Office of the Provincial Health Officer

QUIRINO PROVINCIAL HOSPITAL

MISSION

To serve as referral of all district hospitals in the province; to deliver quality health care regardless of social status and political affiliation; to serve as training venue for medical, paramedical and nursing students to transform Quirino Provincial Hospital as a center of wellness.

VISION

To deliver quality health care through modern facilities and equipment, manned by highly trained competent personnel capable of providing curative, promotive, preventive and rehabilitative health care in the province and neighboring provinces.

SCHEDULE OF FEES FOR SERVICES AND USE OF FACILITIES

Amount
I. Laboratory Services of fee
1. Hematology
a.) Complete Blood Count (CBC) 200.00
b.) Hemoglobin/Hematocrit (HGB/HCT) 50.00
c.) BSMP 40.00
d.) Blood Type 100.00
2. Clinical Microscopy
a.) Routine Urinalysis (Automated) 80.00
b.) Routine Urinalysis (manual) 40.00
c.)Routine Fecalysis 50.00
3. Serology/Blood Banking
a.) Crossmatching 150.00
b.)HBSAG 190.00
c.)URDL 180.00
d.) Widal Test 180.00
e.) Blood Screening (CHIV a&2, Hepa B 1,000.00
Hepa C, RPR, Malaria)
f.) Whole Blood 2,000.00
4. Blood Chemistry
a.) FBS 100.00
b.) BUN 120.00
c.)BUA 120.00
d.) Cholesterol 120.00
e.) Creatinine 120.00
f.) Uric Acid 120.00
g.) Trigliciride 180.00
h.) HDL/LDL 180.00
i.) SGOT 180.00
j.) SGPT 180.00
5. Bactriology
a.) Gram Stain 60.00
b.) KOH 60.00
c.) AFB 60.00
6. Serum Electrolytes
a.) Potassium 250.00
b. ) Sodium 250.00
c.) Calium 250.00
d.)  Chloride 250.00
7. Others
a.) Pregnancy Test 100.00
b.) ASO 180.00
c. ) ESR 180.00
IMAGING SERVICES
1. X-Ray
a.) Chest PA (Adult) 180.00
b.) Chest AP ( Pedia) 150.00
c.) Chest AP – Lateral (Pedia) 300.00
d.) Extremities ( Upper and Lower) 200.00
e.) Skull AP- Lateral 300.00
f.) Cervical Spine AP-Letaral 300.00
g.) Thorasic Cage 180.00
h.) Lumbo Sacral AP-Lateral 360.00
i.) Thoraco Lumbas AP-Lateral 360.00
j.) Pelvic 180.00
k.) Kidney Urates Bladder (KUB) 180.00
l.) Intravenous Pylography (IVP) 180/plate
m.) Shoulder 150.00
n.) Barium Snema 180/plate
o.) Upper Gastro Intestinal Series (UGIS) 180/plate
p.) Barrium Swallow 150/plate
q.) Dental 70/exposure
r.) Abdomen 180.00
s. Nasal Bone 300.00
2. Ultrasound
a.) Trans Vaginal Procedure 480.00
b.) Pelvic 400.00
c.) Whole Abdomen 700.00
d.) Hepatobiliary 350.00
e.) KUB 480.00
f.) Upper/Lower Abdomen 480.00
g.) Follow-up/Tracing (Fetal Monitor) 50.00
h.) ECG 250.00
i.) Fetal  Monitor 150.00
j.) Thyroid 480.00
3. Special Procedures/Services
a.) NGT 150.00
b.) Catheter Insertion 75.00
c.) Cutdown 75.00
d.) Tube Feeding 30.00
e.) Thoracostomy 100.00
f.) Phototherapy 11.50/hour
g.) Incubator 13.00/hour
h.) Adult ventolator with builtin 800/24 hrs
compress air (except oxygen)
i.) Pedia ventilator without compress air 400/24 hrs
j.) Radiant Heater 17.50 hour
k.) Infusion Pump 8.00/hr
l.) Ultrasonic Nebulizer ( machine) 10/use
m.) Dressing 30/dressing
n.) Circumcision including medicines and supplies 350.00
o.) Cortury 100.00
p.) Suturing of wound 20/stitch
q.) Removal of suture 10/stitch
r.) Application of cast 100.00
s.) Removal Cast 150.00
t.) Blood Infusion 110/day
u.) Cardiac Monitor 600/day
v.) Net Insertion 260/day
w.) Intubation Fee 1,125.00
x.) Intubation Set 375/day
y.) Foley Catheter Insertion 260/day
z). T-piece use 410/day
z.1 Suction Pump 185/use
z.2 Mechanical Respiration 2,400/day
z.3 Pulse Oximeter 110/day
z.4 Ventilator 400/24 hrs
z.5 Nebulizer 10/use
4. Dental Services
a.) Extraction
– Permanent Tooth 50/tooth
– Milk Tooth 50/tooth
b.) Filling
– Permanent Tooth 200/tooth
– Temporary 100/tooth
c.) Oral Prophylaxis 150.00
5. Room
ICU 975/day
NICU 500/day
Payward
– Airconditioned 700/day
– With Elctric Fan 500/day
Medicare Ward 400/day
Service/Charity Ward 75/day
Operating Room Fee
– Major Operation 1,000.00
– Minor Operation 500.00
6. Delivery Room Fee 500.00
7. Newborn Screening (Non-PHIC) 600.00
8. Newborn Screening with complete Vaccine (PHIC) 100.00
9. Medical Certificate
a.) For Student Free
b.) For Employment 50.00
c.) For Medico Legal 150.00
d.) Death/Birth 20.00
e.) Patients card reissuance 20.00
10. Autopsy 500.00
11. Ambulance Fee
a.) Santiago 500.00
b.) Bayombong 1,000.00
c.) Baguio 5,000.00
d.) Manila 5,000.00
e.) Lagawe 1,600.00
f.) Tuguegarao 2, 500
g.) Ilagan 1, 400
i.) Within 3-5 kilometer radius 100.00
12. Affiliation Fee
a.) Nursing
– 60.00/ student for 50 –  80 hours
– 40.00/student for 30-40 hours
– 30.00/student for 10 – 29 hours
b.) Midwifery
– 40.00/ studebt for 30 – 40 hours
c.) Phramacy
– 300 for 480 hours
– 100 for 160 hours

