Gen. Cailles District Hospital - Arta


Facilitates the admission of patient for hospital care


No.
Steps
Time
Person to approach


1.
Proceed to admitting area and provide all necessary information about the patient.
1.1
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
1.2
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:
1.3
The Admitting Clerk on duty notifies Ward regarding the new admission.
2 minutes
Medical Records Officer I
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 ER Nurse endorses patient and medical record to Ward Nurse on duty.
3 minutes
1.6
The Ward Nurse receives all documents attached in the Clinical Cover Sheet.
2 minutes

Provides drug's, medicines and other therapeutic substances


No.
Steps
Time
Person to approach


1.
Proceed to Pharmacy Department and submit doctor’s prescription.
1.1
The Pharmacist on duty receives the prescription from the patient or patient’s relative
3 minutes
Pharmacist on duty
1.2
The Pharmacist prepares charge slip and refers patient or patient’s relative to the cashier section for payment.
2 minutes


2.
Proceed to Cashier Section and present charge slip and pay
5 minutes
Cashier


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)


No.
Steps
Time
Person to approach


1.
Proceed to Billing Section, present charge slip for payment, Indigency documents
1.1
The Billing Clerk on duty gathers charge slips, indigency documents and others. Computes the patient’s hospital bill.
10 minutes
Billing Clerk
1.2
The Billing Clerk issues patient’s Statement of Account (SOA)
3 minutes


2.
Present Statement of Account to Cashier and pay the appropriate amount.
Cashier

Computes patient's hospital bill (Service Patients)


No.
Steps
Time
Person to approach


1.
Proceed to Billing Section, present charge slip for payment, Indigency documents
Billing Clerk
1.1
The Billing Clerk on duty gathers charge slips, indigency documents and others. Computes the patient’s hospital bill.
10 minutes
Billing Clerk
1.2
The Billing Clerk issues patient’s Statement of Account (SOA)
3 minutes
Social Worker on duty
1.3
The Billing Clerk refers the patient or patient’s relative to the Social Welfare Officer for assessment and evaluation.
2 minutes
Billing Clerk


2.
Present Statement of Account to Cashier and pay the appropriate amount.
2.1
The Medical Social Welfare Officer conducts interview to determine patient’s eligibility for MSS assistance.
Cashier
2.2
The MSWO refers to various indigency program (OC, PDAP, CG, etc.)


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


4.
Proceed to Billing Section
Billing Clerk
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.

Computes patient's hospital bill (Philhealth Patients)


No.
Steps
Time
Person to approach


1.
Proceed to Billing Section, submit accomplished Philhealth Form
1.1
The Billing Clerk checks on the completeness of the form . Computes the patient’s hospital bill.
10 minutes
1.2
The Billing Clerk issues patient’s Statement of Account (SOA)
3 minutes
1.3
The Billing Clerk refers the service patient or patients relative to the Social Welfare Officer for assessment and evaluation
2 minutes

Provide Assistance to the poor


No.
Steps
Time
Person to approach


1.
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, Orange Card, etc.)
1.1
The Medical Social Welfare Officer conducts intake interview to determine patient’s eligibility for MSS assistance. (Service Card given)
15 minutes
1.2
Computes the patient’s hospital bill based on classification
2 hours
1.3
The Medical Social Welfare Officer refers to various indigency program (OC, PDAP, CG, etc.)
2 minutes


2.
Secure MSW Evaluation Sheet (for payment, refer to billing and cashier procedure)

Collects Payments


No.
Steps
Time
Person to approach


1.
Proceed to Cashier Department, present SOA/Charge slip and guarantee letter for payment of bill.
1.1
The Cashier reviews and checks amount to be paid
2 minutes
Cashier


2.
Pay the necessary amount
2.1
The Cashier receives payments and issues official receipt
3 minutes
2.2
The Cashier signs clearance slip and indicates the OR number on the patient’s bill (for patient being discharged)
2 minutes


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


4.
Present to the Ward Nurse on duty copy of notice of discharge /clearance and OR
3 minutes
Nurse on duty

Provides Dental Examination


No.
Steps
Time
Person to approach


1.
Proceed to OPD to get the patient’s record
3 minutes
Homis Clerk
1.1
The OPD clerk provides the patient’s record
3 minutes
OPD Clerk


2.
Proceed to Dental Department for oral and dental assessment
Dental Aide
2.1
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
2.2
The Dentist examines and evaluates the need of the patient, includes medical history and blood pressure taking.
25 minutes
Dentist on duty
2.3
The Dental Aide prepares charge slip and refers the patient to Cashier for payment.
2 minutes


