DOH PMS-OPES reference table for TOT(orig) - CHD-Davao Region

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION2. CAPABILITY BUILDING2.1CONDUCT OF COMPETENCYASSESSMENT2.1.1 Evaluation of results Results evaluated Number of results evaluated 402.1.2 Preparation of HRD Plan HRD Plan prepared Number of HRD Plan prepared 242.2TRAINING AND DEVELOPMENT NEEDSASSESSMENT (TDNA)2.2.1 Tool Administration Tool administered Number of tools administered 1.52.3 PREPARATION OF TRAINING DESIGN Training Design prepared Number of Training Designs prepared Training lasts for:a. simple 8 1 - 2 daysb. medium 16 3 to 5 daysc. complex 24 More than 5 days2.3.1Identification and confirmation ofparticipantsParticipants identified and confirmedNumber of participants identified andconfirmed1 1 hr. for every 10 pax2.3.2 Determination of Venue Venue determined Number of venues determined 8 Includes confirmation of arrangement2.3.3Preparation of audio/visualmaterialsaudio/visual materials prepared Number of audio/visual materials prepared 1 Like PowerPoint2.3.4 Preparation of training kits Training kits prepared Number of training kits prepared 0.083 Per kit2.4IMPLEMENTATION OF TRAININGPROGRAM2.4.1 Preparation of post training report Post Training report prepared Number of Post Training reports prepared 162.4.2 Conduct of training course Training courses conducted Number of training courses conducted 24Includes seminars, workshops, writeshops,conventions, etc.2.5NATIONAL COORDINATION MEETINGMeetings with CHD Infra units, MetroWITH CHD INFRA UNITS, METRO MANILAManila special, specialty hospitalSPECIAL, SPECIALTY HOSPITALengineer conductedENGINEERNumber of meetings conducted 24Page 3

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION3. COMMUNICATIONS PROCESSINGRECEIVING/RECORDING OF INCOMING3.1 Incoming records received/recordedRECORDSNumber of incoming recordsreceived/recorded0.25RECORDING/RELEASING OF OUTGOING3.2 Outgoing records recorded/releasedRECORDSNumber of outgoing recordsrecorded/released0.253.3PREPARATION OFCOMMUNICATIONS/DPO/ISSUANCES /DIRECTIVESCommunications/ DPO/ issuance/directives preparedNumber of communications/ DPO/issuances/ directives prepareda. SIMPLE 0.5b. MEDIUM 1c. COMPLEX 4Data is available within the office/division;including signature of head of officeRequires information on policy mattersavailable outside the office/division; includingsignature of head of officeRequires computations, research/datagathering and consultation with experts outsidethe office/division; including signature of headof office3.4 FILING/RETRIEVAL OF RECORDS Records filed/retrieved Number of records filed/retrieved 0.1253.5 REPRODUCTION OF RECORDS Records reproduced Number of records reproduced 0.016 Per copyAPPRAISAL OF RECORDS FOR3.6 Records for disposal appraised Number of records for disposal appraised 24DISPOSALBased on approved Records DisposalSchedule (RDS) and to be done by RecordsManagement Improvement Committee (RMIC)PREPARATION OF REQUEST TO3.7 NATIONAL ARCHIVES OF THERequest prepared Number of requests prepared 0.5PHILIPPINESPage 4

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONARRANGEMENT FOR ACTUAL DISPOSAL3.8 Valueless records arranged for disposalOF VALUELESS RECORDSNumber of valueless records arranged fordisposal24Includes setting of time/date/ with COA/NAPrepresentative/ bonded buyer3.9 DISPOSAL OF VALUELESS RECORDS Valueless records disposed Number of valueless records disposed 0.083 Per weighing3.1IMPLEMENTATION OF THE DOCUMENTTRACKING SYSTEM (DTS) - OFFICE OFTHE DIRECTORImplemented fully the documenttracking system- acknowledged incomingcommunications and documentsreceived-coded incoming and outgoingdocuments and communications- logged/released outgoingcommunications and documentsNumber of documents 0.05Number of documents coded 0.05Number of documents released 0.50Released documents to concernedoffices/staffs/units as validated by the DCNumber of incoming & outgoing documents asvalidated by the DCRecording of validating the status of documentsreceived for action4. DEVELOPMENT / REVISION OF MANUAL / MANUAL OF OPERATIONS4.1 ASSESSMENT OF NEED Need assessed Number of reports prepared 404.2 CREATION OF TWG TWG created Number of TWG created 8DPO duly signed by the Secretary of Health;activity includes confirmation of members4.3 CONDUCT OF TWG MEETING TWG meetings conducted Number of TWG meetings conducted 44.4.CONDUCT OF CONSULTATIVEWORKSHOP/WRITESHOPConsultative workshops/ writeshopsconductedNumber of consultativeworkshops/writeshops conducted244.5 EDITING OF DRAFT MANUAL Draft manual edited number of manual edited 244.6 FINALIZATION OF MANUAL Manual finalized Number of manual finalized 405. DEVELOPMENT OFSPEECHES/TALKING POINTSPage 5

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONPREPARATION OF SPEECHES/TALKING5.1 Speeches/talking points prepared Number of speeches/talking points prepared 8POINTSProgrammatic speeches and talking pointsdepending on the occassions and activities6. FINANCIAL MANAGEMENT6.1 BUDGET6.1.1Review and evaluation of budgetBudget Proposal reviewed andproposals of different offices, CHDsevaluatedand HospitalsNumber of Budget Proposals reviewed 1In accordance with the restructured budgetincluding CHDs, Hospitals andCentral Office programs and projects one hrreview per CHDs, hospitals central office andbureaus6.1.2Consolidation of DOH BudgetProposalConsolidated Annual Budget Number of consolidated annual budget 120Developed consolidated budget proposal forpresentation to DBM6.1.3Provision of technical assistance toCHDs and hospitals for theimplementation of E-BudgetTrained Budget staff of CHDs andhospitals in the use of E-BudgetNumber of CHDs and hospitals staff trainedin E-Budget24Trained in 3 days in a month per CHDs andhospitals6.1.4Development and improvement ofbudgetary methods, system andproceduresDeveloped new budget methods,system and proceduresNumber of budgetary methods, proceduresand systems developed and improved24 Trained in 3 days 2 batches per semester6.1.5Receiving and encoding ofdocuments for obligationsDocuments for obligations received andencodedNumber of documents for obligationsreceived and encoded0.25 Per document6.1.6Reviewing and processing ofdocuments for obligationDocuments for obligation processedreviewed and processedNumber of documents reviewed andprocesseda. EASY 0.25 Per documentb. SIMPLE 0.25 Per documentPage 6

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc. MEDIUM 1 Per documentd. DIFFICULT 8Including deliberations andEXECOM approval6.1.7Receiving/Reviewing and signing ofObligation RequestReviewed and signed ObligationRequestNumber of Obligation Request reviewed andsigneda. EASY 0.25 Fifteen minutes per documentb. SIMPLE 0.25 Fifteen minutes per documentc. MEDIUM 0.5 Thirty Minutesd. DIFFICULT 1 one hour per document6.1.8Preparation of Statement ofAllotment, Obligation and Balances(SAOB)SAOB prepared Number of SAOB prepared 80Two Weeks preparations and submitted toDBM every tenth of the following month6.1.9Preparation of the followingreports:a. Report of Allotment andObligation-PSb. Report of Allotment andOlbigation-MOOEc. Report of Allotment andObligation-COd. Report of Allotment andObligation-FERAO-PS report prepared Number of RAO-PS reports prepared 20 Per reportRAO-MOOE report prepared Number of RAO-MOOE reports prepared 20 Per reportRAO-CO report prepared Number of RAO-COreports prepared 20 Per reportRAO-FE report prepared Number of RAO-FE reports prepared 20 Per report6.1.10 Releasing of obligated documents Obligated documents released Number of obligated documents released 0.25 Per document6.1.11Preparation of Certification ofAvailability of Funds (CAF)Prepare CAF as requested by differentprograms and projectsNumber of CAF prepared 0.25 Per documentPage 7

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6.1.12 Approval and signing of CAF CAF approved and signed Number of CAF approved and signed 0.25 Per document6.1.13Preparation of Sub-Allotment Formand Transfer of Cash Allocation(NTCA) for CHDs and hospitalsSub-Allotment and NTCA preparedNumber of Sub-Allotment and NTCAprepared0.25 Per CHDs and hospitals6.1.14Preparation of Agency BudgetMatrixAgency Budget Matrix prepared Number of Agency Budget Matrix prepared 80Two weeks preparations before submission toDBM6.2 ACCOUNTING6.2.1 Receiving/recording of documents Recorded documents Number of documents received/recorded 0.167Per fund source: General Fund or Fund 101,Trust Fund, Foreign-Assisted Projects6.2.2Reviewing and processing ofdocuments for payment andliquidation report of the followingDocuments reviewed and processedNumber of documents reviewed andprocesseda. EasySingle transaction with attachment of one ortwo supporting documents0.5 Approved/signed by the Accountantb. MediumSingle transaction requiring minorcomputation and attachment of fewsupporting documents1 Approved/signed by the Accountantc. DifficultSingle transaction with major computationsand attachment of many supportingdocuments4 Approved/signed by the Accountantd. ComplexSingle transaction with multiplebillings/receipts, and/or major computationsand attachment of many supportingdocuments6 Approved/signed by the Accountant6.2.3Recording in the NCA controlprocessed documents.Recorded documents in the NCAregisterNumber of processed documents assignedwith NCA control0.166 Disbursement voucher with cash availabilityPage 8

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6.2.4Recording in the index cardsprocessed documents for Foreign-Assisted Projects transactionsRecorded documents in the index cardsNumber of documents recorded in the indexcards0.166 Transaction recorded in individual index card6.2.5Reviewing and certification of theavailability of fundsReviewed and certified documents forpaymentNumber of documents reviewed andcertified payment with available funds0.333 Signed by the Head of the Division6.2.6Releasing of documents forpayment or for return tooriginating officeReleased of processed and for returndocumentsNumber of documents recorded/released 0.412 Delivered to concerned offices6.2.7Preparation of Journal EntryVoucher (JEV)JEV preparedNumber of JEVs preparedIncludes regular transation such as RegularAgency Book, National Government Book andForeign-Assisted Book> Regular transactions 0.166 Transaction recorded in E-NGASa. Regular Agency Bookb. National Government Bookc. Foreign-Assisted Book> For import transactions payrolls, BIR, GSIS, HDMF, Coop 4 Files imported and recorded in E-NGAS6.2.8 Approval of Journal Entry Voucher JEV reviewed and approved Number of JEV approved 0.083 JEV approved by the Head of the Division6.2.9Preparation of Bank ReconciliationstatementBank Reconciliation StatementspreparedNumber of Bank Reconciliation Statementsprepared24Per General Fund / Trust Fund, Foreign-Assisted Fund (MDS, Current Account, DollarAccount)Page 9

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6.2.10Consolidation of FinancialStatements of DOH Central Office,Consolidated Financial StatementsCHDs and hospitals EXECOM,DBM, Donor Agencies, etc.Number of consolidated FS and frequencyof submission120 Two staff doing the consolidation6.2.11Reviewing and signing of contracts,job orders and purchase ordersContracts, JOs and Pos reviewed andsignedNumber of contracts, JOs and Pos reviewedand signed0.5 Approved/signed by the Head of the Division6.2.12Reviewing and signing of FinancialstatementsReviewed and approved FinancialStatementsNumber of Financial Statements reviewedand signed0.167 Approved/signed by the Chief Accountant6.2.13Reviewing and preparation ofresponse to the Audit ObservationMemoranda (AOM) from COAAOM reviewed and response prepared Number of AOM reviewed and acted upon 16 Includes preparation of response6.2.14Preparation the following FAPsreports:Prepared various reports required byDonor AgenciesNumber of SOEs and withdrawalapplications8Report approved and signed by the ChiefAccountanta. Statement of Expensesb. Withdrawal Applicationsc. Statement of Reconciliationd. Sources and uses of fundse. Financial monitoring Reportsf. SAOBg. Reports of disbursementsh. Statement of balances of Noticeof Cash allocations6.2.15 Preparation of BIR tax certificates: Tax certificate prepared Number of tax certificates prepared 0.166 Includes issuance to suppluiera. 2306b. 2307Page 10

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6.2.16Preparation of transmittal letter toCOA re: submission of paiddisbursement vouchersSubmitted paid vouchers Number of paid vouchers submitted 2Batch of reports endorsed by GL/SL Headsubmitted to COA6.2.17Preparation of daily cash positionreportsDaily cash position reports preparedNumber of daily cash position reportsprepared2 Certified by the Chief Accountant6.3 CASHIERING6.3.1Receipt of disbursement vouchersand NTCA's processed documents Vouchers, NTCA's received Number of vouchers /NTCA's received 0.17 Per documentfor payment.6.3.2Reviewing of DVs and sortsaccording to the following fundsources;DV's initially reviewed and sorted perfunding sourceNumber of DV's initially reviewed and sorted 0.25 Per documenta. General Fundb. Trusts Fundc. Foreign-Assisted Fund6.3.3 Issuance of check Checks Issued Number of checks Issued 0.25 Per document6.3.4Encoding and preparation ofPACSbal for credit to various ATMaccountsPACSbal encoded and prepared Number of PACSbal encoded and prepared 0.25 Per document6.3.5Preparation of ADA/List of Due andDemandable for request to DBMfor NCAADA/LDD prepared Number of ADA/LDD prepared 1 Per batch6.3.6Preparation of Advice of ChecksIssued and Cancelled (ACIC)ACIC prepared Number of ACIC prepared 1 Per batch signed and countersigned6.3.7Preparation of Report of ChecksIssued (RCI)RCI prepared Number of RCI prepared 1 Per batchPage 11

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. General Fundb. Trusts Fundc. Foreign-Assisted Fund6.3.8Typing/ signing/countersigning ofchecksTyped, signed /countersigned checkNumber of checks typed, signed andcountersigned0.5 Per document6.3.9 Releasing of checks issued Checks ready for released Number of checks Released 0.25 Per document6.3.10Filing of paid DV's for submissionto Accounting.DV's released and stamped "PAID" Number of batch of DVs filed and submitted 1 Per batch6.3.11Preparation of Monthly Report ofAccountability for accountableforms for various funds.Monthly Report of Accountability ReportpreparedNumber of reports submitted 0.25 Per document6.3.12Receipt recording anddisbursement of the NCA in theCash Disbursement RecordNCA/disbursement recorded Number of transactions recorded 0.17 Per document6.3.13Preparation of Cash Status Reportand/or Reconciliation of cashbalance with the bank balanceCash Status Report prepared and/orReconciled cash and bank balancesNumber of Reports prepared and/orreconciled0.25 Per document6.3.14Preparation of petty cash andother cash advances voucherspetty cash and other cash advancesvouchers preparedNumber of petty cash and other cashadvances vouchers prepared0.5 Per voucher6.3.15Recording of petty cashtransactions and reports requiredtransactions recorded & reportspreparedNumber of transactions recorded andreports prepared0.25 Per document6.3.16Preparation of replenishmentreportsReplenishment reports prepared Number of replenishment reports prepared 1 Per reportPage 12

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6.3.17Issuance of Official Receipt for allcash/check collections for funds;Official Receipt Issued Number of Official Receipt Issued 0.166 Per receipt6.3.18 Preparation of deposit slips Deposit slips prepared Number of deposit slips prepared 1 For remittance to depository bank6.3.19Recording of collections in CashReceipts BookCollections recorded in the CashReceipts BookNumber of collections recorded 0.1666.3.20Preparation of Report ofCollections and DepositsReprt of collections and DepositspreparedNumber of Reports of colletions anddeposits prepared0.1667. HEALTH COMMUNICATION7.1 DEVELOPMENT OF HEALTHCOMMUNICATION PLANHealth communication plan is an essentialstrategy of disease prevention and control.Every health program or campaign should havea health communication plan to increaseawareness or knowledge of target audiencesfor them to change behavior7.1.1Communication plans for differentDOH programsCommunication plans developed Number of communication plans developed 247.1.2 Message development Message developed Number of messages developed 87.1.37.1.4Conceptualization and productionof IEC materialsIdentification of strategies andactivitiesIEC material conceptualized andproducedNumber of IEC materials conceptualizedand producedStrategies and activities identified Number of strategies and activities identified 824Page 13

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION7.2 MEDIA PLANNINGQuad media include tv, radio, cinema and printads; plan includes preparation of what, where,when and how the activities will beimplemented7.2.1 Preparation of media plan Media plan prepared and implementedNumber of media plan prepared andimplemented27.2.2 Arrangement for radio guesting Radio guesting arranged Number of radio guesting arranged 3 Per guesting7.2.3Arrangement/airing of radio/TVinfomercialsRadio/TV infomercials arrangedNumber of radio/tv infomercialsarranged/aired3 Per infomercial7.2.4Monitoring/Recording ofexposures/publicationExposures/publicationmonitored/recordedNumber of exposures/publications/airingsmonitored/recorded1 Per exposure/publication7.3 PROTOYPE MATERIALS DEVELOPMENTAND PRODUCTIONPrototype materials developed andproducedNumber of prototype materials developedand produced:Include all kinds of IEC materials for DOHPrograms7.3.1 Development of prototype materials Prototype materials developed Number of tarpaulin 8 Tarpaulin, posters, brochers, flyers, scripts7.3.2 Production of prototype materials Protoype materials produced:a. Tarpaulin Number of tarpaulins 4b. Poster Number of posters 4c. Brochure Number of brochures 16d. Flyer Number of flyers 4e. Script Number of scripts developed 40f. 30-second radio & TV adsNumber of 30-second radio & TV adsproduced807.4 MARKETING/DISTRIBUTION OF IECPRODUCTS AND SERVICES TO LGUs ANDOTHER STAKEHOLDERSIEC products and servicesmarketed/distributedNumber of IEC products and servicesmarketed/ distributed24Products such as IEC materials in differentformats and production services are beingshown during exhibits, meetings, conferences& workshopsPage 14

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION7.5 ORGANIZATION/LAUNCHING OF EVENTSEvents organized/launched Number of events organized/launched 4Launch events maybe organized by the NCHPor in coordination with the CHDs and LGUsconcerned to announce the activity7.6 EVALUATION/APPROVAL OF IECMATERIALS USING DOH INSIGNIA DEVELOPEDBY OTHER AGENCIES, ORGANIZATIONS ANDPRIVATE COMPANIESIEC materials using DOH insigniaevaluated/approvedNumber of IEC materials using DOHinsignia evaluated/approved24Pharmaceutical, milk and tobacco companiesare excluded/not allowed8. HEALTH PROMOTION (HP)DEVELOPMENT OF HP STRATEGIES ON8.1 HP strategies developed Number of HP strategies developed 24HEALTH PROGRAMSBased on DOH program policies andregulationsPREPARATION OF HP GUIDELINES PER8.2 HP guidelines per program preparedPROGRAMNumber of HP guidelines per programprepared24CONDUCT OF PARTNERS'8.3 Per partners meeting/sales conferenceMEETING/SALES CONFERENCES8.3.18.3.2Identification/confirmation ofpartnersPreparation of invitation/notice ofmeetingPartners identified/confirmed Number of partners identified 1 For every 10 partnersInvitation/notice of meeting preparedNumber of invitation/notice of meetingprepared0.258.4 PREPARATION OF PROGRAMProgram prepared Number of Programs prepared 8ACTUAL CONDUCT OF MEETING / SALES8.5 Meeting conducted Number of Meetings conducted 3.5CONFERENCEFOLLOW-UP OF PARTNERS'8.7 Partners' commitments followed upCOMMITMENT TO HP PROGRAMSNumber of partners' commitments followedup0.5 Per partnerPage 15

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION9. HUMAN RESOURCE MANAGEMENT9.1RECRUITMENT AND PROMOTION9.1.1Posting and Publication of vacantpositionsVacant position posted and publishedNumber of vacant positions posted andpublished1Per vacant position; Published in DOH E-jobposting/CSC Bulletin of VacantPositions/newspaper and posted in the bulletinboard, E-job posting9.1.2Conduct of Initial assessment ofapplicants forappointment/promotion(Documents review)Initial assessment of applicantsconductedNumber of initial assessment of applicantsconducted0.5 Per position/applicant in a matrix form9.1.3 Conduct of Preliminary Interview Preliminary interview conducted Number of preliminary interviews conducted 1A well defined accomplished form ready forsubmission to the PSB Panel9.1.4Administration of Qualifying/Essayexams/TestingQualifying/technical exams conductedNumber of qualifying/technical examsconductedExam results processed Actual conduct ofexaminations appropriate for the position/s tobe filledd.1 General Exam 4 Per batch/testd.2 Technical Exam 2 Per batch/testd.3 Checkingd.3.3 General 0.25 Per applicantd.3.4 Technical 0.5 Per applicant9.1.5 Scheduling of PSB Interview PSB interview scheduled Number of PSB interviews scheduled 19.1.6 Scheduling of PSB deliberation PSB deliberation scheduled Number of PSB deliberations scheduled 49.1.7Preparation of Minutes of theMeeting and ResolutionResolution & Minutes of the MeetingpreparedNumber of Resolution and Minutes of theMeeting Prepared2 Signed by Members of the Board9.1.8 Processing of appointment Appointment processed Number of appointments processed 2Attachments completed and signed by theappointing authority9.1.9Posting of Approved Appointmentsin the Bulletin BoardApproved appointments posted Number of approved appointments posted 1Page 16

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION9.2PROCESSING OF CONTRACTS FOREMPLOYMENT (ORIGINAL/RENEWAL)9.2.1Processing of SecondmentContracts/Consultancy/Casual/JobcontractsSecondment Contracts/ConsultancyContracts/Job ContractsNumber of SecondmentContracts/Consultancy Contracts/JobContracts processed2 Duly signed by the concerned officials9.2.29.2.39.2.4Preparation of Report ofAppointments Issued (RAI)Preparation of Agency RemittanceAdvice (ARA)Preparation of referral letter foremploymentRAI prepared Number of RAI prepared 2 Signed and Submitted to CSC - Field OfficeARA prepared Number of ARA prepared 2 Signed and submitted to GSISReferral letter prepared Number of referral letter prepared 0.15 Duly signed by the Director concerned9.2.5Encoding of Personal Data Sheetand other personnel movement inthe PISPDS and other personnel movementencoded in the PISNumber of PDS' and other personnelmovement encoded in the PIS9.2.6 Issuance of ID ID issued Number of ID's issued 0.31 Updated Personnel Information System9.2.7 Updating of Plantilla of Personnel Plantilla of Personnel updated Number of plantilla updates 2A comprehensive plantilla of personnelindicating all personnel movements9.2.8 Updating of S-cards per employee S-cards updated Number of S-cards updatedFor record and reference purposes, inaccordance with the Accreditation program- new appointment 0.08- renewal appointment 0.339.3GRANT OF STEP INCREMENT/SALARYADJUSTMENT9.3.1Evaluation of employees' record forthe grant of step increment/salaryadjustmentEmployees' records evaluated Number of employees' records evaluated 0.5 Per employee record9.3.2Preparation of Notices of stepincrement/adjustment(NOSA/NOSI)Notice of salary adjustment/incrementpreparedNumber of NOSI/NOSA prepared 0.17Per NOSI/NOSA; Signed by the concernedofficialPage 17

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION9.3.3Updating of masterlist ofemployees for stepincrement/salary adjustmentUpdated masterlist of employees forstep increment/salary adjustmentNumber of employees' stepincerement/salary adjustment updated0.089.4 PERSONNEL INVENTORY9.4.1Updating of personnel includinglisting by nature of appointmentUpdated Alpha listPosted summary listNumber of Alpha list 2Monthly updating done when there are changesin appointments9.4.2Updating of Personnel Inventoryper office/divisionUpdated inventory report Number of inventory reports 1Monthly updating as regards personnelmovements9.4.3Alpha list of personnel with date ofbirthAlpha list prepared Number of lists 1Monthly; as reference of treasury division andmedical clinic for PhilHealth and HMO9.5 ATTENDANCE MONITORING9.5.1Checking of Daily TimeRecord/Monthly Report ofAttendanceDTR/MRA checked Number of DTRs/MRAs checked 0.5Per employee; includes computation ofUndertime/Tardiness/SL/VL9.5.2 Processing of leave applications Leave applications processed Number of leave applications processed 0.179.5.39.5.4Updating/monitoring of leavebalancePreparation of report on salarydeduction/cancellation /restorationto the payroll unitUpdated leave balanceReport on salary deduction/cancellation/restoration to the payroll unit preparedNumber of updated leave records peremployeeNumber of reports on salarydeduction/cancellation /restoration to thepayroll unit preparedPer employee; Duly signed by the concernedofficial0.17 In compliance with the leave laws8As basis for the salary deduction, cancellationfrom the payroll or restoration to the payroll9.5.5 Updating of Leave Credits Leave credits of employee updatedNumber of leave credits of employeeupdated0.25undertimes/tardiness; filed applicationsrecorded to individual leave card9.5.6 Review and consolidation of:a. Performance Appraisal Reports PAR consolidted Number of PAR summaries 0.17 Submitted to CSC; Ombudsman, OPb. SALN SALN consolidated/reviewed Number of SALN consolidated 1 Per officec.Preparation of referral for AnnualMedical ExamRefferal letter prepared Number of referrals prepared 0.25Page 18

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONd.Processing of applications forloans/various claimsLoans/various claims processed Number of loans/claims processed 0.3submitted to GSIS, Banks, Pag-ibig andPhilHealthe.Summary report on submissionsof PERsSummary report Number of prepared report 4 office performance reportf. Review of SALN submitted SALN reviewed Number of SALN 0.08 As to completeness and correctnessg.h.Summary report on SALsubmissionLetter of transmittal to CSC;Ombudsman, and OP re submittedSALsSummary report Number of prepared report 8 Includes review and verification of informationTransmittal letter Number of prepared letters 0.17i. Certificate of employment Prepared/issued certificate Number of prepared and issued certificates 0.25Annual; duly signed by Director of AdminServicesPer employee; Upon request of employees orofficials concernedj. Implementation of PRAISE Grantees Number of grantees 54.5 Based on established DOH PRAISE Guidelines9.6 GRANT OF LOYALTY AWARD9.6.19.6.2Updating of Master list ofcandidates for Loyalty AwardEvaluation of employees' record forthe grant of loyalty awardUpdated masterlist for loyalty awardees Number of updating done 0.17 Source/referenceEvaluated employees' records Number of loyalty awardees 0.33 Submitted to the treasury division for payment9.6.3Preparation of the list ofemployee/s entitled to Loyalty PayList of employees entitled to loyalty paypreparedNumber of qualified employees 29.7 RETIREMENT9.7.1Processing of application forretirementApplication for retirement processed Number of approved applications 1Submitted to GSIS/payroll unit for voucherpreparation9.7.2 Computation of terminal leave Terminal leave computed Number of terminal leave computed 1Processing of payment for the separated/retiredemployees9.7.3Permission to engage in privatepracticeAuthority prepared Number of authority prepared 0.25 Approved authorityPage 19

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION9.7.4Memorandum prepared toemployees re: attendanceinfractionsMemorandum prepared for infractions Number of Memo prepared 0.59.8 COMPENSATION9.8.1 Preparation of Payroll Payroll prepared Number of payrolls prepared Submitted to Finance Servicea. Special payroll 4b. Regular payroll 89.8.2 Preapation of voucher Voucher prepared Number of vouchers prepared 0.59.8.3 Preparation of remittances Remittances prepared Number of remittances prepared 1.59.8.4 Loan applications to GSIS/LBP Facilitated loan applications Number of facilitated loan applications 0.25duly signed and submitted to concernedagenciesSubmitted to GSIS, Certified loans thruGWAPS; submitted to LBP9.8.5 Membership to GSIS/Philhealth Facilitated members applicationsNumber of facilitated membershipapplications0.5 Approved membership9.9 MAINTENANCE OF PIS9.9.1Data encoding of newly hiredpersonnel, co-terminus employeesEncoded employee data Number of new employees encoded All data are verified prior to encodinga. Encoding 0.5b. Updating 0.179.9.29.9.3Updating re personnel movement(promotion)Updating of service records (peremployee)Encoded employee data Number of employees 0.08 All data are verified prior to encodingUpdated service record Number of employees 0.17 Merely encoding of additional data9.9.4Printing and issuance of servicerecords (per employee)Issued service recordsNumber of service records printed andissued0.08Duly signed by the Division Chief or designatedrepresentative9.9.5 Encoding of Performance Ratings Encoded rating of employee Number of rating per employee 0.08 Rating verified prior to encoding9.9.6 Updating of salary index Updated employee salary index Number of employees' salary index 0.25Encoded salary adjustments based onapproved/signed noticesPage 20