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES:    OUTPATIENT SERVICES

Schedule of Availability of Services:

  • Monday to Friday        8:00am            –           4 pm
  • Saturday                       8:00 am-          12:00 pm

Costumers

  • All seeking medical attention

Requirements

  • OPD ID Card

Fees

  • See attached schedule of fees

Duration

  • Average of 1 hour depending on the case

CHIEF OF HOSPITAL

TAGUMPAY A. FELISMINO, MD, MHA

Provincial Health Officer II

Telephone No. (078) 692-5077

Address: San Marcos, Cabarroguis, Quirino

HOW TO AVAIL THE SERVICES

STEP ACTION/PROCESS Person

Responsible

Duration Remarks
CLIENT SERVICE PROVIDER
1 Go to nurse on duty and inform about medical problem -instruct patient to get medical record at MRD if “old” patient.

-Create record for new patients

-interview patient

-gather personal data, vital signs and chief complaint

Nurse on duty

Nurse on duty

5 mins

5 mins

2 Wait for the turn to be attended Call patient and inform doctor of the patient’s condition

Examine patient:

  1. Institute appropriate treatment and instruction
  2. Prescribed medication:

-If laboratory test is required fill-up order/ request for lab./radiologist or other diagnostic procedure.

-if hospitalization is required ROD issue admission order

-if to be referred to another health  facility, accomplish referral form

Nurse on Duty

ROD

1 min

10 mins

3 Proceed to pharmacy for pricing of medicines and to the billing section for pricing of Lab. Test and other services -Prepare charge slip

-Prepare medicines

-Instruct patient to pay bill

Billing Clerk 3 mins
4 Pay bill -Accept payment and issue receipt Cashier 2 mins
5 Present receipt to pharmacist and receive purchased medicines Check official receipt and dispense medicines with instruction Pharmacist 2 mins
If not to be admitted or referred……

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: IN PATIENT SERVICES

Schedule of Availability of Services:

  • 24 hours

Costumers

  • All seeking medical attention

Requirements

  • None

Fees

  • See attached schedule of fees

Duration

  • Depends on the severity of case

CHIEF OF HOSPITAL

TAGUMPAY A. FELISMINO, MD, MHA

Provincial Health Officer II

Telephone No. (078) 692-5077

Address: San Marcos, Cabarroguis, Quirino

HOW TO AVAIL THE SERVICES

Step Action Person Responsible Duration Remarks
Client Service Provider
1 Patient admissible (from OPD,ER)

Wait for guard assignment

Admits patients, prepares, orders.

Accomplish patient chart

Caries out STAT Doctor’s order bring request to the laboratory/ other examination and insert IV fluid.

Ask patient whether PHIC member/ beneficiary or not

Notify ward/OR/DR about the admission.

