The Manaoag Community Hospital is located strategically at the central part of Pangasinan in Barangay Baritao, Manaoag about half kilometer away from the town proper. It is bounded in the north by the municipality of Pozorrubio in the east by the municipality of Laoac, in the south by the city of Urdaneta and in the west by the towns of San Jacinto and Mapandan. The hospital was constructed in 1990-1991 and inaugurated in April 11, 1992 as a 10 bed capacity level 1 primary hospital. This structure has a floor area of 1,300 square meters. The catchment areas are the municipalities of Manaoag, Laoac, Binalonan, San Jacinto, and part of Mapandan, Mangaldan and San Fabian serving total population of about 240,859. The catchment barangays refer patients to Manaoag Community Hospital for emergency and primary level of care. Likewise, the private medical clinics and Rural Health Units refer patients for diagnostic evaluation, confinement, and completion of medication and follow up care to the MCH. On the other hand, the MCH refers patients with complication and needing higher level care to Region1 Medical Center, Medical Centrum Hospital and Urdaneta District Hospital. HOSPITAL SCOPE OF SERVICES:
The MCH offers general out-patient and in-patient care. The MCH has an authorized 25 bed capacity but implementing 50 beds. The hospital also is PhilHealth Accredited and a good member of the Philippine Hospital Association. Drugs and Medicines are available 24 hours a day. Every Tuesday and Thursday is the hospital’s “Buntis Day”. The Health providers conduct lectures for pregnant mothers regarding maternal and child care, family planning, reproductive health and newborn screening. It also provides tetanus toxoid, iron tablet supplement, FP commodities and Immunization to the clients. The Medical Doctors also performs minor surgeries and D & C and responds to medico-legal cases and court hearings. Presently the hospital have 60 affiliating students (3rd yr. & 4th yr.) from University of Pangasinan, Colegio de Dagupan, PIMSAT and Northern Luzon Adventist Church in 3 shifts (7am-3pm, 3pm-11pm, 11pm-7am) supervised by different Clinical Instructors, the on-duty regular staff and the Chief Nurse. The hospital also designed a 6 months training program for the Nursing Service Trainee who should meet a minimum requirement of registered nurse with Basic Life Support and IV therapy training. To date, it has accepted a total of 24 Nurse Trainee. HOSPITAL MANAGEMENT SYSTEM
The hospital is under the Provincial Government headed by the Governor. However, the day to day management of the hospital lies with the Chief of Hospital designated Administrative Officer and the Chief Nurse. Together with the Senior Resident, they formulated and implement hospital policies and make annual work and financial plan. The hospital conducts general meeting once a month usually every first Monday of the month to discuss hospital concern raised and given solutions. The management information system is done manually and the hospital statistical reports are consolidated monthly, quarterly and annually to be submitted to the Chief of Hospital for approval and correction prior to submission to the Provincial Health Office and copy furnished the District ILHZ (Interlocal Health Zone). The monthly financial report is prepared by the cashier and the bookkeeper and audited semi-annually by the COA (Commission on Audit). The hospital developed a Quality Assurance Program for all health providers and support staff including a feedback mechanism. However, implementation and monitoring of the said program is very slow. Housekeeping is mainly done by the utility worker under the supervision of the designated Administrative Officer. The hospital has a newly constructed concrete perimeter fence with cyclone wires. Security force is 24 hours every day. There is an existing external and internal disaster management plan but need to be coordinated with the catchment area for proper ex*****on during calamities. The hospital also organized through memoranda different Hospital Committees such as Therapeutic Committee, Infection Control, Waste Management, Inspection Control, Human Resource, Ethics, Maintenance and Disaster Management Committee. MIDDLE MANAGEMENT:
The section heads, such as Senior Resident and Charge Nurse, are the Middle Managers and actively involved in the hospital policy making. Policies are communicate through written correspondences/memoranda and disseminated during general staff meetings, posting and endorsement of the section heads. PERSONNEL/HUMAN RESOURCES:
The workforce includes 5 Medical Staff (including the Chief of Hospital); 3 visiting consultants (OB-Gyne, Ultrasonologist and Pathologist); 24 Nurses, 8 Nursing Attendants ( 5 permanent and 3 contractual); 5 Medical Technologist ; 4 Pharmacy Staff; 2 midwife; 1 radiologic Technologist; and 33 Administrative Staff. There is no dentist in the hospital. Although there is budget from training it is not sufficient and continuing education largely depends on the training provided by higher office, specialty societies and from personal means. Magna Carta benefits are partially implemented such as subsistence and laundry allowance only. Some staff worries of their security of tenure and inadequate allowances such as ADCOM/PERA particularly at the crisis. FINANCIAL INFORMATION/ACCOUNTING:
The 2009 total Hospital Budget was Php 6,587,574 of which Php 4,987,574 went to Personal Services, Php 1,600,000 for MOOE. In the MOOE, 25% goes to purchases of drugs, medicines and medical supplies. However, the hospital maintains a Trust Fund of Php 1.9 M for purchases of additional medicines and laboratory reagents. PROCUREMENT, SUPPLIES AND SUPPLIES:
The hospital submits Annual Procurement Plan to the Provincial Health Office and General Services Office. The Manaoag Community Hospital in turn still makes additional request for regular and fast moving medicines from time to time. The goods are then delivered in the hospital. However, the hospital currently experiencing delayed deliveries and some purchased goods have higher cost than the pharmacy outside the hospital. Procurement of drugs is based on the most recent Philippine Drug Formulary listing of primary care drugs. MEDICAL STAFF:
There are 4 physicians who go an alternate 24 hours duty. Continuing education is gained mainly through their initiative. Lately, there have been queries regarding THE 40-hour per week policy of the Civil Service Commission. Manaoag Community hospital also limited visiting consultants who come 3x a week for OB-Gyne, X-ray, ECG and Ultrasonography cases. These services are covered by Memorandum of Agreement and with approval of the Governor. PHARMACY:
Presently the Pharmacy is operating on 24 hours, 7 days a week and Holidays since May 2008. This Unit is manned by 4 Pharmacist (1 regular staff, 1 casual staff and 2 contractual). The hospital does practice filing of prescriptions and must be in Generics. CLINICAL LABORATORY:
The hospital has an existing level 1 laboratory duly licensed by the Department of Health. This is manned by a contractual Medical Technologist and operating on 24 hours, 7 days a week and Holidays since May 2008. However, the Hospital Management submitted proposal for the expansion and upgrading of the laboratory services to the office of Provincial Administrator. MEDICAL RECORDS:
There is a medical record officer designate. Recording is done manually so there are delay in production of the hospital statistical report and financial report. FOOD SERVICE/KITCHEN:
This area is manned by a Nutritionist-Dietician and cook. Marketing is done everyday at a budget of Php 70/patient/day. The quality of meals does not meet the standard therapeutic diet requested by the attending physician due to limited budget. RADIOLOGY:
this area manned by 1 Radiologic Technologist and operating on 8am to 4 pm every Monday to Friday. There is a visiting consultant for ultrasound procedures and comes every Tuesday and Thursday. ECG service every Monday to Saturday. The ECG and Ultrasonography service is guided by Memorandum of Agreement. NURSING:
There is a harmonious relationship in the nursing service. This section is headed by a Chief Nurse. Continuing Education is mainly gained though self-initiative. There is a 12 hour shifting. One shift is consisting of 5 staff Nurse and 1 Nursing Attendant. BUILDINGS AND GROUNDS:
Generally the hospital is clean including its ground. The patient flow is smooth and systematic. All hospital services are easily accessible. And, the Emergency room is very much accessible too since surrounding hallway are free of obstacle. Waste disposal of sharp and placenta are disposed in a decaying chamber. The liquid waste is drained directly to closed drainage.
