ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER

Victoriano Luna Avenue, Quezon City

C I T I Z E N S C H AR T E R

ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER VICTORIANO LUNA AVENUE, QUEZON CITY

We do what is ethical in delivering our services

AFPMC Citizens Charter

AFPMC Citizens Charter

PREFACE
In the pursuit of its mission and vision, the AFP Medical Center continues to evolve and develop as the premier health service facility of the Armed Forces of the Philippines. It exists amidst thriving government and private health service systems that provide the benchmark in health care delivery. Through the years, it has proven to be capable and competitive in catering to the health needs of its patients and the entire Armed Forces. Its services are availed of primarily by military personnel, their dependents to include authorized civilians. AFP Medical Center as a tertiary health care facility adheres to the standards set by regulatory and accrediting agencies - the Department of Health, the Philippine Health Insurance Corporation, the Philippine Hospital Association, various Specialty and Sub-Specialty Society Boards. The Services rendered by our healthcare personnel are governed and guided by policies; conforming with standards, rules & regulations set by the AFP as well as those of the Department of Health and the Civil Service Commission. This primer provides information about procedures in the delivery of initial services rendered by the hospital. It serves as an easy guide to personnel and patients who would avail of such services. It also indicates responsible persons and offices specific to the activity or type of service. This will provide built-in mechanisms to avoid red tape and abuse of authority and privilege.

TABLE OF CONTENTS
Mission Vision .. 1 .... 2

Service Pledge ... 3 Frontline Services .. 4 Out-Patient Services . 5 - 8 Emergency Medicine Department..... 9 - 18 Registrar Department (Admission and Disposition Section).. 19 - 25 Feedbacks / Comments .. Sample of Suggestions/Comments Form .. 26 27

AFPMC Anti-Red Tape Committee 28

AFPMC Citizens Charter

AFPMC Citizens Charter

MISSION

VISION

Provide tertiary medical care to its patients and health service support to the AFP and its national mandate

A Modernized, Responsive, Efficient and Cost Effective Health Service Organization

AFPMC Citizens Charter

AFPMC Citizens Charter

SERVICE
We Pledge:

PLEDGE
of duty and

OUR FRONT L INE SERVI CES

OUTPATIENT DEPARTMENT EMERGENCY MEDICINE DEPARTMENT REGISTRAR DEPARTMENT (Admission and Disposition Section)

To achieve outstanding performance accomplishment of the mission;

To observe prompt and efficient delivery of service to our clientele; To observe transparency and openness with regards to dealings and transactions; To exercise duties and responsibilities with high sense of morality and discipline; To observe and conform to accepted principles of right conduct being observed in the AFP; To obey the duly constituted authority and abide by laws, legal orders, good morals, good customs and promote order and public safety; To represent the organization with pride, honor and dignity; To have an effective redress mechanism.

AFPMC Citizens Charter

AFPMC Citizens Charter

WHO MAY AVAIL O F T HE SERVICES

(a) Military personnel in the active service and their direct dependents; (b) Active members of the Citizens Armed Forces Geographical Units (CAFGU); (c) Probationary Officers of the AFP Cadets (PMA, OCS, PAF Flying School: ROTC Cadets/Cadettes on Summer Camp Training), Candidate Soldiers while undergoing military training and Reservist on Annual Active Duty Training (AADT)/Assembly or Mobilization Test; (d) Persons in military custody or confinement; (e) Informers, Guides and Civilian Volunteers while actually working with AFP; (f) Civilian Employees of the Office of the Secretary of National Defense and AFP; (g) Surviving Spouse and their Direct Dependents; (h) Veterans as determined by the Secretary of National Defense; (i) PNP personnel who sustained injuries while supporting AFP personnel during Counter-Insurgency (COIN) Operations; (j) Other Civilian Patients whose treatment or admission in AFP Medical and Dental Facilities/Clinics are authorized or directed by the Commander-in-Chief, AFP, Secretary of National Defense, or the Chief of Staff, AFP and patients whose illness are exceptional educational value to the AFP Medical/Dental profession as determined by The Surgeon General, AFP / The Chief Dental Service, AFP.

