Xray Omsdh DPC 2021

ORIENTAL MINDORO SOUTHERN DISTRICT HOSPITAL
INDIVIDUAL PERFORMANCE COMMITMENT (IPC)

I, MERLIN JETRO G. MARTINEZ, RRT, Radiologic Technologist II of the RADIOLOGY DEPARTMENT of the OMSDH commits to deliver and rated on the attainment of the following targets in
accordance with the indicated measures for the period JULY to DECEMBER 2021.
MERLIN JETRO G. MARTINEZ, RRT

Radiologic Technologist II
Reviewed by: Approved by: June 16, 2021
MARK EDISON G. MARTINEZ, JOCEL C. CARANZO, MD,MHA RATING SCALE 3-Satisfactory

Medical RMT
Technologist II Chief of Hospital 5-Outstanding 2-Unsatifactory
June 16, 2021 June 16, 2021 4-Very Satisfactory 1-Poor
Rating Scale
MFO/Outputs Success Indicators(Targets + Measures) Actual Accomplishment Expenses REMARKS
Quantity Quality Timeliness Average
CORE FUNCTIONS
MFO 1: Quality and Affordable Hospital Services
100% of patients provided / assisted with radiologic 100% of patients provided / assisted with radiologic
services as scheduled with no error services as scheduled with no error
100% of Radiographic results reviewed and released 100% of Radiographic results reviewed and released
10 minutes upon requests on scheduled date of 10 minutes upon requests on scheduled date of
release per patient with 90% of VS and O rating with release per patient with 90% of VS and O rating with
100% of negative feedback addressed. 100% of negative feedback addressed.
2 maintenance of Radiologic Equipments performed at 2 maintenance of Radiologic Equipments performed at

the end of each quarter with no error the end of each quarter with no error
Output 1. Radiologic Services 4 Request of Supplies prepared and submitted to the 4 Request of Supplies prepared and submitted to the
Supplies Section at the end of each quarter with no Supplies Section at the end of each quarter with no
revision. revision.
100% of COVID 19 Health protocols performed daily 100% of COVID 19 Health protocols performed daily
with 90% of VS and O rating with 100% of negative with 90% of VS and O rating with 100% of negative
feedback addressed. feedback addressed.
Quarterly Accomplishment Reports prepared and Quarterly Accomplishment Reports prepared and
forwarded to the Division Head of the Ancillary forwarded to the Division Head of the Ancillary
Services for consolidation on or before the third day of Services for consolidation on or before the third day of
the following month, with no revision. the following month, with no revision.
SUPPORT FUNCTIONS
MFO 2: Related and Other Services
Output 2. Enhanced
1 training/seminar attended.
Competency/Skill of Personnel
Output 3. Related and Other 100% of related and other services provided as
Services scheduled or as need arises with no negative feedback
AVERAGE RATING
Comments and Recommendations for Development Purposes -
Discussed with Date: Assessed by:I discussed my

I certify that Date: Final Rating by: Date:
assessment of the performance with
the employee.
MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ, RMT JOCEL C. CARANZO, MD,MHA
Radiologic Technologist II Medical Technologist II Chief of Hospital
INDIVIDUAL PERFORMANCE COMMITMENT REVIEW (IPCR)
I, MERLIN JETRO G. MARTINEZ, RRT, Radiologic Technologist II of the RADIOLOGY DEPARTMENT of the OMSDH commits to deliver and rated on the attainment of the following targets in
accordance with the indicated measures for the period JANUARY to JUNE 2021.
MERLIN JETRO G. MARTINEZ, RRT

Radiologic Technologist II
Reviewed by: Approved by: July 6, 2021
MARK EDISON G. MARTINEZ, JOCEL C. CARANZO, MD,MHA RATING SCALE 3-Satisfactory

