of the Philippines

Republic
Department of Health
OFFICE OF THE SECRETARY
DEC 20 2019

ADMINISTRATIVE ORDER
No. 2019 —_00G0

SUBJECT: Guidelines on the Implementation of the National Health Facility

Registry

1. RATIONALE

The Universal Health Care (UHC) Act (RA 11223) states that every Filipino shall be
granted immediate eligibility and access to care through a registered network of health care
providers known as Health Care Provider Network (HCPN). To achieve this end, quality data
from all health facilities must be submitted and exchanged within the HCPN in a timely and
efficient manner. This is further emphasized in the FOURmula One (F1) Plus for Health which
states the importance of quality data and use of evidence for health policy development,
program planning and implementation.

The cornerstone to implement these is the Philippine eHealth Strategic Framework

2014-2020 which specifies the Philippine Health Information Exchange (PHIE) as the
infrastructure for sharing of health information among participating health care providers in
the treatment and care of patients. The creation of the National Health Facility Registry
(NHFR) aims
private and
toprovide a master facility list that sets attributes to uniquely identify both
public facilities and their corresponding service capability that will enable this
exchange across information systems in
the health sector.

Leveraging the NHFR to

facilitate linking and exchange of data, such as PHIE, will
produce comparable facility data sets useful for health facility operations such as supply chain,
human resource management including disease reporting to unify multiple surveillance
systems and tracking of patients. A functional facility registry is one that is updated regularly
through standard guidelines, is accessible to public and private stakeholders, meet the data
needs of consumers, and is housed in a software solution that facilitates data curation, update,
and archiving of no longer valid data.

In view of this, guidelines on the NHFR implementation has been developed to address
proliferation of health facility lists with different naming conventions and coding and address
problems in sharing, exchange, and consolidation of data in health facilities.

Il. OBJECTIVES

This Order aims to institutionalize the NHFR as the

official national reference of all
health facilities in the Philippines and mandates the use of NHFR in all
health facilities and all
their corresponding information systems.

cord
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Building 1, San Lazaro Compound, Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800, loc 1113, 1108, 1175
Rizal
Direct Line: 711-9502; 711-9503 Fax: 743-1829 # URL: http://www.doh.gov.ph; e-mail: officeofsoh@doh. gov.
 The specific objectives of this Order are to:
1. Provide clear operational guidelines for a sustainable, reliable, and credible
registry system;
2. Ensure compliance of health stakeholders with the directives and guidelines of
updating health facility data; and
3. Establish NHFR
as
an up-to-date, participatory, and easily accessible reference
directory for the HCPN.

ii. SCOPE AND COVERAGE

These guidelines shall apply to all public and private health facilities in the Philippines
licensed and registered by the Department of Health, including health facilities to be
constructed/under construction.

IV. DEFINITION OF TERMS

For the purposes of this Order, the succeeding terms and acronyms shall be defined as
follows:

1. Health facility — an institution that has health care as its core service, function or
business. Health care pertains to the maintenance or improvement
individuals or populations through the prevention, diagnosis, treatment,
of
the health of

rehabilitation and chronic management of disease, illness, injury and other physical
and mental ailments or impairments of human beings. (See Annex A for list of
facilities and their definition)
2. National Health Data Dictionary — reference on data definitions and information
standards relevant to the health sector; provides a common language for the various

3.
agencies and governments involved inhealth services
National Health Facility Registry (NHFR) — the official and complete list of all
health facilities in the country that has a unique identification code, complete and
up-to-date georeferenced registry
4. Spatial Data — also known as geospatial data; it is the data or information that
identifies the geographic location of features and boundaries on Earth
5. Validate — To check all existing content of the NHFR and ensure entries are
complete and correct

V. GENERAL GUIDELINES

1. NHFER
shall serve as the official and updated reference of all health facilities in the
country.
a. All health facilities, especially those with License to Operate or Certificate
of Accreditation, shall be reported and included in the NHFR. Health
facilities include, but not limited to, Hospitals, Infirmaries, Rural Health
Units, City Health Centers, Barangay Health Stations, Birthing Homes,
Drug Abuse Treatment and Rehabilitation Centers, Diagnostic/Therapeutic
Facilities, Medical Facilities for Overseas Workers and Seafarers, Water
Testing Facilities, Social Hygiene Clinics, Psychiatric Care Facilities,

rtf
School Clinics, Kidney Transplant Facilities, Blood Service Facilities,

Page 2 gf 5
 Clinical Laboratories, Dental Clinics, Dialysis Clinics, and HIV Testing
Centers
b. The public can access and download the updated list of health facilities
through the official NHFR website — nhfr.doh.gov.ph
c. NHFR shall
be available, accessible and downloadable twenty-four (24)
hours a day and seven (7) days a week except during regular maintenance
and technical downtimes.
d. NHFR database shall be validated and updated every March by the
Department of Health through the Knowledge Management and Information
Technology Service (KMITS)

2. NHER shall follow eHealth standards.

a. NHFR shall use terminologies consistent with the National Health Data
Dictionary.
b. Spatial data collection procedure shall conform to the Geographic Data
Collection Protocols of the Department of Health posted at DOH website
with the link: www.doh.gov.ph/gps-protocols and attached as an annex in
the NHFR Manual.
c. NHFR data shailat all times be kept secured and protected.
d. It shall follow a standard documentation for monitoring updates.