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION10. INTEGRITY DEVELOPMENT AND CORRUPTION PREVENTION (IDCP)10.1CONDUCT OF INVENTORY OF GOODPRACTICES IN PREVENTING ANDDETECTING CORRUPTIONInventory of good practices inpreventning corruption conductedNumber of good practices inventoryconducted1includes preparation and sending out ofdirectives/issuance10.2FORMULATION OF SCORECARD FORMANAGERIAL POSITIONScoreCard formulated Number of Scorecards formulated 4010.3PREPARATION OF MONITORING TOOLSFOR IDCPIDCP monitoring tools prepared Number of IDCP monitoring tools prepared 2410.4 CONDUCT OF IDCP MONITORING IDCP monitoring conducted Number of IDCP monitoring conducted 8 per office, CHD, hospital10.5PROVISION FOR AGENCY INCENTIVEAND REWARD SYSTEM FOR IDCPAgency Incentive and Reward Systemfor IDCP providedNumber of Agency Incentive and RewardSystem for IDCP provided811. LEGAL SERVICE11.1ACTS ON ADMINISTRATIVE CASESFILED OR INDORSED TO THE OFFICE11.1.1 Evaluation of complaints Complaints evaluated Number of complaints evaluated 411.1.2 Issuance of Show Cause letter Issued Show Cause letters Number of show cause letters issued 1 Formal Charges signed by the Sec.11.1.3Conduct of preliminaryinvestigationPreliminary investigation conductedNumber of preliminary investigationsconducted40 PI Reports signed by the Director11.1.4Issuance of FormalCharges/preventive suspensionFormal charges/preventive suspensionissuedNumber of formal charges/preventivesuspension issued6 Signed by the Sec.of Health11.1.5 Conduct of formal hearing Formal hearing conducted Number of formal hearings conducted 4Orders, Subpoena and Resolutions signed bythe Hearing OfficerPage 21

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.Sending/mailing of Notice ofHearingNotice of Hearing sent/mailed Number of Notices of Hearing 0.33 Signed by the Hearing Officerb.Preparation of communications onthe motions/objections, formal offerof evidenceCommunications on themotions/objections, formal offer ofevidence preparedNumber of communications on themotions/objections, formal offer of evidenceprepared1011.1.6Preparation of Transcript ofStenographic NotesTranscript of stenographic notespreparedNumber of stenographic notes prepared 6Signed by the stenographer and approved bythe Hearing Officer11.1.7 Drafting of Decisions Decisions drafted Number of decisions drafted 8 Decision signed by Director and Sec.11.1.8 Resolution of Appeals Resolved Appeals Number of Appeals resolved 6 Resolution signed by the Director & Sec.11.1.9 Preparation of comment to CSC Comment to CSC prepared Number of comments to CSC prepared 6RENDERING OF OPINION (MAGNA11.2CARTA, SENIOR CITIZEN DISCOUNT,IRR, CONSUMER ACT, ADMINISTRATIVELegal opinion rendered Number of Legal opinions rendered 3 Legal Opinion signed by Director or SecretaryLAW, PATIENT DETENTION ACT, ETC.)11.3REVIEWING OF CONTRACTS OFSERVICE/MOA/MOU AND DEED OFDONATIONContract of Service/MOA/MOU andDeed of Donation reviewedNumber of Contracts of Service/MOA/MOUand Deed of Donation reviewed2Decision/Orders signed by Director and/orSecretary11.4ACTS ON APPEALS INVOLVING THEDEPARTMENT OF HEALTH AND/ORSECRETARYAppeals involving the DOH/Secretary ofHealth acted uponNumber of appeals involving theDOH/Secretary of Health acted upon2Memorandum issued regarding appealsduly signed by the concerned official11.5ACTS ON COURT CASES INVOLVINGTHE DEPARTMENT AND/OR SECRETARY11.5.1Attendance to court hearings onTRO, PICourt hearings attended Number of Court Hearings attended 411.5.2 Endorses case to OSG Case endorsed Number of endorsements prepared 2Page 22

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION11.6APPEARANCE BEFORE OMBUDSMANAND OTHER QUASI-JUDICIAL BODIESAppearance before Ombudsman andother quasi-judicial bodies doneNumber of appearances done 412. LOGISTICS12.1 WAREHOUSING12.1.1 Delivery of Goodsa.Receipt/checking of goodsdeliveredGoods delivered received/checkedNumber of goods deliveredreceived/inspectedb. Updating of stock cards Stock cards updated Number of stock cards updated 0.25 Per itemc. Request for inspection Inspection requested Number of inspection requested 0.03 Per deliveryd. Preparation of Notice of Delivery Notice of delivery prepared Number of Notice of deliveries prepared 0.25 submitted to COA and End user0.512.1.2Inspection and Acceptance ofdeliveriesDeliveries Inspected and acceptedNumber of deliveries inspected andaccepted0.25 Acceptance Report signed by Division Chiefa.Request for Inspection of DOHInspection Team, BFAD InspectionTeam, Inspection and AcceptanceCommitteeRequest for Inspection prepared Number of requests for inspection prepared 0.25 For DOH - CO bulk purchasesb. Preparation of inspection report Inspection report prepared Number of inspection reports prepared 0.512.1.3Furnishing of documents ofaccepted goods to AccountingDiv./Section for bookingDocuments of accepted goodsfurnished to Accounting Div./Section forbookingNumber of documents of accepted goodsfurnished to Accounting Div./Section forbooking0.08312.1.4 Issuance of Goodsa. Processing of RIS RIS processed Number of RIS processed 0.033 Per RIS/itemb. Releasing of goods Goods released Number of goods released 0.033 Per RIS/itemc. Posting of issued item Issued items posted Number of issued items posted 0.033 Per RIS/itemd. Preparation of Reports of Receiptsand IssuancesReports of receipts and issuancespreparedNumber of reports of receipts and issuancespreparedPage 230.25

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION12.1.5 Distribution/Issuance to CHDsa. Preparation of documents Documents prepared Number of documents prepared 1 Invoice Receipt, ARE, Bill of Lading and RISb.c.Notification to Forwarder fordistribution to recipientsPreparation of letter-notice torecipientsForwarder notified Number of forwarders notified 0.25Letter-notice prepared Number of letter-notice prepared 0.2512.1.6 Inventory of Stocksa. Conduct of Inventory of Stocks Inventory of stocks conducted Number of inventory of stocks conducted 8 Monthly/regular intervalb.Preparation of report of stockinventoryStock inventory report prepared Number of stock inventory report prepared 4Per warehouse if more than 1 and dependingon the number of line items13. MANAGEMENT OF INFORMATION SYSTEM13.1 DEVELOPMENT OF TORTORs developed Number of TORs developed 24PREPARATION OF DPO FOR THE13.2 CREATION OF PROJECT MANAGEMENT DPO prepared Number of DPOs prepared 1TEAMExclude time for confirmation of proposedmembersCONDUCT OF13.3CONSULTATIVE/COORDINATIVEMEETINGS WITH IMS ANDMeetings conducted Number of meetings conducted 6CONTRACTORSREVIEW/ACCEPTANCE OF OUTPUTS OF13.4 Outputs reviewed/ accepted Number of outputs reviewed/accepted 20CONTRACTORPILOT TESTING OF RECOMMENDED13.5 Recommended systems pilot tested Number of systems pilot tested 20 Per unit/officeSYSTEMPage 24

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONPREPARATION/ISSUANCE OF13.6 GUIDELINES FOR THE USE OF THE Guidelines prepared/ issued Number of guidelines prepared/issued 56 Approved and disseminatedSYSTEMMAINTENANCE OF INFORMATION13.7 Information systems maintained Number of information systems maintained Per pageSYSTEM13.7.1 Simple 113.7.2 Moderate 213.7.3 Difficult 314. MANAGEMENT OF OUTSOURCED SERVICES14.1IDENTIFICATION OFPROJECTS/RESEARCH/TRAINING/ INFO.SYSTEMS FOR POSSIBLEOUTSOURCINGProjects/research/training/info. systemsfor possible outsourcing identifiedNumber of projects/research/training/info.systems for possible outsourcing identified0.514.2 DRAFTING OF TORTOR drafted Number of TOR drafted 214.3 REVIEW OF TORTOR reviewed Number of TOR reviewed 1 Includes revision if necessary14.4 PREPARATION OF FIRST TORFirst TOR prepared Number of first TOR prepared 0.3314.5 VALIDATION OF TOR BY TACTTOR validated by TACT Number of TOR validated 114.6EVALUATION AND RECOMMENDATIONOF INCEPTION REPORT OF THECONTRACTORInception Report evaluated andrecommendedNumber of Inception Report evaluated andrecommended1Basis for the releasing payment to thecontractorMONITORING OF14.7 PERFORMANCE/DELIVERABLES OF THE Monitoring report preparedHIRED CONTRACTORNumber of perfprmance/deliverables ofcontractor monitored114.8 VALIDATION OF FINAL REPORT BY TACT Final report validated Number of final report validated 1Page 25

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION14.9 ACCEPTANCE OF VALIDATED REPORT Validated report accepted Number of validated report accepted 0.2515. PLANNINGASSESSMENT OF OFFICE15.1 Office performance assessed Number of office performance assessed 24 May include prior and current yearsPERFORMANCE15.2PREPARATION OF WORK ANDFINANCIAL PLAN (WFP)12.2.1 Division /Section Division /Section WFP prepared Number of Division /Section WFP prepared 412.2.2 Bureau/Center/Hosp./CHDBureau/Center/Hospital/CHD WFPpreparedNumber of Bureau/ Center/Hospital/CHDWFP prepared815.3PREPARATION OF OPERATIONAL PLAN(OP)12.3.1 Division /Section Division /Section OP prepared Number of Division /Section OP prepared 612.3.2 Bureau/Center/Hosp./CHDBureau/Center/Hospital/CHD OPpreparedNumber of Bureau/ Center/Hospital/CHDOP prepared1216. POLICY FORMULATION16.1 DRAFTING THE POLICY PAPER Policy paper drafted Number of policy paper drafted 816.2 CONSULTATION WITH STAKEHOLDERS Consultative workshop conductedNumber of consultative workshopsconducted16 At least 70% of stakeholders were consulted16.3 CONDUCT OF PUBLIC HEARING Public hearing conducted Number of public hearing 4 80% of sectoral representation attended16.4 REVISION OF DRAFTDraft policy revised Number of draft policies revised 8 Includes checking of any related/existing policyPage 26

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONPREPARATION OF AUDIO/VISUAL16.5 audio/visual materials prepared Number of audio/visual materials prepared 1MATERIALS16.6 PRESENTATION OF POLICY TO EXECOM Policy presentation/s done Number of policy presentation/s done 0.516.7 CONDUCT OF POLICY ORIENTATION Policy orientation conducted Number of policy orientation conducted 417. POLICY MONITORING AND EVALUATION17.1CONDUCT OF POLICY MONITORING ANDEVALUATIONPolicy monitoring and evaluationconductedNumber of policy monitoring and evaluationconducted4 Involves field work per site17.2PREPARATION OF POLICY MONITORINGAND EVALUATION REPORTPolicy monitoring and evaluation reportpreparedNumber of policies monitored and evaluated 417.3 REVIEW AND ANALYSIS OF POLICY Policy reviewed and analyzed Number of policies reviewed and analyzed 2 Comments/recommendations considered17.4 REFORMULATION OF POLICYPolicy reformulated Number of policies reformulated 418. PROCUREMENT OF CONSULTANCY18.1 PREPARATION OF TOR18.1.118.1.2Draft TOR in coordination with theconcerned technical officesFinalize TOR and submits toFunding Institutions (FIs) forconcurrenceDraft TOR Number of TORs drafted 4 To include submission to TACT for commentsTOR finalized Final TOR submitted to FI 118.1.3 Follow-up comments/concurrence 0.2518.1.4Endorse approved TOR to COBACto facilitate procurementEndorsement letter 0.05Page 27

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION18.1.5Participates in the procurementprocess: Pre-Bid, Bid Opening,Technical Evaluation, negotiation419. PROCUREMENT OF GOODS19.1 REVIEW OF PURCHASE REQUEST0.2519.2PREPARATION OF DOCUMENT19.2.1 Notice of Award/Notice to Proceed 0.2519.2.2 Contract 0.519.2.3 Purchase Order 0.519.3ISSUANCE/RELEASE OF PURCHASEORDER/CONTRACT0.12519.4 MONITORING OF P.O. STATUS0.5 Per P.O. / supplier20. PROGRAM DEVELOPMENT20.1CONDUCT OF RESEARCH20.1.1 Development of Research proposal Research proposal developed Number of research proposals developed 120 Includes clearance from HPDPB/training20.1.2 Gathering and analysis of data. Data gathered and analyzed Number of data gathered and analyzed 70420.1.320.1.4Preparation of ResearchPaper/Technical ReportPresentation of research paper toHead of Office/higher authorityResearch Paper/Technical ReportpreparedNumber of research paper/technical reportpreparedresearch paper presented Number of research paper presented 8120Includes presentation of data, conclusion andrecommendation20.2PROGRAM IMPLEMENTATION REVIEWAND ANALYSIS20.2.1Preparation of program design andmethodologyProgram design and methodologypreparedNumber of program design andmethodology prepared4Page 28

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION20.2.2 Conduct of PIR PIR conducted Number of PIR conducted 24 Includes presentation by program managers20.2.3Preparation/submission of PIRreportsPIR reports prepared/submitted Number of PIR reports prepared/submitted 2420.3PROGRAM MONITORING ANDEVALUATION (PME)20.3.1 Collection/collation of data Data collected/ collated Number of data collected/collated 1220.3.2 Analysis/interpretation of data Data analyzed/ interpreted Number of data analyzed/interpreted 8020.3.3Preparation of lay-out and designfor publicationLay-out and design for publicationpreparedNumber of lay-out and design for publicationprepared420.3.4Preparation and submission ofPME reportPME report prepared and submittedNumber of PME report prepared andsubmitted6 Includes review/redraft21. PROPERTY MANAGEMENT21.1INVENTORY OF PROPERTIES21.1.1 Conduct of physical count Physical count conducted Number of physical counts conducted 0.03 Per item21.1.221.1.3Preparation of Report on PhysicalCount of Property, Plant andEquipment (RPCPPE)Preparation/Updating ofAcknowledgement Receipt forEquipment (ARE)RPCPPE prepared Number of RPCPPE prepared 0.03 Per itemARE prepared/ updated Number of ARE prepared/updated 0.25 Per page/individual21.1.4Preparation of Inspection andInventory Report for unserviceableequipmentI & I Report prepared Number of I & I Reports prepared 0.25 Per pageRECONCILIATION OF PROPERTY21.2 RECORDS WITH THE BOOKS OF property records reconciled Number of property records reconciled 0.5 Per itemACCOUNTSPage 29

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION21.3APPRAISAL OFDONATED/TRANSFERRED PROPERTIESWITHOUT COST FOR BOOKINGPURPOSESDonated/transferred propertiesappraised for booking purposesNumber of donated/transferred propertiesappraised for booking purposes4ENCODING OF PROPERTY21.4 Property accountabilities encodedACCOUNTABILITYNumber of property accountabilitiesencoded0.083 Per item22. PROVISION OF SECRETARIAL/SECRETARIAT SERVICE22.1 GENERAL SECRETARIAL SERVICE22.1.1Coordination/arrangement ofMeetingsMeetings coordinated/arranged Number of meetings coordinated/arranged 1 Per meeting22.1.2Preparation/sending of notices ofmeetingNotices of meeting prepared/sentNumber of notices of meetingsprepared/sent0.25 Per person22.1.322.1.4Taking/recording of minutes ofmeetingTranscription/preparation ofminutesMinutes of meeting taken/recorded Number of minutes taken/recorded 4Minutes transcribed/prepared Number of minutes transcribed/prepared 822.2 SECRETARIAT SERVICES TO BAC22.2.1Review of documentaryrequirements submitted for publicbidding and other modes ofprocurement.Documentary requirements reviewed foracceptance/rejectionNumber of documentary requirementsreviewed for acceptance/rejection0.5022.2.2 Preparation of bidding documents Prepared bidding documents Number of prepared bidding documents 40 Includes reproduction of bid documents22.2.3Publication / Posting of Invitationsto BiddersInvitations posted Number of invitations posted 822.2.4 Documentation of the following:a. Pre-procurement conferencesPre-Procurement ConferencedocumentedNumber of conference documented 8Page 30

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb. Pre-bid conferences Pre-bid Conferences documentedNumber of Pre-bid Conferencesdocumented4Clear/Detailed specifications of commodities tobe procured acquired and approved bid bulletinapproved and disseminatedc.Bidding/Other modes ofProcurementBidding/Other modes of ProcurementdocumentedNumber of bidding/other modes ofProcurement documented4d. Meetings of BAC/TWG MeetingsMeetings of BAC/TWG MeetingsdocumentedNumber of meetings of BAC/TWG Meetingsdocumented422.2.522.3 COBACPreparation of minutes ofmeeting/conferencesMinutes of the meeting prepared Number of minutes of the meeting prepared 422.3.1Monitors and evaluates theprocurement activities in the CHDsand hospitals.Procurement activities of CHDs andHospitals monitored and evaluatedNumber of of stakeholders/implementorsmonitored16 Reports of monitoring documented.(Procurement Management for GOP & FAPs- funded projects)22.3.2Verification of Purchase Requests(PRs) against Annual ProcurementPlan (APP).Approved PRs and APPNumber of Purchase Requests verifiedagainst APP1PRs stamped verified by the COBACSecretariat22.3.3Provision of secretariat services toCOBAC.a. Review of documentaryrequirements submitted for publicbidding and other modes ofprocurement.documentary requirements reviewedfor acceptance/rejectionNumber of documentary requirementsreviewed for acceptance/rejection0.50b. Preparation of biddingdocumentsc. Publication / Posting ofInvitations to Biddersprepared bidding documents Number of prepared bidding documents 40 Includes reproduction of bid documentsinvitations posted Number of invitations posted 8d. Pre-Procurement ConferencePre-Procurement ConferenceconductedNumber of conference conducted 8Page 31

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONe. Pre-bid conferences Pre-bid Conferences conducted Number of Pre-bid Conferences conducted 4Clear/Detailed specifications of commodities tobe procured acquired and approved bid bulletinapproved and disseminatedf. Conduct of bidding- Public Bidding Public bidding conducted Number of public bidding conducted 8- Local Shopping Local Shopping conducted Number of local shopping conducted 4- Negotiation negotiated bidding conducted Number of negotiated bidding conducted 422.3.4g. Provision of secretariatservices to different committeesPreparation of the followingdocutments:secretariat services provided Number of secretariat services provided 8COBAC will deliberate the submitted TWGreport.a. Purchase Orders PO prepared Number of POs prepared 1 Approved/signed by the concerned officialsb. Contracts contracts prepared Number of contracts prepared 2 Approved/signed by the concerned officialsc. Notice of Awards Notice of Award Number of notice of award prepared 0.33 includes issuance to suppliersd. Issuance of Purchase Ordersand Contracts to suppliers.PO Issued Number of PO issued 0.3322.3.5e. Issuance of Notice to Proceedto suppliers.Consolidation of APP of all DOHcentral officeNTP issued Number of NTP issued 0.33consolidated APP Number of consolidated APP 24.00 Manual consolidation of APP requires 40 hoursBFAD23. REGULATION23.1 AUTHENTICATION OF MEDICALCERTIFICATEMedical certificate authenticated Number of medical certificates authenticated 0.823.2 ISSUANCE OF PERMIT FOR REMOTECOLLECTIONPermit for remote collection issuedNumber of permits for remote collectionissued0.823.3 ISSUANCE OF CERTIFICATE OFREGISTRATION OF A HOSPITALCertificate of registration of a hospitalissuedNumber of certificates of registration of ahospital issued0.8Page 32

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION23.4 PUBLICATION OF REGULATED HEALTHFACILITYRegulated health facility published Number of regulated health facility published 40 Includes preparatory activities.23.5 CONDUCT OF FACT FINDING /INVESTIGATIONConduct of Fact Finding/InvestigationNumber of Fact Finding/Investigationconducted23.5.1 Simple 4023.5.2 Medium 12023.5.3 Complex 16023.6 ISSUANCE OF AUTHORIZATION Autorization issued Number of authorizations issued23.6.1 LTO health facility 1 Per license issued23.6.2 Clearance to Operate HMO 2 Per clearance issued23.6.3 Certificate of Certifying Body 1 it includes computation of23.6.4 Certificate of need 40 Capitalization23.7 REFERRAL TO PEER REVIEWCOMMITTEEReferral forms for peer reviewcommittee preparedNumber of referral forms for peer reviewcommittee prepared123.8 ISUANCE OF ACCREDITATIONCERTIFICATEAccreditation certificate issued Number of accreditation certificates issued 0.523.9 PREPARATION AND CONSOLIDATIONOF OFW REPORTOFW report consolidated and preparedNumber of OFW reports consolidated andprepared1 Per facility23.10 PREPARATION OF BFFS MANDATORYREPORTBFFS report prepared Number of BFFS report prepared 1 Per Facility, monthly23.11 STATISTICAL REPORTSStatistical report prepared Number of statistical reports prepared 2Page 33

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION23.12 ISSUANCE OF PERMIT TO CONSTRUCTA HEALTH FACILITYPermit to construct a health facilityissuedNumber of permits to construct a healthfacility issued123.13 MONITORING OF HEALTH FACILITIES23.13.1 Preliminary Activitiesa. Identification of facilities Facilities identified Number of facilities identified 0.5The facilities are classified according to thetime spent for actual conduct of monitoringvisits as small, medium, large.* These pointsare per facility therefore these must bemultiplied by the number of facilities monitoredwithin a certain period of time to obtain thedivision performanceb. Review of facility file Facility file reviewed Number of facility files reviewed 0.5c. Preparation of DPO & Voucher DPO and voucher prepared Number of DPOs and vouchers prepared 0.5* Small - birthing home, dialysis clinic, clinicallaboratory/HIV testing blood bank, ambulatorydental laboratory, medical x-ray facilities, dentalclinics, DTLs, Newborn screening* Medium - Hospitals Level 1& 2- Psychiatric Care Facilities- Ambulatory Surgical Clinics- Medical Clinic for OverseasWorkers and Seafarers- Kidney Transplant Facility- Drug Rehabilitation Ctr* Large - Hospitals Level 3 & 423.13.2 Actual conduct of monitoringPage 34

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Opening ConferenceOpening Conference with Notice ofViolation (NOV) conductedNumber of Opening Conference conducted 1b. Records of Review Records reviewed Number of records reviewed 1c. Area visitsArea visits with Cease and Desist Order(CDO) conductedNumber of area visits done 3d. Consolidation of findings andconsensus buildingFindings and consensus buildingconsolidatede. Feedback and exit conference Feedback and exit conference doneNumber of findings and consensus buildingconsolidatedNumber of findings and exit conferencesconducted11f. Issuance of Notice of Violation(if applicable)NOV issued Number of NOVs issued 0.523.13.3 Post Monitoring Activity Classification of Reports:a. Preparation of report andrecommendationa.1 less than 15 findings 0.5a.2 15 - 30 findings 1a.3 31 above findings 1.5b. Preparation of letters withmonitoring reports to CHDs andLGU (when applicable)List of Facilities decategorized forhospitals and LTO / Accreditation0.523.14 CONDUCT OF SURVEILLANCE OF UNLICENSED FACILITES23.14.1The total number of points will be multipliedIdentification of areas forsurveillance of unlicensed facilities Areas for surveillance identified Number of areas for surveillance identified with the number of facilities visited within agiven period to obtain the division performance23.14.2 Ocular visit of the facility Ocular visit of facility done Number of ocular visits of facility donePage 35

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION23.14.3Issuance of Cease and DesistOrder with advise to seek LTO orAccreditation which ever appliesCDO issuedNumber of CDO issued23.14.4Report and recommendationpreparationRecommendation report preparedNumber of recommendation reportspreparedBOQBHFS 23.15 ISSUANCE OF AUTHORIZATIONBHDT 23.15.1Interview & provision ofchecklists of requirementInterview done and checklists ofrequirement providedNumber of interviews done and checklists ofrequirement provided1Includes renewal form, notice of change ofpharmacist & changes of circumstances23.15.2 Review of documents Documents reviewed Number of documents revieweda. 10 documents or less 0.167b. more than 10 documents 0.523.15.3 Issuance of order of payment Order of payment issued Number of orders of payment issued 0.167Includes assessment, computation of paymentand surcharge23.15.4Receiving and encoding ofdocumentsDocuments received and encodedNumber of documents receivied andencoded0.16723.15.5 Updating of client's profile Client's profile updated Number of client's profile updated 0.083 Index card, database23.15.6Evaluation of applicationdocumentsApplication documents evaluatedNumber of application documents evaluateda. As to completeness 0.5 Per applicationb. Substantive 8 Per application23.15.7Encoding of changes ofcircumstances in the databaseChanges of circumstances encodedNumber of changes in circumstancesencoded0.167Per application; all changes with regards toLTO issued23.15.8Review of inspection reportsfrom the regionsInspection reports reviewed Number of inspection reports reviewed 1 Per reportPage 36

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION23.15.9Preparation of authorizationdocumentAuthorization document preparedNumber of authorization documentsprepared0.5Can be LTO, clearance, CPR. Permit,certification, accreditation, reports of analysis,etc.3.5Sangkap Pinoy Seal Recommendation forOffice of the Director and Secretary of Health23.16 INSPECTIONPre-inspection23.16.1Review of previous inspectionreports on the company forinspectionPrevious inspection reports reviewedNumber of previous inspection reportsrevieweda. Manufacturer 4Per agency/companyIncludes review of previous minutes of meeting,Site Information File, etc.b. Retailer/wholesaler/importer/exporter1.523.16.2Preparation of inspectionagenda and aide memoireInspection agenda and aide memoirepreparedNumber of agenda and aide memoireprepared423.16.3Preparation/Submission ofitineraryItinerary prepared / submitted Number of itineraries prepared / submitted 1Actual inspection23.16.4 Conduct of inspection Inspection conducted Number of inspections conducted Per company/agencya. Openinga.1 Manufacturera.1.1 small 8a.1.2 medium 18 6 hours per day (exclude 2 hours travel time)a.1.3 large 30 6 hours per day (exclude 2 hours travel time)Page 37

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.2 Trader 4a.3 Retailer 1.5a.4 Wholesaler / Importer /Exporter26 Includes warehouses or distributionb. Renewalb.1 Manufacturerb.1.1 Small 18 6 hours per day (exclude 2 hours travel time)b.1.2 Medium 30b.1.3 Large 48 8 daysb.2 Trader 6b.3 Retailer 2.5b.4 Wholesaler / Importer /Exporter3c.Inspection of HealthFacilities/HospitalsHealth Facilities/Hospitals inspectedNumber of Health Facilities/HospitalsinspectedBased on BHFS classificationc.1 Level 1 4c.2 Level 2 8c.3 Level 3 16c.4 Level 4 24d.Inspection of laboratories/X-rayfacilitiesLaboratories/X-ray facilities inspectedNumber of laboratories/X-ray facilitiesinspectedd.1 Category/Level 1 4d.2 Category/Level 2 8Page 38

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONd.3 Category/Level 3 16d.4 Specialized 24e.Conduct of exit conference ofinspectionExit conference of inspection conductedNumber of exit conference of inspectionconductede.1 Level 1 1e.2 Level 2 1.5e.3 Level 3 and 4 2Post inspection23.16.523.16.6Preparation and submission ofinspection reporta. ManufacturerInspection report prepared andsubmittedNumber of inspection reports prepared andsubmitteda.1 Small 8a.2 Medium 16a.3 Large 32b. Trader 4c. Retailer 1d. wholesaler/importer/exporter 1Encoding of inspection report toits databaseInspection report encoded Number of inspection reports encoded 423.16.7 Serving of legal order Legal order served Number of legal orders served 2 Closure, cease and desist, lifting, etc.23.16.8 Execution of order Order executed Number of orders executed 8Includes inventory and seal, collection ofsamples, investigation, etc.23.16.9Serving of legal order withverification of complianceLegal order served Number of legal orders served 8 With GMP compliance audit23.17 REGISTRATIONPage 39

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION23.17.1 Receiving of documentsa. Checking for completeness Documents checked for completenessNumber of documents checked forcompletenessb. Issuance of order of payment Order of payment issued Number of orders of payment issued 0.167c. Acceptance of application Application accepted Number of applications accepted 0.167123.17.2Decking/scheduling ofprocessing of applicationProcessing of applicationdecked/scheduledNumber of processing of applicationsdecked/scheduled0.167 Per application23.17.3Evaluation and processing ofapplicationApplication evaluated and processedNumber of applications evaluated andprocesseda. Druga.1 New chemical entity 40 Per producta.2 Initial Drug Applications 16a.3 Renewal Drug Applications 4b. Foodb.1 Category 1 1 Low riskb.2 Category 2 3 High riskb.3 Food Supplement 4c. Cosmeticsc.1 Notification 0.25 For marketing purposesc.2 HHS (HouseholdHazardous Substances)4 For marketnig purposesd. Medical Devices According to level of riskd.1 Class 1 2d.2 Class 2 4d.3 Class 3 12d.4 Class 4 24e. Diagnostic Reagent 2Page 40

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONf. Biologicals & Vaccines 16g. Veterinary Products 4h. Donation 1To determine existence of similar product in thelocal market23.17.4 Preparation of:a. Notice of Deficiency/Denial Notice of Deficiency/Denial preparedNumber of Notices of Deficiency/Denialprepared1 Per documentb. CPR Number of CPR prepared Number of CPRs prepared 0.523.17.5Inspection ofBioavailability/BioequivalencefacilityBioavailability/Bioequivalence facilityinspectedNumber of Bioavailability/Bioequivalencefacilities inspected40 For accreditation23.18 LABORATORY ANALYSISFor drugs, antibiotics, cosmetics, foods andHHHR23.18.1Checking of request andsamplesRequest and samples checked Number of requests and samples checked 0.2523.18.2 Issuance of order of payment Order of payment issued Number of orders of payment issued 0.08323.18.3Receiving and recording ofrequest and samplesRequest and samples received andrecordedNumber of requests and samples receivedand recorded0.08323.18.4Sorting and assignment toconcerned sectionSamples sorted and assigned toconcerned sectionNumber of samples sorted and assigned toconcerned section0.2523.18.5 Testing of samples Samples tested Number of samples testeda. Physico-Chemicala.1 Dissolution Test, GasChromatography4Page 41

