela Torre - Monday to Friday Philhealth Clerk - Saturday and Sunday
1.2
The Billing Clerk / Philhealth clerk checks on the completeness of the form . Computes the patient’s hospital bill.
10 minutes
Marissa R. Dela Torre - Monday to Friday Philhealth Clerk - Saturday and Sunday
1.3
The Billing Clerk refers the service patient or patients relative to the Social Welfare Officer for assessment and evaluation
2 minutes
Estela V. Natividad - Social Worker Monday - Friday

Perform social work assessment and intervention to patient/client.

In this service patient's social, emotional and economic conditions are assessed to provide appropriate interventions.

No.
Steps
Time
Person to approach


1.
Secure MSW Evaluation Sheet (for payment, refer to billing and cashier procedure)


2.
Proceed to Medical Social Welfare Office and apply for assistance and present OPD/ER Record, Service Card, Billing Statement, Indigency documents (e.g. Barangay Clearance, Blue Card, etc.)
ESTELA V. NATIVIDAD Social Welfare Officer I
2.1
Computes the patient’s hospital bill based on classification
2 hours
2.2
The Medical Social Welfare Officer refers to various indigency program (OC, MAP, CG, etc.)
2 minutes
2.3
The Medical Social Welfare Officer conducts intake interview to determine patient’s eligibility for MSS assistance. (Service Card given)
15 minutes

Compute patient's hospital bill and Collects Payments

This summarizes and computes patient's bill during his/her hospitalization and collects payments

No.
Steps
Time
Person to approach


1.
Present to the Ward Nurse on duty copy of notice of discharge /clearance and OR
3 minutes
Nurse on duty


2.
Proceed to Cashier Department, present SOA/Charge slip and guarantee letter for payment of bill.
Marissa R. Dela Torre Billing Clerk
2.1
The Cashier reviews and checks amount to be paid
2 minutes


3.
Pay the necessary amount
3.1
The Cashier receives payments and issues official receipt
3 minutes
3.2
The Cashier signs clearance slip and indicates the OR number on the patient’s bill (for patient being discharged)
2 minutes


4.
Proceed to appropriate service from where the charge slip was derived
3 minutes
Cost Centers

Provides Dental Examination


No.
Steps
Time
Person to approach


1.
Proceed to the Cashier Department and present charge slip issued by the Dental Aide and pay
2 minutes
Marissa R. Dela Torre - Billing Clerk


2.
Proceed to Dental Department for oral and dental assessment
Corazon E. Romulo - Dental Aide
2.1
The Dental Aide prepares charge slip and refers the patient to Cashier for payment.
2 minutes
2.2
The Dentist examines and evaluates the need of the patient, includes medical history and blood pressure taking.
25 minutes
Elvira D. Roque - Dentist
2.3
The Dental Aide on duty interviews the patient/ patient’s relative, records it on patient dental record and refers the patient to the Dentist on duty
3 minutes


3.
Proceed to OPD to get the patient’s record
3 minutes
Manuel H. Rellamas - OPD Clerk
3.1
The OPD clerk provides the patient’s record
3 minutes


4.
Proceed to Dental Section and present official receipt
Corazon E. Romulo - Dental Aide
4.1
The Dentist perform the required dental treatment
25 minutes
Elvira D. Roque - Dentist
4.2
The Dentist prescribes medicines and gives advice to the patient.
2 minutes
Elvira D. Roque - Dentist

Process and maintains all Medical Records (Birth Certificate)

This service aims to maintain medical records in standardized and professional manner in order to protect patient confidentially while allowing adequate access to providers in order to promote the quality patient care.

No.
Steps
Time
Person to approach


1.
Proceed to the Medical Records Section
1.1
The Medical Records Clerk prepares charge slip and instructs the patient/ patient’s relative to pay at the Cashier Department
3 minutes
Michael T. Dimayacyac Clerk