3. All health facilities shall display their NHFR code in a metal plate (Annex B).

VI. SPECIFIC GUIDELINES

1. Inputting data into the NHFR

a. Only the Department of Health through the Knowledge Management and
Information Technology Service (KMITS), Centers for Health
Development (CHD) Regulation, Licensing and Enforcement Division
(RLED) and Provincial DOH Office (PDOHO) Development Management
Officers (DMO) shall input and edit data in the NHFR.
b. NHFR user accounts shall be created: One (1) for the RLED unit of the
CHD, one (1) for the Information and Communications Technology (ICT)
unit of the CHD, and one (1) for each PDOHO DMO. For user account
application and management, refer to the NHFR Manual of Operations or at
nhfr.doh.gov.ph/manual.
c. The PDOHO DMOs shall use the NHFR Data Collection Form (Annex C)
to collect updated information from Barangay Health Stations (BHS) and
Rural Health Units (RHU).

2. Updating the NHFR

a. The PDOHO DMOs shall update the data of BHSs and RHUs and the central
and regional licensing officers shall update the data of all licensed health
facilities of DOH.
b. The CHD Health Facility Development Unit (HFDU) shall coordinate with
the PDOHO DMOs and CHD RLED and inform them of the necessary
updates that must be reflected in their regions’ list of health facilities in the
NHER. Incoordination with the Provincial Health Office, the HFDU shall
liaise for data quality and oversight.

orp c

Page 3
qa
 c. The PDOHO DMOs, central and regional licensing officers together with
KMITS shall check the validity of the information in the NHFR every first
quarter of the year.

3. Monitoring and reporting

a. KMITS shall create status reports of NHFR updates which shall be
disseminated to the CHDs.
b. NHEFR shall conform to a vetted monitoring and evaluation framework to
guide impact and use. (Annex D)

VII. ROLES AND RESPONSIBILITIES

1. Knowledge Management and Information Technology Service (KMITS) shall:

a. Oversee and manage operational activities regarding NHFR forming a

technical working group who will update policies and plans on NHFR;
b. Lead consultative and advisory activities with regard to the conceptual and
regulatory aspects of the registry;
Review and approve the updated attribute data submitted by NHFR users
a9
Provide technical assistance/training to build capacity in using the system;
e. Resolve issues, concerns and problems on the development, utilization, and
implementation of the system;
f. Implement NHFR monitoring and evaluation mechanisms to improve data
quality and use including documenting and reporting of users’ feedback and
recommended improvements in
the system;

2. Centers for Health Development (CHD) shall:

a. Request from KMITS, unique NHFR codes for newly licensed, registered or
about to be constructed health facilities.
b. Update new attributes of all health facilities already captured in the NHFR;
Note: Refer to the NHFR Manual of Operations for the personnel responsible
and step-by-step guide for the updating process
Provide technical assistance to NHFR users in their respective region;
Ae
Assist KMITS
Report issues,
in conducting capacity building activities;
concerns and problems encountered while using NHFR; and
mo Recommend prospective improvements of the system
Include NHFR facility codes when identifying health facilities in all their
activities (i.e. data collection, reports list, etc.)

3. All Health Facilities shall:

Ensure that their health facility is registered in NHFR;

a Report changes in health facility attributes to DMOs;
c. Require electronic medical record system developer or service provider to use
NHER Facility Code, if using a non-DOH certified electronic medical record

system;
d. Display NHFR metal plates prominently in health facilities; and

Page 4
oth
 4. Other Government Agencies (GA), Non-government Agencies (NGA),
Government-owned and Controlled Corporations (GOCC), private sector, and
Local Government Units (LGU) shall:

a. Include NHFR facility codes when identifying health facilities in all their
activities (i.e. data collection, reports list, etc.) in coordination with DOH.

VII. REPEALING CLAUSE

All Orders, rules, regulations, and other related issuances inconsistent with or contrary
to this Order are hereby repealed, amended, or modified accordingly. All other provisions of
existing issuances which are not affected by this Order shall remain valid and in effect.

IX. EFFECTIVITY

This Order shall take effect immediately.

FRANCISCO T. PUQUE
III,
Secretary of Health
MD, MSc

Page 5 of 5
ANNEX A - HEALTH FACILITIES DICTIONARY

do
Health facilities primarily offer direct health service delivery while health offices provide other
services to support and/ or facilitate the administration and management of health care services. At
times, these functions are integrated within a single institution and proper identification of function
is necessary to avoid multiplicity of considering the total count of health facilities.