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.2 High Performance LiquidChromatography, Titration,ELISA, Atomic AbsorptionSpectroscopya.3 ID Tests (color, IR, TLC, UVspectro, etc.)a.4 Viscosity, Specific gravity,Ph, Gravimetry, Hardness test,disintegration, DT, Wt, variation,visual/organoleptic test,uniformity of dosage units(content uniformity, weightvariation), etc.a.5 Uv-vis Spectroscopy, Othertests310.52a.6 Assaya.6.1 Titration, AAS, HPLC,AAS, ELISA3a.6.2 UV Spectro 2a.6.3 GC 4b. Microbiologicalb.1 Microbioal assay,Commercial Sterility, StandardPlate Count, Coliform PlateCount, Molds and Yeast Count,Coliform, S. aureus, Ps.Aeruginosa, L. monocytogenes,Vibrio parahaemolyticus4b.2 Salmonella 5b.3 Bacillus cereus 4.5b.4 E-coli 7.4Page 42

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb.5 Paralytic ShellfishPoisoning Testb.6 Acute Toxicity Test 200b.7 General Safety Test 30b.8 Limulus Amebocyte LysateTest624c. Toxicologicalc.1 Contaminants 4c.2 Heavy metals, Leachability 3d.Sterility Tests (Drugs andMedical Devices)4e. Biological Testse.1 Paralytic ShellfishPoisoning Test6e.2 Acute Toxicity Test 20e.3 General Safety Test 30e.4 Pyrogent Tests/BacterialEndotoxin Test(LimulusAmoebocyte Lysate)24e.5 Skin Irritation Test 5e.6 Histamine Test 323.18.6 Data recording and computation Data recorded and computed Number of data computed and recorded 0.5 Manual method23.18.7 Evaluation of test result Test result evaluated Number of test results evaluated 0.5Page 43

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION23.18.8Product assessment forstandard conformanceProduct assessed for standardconformanceNumber of products assessed for standard 0.08323.18.9 Preparation of test report Test report prepared Number of test reports prepared 0.523.18.10 Review/initial of test report Test report reviewed Number of test reports reviewed 0.08323.18.11 Approval of test report Test report approved Number of test reports approved 0.08323.18.12Recording/Releasing of testreportTest report recorded/released Number of test reports recorded/released 0.08323.18.13Conduct of inspection and auditfor recognition of analyticallaboratoriesInspection conducted Number of inspections conducted 2423.18.14Breeding and care of laboratoryanimalsLaboratory animals bred Number of laboratory animals bred For toxicological examinationa. Mouse 4b. Rabbit 423.18.15Conduct of operational audit ofCHDsOperational audit of CHDs conductedNumber of operational audits of CHDsconducted40 Per CHD23.18.16 Issuance of Certification Certification issued Number of certificates issued 5Includes Batch Notification, Lot ReleaseCertification, Export Clearance24. REPORTS PREPARATION24.1 WORK AND FINANCIAL PLAN (WFP) WFP prepared Number of WFP prepareda. Division/Section 4b. Office 8Approved by the DC and submitted to the ASDirectorPage 44

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION24.2 ACCOMPLISHMENT REPORTDivision Accomplishment Report Number of Accomplishment Reporta. Division/Section 4b. Office 824.3 ANNUAL PROCUREMENT PLAN Annual Procurement Plan Number of Procurement Plan 8Approved by the DC and submitted to the ASDirectorApproved by the DC and submitted to the ASDirectora. Division/Section 2b. Office 424.4PERFORMANCECONTRACTING/TARGETTINGPerformance Target Number of Performance Targets 4 Per employee24.5 PERFORMANCE EVALUATION REPORT Performance Evaluation Report Number of Performance Evaluation Reports 4Approved by the DC and submitted to the Headof Office24.6 ATTENDANCE TO MEETINGSFeedback report submitted Number of feedback reports submitted 225. TECHNICAL ASSISTANCE25.1 PROVISION OF TECHNICAL ASSISTANCE Technical Assistance provided Number of technical assistance provided Includes speaker as resource person, technical25.1.1 Expertise building 1:1 1 pt. for every hr. of service; resource speaker25.1.2 Service Delivery 1:1 1 pt. for every hr. of service25.1.3 In aid of Legislation Reaction/position papers preparedNumber of reaction/position papersprepareda. easy 8b. moderate 16c. difficult 2426. TRANSPORT MANAGEMENT26.1PREVENTIVE MAINTENANCE OFSERVICE VEHICLEincludes ambulance and other types ofgovernment vehiclesPage 45

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION26.1.1 Inspection and cleaning of vehicle Vehicle inspected and cleaned Number of vehicle inspected and cleaned 0.526.1.2Vehicle tune-up/changeoil/greasingVehicle tuned-up/greased/oil changedNumber of vehicles tuned-up/greased/oilchanged2 per vehicle26.2UTILIZATION OF SERVICE VEHICLE26.2.1 Processing of trip ticket Trip ticket processed Number of trip tickets processed 0.2526.2.2 Processing of fuel request Fuel request processed Number of fuel requests processed 0.526.2.3 Dispatching of vehicle vehicle dispatched Number of vehicles dispatched 0.2526.2.4 Recording of trips Trips recorded Number of trips recorded 0.2526.3CORRECTIVE MAINTENANCE OFGOVERNMENT VEHICLES26.3.1Inspection and diagnosis of vehicledefectsVehicle defects inspected anddiagnosedNumber of vehicle defects inspected anddiagnosed226.3.2Canvassing and purchasing ofspare partsSpare parts canvassed and purchasedNumber of spare parts canvassed andpurchased426.4INSURANCE AND REGISTRATION OFVEHICLES26.4.126.4.226.4.3Preparation of application forinsuranceArrangement for smoke emissiontestingPreparation of application forregistrationInsurance application prepared Number of insurance applications prepared 1Required documents should be with theapplicationSmoke emission testing arranged Number of smoke emission testing arranged 2 At accredited testing centerRegistration application prepared Number of registration application prepared 1Required documents should be with theapplicationPREPARATION OF SUMMARY REPORTS26.5 Summary report of trips preparedOF TRIPSNumber of summary reports of tripsprepared4PREPARATION OF ACCESS AND26.6 Visitor's Pass - number of IDs prepared Number of IDs & chronolog cards 0.50VISITORS PASS / VEHICLE PASS27. UTILITY MANAGEMENTPage 46

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION27.1PREPARATION OF MONTHLY REPORT27.1.1Preparation of montly consumptionreports on power, water and otherutility expensesmonthly consumption report prepared Number of consumption reports 0.50 Utilization monitoring purposes27.1.2Daily inspection & reporting ofutility and facility utilization such asrental of the DOH Convention Hall,Gym and Directors LoungeConducted daily inspection & reportingof breakdowns to the contractorNumber of breakdowns reported 0.50 Maintenance of equipmentPROCESSING OF PAYMENTS FOR PLDT,27.2 TELEPHONE, GASOLINE, COOP, payments processed Number of payments prepared 0.08 Approved/signed by the DirectorMERALCO, ETC.27.2.1 Distribution of xerox copies of bills xerox copies of bills distributed Number of xerox copies of bills distributed 127.2.2Collection of all supportingdocumentssupporting documents collected Number of supporting documents collected 127.2.3 Analysis of documents submitted documents submitted analyzed Number of submitted documents analyzed 427.2.4Consolidation and preparation ofvouchersdocuments consolidated and voucherspreparedNumber of documents consolidated andvouchers prepared2Page 47

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONCENTRAL OFFICEOFFICE OF THE SECRETARY (OSEC)MEDIA RELATIONS1. Preparation of media planMedia plan prepared Number of media plan prepared 1 Approved by the SOH2. Conduct of press conferencesa. Meeting of proponentsb. Data gatheringc. Briefing of the SOHpress conference conducted Number of press conferences conducted Approved by the SOHProponents met 2Data gathered Number of data gathered 8SOH briefed Number of SOH briefings 1d. Praparation press releasePress release prepared Number of press released prepared 2Approved by the Program Manager,Undersecretary of Health & initialed by the SOHe. Invite media peopleMedia people invited Number of media people invited 1f. Reproduction of press kitPress kit reproduced Number of press kits reproduced 2g. Setting up of venueVenue arranged/set up Number of venues set up 0.5h. Presscon proper attendees assisted Number of assistance provided 0.5 Includes distribution of press kitsI. Facilitatation of media interviews media interviews facilitated Number of media interviews facilitated 0.53. Arrangement/Conduct of media coverageMedia coverage arranged/conductedNumber of media coveragearranged/conducted2 For disease outbreaks, emergencies, etc.4. Dissemination of information to mediaa. Facilitation of media interviewsb. Clearing/authorization of media interviews Media interviews clearedMedia interviews facilitated Number of media interviews facilitated 0.25Number of media interviews cleared /authorized0.5All information /press releases must have priorapproval from OSECPage 48

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc. Uploading and updating of press/photoreleasesPress / photo releases uploaded andupdatedNumber of press/photo releases uploadedand updated1 In coordination with DOH-IMSd. Drafting of press releasesPress releases draftedNumber of press releases drafted &disseminated4Approved by the Program Manager, HEA/EAand signed/initialed by the SOHe. Releasing/disseminating of photosPhotos released/disseminated Number of photo releases disseminatedMedia interviews facilitated Number of media interviews facilitated 25. Publication of DOH programs and policiesa. Preparation/Dissemination of pressstatementb. Preparation of letters-to-the-editors &news directorsc. Preparation of goodwill messagesPress statementsprepared/disseminatedNumber of press statementsprepared/disseminatedLetters-to-the-editors & news directors Number of letters-to-the editors sent 1Goodwill messages prepared Number of goodwill messages written 126. Media monitoringa. Clipping/photocopying and faxing ofhealth newsHealth news clipped/monitored/photocopied and faxedNumber of health news clipped/monitored/photocopied and faxed2 Approved by the SOHb. Monitoring of radio/TV program by DOHofficialsRadio/tv programs w/ DOH officials asguest monitoredNumber of guesting monitored> radio 0.25> TV 0.57. Assistance to the Secretary of Health in regionalfield visitsRegional field visits of SOH assistedNumber of assistance to the SOH's regionalfield visits provided1:1PUBLIC ASSISTANCE1. Screening/assessment and counseling of clientsneeding medical assistanceClients screened/ assessed andcounseledNumber of clients sreened/ assessed andcounseled0.52. Referral of clients to hospital with emergencyfundClients referred Number of clients referred 0.25 Including perparation of endorsementPage 49

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION3. Preparation and submission of inventory reportsInventory report prepared and submittedNumber of inventory reports prepared andsubmitted4Signed by the Head, Public Assistance Unitand approved by the Head Executive Assistant4. Encoding of transactions in Web-PAISTransactions in WEB-PAIS encodedNumber of transactions encoded in theWEB-PAIS0.5BUREAU OF INTERNATIONAL HEALTH COOPERATION (BIHC)1. Coordination of Exchange Visitor's Program (EVP)a. Evaluation of EVP applicationb. Preparation of Need Training Certificate (NTC)EVP application evaluated Number of EVP applications evaluated 0.5NTC prepared Number of NTC prepared 0.25c. Conduct of orientation/briefing of new applicant/sOrientation/briefing of new applicantsconductedNumber of orientation/ briefing of newapplicants conductedd. Encoding of approved EVP applications Approved EVP applications encoded Number of EVP applications encoded 0.251 Per session/batch2. Secretariat to the Technical Working Group (TWG)on GATS and TRIPS and MDGa. Receiving/reviewing documents requesting forDOH comments related to trade in health issuesdocument on trade in health relatedissues reviewed and commentedNumber of documents received andreviewed0.5b. Organizing and attendance to regular TWGagenda item, meeting documents,meeting (prepares agenda item, meeting documents,notice of meeting, minutes of meetingnotice of meeting and minutes of meeting)Number of meetings organized 24c. Preparation of DOH position papers related totrade in healthDOH position papers preparedNumber of DOH position papers approvedand provided to concern agencies40d. Maintaining files of DOH position papers asreference for encodingFiles on DOH position papersDOH position papers filed/encoded andupdated83. Foreign Visits (WHO and other InternationalOrganizations)Page 50

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa) Receiving and assessing requests for incomingvisits of foreign nationalsDocument requestsNumber of documents requests reviewedand assessed0.5b) Coordination on details of visits withWHO/embassisesConfirmed requests (with accompanyingdocumentary requirements)Number of confirmed requests coordinated 0.5c) Preparation of request letter ofconcurrence/approval to offices to be visitedLetter of concurrence/approval preparedNumber of request lettersconcurred/approved1d) Prepares program of activities/itinerariesProgram of activities/itinerariespreparedNumber of activities/itineraries prepared andapproved1e) Encoding and updating of matrix of foreignvisitorsMatrix of foreign visitors encoded andupdatedNumber of foreign visitors encoded andupdated44. Othersa) Government clearances for technical expertsFacilitates endorsement of government clearance oftechnical experts to concerned bureaus/attachedagencies/academe/development partnersEndorsement of government clearanceof technical experts facilitatedNumber of endorsement of governmentclearance of technical experts facilitated1 Includes preparation of acceptance lettersFINANCIAL/TECHNICAL RESOURCE MOBILIZATION1. Coordination and participation in project developmentactivities1.1. Attendance and participation in CountryAssistance Strategy (CAS) planning W/S andconsultative meetingsCAS planning W/S and consultativemeetings attended and participatedNumber of CAS planning W/S andconsultative meetings attended andparticipated82. Facilitates call for, and development of proposals2.1. Preparation of letter for submission of proposalsLetters of request prepared Number of request letters prepared 0.52.3. Submission of proposals to TechnicalCoordination Group (TCG)/Technical AssistanceCoordination Team (TACT) for review and approvalProposals submitted to TCG/TACT Number of proposals submitted 0.5Page 51

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION2.4. Preparation of transmittal letter of approvedproposals to NEDAtransmittal letter of approved proposalspreparednumber of approved proposals endorsed 0.53. Preparation of Budget Strategy (BS)3.1. Drafting of Budget Strategy for inclusion in DOHFAPs BS3.1.1. Coordination with different teams thesubmission of updated multi year budget perproject3.1.2. Consolidation of the multi year budgetper project in one budget strategy of FAPsMulti year budget per project Number of approved multi year budget 2FAPs Budget Strategy Approved budget strategy 43.1.3. Coordination and submission toHPDPB and Finance Service for inclusion inthe DOH budget strategy3.1.4. Preparation of letter of request forFOA/certification of FAPs budget strategy toDBM and forward to Finance Service forsignature of ASECFAPs budget strategy submitted 2Letter of request prepared Number of letters of request prepared 1 FAPs budget strategy submitted to DBM4. Coordinates with NEDA for proposal presentation4.1. Endorsement of NEDA comments on evaluatedproposals to concern offices/bureaus/CHDs/attachedagencies and other stakeholdersEndorsed comments on proposalsNumber of proposals with NEDA commentsendorsed0.54.2. Revision of proposal/compliance to ICC-TB/CABCOM requirementsICC-TB/CABCOM requirementsrevised/compliedNumber of ICC-TB/CABCOM requirementsrevised/complied45. Review of draft supply contract/agreement with fundinginstitutionsSupply contract/agreements reviewedNumber of supply contract/agreementsreviewed3Includes all annexes and consultations withconcerned offices6. Preparation and submission of documents forcompliance to loan effectivenessDocuments prepared and submittedNumber of documents prepared andsubmitted1Page 52

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONMANAGEMENT OF HEALTH SECTOR PORTFOLIO1. Implementation of Project Plana) Preparation of request for withdrawalapplicationRequest for withdrawal applicationpreparedNumber of request for withdrawalapplication prepared2 Includes breakdown of expendituresb) Preparation of request for the opening ofspecial account to Bureau of Treasury and DOHFinance ServiceLetter of request prepared Number of letter of request prepared 0.5c) Preparation of Procurement Benchmark andDisbursement Targetsc.1. Preparation of the PBDT by componentper projectPBDT by component per projectpreparedNumber of PBDT by component per projectprepared40Includes draft/final PBDT and consultation withconcerned officesd) Re-allocation of Grants/Loan Funds Reallocated Grant/Loan Funds Number of reallocated funds requestedd.1 Review of approved project allocationApproved budget allocation reviewedNumber of approved budget allocationreviewed4d.2 Preparation of revised/actual allocationof grant/loan fundsRevised/actual allocation of grant/loanfunds preparedNumber of revised/actual allocation ofgrant/loan funds prepared4d.3 Preparation of request/approval forrevised allocation of grant loansRequest/approval for revised allocationof grant loans preparedNumber of request/approval for revisedallocation of grant loans prepared1 Includes justifications for the revisionBUREAU OF QUARANTINEInternational Health Surveillance1. Screening of passengers and issuance ofQuarantine ClearancePassengers screened and issuedquarantine clearanceNumber of passengers screened and issuedquarantine clearance of:1 Determination of trends of diseases, possible- disembarked ill passengers 1 Detection of possible outbreak- referred outgoing internationalpassengers0.05 Clinical management of casesa. Monitoring febrile cases Febrile cases monitored Number of febrile cases monitored 0.0167 Through the use of temperature scannerPage 53

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION2. Issuance of quarantine clearance for pathogenicorganism/infectious diseaseQuarantine clearance issued Number of quarantine clearance issued 0.5 Per IHR and PHEIC3. Implementation of prevention & controlstrategies at airports and of entrya. International aircraft disinfectionsInternational aircraft disinfectedb. Monitoring of Aedes aegypti densityMonitoring of Aedes Aegypti densitydoneNumber of International aircraft disinfectedNumber of monitoring Aedes Aegypti densitydone0.52Per aircraft; Required by RA 9271 &International Health RegulationsPer area of responsibility (AOR) densitymaintained per WHO LevelLarviciding operations at the immediatec. Larviciding done Number of larviciding done 4 Chemical spraying to kill mosquito larvaeenvirons of airportsd.Conduct of misting/fogging of houses andbuildings near the AORMisting/Fogging of houses and buildingsconductedNumber of misting/fogging of houses andbuildings conducted3Limited to houses and buildings near/aroundthe airporte.Conduct of information, education campaign(IEC) on mosquito-borne diseasesIEC on mosquito-borne diseasesconductedNumber of IEC on mosquito-borne diseasesconducted0.15 Per household4. Screening of passengers, crews and cargoes inairports and ports of entry of diseases of IHRconcerns.Passenger and crew inspected Number of passenger and crew inspected Thermal scanner in airportsAircraft inspected Number of aircraft inspected 1 otherwise thermal stripsVessels inspected Number of vessels inspected 1 when neededSuspects/cases referred to hospitals oragencies.Number of suspects/cases referred tohospitals or agencies.Facilitate movement and management ofsuspects/cases in referral hospitals or agencies5. Implementation of surveillance protocol atairports and ports of entry of interisland vessels,catering pointsa. Training of staff in surveillance protocol Staff trained in surveillance protocolNumber of staff trained in surveillanceprotocol24Continuous surveillance/vigilance at the pointsof entryb. Screening of ill/deaths on boardIll/deaths passengers on boardscreenedNumber of ill/deaths passengers on boardscreened0.5Page 54

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6. Inspection of interisland vessels, catering points,and food service establishments per GMP andHACCP standardsInterisland vessels, catering points, andfood service establishments inspectedNumber of interisland vessels, cateringpoints, and food service establishmentsinspected6Examination of records, facilities & staff,collection of food & water samplesdocumentation & report education activities7. Immunization & documentation services fortravelersTravelers immunized or InternationalImmunization Certificates issuedNumber of travelers immunized orInternational Immunization Certificatesissued0.11Per traveler; Records review, testing if needed,vaccination, payment, & certificate issuance8. Health Screening of aliens, food handlers,stewards, etc.Aliens, food handlers, stewardsscreenedNumber of aliens, food handlers, stewardsscreened0.6 Per alien, food handler, steward, etc.9. Examination of water and food samples collectedfrom areas of jurisdiction & food for exportFood and water samples examinedNumber of food and water samplesexamined0.75 For vibrio cholerae free10. Issuance of certificate examinationCertificate of examination issued Number of certificates of examination issued 0.2511. Plague Prevention and Monitoringa. Setting of Rat Traps Rat traps set Number of rats traps set 0.5No incidence of plague or other rodent-bornediseases Includes preparation of poisonb. Poisoning of Rats Rats poisoned Number of rats poisoned 0.5c. Dusting for Flea Control Fleas dusted Number of dusting operations 0.5d. Determination of Flea Index Flea Index Determined Number of Flea Index Determined 1Dissection of Rodents for Plague Infectione. Rat Dissected Number of rats dissected 1Monitoring12. Certification of VesselsPage 55

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Inspection of vessels Vessel Inspected Number of vessels inspected 1No reported incidence of vector-borne diseaseson board vesselb. Fumigation of Vessel Vessel fumigated Number of vessels fumigated 48 For Vector controlc. Issuance of Ship Sanitation Certificates Ship Sanitation Certificates IssuedNumber of Ship Sanitation Certificatesissued0.2513. Issuance and renewal of health certificate tofood handlers/stewards.This refers to the health certificates issued andrenewed to food handlers and stewardsworking in food service establishments andinter-island vesselsa.Screening of medical requirementssubmittedRequirements for health certificatescreenedNumber of requirements for healthcertificate screened0.3Per applicant; includes referral for physicalexaminationb. Retrieval of personal file for documentation Files retrieved Number of files retrieved 0.125Issuance of health card forc.foodhandlers/stewardsCards issued Number of cards issued 0.03314. Conduct of Health Education and Sanitationactivities onboard inter-island vessels (Mobile Trips)Conduct of on-board sanitation audit of interislandvessel during their actual operations.Also, health promotion and education activitiesare conducted among passengers and crew ofthe vessels being boarded *NOTE: A minimumof 3 vessels and ports are required in everymobile tripa. Identification of target vesselsTarget vessel identified Number of vessels identified 1Preparation of itinerary of travel (ports tob.be visited)Itinerary of travel Number of itinerary of travel prepared 0.5Preparation of supplies needed for thec.mobile tripSupplies prepared Number of supplies prepared 0.5d. Courtesy call to vessel masterCourtesy call Number of courtesy call to master of vessels 0.125 Per vesselPage 56

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONVerification of Implementation (Foode.Safety and Sanitation Audit) on-boardVerification of implementation Number of verification of implementation 1 Per vesselReview of documents i.e. Ship Sanitationf.Control Certificate, Health CertificateDocuments reviewed Number of documents reviewed 0.5 Per vesselDocumentation (still photos and video) ofg.activities conducted in the areaDocumentation made Number of documentations made 0.5Incidental teachings to crews, officers andh.passengersIncidental teachings conducted Number of incidental teachings conducted 0.5Conduct of exit meeting to discuss findingsi. Conduct of exit meetingsand deficienciesNumber of exit meetings conducted 0.5Film showing of health related topics i.e.j.AIDS, hand washing proceduresFilms shown Number of films shown 0.25Conduct of spot announcement while onk.voyageSpot announcement conducted Number of spot announcement conducted 0.125Distribution and retrieval of KAPl.survey/passengers' feedbackKAP survey distribution Number of KAP survey conducted 0.5m. Dissemination of IEC materialsIEC materials disseimination Number of IEC materials disseminated 0.25Preparation of report to be submittedn. (vessel master and ship management) Reports prepared Number of reports prepared 1 Per vesselbefore disembarkationo.Preparation and submission of reports tothe shipping managementReports prepared and submitted tomanagementNumber of reports prepared and submittedto management0.515. Sanitation Activities in Inter-Island Vessels andFood Service Establishments (Land-based)a.Monthly Sanitation Audit of Inter-IslandVesselsSanitation and food safety audit to determinecompliance of inter-island vessels on BOQrules and regulations utilizing the GMP-HACCPaudit tool developed by the BOQ.a.1Courtesy call to the vessel'sofficersCourtesy call made Number of courtesy calls made 0.125Page 57

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.2Review of documents i.e HealthCertificate, Ship Sanitation ControlCertificateReview of documents made Number of documents reviewed 0.5a.3Verification of Implementation(Food Safety and Sanitation Audit)on-boardVerification of implementationNumber of verification of implementationconducted1a.4Incidental teachings to crews,officers and passengersIncidental teachings made Number of incidental teachings made 0.5a.5Documentation (still photos andvideo) of activities conducted in theareaDocumentation made Number of documentation made 0.5a.6Water sampling collection forbacteriological examinationWater samples collected Number of water samples collected 0.125a.7 Residual Chlorine determination Residual chlorine determined Number of residual chlorine determined 0.125a.8Conduct of exit meeting to discussfindings and deficienciesExit meeting conducted Number of exit meeting conducted 0.5a.9 Preparation of report Reports prepared Number of reports prepared 1a.10Submission of water samplecollected to the laboratoryWater sampled submissionNumber of water samples submitted forlaboratory analysis0.125Quarterly Food Safety Audit of Foodb. 20Service Establishments/Health Educationb.1Courtesy call to food serviceestablishment managementCourtesy call made Number of courtesy calls made 0.125Quarterly sanitation and food safety audit todetermine their compliance to BOQ rules andregulations utilizing the GMP-HACCP audit tooldeveloped by the BOQb.2Review of documents i.e HealthCertificate, Sanitation CertificateReview of documents Number of documents review conducted 0.5b.3 Verification of implementation Verification of implementationb.4Incidental teachings to crews andmanagementNumber of verification of implementationconductedIncidental teachings Number of incidental teachings conducted 0.5b.5 Dissemination of IEC materials IEC materials disseminated Number of IEC material disseminated 0.5 Distributed to all passengers/food handlersPage 581

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb.6Documentation (still photos andvideo) of activities conducted in theareaConduct of documentation Number of documentation conducted 0.5b.7Water and food sampling collectionfor bacteriological examinationWater and food sample collectionNumber of food and water samplescollected0.125b.8 Residual Chlorine determination Residual chlorine determined Number of residual chlorine determined 0.5b.9Conduct of exit meeting to discussfindings and deficienciesConduct of exit meeting Number of exit meetings conducted 0.5b.10 Preparation of report Reports preparation Number of reports prepared 0.5b.11Submission of water and foodsample collected to the laboratoryWater and food sample collectionNumber of food and water samplessubmitted0.125b.12 Renewal of Sanitary Permit Sanitary permits renewed Number of sanitary permits renewed 0.125Quarterly North Harbor Water Hydrantsc. 10Collection and MonitoringSanitation inspection of thec.1 environment within the location ofthe hydrantsDocumentation (still photos andc.2 video) of activities conducted in theareaInspection of environment withinlocation of hydrantsc.3 Residual Chlorine determination Residual chlorine determinedc.4Water sampling collection forbacteriological examinationNumber of inspection conductedConduct of documentation Number of documentation conducted 0.5Number of residual chlorine determinationconductedWater sample collection Number of water samples collected 0.125Quarterly sanitation inspection of waterhydrants in North harbor to determinecompliance to sanitation standards and watersampling to determine potability and preventingwater contaminationFINANCE SERVICE (FS)A. Monitoring Service TeamPage 59

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION1. Preparation of narrative reports for the aboveflash reportsNarrative reports preparedNumber of narrative reports prepared andfrequency of submission12. Analysis and review of Foreign-AssistedProjects' disbursement in accordance withloan/grant agreementDisbursement analyzed and reviewedNumber of disbursement analyzed andreviewd3 Evaluation and monitoring of DOH Central OfficeCHDs and hospitals' Financial StatementsEvaluated Financial StatementsNumber of Financial Statements evaluated4. Attendance to jury duty as member of theTechnical Working Group (TWG)Evaluated bid documents of lowestcalculated biddersEvaluation Reports and Post QualificationEvaluation Reports5. Preparation of letters and memos Prepared letters and memos Number of letter and memos prepared6. Reconcile PS-DBM balance with DOH recordsReconciled balances of DOH versus PS-Percentage of balance reconciledDBM7. Validation and closing of accounting balances ofcompleted Foreign-Assisted ProjectsValidated and closed FAPs recordsNumber of FAPs validated and closedHEALTH EMERGENCY MANAGEMENT STAFF (HEMS)1. Calamity/Disaster Central Monitoringa. Monitoring of events Events monitored Number of events coordinated 1:1b. Verification and networking with DOH hospitalsand other concerned agenciesVerification and networking with DOHhospitals and other concerned agenciesdoneNumber of verification and coordination withDOH hospitals and concerned agenciesdone0.125Includes all kinds of disasters/calamities/emergencies/special events; 1 pt for every hourof duty2. Provision/Mobilization of resources for HEARSresources for HEARSprovided/mobilizedNumber of resources for HEARSprovided/mobilizedresources include HR, logistics, equipmentwhich depend on the nature and extent ofcalamity/disaster, etc.Page 60