Bring patient to the assigned room

ROD

Nurse on duty

Utility worker

5 mins

10 mins

3 mins

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: EMERGENCY SERVICES

Schedule of Availability of Services:

  • 24 hours

Costumers

  • All seeking medical attention

Requirements

  • None

Fees

  • See attached schedule of fees

Duration

  • Depends on the severity of case

HOW TO AVAIL THE SERVICES

Step Action Duration Person Responsible Remarks
Client Service Provider
1 Go directly to ER for initial treatment

For minor surgery

-Nurse obtains vital signs of the patient, records complaints and inform the doctor of patients condition

-Gives initial medicine

-Conducts Lab. Test, if necessary

-Prescribed medicines

-Performs minor surgery

Depends on the case

1 min

Depends on the case

3 mins

Depends on the case

Nurse on duty

Med tech on duty

Doctor on duty

If admissible, proceed as in patient; if not
2 Proceed to pharmacy for pricing of medicine and or to billing section for pricing or laboratory test/ radiologic procedures and services rendered. Prepares change slip

Prepare medicine

Instruct patient to pay bill

3 mins Billing clerk

Pharmacist

3 Pay bill Accept payment and issue official receipt 2  mins Cashier
4 Present Official receipt to pharmacist and receive purchase medicines Check Official receipt and dispense medicines with instruction 2 mins Pharmacist

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: LABORATORY SERVICES

Schedule of Availability of Services:

  • OPD Monday to Friday           8:00 am – 4:00 pm
  • Saturday                                   8:00 am- 12 nn
  • In Patient/ER                           -24 hours

Costumers

  • All seeking medical attention

Requirements

  • Doctor’s Order

Fees

  • See attached schedule of fees

Duration

  • Depends on the test/ s requested

CHIEF OF HOSPITAL

TAGUMPAY A. FELISMINO, MD, MHA

Provincial Health Officer

Telephone No. (078) 602-5077

Address: San Marcos, Cabarroguis, Quirino

HOW TO AVAIL THE SERVICES

Step Action Person Responsible Duration Remarks
Client Service Provider
1 Proceed to OPD consultation Order Laboratory Examination ROD 1 min
2 Present laboratory request to the Billing Clerk Issue charge slip Billing clerk 3 mins
3 Pay corresponding fees Issue official receipt Cashier 2 mins
4 Present laboratory request to Laboratory Personnel -extract blood sample if required

-provide specimen bottle

-advice to submit urine or stool patient specimen, if required.

Medical Technologist 10 mins
5 Wait for result Examination of test requested Medical Technologist 15-30 mins
6 Give results to the Physician on duty at OPD Interprets laboratory result and prescribe medicines or further management. Physician on duty 10 mins
If admissible…proceed as in patient

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: RADIOLLOGIC SERVICES

Schedule of Availability of Services:

  • OPD Monday to Friday           8:00 am – 4:00 pm
  • Saturday                                   8:00 am- 12 nn
  • In Patient/ER                           -24 hours

Costumers

  • All seeking medical attention

Requirements

  • Doctor’s Order

Fees

  • See attached schedule of fees

Duration

  • Depends on the test/ s requested

HOW TO AVAIL THE SERVICES

Step Action Person Responsible Duration Remarks
Client Service Provider
1 Proceed to OPD consultation -resident on duty prepares request (X-ray, Ultrasound, ECG, fetal monitor) as the case my be deemed necessary

-Gives request and instruct the patient.

ROD

Nurse on duty

5 mins

2 mins

2 Present request for billing Issue charge slip Billing clerk 2  mins
3 Pays bill Issue Official receipt Cashier 2 mins
4 Present request and official receipt to Rad. Tech. -performs procedure (x-ray, ECG, fetal monitor)

-performs ultrasound

Rad. Tech.

Sonologist

15 mins

Depends on the case

5 Wait for the result -Interpret X-ray result

-Interpret ECG, Fetal Monitor

-Encode and release result

-Explains result to patients and gives management and treatment, prescribe medicine.

Radiologist

Internist / OB-gyne

Rad . Tech.