1. HEALTH FACILITY - an institution that has health care as its core service, function or
business. Health care pertains to the maintenance improvement of
or the
health of individuals
or populations through the prevention, diagnosis, treatment, rehabilitation and chronic
management of disease, illness, injury and other physical and mental ailments or impairments
of human beings.

2. HEALTH OFFICE -a barangay, municipal, city, province, regional government and private
offices that not provide direct health services or with health services not defined as their
core service, function or business. These include administrative and management offices of
municipal, city, provincial and regional health units. Ex. Municipal Health Office, City Health
Office, Provincial Health Office, Regional Health Office, research offices, ete.

Ownership of health facilities can be divided into:

1. Government a health facility created by law. A government facility may be under the
—

National Government, DOH, Local Government Unit (LGU), Department of National

Defense (DND), Philippine National Police (PNP), Department of Justice, State Universities
and Colleges (SUCs), Government Owned and Controlled Corporations (GOCC) and others.
(A.O. No. 2012-0012)

2. Private —a health facility owned, established and operated with funds through donation,
principal, investment or other means by an individual, corporation, organization. A private
health facility may be a single proprietorship, partnership, corporation, cooperative,
foundation, religious, non-government organization and others. (4.0. No. 2012-0012)

HEALTH FACILITIES - DEFINITIONS AND FUNCTIONS: (in alphabetical order)

1. AMBULATORY SURGICAL CLINIC - a health facility which is primarily organized,
constructed, renovated or otherwise established for the purpose of providing elective surgical
treatment of outpatients whose recovery, under normal and routine circumstances, will not
require inpatient care. (A.O. No. 183 s. 2004, A.O. No, 24 s. 1994)

2. BARANGAY HEALTH STATION (BHS) - a government primary health facility that

provides primary care services at the, barangay level; is focused on preventive and promotive
population-based health services, assists in patient navigation as a satellite health facility of

ollps
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10f 16
 the Rural Health Unit (RHU) and Urban Health Unit (UHU); and follows the standards set by
the DOH. The BHS is equivalent to the Barangay Health Center of the Local Government
Code of 1991, The term health center is sometimes used by communities to refer to these

—
facilities; see related Rural Health Unit/ Urban Health Unit

. BIRTHING HOME - short-stay, non-hospital based health facility that provides maternity
a

services including prenatal and postnatal care, normal spontaneous delivery and care of
newborn babies to low-risk mothers and babies.

. BLOOD SERVICE FACILITY (BSF) — a unit, agency or institution providing blood

products. The types of BSF are Blood Station (BS), Blood Collecting Unit (BCU), Hospital
Blood Bank (BB), and are Blood Center (BC) (Regional, Sub-National and National). (4.0.
No.2008-008)

. CLINICAL LABORATORY -a health facility where tests are done on specimens from the
human body to obtain information about the health status of a patient for the prevention,
diagnosis and treatment of diseases. The tests include, but are not limited to, the following
disciplines: clinical chemistry, hematology, immunohematology, molecular biology and
cytogenetics. The total testing process includes pre-analytical, analytical and post analytical
procedures. (R.A. No. 4688, A.O. No. 2007-0027)

a) General Clinical Laboratory — provides the following minimum service capabilities

such as, but not limited to, routine hematology, qualitative platelet determination,
routine urinalysis, routine fecalysis, blood typing, etc.

b) Specialized Clinical Laboratory — offers highly specialized laboratory services that

are not provided by a general clinical laboratory.

. CUSTODIAL CARE FACILITY a health facility that provides long term care, including
-—

basic human services like food, shelter to patients with chronic or mental illness, patients in
need of rehabilitation owing substance abuse, people requiring ongoing health and nursing care
due to chronic impairments and a reduced degree of independence in activities of daily living.
(A.O. No. 2012-0012)

. DENTAL CLINIC
a section or clinic in a hospital or non-hospital based facility with
standard dental equipment, instruments and supplies plus all the anesthetic and sterilization
apparatus that provides basic and/or expanded outpatient services for oral health education,
oral examination, fluoride application, oral prophylaxis, tooth filling, tooth extraction, root
canal, minor surgeries. May also offer specialized dentistry service such as orthodontic
treatment, cosmetic dentistry, prosthodontic dentistry and diagnostic dental services.

