4. CSGH MISSION
Culion Sanitarium and General
Hospital, an integrated people-
centered health institution providing
holistic, timely, quality and safe health
care services through effective
collaboration and partnership
5. CULION SANITARIUM AND
GENERAL HOSPITAL
HOSPITAL PROFILE
Level 2
Classification General
Authorized Bed Capacity (Law) 100 General
100 Sanitarium
Implementing Bed Capacity 100 General
100 Sanitarium
Hospital Laws RA 9790
EO 35-1904
9. Accreditation of the
hospital to ISO
Target
Actual Accomplishment
Triple ISO Certification
Quality Management System
Environmental Management System
Occupational Health and Safety Management
10. Accreditation of the
hospital to PGS
Target
On continuing process of
PGS accreditation;
Attended the PGS boot
camp
Actual Accomplishment
11. patients in basic accommodation with
zero co-payment
Target
98%
98%
Actual Accomplishment
30. filled positions for non-medical
positions
100%
Target
77.10%
Actual Accomplishment
1) Lack of CSC-eligible applicants for administrative positions.
2) Limited or no applicants for other technical positions.
REASON FOR LOW ACCOMPLISHMENT RATE
31. filled positions for Nurse, Medical Officers and
Medical Specialist
100%
Target
68.89%
Actual Accomplishment
1) Few Physician and Nurse applicants.
2) Creation of new plantilla positions
REASON FOR LOW ACCOMPLISHMENT RATE
42. ON REDUCTION OF TURN-
AROUND TIME ON
HOSPITAL PROCESSES
OF CULION SANITARIUM AND GENERAL HOSPITAL
43. DIGITAL TRANSFORMATION
Online Referral System (ORS) Project Management Information System (PMIS)
Electronic Medical Records (EMR)
Clearance Request Module (CRM)
49. • CONDUCT OF EARLY PROCUREMENT ACTIVITIES
• COORDINATION AND PERIODIC RECONCILIATION AMONG
BUDGET, ACCOUNTING, SOCIAL SERVICE TO MONITOR
AND ENSURE 100% UTILIZATION OF MAIP FUNDS
• CLOSE COORDINATION WITH CONCERNED UNITS IN THE
APP, AND THE FACILITY DEVELOPMENT PLAN
53. SENDING OF MEDICAL DOCTORS TO
FELLOWSHIP/ RESIDENCY TRAINING
PROGRAM
• Adult Nephrology
• Adult Cardiology
• Infectious Diseases
• Orthopedics
• Dermatology
54. BIRTHDAY PRIVILEGE FOR CSGH EMPLOYEES
Free Laboratory and radiology exam and consultation during birth month
58. TELEMEDICINE
• ENT Service
• Orthopedic Service
• Plastic Surgery and Reconstructive Service
• Cardiology Service
• Urology Service
• Gastroenterology Service
• Psychiatry/ Mental Health
• Dermatology
• Tele-Pediatric Service
• Tele-Histopath
This indicator measures the functionality of the established Public Health Unit (PHU) in the hospital. This is also the score obtained by the hospital on the PHU Hospital Tool in the Health Facility Profiling System
This indicator determines the compliance of hospitals to the green, safe, and climate resilient performance standards which includes the following categories: 1) Governance, 2) Energy Efficiency, 3) Water efficiency, Sanitation, and Hygiene, 4) Health Care Waste Management, 5) Environmentally Resilient Health Facility, 6) Material Sustainability, 7) Site Sustainability and 8) Indoor Environmental Quality
Accreditation of the Hospital to ISO 9001:2015
Accreditation of the hospital to PGS
This indicator measures how many of the patients in basic/ward accommodation are with zero co-payment or NBB.
This refers to the proportion of hospital areas that regularly process paperless electronic medical records based on defined hospital health information management (HHIM), and integrated health information system implementation model (iHISIM) standards.
Only (11) hospital areas are included in this indicator, namely: (1) Out-Patient Department, (2) Emergency Department, (3) Admission, (4) Medical Social Work, (5) Nutrition, (6) Pharmacy, (7) Ward, (8) Operating Room, (9) Laboratory, (10) Imaging, and (11) HHIM
This refers to Percentage of ER patients that were released (admitted/ discharged) within 4hrs from the time he/she is received in the ER
This refers to Percentage of inpatients who were discharged within 6hrs from the discharge order of the doctor
Laboratory test results TAT is defined as the time interval between the doctor’s order request in the chart up to the release of results. Inclusion: Scope of lab tests- routine clinical and hematologic lab tests only (CBC, Platelet Count, aPTT, Na, K, Creatinine, UA, BUN, SGOT, SGPT, Urinalysis
This measures the proportion of inpatients who had Hospital acquired infection after 48hrs upon admission for the year.
The Client Experience Survey Score is the percentage of survey respondents that provided a weighted score of 4.0 in the CES tool
This refers to the total disbursement as a percentage of cash allocations received from DBM through the Notice of Cash Allocation (NCA) and DOH through the Notice of Transfer of Cash Allocation (NTCA)
This is the ratio of total obligation (cash and non-cash excluding PS) for Maintenance and Other Operating Expenses (MOOE) and Capital Outlays (CO) of all programs, activities and projects funded in the current year from all appropriation sources,
This is the ratio of total disbursements (cash and non-cash) from the current allotment excluding Personnel Services to total obligations for MOOE and CO from FY 2023 appropriations,
Percent of internal staff provided with learning and development interventions (LDIs) and/or updates based on the Learning and Development (LD) Plan
This indicator measures the efficiency of the office in the requirement of the Quality Management System thru immediate response in nonconformities and other undesirable occurrence through Request for Action
This indicator refers to the percentage of concerns closed/resolved by the office.
Concerns are communications from internal and external clients received by the Committee on Anti-Red Tape (CART) Secretariat, such as concerns, queries, suggestions or recommendations, commendations, requests for assistance, and requests from internal and external clients
This indicator refers to the percentage COA audit recommendations including audit findings that the office was not able to address in previous years which were carried over to the current year which were fully implemented by the office.
This indicator refers to the percentage COA audit recommendations including audit findings that the office was not able to address in previous years which were carried over to the current year which were fully implemented by the office.
This indicator refers to the percentage of all documents/ requests and communications received which were processed within the prescribed timeline of office or services in compliance with the Citizen's Charter
This refers to the percentage of filled positions for non-medical plantilla positions as of December 31,2023
This refers to the percentage of filled positions for Nurse, Medical Officer, and Medical Specialist plantilla positions including those with managerial or administrative functions as of December 31,2023