ROD

3 mins

3 mins

5 mins/ procedure

5 mins

If admissible……proceed as in patient
6 In coming from ER proceed to ER Radiologist on duty prepares request for radiologic procedure

-performs procedure interprets result; gives management and evaluation: prescribe medicines

-Reads X-ray plate

ROD

Rad Tech

ROD

Radiologist

3 mins

10 mins

5 mins

3 mins

If admissible…….proceed as in patient, if not
7 Proceed to billing for pricing of procedure

Pays Bill

Prepare charge slip

Accept payment and issue official receipt

Billing clerk

Cashier

2 mins

2 mins

Present official receipt to pharmacist and receive purchased medicines Check official receipt and dispense medicines with instruction Pharmacist 2 mins

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: AMBULANCE SERVICES

Schedule of Availability of Services:

  • 24 hours

Costumers

  • Any case requiring transfer to another health facility

Requirements

  • Referral or Request letter

Fees

  • See attached schedule of fees

Duration

  • 1 hour

CHIEF OF HOSPITAL

TAGUMPAY A. FELISMINO, MD, MHA

Provincial Health Officer

Telephone No. (078) 602-5077

Address: San Marcos, Cabarroguis, Quirino

HOW TO AVAIL THE SERVICES

Step Action Person Responsible Duration Remarks
Client Service Provider
1 Present referral or letter request to billing clerk and inform details of the availment. Notify schedule of trip

Driver prepares trip ticket

Ambulance driver 30  mins
2 Seek clearance Signs clearance

Forward patient chart to billing section

Nurse In charge

Nursing attendant

10 mins

3 mins

3 Prepare charge slip Billing clerk 3 mins
4 Wait for computation of hospital bill and ambulance fee Prepare charge slip Billing clerk 3 mins
5 Pay bill Accept payment and issue official receipt Cashier 2 mins
6 Wait for ambulance Convey patient to its destination

Turnover patient to referred hospital

Ambulance driver Depends on distance of the referred hospital/ health facility

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: AFFILIATION AND TRAINING

Schedule of Availability of Services:

  • Monday to Friday        8:00 am           – 12:00 nn

1:00 pm           -4:00 pm

Costumers

  • Students-  Nursing, caregivers, Midwifery, Pharmacy

Requirements

  • Letter of intent signed by the Dean and University/ School/College President

Fees

  • See attached schedule of fees

Duration

  • Depends on the requirements of the course

CHIEF OF HOSPITAL

TAGUMPAY A. FELISMINO, MD, MHA

Provincial Health Officer

Telephone No. (078) 602-5077

Address: San Marcos, Cabarroguis, Quirino

HOW TO AVAIL THE SERVICES

Step Action Person Responsible Duration Remarks
Client Service Provider
1 Submit letter of intent to affiliate to hospital and wait for approval Receive letter and forward to chief of hospital for approval Training Officer 1 min
2 Prepare MOA and submit to hospital. Wait for LCE’s action or approval Receive Moa duly signed by the school president. Recommend to LCE the approval of the MOA.

If approved: inform school of the approval of the MOA and request students to report for orientation

-if disapproved: return the application to school

Training Officer 1 week
3 Request the hospital for schedule of orientation of Clinical Instructors Confirm schedule of orientation Training Officer 10 mins
4 Request the hospital for schedule of orientation of student Confirm schedule of orientation

“No orientation no duty”

Training Officer 10 mins
5 Attend orientation on scheduled date Orient students on hospital policies on affiliation and respective ward assignments.

Inform clinical instructor of schedule of students

HCATS ½ day
6 Submit finalist of affiliates

Receive statement of account

Prepare statement of account

Give to clinical instructor

Training Officer 1 hour
7 Report for actual duty Monitor and supervise students HCATS Depending on the discipline
8 Hand in check of affiliation payment one wk. after receipt of statement of account Receive check of payment and issue official receipt Cashier 1 min
9 Get certificate for cases completed Evaluate and countercheck with OR logbook and signed certificate of completion of cases. Chief nurse/ nurse on duty 10 mins

Name of Office: QUIRINO PROVINCIAL HOSPITAL

FRONTLINE SERVICES: SECURING MEDICAL CERTIFICATE FOR                                                               EMPLOYMENT AND OTHER PURPOSE

Schedule of Availability of Services:

  • Monday to Friday        8:00 am           – 4:00 pm
  • Saturday                       8:00 am           -12:00 nn

Costumers

  • All interested costumers

Requirements

  • For employment- (Blood test, X-ray result, urinalysis and drug test)

Fees

  • See attached schedule of fees

Duration

  • Depends on how fast the patient can secure all the laboratory/ procedure results required (some procedure not available in the hospital like drug test)

CHIEF OF HOSPITAL

TAGUMPAY A. FELISMINO, MD, MHA

Provincial Health Officer

Telephone No. (078) 602-5077

Address: San Marcos, Cabarroguis, Quirino

HOW TO AVAIL THE SERVICES

Step Action Person Responsible Duration Remarks
Client Service Provider
1 Proceed as out-patient See process for OPD See OPD process 2 mins
2 Pay corresponding fees Receive payment: issue receipt Cashier 2 mins
3 Present receipt and get certificate Sign/ issue certificate Resident on duty 2 mins

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