. DIAGNOSTIC FACILITY a type of health facility that examines the human body or
-—

specimens from human body (except laboratory for drinking water analysis) for the diagnosis,
sometimes treatment of diseases. The test covers the pre-analytical, analytical and post

wit).
 analytical phases of examination. (A.O. No. 2012-0012) Examples: Clinical Laboratory, Drug
Testing Facility, Radiologic Facility, HIV Testing Center, Water Testing Facility

9. DIALYSIS CLINIC
-
a health facility where a cleansing process using dialyzing equipment
(artificial kidney) and appropriately recognized procedures is performed. (A.O. No. 2012-
0001)

10. DRUG ABUSE TREATMENT AND REHABILITATION CENTERS — a health facility

that provides comprehensive patient drug treatment and rehabilitation services which ranges
within a spectrum of medical and psychological management. This is further classified into:

~—
a. Non-residential Treatment and Rehabilitation Center / Outpatient Center — a health
facility that provides diagnosis, treatment and management of drug dependents on an
outpatient basis. It may be a drop-in/walk-in center, recovery clinic, or any other
facility with consultation and counseling as the main services provided, or may be an
aftercare service facility. Patients diagnosed with moderate substance use disorder are
oftentimes referred to this center.

b. Residential Treatment and Rehabilitation Center / Inpatient Center — a health facility

that provides comprehensive and rehabilitation services utilizing any of the accepted
modalities as described in the Manual of Operations towards the rehabilitation of a
person with substance use disorder in
an inpatient basis. Patients diagnosed with severe
substance use disorder are often times admitted to this center.

Cc. Residential Treatment and Rehabilitation Center with Outpatient Service Capability —
a health facility that provides both outpatient and inpatient service.

11. DRUG TESTING FACILITY

-
a health facility that is capable of testing a specimen to
determine the presence of dangerous drugs therein.

a. SCREENING LABORATORY —
eliminate
a laboratory capable of drug screening
negative specimen from further consideration and to identify the
test
to

presumptively positive specimen.

CONFIRMATORY LABORATORY
a laboratory that performs qualitative and
quantitative examination of a specimen independent from that of a drug screening
test.

12. GENERAL HOSPITAL - a type of hospital that provides

services for all
kinds of illnesses,
disease, injuries or deformities. A general hospital shall provide medical and surgical care to
the sick and injured, maternity, newborn and child-care. It shall be equipped with the service
capabilities needed to support board certified/eligible medical specialist and other licensed
physicians rendering services in, but not limited to Clinical Services (Family Medicine;
Pediatrics; Internal Medicine; Obstetric and Gynecology; Surgery), Emergency Services, Out
Patient Services, Ancillary and Support Services such as clinical laboratory, imaging facility
and Pharmacy. (A.O. No. 2012-0012); see related Hospital and Specialty Hospital

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 a. Service capability of general hospitals are the following:

1. Level 1 Hospital - Non-departmentalized hospital that provides clinical care and

management on the prevalent diseases in the locality with clinical services that
include general medicine, pediatrics, obstetrics and gynecology, surgery and
anesthesia. Provides appropriate administrative and ancillary services (clinical
laboratory, radiology, pharmacy) and provides nursing care for patients who
require intermediate, moderate and partial category of supervised care for 24

-—
hours or longer. (4.0. No. 2012-0012)

2. Level 2 Hospital - Departmentalized hospital that provides clinical care and

management on the prevalent diseases in the locality, as well as particular forms
of treatment, surgical procedures and intensive care. Same clinical services
provided in Level 1 Hospital, as well as specialty clinical care. Provides
appropriate administrative and ancillary services (clinical laboratory, radiology,
pharmacy), gives total nursing and intensive skilled care. (4.0. No. 2012-0012)

3. Level 3 Hospital - Teaching and training hospital that provides clinical care and
management on the prevalent diseases in the locality, as well as specialized and
sub specialized forms of treatment, surgical procedure and intensive care. Same
clinical services provided in Level 2 Hospital, as well as sub-specialty clinical
care. Provides appropriate administrative and ancillary services (clinical
laboratory, radiology, pharmacy), nursing care and continuous and highly
specialized critical care. (A.O. No. 2012-0012)

13. HALFWAY HOUSE -—

housing facility for those in recovery
a community-based, short term,
from physical, mental, and emotional disabilities, including those suffering from mild to
moderate drug & alcohol dependence, with a structured environment and crucial support in
reintegrating into society.

14. HIV TESTING CENTER

a
health facility credited by the Health Facilities and Services
Regulatory Bureau (HFSRB), capable of performing HIV Testing by medical technologists
that have undergone the training on HIV Testing Proficiency. (4.0. No. 2014 — 0005)

15. HOSPICE
- a health facility that provides hospice care defined as a component of palliative
care of a chronically ill, terminally ill or seriously ill patient’s pain and symptoms, otherwise
known as end-of-life care that consists of medical, psychological, spiritual and practical
support or patients unable to perform self-care and with declining conditions despite definitive
treatment and other disease modifying interventions. (IRR of R.A. No. 11215)

16. HOSPITAL
- a place devoted primarily to the maintenance and operation of facilities for the
diagnosis, treatment and care of individuals suffering from illness, disease, injury or deformity,
or in need of obstetrical or other medical and nursing care. The term ‘hospital shall also be
construed as any institution, building or place where there are installed beds, or cribs, or

PA excesoshy
 bassinets for twenty-four-hour use or longer by patients in the treatment of diseases, diseased-
conditions, injuries, deformities, or abnormal physical and mental states, maternity cases, and
all institutions such as those for convalescence, sanitaria or sanitaria care, infirmities, nurseries,
dispensaries and such other names by which they may designated. (R.A. No. 4226); see related
General Hospital and Specialty Hospital

17. HUMAN STEM CELL (CELLULAR THERAPY FACILITY) — facility that may act as
an entity providing the service of cellular therapy product collection and a location where
cellular therapy product processing activities are performed in support of itsclinical program.