Medical RMT
Technologist II Chief of Hospital 5-Outstanding 2-Unsatifactory
July 6, 2021 July 6, 2021 4-Very Satisfactory 1-Poor
Rating Scale
MFO/Outputs Success Indicators(Targets + Measures) Actual Accomplishment Expenses REMARKS
Quantity Quality Timeliness Average
CORE FUNCTIONS
MFO 1: Quality and Affordable Hospital Services
100% of patients provided / assisted with radiologic 100% (27) of patients provided / assisted with
Output 1. Radiologic Services 5.00 3.00 3.00 9.00
services as scheduled with no error radiologic services as scheduled with 2 error
100% of Radiographic results reviewed and released 100% (29) of Radiographic results reviewed and
10 minutes upon requests on scheduled date of released 10 minutes upon requests on scheduled date
5.00 5.00 3.00 11.00
release per patient with 90% of VS and O rating with of release per patient with 95.45% of VS and O rating
100% of negative feedback addressed. with no of negative feedback.
2 maintenance of Radiologic Equipments performed at 2 maintenance of Radiologic Equipments performed at

5.00 4.00 3.00 10.00
the end of each quarter with no error the end of each quarter with 1 error
4 Request of Supplies prepared and submitted to the 4 Request of Supplies prepared and submitted to the
Supplies Section at the end of each quarter with no Supplies Section at the end of each quarter with 2 5.00 5.00 3.00 11.00
revision. revisions.
100% of COVID 19 Health protocols performed daily 100% (128) of COVID 19 Health protocols performed
with 90% of VS and O rating with 100% of negative daily with 92.68% of VS and O rating with no negative 5.00 5.00 3.00 11.00
feedback addressed. feedback.
GENERAL ADMINISTRATION AND SUPPORT SERVICES
Quarterly Accomplishment Reports prepared and (2) Quarterly Accomplishment Reports prepared and
forwarded to the Division Head of the Ancillary forwarded to the Division Head of the Ancillary Services
Output 1. Periodic Reports 5.00 3.00 3.00 9.00
Services for consolidation on or before the third day of for consolidation on or before the third day of the
the following month, with no revision. following month, with no revision.
SUPPORT FUNCTIONS
MFO 2: Related and Other Services
Output 2. Enhanced At least 4 hours of Learning and Development 12 hours of Learning and Development Intervention
5.00 5.00
Competency/Skill of Personnel Intervention attended attended
100% (2) of related and other services provided as
Output 3. Related and Other 100% of related and other services provided as scheduled or as need arises with no negative feedback 5.00 5.00 3.00 11.00
Services scheduled or as need arises with no negative feedback
AVERAGE RATING 4.29

Comments and Recommendations for Development Purposes
Discussed with Date: Assessed by:

I certify that I discussed my Date: Final Rating by: Date:
assessment of the performance with
July 6, 2021 July 6, 2021 July 6, 2021
the employee.
MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ, RMT JOCEL C. CARANZO, MD,MHA
Radiologic Technologist II Medical Technologist II Chief of Hospital
Republic of the Philippines
Province of Oriental Mindoro
Odiong , Roxas Or. Mindoro
CONSOLIDATED SATISFACTION SURVEY RESULTS

for the month of January to June 2021
RADIOLOGY
No. of Quality Services

Client
Survey 1 2 3 4 5 % of VS & O 1
Services Questionnaire Forms Ratings
14.667 P F S VS O P
Magalang ang pagbibigay ng serbisyo 0 0 0 8 5 0
Mabilis na natutugunan ang pangangailangan 0 0 1 5 6 0

RADIOLOGY 95.45%
Natutugunan nang wasto at kumpleto ang 0 0 0 7 3 0
pangangailangan
Naibigay ng tama ang serbisyong nararapat sa

0 0 1 4 4 0
mga pasyente
Average (% Rating) 0.00% 0.00% 4.55% 54.55% 40.91% 100%
Total Score 44
Percentage Rate Approved:

90-100% 5
80-89.99% 4 JOCEL C. CARANZO, MD,MHA
70-79.99% 3 Chief of Hospital
60-69.99% 2
0-59.99% 1
JANUARY FEBRUARY MARCH APRIL MAY JUNE
2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
F S VS O P F S VS O P F S VS O P F S VS O P F S VS O P F S VS O
0 0 2 0 0 0 0 2 4 0 0 0 1 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0
0 0 2 0 0 0 0 2 4 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1
0 0 2 0 0 0 0 2 2 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0
0 0 0 0 0 0 0 2 2 0 0 0 1 1 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0
Republic of the Philippines
Province of Oriental Mindoro
Odiong , Roxas Or. Mindoro
CONSOLIDATED SATISFACTION SURVEY RESULTS

for the month of January to June 2021
COVID PROTOCOL
ANCILLARY-RADIOLOGY
Merlin Jetro G. Martinez
No. of Quality Services