3.
Proceed to the Cashier Department and present charge slip issued by the Dental Aide and pay
2 minutes
Cashier


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

Process and maintains all Medical Records (Birth Certificate)


No.
Steps
Time
Person to approach


1.
Proceed to Ward Nurse and accomplish the Birth Certificate draft form and certify the accuracy and completeness of data by signing the official form.
NICU Nurse on Duty
1.1
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
1.2
The Attending Physician receives reviews and signs official Birth Certificate and returns the same to the Ward Nurse on duty.
3 minutes
1.3
The Ward Nurse on duty checks the completeness of data entry and forwards official Birth Certificate to the Medical Records Clerk.
2 minutes
1.4
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.


2.
Proceed to the Medical Records Section
2.1
The Medical Records Clerk prepares charge slip and instructs the patient/ patient’s relative to pay at the Cashier Department
3 minutes
Medical Records Personnel


3.
Proceed to Cashier Section and present charge slip and pay
Cashier


4.
Proceed to Medical Records Section and present official receipt
3 minutes
Medical Records Personnel
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

Process and maintains all Medical Records (Death Certificate)


No.
Steps
Time
Person to approach


1.
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
1.1
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
1.2
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
1.3
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


2.
Proceed to the Medical Records Section
2.1
The Medical Records Clerk types the Official Birth Certificate and prepares transmittal for married parents for submission to Local Civil Registrar.
3 minutes
Medical Records Personnel
2.2
Medical Records Clerk prepares charge slip and instructs the patient/ patient’s relative to pay at the Cashier Department
2.3
The Dental Aide prepares charge slip and refers the patient to Cashier for payment.


3.
Proceed to Cashier Section and present charge slip and pay
2 minutes
Cashier


4.
Proceed to Medical Records Section and present official receipt and wait for the release
Medical Records Personnel

Provide Out-of-Patient (OPD) consultations


No.
Steps
Time
Person to approach


1.
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


2.
Proceed to corresponding clinical department and wait for your name to be called
5 minutes
Nursing attendant


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


4.
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


5.
Return to physician with results
Doctors on duty
5.1
Physician makes final assessment and diagnosis
5.2
Explains treatment to the patient
5.3
Prescribed appropriate medicine


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

Provide health assistance for emergency cases and medical consultations


No.
Steps
Time
Person to approach


1.
Proceed to ER area that provides emergency nursing pediatric, medical, surgical measures.
1.1
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
1.2
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
1.3
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
1.4
The Emergency Room Nurse carries out doctor’s orders
10 minutes
Nurse 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 the Physician on duty and present the results of diagnostic procedures.
10 minutes
Doctors on Duty


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 diag


No.
Steps
Time
Person to approach


1.
Proceed to Laboratory Department and submit laboratory request.
1 minute
Laboratory Staff Receptionist on Duty


2.
Proceed to Cashier Section and present charge slip to pay appropriate charges.
5 minutes
Cashier


3.
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

Perform contrast and non-contrast radiological procedures


No.
Steps
Time
Person to approach


1.
Proceed to OPD to get the patient’s record
1.1
The OPD clerk provides the patient’s record
3 minutes
Homis Clerk OPD Clerk OPD Clerk


2.
Proceed to Radiology Department and submit x-ray/ultrasound request.
2 minutes
Radiologic Technologist I X-Ray Technician X-Ray Technician X-Ray Technician
2.1
The Radiologic Technologist prepares charge slip and refers patient or patient relative to the cashier section.


3.
Proceed to Cashier Section and present charge slip and pay the fee
2 minutes
Cashier


4.
Proceed to Radiologic Department and present official receipt
4.1
The Radiologic Technologist performs the x-ray procedures
3 minutes
4.2
The doctor performs the ultrasound procedures
30 minutes
4.3
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
1 day (in-patient)3 days (out-patient)

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


No.
Steps
Time
Person to approach


1.
Proceed to the Medical Records Section and submit written request.
1.1
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
Medical Records Personnel
1.2
Checks hospital number and retrieves medical record from file.
5 minutes
1.3
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
1.4
The Medical Records Clerk prepares charge slip and instructs the patient/ patient’s relative to pay at the Cashier Department
3 minutes


2.
Proceed to Cashier Section and present charge slip and pay
2 minutes
Cashier


3.
Proceed to Medical Records Section and present official receipt.
5 minutes
Medical Records Personnel
3.1
The Medical Records Clerk requests the patient/ patient’s relative to sign, releases the certificate and retains the duplicate copy to the hospital record.