-—
The facility may also serve as the storage areafor cellular therapy product for future processing,
distribution or administration. (4.0. No. 2013-0012)

~—
18. INFIRMARY -a health facility that provides emergency treatment and care to the sick and
injured, as well as clinical care and management to mothers and newborn babies. It provides
basic, non-complex inpatient, diagnostic, and treatment services usually by general
practitioners. The need for infirmaries is decided according to the local context. (R.A. 4226,
A.O. No. 2012-0012)

19. IN-VITRO FERTILIZATION CENTER

a health facility that performs in-vitro
fertilization and other health related services that has passed accreditation of the DOH.

20. MEDICAL FACILITIES FOR OVERSEAS WORKERS AND SEAFARERS

a
health
facility that conducts Pre-Employment Medical Examination (PEME). It refers to a complete
medical examination during screening to determine physical and mental fitness to work for
overseas workers and seafarers for inter-island/overseas employment. (4.0. No. 101 - 2004)

21. MEDICAL OUTPATIENT CLINIC

-
a health facility that provides ambulatory general or
specialized outpatient care to patients with injuries or infirmity requiring the range of non-
urgent to immediate care, commonly addressing minor and non-life threatening illnesses and
injuries. Examples: Family Planning Clinic, HIV Clinic, Social Hygiene Clinic, School Clinic,
Office Clinic

22. MENTAL HEALTH FACILITY-— refers to any establishment, or any unit of an

establishment, which has, as its primary function the provision of mental health services. (R.A.
No. 11036)

23. MOBILE HEALTH SERVICE a mobile motorized resource with ability to transport,
-—

transfer, carry and provide health services. These mobile resources are housed and offered as
a service of a “mother” health facility or health office. Ex. Ambulance, Mobile clinic, Mobile
dental van, Mobile x-ray

-
24. NATIONAL REFERENCE LABORATORY the highest level of laboratory in the country,
mandated to provide laboratory confirmatory services, provide training, perform surveillance,
do outbreak response, provide External Quality Assurance, perform kit evaluation, and do
research. NRL may have designated Sub-National Laboratories (SNL).

Page 5 of 10/

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 -
25. NEWBORN HEARING SCREENING REFERENCE CENTER shall refer to the central
facility at the National Institutes of Health (NIH) that defines testing and follow-up protocols,
maintains an external laboratory proficiency testing program, oversees the national testing
database and case registries, assists in training activities in all aspects of the program, and
oversees content of educational materials. (R.A. No. 9709)

26. NEWBORN SCREENING REFERENCE CENTER - central facility at the National

Institutes of Health, Philippines (NIHP) that defines testing and follow up protocols, maintains

-—
an external laboratory proficiency testing program, oversee the national testing database and
case registries, assist in training activities in all aspects of the New Born Screening (NBS)
program, oversee content of educational materials, recommends establishment of New Born
Screening Centers (NSCs) and act as the Secretariat of the Advisory Committee on Newborn
Screening. (IRR of R.A. No. 9288)

27. NUCLEAR MEDICINE FACILITY - a health facility, presently regulated by Philippine

Nuclear Research Institute (PNRI), embracing all applications of radioactive, materials in
diagnosis, treatment or in medical research, with the exception of the uses of sealed radiation
sources in radiotherapy. (4.0. No. 2012-0012)

28. NURSING HOME - a residential facility providing a high level of long-term custodial,
personal or nursing care for persons such as the aged or the chronically ill. The facility may
also provide palliative and/or hospice care at end of life.

29. OFFICE CLINIC — a medical outpatient clinic inside a professional work or employment
environment that provides primary care services including treatment of minor ailments,
immediate management of emergency cases, health education, health promotion and referral
to an appropriate facility; see related Medical Outpatient Clinic

30. OUTPATIENT DRUG TREATMENT FACILITY - a community-based drug recovery

facility which adheres to a specific integrated model of treatment for people affected by drug
use. It provides a continuum of care from outreach and low threshold services and involves the
coordination of a number ofhealth, social and other non-specialist services needed to meet the
patient’s needs. An Outpatient Drug Treatment Facility within a Drug Abuse Treatment and
Rehabilitation Center (DATRC) or Hospital is recognized as its service or unit and not as a
separate facility.