2.
Proceed to Cashier Section and present charge slip and pay
2 minutes
Marissa R. Dela Torre


3.
Proceed to Ward Nurse and accomplish the Birth Certificate draft form and certify the accuracy and completeness of data by signing the official form.
Nurse on Duty
3.1
The Ward Nurse on duty checks the completeness of data entry and forwards official Birth Certificate to the Medical Records Clerk.
2 minutes
Nurse on Duty
3.2
In case of illegitimate child, parents will be the one to process their child’s registration and are required to have promissory note for completion of requirements such as Residence Certificate and Valid ID’s.
3.3
The Ward Nurse on duty reviews and verifies entries in the draft form, affixes his/her initials and endorses the accomplished forms to the Medical Records Clerk for transcription in the official form.
5 minutes
OB Doctor on Duty
3.4
The Attending Physician receives reviews and signs official Birth Certificate and returns the same to the Ward Nurse on duty.
3 minutes
OB Doctor on Duty


4.
Proceed to Medical Records Section and present official receipt
3 minutes
Michael T. Dimayacyac Clerk
4.1
The Medical Records Clerk requests the patient/ patient’s relative to sign, releases the death certificate and retains the duplicate copy to the hospital record.
5 minutes
Michael T. Dimayacyac Clerk

Process and maintains all Medical Records (Death Certificate)

This service aims to maintain medical records in standardized and professional manner in order to protect patient confidentially while allowing adequate access to providers in order to promote the quality patient care.

No.
Steps
Time
Person to approach


1.
Proceed to Cashier Section and present charge slip and pay
2 minutes
Marissa R. Dela Torre


2.
Proceed to the Medical Records Section
Michael T. Dimayacyac Clerk
2.1
The Clerk prepares charge slip and refers the patient to Cashier for payment.
Michael T. Dimayacyac Clerk
2.2
The Medical Records Clerk types the Official Death Certificate and prepares transmittal for married parents for submission to Local Civil Registrar.
3 minutes
Michael T. Dimayacyac Clerk
2.3
Medical Records Clerk prepares charge slip and instructs the patient/ patient’s relative to pay at the Cashier Department
Michael T. Dimayacyac Clerk


3.
Proceed to Ward Nurse and accomplish the Death Certificate draft form and certify the accuracy and completeness of data by signing the official form.
Nurse on Duty
3.1
Physician on duty completes medical certification portion of the Death Certificate and return the same to the Ward Nurse on duty.
5 minutes
Doctors on Duty
3.2
The Ward Nurse on duty checks the completeness of data entry and forwards official Death Certificate to the Medical Records Section
3 minutes
Nurse on Duty
3.3
The Ward Nurse on duty interviews the nearest kin of the deceased, reviews and verifies entries in the draft form, affixes his/her initials and endorses the accomplished forms to the Medical Records Clerk for transcription in the official form.
5 minutes
In case of problem, please approach: Medical Records Officer


4.
Proceed to Medical Records Section and present official receipt and wait for the release
Michael T. Dimayacyac Clerk

Provide Out-of-Patient (OPD) consultations for old and new patients or patients without hospital ID

This service aims to provide initial patient care including medical, dental, pediatric, pre-natal, women's health care, animal bite treatment, diabetic consultation and minor surgical procedures for new and old patients that serves as entry point for patients requiring hospitalization.

No.
Steps
Time
Person to approach


1.
Return to physician with results
Doctors on duty
1.1
Physician makes final assessment and diagnosis
1.2
Explains treatment to the patient
1.3
Prescribed appropriate medicine


2.
Proceed to the appropriate diagnostic service as ordered by the physician and submit the request form. (refer to laboratory, x-ray procedures)
5-10 minutes
Medical Technologist and X-ray technician on duty


3.
Proceed to examination area provide necessary information and subject yourself for physical examination
10�15 minutes
Doctors on duty


4.
Proceed to corresponding clinical department and wait for your name to be called
5 minutes
Nursing attendant


5.
Proceed to registration area and secure OPD Card, Personal Information sheet (PIS) (for new patients) or give Hospital Number submit Nurse on duty
10 minutes
HOMIS Staff / OPD Clerk


6.
Proceed to the Pharmacy (refer to Pharmacy procedure)
Pharmacist on duty

Provide health assistance and medical consultations from ER and Non-ER cases.

This service aims to provide emergency pediatric, medical, obstetrical and surgical care to patients.

