You are on page 1of 7

Rdpublic of the Philippines

Department of Health

OFFICE OF THE SECRETARY


FEB 2 g

2016

DEPARTMENT ORDER
No.2016 - 0045,

SUBJECT: Guidelines for the Preparation and Selection of Proiects for Health
Facility Enhancement Prosram or HFEP FY 2017

RATIONALE
The Department of Health (DOH) continues to pursue "Kalusugan Panglmlahatan"
througlr the improvement of access to quality health services by all Filipinos,
especially the disadvantaged groups.

The DOH's Health Facilities Enhancement Program (HFEP) has aimed at: (l)
improving primary health facilities (RFfUs, BHS) to oogatekeep" and deliver
preventive health services; (2) improving quality of LGU (local government unit)
hospitals to comply with DOH licensing and PhilHealth acqeditation requirements as
referral centers; and (3) decongesting DOH hospitals to be able to provide affordable
quality tertiary care and specialized treatments. Towards these goals, HFEP budget
has been allocated for infrastructure and equipment development of government
health facilities all over the country.
From 201 0 to 2016, a total budget of P87B was allocated for practically all requesting
barangay health stations, rural health units, urban health centers and government
hospitals, including school-based clinics, blood service facilities and reference
laboratories, among others. The HFEP 2017 budget proposal shall be more
responsive to real and updated needs of the communitieso and shall propose to cover
real multi-level and diverse needs for effective program management.

The HFEP 2017 budget proposal shall be based on the review, validation and
correction of past records on HFEP implementation, an updated inventory of
healthcare facilities as to HFEP coverage and gaps, lessons from successes and errors
as shown by program monitoring, audit and evaluation reports, and current projection
of future health facility requirements based on the epidemiology of diseases and
assessment of healthcare system capacities.

II.

OBJECTTVES
To provide participating local government units, national government agencies, DOH
regional offices and hospitals, and other government agencies with the policy
guidelines, processes and timelines in the preparation of proposed projects for HFEP
2077.

III. DEFII\ITIOI\ OF TERMS

A. Health Facility refers to building or edifice used for healthcare services.


B. Health Facilities Enhancement Program is a DOH program which

receives
purpose
capital outlay budget from the national government for the
of upgrading
and developing govemment hospitals and other essential health facilities.

Buitding 1, San Lazaro

diffipffiihrlpllail&brfrtaltunx.4otmnrhilflrilm*Ihbc&4$CIllrectLine:711-9501

IV. COYERAGE

A.

Project Proponents for HFEP

Any govemment organization (local government units and national agencies), nongovemment organizations, civil society organizations, private foundations, people's
organizations or church groups may propose and/or espouse the inclusion of projects
for any govemment-owned health care facility in HFEP 2017. However, it should be
clear that the DOH sets the priorities, inclusion criteria and project development
standards and requirements for HFEP projects-

B.

Eligible Project Beneficiaries for HFEP 2017


The following health facilities may qualiS for funding under HFEP 2017, provided
that they fall under priorities set by DOH and do not have concurrent funding or
request for funding from other sources (government or otherwise) for the same project
proposed.

C.

1.

Health facilities providing direct patient care that are administered by LGUs such
as, but not limited to, barangay health stations, rural health units, urban health
centers, infirmaries and hospitals, public laboratories, dental clinics, blood service
facilities and special service delivery units within its hospitals.

2.

Health facilities providing direct patient care that are administered by the DOH
such as, but not limited to, hospitals, medical centers, drug abuse treatment and
rehabilitation centers, blood service facilities, laboratories, psychiatric facilities,
quarantine stations, mobile healthcare units and special or temporary emergency
health infrastructure.

3.

Health facilities providing direct patient care that are administered by other
national govemment agencies such as the Department of National Defense,
Department of the Interior and Local Government, State Universities and
Colleges, and the Office of the President.

Scope of HFEP 2017 Budget Proposal

HFEP 2017 budget proposal shall consist mainly of capital outlay for infrastructure
and medical/hospital equipment. However, the DOH shall explore the possibility of
including requests for the maintenance and other operating expenses (MOOE)
required for adequate project implementation and management such as: (1) support
to hiring of contractual staff under DOH central management and regional HFEP
operations, Q) truning and conferences, (3) monitoring and evaluation, and (4)
freight and handling or other services that support HFEP projects under special
circumstances.

l.

Capital outlav budget proposed for HFEP 2017 shall include the following:

a.

Funding assistance for purchase

of medical and health

service-related

equipment

b.

Funding assistance for infrastructure:


Renovation
Repair
iii. Expansion of building
iv. Construction and transfer/relocation
v. New construction

i.
ii.