AFPMC Citizens Charter

AFPMC Citizens Charter

OUT PATIENT DEPARTMENT

CONSULTATION

Schedule: Monday-Friday / 0800H-1200H / 1330H-1700H

What are the Requirements: Valid Military/Dependent/Civilian Employee/ CAFGU ID For Reservist Reservist ID with AADT Order Authority and Special Orders for Cadets/Civilian Volunteer

Duration: 25 minutes if with no Ancillary Procedures 40 minutes if with Ancillary Procedures

AFPMC Citizens Charter

AFPMC Citizens Charter

 OUT PATIENT DEPARTMENT

CONSULTATION (Non-Paying Patients)
DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) STEP PERSON IN-CHARGE FEES FORM Patients seeking consultation Proceed to 12 FSU for payment of consultation fees Advise to return to Record Section (OPD) Proceed to respective section If with ancillary procedure, advise th to proceed to 12 FSU for payment of work-ups Proceed at Ancillary Svc with OR
th

CONSULTATION (Paying Patient)

PATIENTS/ CLIENTS SERVICE PROVIDER (Activity) Proceed to Record Sec (OPD) for Registration/Verification of File Nr Issuance of Official Receipts (OR) For issuance of medical records upon presentation of OR Medicine, Surgery, ENT, Optha, and OB-Gyne Section (consultation)etc Consultation/Disposition DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) 5-10 minutes PERSON IN-CHARGE FEES FORM

STEP

PATIENTS/ CLIENTS

SERVICE PROVIDER (Activity)

1 1 Patient seeking consultation Advise to proceed to Record Section for issuance of records Medical Records 2 Proceed to respective section If no ancillary procedure needed, advise to proceed to Pharmacy Svc Medicine, Surgery, Pedia, ENT, Optha, OB-Gyne Section, etc (Consultation/ Disposition) Attending Physician Medical Records

Records Clerk

None

Consultation Form

5-10 minutes

Records Clerk

None

5 minutes

Finance Clerk

Refer to Cir Nr 1 dtd Jan 04

OR

10-20 minutes

None

5-10 minutes

Records Clerk

None

Medical Records

For issuance of medicines

5 minutes

Pharmacist

None

Prescription

10-20 minutes

Attending Physician

None

Medical Records

If with ancillary procedure

Conducts ancillary procedures as requested by attending Physicians (laboratory, ECG, X-ray etc)

15-20 minutes ( release of results after 1 to 3 working days waiting period

Medical Technologist/ Technician

None

Ancillary Request Form

Issuance of Official Receipt (OR)

5-10 minutes

Attending Physician Finance Clerk

Refer to Cir 1 Nr dtd Jan 04

Ancillary Request Form/ (OR)

Conducts ancillary procedures as requested by attending physician (laboratory, ECG, X-ray etc)

15-20 minutes ( release of results after 1 to 3 working days of waiting period)

Med Tech/ Technician

None

Ancillary Request Form

If with result of ancillary procedure, patient to go to Record Section to retrieve his/her medical records

Advise patient to proceed to respective section e.g Medicine, Surgery, Pedia, ENT, Optha, OBGyne Section, etc for follow-up consultation & evaluation of result

10-20 minutes

Records Clerk/ Attending Physician

None

Medical Records/An cillary Results 7

Once with result of ancillary procedure, proceed to record section and ask for his/her medical records prior to evaluation and consultation Proceed to respective section

Records Clerk will give patients his/her medical records then advise to th proceed to 12 FSU for payment of consultation fee Finance Clerk to issue OR

10-15 minutes

Records Clerk Finance Clerk

Refer to cir 1 dtd Jan 04

Medical records/ OR

Advise to proceed to Pharmacy Svc

For issuance of medicines

5 minutes

Pharmacist

None

Prescription

Follow-up consultation and evaluation of ancillary results

20 minutes

Attending Physician

Medical records/ Ancillary results

End of Transaction End of Transaction

AFPMC Citizens Charter

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AFPMC Citizens Charter

 EMERGENCY MEDICINE DEPARTMENT

CONSULTATION / TREATMENT

Schedule: 24 Hours Daily

What are the Requirements: Valid Military/Dependent/Civilian Employee/ CAFGU ID For Reservist Reservist ID with AADT Order Authority and Special Orders for Cadets/Civilian Volunteer