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION3. Formulation of agenda for Health Emergency inDisasterAgenda for Health Emergency inDisasterNumber of agenda for Health Emergency inDisaster formulated48HEALTH HUMAN RESOURCE DEVELOPMENT BUREAU (HHRDB)1Clearance of Training Courses and DPO on TrainingTraining courses and DPO'scleared/approved for conductNumber of training courses and DPO'sreviewed/approved12Facilitate attendance of employees to internationalfellowshipsList of Employees who underwentInternational FellowshipNumber of International Training courses* farm out invitations to concerned officesinvitation letter (local or international) Number of invitation letters farmed out 13 Facilitate WHO 3rd country Fellowships* identification of concerned office* Indorsement of WHO proposal/request toconcerned office* Develop proposal for HHRDB-led activities* Review of training/fellowshipdesign/proposal* Indorse the training/fellowship design toWHO* Inform concerned office of the approval* Coordinate with WHO and the concernedoffice on the release of funds for the activityand arrival of fellows* Conduct of orientation of WHO fellows* Conduct of evaluation of WHO fellowsWHO 3rd Country FellowshipsconductedNumber of WHO 3rd Country Fellowshipsoffice identified Number of office identified 0.5indorsement letter Number of indorsement letter prepared 0.5proposed of program of activities Number of proposed program of activities 1proposed program reviewed Number of proposed program reviewed 1indorsement letter Number of indorsement letter 0.25concerned office informed Number of concerned office informed 0.25coordination made Number of coordination made 0.5 phone callsorientation conducted Number of orientation conducted 2evaluation conducted Number of evaluation conducted 1Page 61

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION4Monitoring and EvaluationHealth workers monitored andevaluatedNumber of health workers monitored andevaluated* identify areas for M & E 1* Coordinate with CHDs 1 per CHDincludes preparation of DPO, vouchers* Conduct actual M & E 2 including travel time* Preparation of M & E report 8Determination of area for deployment for the next5 List of priority areas for the next batch Number of priority areas identified 24batch6 Facilitate purchase of medsMedicines available in the DOHWarehouse for DTTBNumber of documents for processed forprocurement* prepare distribution list distribution list prepared Number of distribution list prepared 2HEALTH POLICY DEVELOPMENT AND PLANNING BUREAU (HPDPB)HEALTH PLANNING DIVISIONidentification of area is based on guidelines /criteria1. Preparation of Planning Guidelines1.1 Operational Planning Guidelines OPLAN Guidelines Number of Planning Guidelines 80a. Write-up for Rationale, Objectives,Planning Guideline Framework includingProcess and Scheduleb. Preparation of the prescribed OPLANformatc. Preparation and Consolidation of OPLANAnnexesRationale, Objectives & PlanningGuideline Framework doneNumber of Rationale, Objectives &Planning Guideline FrameworkOPLAN format prepared Number of OPLAN format 8OPLAN Annexes prepared Number of OPLAN Annexes 3240OPLAN GL issued (posted at the DOHIntranet), with attachments1.2 Work and Financial Planning GuidelinesWork and Financial Plan Guidelines Number of Planning Guidelines 80WFP GL issued (posted at the DOH Intranet),with attachmentsa. Write-up for Introduction/Rationale,Objectives, Framework for the current yearWFP Preparation including Process andScheduleIntroduction, Rationale, Objectives &Planning Guideline Framework doneNumber of Rationale, Objectives &Planning Guideline Framework40b. Preparation of the prescribed WFP formatincluding WFP Budget Summary FormWFP format prepared Number of WFP format 8Page 62

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc. Preparation and Consolidation of WFPAnnexesWFP Annexes prepared andconsolidatedNumber of WFP Annexes 322. Review and Updating of Plans2.1 National Investment Plan for Health (NIPH)a. Preparation and dissemination ofMemorandumb. Conduct of consultative meetings bycluster:b.1 Service Delivery – PublicHealthDepartment Memorandum preparedConsultative Meetings conducted/heldNumber of Department MemorandumpreparedNumber of consultative meetings heldb.2 Service Delivery – Hospitals 4b.3 Regulation 4b.4 Financing 4b.5 Governance 4229.5 Updated NIPH approved by the EXECOM0.54c. Meeting with CHDs including CHDhospitals through the FIMOMeetings with CHDs/hospitalsconductedNumber of meetings with CHDs/hospitalsconducted4d. Review/consolidation of WFP and cullingout of investment needs COs, CHDs, LGUsand Attached Agencies in terms of F1investmentsWFP reviewed/consolidated per F1investmentsInvestment needs culled out 60e. Review and consolidation of OPLAN andcull out investment needs of Central Offices,CHD, LGUs and Attached Agencies in termsof F1 investmentsOPLAN reviewed and consolidated interms of F1 investmentsInvestment needs culled out 60f. Conduct of consultative meeting with theDirectors and F1 Fellows and CHDspointpersons of the NIPHConsultative meeting conducted Number of consultative meeting conducted 4g. Drafting of an updated NIPH NIPH drafted Number of NIPH drafted 80h. Presentation of NIPH to EXECOM NIPH presented to EXECOM Number of NIPH presented 12.2 Medium-Term Philippine Development Plan(MTPDP)43 Updated MTPDP submitted to the NEDAPage 63

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Attendance to an inter-agency meetingb. Exchange of communication through e-mailInter-agency meeting attended Number of inter-agency meeting attended 1Communication made through e-mailNumber of communication made through e-mail2At least four (4) meetings; 2 staff attending themeetingc. Conduct of meetings with attachedagencies/other DOH officesMeetings with attached agencies/otherDOH offices conductedNumber of meetings with attachedagencies/other DOH offices conducted4d. Review of document and documentationDocument review done Number of document reviews done 16 Incorporating comments and other inputse. Preparation of document Document prepared Number of documents prepared 20 Including writing and editing of document2.3 Medium-Term Philippines Investment Plan(MTPIP)Communication sent to agencies containinginstruction as per NEDA requirement, Analysisof per agency’s programs/projects included inthe MTPIP, inputting of agency’s MTPIPa. Attendance to an inter-agency meetingb. Exchange of communication through e-mailc. Conduct of meeting with Central Office,CHD, hospitals, Drug Rehab Centers andattached agenciesInter-agency meeting attended Number of inter-agency meeting attended 1Communication made through e-mailNumber of communication made through e-mailMeetings conducted Number of meetings conducted 4 4 hours per meeting2At least four (4) meetings; 2 staff attending themeetingd. Consultative Meeting with other DOHofficese. Conduct of document review anddocumentationConsultative meetings done Number of consultative meetings done 16 Including preparation of communicationDocument review done Number of document reviews done 16Incorporating comments and other inputs;updating of plans per Super Regionsf. Preparation of document Document prepared Number of documents prepared 24 Including writing and editing of document2.4 Review of Work and Financial Plan (WFP) 292.5WFP reviewed as to its content and technicalconformity to the guidelines and commentswere sent to concerned offices for revisiona. Review of WFP based on checklist perb. Preparation of feedback report torespective officesFeedback reports prepared Number of feedback reports prepared 0.5Includes coordination with respective officesprior to feedback report preparationPage 64

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION2.5 Review of Operational Plan (OPLAN)OPLANs were reviewed as to its content andtechnical conformity to the guidelines andcomments were sent to concerned offices forrevisiona. Review of OPLAN based on checklist peroffice:a.1 Central Offices (17) - 2/office Central Offices WFPs reviewed Number of Central Offices WFPs reviewed 34a.2 CHDs (16) - 8/CHD CHDs WFPs reviewed Number of CHDs WFPs reviewed 128a.3 CHD hospitals (54) - 1/hosp. CHD hospitals WFPs reviewed Number of CHD hospitals WFPs reviewed 54a.4 Special Hospitals (12) -1/hosp.a.5 Drug Rehab. Centers (10) –1/DRCb. Preparation of feedback report torespective officesSpecial Hospitals WFPs reviewedDrug Rehab. Centers WFPs reviewedNumber of Special Hospitals WFPsreviewedNumber of Drug Rehab. Centers WFPsreviewedFeedback reports prepared/sent Number of feedback reports prepared/sent 0.51210Includes coordination with respective officesprior to feedback report preparation3. Preparation of DOH Annual Report 6a. Preparation of Department Memorandum forcoordination and submission of reports by officesconcernedb. Preparation of Terms of Reference TOR prepared Number of TOR prepared 2c. Consolidation of submitted reports: Submitted reports consolidated Number of submitted reports consolidatedc.1 Central Office (17) - 2/office Central Office reports consolidatedNumber of Central Office reportsconsolidated20.5 Per officec.2 CHDs (16) - 3/CHD CHDs reports consolidated Number of CHDs reports consolidated 3 Per CHDc.3 CHD hospitals (54) - 1/hosp. CHD hospitals reports consolidatedNumber of CHD hospitals reportsconsolidatedc.4 Special Hospitals (12) – 1/hosp. Special Hospitals reports consolidatedNumber of Special Hospitals reportsconsolidatedc.5 Attached Agencies (4) – 1/agency Attached Agencies reports consolidated Number of Attached Agencies reportsconsolidatedd. Finalization of Reports1 Per hospital1 Per hospital1 Per agencyPage 65

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION- Packaged/layout reports (camera ready)e. Printing of Reportse.1 If GOP-funded:Report packaged Number of reports packaged 40This will include design of cover page, layoutingof content, photos and tables, message, DOHofficials, etc.e.1.1 Preparation of TOR TOR prepared Number of TOR prepared 2e.1.2 Attendance to COBACmeetingsCOBAC meetings attended Number of COBAC meetings attended 1e.2 If Foreign-funded: 2f. Editing of Reporte.2.1 Preparation of TOR TOR prepared Number of TOR prepared 2e.2.2 Request for funding from thedonor organizationLetter of Request prepared Number of Letter of Request prepared 2f.1 Proofreading of draft report Draft report checked Number of draft report checked 9 Three (3) editors at 1 hour each x 3 timesf.2 Final editing of report Reported edited Number of report edited 6g. Dissemination of Arnnual Reportg.1 Preparation of distribution list Distribution list prepared Number of distribution list 8g.2 Monitoring of available stocks Stocks monitored Number of stocks monitored 1g.2 Packaging/actual distribution AR packaged and distributed Number of AR distributed 404. Preparation of Mid-year/Year-end Reports Mid-year/Year-end Report prepareda. Preparation of DM re: submission of 1stSemester/Year-end Accomplishment Reportsb. Consolidation of Accomplishment ReportsDepartment Memorandum preparedConsolidated 1st SemesterAccomplishment ReportNumber of Department MemorandumissuedNumber of Consolidated AccomplishmentReport240c. Finalization of 1st Semester / Year-endAccomplishment ReportFinal draft of Consolidated Report % of comments incorporated into the draft 20Consolidated Agency Report usually submittedto the Presidential Management Staff and otheroversight government agencies as requested5. Preparation of Budget Proposal Budget proposal submitted 160Page 66

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Conduct of series of meetings with the keyofficials of the DBMMinutes/agreements prepared Number of Minutes/Agreements prepared 24Meetings with the key officials of the DBM withthe Finance Service Director and DivisionHead; Include attendance to the NationalBudget Call and to the Technical BudgetDeliberationb. Other activities related to Budget Hearing a) Budget Briefer Number of budget briefer drafted 40b) Budget Presentation Slides Number of presentation slides prepared 40b.1 Simple Presentation Slides Number of presentation slides prepared 0.083 Pure text, per slideb.2 Complex Presentation Slides Number of presentation slides prepared 0.5c) cue cards Number of cue cards updated and compiled 32Complete set of Budget Briefer submitted ontime to the Congress (reproduced at least 170copies)Complete slides submitted on time andapproved by the Secretary of Health.per slide; Includes preparation of graphs,charts, matrices, etc.Complete cards submitted on time andaccepted by the SOH. Cue cards arenecessary during budget hearings.d) reports on issues raised duringbudget hearingsNumber of reports prepared on issuesraised during budget hearings24All issues raised during budget hearings werereported and submitted to the SOH. Concernedoffices provide advice/clues to the SOH duringbudget hearings.c. Undertake other planning related activitiesc.1 Drafting of correspondence a) correspondence Number of correspondence drafted:Complete set of correspondence submitted ontime, and accepted/ approved by the BureauDirector. Correspondences needing staff actionare classified as either simple or complex.Correspondence prepared by the Chief,Planning Division are also includedc.1.1 Needing staff action Simple 5Complex 20c.1.2 Not needing staff action Not needing staff action 5c.2 Conduct of planningWorkshop organizedNumber of workshop organizedworkshop/orientation trainingc.2.1 Workshop design Workshop design Number of workshop designs 24 Includes data gatheringPage 67

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc.2.1.1 Preparation andProgram of Activities 1Finalization of Program of Activitiesc.2.2 Identification and confirmationNumber of participants identified andParticipants identified and confirmed1 Per participantof participantsconfirmedc.2.3 DPO Preparation Draft DPO Number of DPO 1c.2.4 Identification of venue Venue identified 8 Includes ocular and canvassc.2.5 Preparation of workshopmaterialsc.2.6 Confirmation/invitation ofparticipants (final)c.2.7 Preparation of workshopadvisoryWorkshop kit Number of kits 24Confirmed participants Number of confirmed participants 8Includes reproduction of handouts and othertraining paraphernaliaAdvisory Number of advisory 8 Includes dissemination of advisoriesc.2.8 Actual conduct Workshop Actual workshop conducted 24 1:1 (1 point for every 1 hour of training)c.2.9 Post-workshop activity: Postworkshop report6. Dissemination and Formulation of the NationalObjectives for HealthPost Training Report Number of Post Training Report 16a. Dissemination NOH disseminated Number of NOH presentations made 0.5b. Formulation (2011-2015) NOH developed Monograph updated (once in five (5) years) 33.087. Management of Projects to support F1a. Review and comments on TOR development andtechnical papersa.1 Development and Finalization of TORa.2 Endorsement of TOR to concernedofficesa.3 Creation of Project Management TeamTOR developed and finalized Number of TOR developed and finalized 24Endorsement letter Number of letters made 0.08DPO prepared Number of DPOs issued 1a.4 Conduct of consultative/coordinativemeetings with concerned officesMeetings conducted Number of meetings conducted 4b. Conduct of Project Meetings Project meetings Number of project meetings conducted 4Page 68

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION8. Management of Health Research Ethics ReviewSystema. Review of research proposals with DOH assubject/fundedb. Monitoring of DOH funded/non-funded researchesResearch proposal with DOH assubject/funded reviewedDOH funded/non-funded researchesmonitoredNumber of research proposal with DOH assubject/funded reviewedNumber of DOH funded/non-fundedresearches monitored889. Development of Resource Learning Center for HealthSector Reformsa. Gathering of research materials, literatures,technical/project reports related to health sectorResearch materials, literatures,technical/project reports related tohealth sector gatheredNumber of research materials, literatures,technical/project reports related to healthsector gathered16 Includes preparation of department circularb. Extension of assistance to researchers using RLCfacilitiesAssistance to researchers using RLCfacilities extendedNumber of assistance to researchers usingRLC facilities extended2Includes briefing, giving out of documents, onlineresearch and video conferencing(additional 1 point for video conferencing)INFORMATION MANAGEMENT SERVICE (IMS)System Software Development DivisionProject ManagementPlanning and development of information systema. Development of project and work plansProject and work plans developedNumber of project and work plansdeveloped24Development of Functional Design Functional design developed Number of functional design developed* Simple - consists of one system 136* Moderate - consists of two to threesubsystems164per project, depending on scope andcomplexity of projectIncludes the following activities in all systemsdesign:1. Review and analysis of current systems andprocessPage 69

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION* Complex - consists of more than threesubsystems (as a basis of measurement,this will be multiplied by the Number ofsubsystems)328 2. Consultative meetings/workshops;Formulation of Technical Design Technical design formulated Number of technical design formulated* Simple - consists of one system 100* Moderate - consists of two to threesubsystems* Complex - consists of more than threesubsystems (as a basis of measurement,this will be multiplied by the Number ofsubsystems)Includes the following activities in all softwaredesign:120 - Conduct of technical meetings240- Creation/formulation of TDD (programspecs./flowchart, data dictionary, entityrelationship model, screen design, technicalarchitecture)Development of software and databaseSoftware and database developedNumber of software and databasedevelopedIncludes the ff. activities:- Conduct of technical meeting* Simple - consists of one system 240 - Review/analysis of TDD* Moderate - consists of two to threesubsystems* Complex - consists of more than threesubsystems (as a basis of measurement,this will be multiplied by the Number ofsubsystems)272 - Creation of database448- Code/write programs (unit testing, iterativeprocess until error free using IMS technologystandards, for new technology double theestimated no. of hours)- Conduct of software/integration testing- Conduct QA Testing ( iterative process, untilapproved by the QA Team)Preparation of software operations manual * Simple - consists of one system 80* Moderate - consists of two to threesubsystems* Complex - consists of more than threesubsystems (as a basis of measurement,this will be multiplied by the Number ofsubsystems)160400Page 70

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONSystem Implementation- Conduct of pre-implementation meeting Pre-implementation meeting conductedNumber of pre-implementation meetingconducted- Conduct of User Training User training conducted Number of user training conducted - Client System Installation* Simple - consists of one system 8* Moderate - consists of two to threesubsystems* Complex - consists of more than threesubsystems (as a basis of measurement,this will be multiplied by the Number ofsubsystems)42480- Prepare Post Implementation Report(includes training and installation report)System Configuration / Set-up / InstallationConfiguration/Set-Up/Installed Number of configuration/set-up/installed per module* Simple 4* Moderate 16* Complex 40System Replication System replicated Number of system replicated Includes the ff. activities:* Simple - consists of one system (with 1module)* Moderate - consists of one system withtwo to three modules* Complex - consists of 1 system with morethan three modules (as a basis ofmeasurement, this will be multiplied by theNumber of subsystems)- Conduct meetings, user's orientation, systeminstallation and software operations training- Provide support to pre-operational activities(Pre-testing, build up of libraries/references,and others)System Monitoring- Conduct of meetings with user 1- Evaluation of system Systems evaluated Number of systems evaluated 2 - Using System Monitoring Tool- Update/Troubleshoot system.a. Simple 1 - Update/Troubleshoot system.b. Complicated per workstation or server> workstation 5Page 71

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION> server 24- Preparation of System Monitoring Report. System monitoring report preparedNumber of systems monitoring reportprepared- Use of monitoring formSoftware MaintenanceRevision/adjustment/upgrading of the system System revised/adjusted/upgradedNumber of systemrevised/adjusted/upgradedIncludes the ff. activities:a. simple = 1 to 2 reports 128 - Conduct meetings.b.moderate = 3 to 5 additionalreports or data-entry windows.155 - Review/Analyze requests.c.complex = more than 5 additionalreports310 - Update documents (FDD and TDD).Network and Database Management DivisionIT Maintenance 1. Minimal Computer Downtime Number of IT peripherals resolved Work is accepted by the user- Repair of IT equipmenta. Simple 2 Simple – any of the following:~ Repair / Clean Floppy Disk~ Repair / Clean Keyboard~ Repair Video Card display/ installation~ Repair / Clean Mouse~ Change Power Supply~ Clean / Install Monitor~ Clean / Install Printer~ Software Installationb. Moderate 8 Moderate – any of the following:~ Install / Upgrade Operating System- virus detection and removal- backing-up of data files- reformatting of hard diskPage 72

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION- reinstallation of software~ Repair AVR / UPSc. Complex 16 Complex – any of the following:~ Repair / Clean Floppy Disk~ Repair / Clean Keyboard~ Repair Video Card display/ installation~ Repair / Clean Mouse~ Change Power Supply~ Clean / Install Monitor~ Clean / Install Printer~ Software InstallationNetwork ManagementProblem resolution resulted into the restorationof connectivityMinimal Internet/ Intranet Connectivity Downtime- Inspection of Internet/Intranet connection Internet/Intranet connection inspectedInspection of ICT equipmentInspection and Acceptance ofequipmentNumber of Internet/Intranet connectioninspecteda. Simple 2b. Moderate 8c. Complex 16Number of request for inspection 8 Per requestRequires connecting the user to the network byany of the following: 1) replacement ofconnector/network card; 2) changes in thecomputer network setting; or 3) reconfigurationof email settings.Requires changing server setting and faultfindingon network resources.Requires network installation including HWconfiguration and SW installation.Inspection of Unserviceable ICT EquipmentReview/Approval of ICT specificationsICT specifications reviewed/approvedNumber of ICT specificationsreviewed/approved0.5 Per ICT equipmentUpdating of ICT Specifications in the WebICT Specifications in the web updatedNumber of ICT specifications in the webupdated0.75Research & update of the specifications of theICT equipments in the DOH intranetPage 73

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONUpdating of ICT equipment specificationsICT ProcurementICT equipment Specifications updatedProcurement of ICT EquipmentsNumber of ICT equipment specificationsupdatedNumber of ICT Equipment / Item that wouldbe ready for procurementResearch of ICT Equipment / Item to beprocuredPreparation / Documentation of the ICTequipment for procurement10.5a) Purchase Request (per item) 0.25- additional point in every bullet afterthe twentieth (20th) bullet0.05b) APP and APR (Per page) 0.25c) Others (Communication letters, etc.) 0.25(per page)Creation of Database Back-up Database Back-up created Number of Database Back-up created 0.25Technical Support on System Implemented(DTOMIS)Troubleshooting Action SheetNumber of inquiries/problemsattended/resolvedComplex 1Moderate 0.5Simple 0.1Research and verification of newenhancements, upgrades of ICT EquipmentComplete and complying specifications of ICTequipment to be procuredSpecifications of ICT Equipment / Item to beprocured meets with the requirements of theend-user/office and are up-to-date with thecurrent technologyComplete specifications of ICT EquipmentPer folder with size not more than 3GB.Additional 0.083 points for every 500MB thatexceeds 3GB.Requires deeper analysis of the problem,research and testing of the system.Requires checking of database, system reinstallation,configuration and testing.Resolved a frequently askedquestions/encountered problems.Knowledge Management DivisionDocuments Management SectionRECORDS MANAGEMENT/SERVICESINCOMING CLASSIFIED DOCUMENTSClassification code assigned, encodedin DTIS and filed accordinglyNumber of communications encoded inDTIS, coded and filed0.5Assign classification code, encode in DTIS andfilePage 74

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONOUTGOING COMMUNICATIONSINCLUDING BULK MAILINGSClassification code assigned, encodedin DTIS and dispatchedNumber of communications coded anddispatched0.5Assign classification code, encode in DTIS anddispatchOpen mails processed and mail requestform preparedNumber of open mails processed and mailrequest form prepared0.4Classify open mails, prepare envelopes andencode in the mail request formOutgoing bulk mails processed anddispatchedNumber of times delivered to post office 12Receive mails, check for compliance to mailingpolicies, weigh envelope, affix amount ofmetered postages and prepare summary reportfor delivery to post officeReplenish meter stamps Number of times meter stamps replenished 4Number of times meter machine reloaded 6Stamps usage report made, voucher preparedand forwarded to Director for approvalRequest vehicle, check released by CashierSection, Official receipt issued at Post OfficeBranch, Machine reloaded at Post OfficeCentralCommunication deliveredNumber of communication delivered thru:Messengerial 8Electronic Mail 0.08 E-mail acceptedFax 0.25 Fax receivedCommunication delivered by Messenger withdelivery receipt receivedAuthentication of Documents/Records Documents/records authenticated Number of documents/records authenticatedAuthenticated administrative issuances 0.17Retrieve documents, stamp, sign and releaseto clientAuthenticated classified documents 2Retrieve documents, stamp, sign and releaseto clientAuthenticated archived documents 16Includes inquiry from National Archives of thePhilippinesCERTIFICATION Certification issued Number of certification issued 0.75 Certification received by the ClientData Build UpDigitized records scanned andoptimizedNumber of documents records scanned andoptimizedPreservation of valuable records Valuable records preserved Number of valuable records preserved 0.50.25 Records converted to electronic formLIBRARY MANAGEMENT and SERVICESA. Collection developmentPage 75

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONProcurement/Acquisition ofrelevant books, journal and otherhealth info materialsRelevant books, journal and otherhealth info materialsprocured/acquisitionNumber of relevant books, journal and otherhealth info materials procured/acquisition3Search available information, coordinate withconcern agencies, prepare letter of request,follow-up requestRequest donations/exchangepublications from other agenciesDonations/exchange publications fromother agencies requestedNumber of donations/exchange publicationsfrom other agencies requested1Search, index, and uploaded free health relatedinformationBuild up online health informationOnline health information build upNumber of Online health information buildup1B. Collection ManagementAssigning of classification number, call number,subject headings and encoding of bibliographicinformationClassification, Cataloging of books,monographs. CDs, IEC materialsBooks, monographs. CDs, IECmaterials classified and cataloguedNumber of books, monographs. CDs, IECmaterials classified and cataloguedIndexing of journal articles Journal articles indexed Number of journal articles Indexed 0.160.5Browse journal and review article, assignsubject headings, encode bibliographic data,and upload to databaseBrowse daily newspaper clip, digitize, index,and uploadBuilding-up of news clippingsdatabaseNews clippings database build-up Number of news clippings database build-up 0.16Printing and mounting of barcode label and callnumber, stamping of ownership, and coveringPhysical preparation/processing ofbooks and other info materialsBooks and other info materialsprepared/processedNumber of books and other info materialsprepared/processedMaintenance of E-library E-library maintained Number of E-library maintained 1Encoding of incoming healthperiodicals in the databaseC. Maintenance of library website andonline databasesIncoming health periodicals in thedatabase encodedNumber of incoming health periodicals in thedatabase encoded0.10Search relevant articles, free online healthinformation, download or provide links, classifyand index, Scan, digitized DOHpublications/other information materials andupload0.05 Encode periodical data in the databaseUpdating/editing of library websitecontents and online databasesLibrary website contents and onlinedatabases updated/editedNumber of library website contents andonline databases updated/edited1 Check, update links, databasesD. Library ServicesAssist clients in locatinginformationNumber of clients assisted 0.17Page 76Assist client in searching in OPAC, retrieveinformation needed, shelve used booksSearch for information needed, scan or email orfax

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONRespond to walk-in, phone-in, andemailed queries/informationrequestsNumber of queries/requests responded .25Retrieve information, record in the circulationdatabase, follow-up overdues.Lending and recalling borrowed books/infomaterialsBooks/info materials lend and recallborrowedNumber of books/info materials lend andrecall borrowed0.17Web ManagementA. Management of DOH website andIntranetManaged DOH portal and intranet- Updating/posting of content Content updated/posted Number of content updated/posted 2 Updated pages- Troubleshooting of website concernsWebsite concerns resolved Number of website concerns resolved Troubleshoot- Minor troubleshooting 4 TroubleshootMaintenance- Checking of web page updates/links- Major troubleshooting 20 TroubleshootWeb page updates/links checked Number of web page updates/links checked 1 Web page updated- Checking for web accessibility for PWDWeb accessibility checked Number of web accessibility checked 2 web accessibility checkedB. Development of websites for public healthprograms/other offices in Central OfficeNumber of websites developedWebsites developed- Installation of Content ManagementSystem installation- Content Management SysteminstalledNumber of Content Management Systeminstalled1 CMS installed- Setting-up of Configuration - Configuration settings Number of Configuration settings 1 Settings configured- Modification of templates - Templates modified Number of Templates modified 10 Templated modified- Collection of Data - Data collected Number of Data collected 30 Data collected- Creation of images - Images created Number of Images created 10 Images created- Creation of pages - Pages created Number of Pages created 8 Pages createdC. Provide Technical Assistance to DOHportal contributors- Research modules/extensions 20 research modules/extensions- Install/troubleshootmodules/extensions20 Modules/extensions installed/troubleshoot- Testing and Modification 8Provides Technical Assistance to DOHportal contributorsNumber of Technical assistance provided 1 Technical assistance providedPage 77

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONINTERNAL AUDIT (IA)1. Plan target areas for audit and scheduleTargeted areas for audit planned andscheduledNumber of targeted areas for audit plannedand scheduled5List of target areas submitted to OSEC forapproval2. Conduct of auditAudit Report Number of Audit Reports 40Include monitoring of compliance onrecommendations per IAS and COA auditreports as contained in previous year orengagement.Audit reports contain final audit summary anddetailed audit findings and recommendationssubmitted to OSEC and other officesconcerned.a. Review /examine financial records andreportsFinancial records and reportsreviewd/examinedNumber of financial records and reportsreviewd/examined15Contain schedules and/or analysis of audit datato support findings and observationsb. Review/examine systems and processesSystems and processes reviewd andexaminedNumber of systems and processes reviewdand examined10Contain analysis of internal control gaps tosupport findings and observationsc. Interview process ownersProcess owner interviewed Number of process owners interviewed 5Contain notes taken as a result of the interviewconductedd. Conduct cash countCash Count conducted Number of Cash Count conducted 1Contain summary of cash counted and cashaccountabilityContain summary of findings andrecommendationse. Preparation of management auditsummaryManagement audit sumary preparedNumer of management audit summaryprepared5Contain management comments or actions tobe taken re:audit findings to be included in theaudit reportf. Conduct of exit conference with the headof office and key officialsExit conference conducted Number of exit conferences conducted 2 To include taking of notes3. Prepare audit reports Audit report 80Page 78

