Rationalizing Hospital Human Resources: DOH Hospital Rationalization under EO 366

1
Rationalizing Hospital Human Resources DOH
Hospital Rationalization under EO 366

• ALEXANDER A. PADILLA
• Undersecretary of Health
• Chairperson
• Change Management Team

2
Executive Order 366

• Directing a Strategic Review of the Operations
  and Organizations of the Executive Branch and
  Providing Options and Incentives for Government
  Employees Who May be Affected by the
  Rationalization of the Functions and Agencies of
  the Executive Branch

3
THE DOH MANDATES
THE 1987 CONSTITUTION The State shall
endeavor to make health services
available to all people at affordable cost
THE ADMINISTRATIVE CODE OF 1987 The
Department (of Health) shall be primarily
responsible for the provision and delivery of
health services and regulation of providers of
health goods and services
THE LGC OF 1991 The devolution of powers ,
functions, and responsibilities on direct service
delivery of the DOH to local government units
THE EXECUTIVE ORDER 102 Redirecting the
functions and operations of the DOH thru
re-engineering as a result of the devolution
4
BASIS OF PROPOSED HOSPITAL STAFFING

• PHASE IN Plan
• Further upgrading and specialization of services
• Corporate restructuring
• Increase staffing based on new standards

• PHASE OUT Plan
• Devolve primary and secondary services or lower
  level facilities

5
BASIS OF PROPOSED HOSPITAL STAFFING

• DBMs Approval of Standard Staffing for Hospitals.
• Classification of Hospital (Teaching Training,
  Research etc.).
• Percentage of primary and secondary cases.
• Hospital Conversion Plan.
• Needed position based on Authorized Bed Capacity
  (ABC) per Republic Act.

6
General Guidelines

• No person will be laid-off or demoted in keeping
  with
• existing Civil Service Commission rules on
• reorganization
• Even with redeployment, whether in the Central
  Office,
• CHDs, or DOH hospitals, one continues to be
  part of
• the DOH family
• All appointments will be generic in nature with
  no
• specific areas of assignment
• Heads of agencies i.e. hospital chiefs and CHD
• directors shall have a fixed term and shall
  be rotated
• every end of the term

7
General Guidelines

• No upgrading of entry level positions
• The grouping of functions will reflect the DOHs
  major
• reform areas
• The DOH Rationalization Program will have a
• personnel budget that shall not exceed the
  present
• Personal Service Allocation
• DOH shall be developed as a Knowledge
  Organization

8
General Guidelines

• Medical Specialist as a nomenclature shall be
  used in
• hospitals as against Medical Officer for
  public health
• (except Medical Officer trainees/service)
• Designation of Officer-in-Charge in the absence
  of the
• Medical Center Chief/Chief of Hospital
  shall follow
• the hierarchical structure of position.
• Hospitals shall use a performance based budget
• Outsource services which are not primary
  mandates
• of the hospital e.g. laundry/linen,
  ambulance
• drivers/utility workers

9
General Guidelines

• Part Time Medical Specialists are allowed to go
  on
• private practice
• Hospitals are liable with the performance of
  their
• staff
• Automatic licensing for DOH hospitals
• Review of existing Qualification Standards for
  Chief
• of Hospital positions
• Hospitals are under Centers for Health
  Development

10
HOSPITALS

• CONVERSION OF THE FOLLOWING POS.
• F R O M T O
• Medical Center Chief II 27 Chief of Hosp. IV
  27
• Med. Center Chief I 26 Chief of
  Hosp. IV 27
• Chief of Hosp. III 26 Chief
  of Hosp. IV 27
• Chief of San. III 26
  Chief of Hosp. III 26
• District Health Off. II 26 Chief
  of Hosp. III 26

11
HOSPITALS

• CONVERSION OF THE FOLLOWING POS.
• F R O M T O
• Chief of Hosp. II 25 Chief of
  Hosp. II 25
• Chief of San. II 25 Chief of
  Hosp. II 25
• Chief of Hosp. I 24 Chief of
  Hosp. I 24
• Chief of San. I 24 Chief of
  Hosp. I 24

12
HOSPITALS

• District Health Officer I pos. under the Public
  Health of CHD - Metro Manila will be abolished,
  if with incumbent it will be declared CTI
• DHO I pos. in hospital will be converted to CMPS
  position
• Creation of Lactation Specialist position
• HEPO III, SG - 18
• East Avenue Medical Center to be included as
  Corporate Hospital

13
Hospital Proposal Updates

• DOH Hospital Rationalization Plan will be
  separate from CO/CHD Rat Plan awaiting approval
  of Standard Staffing Requirements by DBM
• Administrative support staff will be under
  Contract of Service (job order) pending approval
  of Hospital Rat Plan. Hiring shall be within the
  authorized staffing pattern of hospitals
  consistent with DBMs GMIS.

14
HOSPITAL PROPOSAL UPDATES

• Transfer of employees in the DOH hospitals
• Note
• TPDH - due to devolution
• Malacanang Clinic - due to Approved
  Rationalization Plan of the Office of the
  President

15
HOSPITALS
16
ORGANIZATIONAL STRUCTURE
CHIEF OF HOSPITAL
MEDICAL SERVICE SG - 26
NURSING SERVICE SG - 24
FINANCE DIVISION SG - 24
ADMINISTRATIVE DIVISION SG - 24
17
HOSPITAL RATIONALIZATION PLAN SUMMARY
18
HOSPITAL RATIONALIZATION PLAN SUMMARY
19
HOSPITAL RATIONALIZATION PLAN SUMMARY
20
HOSPITAL RATIONALIZATION PLAN SUMMARY
21
THANK YOU