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AFPMC Citizens Charter

 EMERGENCY MEDICINE DEPARTMENT

A. ADMISSION OF ACTIVE MILITARY PATIENT AT ER-OBS
STEP PATIENTS/ CLIENTS SERVICE PROVIDER (Activity) Resident on Duty (ROD)/Nurse on Duty (NOD) obtains clinical history of the patient/fillsup ER Treatment Form ROD examines the patient and subsequently accomplishes Doctors Orders/ Sheet Form ROD/ NOD checks vital signs NOD carries out Doctors Order (diet, diagnostics and laboratory procedures, medications etc.) Records patients data at Nurses Report Book/PhilHealth Log Book NOD carries out Doctors Orders A (diet, diagnostics and laboratory procedures, medications etc.) A&D Section issues clinical record cover sheet Prepares bed at EROBS Room, Continuously observes assesses patients condition for the duration of stay in the ER-OBS Service ROD refers patient case to MOD/COD Gives final disposition on patients case after 24hr observation at ER-OBS Service ER NOD coordinates the T transfer of patient in the ward NA/IW transports patient to ward by wheelchair or stretcher DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) 20-30 minutes PERSON INCHARGE ROD/NOD FEES FORM

B. DISCHARGE OF ACTIVE MILITARY PATIENT FROM ER-OBS

STEP

PATIENTS/CLIENTS

SERVICE PROVIDER (Activity) NOD does itemized PhilHealth billing ROD prepares Narrative Summary/Prescript ions ROD coordinates with specific station hospital re retroevac of patient Records patients data at Nurses Report Book/PhilHealth Log Book

None

Treatment Form

For emergency consultation/ treatment:

30-45 minutes

ROD

None

Doctors Order

Presents updated military ID, evacuation tag or referral to ROD/ NOD

10 minutes 30 minutes

ROD/NOD NOD

None None

Treatment Form Treatment Form

5 minutes

NOD

None

Report Book/PhilHealth Log Book

A. Admission at Observation Room Presents updated ID and other pertinent data for admission at Admission & Disposition (A&D) Section Patient accomplishes the PhilHealth Form

30 minutes

NOD

None

Medical Chart

15-20 minutes

A & D Staff

None

Clinical Cover Sheet None Medical Chart

10 minutes 24 hours (Observation Room confinement) 10-25 minutes

NOD/NA
ROD/NOD/ MOD/COD

None None

ROD/MOD /COD MOD/COD

None

Medical Chart

A. Retro-evac Patient/watcher submits photocopies of requirements for discharge such as military ID, payslip, etc Patient accomplishes PhilHealth Form Patient /watcher to proceed to Reg Dept to claim the clearance slip B. Discharge (May go home) Patient/watcher submits photocopies of requirements for discharge such as military ID, payslip, etc Patient accomplishes PhilHealth Form Patient /watcher goes to Reg Dept to claim the clearance Slip C.SIQ Patient/watcher submits photocopies of requirements for discharge such as military ID, payslip, etc Patient accomplishes PhilHealth Form Patient /watcher goes to Reg Dept to claim the clearance Slip

DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) 10-20 minutes

PERSON IN-CHARGE NOD

FEES

FORM

None

Itemized Billing Form Narrative Summary/ Prescription

20-30 minutes

ROD

None

15-20 minutes

ROD

None

5 minutes

NOD

None

Report Book/ PhilHealth Log book

NOD does itemized PhilHealth billing ROD prepares Narrative Summary/Prescript ions/Home Instructions Records patients data at Nurses Report Book/PhilHealth Log Book ROD/NOD emphasizes home instructions NOD does itemized PhilHealth billing/discharge slip ROD prepares Narrative Summary/Prescript ions/Home Instructions Records patients data at Nurses Report Book/PhilHealth Log Book ROD/NOD emphasizes home instructions

10-20 minutes 20-30 minutes

NOD ROD

None None

Itemized Billing Form Narrative Summary/Pres criptions Report Book/ PhilHealth Log book Home Instructions