No.
Steps
Time
Person to approach


1.
Proceed to the Physician on duty and present the results of diagnostic procedures.
10 minutes
Doctors on Duty


2.
Proceed to the Diagnostic Area and submit the request form.
2.1
Results depends on the procedure
10 minutes
Medical Technologist Radiologist X-Ray Technician


3.
Proceed to ER area that provides emergency nursing pediatric, medical, surgical measures.
Nurse on Duty
3.1
The Emergency Room Nurse carries out doctor’s orders
10 minutes
Nurse on Duty
3.2
The Physician on duty examines, evaluates and treats patient while taking his/her medical history and writes doctor’s order for medication and treatment then refers to diagnostic procedures if needed.
45 minutes
3.3
The Nurse on duty takes the patient’s vital signs (e.g. BP, RR, Weight, Temp., etc), gives support measures and refers to the Physician on duty
5 minutes
3.4
The Emergency Room HOMIS Staff on duty obtains patient data from PIS then encodes, logs – in patient in the computer.
5 minutes
HOMIS Staff Nurse Doctor


4.
Proceed to the Cashier and present charge slip for payment.
3 minutes
Cashier

Collects specimens and performs laboratory procedures and tests to confirm and support clinical diagnosis

This service aims to collect clinical specimen in order to get information about the health of a patient as pertaining to the diagnosis, treatment and prevention of diseases

No.
Steps
Time
Person to approach


1.
Proceed to Laboratory Department and present official receipt and wait for the result
10-15 minutes
In case of problem, please approach Med. Tech on Duty


2.
Proceed to Cashier Section and present charge slip to pay appropriate charges.
5 minutes
Marissa R. Dela Torre


3.
Proceed to Laboratory Department and submit laboratory request.
1 minute
Alma R. Rubia Joji Mirasol R. Tacardon Amiel C. Valdeavilla Maymar M. Bilagot

Perform Radiographic Examination for ER/OPD patient, In-patient and Walk-in patient

Radiology is a medical specialty that employs the use of imaging to both diagnosis and treat disease visualized within the human body

No.
Steps
Time
Person to approach


1.
Proceed to Radiology Department and submit x-ray request.
2 minutes
Jocelyn S. Cabela Radiologic Technologist I
1.1
The Radiologic Technologist prepares charge slip and refers patient or patient relative to the cashier section.


2.
Proceed to Cashier Section and present charge slip and pay the fee.
3 minutes
Marissa R. Dela Torre Billing Clerk


3.
Proceed to OPD to get the patient’s record
Manuel H. Rellamas OPD Clerk
3.1
The OPD clerk provides the patient’s record
3 minutes
Manuel H. Rellamas OPD Clerk


4.
Proceed to Radiologic Department and present official receipt
4.1
Once the result is received by the patient then they will give it to the requesting physician.
30 minutes
Requesting Physician
4.2
The Radiologic Technologist sends out plates for interpretation, releases official result. In some cases where patients want immediate result they take the film for reading.
4-7 days
4.3
The Radiologic Technologist performs the x-ray procedures
5-10 minutes
Jocelyn S. Cabela Radiologic Technologist I

Process and maintains all medical records (Medical Certificate, Clearance Slip, Charge Slip, Officia

This service aims to maintain medical records in standardized and professional manner in order to protect patient confidentially while allowing adequate access to providers in order to promote the quality patient care.

No.
Steps
Time
Person to approach


1.
Proceed to Medical Records Section and present official receipt.
5 minutes
Michael T. Dimayacyac or Jeffrey S. Cabrera
1.1
The Medical Records Clerk requests the patient/ patient’s relative to sign, releases the certificate and retains the duplicate copy to the hospital record.


2.
Proceed to Cashier Section and present charge slip and pay
2 minutes
Marissa R. Dela Torre


3.
Proceed to the Medical Records Section and submit written request.
3.1
The Medical Records Clerk prepares charge slip and instructs the patient/ patient’s relative to pay at the Cashier Department
3 minutes
3.2
Checks hospital number and retrieves medical record from file.
5 minutes
3.3
The Medical Records Clerk seeks clearance and types Medical Certificate, Medico-Legal, and Medical Abstract for signature of Attending Physician (Waiting time may vary depending on the availability of Attending Physician)
30 minutes
3.4
The Medical Records Clerk receives written request for medical abstract, medico-legal or medical certificate, interviews the patient/ patient’s relative to establish identity and knows the reason for request.
15 minutes
Michael T. Dimayacyac or Jeffrey S. Cabrera