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION4. Conduct of fact-finding investigation Fact-finding investigation conductedNumber of fact-finding investigtationsconducted40To include preparation of procedures, tools withsupporting documents5. Preparation of investigation reports Investigation Report Number of investigation reports 80a. Draft reportDrafted report Number of draft reports 40Contain initial report by the Audit Teamsubmitted to the Chief Internal Audit for reviewb. Edit reportEdited report Number of edited reports 30 Contain corrections by the Chief Internal Auditc. Finalize reportFinal report Number of finalized reports 5Final and official version of the InvestigationReportd. Reproduce reportReproduced report Number of reproduced copies 5Submit/distribute final reports to the Office ofthe Secretary and offices6. Special Assignmenta. Consolidation of agencies actions on COAaudit recommendations.Agenciesa actions on COA auditrecommendation auidtiedNumber of consolidated report (ManualProcess)240b. Attendance to various committees astechnical observerReports Number of reports prepared 1NATIONAL CENTER FOR HEALTH FACILITIES DEVELOPMENT (NCHFD)Infrastructure and Equipment Division1. Preparation of policy/guideline on updating healthfacilities projectData gathering/Analysis a. Data gathered/analyzed Number of reports prepared 40b. Report Number of reports prepared 16Complete set of policy formulated guideline onhealth infra projectsPage 79

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc. Schematic Plan Number schematic of plan 40 should be approved by the end userd. Consultative meeting (comment) Number of consultative meetings conducted 4e. Draft policy guidelines Number of draft policies 402. Development of Health Infrastructue projecta. Site Developmenta.1 Collection of Data and ocularinspection of project sitea.2 Preparation of preliminary siteplana.3 Presentation of preliminary sitedevelopmenta.4 Finalization of site developmentplanb. Schematic Planning and designReport Number of collected data 8Site plan Number of site plans prepared 24Site plan presented Number of plan presented 3finalized site development plan 36Approved by the end-users,division chief andservice director and bureau directorApproved by the end-users,division chief andservice director and bureau directorb.1 Conduct of meeting with enduser/InfrastructureCommitteemeetings with end user/InfrastructureCommittee conductedNumber of meetings with enduser/Infrastructure Committee conducted4b.2 Preparation of schematic plan schematic plan prepared Number of schematic plans prepared 40b.3 Presentation of schematicplans to DOH offices concernedschematic plans presented Number of schematic plans presented 8b.4 Finalization of schematic plans schematic plans finalized Number schematic plans finalized 36c. Project DocumentationApproved by the end-users,division chief andservice director and bureau directorc.1 Conduct of meeting withproject team and end-usersregarding project costsmeetings with project team and endusers conductedNumber of meetings conducted 4c.2 Preparation of DetailedArchitectural and Engineering (A &E) Plansc.3 Review of Detailed A & EPlansA & E Plans prepared Number of A & E Plans prepared 120A & E Plans reviewed Number of A & E Plans reviewed 8Page 80For each architectural, structural, electrical,plumbing and mechanicalFor each architectural, structural, electrical,plumbing and mechanical

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc.4 Preparation of detailed costestimates & technical specicationsCost estimates and technicalspecifications preparedNumber of cost estimates and technicalspecifications prepared24For each architectural, structural, electrical,plumbing and mechanicalc.5 Finalization of scope of works,summary of materials and finishes,and implementation scheduleScope of work, summary of materials,finishes and implementation schedulefinalizedNumber of scope of work, summary ofmaterials, finishes and implementationschedule finalized243. Assessment,/Monitoring of implementation ofinfra projects and programsa. Conduct of meeting with the end usermeetings with end user conductedNumber of meetings with end userconducted4Submitted status report to the bureau directorand copy furnished to the CHD director andchief hospitalb. Monitoring and inspection of on- goinginfrastructure projectOn-going projects monitored andinspectedNumber of on-going projects monitored andinspected3c. Evaluation of progress billings, variationorders and approval of samplesprogress billings, variation orders andsamples evaluatedNumber of progress billings, variation ordersand samples evaluated16d. Evaluation of projects for acceptance andturn overproject completed Number of project completed 164. Assessment and monitoring of DOH hospitals,central office,and other facilities for compliance withthe following:Assessment and monitoring reports Number of assessment and monitoring 10a. Fire safety and protection systemb. Accessibility Lawc. Healthcare Waste Managementd. General servicese. Building and equipment maintenancef. Security of critical infrastructureg. Healthcare equipment maintenanceNATIONAL EPIDEMIOLOGY CENTER (NEC)Page 81

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONSurveys Risk Assessment and Evaluation DivisionPhilippine Health Statistics Activities1. Collection/Pick-up of data from NSO Data collected/picked-up from NSO Number of data collected and picked-up 4 Vital health statistics collected2. Preparation of Dummy Tables 24Updated tables by cities andNumber of updated tables by cities anda. Updating of of tables by cities and municipalitiesmunicipalitiesmunicipalitiesa.1 Simple 0.083 Per pagea.2 Difficult 0.25 Per pageb. Printing of upated dummy tables Updated dummy table printed Number of updated dummy table printed 0.0167 Per page3. Preparation of revised table of population based onNSO dataa. Printing of tables for population.Revised table of population based onNSO data preparedNumber of revised table of population basedon NSO data prepared40Includes adjustments, computations4. Printing of Raw Data on Live birthsRaw data on live births and mortalityprintedNumber of raw data tables printed 80 Includes data reformat, computation, etc.5. Preparation of : Mortality rates and ratios computedNumber of mortality tables with computedrates and ratiosa. Morbidity statistics 20b. Mortality statistics 60c. ICD-10 coding of diseases 0.083 Per diseaseIncludes cleaning/validation and computation ofdata6. Final printing of tables Final tables printed Number of final tables printed 24 Includes proofreading7. Preparation of narrative reports Narrative reports prepared Number of narrative reports prepared 120 Includes analysis of statistical data and printing8. Preparation of statistical graphical presentationStatistical graphical presentationpreparedNumber of statistical graphical presentationprepared0.5 Per graph9. Preparation of the Philippine Health Picture (PHP)Philippine Health Picture prepared One Philippine Health Picture prepared 24 Includes lay-outing, computation and printingPage 82

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION10. Preparation of the draft copy of Philippine HealthStatistics (PHS) bookDraft copy of PHS book prepared Number of PHS book prepared 80Includes preparation of foreword, lay-outingand printing11. Final printing of PHS Final PHS printed Number of PHS printed 80Includes proofreading and reading of copy forreproduction12. Preparation of leaflets on PHS Updates Leaflets on PHS Updates preparedNumber of leaflets on PHS Updatesprepared40Includes preparattion of tables, reproductionand distribution13. Distribution of PHS PHS publication distributed Number of publications distributed 0.25Surveys Risk Assessment and EvaluationNational HIV / AIDS Sentinel1. Preparation of HIV and AIDS Registry HIV and AIDS Registry prepared Number of HIV and Aids Registry prepared Done monthlya. Encoding of data 0.25 Per patientb. Analysisof data 82. Preparation of reports of HIV and AIDS Reports on HIV and AIDS preparedNumber of reports on HIV and AIDSprepared83. Preparation of STI Sentinel Etiologic SurveillanceSystem (SSESS) Annual ReportSSESS Annual ReportSSESS Annual Reporta. Encoding of data 0.25 Per diseaseb. Analysisof data 8c. Preparation of SSESS report 16Surveys Risk Assessment and Evaluation DivisionSearch and Special Studies1. Assess health status of the population through healthsurveys and special studies-Conduct of the Global Youth TobaccoSurvey in the Philippines;Completed survey implementation andcountry reportSix months,PeriodicSurvey,every 3 years-Track changes in prevalence anddeterminants of tobacco use, and other riskybehaviors among youth and adults;Page 83

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION-Conduct of the Global School-basedStudent Health Survey (YouthBehavioral Risk Factor Survey) in thePhilippines;Completed survey implementation andcountry reportSix months,PeriodicSurvey,every 3 yearsProvide evidence for policy action andintervention and measure tobacco and otherNCD prevention and control programoutcomes.Conduct of the Global Adult TobaccoSurvey in the Philippines.Completed survey implementation andcountry reportone yearperiodicsurvery,every 3-5years2. Evaluation efficiency and effectiveness of healthprograms-Provide technical assistance andconsolidation of logic framework andharmonization of programs and projects’ Consolidated logic framework and mappingindicators of leading infectious diseases out of programs and project indicators of(HIV-AIDS, TB and Malaria) and other leading major public health programs andmajor public health programs (i.e. projectsAdolescent and Youth, NCD, Tobacco,Alcohol, etc.)year round-Consensus on logic framework andharmonization of indicators of leading majorpublic health programs and projects insynchrony with F1 and ME3; Basis for Programevaluation.3. Development and maintenance of surveillance, registryand other health information system for chronic diseases,adolescent and youth and injury prevention and control.Provide technical assistance or be thelead in the development andmaintenance of surveillance, registryand other health information system forchronic diseases, adolescent and youthand injury prevention and control.Consensus building, standard operationguidelines and or manual of operations,standardization of procedures, qualityassurance, and progress reports and policyactions.year roundTrack changes of mortality and morbidity dataof chronic diseases and its risk factors foradolescents and youth and among adults,provides measures of program and projects’outcomes.4. Disseminates regular reports on the state of healthprograms and health status of the population (fromsurveys, special studies, registries and surveillancesystem).Participates in the Philippine NationalHealth Research Forum and otheravenues for health researchdissemination and exchange ofinformation.Presentations or interactions in varioushealth research fora, local and international.as required-Provide scientific evidence for policyimplications, actions and or interventions.Public Health Surveillance and Informatics DivisionPage 84

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONSurveillance ReportsGathering of DataNumber of RESUs reported and confirmedincluding follow-up until submission8 pointsThis would include files from other regionalepidemiology surveillance units were gatheredin recfile form1. NESSS Disease Surveillance UpdatesNumber of rounds made4 pointsRounds include making rounds and filling up ofsurveillance forms from San Lazaro HospitalEncoding and Analyzing Data Number of Diseases encoded 4 pointsReport Formulation Number of Reports written 8 pointsAfter recfile from the regions have beencollected and verified, encoding and analysis ofdata is done for each disease undersurveillance.Reports are generated and finalized aftersignatory from the NEC Director and PHSIDChief of Division.Report DisseminationNumber of Reports disseminated (weeklyreports)1 pointSigned reports are diseminated to stakeholdersand posted in the DOH website.2. FHSIS Annual ReportGathering of Data Number of reports consolidated 24 hoursEncoding and Analyzing Data Number of reports encoded 48 pointsReport Formulation Report written 80 pointsReports include fax reports from every region inthe country. Gathering of data includesreceiving faxes, verifications, follow-up calls,filling-up of reports and disaggregations perprogram.This would include the encoding of reportsconsolidated.Report formulation includes making summarytables and graphs for the FHSIS Annualreports. The final output should be the FHSISAnnual report is posted in the DOH website.Report Dissemination Reports disseminated 16 pointsReport dissemination includes inventories forprinting, bill of lading, distribution lists, receitinvoice services ,etc. for the reporduction anddistribution of the FHSIS annual reportApplied Public Health DivisionA. Field Epidemiology Training ProgramPage 85

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONManagement of Field EpidemiologyTraining Program1. Preparation and sending of invitationletters/communicationsLetters of invitation prepared and sentNumber of letters of invitation prepared andsent0.5 Includes following up and getting responses2. Interview and screening of applicantsApplicants reviewed and screenedAnumber of applicants reviewed andscreened1 LGU/CHD applicants for FETP3. Setting up of computer workstationComputer workstation set up Number of computer worlstations set up 16Includes archiving of old files and reformattingand installation of new software4. Issuance of book/kits/supplies to FETPfellowsBooks/kits/supplies issued Number of books/kits/supplies issued 0.25Determine booklist, find suppliers, canvassprices, place orders, faciltate delivery, catalogand record, distribute and MR to fellows5. Preparation of lectures, A/V materials andhand-outsLectures, A/V materials and hand-outspreparedNumber of lectures, A/V materials and handoutsprepared24 Per lectureActual Didactics1. Conduct of Didactic CourseDidactic course conducted Number of didactic course conducted 320 Didactics is for 40 working days2. Conduct of scientific lecturesScientific lectures conducted Number of scientific lectures conducted 4 Conducted after the didactic courseB. Field Management Training ProgramPre-workshop preparation1. Preparation of presentation and handoutsPresentation and hand-outs preparedNumber of presentation and hand-outsprepared24Research topic, develop presentation, preparepowerpoint and hand-outsActual Workshop1. Workshops Workshops conducted Number of workshops conducted 40 Per workshopPage 86

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONC. Basic Epidemiology, Surveillance andResponse (ESR) TrainingPre-Training preparation1. Invitation/Communications for theparticipants addressed to the RegionalDirectorNumber of invitations/communications 0.5Includes drafting invitations, sendinginvitations to different offices, followingthem up, and getting responses2. Preparation of briefing kits, presentationmaterials, suppliesBriefing kits, presentation materials andsupplies perparedNumber of briefing kits, presentationmaterials and supplies perpared24Preparation briefing kits, reproduction andcollation of presentation materials, andprocurement of training supplies3. Preparation of presentation and handoutsPresentation and hand-outs preparedNumber of presentation and hand-outsprepared24Research topic, develop presentation, preparepowerpoint and hand-outsActual Training1. Conduct of training Training conducted Number of trainings conducted 40 Per workshopD. FETP of FMTP Annual Scientific ConferencePre-conference preparation1. Invitation/Communications addressed tothe Regional Directors, DOH Central OfficeDirectors, Agency Directors and Directors orother medical or allied medical institutionsNumber of invitations/communications sent 0.5Includes drafting invitations, sending invitationsto different offices, following them up, andgetting responses2. Preparation of kits, presentationmaterials, suppliesKits, presentation materials andsupplies perparedNumber of kits, presentation materials andsupplies perpared24Research topic, develop presentation, preparepowerpoint and hand-outsActual Conference1. Conduct of Scientific ConferenceScientific Conference conducted Number of scientific Conference conducted 40 Per conferencePage 87

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONWRITTEN REPORTS1. Submission of outbreak reports Outbreak reports submitted Number of outbreak reports submitted 80Per report; includes confirming the accuracy ofthe information, wrinting the report, submittingthe report, and dissemination of the reportinformation. These reports can be preliminaryinvestigation resports, confirmation reports,confirmation reports, follow-up reports, or finalreports of outbreaks submitted to the NECDIrector and sent to all concerned offices2. Updating of Firework Injury Registry (FIR)FIR updated Number of FIR updated 10Per report; includes collecting data from thehospitals; confirming the accuracy of the data;encoding, analyzing and interpreting the data;writing the report, submitting the report to theNEC Director and sending to all concernedofficesORAL REPORTS1. Information dissemination forums Number of for a conducted 40Per forum; includes organizing the forum,writing and sending letters of invitation to keyindividuals, following-up attendees, writing aDPO, making a powerpoint presentation andhand-outs, and conduct of the actual forum2. Oral presentation at scientific gatheringsNumber of oral presentations 40Per presentation; includes preparing apowerpoint presentation and hand-outs ifnecessary, practicing for the presentation,giving the actual presentation at the scientificgathering, and answering querries regardingthe presentationPage 88

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION3. Public Health Advisories (PHA) PHA through phone Number of public health querries answered 0.2Per querry; Answering a public health querryposted through the telephone or cellular phonePHA through press statementsNumber of public health statementsreleased2Per statement; Answering a public healthquerry or giving public health advisories bywriting press statements and disseminatingthem to the mediaPHA through media interviewsNumber of public health media interviewsdone2Per interview; Answering a public health querryor giving public health advisories throughtelevision, radio or print media interviewsMONITORING AND EVALUATION OF FETP FELLOWS1. Conduct of consultative meetings withfellowsConsultative meetings with fellowsconductedNumber of consultative meetings withfellows conducted4Includes mentoring on processes/ methods onepidemiologic investigation/study (per session)2. Monitoring of FMTP participants' projectFMTP participants' project monitoredNumber of FMTP participants' projectmonitored4 Per project/per monitoring3. Preparation of examination papers/criteria for oral examinationexamination papers/ criteria for oralexamination preparedNumber of examination papers/ criteria fororal examination prepared24Includes review of lectures/books/ modules;preparation of test questions4. Conduct of examinationexamination conductedNumber of examination conducteda. written 4b. oral 2 Per fellow5. Evaluation of FETP fellowsFETP fellows evaluated Number of FETP fellows evaluated 2 Based on written and oral examinations6. FMTP project evaluationFMTP project evaluated Number of FMTP project/ evaluation 2Based on Quality Improvement Criteria (perproject)COORDINATION1. Preparation of confirmation reports onpublic health eventPublic health events confirmed Number of public health events confirmed 4Coordinating with CHDs and other concernedoffices regarding the reported public healthconcern (per event/per report)Page 89

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONPHILIPPINE NATIONAL AIDS COUNCIL (PNAC)1 PNAC plenary meetings Minutes Number of meetings 60 Agenda set2 Committee meetings Minutes Number of meetings 20 Notice of meetings3 Special activites Agencies celebrated Number of participants 100 Development to CelebrationACM / WAD4 Workshops / seminars Strategic plan Number of workshop conducted 80 Development to ConductOperational plan5 Monitoring / Evaluation Field Report Number of field visited 50 Approved office order6 Technical assistance to researchers Querries responded Number of researchers assisted 17 Technical assistance to GOs, NGOs, Private Attendance to seminar Number of GOs, NGOs, LGUs assisted 24 Approved office order8 Representation to other GO/NGO/LGU meetings Attendance to meetings feedback Number of meetings attended 4 Approved office orderPROCUREMENT AND LOGISTICS SERVICE (PLS)I. Warehousing OperationsA. Receiving1. Receipt of goods delivered by suppliersGoods received and recorded Number of deliveries 0.5 Stock cards updated by Warehousemana. Documents reviewb. Provision of available spacec. Recording in the stock card2. Reporting Reports prepared Number of Report of Delivery 0.25 Submitted to Finance> Prepares Report of Delivery3. Notice of Delivery to COA and End-UserNotice of Delivery prepared Number of notices served 0.25 Signed by the Supply Officer/WarehousemanPage 90

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION4. Request for Inspection Request for Inspection prepared Number of Requests 0.25 Signed by the Supply Officer/Warehousemana. DOH Inspection Teamb. BFAD Inspection Team5. Inspection and Acceptance> Conduct of Inspection andAcceptance of goods/itemsInspection and Acceptance Reportprepared and signedNumber of Reports 0.25 Acceptance Report signed by Division ChiefInspection Report signed by the CommitteeB. Distribution1. Document Preparation Documents preparedNumber of goods to be distributed torecipients1IR and Bill of Lading approved by Division Chiefbased on the allocation list submitted by theProgram Managera. Invoice Receipt for Propertyb. Bill of Ladingc. Requisition and Issue Slip2. Request for Pick up by the OfficialForwarder> Notify Forwarder to pick-upgoods for distribution to recipientsForwarder notified Number of IR/BL prepared 0.25 Forwarder to pick up goods on scheduled date3. Updating of Stock Cards Records updated Number of goods issued 0.15Stock card updated per issuance byWarehouseman4. Notice to Recipient Recipients notifiedNumber of shipment and goods to bedelivered0.25Recipients are notified that there are deliveriesshipped on the scheduled date Letter signed byDivision Chief> Prepares letter to concernedoffice/recipient5. ReportingPage 91

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION> Report of Issuance preparation Reports prepared and submitted Number of reports 0.1 Approved by Division ChiefII. Supply Chain and Disbursement Section1. Collection of Inventory Reports from CHDsInventory/stock balances consolidatedand analyzedQuarterly Inventory Report 8Inventory Reports or stock balances fromCHDs consolidated and provided copy to Enduseras basis for allocation of goods2. Importation Clearancea. Documents preparationb. Reporting3. Implementation of Warehouse ManagementSystem (WMS)Documents prepared and goodsreleased from BOC without demurrageNumber of documents prepared 8 Certificate of UndertakingCertificate of Importation signed by ChiefBudget Officer & ASEC IMST> Pilot testing of Warehouse ManagementSystem (WMS) in five selected sitesWMS pilot testedNumber of areasResults as basis for revisions and decisionmaking4. Feedback Mechanisma. Monitoring of warehousing practices Monitoring report Number of reports 8Monitoring to include the basic warehousingsystemb. Enhancement of warehousingperformance scoring systemScoring system developed Number of warehouses visited/monitored 24Monitoring report Number of reports 8Scoring system developed Number of warehouses visited/monitored 24Setting standards on performance scoringsystemMonitoring to include the basic warehousingsystemSetting standards on performance scoringsystemPage 92

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONHOSPITAL FUNCTIONSMEDICAL SERVICES1 Patient history taking Patient history taken Number of patient history takena. Normal 0.25 Non-psychiatricb. Psychiatricb.1 with informant 0.75 With relative/escortb.2 without informant 0.25 Patient is alone2 Physical Examination of patientsPatient examined Number of patients exmined 0.5 Per patient3 Mental status examination of patientPatient examined Number of patients exmineda. Patient is accessible0.5b. Patient is inaccessible 0.166Page 93

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION4 Institution of emergency managementEmergency management institutedNumber of emergency managementinstituteda) simple/ordinary 0.25Includes IV, oral/IM medication, cleaning ofsimple wounds or cuts, oxygen inhalationb) intensive 0.5 Includes CTT insertion, casting, etc.c) catastrophic 1 direct to OR, CPR, etc.5Prescription of emergency management topsychiatric casePrescription of emergency managementto psychiatric case doneNumber of prescriptions done 0.0836Request for diagnostic/ancillary procedureDiagnostic/Ancillary procedurerequestedNumber of diagnostic/ancillary procedurerequested0.016 Per request7 Review of ancillary/diagnostic resultsAncillary/diagnostic results reviewedNumber of ancillary/diagnostic resultsreviewedPer resulta. routine 0.083 CBC, urinalysis, blood chem,b. intermediate 0.167 Ultrasound, x-ray, ECG, ABGc. special 0.25 MRI, CT scan8 Prescription of necessary drugs/medicineNecessary drugs/medicine prescribedNumber of necessary drugs/medicineprescribed0.083 Per prescription9Advising of patient and/or relative on patient'scondition/managementPatient's condition/managementadvisedNumber of patients/relative advised onpatient's condition/management0.5 Includes taking of informed consent10 Determination/ Preparation of pre-medication Pre-medication determined/preparedNumber of pre-medicationdetermined/prepared0.25 Depends on the type of operation11Accomplishment of patient's records oftreatment/managementPatient's records oftreatment/management accomplishedNumber of patient's records oftreatment/management accomplished0.25 Per patient10 Preparation of order for admissionOrder for admission prepared Number of orders for admission prepared 0.167Includes preparation of admission slip andphysician's orderPage 94

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION11 Referral of patient to consultantPatient referred to consultant Number of patients referred to consultant 0.25Case to case basis depending on the conditionof the patientII.IN-PATIENT SERVICES1 Conduct of rounds of patientRounds of patient conducted Number rounds of patient conducteda. Routine 0.25 Includes NSD, D&Cb. Intensive 0.5Includes acute adult/child psychiatric patientsand patients who underwent major operationc. Catastrophic 0.75 Includes ICU, multiple injuries, complication2 Conduct of special procedureSpecial procedure conducted Number of special procedures conducteda. Normalb. Psychiatric cases0.75Includes lumbar puncture, aspiration,thoracentesis, catheterization, etc.b.1. ECT0.5 Includes pre, actual and post ECT monitoringb.2. Psychotherapyb.2.1. Supportiveb.2.2. Others0.50.75 Includes cognitive/behavioral therapyb.3. Alternative treatmentb.3.1. Relaxation/ spiritualb.3.2. Psychosocial processing0.50.3333Completion of patient's chart and discharge summaryPatient's chart and discharge summarycompletedNumber of patient's charts and dischargesummary completed0.254 Preparation of clinical abstract/psychiatric reports Clinical abstract prepared Number of clinical abstracts prepared 0.75Per discharge summary; psychiatric reportsinclude forensic patients and WCPU clients5 Ordering of discharge of patientPatient discharged Number of patients discharged 0.25Includes instruction as to medication and OPDfollow-up, etc.III.OPERATING ROOM SERVICESPage 95

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION1Checking of anesthetic drugs, equipment andsupplies for inductionAnesthetic drugs, equipment andsupplies for induction checkedNumber of anesthetic drugs, equipment andsupplies for induction checked0.252 Induction of anesthetic drugs to patientsAnesthetic drugs inductedNumber of patients inducted with anestheticdrugs0.53 Conduct of debridementBurn or wound casesa. Minora.1a.2b. Majorb.1b.2c. Seriousc.1c.24 Conduct of surgical procedureSurgical procedure conducted Number of surgical procedures conducteda. Minor 0.5b. Major 11 point for every hour of operation; includesspecialized procedures5 Monitoring of patient during and after operation. Patient monitored Number of patients monitored 1Depends on the kind of anesthesia andoperation; 1 point for every hour of monitoring6Accomplishment of records of operated casesRecords of operated casesaccomplishedNumber of records of operated casesaccomplished0.25Includes OR technique, anesthesia records andnewborn (NB) recordsIV.LABOR, DELIVERY & RECOVERY ROOM SERVICES1 Review of patient's record Patient's record reviewed Number of patient's records reviewed 0.1672 Monitoring of patient's progress of laborPatient's progress of labor monitoredNumber of patient's progress of labormonitoredPage 960.25 Per patient/monitoring

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION3 Handling of delivery Delivery performed Number of deliveries performeda. normal 0.5b. abnormal 1Includes actual delivery, evacuation ofplacenta, episiotomy,etc.Includes pre-eclampsia, placenta previa,abruption placenta, etc.; additional .5 for every30 minutesV. OUT-PATIENT SERVICES5 Prescription of necessary drugs/medicineNecessary drugs/medicine prescribedNumber of necessary drugs/medicineprescribed0.0083 Per prescription6 Referral of surgical cases for CP clearance CP clearance of surgical cases referredNumber of CP clearance of surgical casesreferred0.1677 Issuance of CP clearance of surgical cases CP clearance of surgical cases issuedNumber of CP clearance of surgical casesissued0.25 Per patient8 Preparation of order for admissionOrder for admission prepared Number of order for admission prepared 0.167Includes preparation of admission slip andphysician's order9 Out-patient surgical proceduresa. Scheduling of patient for minor/day surgery Minor/day surgery scheduled Number of minor/day surgeries scheduled 0.083b. Conduct of minor/day surgeryMinor/day surgery conducted Number of minor/day surgery conducteda. Minor 0.5 Includes excision, I&D, circumcision, etc.b. Day 1Includes cataract, herniotomy,hemorrhoidectomy, vasectomy, etc.c. Accomplishment of patient's record Patient's records accomplished Number of patient's records accomplished 0.2510Scheduling of patient for next follow-up/appointmentPatient's next follow-up/appointmentscheduledNumber of patient's next followup/appointmentscheduled0.167Includes advice on medication, care of surgicalsite, etc.Page 97

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONVI.ANCILLARY/DIAGNOSTIC SERVICES1Interpretation of Ultrasound, CT Scan, MRI resultsUltrasound, CT Scan, MRI resultsinterpretedNumber of Ultrasound, CT Scan, MRIresults interpreted0.252Review/signing of Ultrasound, CT Scan, MRI, andradiographic image resultsUltrasound, CT Scan, MRI, andradiographic image resultsreviewed/signedNumber of Ultrasound, CT Scan, MRI, andradiographic image results reviewed/signed0.083A. Radiological Procedures1 Interpretation of radiographic images Radiographic images interpreted Number of radiographic images interpreteda. Routine 0.25 Per filmb. Special 0.5 Per film2 Conduct of Fluoroscopy procedure Fluoroscopy procedure conductedNumber of Fluoroscopy proceduresconducted0.53 Interpretation of Fluoroscopy procedure Fluroscopy procedure interpretedNumber of Fluoroscopy proceduresinterpreted0.167B. Ultrasonography1 Generala. Conduct of ultrasound Ultrasound conducted Number of Ultrasound conducteda,1 Plain 0.33 Per regiona.2 UTZ guided biopsy 0.5 Per region2 Speciala. OB GYN Ultrasounda.1 Perinatologya. Biophysical profile / Congenitalanomaly screening1b. Biometry / Doppler velocimetry 0.5Page 98

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.2 Gyne Ultrasounda. Saline Infusion,Transrectal/transvaginalb. Urologyb.1 Transrectal/biopsy 0.5c. CT Scanc.1 Conduct of CT procedures 1 With contrast / CT guidedd. MRId.1 Conduct of MRI MRI conducted Number of MRI conductedd.1.1. Plain 1d.1.2. With contrast 1.50.5VII. CARDIAC STATION SERVICES1 Interpretation of results Results interpreted Number of results interpreteda. ECG 0.25b. Treadmill/stress test 2D echo/Holter Monitor0.5VIII. LABORATORY SERVICESA. CLINICAL PATHOLOGY1 Review of laboratory results prior to release Laboratory results reviewed Number of laboratory results reviewed 0.167 Per result2 Preparation/cutting of specimen Specimen prepared and cut Number of specimen prepared and cuta. small 0.083b. medium 0.167c. large 0.5d. extra large 1 Additional 0.5 for every hour3 Special proceduresa. autopsy 1b. Fine-needle aspiration biopsy 0.5c. Frozen section 1Page 99