NOD 5 minutes

None

20-30 minutes

ROD/NOD

None

10-20 minutes

NOD

None

Itemized Billing Form

20-30 minutes

ROD

None

Narrative Summary/Pres cription

10-15 minutes

None

Medical Chart

5 minutes

NOD

None

B. Trans-out to ward 3

5-10 minutes

ROD/NOD

None

Medical Chart

Report Book/ PhilHealth Log book

10 minutes

NA/IW

None

20-30 minutes

ROD/NOD

None

Home Instructions

End of Transaction

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AFPMC Citizens Charter

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AFPMC Citizens Charter

C. ADMISSION OF MILITARY DEPENDENTS FROM ER-OBS

STEP PATIENTS/CLIENTS SERVICE PROVIDER (Activity) DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) PERSON IN-CHARGE FEES FORM STEP PATIENTS/CL IENTS SERVICE PROVIDER (Activity) DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCE S) 20-30 minutes PERSON IN-CHARGE FEES FORM

D. Back to Unit (BTU) Patient/watcher submits photocopies of requirements for discharge such as military ID, payslip, etc Patient accomplishes PhilHealth Form patient /watcher goes to Reg Dept to claim the clearance Slip

NOD does itemized PhilHealth billing ROD prepares Narrative Summary/Prescriptio ns/Home Instructions Records patients data at Nurses Report Book/PhilHealth Log Book ROD/NOD emphasizes home instructions

10-20 minutes

NOD

None

Itemized Billing Form Narrative Summary/ Prescription/Ho me Instructions Report Book/ PhilHealth Log book Home Instructions

For consultation/ treatment: 1 Presents updated dependents ID or referral to ROD/NOD

20-30 minutes

ROD

None

5 minutes

NOD

None

20-30 minutes

ROD/NOD

None

Resident on Duty (ROD)/Nurse on Duty (NOD) obtains clinical history of the patient/fills-up ER Treatment Form ROD examines the patient and subsequently accomplishes Doctors Orders/ Sheet Form ROD/ NOD checks vital signs NOD carries out doctors Order (diet, diagnostics and laboratory procedures, medications etc.) Records patients data at Nurses Report Book/PhilHealth Log Book

ROD/NOD

None

Treatment Form

30-45 minutes

ROD

None

Doctors Order

10 minutes

ROD/NOD NOD NOD/WM

None

Treatment Form

20-30 minutes

None

Ancilllary Form

5 minutes

NOD

None

Report Book/ PhilHealth Log book Treatment Form

End of Transaction

A. Admission at Observation Room 2 Presents ID and other pertinent data for admission at A & D Section

NOD carries out Doctors Orders (diet, diagnostics and laboratory procedures, medications etc.) Prepares bed at ER-OBS Room A & D Staff issues clinical cover sheet Continuously observe assess patients condition for the duration of stay. ROD refers patient case to MOD/COD MOD/COD gives final disposition after 24hr observation of patient Records patients data at Nurses Report Book/PhilHealth Log Book

20-30 minutes

NOD

None

None 10 minutes 15-20 minutes 24 hours (Observation Room confinement) 15-25 minutes 15-25 minutes MOD/COD 5 minutes NOD None None MOD/COD None NOD/NA A & D staff ROD/NOD/ None None

None Clinical Cover Sheet Medical Chart

Medical Chart

Medical Chart Report Book/PhilHealth Log Book

B.Trans-out to ward 3

ER NOD coordinates transfer of patient to ward NA/IW transports patient to ward by wheelchair or stretcher

5-10 minutes 10 minutes End of transaction

NOD NA/IW

None None

Medical Chart

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AFPMC Citizens Charter

D.

DISCHARGE OF MILITARY DEPENDENT PATIENT FROM ER-OBS

DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTAN CES) 20-30 minutes STEP PERSON INCHARGE FEES FORM

E. EMERGENCY CONSULTATION/ADMISSION OF CIVILIAN PATIENT AT ER-OBS

PATIENTS/CL IENTS SERVICE PROVIDER (Activity) Resident on Duty (ROD)/Nurse on Duty (NOD) obtains clinical history of the patient/fills-up ER Treatment Form ROD examines the patient and subsequently accomplishes Doctors Orders/ Sheet Form ROD/ NOD checks vital Signs NOD carries out Doctors Orders (diet, diagnostics and laboratory procedures, medications etc. Records patients data at Nurses Report Book/PhilHealth Log Book In case patient is not admissible, ROD prepares prescription and emphasizes home instructions DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) 20-30 minutes PERSON IN-CHARGE FEES FORM

STEP

PATIENTS/CLIENTS

SERVICE PROVIDER (Activity)