31. PHARMACEUTICAL OUTLET refer to entities licensed by appropriate government

agencies, and which are involved in compounding and/or dispensing and selling of
pharmaceutical products directly to patient or end-users. (R.A. No. 10918)

32. PHYSICAL THERAPY AND REHABILITATION FACILITY — a health facility

concerned with the maximal restoration or development of physical, psychological, social,
occupational and vocational functions in persons whose abilities have been limited by disease,
trauma, congenital disorders, or pain to enable people to achieve their maximum functional

age 6 of 10

jw
 It involves the diagnosis, evaluation and management
abilities. of
people of
all ages with
physical and/or cognitive impairment and disability. (A.0. No. 2012-0012)

33. POLYCLINIC - a health facility which is a combination of three (3) or more medical
outpatient clinics that provides general and/or specialist examination and treatment to
patients
and offers diagnostic laboratory and imaging services.

34. PRIMARY CARE FACILITY - a type of health facility that provides population and
individual based-health services that accessible, continuous, comprehensive and coordinated
care that is accessible at the time of need, including a range of services for all presenting
conditions. It also serves as the initial point of contact for individual based services, through
its ability to navigate and coordinate referrals to other health care providers in the health care
delivery system, when necessary. Examples of Primary Care Facilities are Urban Health
Centers in cities, Rural Health Unit, and health stations.

35. QUARANTINE CLINIC

- a designated health facility for referral of suspect/s or probable
case/s of public health emergency of international concern where people who have been
exposed to an illness, usually an infection, but are not ill or have not yet shown any sign of
the illness are restricted to. (IRR of R.A. No. 9271)

36. RADIOLOGIC FACILITY — a health facility concerned with the use of imaging techniques
in the study, diagnosis and x-ray guided treatment of disease. This includes the use of x-rays
in general radiography and fluoroscopy, interventional radiology, lithotripsy, computed
tomography, mammography, bone densitometry, and tumor localization and simulation.

37. RECOVERY CLINIC — a non-residential treatment facility where specialized

consultations, evaluations and treatment may be provided for those recovering from drug use.

38. RURAL HEALTH UNIT/ URBAN HEALTH UNIT (RHU/UHVU) a government primary
-
health facility that serves as first contact of primary care services in the municipality or city
delivering health promotion, disease prevention, health maintenance, counselling, patient
education, diagnosis and management & treatment of acute and chronic illnesses and referrals.
It ensures a follow-through course of treatment of a person as whole and provides both
population-and individual-based health services. It provides leadership in patient navigation
and coordination in a network and follows the standards set by the DOH. The RHU/ UHU
equivalent to the Municipal or City Health Center of the Local Government Code of 1991. The
is
term health center is sometimes used by communities to refer to these facilities; see related
Barangay Health Station

39. SANITARIUM
- is an institution established to make available hospital services specifically
for Hansenites (Hansen Disease). The sanitaria serves as the referral center for the management
of complications, patient and family counseling and community education for leprosy and also
for the integration of its Multi Drug Therapy (MDT) treatment. (4.0. No. 2005-2013)

40. SCHOOL CLINIC

- a medical outpatient clinic inside school, college or university premises

akth
that provides primary care services including but not limited to oral care, health

of 10

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 health promotion, treatment of minor ailments, immediate management of emergency cases
and referral to an appropriate facility, following the standards set by the DOH; see related
Medical Outpatient Clinic

41. SPECIALTY HOSPITAL

- a hospital that specializes in a particular disease or condition or
in one type of patient. A specialized hospital may be devoted to treatment of any the following:
(A.O. No. 2012-0012); see related Hospital and General Hospital

a. Treatment of a particular type of illness or for a particular condition requiring a

range of treatment.
Example of these hospitals are Philippine Orthopedic Center, National Center for
Mental Health, San Lazaro Hospital
b. Treatment of patients suffering from diseases of a particular organ or groups of
organs.
Example of these hospitals are Lung Center of the Philippines, Philippine Heart
Center, National Kidney and Transplant Institute
c. Treatment of patients belonging to a particular group such as children, women,
elderly and others.
Examples of these hospitals are Philippine Children’s Medical Center, National
Children’s Hospital, Dr. Jose Fabella Memorial Hospital

42. SPECIALIZED HEALTH FACILITY - a type of health facility that provides highly
specialized care addressing particular conditions and/ or providing specific procedures and
management of cases requiring specialized training and/ or equipment. Specialized health
facilities within hospitals are recognized as a service/ unit and not as a separate stand-alone
facility. Examples: Dialysis Centers, Mental Health Facilities, Ambulatory Surgical Clinics,
Drug Abuse Treatment and Rehabilitation Centers

43. TRADITIONAL AND COMPLEMENTARY MEDICINE CLINIC — a health facility that

provides a broad set of health care practices that are not integrated into the dominant health
care system. Examples are, but not limited to the following services: acupuncture, chiropractic,
naturopathy, etc. (PITAHC ORDER 2018 — 109)