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION4Interpretation/Signing out histopath/cytology resultsHistopath/Cytology resultsinterpreted/signed outNumber of histopath/cytology resultsinterpreted/signed outa simple 0.083b. complex 0.55Interpretation of special laboratory proceduresSpecial laboratory proceduresinterpretedNumber of special laboratory proceduresinterpreted0.5 Includes malaria/peripheral blood smears, etc.IX.NUCLEAR MEDICINE1 Interpretation of result Results interpreted Number of results interpreted 0.25 Per procedure- Interpretation of the different scanningproceduresX. THERAPEUTIC SERVICESA. CHEMOTHERAPY1 Administration of chemotherapyChemotherapy administered Number of chemotherapy administered 1Per patient; includes preparation of patient,drugs2 Monitoring of patient during Chemotherapy Patient monitored during chemotherapyNumber of patients monitored duringchemotherapy0.167Point earned per monitoring for the duration ofthe chemotherapy3Scheduling of patient for next chemotherapycyclePatient's next chemotherapy cyclescheduledNumber of patient's next chemotherapycycle scheduled0.167Includes advice on medication, care of surgicalsite, etc.B. RADIATION THERAPY1 Treatment planninga. Simulation 0.25b.c.CT scanning / 3D conformaltherapyBrachytherapy / IMRT /Stereotactics0.51 0.5 for every additional 30 minutesPage 100

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION2 Radiation treatmenta. External beam therapya.1 single/opposed field 0.167a.2 multi-field 1b. Brachytherapy 1XI.PHYSICAL THERAPY SERVICES1Evaluation of patient's condition/determination of PTmodalityPatient's condition evaluated/PTmodality determinedNumber of patient's condition evaluated/PTmodality determined0.5 Per patient2Prescription on rehabilitative programPrescription on rehabilitative programdoneNumber of prescriptions on rehabilitativeprogram done0.1673Prescription on orthotics/prostheticsPrescription on orthotics/prostheticsdoneNumber of orthotics/prosthetics done 0.083Re-assessment of patient's condition before final4 Patient's condition re-assessed Number of patient's condition re-assessed 0.25 Includes advice for follow-up, etc.dispositionXII. TRAINING1 Conduct of grand/specialty roundsGrand/specialty rounds conductedNumber of grand/specialty roundsconducted0.083Additional .167 point for interesting cases;includes cardex rounds2 Presentation of interesting casesInteresting cases presented Number of interesting cases presented 0.53 Acts as reactor/moderatorPresentation reacted/moderated Number of presentations reacted/moderated 1 1 point for every hour of discussion4Interview of applicants for residency trainingApplicants for residency traininginterviewedNumber of applicants for residency traininginterviewed0.167 Per applicant5 Conduct of examination Year level examination conducted Number of year level examination conductedPage 101

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Written 1b. Oral 0.5c. Practical 1 1 point for every hour6 Checking of written examinationWritten examination checked Number of written examination checked 0.5 Per examinee7 Preparation of residency rotation planResidency rotation plan prepared Number of residency rotation plans prepared 0.5XIII. RESEARCH ACTIVITIES1 Conduct of clinical research Research conducted Number of researches conducteda. Development of Research proposal Research proposal developed Number of research proposals developed 120Includes literature review and needsassessmentb. Gathering and analysis of data. Data gathered and analyzed Number of data gathered and analyzedb1. retrospective 352b2. prospective 704c.Preparation of ResearchPaper/Technical ReportResearch Paper/Technical ReportpreparedNumber of research paper/technical reportprepared120Includes presentation of data, conclusion,recommendation and power point presentationd.Presentation of research paper toHead of Office/higher authorityresearch paper presented Number of research paper presented 0.252 Conduct of research contestResearch contest conducted Number of research contests conducteda. Presentor/contestant 0.25b. Panel of Judges 1As member of the panel and 1 point for everyhour of judgingXIV. MEDICAL ADMINISTRATIVE FUNCTIONS1 Preparation of strategic planStrategic plan prepared Number of strategic plan prepared 8 see common function2 Preparation of departmental PPMPDepartmental PPMP prepared Number of departmental PPMP prepared 24 see common function3 Review/signing of performance targetPerformance target reviewed/signedNumber of performance targetsreviewed/signed0.5 per staff/ see common functionPage 102

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONNumber of performance reports4 Evaluation/submission of performance report Performance report evaluated/submittedevaluated/submitted0.5 Per staff5 Preparation of communication/reportsCommunication/reports prepared Number of communication/reports prepared see common function7 Conduct of staff meetings Staff meetings conducted Number of staff meetings conducted see common functionNURSING SERVICES1 Receiving and endorsement of patients/ward. Patients/ward received and endorsed.Number of patients/ward received andendorsed.0.5 Per patient; Kardex is used for this purpose23Assessment of patients condition/institution ofnecessary nursing measurePatients condition assessed/necessarynursing measures institutedNumber of patients conditionassessed/necessary nursing measuresinstitutedPer patienta) Minimal0.083 Ambulatory; independent patientsb) Moderate0.25 Dependentc) Intensive/critical0.5 Critically ill patientsCarrying out doctors orders.a) Checking and signing of doctor's orders0.083b)Transcription in the Kardexb.1 Minimal 0.167b.2 Moderate 0.33b.3 Complex 0.5c) Preparation of medication sheet/card0.0167 Per sheet/cardd)Preparation & administration of medication& treatment (observe 10 rights)Medication prepared/treatmentadministered.Number of medication prepared /treatmentadministeredd.1 Oral 0.0167d.2 Injection (IV or IM) 0.083Page 103

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONd.3 Venoclysis/blood transfusion 0.167Includes preparation, insertion and regulation offlowe) Preparation of patients for special procedure Patients for special procedure preparedNumber of patients for special procedureprepared0.25Includes barium/cleansing enema, shaving,preparation of instruments and suppliesf)Arrangement forancillary/diagnostic/therapeutic proceduresAncillary/diagnostic/therapeuticprocedures arrangedNumber of ancillary/diagnostic/therapeuticprocedures arranged0.083Includes x-ray, lab, CT scan, UTZ,chemotherapy, physical therapy, etc.4Assistance to doctorsDoctors assisted during procedures,treatment and rounds.Number of assistance to doctors duringprocedures, treatment and roundsReadies/anticipates needs of doctors duringsuch activitiesa) During rounds 0.083 Per patientb) During procedures 0.1675 Conduct of health teachings.Health teachings conducted Number of health teachings conducted 0.5 Conducted per group/ward basis6Documentation/charting of nursing care renderedNursing care rendered/documented/chartedNumber of nursing care rendered/documented/charted to patientsa) minimal 0.033b) moderate 0.083c) intensive/critical 0.167Covers pertinent observations /nursing care perpatient7 Preparation for discharge of patientDischarge of patients prepared Number of discharge of patients prepared 0.083Includes giving of clearance slip, instruction formedication, follow-up checkup and checking ofbelongings8 Review of patient's charts.Patient's charts reviewed. Number of patient's chart reviewed 0.083 Per chart9Requisitioning and maintaining adequate medicinesand suppliesAdequate medicines and suppliesrequisitioned and maintainedNumber of adequate medicines and suppliesrequisitioned and maintained0.05 Per item/patient/prescription10Checking availability/functionality and upkeep ofequipment and instrumentsAvailability/functionality and upkeep ofequipment and instruments checkedNumber of availability/functionality andupkeep of equipment and instrumentschecked0.083Page 104

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION11 Preparation of schedule of duty.Schedules of duty prepared Number of schedules of duty prepared 0.25 Per schedule12 Preparation of performance targetsPerformance targets prepared Number of performance targets prepared 0.25 Per staff13 Evaluation of performance of nursing staff. Performance of nursing staff evaluated Number of nursing staff evaluated 0.25 Per staff14 Preparation/Submission of reportReports prepared/submitted Number of reports prepared/submitted Per warda) 24-hour census0.083b) Affiliation0.5c) Training1 see common functiond) Semi annual8 see common functione) Annual16f) Project Procurement Management Plan40 Per divisiong) Consumption0.5h)Incident/adverse reaction to drugs/bloodtransfusion0.083 Includes notice to attending physician15 Review and collation of 24-hour census24-hour census reviewed and collatedNumber of 24-hour census reviewed andcollated0.516 Checking of staffing per shiftStaffing per shift checked Number of staffing per shift checked 0.083 Daily, per unit17Conduct of orientation of new nursingstaff/affiliates/traineesOrientation of new nursingstaff/affiliates/trainees conductedNumner of orientation of new nursingstaff/affiliates/trainees conducteda) ward orientation1b) general orientation8 Per day of training18Checking/monitoring of compliance to nursingprocedures, rules and regulationsCompliance to nursing procedures,rules and regulationschecked/monitoredNumber of compliance to nursingprocedures, rules and regulationschecked/monitored0.08319Receiving/checking/forwarding of ancillaryrequests/specimensAncillary requests/specimensreceived/checked/forwardedNumber of Ancillary requests/specimensreceived/checked/forwarded0.25 Ancillary includes x-ray, laboratory, ECG, etc.Page 105

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION20Checking/Receiving of medical/ surgicalsupplies/medicinesMedical/surgical supplieschecked/receivedNumber of medical/surgical supplieschecked/received0.25 Includes recording in the logbook21Forwarding of prescription/RIS of drugs/abstract ofcharges/charge slipPrescriptions/RIS of drugs/medicineforwarded abd receivedNumber of Prescriptions/RIS ofdrugs/medicine forwarded abd received22Endorsement of medical/surgical supplies receivedand drugs/medicine taken from the PharmacyMedical/surgical supplies anddrugs/medicine endorsedNumber of medical/surgical supplies anddrugs/medicine endorsed23 Preparation of medical/surgical suppliesMedical /surgical supplies preparedNumber of medical/surgical suppliespreparedIncludes gauze, cotton balls, etc.24 OR packs/sterile suppliesIncludes linen, instruments, etc.a) Soaking and washing of instruments0.0167 Per itemb) Preparation0.083 Per packc) Sterilization?d) Issuance0.083 Per pack/item/request25 Cleaning and bed-makingBeds cleaned and made Number of beds cleaned and maintained 0.167 Per bed26Maintenance of cleanliness & orderliness of bed,bedside table and IV standCleanliness & orderliness of bed,bedside and IV stand maintainedNumber of cleanliness & orderliness of bed,bedside and IV stand maintained0.527Cleaning/serving of urinals, bedpan, kidney basin,sputum cup, etc.Urinals, bedpan, kidney basin, sputumcup, etx., cleaned/servedNumber of urinals, bedpan, kidney basin,sputum cup, etx., cleaned/served0.083 Per item28Taking and recording of vital signs, intake and outputVital signs, intake and output taken andrecordedNumber of vital signs, intake and outputtaken and recorded0.08329 Collecting of specimen (urine and stool)Urine and stool specimen collectedNumber of urine and stool specimencollectedPage 106

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa) Bed-ridden patient0.083b) Ambulatory patient0.016730 Rendering of/assisting in morning careMorning care rendered Number of morning care rendereda) Oral hygiene0.083b) Perineal care0.083c) Sponge bathing0.167d) Baby bathing0.083e) Cord care0.08331 Rendering of post mortem carePost mortem care rendered Number of post mortem care rendered 0.25CSR1. Sterilization of supplies/instruments Supplies/instruments sterilized Number of supplies/instruments sterilizeda) Loading 0.083 Per packb) Unloading 0.0167 Per pack2. Making of Closed Tube Thoracostomy set Closed Tube Thoracostomy set madeNumber of Closed Tube Thoracostomy setmade0.167Includes making holes in rubber stopper,cutting of glass tubing and packing3. Gauzea) Spreading (need 2 persons) 0.167 Per rollb) Cutting 0.083 Per rollc) Folding 3 sec. Per pieced) Packing 0.083 Per pack4. Cotton Balls Cotton balls made and packed Number of cotton balls made and packeda) Making 5 sec. Per pieceb) Packing 6 sec. Per pack45 Getting of non-sterile supplies at Property Section 2 From Property to CSSD46 Sorting of non-sterile supplies for issuance Non-sterile supplies for issuance sortedNumber of non-sterile supplies for issuancesorted0.083 Per ward/area47 Issuance of non-sterile supplies Non-sterile supplies issued Number of non-sterile supplies issued 0.5 Per ward/area48 Cidex Solution Cidex solution mixed and issued Number of Cidex solution mixed and isuedPage 107

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa) Mixing 0.083 Per gallonb) Issuance 0.083 Per area49 Cleaning of corrugated tubings Corrugated tubings cleaned Number of corrugated tubings cleaned 0.33Includes soaking, removing from solutionhanging50 Bathing of burnt patient Burnt patient bathed Number of burnt patient bathed 1 Per patient51 Debridement of wounds Wounds debrided Number of wounds debrided 4 Per patient52 Dressing of wounds Wounds dressed Number of wounds dressed .5 - .75 Per patient53 Application of ointment for burn patient Per patienta) 21% - 30% 0.5b) 31% - 40% 0.75c) 41% - 50% 1d) 51% - 60% 1.25e) 61% - 70% 1.5f) 71% - 80% 1.75INTENSIVE CARE UNIT/PACU1 Prepares and hooks life saving devicesLife saving devices prepared Number of life saving devices prepared 0.083 Per device2Prepares equipment for special proceduresEquipment for special procedurespreparedNumber of equipment for special proceduresprepared0.167 Per equipment3Performs chestphysiotherapy and turn patient side tosideChestphysiotherapy and turn patientside to side performedNumber of chestphysiotherapy and turnpatient side to side performed0.167 Per patient4Monitors patient under phototherapy/bililightPatient under phototherapy/ bililightmonitoredNumber of patient underphototherapy/bililight monitored0.0835 Performs suctioning proceduresSuctioning procedures performed Number of suctioning procedures performed 0.0836Administers total parenteralfeeding/osterized/gastrostomy feedingTotal parenteral feeding/osteorized/gastrostomy feeding administeredNumber of total parenteralfeeding/osteorized/ gastrostomy feedingadministered0.25Page 108

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION7Assists in the dialysis procedure/other specialproceduresDialysis procedures/other specialprocedures assistedNumber of dialysis procedures/other specialprocedures assisted1Checks the staff's/visitor's compliance to wearing of8 (for rewording) 0.004 Per staff/visitorprotective gearOUT-PATIENT DEPARTMENT1 Triages 0.167Per patient; includes interview, recording ofvital information of patient2 Assessesment of patientPatients assessed Number of patients assessed 0.083Per patient; includes interview, history taking,vital signs taking3 Receiving/retrieving of patient's records Patients' records received/retrievedNumber of patients' recordsreceived/retrieved0.083 (for old patient) per patient4 Carrying out of doctor's orderDoctor's orders carried out Numer of doctor's orders carried out 0.167 Per patient5 Collects/records/files patient's chartsPatients' charts collected/recorded/filedNumber of patients' chartscollected/recorded/filed0.083 Per chart6Scheduling of patient for follow-up/minoroperation/elective admissionPatients for follow-up/minoroperation/elective admission scheduledNumber of patients for follow-up/minoroperation/elective admission scheduled0.05 Indicated in the hospital card7 Attendance to deliveries Deliveries attended Number of deliveries attended 0.25Per patient; includes NSD, latching and postpartum care8 Performance of Immediate Newborn Care Immediate Newborn Care performedNumer of Immediate Newborn Careperformed0.5Includes warm bath, cord care, vitamin Kinjection. Crede's prophylaxis, Hepa B vaccineinjection, anthropometric measurement9Feeding babies by cup/dropper/orogastric tubeBabies fed by cup/dropper/orogastrictubeNumber of babies fed bycup/dropper/orogastric tube0.25 Includes burpingPage 109

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION10 Care of wound Wounds taken care of Number of wounds taken care of 0.25Per patient; includes post-op wounds,abrassion, laceration, etc.OPERATING ROOM SERVICE1 Preparation of patient for surgical procedures Patient for surgical procedure preparedNumber of patients for surgical proceduresprepared0.5Includes checking of consent, CP clearance,medication, supplies and blood2 Receiving patient for surgeryPatients received for surgery Number of patients received for surgery 0.083Includes charts, pre-op meds of patients andchecklist form3Preparation of sterile surgical packs and instrumentSterile surgical packs and instrumentpreparednumber of sterile surgical packs andinstrument prepared0.0834Arranging of sterile instruments and sutures on themayo standSterile instruments and sutures on themayo stand arrangedNumber of sterile instruments and sutureson the mayo stand arranged0.25 Includes draping of mayo stand5 Shaving and skin preparationSkin prepared and shaved 0.0336 Surgical hand scrubbing0.57 Performing of gown and gloves technique Gown and gloves technique performedNumber of gown and gloves techniqueperformed0.1678 Draping of patient Patients draped Number of patients draped 0.083 Per patient9 Counting of instruments, sutures, sponges Instruments, sutures, sponges countedNumber of instruments, sutures, spongescounteda. Before operation 0.0167b. After operation 0.08310Attending to the needs of the surgeon duringoperationNeeds of the surgeon attended duringoperationNumber of needs of the surgeon attendedduring operation1 pt. forevery hr. ofoperationIncludes sponging, giving/receiving/counting ofinstruments, sutures during operationPage 110

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION11 Gives additional needs for operationAdditional needs for operation givenNumber of additional needs for operationgiven0.0167Includes instruments, sutures, OR lightpositioning, etc.12Repositions the patient for anesthesia inductionPatients for anesthesia inductionrepositionedNumber of patients for anesthesia inductionrepositioned0.016713 Labeling of specimens for histopath exam. Specimens for histopath exam labeledNumber of specimens for histopath examlabeled0.08314 Preparation of OR charge slipOR charge slips prepared Number of OR charge slips prepared 0.08315Forwarding of abstract of charges to the BillingSectionAbstract of charges forwarded to theBilling SectionNumber of abstract of charges forwarded tothe Billing Section0.3316Preparation and issuance of scrub suits, caps, mask,slippers for consultants/staffScrub suits, caps, mask, slippers forconsultants/staff prepared/issuedNumber of scrub suits, caps, mask, slippersfor consultants/staff prepared/issued0.083 Per staff17Receives OR notification for elective and emergencycasesOR notification for elective andemergency cases receivedNumber of OR notification for elective andemergency cases received0.0518Writing of approved scheduled elective/emergencycases on white board/logbookApproved scheduledelective/emergency cases onwhiteboard/logbook writtenNumber of approved scheduledelective/emergency cases onwhiteboard/logbook written0.519 Bringing of babies to NICU Babies brought to NICU Number of babies brought to NICU 0.16720Getting of blood from blood blank for emergencypatientsBlood obtained from blood bank foremergency patientsNumber of bags of blood obtained fromblood bank for emergency patients0.16721Counting of soiled linens for turnover/replacementSoiled linens counted forturnover/replacementNumber of soiled linens counted forturnover/replacement2ICN OPESPage 111

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION1Monitoring of compliance to infection controlpracticesCompliance to infection controlpractices monitoredNumber of compliance to infection controlpractices monitored0.33 Per wardResponse to infection control referrals and provide2 0.5 Per wardinitial infection control recommendations3 Review and development of infection control policiesInfection control policies reviewed anddevelopedNumber of infection control policies 8 Per policy; see common4Evaluation of medical supplies and equipmentrelated to infection control prevention and presents toICCMedical supplies and equipment relatedto infection control prevention evaluatedand presented to ICCNumber of medical supplies and equipmentrelated to infection control preventionevaluated and presented to ICC8 Per supply/equipment5Conduct of surveillance on occurence of nosocomialinfection/identified risk factors and rational antibioticuseSurveillance on occurrence ofnosomical infection/identified riskfactors and artional antibiotic useconductedNumber of suveillances on occurences ofnosomical infection/identified risk factorsand rational antibiotic use conducteda) PIDSR Surveillancea.1 Acute Flaccid Paralysis 0.33 Per patienta.2 Measles Surveillance 0.33 Per patienta.3 Cholera Surveillance 0.167 Per patienta.4 Acute Bloody Diarrhea Surveillance 0.167 Per patienta.5Acute Hemmorhagic FeverSurveillance0.167 Per patienta.6 Acute Viral Hepatitis Surveillance 0.167 Per patienta.7 Anthrax Surveillance 0.167 Per patienta.8 Dengue Surveillance 0.167 Per patienta.9 Diphtheria Surveillance 0.167 Per patienta.10 HIV/AIDS Surveillance 0.167 Per patienta.11 Influenza Surveillance 0.167 Per patienta.12 Leptospirosis Surveillance 0.167 Per patienta.13 Malaria Surveillance 0.167 Per patientPage 112

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.14Meningococcal DiseaseSurveillance0.5 Per patienta.15Paralytic Shellfish PoisoningSurveillance0.167 Per patienta.16 Pertussis 0.33 Per patienta.17 SARS Surveillance 0.5 Per patienta.18Typhoid/Paratyphoid FeverSurveillance0.33 Per patienta.19 Rabies Surveillance 0.33 Per patientb)Needle Stick Injury (NSI)/ Blood and BodyFluid (BBF) Surveillance0.5 Per employee/studentc) Surgical Site Infection (SSI) Surveillance0.33 Per patientd) Nosocomial Infection Surveillance 0.33 Per patientServes as liaison and coordinates with other6 departments with regards to infection control0.33 Per departmentconcernsProvides consultative advice to staff health and other7 appropriate hospital programs in matters relating to0.5 Per consultation; see commontransmision of infectionsAttends professional meeting and conferences on8 8 Per meeting/conferencematters related to infection controlDENTAL SERVICES1 Takes medical/dental history of patientMedical/Dental history of patient takenNumber of medical/dental history of patientstaken0.1662 Conducts oral/extra oral examinationOral/extra oral examination conductedNumber of oral/extra oral examinationconducted0.166Page 113

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION3 Performs dental x-rayDental x-ray performed Number of dental x-rays performeda. Panoramic0.25b. Periapical0.083c. Developing0.1664 Interprets dental x-rayDental x-ray interpreted Number of x-rays interpreted 0.0835 Performs oral prophylaxisOral prophylaxis performed Number of oral prophylaxis done 0.5a. Mild0.5b. Moderate0.75c. Severe16 Performs dental restorationDental restoration performed Number of dental restoration donea. Simple0.5 per cavityb. Compound1 per cavity7 Administers anesthesiaAnesthesia administered Number of anesthesia administered 0.0166 per carpule; includes topical8 Performs tooth extractionTooth extraction performed Number of toothe extractions done per tootha. Simple0.083b. Complicated0.25 additional .083 for every additional 5 mins.9 Performs dental surgeryDental surgery performed Number of dental surgery donea. Minor0.666 incision/excision of gum tissueb. Complicated110 Performs root canalRoot canal performed Number of root canals done per canala. Initial1b. Dubsequent0.511 Performs flouride treatmentFlouride treatment performed Number of flouride treatment done 0.166 per procedureadditional 1 point for every additional hour ofprocedure12Performs other dental proceduresPage 114

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.Control of post extraction bleeding andsuturing0.166b. Dry socket treatment0.5c. Gunning splint / composite dental split2d. Erich arch bar application1e. Fabrication of dental obturator2.5 includes installation13Cleans and sterilizes dental instrumentsDental instruments cleaned andsterilizedNumber of dental instruments cleaned andsterilized1Participates in civic actions , dental missions and14 4 to 8 see commonoutreach programsPerforming activities related to HCWP (Oral Health15 Performed activites related to HCWPAwareness Program)Number of activities performed related toHCWPsee commona) Preparation of Operational Planprepared OP see commonb) Implementation of OP see commonb.1 oral diagnostic examination conducted oral exam Number of oral exams conducted 0.25 see commonb.2 dental health education conducted health education Number of health education conducted 0.5 see commonb.3 outreach program conducted outreach program Number of outreach programs conducted 1 see commonc) Evaluation of programsEvaluated OHAP program Number of programs evaluated 1 see common16 Conducts chairside instructionChairside instruction conducted Number of chairside instructions conducted 0.083 check common funtion17Prepares charge slip for dental proceduresCharge slip for dental procedurespreparedNumber of charge slips for dentalprocedures prepared0.083 check common funtion18 Prescribes/instructs on medicationsMedications prescribed/instructedNumber of medicationsprescribed/instructedPage 1150.083 per patient

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION19Records dental examination and treatment doneDental examination and performedtreatment recordedNumber of dental examinations andperformed treatments recorded0.083 per patient20 Prepares reportssee common21 Refers case to clinical department for clearance0.083 see common22Answers referrals from clinical departmentReferrals from clinical departmentsansweredNumberof referrals from clinical departmentanswered0.083 includes issuance of dental clearanceLABORATORY SERVICESCHEMISTRY SECTION1 Liver Function testa. Automatedb. Manualb.1 TP A/G 0.25b.2. B1 B2 0.33b.3.SGOT (AST), SGPT (ALT),Alkaline Phosphatase0.033 per test2 Renal Function Testsa. BUN, Creatinine 0.033 per test; automatedb. ECCb.1. Manual 0.067 per testb.2. Automated 0.033 per test3 Lipid ProfileCholesterol: Total, HDL, LDL, VLDL,a. 0.033 per test; automatedTriglyceridesb. Cholesterol, Triglycerides 0.167 per test; manualc. HDL 0.5 per test; manual4 EnzymaticPage 116

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Glucose, Amylase,CK-MB,LDH,Uric Acid0.033 per test; automatedb. Glucose, Uric Acid 0.167 per test; manualc. CK-MB, LDH, Amylase 0.033 per test; manual5 Electrolytesa. Sodium, Potassium, Calcium, Chloride0.033 per test; automatedb. Calcium 0.167 per test; manual6 Othersa. CSF Glucose, CSF Proteina.1 Automated 0.033 per testa.2 Manual 0.167 per testb. HbA1C 0.117 per testc. Trop I, ABG 0.083 per testResearchsee sommonCoordinates with different project leaders1 Procurement of supplies done Number of supplies procured 0.5regarding procurement of suppliesRequisition of supplies approved and procuredby diff.project project leaders.2 Extracts blood for research study. Blood extracted Number of blood extracted 2 packed and delivered by courrier3Performs different clin. Chemisties requestedby the different on-going research projects.Different clinical chemistriesprocedures requested doneNumber of clinical chemistries proceduresdone2duly signed and released to different projectleadersTrainingsee sommon1Orients and trains new laboratory personnel,med.tech. interns and externsNew lab.personnel, interns and externstrained.Nuber of new Med. Tech.interns and externsoriented and trained.0.5 certification given after trainingAttends seminars and conventions related to2 Seminars and conventions attendedwork.ClericalNumber of seminars and conferencesattendedsee sommonPage 117

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONReceived and screened laboratory1 Receives and screens all laboratory requestsrequest.Number of laboratory requests received andscreened.0.16 received and screened2Reviews all laboratory results done andsigns the results before releasing,Laboratory results reviewed andcountersignedNumber of lab. results reviewed andcountersigned0.16 reviewed and signed laboratory results3Records and releases all the chemistrylaboratory resultsAll the chemistry laboartory resultsrecorded and released.Number of laboratory results recorded andreleased0.16 recorded and released4Prepares graphs of quality control results ofthe different diagnostic tests.Graphs of different diagnostic testspreparedNumber of graphs done 0.33 quality of reagent checked5 Submits monthly report of workload to CMT Monthly workload submitted Number of monthly workload 0.16 duly signed and reported6Prepares inventory report of supplies andmaterialsInventory report of supplies andmaterials preparedNumber of inventory reports of supplies andmaterials submitted0.5 report submitted to CMT7Prepares requisition and submits to ChiefMed. Tech.Requisition of supplies submitted toCMT.Number of requisitions for requestedsupplies prepared0.25 requisition submitted to CMT8Receives and records all incoming suppliesto stocks logbookRecorded all incoming supplies to ourlogbookNumber of recorded supplies received 0.16 deliveries accepted9 Files documents Documents filed Number of documents filed 0.08 filed10Prepares annual procurement plan for thesection and submits to Chief Med. Tech.Annual procurement plan prepared andsubmittedNumber of procurement plans prepared 1duly signed and submitted to supplydepartment11Preventive maintenance of the differentequipment in chemistry sectionEquipment maintained in good workingconditionNumber of equipment maintained 0.25 equipment in good working conditionOthers1 Wash and dry glasswares glasswares washed and driedNumber of glasswares are washed anddried2 glasswares ready to use2 Files chemistry request forms. chemistry request forms filed Number of chemistry requests 0.08 filedPage 118

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONAffixes the signed name of the pathologist on3 signed name of the pathologist affixed Number of forms with affixed signature 0.5 signed name ready for releasethe laboratory report4Performs NEQAS unknown sent by NRL andsubmits results to NRLNEQAS unknown examined and resultsubmittedNumber of unknown examined andsubmittedBLOODBANK/TRANSFUSION SERVICES1 Receives/Records request and specimenRequest and specimen screened(2mins / request)30 laboratory request and specimenscreened (2mins/request)1Request must be completely filled up. SOP forreceiving specimen must be followed to avoiderror.2 Performs laboratory examination Laboratory examination performeda. Blood typingNumber of laboratory examinationsperformeda.1. Slide method 0.033Based on the number of request received.a.2. Tube method 0.33 includes 3 stages of red cell washingb. Crossmatching 0.75c. Preparation of blood component 0.083 per componentd. Direct and Indirect Coomb's 0.25e. Red cell washing 0.5f. Testing for weak D (Du) 0.083g. Preparation of irradiated RBC 0.33h. Plateletpheresis 2i. Resolution of incompatible crossmatch0.75j. Antibody screening 0.53 Screening of blood donors Blood donors screened Number of blood donors screeneda. Interview 0.083b. Physical examination 0.0834Records and releases laboratory examination donein the section.Blood typing and crossmatchingrecorded and released.25 patients result (1 min/ patient) recordedand released.0.4 Based on the number of the tests done.Checks/conducts inventory of stock blood received5 Inventory of the stock blood done. Stock blood logbook updated and checked. 2and released.Updated to determine if stock blood assignedwas transfused or not.Page 119