$
(f"

2.

c.

Funding assistance for lot acquisition for the use of a DOH hospital or
other DOH health facility but only after existing lot has been fully utilized
and horizontal and vertical expansion can no longer be accommodated

d.

Funding assistance for special or contingent health facility projects

MOOE budeet proposed for HFEP 2017 slnll include the following:

a.

Funding to assist central and regional offices in hiring contractual job


order staff to augment regular staff implementing and managing the
various aspects of HFEP;

b. X'unding for orientation and conferences conducted for


implementation

of HFEP, and for capability building of

the
DOH HFEP

personnel;

c.

Funding for monitoring the progress of HFEP by DOH officers and staff;

d.
e.

Funding for HFEP evaluation and research related to HFEP; and,

Contingency funds for freight and handling and other services that
support HFEP projects under special circumstances.

D. Exclusions
No budget requests for the following shall be included in the HFEP 2017 proposal:

1.

2.

Duplicate proposal for health facility and/or equipment project under different
funding sources (govemment, non-government or foreign-assisted) or duplication
of HFEP of immediate past years;
Health human resource deployment for health facilities and their salaries and
wages;

3. Budget for recurrent expenditures or MOOE for HFEP project beneficiaries;


4. Personnel transportation facilities;
5. Office supplies, drugs, medicines, medical supplies, appliances and furniture;
6. Office equipment like computers, laptops, printers, photocopying machines, audio
and video equipment, and other paraphemalia;
7

Scholarship grants and training courses;

8. Information

systems software, books, other printed materials and other

information material

9.

Ofhce buildings with no facilities for direct patient care functions;

10. Structures outside of health facilities like peripheral fences and covered pathways.

V. GUIDELINES

l.

FOR AVAILMENT OR ACCESSING OF HFEP 2017

Alignment with Policies. The Project Proponent shall align HFEP requests with
the priorities of Kalusugan Pangkalaltatan, and provisions of existing laws, rules
and regulations, namely:

a.
b.

Performance-based utilization of the sin tax revenues, when applicable

Priority for primary healthcare facilities

\\P lr.-

-ft Y

f\

c. Priority provinces for inclusive development under the current budget


priorities framework

Priorittzation. Priority projects for HFEP FY 2017 shallbe:

3.

a.

Upgrading of Level I DOH hospitals to Level 2 capacity, addressing gaps


in DOH licensing and PhilHealth accreditation for reasons of deficiencies
in health infrastructure or medical equipment, as evidenced by DOH
licensing offices or the PhilHealth offrce.

b.

Projects to improve psychiatric health services


DOH medical center and/or regional hospital.

c.

Construction of new building for DOH and LGU hospitals to comply with
laws and DOH policies mandating increase in bed capacity, upgrading
health services, providing wards for senior citizens and with licensing and
accreditation requirements.

d.

Projects that address health facility damages brought about by natural and
man-made calamities within the past (one) year, but for which no past or
on-going assistance from DOH or other agencies have been secured for
repair, reconstruction or replacement of equipment and infrastructure
facilities.

in strategically located

Officiat Project Proposals. Project proposals for HFEP FY

a.

2017 l,,i:Yl

Project proposals for DOH health facilities, duly signed by the chidfs or
directors of the hospital or facility concerned, shall be submitted direct to
the HFEP Management Office-Office of the Secretary, for further
processing,

b.

Projecf proposals for health facilities owned and/or administered by


natioual government agencies, favorably endorsed and duly signed by
their respective agency Secretary shall be submitted directly to the Office
of the Secretary, attention: HFEP Management Office, for processing.

c. Project proposals for

LGU-owned and/or administered health


facilities shall be submitted to the DOH through the respective DOH
Regional Offices (DOH-RO).

d. The submission of the above project

proposals should include the


following basic information and documents, subject to validation:

i.

Proof of ownership or authorization to use (usufruct) the land for the


project;

ii.

Five-year to ten-yem hospital development plan covering the year


2017;

iii.

For all infrastructure project proposals: description of the project,


scope/program of works, schematic plan and budgetary cost estimate,
for all requests for infrastructure support;

iv. For all equipment project proposals: specific nzlme of equipment items,
pulpose, technical specifications, quantities and budgetary cost
estimate;

v.

Supporting documents for infrastructure projects: site development


plan and geo-hazard map showing location of proposed project and;

*F qy

vi.

Certification that the appropriate health or technical personnel (health


human resources) are available for the requested equipment and or
proposed infrastructure proj ect.

4. Screening Process:

a.