ROD/NOD Ref to Cir Nr 1 dtd 20 Jan 04

Treatment Form

Parents/next of kin submit photocopies of requirements for discharge such as dependents ID etc Parents/next of kin accomplishes PhilHealth Form Patients watcher goes to Reg Dept to claim the clearance slip Parents/next of kin to present clearance slip to ward NOD

ROD prepares Narrative Summary/Prescriptions/ Home Instructions

ROD

None

Narrative Summary Form/Prescriptions/ Home Instructions

Civilian patient seeking emergency consultation/treat ment

30-45 minutes

ROD

Doctors Order

10 minutes 20-30 minutes

ROD/NOD ROD/NOD/WM

Treatment Form Ancillary Form

NOD does itemized PhilHealth billing Wardman dispatches itemized PhilHealth billing and the patients medical chart to Registrar Department NOD validates clearance slip Emphasizes home instructions

10-20 minutes

NOD

None

Itemized Billing Form Patient Chart/ Itemized Billing Form

10-15 minutes

NA/WM

None

5 minutes 20-30 minutes

NOD ROD/NOD

5 minutes

ROD/NOD

None

Clearance Slip

Report Log book/ Philhealth Log Book Prescription/Ho me Instructions

20-30 minutes

ROD/NOD

None

Home Instructions

A. Admission at Observation Room Patient/ watcher will go to A & D Section to comply the requirements for Authority for Admission Form/ Surety Guarantor Form prior to admission

End of Transaction

Patient proceed to Medical Social Service for indigency processing

NOD carries out Doctors Orders (diet, diagnostics and laboratory procedures, medications etc. Prepares bed at ER-OBS Room Continuously observes, assesses the patients condition for the duration of stay. ROD refers case of patient to MOD/COD MOD/COD gives final disposition after 24hr observation of patient Records patients data at Nurses Report Book/PhilHealth Log Book Reassess patient, in case patient is not for trans-out to ward, ROD prescribes medicines and writes down home instructions Advises patient to avail indigency at the Medical Social Service ROD gives home instructions

20-30 minutes

NOD

10 minutes 24 hours (Observation Room confinement) 15-25 minutes 15-25 minutes 5 minutes

NOD/NA/WM

ROD/NOD/ MOD/COD

a deposit is required with amount based on Hospital policy for Authority for Admission

Patient Chart/ Ancillary Form

Patient Chart

ROD/NOD/ MOD/COD

Patient Chart

20-30 minutes

ROD

Patient Chart

5 minutes 20-30 minutes

ROD/NOD/ MSSO ROD/NOD

Referral Home Instructions

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AFPMC Citizens Charter

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AFPMC Citizens Charter

F. DISCHARGE OF CIVILIAN PATIENT FROM ER-OBS

STEP PATIENTS/CLIENTS SERVICE PROVIDER (Activity) DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES) PERSON IN-CHARGE FEES FORM

B. Transfer to hospital of choice Patient signs request for transfer Patient pays hospital bill incurred during confinement at ER-OBS Patient pays ambulance fee at th 12 FSU ROD coordinates with hospital of choice ROD prepares referral to hospital of choice NOD coordinates ambulance if requested NOD/Wardman assists patient to ambulance/vehicle SHOD/ROD dispatches EMROD to accompany patient 20 minutes 5 minutes 5 minutes ROD/NOD NOD NOD a deposit is required with amount based on Hospital policy for Authority for Admission Doctors Order/ Admission Slip STEP PATIENTS/ CLIENTS SERVICE PROVIDER (Activity) DURATION OF ACTIVITY (UNDER NORMAL
CIRCUMSTANCES)

PERSON IN-CHARGE

FEES

FORM

None Record Book/Log Book Patient Chart/Cover Sheet

10 minutes

NA/IW

C.Trans-out to ward

ER NOD coordinates trans-out of patient to specific ward NA/IW transport patient to ward via wheelchair or stretcher

10-15 minutes 15-20 minutes

ROD NA/IW

a deposit is required with amount based on Hospital policy for Authority for Admission

Medical Chart

Wardman together with patients watcher proceed to Reg Dept for final billing Patients watcher to th proceed 12 FSU to pay corresponding payments Presents clearance for disposition and OR to ward nurse