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6Receives/endorses pending requests/laboratoryexams and stocks/supplies.Pending requests/laboratory exams andstocks/supplies received/endorsedNumber of pending requests/laboratoryexams and stocks/suppliesreceived/endorsed0.257 Bleeds donors Donors bledAvailability of blood for the patient. 8 mins/donor. (20 donors/day)0.25 per donor8 Gives post donor care and instructions. Post donor care and instructions givenNumber of post donor care and instructionsgiven0.33 per donorHEMATOLOGY SECTION1Cleaning of work area and checking of reagents andsupplies.Work area cleaned and reagents andsupplies checked.All reagents and supplies are checked. 0.25 Done every start of the shift2Performs daily maintenance procedures andcalibration of machines.All machines properly maintained andcalibratedMachines are performing well 0.5Machines that fails daily calibration will betroubleshoot.3 Prepares reagents. All reagents prepared for daily use. Reagents to be used daily are prepared. 0.254 Performs Quality Control Procedures. Quality Control Procedures are done. Quality of results are assured. 0.5Reagents are prepared according tomanufacturer's instruction.Done every start of the shift to assure thequality of the results released.5Checks laboratory requests and performs laboratoryexaminations.All laboratory requests and specimenreceived were checked and performed.Number of specimen received every shiftBasedon the number of tests received daily.a. CBC automated 50/shift (15 mins/sample)b. CBC manuala) automated 0.05b) manual 0.5b.1. Hematocrit 0.017b.2. Hemoglobinb.2.1. Spectro 0.017b.2.2. Comparator block 0.083b.3. WBC 0.05b.4. RBC 0.083Page 120

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb.5. Platelet estimate 0.017b.6. Differential count 0.083c. Absolute Platelet Count (APC) 0.083d. CTd.1 slide method 0.083 additional .083 point for every 5 minutesd.2 tube method 0.25e. BT 0.083 additional .083 point for every 5 minutesf. CRT 0.033g. ESR 0.033h. Retic Count 0.167i. APTTj. PTk. Peripheral blood smear (PBS) 0.167l. Malarial smear 0.167 per slidem. LE preparation 0.5n. Bone marrow smear 0.0836 Records, encodes and releases resultsAll results recorded, transcribed andreleased2mins/request 0.033All results forwarded to the lab. Clerk forreleasing7 Participates in NEQAS by NRL. 1 Result of anlysis submitted on time.HISTOPATHOLOGY SECTION1Prepares the cutting utensils, cassettes, labels andprocessing reagents.Cutting utensils, cassettes, labels andprocessing reagents preparedNumber of cutting utensils, cassettes, labelsand processing reagents prepared0.1672 Takes notes of gross description of specimen Notes taken Number of notes takena. Small 0.083b. Medium 0.167c. Large 0.253 Processes tissue specimen Tissue specimen processed Number of tissue specimen processed 0.54 Processes frozen section specimen Frozen section specimen processedNumber of frozen section specimenprocessed0.25Page 121

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONMICROBIOLOGY SECTIONSmear preparation, examination and interpretation1 Smears prepared and examined Number of smears prepared and examinedof results.a. Gram smear a. 5/day - 10 mins. per smear 0.167Gives initial info on the quality & content ofspecimen submittedb. AFB smear b. 6/day - 15 mins. per smear 0.25Quality of specimen & proper stainingtechnique important considerationsc. KOH mount c. 3/month- 15 mins per smear 0.167 Wet mount must not be allowed to dry2 Culture of specimensa. Inoculation 0.05b. Isolation of organism 0.033c. Identification of isolates 0.083d. Colony count 0.0167e. Biochemical Test 0.167f. Fermentation 0.133g. Serotyping 0.01673Performs sensitivity testing of pathogenic isolatesSensitivity testing of pathogenic isolatesperformedNumber of sensitivity testings of pathogenicisolates performed0.25Factors affecting the test to be considered &correct interpretation of results. Submitted toARSP monthly4 Prepares Culture Media and ReagentsMedia and reagents prepared asneededNumber of media & reagents prepared3 per day - 30 mins per medium0.5 / mediumMust be free from contamination & storedproperly5 Quality Control with ATCC strainsQC of antibiotic discs, culture mediaand reagents doneNumber of QC tests donefor verificationa. Antibiotic discs 10 per month - 15 mins per strain 2.5 Results submitted to ARSP monthlyb. Culture media, solutions 3 per day - 10 mins per medium 0.5 Should be done before usePage 122

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION6 Recording and releasing of requests and results Requests and results recorded Number of requests & results recorded 0.5Complete data needed for submission to ARSPData Management Unit15 per day - 2 mins per request and resultIMMUNOLOGY / SEROLOGY1Cleaning of work area & preparation of specimen &reagents needed.Work area cleaned, specimen &reagents prepared.Number of specimen and reagents prepared 0.5Must be done before actual laboratoryexaminations.2Performs daily maintenance procedure for eachmachine and equipment.Daily maintenance procedure performedfor each machine and equipment.Number of machine and equipmentmaintained0.25Must be done before starting & ending of theduty.3Checking, charging of laboratory request & samplefor routine and special exam.Laboratory request & specimen arechecked & charged.Number of routine & special laboratoryexamination requested.0.02 Unfit sample must not be accepted.4Animal maintenance for laboratory experiments andantigen productionMaintained animals for laboratoryexperiments and antigen productionNumber of maintained animals for laboratoryexperiments and antigen productiona. Daily monitoring and feeding of animals Animals monitored and fed Number of animals monitored and fed 1b.Daily cleaning of cages and changing ofanimal beddingsCages cleaned and animal beddingschangedNumber of cages cleaned and anmialbeddings changed35 Refilling of liquid nitrogen tanksLiquid nitrogen tanks refilled Number of liquid nitrogen tanks refilled 86Process routine & special laboratory examinationlike:All routine & special laboratoryexaminations processed.Specimen requiring dilution must be donea. Complement 3, Dengue Test, Typhoid TestC3 - 1 test/day (1min/test) 0.017b.Anti-Streptolysin O, C-Reactive Protein,Tumor Markers, ANAASO - 2 test/day (3min/test) 0.033c. Rheumatoid factor RF - 1 test/day (3mins/test) 0.05d. Hepa Profile, Malaria Antibody Test 0.167e. HBsAg, Hep C, HIV: HBsAg - 3 test/day (1min/test)e.1 Rapid Test 0.017e.2 EIA 0.033Page 123

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONf. Test for Syphilis:f.1 RPR 0.133f.2 EIA 0.167f.3 TPHA 0.033f.4 VDRL 1g. Test for Schistosomiasisg.1 Kato Katz stool examination 0.5g.2 Circumoval precipitin test (COPT) 0.5 3 days incubationg.3 Schistosoma uridip urine test 0.57 Research and developmenta. Hybridoma Technologya.1. Preparation of regants/media 3a.2 Immunization of mice 1a.3a.4a.2.1 Antigen preparation 0.5a.2.2 Injection 0.5a.2.3 Collection of serum fromimmunized mice1.5Routine tissue culture/cellmaintenancea.3.1 Daily culture and feeding 2Cell fusion/ hybridizationproceduresa.5 Screening of clones by ELISA 4a.6Freezing and thawing of cells forpropagation of clones1b. Monoclonal antibody (Mab) productionGrowing of bybridoma clones inb.1mouseb.2 Collection of mouse ascities fluid 1b.3Purification of monoclonalantibodies by affinitychromatography (AKTA)b.4 Characterization of Mabsb.4.1 electrophoresis 26806Page 124

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb.4.2 Antibody isotyping 2b.4.3 Protein determination byBCA technique1.5b.4.4 Biotinylation of antibodies 2c.Maintenance of life cycle for antigenproduction (schistosoma japonicum)c.1 Snail crushingc.2 Laboratory infection of rabbits and micec.3 Animal perfusion and collection of adultworms and eggs2228 General Immunologya.b.c.d.e.f.Protein assayProtein electrophoresisProtein concentration by ultrafiltrationAntigen purification and preparation (SEAand SWAP)d.1 Ultracentrifugationd.2 LyophilizationDevelopment of Immunoassays (EIA) ,Immunoblots)Lymphocyte processing, isolation andbankingCLINICAL MICROSCOPY1Cleaning of work area, preparation of neededmaterials, reagents & supplies for the dayWork area cleaned & reagents &supplies preparedNumber of reagents & supplies prepared 2.5Accomplished before actual lab examinationsare processed2Check, label & processed all requests & specimenslike urine & stool for routine examinations.All requests & specimens checked,labelled & examinedNumber of routine exam done 45 tests/shift 5Based on the number of requests/specimensreceived for routine exam3Check, label & examine all requests & specimenslike CSF, semen & other body fluids for specialexaminationsAll requests & specimens checked,labelled & examinedNumber of special exam done (6 tests/shift) 1Based on the number of requests/specimensreceived for special examPage 125

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION4Transcribe, record & issue all resultsAll results transcribed, recorded &issuedNumber of results transcribed, recorded &issued2.8All results issued to the laboratory clerk at thereception area5 Rt. Urinalysisa. Automated 0.033 per testb. Manual 0.167 per test6 Fecalysisa. Routine, Scotch Tape Swab 0.167 per testb. Concentration Technique 0.33 per test7 Othersa. Pregnancy Test, Sperm Analysis 0.5c. Stone Analysis, Ketone/Urobilinogen0.033Occult Blood, 24-hour Urine Protein/Albumin.d. 0.167Bence Jones ProteinCYTOLOGYCleaning of work area & filtering of reagents &1 Work area cleaned and reagents filtered Number of reagents filtered 0.5 Done before actual exams are processedorderliness of the section2Checks/screens all request and specimens receivedAll requests and specimens checkedand screenedNumber of cytological exams done (30smears/day) 4mins/smear2 specimen must be fit for the purposeLabels/indicates/records cytology number on the3 Cytology number labeled/recordedspecimen container, request and the slide/sNumber if cytology numberslabeled/recorded0.083 cytological evaluation4 Stains/mounts specimens/smearsSpecimens/smears stained/mountedNumber of specimens/smearsstained/mounted0.05 per smearScreens/examines smears and dots pertinent5 Smears screened/examined Number of smears screened/exmined 0.083 per smearstructures.6Typing, releasing, recording & filling all completecytological examinationsTypes, releases, recorded & filed allcompleted reportsNumber of results, released, recorded &filed (30 smears)2 All results released to lab clerkPage 126

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONPrepares and requests reagents, solutions needed in7 Prepared & requested reagents Number of reagents needed 0.5 Done as neededthe sectionPATHOLOGY / BIOCHEMISTRY1 Liver Function Testsa. Albumin Albumin procedures done Number of albumin procedures done 0.25 duly signed and released to the Clin. Lab.b. Globulin Globulin tests computed Number of globulin tests computed 0.033 duly signed and released to the Clin. Lab.c. A/G Ratio A/Ratio tests computed Number of A/G Ratio tests computed 0.033 duly signed and released to the Clin. Lab.d. Total Protein Total Protein procedures done Number of Total protein procedured done 0.25 duly signed and released to the Clin. Lab.e. Alkaline Phosphatase Alkaline Phosphatase procedures doneNumber of Alk. Phosphatase proceduresdone0.25 duly signed and released to the Clin. Lab.f. Bilirubin , Direct Direct Bilirubin procedures done Number of Direct Bilirubin procedures done 0.25 duly signed and released to the Clin. Lab.g. Bilirubin , Indirect Indirect Bilirubin tests computedNumber of Indirect Bilirubin proceduresdone0.033 duly signed and released to the Clin. Lab.h. Bilirubin , Total Total Bilirubin procedures done Number of Total Bil. procedures done 0.25 duly signed and released to the Clin. Lab.i. SGOT (AST) AST procedures done Number of AST procedures done 0.25 duly signed and released to the Clin. Lab.j. SGPT (ALT) ALT procedures done Number of ALT procedures done 0.25 duly signed and released to the Clin. Lab.2 Renal Function Testsa. BUN BUN procedures done Number of BUN procedures done 0.25 duly signed and released to the Clin. Lab.b. Creatinine Creatinine procedures done Number of Creatinine procedures done 0.25 duly signed and released to the Clin. Lab.3 Lipid Profilea. Cholesterol Cholesterol procedures done Number of Cholesterol procedures done 0.25 duly signed and released to the Clin. Lab.b. HDL-Cholesterol HDL-Cholesterol procedures done Number of HDL-Cholesterol procedures done 0.25 duly signed and released to the Clin. Lab.c. LDL-Cholesterol LDL-Cholesterol procedures done Number of LDL-Cholesterol procedures done 0.25 duly signed and released to the Clin. Lab.d. Triglycerides Triglycerides procedures done Number of Triglycerides procedures done 0.25 duly signed and released to the Clin. Lab.Page 127

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONe. VLDL-Cholesterol VLDL-Cholesterol tests computed Number of VLDL-Cholesterol tests computed 0.25 duly signed and released to the Clin. Lab.4 Enzymatica. Glucose Glucose procedures done Number of glucose procedures done 0.25 duly signed and released to the Clin. Lab.b. Amylase Amylase procedures done Number of Amylase procedures done 0.25 duly signed and released to the Clin. Lab.c. CPK CPK proceduers done Number of CPK procedures done 0.25 duly signed and released to the Clin. Lab.d. CK-MB CK-MB procedures done Number of CK-MB procedures done 0.25 duly signed and released to the Clin. Lab.e. LDH LDH procedures done Number of LDH procedures done 0.25 duly signed and released to the Clin. Lab.f. Uric Acid Uric Acid Procedures done Number of Uric Acid procedures done 0.25 duly signed and released to the Clin. Lab.5 Electrolytesa. Sodium Sodium procedures done Number of sodium procedures done 0.33 duly signed and released to the Clin. Lab.b. Potassium Potassium procedures done Number of potassium procedures done 0.33 duly signed and released to the Clin. Lab.c. Calcium Calcium procedures done Number of calcium procedures done 0.25 duly signed and released to the Clin. Lab.d. Chloride Chloride procedures done Number of chloride procedures done 0.25 duly signed and released to the Clin. Lab.e. Inorganic Phosphorus Inorganic Phosphorus procedures doneNumber of Inorganic Phosp. Proceduresdone0.25 duly signed and released to the Clin. Lab.f. Magnesium Magnesium procedures done Number of Magnesium procedures done 0.25 duly signed and released to the Clin. Lab.6 Othersa. CSF Glucose CSF Glucose done Number of CSF Glucose procedures done 0.25 duly signed and released to the Clin. Lab.b. CSF Protein CSF Protein procedures done Number of CSF Protein procedures done 0.25 duly signed and released to the Clin. Lab.c. Pleural Fluid Protein Pleural Fluid Protein procedures doneNumber of Pleural Fl. Protein proceduresdone0.25 duly signed and released to the Clin. Lab.d. Pleural fluid LDH Pleural Fluid LDH procedures done Number of Pleural Fl. LDH procedures done 0.25 duly signed and released to the Clin. Lab.e. Urine protein Urine Protein procedures done Number of Urine Protein procedures done 0.25 duly signed and released to the Clin. Lab.f. Urine Creatinine Urine Creatinine procedures doneNumber of Urine Creatinine proceduresdone0.33 duly signed and released to the Clin. Lab.PATHOLOGY / ELECTRON MICROSCOPY AND PHOTOGRAPHY SECTIONPage 128

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION1 TEM ProcessingTEM processing (fixation, mincing, washing,a. TEM processing done Number of TEM samples done 11.55dehydration, infiltration, embedding)Results of ultrastructural observations releasedto patients/requesting physiciansUltramicrotomy, cutting & staining of thick &b. Ultramicrotomy of blocks done Number of blocks cut done 50.98thin sectionsc. Viewing & taking pictures Viewing and taking of pictures done Number of viewed and pictures taken 14.16d.Developing & printing of films, photographicreagent preparationDeveloping of films, printing of films andreagent preparation doneNumber of films and prints developed andreagents prepared34.582 Negative Staininga. Negative Staining Negative staining done Number of negative stained done 2.6b. Viewing and taking of pictures Viewing and taking of pictures doneNumber of viewed and taking pictures ofsamples donec. Developing & printing of films Developing and printing of films done Number of films done 12.35Results/micrographs of negatively stainedsample given to requisitioner5.25 Negatively stained sample given to requisitioner3 SEM ProcessingSEM Processing (fixation, mincing, washing,a. SEM processing done Number of SEM samples processed 16.44dehydration, infiltration, embedding)Results of micrographs given to therequisitionerb. Viewing and taking of SEM pictures Viewing and taking of pictures doneNumber of viewed and picture taking ofsamples doneDeveloping and printing of films;c. Developing and printing of films done Number of films and prints developed 16.79photographic reagent9.254 Photographya. Slide presentation Making of slide presentations Number of slide presentations done 3b. Certificate production Production of certificates Number of certificates produced 0.08Certificates submitted to the requisitioner;includes layouting (simple w/frame), input(computer), printingPage 129

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONFlyers/Invitations (Opening/Closing)c. Flyers, invitations and brochures doneBrochuresNumber of flyers, invitations and brochuresdone4d. Tarpaulin layout & production Tarpaulin layout & production doneNumber of tarpaulin layout and productiondoneincludes (canvas side (large canvas consumemuch of the drive, pattern layouting, quality &quantity of the text and graphics)d.1 1 x 8 meter 5d.2 4 x 8 meter 12d.3 1 x 14 meter 36d.4 3 x 5 meter 12e. Slide to print Conversion from slide to print Number of converted slides to print 0.08f. Booklet production Production of booklets done Number of produced booklets 8Converted slides to print given to therequisitonerBooklets produced submitted to therequisitoner; inlcudes layouting, input, layoutingg. Printing Printing done Number of prints done 0.08 Finished prints given to the requisitionerh. ID production Production of ID Number of IDs produced 5Finished IDs given to the requisitioner; includeslayouting and laminationi. Program Documentation Program documentation done Number of hours in documenting programs 22 Availability in documenting programsVIROLOGY1 Cell Maintenance, Cryopreservationa. Maintenance of cell linesa.1MDCK (Madine Darby CanineKidney Cells)Cell lines maintained and tubespreparedNumber of cell lines and tubes prepared forinoculation of specimen0.5a.2HEp2 cells (Human EpidermoidCells)Cell lines maintained and tubespreparedNumber of cell lines and tubes prepared forinoculation of specimen0.5a.3 HFF (Human Foreskin Firoblast)Cell lines maintained and tubespreparedNumber of cell lines and tubes prepared forinoculation of specimen0.5Page 130

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.4 C6/36Cell lines maintained and tubespreparedNumber of cell lines and tubes prepared forinoculation of specimen0.5b. Reagent Preparationb.1 10% Growth media Growth media Prepared Number of bottles prepared 0.33b.2 PBS (-) Reagent Prepared Number of bottles prepared 0.33b.30.25% Trypsin or Versene-Trypsin(VTR)Reagent PreparedNumber of bottles preparedb.4 Trypan Blue, 0.1% Reagent Prepared Number of bottles prepared 0.330.5b.5 Dimethyl Sulfoxide (DMSO), sterile Reagent Prepared Number of bottles prepared0.08Preparation of tubes for virus isolationc. Tubes prepared Number of tubes preparedprocedured. Preservation of cell lines Cryopreserved cell lines Number of cryopreserved lines 0.5d.1 Preparation of reagentsd.2 Preparation of freezing containerd.3 Documentation of Cell Bankingd.4 Storage to Liquid Nitrogen2 Virus Isolation and Viral Confirmatory Testinga. Preparation of reagentsReagents prepared Number reagents prepared per batch 3b. Processing of specimen for Virus Isolation Processed specimens Number specimens processed 1.5c.Performance of Virus Isolation forCytomegalovirus; Herpes Simplex VirusSpecimens processed for virus isolation Number of specimens processedReagents are prepared prior to processing andperformance of testsSpecimens are processed in preparation toperformance of virus isolationVirus isolation is a highly sensitive and veryuseful technique for the diagnosis of CMV,HSV, enteroviruses, etc. The only techniqueusing variety of cell lines capable of providing aviable isolate that can be used for furtherantigenic and genetic characterization.Page 131

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONd.c.1 Daily observation Tubes observed Number of observed tubes 0.008c.2 Media Change Specimens with media changed Number of specimens that changed media 0.008Direct antigen detection (ImmunofluorenceTest)d.1 Chlamydia Slides stained with fluorochrome dye Number of slides prepared and read 0.5d.2 Respiratory viruses Slides stained with fluorochrome dye Number of slides prepared and read 1Specimens with on a scheduled day or withchange in buffer or pH and will be subjected tomedia change for maintaining the growth ofcells and virus if present3 Enterovirus/Polioa. Supplementary testa.1 Neutralization test Neutralization test performed Number of Neutralization tests performed 1.5Involves procedure for identification of specificenterovirus positive for enterovirus isolationb. Sensitivity test Sensitivity test performed Number of Sensitivity tests 4Sensitivity test is being perfomed to be able tocheck the cell lines or host cells for its ability todetect known polioviruses or enteroviruses.4 Influenzaa. Performance if Virus Isolation Virus Isolation performed Number of Virus Isolations performed 0.083Virus isolation is a highly sensitive and veryuseful technique for the diagnosis of influenzaand respiratory viruses. The only techniqueusing variety of cell lines capable of providing aviable isolate that can be used for furtherantigenic and genetic characterization.b. Perform Supplementary testb.1 Acid Stability Test Enterovirus and/or Rhinovirus isolatedNumber of Enterovirus and/or Rhinovirusisolated0.33This procedure applies to all HEp-2 cellcultures inoculated with respiratory specimenssuspected to contain Rhinovirus or Enterovirus.This differentiation procedure involves culturesystem subjecting the viruses in alkaline andacidic pH.Page 132

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb.2 Flu HemagglutinationSpecimens demonstratedhemagglutinationNumber of Specimens demonstratedhemagglutination1This procedure describes the screening ofinfluenza isolates in cell culture to increase thesensitivity of identifying all possible isolatesusing red blood cells as indicator.b.3Flu Hemagglutination InhibitionTestIsolates demonstratedHemagglutination InhibitionNumber of Isolates demonstratedHemagglutination Inhibition1.216This procedure describes the identification andsubtyping of influenza isolates from cell cultureusing the Hemagglutination-Inhibition (HAI)test.This procedure applies to influenza isolatesfor identification using the Influenza ReagentKits supplied by the WHO Collaborating Centerfor Reference and Research on Influenza,Melbourne, Australia and/or the Centers forDisease Control and Prevention, InfluenzaBranch, Atlanta, Georgia.b.4 Flu Hemadsorption test Isolates positive for hemadsorptionNumber of Isolates positive forhemadsorption0.0833Hemadsorption is a fast and convenientmethod of detecting viruses withhemagglutinating properties such as Influenzaviruses A & B and Parainfluenza viruses 1-4 incell cultures in which CPE is not discernible.Hemadsorption is a phenomenon wherein redblood cells are attached or adsorbed onto thesurface of cells containing hemagglutinatingmolecules, via their receptor site to the sialicacids of the red blood cells. Guinea Pig RBCshave consistently been more sensitive fordetection of human influenza viruses and areused for maximum sensitivity particularly indetecting newly isolated viruses. The procedureis carried out at 4°C. Alternatively human type“O” RBCs may be used. Importantconsiderations in this method are the species ofRBC and temperature.Page 133

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONb.5 Flu Immunofluorescence testIsolates positive forImmunofluorescence TestsNumber of Isolates positive forImmunofluorescence Tests0.33The method reveals the presence of viralantigens within cells by attaching to them afluorescent-labeled antibody. This can be doneeither by the direct method, using a specificantibody labeled with a fluorochrome dye; orindirect method, using an anti-mouse FITClabeledantibody conjugate. Positive isolatesare identified as “apple green” fluorescencecells when viewed under animmunofluorescence microscope.c. Collection of blood from turkey Blood collected from turkey Volume of blood collected from turkey 0.25This procedure describes the selection andcollecton of Turkey’s Red Blood Cells (TRBC)for use in the identification of InfluenzaIsolates.Because turkey RBC are nucleatedand influenza viruses agglutinate turkey RBC toan acceptable titer better than fowl RBC, turkeyRBC are used wherever possible.5 Dengue Dengue 1-4 Antigens Extracteda. Dengue Antigen Extractiona.1 Brain Harvestinga.2 Acetone Extractiona.3 Vacuum Dryinga.4 Rehydration and dispensinga.5 Labelling of cryovialsa.6 Mapping and storageNumber of Dengue Serotypes AntigenExtracted5.667It describes the procedures for extraction ofdengue dengue/JE antigen from suckling micebrain (SMB). It includes the brain harvesting,extraction using acetone and dessication.Extracts of infected mouse brains have beenfound to provide a high-titer source of antigen.These antigens will subsequently be used forthe HI test, a convenient serological screeningprocedure for flaviviruses. A preliminary HA isperformed to determine antigen titer and theoptimum pH for each virus/serotype.b. Dengue Goose Blood Extraction Goose blood extracted Volume of goose blood extracted 0.333This procedures describes the procedures forthe extraction of goose blood forhemagglutination and hemagglutinationinhibition.Page 134

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc. HA (Hemagglutination) Titration Hemagglutination units Titer of hemagglutination 1It describes the procedures forhemagglutination (HA) titration prior tohemagglutination inhibition (HI).The assay (HI)is based on the interaction betweenhemagglutinating viruses and suspendedfowl/mammalian erythrocytes to produce alattice of virus-erythrocyte complexes that settleto form a mat-like pattern covering the bottomof a U-shaped well or tube. A virion mustattach simultaneously to two red blood cells toform a cross bridge. The agglutination patternis readily distinguishable from control cells thatslide to the center of the bottom of the wellforming a well-defined pellet or button.d. HI (Hemagglutination Inhibition) testingHemagglutination Inhibition testperformedNumber of Hemagglutination Inhibition testsperformed2It describes the procedures forhemagglutination inhibition (HI).This assay isbased on virus-specific antibodies in a testserum reacting/binding with the hemagglutininof a particular virus resulting in inhibition of theviral hemagglutination with an added RBCsuspension. The best performance of thehemagglutination inhibition test reliessignificantly on the accurate determination oftiters of the antigen used as the source ofhemagglutinin.e. Reagent PreparationIt involves preparation of reagents to be used inDengue serology and virus isolation.e.1 Virus Adjusting Diluent 0.167e.2 Borate Saline 0.167e.3 4% Bovine Albumin Stock solution 0.167e.4 0.4% Bovine Albumin Borate Solution 0.167e.5 Dextrose Gelatin Veronal 0.167e.6 Acid Citrate Dextrose 0.167e.7 25% Kaolin in Borate Saline 0.167e.8 Alsever's solution 0.167Page 135

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONe.9 Stock Solutions for Antigen Dilution 0.167e.10 Stock solutions for Goose RBC 0.167f. Preparation of Goose RBC Prepared Goose RBC suspension Volume of goose RBC suspension 0.5g. Seed Virus Inoculation Seed virus infectivity Number of mice infected with seed virus 0.5h. Dengue Seed Virus Preparation Seed virus prepared Titer of infectivity 0.33i. Dengue Serum Treatment Preparation Serum treated with Kaolin Number of specimens treated with Kaolin 1It describes inoculation of the mice brain withseed virus prototypes for subsequentdengue/Japanese B encephalitis virusidentification. This applies to designated 2-3-day old mice to be used for intracerebral seedvirus inoculation.It describes the preparation ofdengue/Japanese B encephalitis seed virus.Applies to previously inoculated mice brainswith JE virus/dengue serotypes.It describes the procedures for serumpreparation prior to hemagglutination andhemagglutination inhibition (HA/HI). Useskaolin reagent for treatment of serumspecimen.j. Immunofluoroscence TestSlides stained with Fluorochrome dyeand read under IF scopeNumber of slides stained with Fluorochromedye and read1This document describes the procedure ofindirect immunofluorescence in theidentification of JE/dengue virus fromspecimens. Immunofluorescence is animmunologically specific technique by which anunknown virus isolate may be identified. Whenthe test is applied in vitro, the virus isolate isinoculated into a susceptible cell culture andallowed to replicate. Subsequently infectedcells are treated with a fixative to render thempermeable to virus-specific antibodies. Theantibodies react with viral proteins (antigens) insitu, forming virus-antibody complexes insidethe cells. The complexes are then detectedwith antiglobulin antibodies tagged/labeled witha fluorochrome (e.g. fluoresceinisothiocyanate).6 Serological TestingPage 136