The DOH-Regional Offices shall be responsible for the initial screening

of

for LGU health facilities. The DOH-RO's


authorized representatives shall conduct on-site review and validation of
project proposals for all infrastructure projects. Likewise, the DOH-RO
shall direct its staff to validate equipment requests, and may request staff
of DOH regional hospitals or medical centers to validate project proposals
for equipment.
HFEP project proposals

b.

Validation of infrastructure projects shall consider existing infrastructure


conditions, hazard maps, lot ownership and availabiliqy of land, required
basic infrastructure in the localitv such as road access and water source.
among others.

c. Validation of equipment requests shall consider current inventory of


functional equipment within the facility, the availability of human resource
complement to operate and maintain the equipment, and electrical power
soufces.

d. The DOH

Regional Office shall forward its final evaluation and


recommendation of project proposals for LGU facilities to the Office of
the DOH Secretary, through the HFEP Management Office (HFEP-MO).
Due date of submission is February 24,2016.

e.
5.

DOH hospitals shall forward its project proposals to the HFEP-MO-Office


of the Secretary copy furnished the Office for Health Operations. Due date
of submission is February 24,2A16.

Review Process. The HFEP-MO shall review the project proposals for alignment
with the priority programs of the DOH and directives of the current
administration, and prepare a project list as part of the HFEP FY20l7 budget
proposal. The HFEP-MO, in coordination with the Secretary of Health, shall
piontize the following health facilities and services:

a.
b.

Those located in the National Anti-Poverty Council list of municipalities;

Those located

in DSWD Listahan

(previously known as NHTS for

Poverty Reduction);

c. Those located in Geographically Isolated and Disadvantaged Areas


(GIDA) and Indigenous Cultural Communities/Indigenous Peoples areas
(ICCs/IPs), especially those endorsed by the Bureau of Local Health
Service Development;

d.

Those health facilities that are non-PhilHealth accredited and non-licensed


because of infrastructure or equipment deficiencies, but with evidence of
adequate health human resources and local budget for maintenance and

operations;

e.

Facilities and equipment that are essential, life-saving and address the
main causes ofmorbidity and mortality;

-f'fi$

f.

Hospital blood services and laboratories of the DOH lead blood centers;

g.

Those facilities endorsed for upgrading by the National and/or Regional


Development Councils;

h.

Those priority provinces with high poverty magnitude (Category l), those
with high poverty incidence (Category 2), and those that are vulnerable to
shocks and disasters (Category 3).

6.

Approval Process:

a.

The HFEP-MO presents the consolidated HFEP 2017 project proposals to


the DOH Execom and secures the approval of the Secretary of Health by
first week of March 2016.

b.

The initial approved HFEP 2017 Project Proposals shall be prepared by


the HFEP-MO and submitted to the Department of Budget and
Management together with details of project proposals by third March
2016.

c. If

necessary, HFEP-MO shall coordinate further with the DBM and


consult with representatives of both Lower and Upper Houses to prepare
the final list of HFEP projects for the approval of the Secetary of Health,
re-submission to the DBM.

d.

Once the final list is approved, the HFEP-MO shall furnish all the project
proponents/beneficiaries of the result of DOH review and approval of the
DBM for inclusion in the National Expenditure Program for 2017. The
HFEP-MO shall continue to coordinate with the project proponents and
exchange feedback on the progress or status ofapproval ofthe proposed
projects or HFEP 2017 lists until these shall have been carried through for
approval of the House of Representatives, Senate and enacted into law as
part of the General Appropriations Act FY 2077.

e.

The DOH Knowledge Management and Information Technology Service


shall post the approved final list, per GAA, in the DOH

ffJH,
VI.

SUBMISSION OF HFEP 2017 PROPOSALS


project proponents should submit their HFEP Project Proposals with complete
documentary requirements to the DOH Regional Offices by the 3'd week of February

A11

2016 or as early as possible.

WI.

ALTERNATIVE SOURCES FOR FACILITY ENIIANCEMENT


A. PHIC INCOME RETENTION. In accordance to RA 7875 or NHIA of 2013, all
charges paid by the Philippine Health Insurance Corporation (PHIC) to public
health facilities other than professional fees are retained by the individual facitity
to primarily defray operating costs other than salaries, to maintain or upgtade
equipment, plant or facilify, and to maintain or improve the quality of service in
the public sector. These could be the counterpart to HFEP funding required of
beneficiaries.

-$

3q*

B. All

for facility upgrading not prioritized and disapproved for HFEP


funding may be sourced out of the income generated by healthcare facilities
requests

through PHIC or through subsidies from LGUs or other sources.

YIil.

EFFECTIVITY
These guidelines shall take effect immediately.

JAI{ETTA

MD, MBA-H

You might also like