NOD does itemized billing/discharge slip If patient undergone surgical operation, OR NOD will provide OR technique to ward NOD ROD prepares Narrative Summary/ Prescriptions/Home Instructions Wardman forwards itemized billing to Registrar Department for computation of hospital bill Emphasizes home instructions Validates clearance for disposition

15-30 minutes

NOD

None

Itemized Billing Form

30 minutes 30 minutes

ROD Wardman/ Patient watcher Finance Clerk ROD/NOD

None Ref to Cir Nr 1 dtd 20 Jan 04

Narrative Summary Form Statement of Account/ OR

30 minutes

Prescription Pad Clearance

5 minutes

ROD/NOD

End of Transaction

End of Transaction

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AFPMC Citizens Charter

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AFPMC Citizens Charter

REGISTRAR DEPARTMENT

ADMISSION / DISPOSITION Schedule:

Admission: 24 Hours Daily Disposition: Monday-Friday (except Holidays) 0800H-1200H/1330H-1700H (Clinical Chart of Discharged Patient should be forwarded on or before 1500H)

What are the Requirements:

Military Photocopy of valid Military ID/ Latest Pay Slip, Certification from respective Major Svc OAG For Reservist Reservist ID with AADT Order Civilian Employees GHQ ID Authorized Civilian Approved Authority Form Duly signed by guarantor and the Dep Cmdr for Profl Svc, AFPMC authenticated by the Adjutant, AFPMC Official Receipt (Deposit)

Duration:
30 minutes for simple request 1 hour and 30 minutes for reports which need to be referred to other agencies

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AFPMC Citizens Charter

 REGISTRAR DEPARTMENT
A. ADMISSION OF MILITARY/DEPENDENT PATIENT B. DISCHARGE OF ACTIVE MILITARY/ MILITARY DEPENDENTS:

STEP

PATIENTS/ CLIENTS

SERVICE PROVIDER

DURATION OF ACTIVITY (UNDER NORMAL

CIRCUMSTANCES)

PERSON INCHARGE

FEES

FORM

STEP

PATIENTS/ CLIENTS

SERVICE PROVIDER

DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES)

FEES PERSON IN-CHARGE

FORM

Presents Doctors Order or Medical Tag, if patient came from other station hospital. Presents Valid IDs: Military ID Dependents ID PHIC ID Unit/Office/ Company ID (For emergency cases: requirements to follow)

Prepares Clinical Record Cover Sheet Validates Military ID /Dependents ID Issues PhilHealth Claim Forms 1 & 2 Encodes patients data in the computer database

1 30 minutes Duty EP at A&D Section none PhilHealth Forms 1 & 2 Clinical Coversheet

Accomplishes PhilHealth Forms 1 & 2 Signs Statement of Account for Acknowledgement Submits photocopy of valid Military/ Dependents ID, PhilHealth ID, payslip, NSO marriage contract and birth certificate

Logs and Issues Financial Clearance for proper discharge of patient 30 minutes Duty EP none none

End of Transaction

Secures original medical records for safekeeping

END OF TRANSACTION

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C. RELEASE OF EXPIRED PATIENTS:

STEP PATIENTS RELATIVES/LIAS ON NCO SERVICE PROVIDER DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES)

D. ADMISSION OF AUTHORIZED CIVILIAN PATIENT

STEP PATIENTS/CLIENTS SERVICE PROVIDER DURATION OF ACTIVITY (UNDER NORMAL CIRCUMST ANCES) PERSON INCHARGE

FEES

FORM

PERSON INCHARGE

FEES

FORM

Accomplishes PhilHealth Forms 1 & 2 Submits photocopy of Military/ Dependents ID and PhilHealth ID

Records expired patient in the Cadaver Log Book

10-15 minutes

Duty EP

none

PhilHealth Forms 1 & 2

1

For Paying Patients: Proceed to th 12 FSU for payment of hospital bills Present Official Receipt for the issuance of Release paper to Morgue Signs statement of Account for acknowledge ment.

Computes Itemized Billing Prepares Statement of Account Prepares/issues financial clearance Issues release paper to Morgue

Present the following requirements to the A & D Section: Doctors Order for admission from ER with attached Authority FOR CIVILIAN EMPLOYEE: - GHQ ID (w/ attached TSG Authority) - Unit ID - PHIC ID FOR AUTHORIZED CIVILIAN: - PHIC ID (If theres any) - Office/ Company ID - Authority for Admission with signature of Guarantor and Command Adjutant Note: For patients previously confined, present a copy of Medical History (For emergency cases: requirements to follow)

Checks for completion of requirements Advises patient/client to proceed to th 12 FSU for payment for deposit.