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa. Anti Dengue IgM/IgG EIA Specimen tested Number of specimensIt describes the procedure for the Anti DengueIgM/IgG Enzyme Immunoassay for thedetection of IgM and IgG antibodies forDengue. This includes the reagent preparationprior to testing and the different steps in doingthe test.a.1Plate sensitization/reagentpreparation1a.2 Sample preparation and dispensing 0.5a.3 Main testing 1b. Dengue IgM ELISA testing Plates tested Number of specimens/plates tested 2c. Measles EIA IgM Antibody testing Specimens tested Number of specimens tested 0.25d. Rubella EIA IgM Antibody Testing Specimens tested Number of specimens tested 0.25e. HBsaAg Testinge.1 Hepanostika HBsAg ULTRA Specimens testede.2 Monolisa HBsAg ULTRA Specimens testedNumber of specimens tested forHepanostikaNumber of Hepanostika EIA reactivespecimens31.43It describes the procedures for the JapaneseEncephalitis-Dengue IgM Combo ELISA testIt describes the step by step instructions onhow to perform the DADE Behring EnzygnostAnti- Measles-Virus/IgM EIA Test kit for thedetection of human Measles IgM antibody inserum and plasma.It describes the step by step instructions onhow to perform the DADE Behring EnzygnostAnti- Measles-Virus/IgM EIA Test kit for thedetection of human Measles IgM antibody inserum and plasma. (This also applies toRubella IgM Antibody Testing: DADE BehringEnzygnost Anti- Rubella -Virus/IgM EIA Testkit)f. HCV Testingf.1 Serodia HCV Particle Agglutination Specimens tested Number of specimens tested for HCV 1.67 Parallel testing with Ortho HCV is donePage 137

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONf.2 Ortho HCV 3.0 ELISA Test Specimens tested Number of specimens tested for HCV ortho 1.73 Parallel testing with HCV PA is donef.3 Monolisa Anti-HCV Specimens tested Number of specimens tested for Monolisa 1.4 This procedure is done if HCV PA isg. Syphilis Testingg.1 Serodia TPPA Specimens tested 1.15 Parallel testing is done with RPRg.2 Sterling RPR Specimens tested 0.5h. HIV Testingh.1Serodia HIV 1/2 ParticleAgglutinationSpecimens tested 1.15 Parallel testing with EIA is done.h.2 Vironostika HIV-Ag/Ab Specimens tested 1.4 This procedure is routinely done with PA.This is an additional procedure done if fourthgene-h.3 Genscreen HIV-Ag/Ab Specimens tested 1.64i. Supplemental Testingi.1 HIV Blot Specimens confirmed for HIV Number of specimens tested for HIV Blot 2i.2 HCV Blot Specimens confirmed for HCV Number of specimens tested for HCV Blot 27 Other Special Tests (CD4)This is done to confirm test repeatedly reactiveto HIV screening testThis test is done to confirm discordantscreening test resultsa. Performance of CD4 determination test CD4 determination test performedNumber of CD4 determination testsperformedb. Data Management Data encoded and results generated 1b.1b.2b.3b.48 Other FunctionsEncoding/recording details ofspecimens testedRecording and reporting the resultsof testingAnalyzing, interpreting andpreparing the resultsSummarizing results in the form ofregular reportsResults generated Numebr of results generated 1Page 138

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.Pick up specimens for clinical laboratory anddocumentationSpecimen picked up and documentationdoneNumber of specimens picked up anddocumentation done0.25It involves pick-up of specimens from clinicallab and counter checking completeness ofrequest forms and labels of specimens with theforns and properly documentation.b. Data managementb.1Receipt of request forms fromreferring hospitals/blood banks2.1This involves confirmation of data on therequest forms through telephone calls.Requests are also checked if it corresponds tothe right blood units being sent.b.2Receipt and documentation ofsamples/blood units/specimensb.2.1 encoding/recording details ofspecimens testedb.2.2 recording and reporting theresults of testingb.2.3 analyzing, interpreting andpreparing results2.4 At least three (3) persons must checkb.2.4 summarizing results in theform of regular reports/transmittalb.2.5 summarizing results in theform of regular reports tocorresponding referring hospitalsTransmittal generated Number of transmittals generated 1This is a line list of specimens received withdate of collection, date specimens are beingprocessed, inoculated with result and remarks.Transmittal are counterchecked beforetransmitted in a weekly basis to NEC (NationalEpidemiology Center).b.2.6 Documentation and mailingof resultsRecorded and mailed results to differenthospitals/Blood# specimens recorded and mailed 3.05Three staffs are involved in documenta-tion ofresults to countercheck correct-ness of theencoded results and to assure that no error iscommitted before releasing the results.b.2.7Documentation/countercheckingand sending of EQAS results1 panels requires all the serological testsb.3Preparation of samples for testingand storageTransferred plasma/serum to properlylabeled microvialsNumber of samples processed for testingand storage8.1 Samples placed in microvial tubes arePage 139

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc.Perform inventory and requisition of reagentsand office suppliesChecked and identified supplies forrequisition;submittedNumber of inventory and requisitionperformed0.45Checks if supply stocks are all updated in theinventory cards. Identifies supplies that need tobe requested/purchasedFills out Request andInventory Supply (RIS) and Purchase Re-quest(PR) formsMakes justification for every supplythat is exclusively purchased.tory suppliesreques-Sends properly filled out forms to thesignatories for approval. Submits duly signedrequests to Property and Supply officerd. Prepares MOA of NVBSP contractuals MOA preapred Number of MOA prepared 0.2e. Flu shipment of isolates for subtyping Shipment of isolates to Australia Number of shipments of isolates 12.583f.Polio shipment of isolates to Australia foridentificationShipment prepared Number of shipments of isolates 4This involves the shipment of Influenza Isolatesto the WHO Regional Reference Laboratory inAustraliaPoliovirus isolates are prepared andsubsequently shipped to Australia ReferenceLaboratory (VIDRL) for identification.Preparation of supplies for distribution tog. Supplies distributed to regions Number of supplies distributed to regions 0.5regionsh. Disposal of used materials Biohazard bags disposed Number of biohazard bags disposed 0.08i.Temperatures of freezers andrefrigerators monitoredNumber of freezers and refrigeratorsmonitored for temperaturej. Maintenance of equipment Equipment maintained Number of equipment maintained 0.033k.l.Daily monitoring of temperatures of freezersand refrigeratorsCollects influenza surveillance specimensfrom health centersMonitors/records the availability of liquidnitrogenInfluenza specimens from healthcenters collectedAvailability of liquid nitrogen monitoredand recordedm. Records the daily reading of liquid nitrogen Reading of liquid nitrogen recordedn. Prepares request for LN replenishment Request for LN replenishment preparedNumber of influenza specimens from healthcenters collectedNumber of available liquid nitrogenmonitored and recordedNumber of reading of liquid nitrogenrecordedNumber of requests for LN replenishmentpreparedo. Canvass supplies Supplies canvassed Number of supplies canvassed 80.16720.50.250.25Page 140

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION9 Wash Room Functionsa.Decontamination and disinfection ofcontaminated materials0.250b.Washing of glass and plastic wares forlaboratory use3.000c.Prepares and sterilizes glass and plasticwares2.000d. Sterilization of media and reagents 0.250Decontamination and disinfection process isneeded for all contaminated materials for reuseand for proper disposal.Proper washing should be performed for allused glasswares and plastic wares for reuse.All glasswares will be sterilized and preparedfor reuse.e. Sorting of laboratory materialse.1 Tips 1.000e.2 Cryovials 1.000f. Prepares laboratory needs: 1.000f.1 Gauzef.2 Thioglycollatef.3 Sterilized glass and plastic waresf.4 Tongue depressorPHARMACY1 Fills prescriptionPrescription of In and Out patients filledNumber of prescriptions of In and Outpatients filled0.083per prescription; prescription must be complete;covers prescriptions for in/outpatient and public2Prepares charge slip/order of payment fordrugs/medicines and other suppliesCharge slip/order of payment fordrugs/medicines and other suppliespreparedNumber of charge slip/order of payment fordrugs/medicines and other suppliesprepareda) 1-2 prescriptions 0.083b) 3 or more 0.167per patient3 Receives deliveries of regular/consigned stocksDeliveries of regular/consigned stocksreceivedNumber of deliveries of regular/consignedstocks receivedper item, includes checking of labels, expirydate, batch/lot number, CPRPage 141

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa) oral/parenteral/medical supplies 0.5b) IV fluidsb.1 1000 or less 1b.2 up to 2000 2b.3 up to 3000 3b.4 more than 3000 44 Counsels patient on medication Patient on medication couseled Number of patients on medication counseled 0.083includes advice on time, number of days andcontraindication, if any5 Conducts inventory of stocks Inventory of stocks conducted Number of inventory of stocks conducted 86 Receives/endorses issued stock Issued stock received/endorsed Number of issued stocks received/endorsed 1 per shift endorsement7 Replenishes stocks in the dispensing areaStocks in the dispensing areareplenishedNumber of stocks in the dispensing areareplenished0.083 per item8 Compounds pharmaceutical preparationPharmaceutical preparationcompoundedNumber of pharmaceutical preparationscompounded1 per item9 Prepares Unit Dose Drug Distribution (UDDD) UDDD prepared Number of UDDD prepared 1 per unit/ward10 Prepares Total Parenteral Nutrition (TPN) TPN prepared Number of TPN prepared 1 per patient11 Gets/receives stocks from Property warehouseStocks received from PropertywarehouseNumber of stocks received from Propertywarehouse412 Records received stocksReceived stocks recorded Number of received stocks recordeda) Bin card 0.03 per itemb) Stock/ledger card 0.083 per item13 Issues Yellow Prescription Form (YPF) to MDs YPF issued to MDs Number of YPF's issued to MDs 0.05 only to authorized MDs14 Records issued YPFIssued YPF recorded Number of issued YPF's recorded 0.0167 per MDPage 142

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION15Replenishes/issues emergency stocks ofdrugs/medicineEmergency stocks of drugs/medicinereplenished/issuedNumber of emergency stocks ofdrugs/medicine replenished/issued0.083 per issuance/unit16 Checks and records cold chain temperatureCold chain temperature checked andrecordedNumber of cold chain temperature checkedand recorded0.0167Attends to inquiries from MDs, nurses,17 Inquiries attended Number of inquiries attended 0.0167 include drug information, patient's bill, etc.patients/clients, etc.18Prepares Purchase Request of drugs, medicine andother suppliesPR of drugs, medicine and othersupplies preparedNumber of PR of drugs, medicine and othersupplies prepared0.083 per PR19Prepares consignment request/order fordrugs/medicineConsignment request/order fordrugs/medicine preparedNumber of consignment request orderprepared0.083 based on the approved MOA20Prepares/arranges request for emergency purchaseof drugs and medicineRequest for emergency purchase ofdrugs and medicine prepared/arrangedNumber of requests for emergencypurchase of drugs and medicineprepared/arranged0.5 thru petty cash and includes price monitoring21 Prepares/Submits report:a)b)Consumption/issued stocksDrugs/medicine procured thru the Petty Cashfund/creditc) Stocks on consignment systemd) Donated stockse) Dangerous drugsconsolidated daily issuance peritem/segregated/posted/encoded/printed reportConsolidated daily issuance peritem/segregated/posted/encoded/printed reportConsolidated dailyissuance/encoded/printed reportConsolidated daily issuance peritem/segregated/posted/encoded/printed reportConsolidated daily issuance peritem//encoded/printed reportNumber of consumption and inventory peritemNumber of consumption and inventory peritemNumber of consumption and inventory peritemNumber of consumption and inventory peritemNumber of consumption and inventory peritem40 based on daily issuance18 per company10.5f) Yellow Prescription form issuedConsolidated dailyissuance/encoded/printed reportNumber of consumption and inventory peritem0.5g) Filled and unfilled prescriptions 0.75Page 143

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONh) Anti-retroviral drugs 0.5i) P100 0.522 Prepares disbursement vouchers of petty cash fundDisbursement vouchers of petty cashfund preparedNumber of disbursement vouchers of pettycash fund prepared0.523 Conducts orientation on pharmacy student internsOrientation on pharmacy student internsconductedNumber of orientations on pharmacy studentinterns conducted3 per batchPrepares Project Procurement and Management24 PPMP prepared Number of PPMPs prepared 24Plan (PPMP)25 Prepares schedule of staff Schedule of duty prepared number of schedule of duty 5no changes once the schedule is approved;change of schedule should also be approved26 Evaluate performance of staff Performance of staff evaluated number of staff evaluated 1done semi-annually; validation of the submittedPES27Assists the Therapeutics Committee in the evaluationof drugs, medicines and other medical supplies forprocurementReceived/recorded/checked/sent to endusernumber of supplies evaluated 0.0167 result is dependent on the end-user28Arranges and prepares request for drugs/medicinefor BFAD analysisRequest for drugs/medicine for BFADanalysis arranged and preparedNumber of requests for drugs/medicine forBFAD analysis arranged and prepared0.5PHYSICAL MEDICINE AND REHABILITATIONReceives/reviews referrals for physical therapy (PT)1 Referrals for PT/OT received/reviewedand/or occupational therapy (OT)Number of referrals for PT/OTreceived/reviewed0.083 includes recording2Interviews patient and determines condition forPT/OTPatient interviewed and condition forPT/OT determinedNumber of patients interviewed andconditions for PT/OT determinedPage 144

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa) patient is coherentb) patient is incoherent0.1670.333Schedules appointment for physiatric consultationAppointment for psychiatric consultationscheduledNumber of appointments for psychiatricconsultation scheduled0.0834 Schedules patient for therapyPatient scheduled for therapy Number of patients scheduled for therapy5 Evaluates baseline capacity of patientBaseline capacity of patient evaluatedNumber of baseline capacity of patientevaluateda) Neurologic/pediatric1b) Orthopedic/sports injuries0.5includes pain scale, range of motion, etc.6 Prepares therapy goalsTherapy goals prepared Number of therapy golas prepared 0.25 per patient7Performs PT/OT program as per physiatrist'sprescription/orderPT/OT program performed as perphysiatrist's prescription/orderNumber of PT/OT programs performed asper physiatrist's prescription/ordera) Hot moist pack0.083b) Paraffin wax0.167 per areac) Infrared radiation0.083 per sited) Ultrasound0.167 per areae) Shortwave diathermy0.083 per areaf) Neuro-muscular electrical stimulatorper areaf.1 Endomed 0.133f.2 Electrical stimulationf.2.1 Group muscles 0.083f.2.2 Individual muscle 0.25g) Tractiong.1 Intermittentg.1.1 Cervical 0.167g.1.2 Lumbar 0.083g.2 Staticg.2.1 Cervical 0.133g.2.2 Lumbar 0.083h) Compression pump 0.167includes draping and positioning of patient; perareaPage 145

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONi) Ergometer 0.083j) Immersion bath (whirlpool) 0.167 per areak) Treadmill 0.083l) Shoulder pulley 0.033m) Cryotherapy 0.033n) Butterfly equipment (proteus) 0.05o) Tilt table 0.33p) Laser 0.033q) Exercisesq.1 Mobility, Stretching 0.33q.2 Strengthening 0.167only 1/3 of time for subsequent treatmentNeuro developmental techniques,q.40.25Matq.6 Equilibrium 0.05 50% increase per session8 Accomplishes PT/OT chart PT/OT chart accomplished Number of PT/OT charts accomplished 0.167 per patient9 Records patient census Patient census recorded Number of patient census recorded 0.017 logbook registry10Gives home/ward instruction and precautionHome/ward instruction and precautiongivenNumber of home/ward instructions andprecautions given0.08311Prepares and records charge slip/treatment cardCharge slip/treatment card preparedand recordedNumber of charge slips/treatment cardsprepared and recorded0.033 per patientPrepares report, inventory, supplies, ward/chart12 common functionrounds, taking of vital signs, referrals to MSS13Prepares/Assists physiatrist in patient examinationand clinical proceduresPhysiatrist prepared/assisted in patientexamination and clinical proceduresNumber of physiatrists prepared/assisted inpatient examination and clinical procedures0.167OCCUPATIONAL THERAPY1 Adulta) Exercisesa.1 Orofacial, Mat 0.167a.2 Strengthening, fine motor 0.05Page 146

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONa.3 Neuro developmental techniques 0.25a.4 Therapeutic Ultrasounda.5 HMPa.6 Electrical Simulatora.7Transcutaneous ElectricalSimulatora.8 Infrared lampa.9 Stationary bicycle ergometera.10 Shoulder pulleya.11 Paraffin wax batha.12 Cervical tractiona.13 Parallel barsa.14 Endomeda.15Jobst Intermittent CompressionUnita.16Continuous Passive Motionmachinea.17 Cryotherapya.18 Finger laddera.19 Staircasea.20 Shoulder wheela.21 Lumber tractiona.22 Gym equipmenta.23 Whirlpool bath / Hi-boya.24 Quad bencha.25 Stall barsa.26 Shortwave diathermya.27 Tilt tablea.28 Restoratora.29 UVRa.30 Laser therapya.31 Whirlpool bath / Low-boya.32 Hubbard tankb) Retraining on daily living activities 0.167 per patientc) Dysphagia management 0.33d) Splintingd.1 Thermoplastic materiald.1.1 Simple 0.283 includes preparation and fittingd.1.2 Complex 0.417 includes preparation and fittingd.2 Plaster of parisPage 147

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONd.2.1 Simple 0.25 includes preparation and fittingd.2.2 Complex 0.5 includes preparation and fitting2 Pediatrica) Exercisesa.1Orofacial, Neuro developmentaltechniques0.25a.2 Strengthening 0.083a.3 Fine motor 0.167a.4 Mat 0.417b) Retraining on daily living activities 0.25c) Dysphagia management 0.33d) Splintingd.1 Thermoplastic material 0.417d.2 Plaster of paris 0.5e) Cognitive learninge.1 Cooperatrive 0.167e.2 Non-cooperative 0.25f) Pre-speech training 0.167RADIOLOGIC TECHNOLOGISTNumber of requests for diagnostic imaging1 Receives request for diagnostic imagingRequest for diagnostic imaging receivedreceived0.05per request; includes checking of completenessof data2 Prepares charge slips Charge slips prepared Number of charge slips prepared 0.05 per patient3 Positions patients and exposes the filmRoutine/Special ExaminationNumber of position and exposure done perpatient0.117 per position & exposure4Develops film (dry to dry)Loading/unloading of cassette with filmand developing x-ray filmNumber of exposed film developeda) Manual 1 per film; with/without dryerb) Automatic 0.033 per filmc) Digital 0.025 includes printing of filmPage 148

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION5 Cleans developing tanks Developing tanks cleaned Number of developing tanks cleaned to be done every change of solutiona) Manual 0.5b) Automatic 26 Prepares developer/fixer solutions Developer/fixer solutions preparedNumber of developer/fixer solutionsprepareda) Powder 0.5 per solutionb) Liquid 0.25 per solution7 Sorts out radiographic film Radiographic film sorted out Number of radiographic films sorted out 0.0167sorting of films per patient, size, examination,label8Receives/endorses equipment, supplies, accessoriesand pending requestsEquipment, supplies, accessories andpending requests received/endorsedNumber of equipment, supplies, accessoriesand pending requests received/endorsed1 to be done every end of shift9 Positions patient for CT procedurePatient for CT procedure positionedNumber of patients for CT procedurepositioneda) Ambulatory 0.083 per patientb) Non-ambulatory 0.25 per patient10 Procedure c/o Mr. DexterTeaches/guides the Rad. Tech. interns in diagnostic11 Assist and orient the intern number of intern assisted and oriented 480mins/duty per internimaging12 Conducts lectures to Rad. Tech. internsLectures to Rad. Tech. internsconductedNumber of lectures to Rad. Tech. internsconducted1 per lecture13Evaluate the performance of radiologictechnologist/clericalPerformance of radiologictechnologist/clerical evaluatedNumber of performances of radiologictechnologist/clerical evaluated480mins/shiftsee common function14Prepares and submits monthly/quarterlyperrformance of radiologic technologist and clericalreportMonthly/quarterly performance ofradiologic technologist/clerical preparedand submittedNumber of monthly/quarterly performancesof radiologic technologist/clerical preparedand submitted0.5 see common function15Prepares schedule and check the daily time record(DTR) of radiologic technologist/clericalSchedule prepared and DTR ofradiologic technologist/clerical checkedNumber of schedules prepared and DTR'sof radiologic technologist/clerical checked2 see common functionPage 149

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION16Prepares the requisition of radiological supplyRequisition of radiological supplypreparedNumber of requisitions of radiological supplyprepared0.25 see common function17Prepares the job request for the repair of allequipment in radiologyJob request for the repair of allequipment in radiology preparedNumber of job requests for the repair of allequipment in radiology prepared0.083 see common function18Conducts inventory of x-ray films and other suppliesInventory of x-ray films and othersupplies conductedNumber of inventories of x-ray films andother supplies conducted1 done monthly19Conducts orientation of radiologic technology internsOrientation of radiologic technologyinterns conductedNumber of orientations of radiologictechnology interns conducted1 per batch20Collates and submits final rating of Rad. Tech.internsFinal rating of Rad. Tech. internscollated and submittedNumber of final rating of Rad. Tech. internscollated and submitted0.5 per intern21Prepares/submits reports of actual number of Rad.Tech. interns to the training officeReports of actual number of Rad. Tech.interns to the training officeprepared/submittedNumber of reports of actual number of Rad.Tech. interns to the training officeprepared/submitted0.522 Performs ultrasound proceduresUltrasound procedures performed Number of ultrasound procedures performed c/o Mr. Dextera.Musculoskeletal, Carotid Doppler, Renaltransplant w/ doppler0.75b.Whole abdomen, breast, biophysical profilescanning0.5c. Cranial, trans-vaginal, trans-rectal 0.33d. Thyroid, thoracic 0.25e.KUB, Hepato-billary Tree, FocusedAbdominal Sonogram Trauma (FAST)0.167f. Scrotalf.1 without doppler 0.25f.2 with doppler 0.417Page 150

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONg. Pelvicg.1 non-pregnant, first tri 0.33g.2 second/third tri 0.417h. Lower extremity arterial 1i. Lower extremity venousi.1 DVT 0.5 per extremityi.2 Venous Insufficiency 1.5 per extremityj. Renal Doppler HPN 2DIETARY DEPARTMENT1 Menu Planninga. Preparation of Cycle Menu Cycle Menu prepared Number of Cycle Menu prepared 1b. Preparation of foodstuff estimates Foodstuff estimates prepared Number of foodstuff estimates prepared 2Preparation of Purchase Requestc. PR/PO/MO prepared Number of PR/PO/MO prepared 0.0167 per item; per supplier(PR)/Purchase Order (PO)/Market Orderd. Preparation of RIS/food costingRIS/food costing prepared Number of RIS/food costing prepared 0.5 per foodstuff used for the day2Inspection/Receiving & Acceptance of foodstuffsFoodstuffs inspected/received andacceptedNumber of foodstuffs inspected/received 0.033per item; per supplier; additional 2 mins. percontainer for bulk deliveries3 Recording of accepted deliveries Accepted deliveries recorded Number of accepted deliveries recorded 0.0167 per item4 Storage and Issuancea. Sorting 0.5 per classification and includes labellingb. Washing 0.167 per kilo; applicable for items for storagec. Issuance of foodstuff Foodstuff issued Number of foodstuffs issued 0.167 per itemd. Recording of issued foodstuff Issued foodstuff recorded Number of issued foodstuff recorded 0.167 per item5 Food Productiona.Gives instruction on foodpreparation/cookingInstruction on food preparation/cookinggivenNumber of instructions on foodpreparation/cooking givenb. Preparation of ingredientsIngredients prepared Number of ingredients prepared 0.5 based on menu and per item/per kiloc. Cooking of menu Menu cooked Number of menu cooked0.167Page 151

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITIONc.1 rice 0.33 per containerc.2 viand 0.75 additional .25 pt. for every 15 mins. of cookingc.3 vegetable dish 0.5 per batch cookingc.4 soup 0.5 per batch cookingc.5 dessertc.5.1 without cooking 0.25c.5.2 with cooking 0.5d. Endorses cooked menu Cooked menu endorsed Number of cooked menu endorsed 0.083 per menu6 Collection of diet list Diet list collected Number of diet list collected 0.0167 per ward7 Preparation of meal census Meal census prepared Number of meal census prepared 0.167 per diet list8 Preparation of diet tag/card Diet/tag card prepared Number of diet/tag cards prepared 0.0167 per tag/card9 Dishing out of food Food dished out Number of food dished out 0.033 per tray10 Delivery of food to wards Food delivered to wards Number of food delivered to wards 0.25 per ward11 Ward food service 0.0167 per patient12 Collection of food trays Food trays collected Number of food trays collected 0.5 per ward13 Washing/Sanitizing Items washed/sanitized Number of items washed/sanitizeda. Food tray 0.033 per trayb. Chinaware and utensils 0.0167 per piecec. Pots and Pans 0.167 per itemd. Sink 0.083 per sinke. Food conveyor/trolleys 0.167 per conveyor/trolley14 Accounting of tray Trays accounted Number of trays accounted 5 secs. per tray15 Cleaning/sanitizing of work area Work area cleaned/sanitized Number of work areas cleaned/sanitized 0.5 per area of assignment16 Disposal of garbage Garbage disposed Number of garbages disposed 0.167Page 152

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION17 Conducts nutritional assessment Nutritional assessment conductedNumber of nutritional assessmentsconducted0.25 per patient18 Conducts diet counseling Diet counseling conducted Number of diet couseling conducted 0.5 per patient19 Prepares blenderized feeding Blenderized feeding prepared Number of blenderized feeding prepared 0.083 per patient20 Conducts lectures common function21 Open Marketing for foodstuffa. Prepares purchase request/market order PR/MO prepared Number of PR/MO prepared 0.5 per PR/MO; per market dayb. Procures foodstuffFoodstuff procured Number of foodstuffs procured 0.167 per itemc. Prepares replenishment reportReplenishment report prepared Number of replenishment reports prepared 0.5 per voucherd. Encashes petty cash checkPetty cash check encashed Number of petty cash checks encashed 0.16722 Preparation of menu for special functionMenu for special function preparedNumber of menu for special functionprepared0.523 Preparation of nourishment Nourishment prepared Number of nourishment prepared 0.033 per heada. Preparation of schedule of duty Approved schedule of duty Number of schedule of duty 1b. Inventory of foodstuff on stock Inventory of foodstuff done Number of inventories done 1.5No change can be made once approved.Change of schedule should also be approvedAt least done every week for stocks andquarterly for equipment and waresMEDICAL SOCIAL SERVICES1Conducts pre-admission planninga)Counseling on financial and emotionalconcernsFinancial and emotional concernscounselledNumber of financial and emotional concernscounselled0.33 per patientb)Instructs patients on MSS requirementsPatients instructed on MSSrequirementsNumber of patients instructed on MSSrequirements0.083Page 153

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION2 Conducts psycho-social assessment Psycho-social assessment conducteda) SimpleNumber of psycho-social assessmentsconductedincludes pre-admission counseling, andreturn/follow-up interview0.167 per patient; patient is coherent; has companionb) Complicated0.33per patient; patient is incoherent,unaccompanied3Orients on hospital policies and procedures on MSSprograms and servicesHospital policies and procedures onMSS programs and services orienteda) patient 0.083b) relative/watcher/escort 0.083 if not done with patientRecords patients in the Medical Social Service4 Patients recorded in the MSS Registry(MSS) RegistryNumber of patients recorded in the MSSRegistry0.033 per patient5 Issues MSS Card MSS Card issued Number of MSS cards issued 0.0336 Records progress notes of patient Progress notes of patient recordedNumber of progress notes of patientrecorded0.083 per patient7Arranges provision for patient's needs not availablein the hospitalProvision for patient's needs notavailable in the hospital arrangedNumber of provisions for patient's needs notavailable in the hospital arrangedincludes drugs/medicine/supplies/diagnosticprocedures/institutional placement/respitecare/implants/transportation etc.a) Prepares social case summary report Social case summary report preparedNumber of social case summary reportsprepared1b) Accomplishes referral form Referral form accomplished Number of referral forms accomplished 0.083 NGOs, GOs/funding agencies and benefactorsc)Fills up Inter-agency Networking ReferralformInter-agency Networking Referral formfilled upNumber of Inter-agency Networking Referralforms filled up0.0338 Conducts ward rounds Ward rounds conducted Number of ward rounds conducted 1 per patientPage 154

FUNCTIONOUTPUT PERFORMANCE INDICATOR POINTS OPERATIONAL DEFINITION9Conducts home visits/collateral interviewHome visits/collateral interviewconductedNumber of home visits/collateral interviewsconducted2per patient; includes courtesy call to barangayofficial, local DSWD, police, relatives,neighbors and significant others10 Conduction of patientPatient conducted Number of patients conducteda) Home 3per patient; includes family reconciliation,coordination with barangay officials/LGUSW/significant othersb) Agency 2 per patient/interaction with agency SW11 Conducts MSS Groupwork Activities MSS Groupwork ActivitiesNumber of MSS Groupwork Activitiesconducteda) Stress debriefing 2b) Patients/Watchers education 112 Discharge Planninga) Prepares letter to patient's family 0.083b) Conducts discharge counselling 0.5 per patientc) Calls up/Notifies LGU SW, media, etc.0.33 per call/notice13 Prepares/submits reports Reports prepared/submitted Number of reports prepared/submitteda) Home visit/conduction 0.5b) Groupwork activities 0.75c) Daily accomplishment 0.25d) Statistical/Narrative 0.75 monthly, quarterly and annuale) Annual psycho-social profile 8f)Utilization of financial assistance from PDAF,PCSO, etc.2Page 155