44, TRANSITIONAL CARE FACILITY — a type of health facility that oversees the continuity
of care during the course of chronic or acute illness. The transitional care facilities also
encompass both the sending and receiving aspects of transfers including, but not limited to,
logistical arrangements, patient and family health education and coordination among health
professionals involved in the transition. Examples: Nursing Home, Hospice, Infirmary,
Halfway House

45. WATER TESTING FACILITY — facility that performs either bacteriological, biological,
physical, chemical and radiological analysis, or a combination of any of these methods to
determine the potability and safety of water. (4.0. No. 2006 — 0024)

C
oral
wk
Page 8 of 10
 Prepared By:
Health System Development and Management Support Division
(HSPMSD)
Health Facility Development Bureau (HFDB)
Department of Health

References for the Health Facilities Dictionary:

Republic Act 9228 entitled “Rules and Regulations Implementing Republic Act 9228 otherwise
known as the “Newborn Screening Act of 2004”

Republic Act No. 9271 entitled “An Act Strengthening The Regulatory Capacity Of The Department
Of Health In Quarantine And International Health Surveillance, Repealing For The Purpose Republic
Act No. 123 Of 1947, As Amended”

Republic Act 9709 entitled “An act establishing a Universal Newborn Hearing Screening Program for
the Prevention, Early Diagnosis and Intervention of Hearing Loss”

Republic Act 10918 (IRR) entitled “An Act Regulating and Modernizing the Practice of Pharmacy
the Philippines, Repealing For the Purpose Republic Act Numbered Five Thousand Nine Hundred
in
Twenty-One (R.A. 5921), Otherwise Known As the Pharmacy Law”

Republic Act No. 10354 entitled “An Act Providing For A National Policy On Responsible
Parenthood And Reproductive Health”

Republic Act No. 10918 entitled “An Act Regulating and Modernizing the Practice of Pharmacy in
the Philippines, Repealing for the Purpose Republic Act Numbered Five Thousand Nine Hundred
Twenty-One (R.A. No. 5921), Otherwise Known as
the Pharmacy Law”

Rules and Regulations (IRR) of Republic Act No. 11215 otherwise known
Cancer Control Act (NICCA).
as the National Integrated

Administrative Order No. 2004 - 083 entitled “Rules and Regulations Governing the Licensure and
Regulation of Ambulatory Surgical Clinics”

Administrative Order No. 2004 -147 entitled “Amending Administrative Order No. 70-A, series 2002
re: Revised Rules and Regulations Governing the Registration, Licensure, and Operations of
Hospitals And Other Health Facilities in the Philippines”

Administrative Order No. 2004 - 181 entitled “Rules and Regulations Governing Accreditation of
Medical Facilities for Overseas Workers and Seafarers”

Administrative Order No. 2005 — 0013 entitled “Revised Roles and Responsibilities of the Eight (8)
Sanitaria Hospitals

Administrative Order 2006 — 0024 entitled “Rules and Regulations Governing the Accreditation of
Laboratories for Drinking Water Analysis”

vi
Page 9 of 10/
Administrative Order No. 2008 — 0027 entitled “Revised Rules and Regulations Governing the
Licensure and Regulation of Clinical Laboratories in the Philippines”

dministrative Order No. 2008 - 008 entitled “Rules and Regulations Governing the Regulation of
Blood Service Facilities”

Administrative Order No. 2008 — 0010 entitled “Revised Rules and Regulations Governing the
Registration and Licensure of Dental Laboratories in the Philippines”

Administrative Order No. 2012 — 0001 entitled “New Rules and Regulations Governing the Licensure
and Regulation of Dialysis Facilities in the Philippines

Administrative Order No. 2012 - 0012 entitled “Rules and Regulations Governing the New
Classifications of Hospitals and Other Health Facilities in the Philippines”

Administrative Order No. 2013 — 0012 entitled “Rules and Regulations Governing the Accreditation
of Health Facilities Engaging in Human Stem Cell and Cell-Based or Cellular Therapies in the
Philippines”

Administrative Order No, 2014 — 0005 entitled “Revised Policies and Guidelines in the Collaborative
Approach of TB and HIV Prevention and Control”

Administrative Order No. 2014 - 0012 entitled “New Guidelines On The Management Of Rabies
Exposures: To Provide New Policy Guidelines And Procedure To Ensure An Effective And Efficient
Management For Eventual Reduction If Not Elimination Of Human Rabies”

Administrative Order No. 2014 — 0034 entitled “Rules and Regulations on the Licensing of
Establishments Engaged in the Manufacture, Conduct of Clinical Trial, Distribution, Importation,
Exportation and Retailing of Drug Products and Issues of Other Related Authorizations”

Administrative Order 2018 -0014 entitled “Revised Guideline in the Implementation of the One-Stop
Shop Licensing System”

Dangerous Drug Boards Regulation No. 4 s. 2003 entitled “Implementing Rules and Regulations
Governing Accreditation of Drug Abuse Treatment and Rehabilitation Centers and Accreditation of
Center Personnel”