30 minutes

Duty EP

none

none

1 hour

Billing Clerk and Duty EP

Ref to Cir 1 dtd 20 Jan 04 Hospital bills

Statement of Accounts Form

Pay deposit at 12 FSU and present official receipt to A & D Section for the Issuance of Clinical Coversheet

th

Issues Clinical Coversheet

15 minutes

Duty EP

END OF TRANSACTION

Medical Case: Without Philhealth Php 2,000 With Philhealth Php 1,000 Surgical Case: Minor Surgery Php 1,000 Major Surgery Without Philhealth Php 3,500 With Philhealth Php 1,000 Obstetrics & Gynecology Case Normal Delivery Php 2,000 Dilatation & Curettage Php 1,500 D & C with Philhealth Php 1,000

none

END OF TRANSACTION

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AFPMC Citizens Charter

E. DISCHARGE OF CIVILIAN PATIENTS:

STEP

PATIENTS/ CLIENTS

SERVICE PROVIDER

DURATION OF ACTIVITY (UNDER NORMAL CIRCUMSTANCES)

FEEDBACKS / COMMENTS
FEES PERSON IN-CHARGE FORM

WE would like to hear from YOU!

Should you have further questions, comments and suggestions on how we could provide you with better services, please approach any of our Public Assistance Desks located at the Out-patient Department, Emergency Room Area and at the AFPMC main lobby. Suggestion/Comment Forms and Drop Boxes are also available at the Public Assistance Desk or thru the following:

Accomplishes PhilHealth Forms 1 & 2 1 Signs Statement of Account for Acknowledgem ent Submits photocopy of Valid IDs and Philhealth ID (if theres any)

Logs and Issues Financial Clearance for proper discharge of patient

45 minutes

Duty EP

none

Secures original medical records for safekeeping

PhilHealth Forms 1 & 2

Proceed to 12 FSU for payment

th

Receives payment of Hospital Bill

5-10 minutes

Billing Clerks/Duty EP

Ref to Cir 1 dtd 20 Jan 04

Official Receipt

E-mail: oespa@afpmedicalcenter.com Tel Nr: (02) 426-27-01 loc 6675

Rest assured that your comments, feedbacks and suggestions will be given immediate attention, action and utmost confidentiality.

Presents Financial Clearance with attached Official Receipt

Acknowledges financial clearance Issues Discharge Clearance

5 minutes

Duty EP

Ref to Cir 1 dtd 20 Jan 04

Clearance Slip

END OF TRANSACTION

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ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER ANTI-RED TAPE COMMITTEE

AFPMC ANTI - RED TAPE COMMITTEE:

COL ROSARIO D GUEVARRA MC (GSC) Chief, OESPA COL JOSELITO P LONZAME MC (GSC) Ex-O, VLGH MEMBERS COL LUIS H LIMUACO (GSC) PA - CS, AFPMC COL BENEDICTO A JOVELLANOS MC (GSC) - CO, AFPMSS LTC EDUARDO P GONZALES PAF - CO, HHSG COL ROMEO Q ESTIOKO MAC (GSC) - MC1 MAJ ALLAN G HORNADA PA - MC2 LTC JOVITO M QUIJANO PA - MC3 LTC PRUDENCIO A IDDOBA PA - MC4 LTC JEAN A LATOJA (SC) WAC - MC6 LCDR JEROME ROMMEL S OCHOCO PN - MC7 COL REYNALDO CELSO A LANUZO INF (GSC) PA - CIG LCDR MICHAEL G BARRION PN - MFO LTC BONIFACIO V MOJICA PA - CPM SMS Oscar L Lovedioro PA - CSM Ms Elenita S Trinidad, CE - C, Civ Pers - Chairperson

SUGGESTIONS / COMMENTS Name: Sex : Unit /Office : Age: Contact Nr :

- Asst Chairperson

(Use separate sheet if space is not enough)

Signature:

Date:
Secretariat Ms Maylin R Medina, CE Mr Jovee E Damaso, CE

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AFPMC Citizens Charter