PITAHC Order No. 2018 — 109 entitled “Guidelines on the Management of Research
Programs/Projects on Traditional Medicine and Complementary Medicine (TM/CM)”

M Sanford, Angela & Orrell, Martin & Tolson, Debbie & Abbatecola, Angela & Arai, Hidenori &
Bauer, Juergen & J Cruz-Jentoft, Alfonso & Dong, Birong & Ga, Hyuk & Goel, Ashish & Hajjar,
Ramzi & Holmerova, Iva & R Katz, Paul & Koopmans, Raymond & Rolland, Yves & Visvanathan,
Renuka & Woo, Jean & Morley, John & Vellas, Bruno. (2015). An International Definition for
“Nursing Home”. Journal of the American Medical Directors Association. 16. 181-4.
10.1016/j.jamda.2014.12.013.

Page 10 of 10

ok.
Annex B. National Health Facility Registry Template

Specifications for NHFR Metal Plate:

12.00” -

NATIONAL HEALTH FACILITY REGISTRY. ‘ :

ENGRAVED LETTERS (GREEN)

1.5mm STAINLESS STEEL

ENGRAVED NUMBERING (BLUE)
DOH LOGO DIRECT PRINTED ~---—+--—> f--7u
TO STAINLESS STEEL
6.00"

~~
ENGRAVED BOARDER LINE (BLUE)

WESLEYAN UNIVERSITY GENERAL HOSPITAL AND—}--__—- ENGRAVED LETTERS (GREEN)

CARDIOVASCULAR CENTER
7 14° HOLE FOR SCREW OR BOLT

STAINLESS STEEL PLATE

Figure 1. NHFR Metal Plate specifications

ACILITY REGISTRY

Figure 2. Sample NHFR Metal Plate

Guidelines for Display of NHFR in Health Facility

1.Ensure that the metal plate is prominently displayed at the lobby, entrance, or reception
counter of the health facility at all times.
2. Do not add any word, figure, mark, picture, design, drawings, advertisement
of any nature on the metal plates.
imprint or
3. Do not alter the content of the plate without prior notice to DOH. Any changes
health facility information (Health Facility Name, Address, Contact Number, and Head
the in
of the Facility, etc.) shall be reported to the CHD.

Page |
of
Annex C. NHFR Collection Form

OFFICIAL HEALTH FACILITY NAME

NHEFR Code (if available)
Old health facility name (if available)
| |
RHU | |
BHS

For licensed facilities:

CS
Health facility type
Hospital Infirmary
(please check box provided)
Bed capacity:
Bed capacity:
Birthing Home DATRC
Bed capacity: Bed capacity:
Note: For licensed health facilities, please
Others:
ATTACH photocopy
license to operate
of permit and License validity:
Licensing status:
License number:

Ownership (please check box provided) | | Government | |

Private

ADDRESS:

Street name and number

Building name and number

Region
Province

Municipality
Barangay
Zip Code

CONTACT DETAILS:

Landline number
Fax Number
Mobile number
Email Address

FACILITY HEAD:

First name
Middle name

way
Page 1 of Ne

5
 Last name
Position title

GEOGRAPHIC COORDINATES (in decimal degrees):

Latitude (up to 6 decimal digits)
Longitude (up to 6 decimal digits)
Method of geographic data collection
(i.e. GPS device, Google Maps, Mobile
phone, etc.)

RESPONDENT:

Full name
Position title

Signature
Mobile number
E-mail address
Date

NOTED BY (DMO/MHO):

Full name
Position title

Signature
¥-mail address
Date

For more information, email the NHFR administrator:

nh loh.gov.ph
v3.0

mt

Page 2 of 2
Annex D. NHFR Monitoring and Evaluation Framework

INPUTS OUTPUTS OUTCOMES IMPACT

TWG meeting occur regularly

TWG formed with updated
terms of reference and —— we
Maintaining NHER
is
:

Functional NHFR
is
embedded
member composition NHEFR
costed
workplan, as DOH used to link data within
core function
submitted, and published information systemsat
health facilities
annually
Stakeholders comply through facility
and regularly feedback registry service
on
policies
eas
TH
NHER program guidelines and
NHFR program guidelines
and policies drafted
sopolicies
validated by stakeholders
and published at website
[

ee eae i
Complete NHFR data
:

NHER focal points at u

odate th e
produced used by
various Robust,
central and regional of the codes stakeholders for their comprehensive, and
offices identified operations efficient NHFR for
decision making used

ie
-

:
by public and private
System users trained Data quality within NHFR assured NHRdata health facilities
_|

System administrators are capable eHealth standards (such

to extend and manage NHFR as dictionaries,
System administrators stakeholder requirements terminologies are Interoperable NHFR
are trained to develop
NHFR
[p> implemented) with health sector
information systems is
System administrators are able to made available

| |
connect NHF R to health facility Other NHER interfaces
profiling systems and other developed for other health
visualization platforms (i.e. GIS, information systems
dashboards) to appreciate data

Za

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