Client
Survey 1 2 3 4 5 % of VS & O 1
Services Questionnaire Forms Ratings
13.667 P F S VS O P
Kumpleto ang kagamitan /kasuotang

pangkaligtasan laban sa COVID 19 (Mask, 0 0 1 6 8 0
gloves, face shield gown(PPE) )
COVID PROTOCOL- Maingat sa pagbibigay ng serbisyo ayon sa

ANCILLARY SERVICE- patakaran sa pag-iwas sa COVID 19 (Physical 0 0 1 5 9 92.68% 0
X-RAY distancing, hindi lagpas sa 15 minuto ang
pakikipagusap)
Natugunan ang pangangailangan ng pasyente

0 0 1 3 7 0
na naayon sa COVID 19 Protocol
Average (% Rating) 0.00% 0.00% 7.32% 34.15% 58.54% 100%
Total Score 41
Percentage Rate Approved:

90-100% 5
80-89.99% 4 JOCEL C. CARANZO, MD,MHA
70-79.99% 3 Chief of Hospital
60-69.99% 2
0-59.99% 1
JANUARY FEBRUARY MARCH APRIL MAY JUNE
2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
F S VS O P F S VS O P F S VS O P F S VS O P F S VS O P F S VS O
0 0 1 1 0 0 1 4 3 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1
0 0 1 2 0 0 1 3 3 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1
0 0 0 1 0 0 1 2 2 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1
RADIOLOGY DEPARTMENT
QUARTERLY ACCOMPLISHMENT REPORT
For the Year 2021
OUTPUT
ACTIVITY
JAN FEB MARCH APRIL MAY JUNE JULY AUG SEP OCT NOV DEC
RADIOGRAPHIC
PROCEDURES 3 17 2 1 2 2
PERFORMED/ ASSISTED
RADIOGRAPHIC RESULTS
REVIEWED AND 3 17 2 3 2 2
RELEASED
MAINTENANCE OF
RADIOLOGIC 1 0 0 0 0 1
EQUIPMENTS
4 REQUEST OF SUPPLIES
PREPARED AND
1 0 1 1 0 1
SUBMITTED TO THE
SUPPLIES SECTION
Prepared and submitted by: Received by:
MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ

Radiology Ancillary-Head
DATE: ____________ DATE: ____________

INDIVIDUAL PERFORMANCE MONITORING TOOL
JANUARY TO JUNE 2020
OFFICE/DEPARTMENT/DIVISION: ORIENTAL MINDORO SOUTHERN DISSTRICT HOSPITAL/ANCILLARY/RADIOLOGY

NAME OF EMPLOYEE: MERLIN JETRO G. MARTINEZ, RRT
POSITION TITLE: Radiologic Technologist II
ACTUAL ACCOMPLISHMENT
SUCCESS INDICATORS
JAN FEB MAR
100% of Radiographic procedures performed 10 minutes upon 1183 834 458
receipt of request per patient with no error
100% of Radiographic results reviewed and released 10 minutes 1183 834 458
upon requests on scheduled date of release per patient with 90%
of VS and O rating with 100% of negative feedback addressed.
2 maintenance of Radiologic Equipments performed at the end of 1 1
each quarter with 100% reliability
4 Request of Supplies prepared and submitted to the Supplies 1 1
Section at the end of each quarter with no revision.
100% of COVID 19 Health protocols performed daily with 90% of
VS and O rating with 100% of negative feedback addressed.
Quarterly Accomplishment Reports prepared and forwarded to

the Division Head of the Ancillary Services for consolidation on or
before the third day of the following month, with no revision.
1 Seminar/Training attended. 1
100% of related and other services provided as scheduled or as 1

need arises with no negative feedback
PREPARED BY: NOTED BY:
MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ, RMT

Employee Supervisor
OL
ITAL/ANCILLARY/RADIOLOGY
TUAL ACCOMPLISHMENT
TOTAL REMARKS
APRIL MAY JUNE
142 215 280 3,112
142 215 280 3,112
1 1 4
1 1 4
1 1
1 1 3 see attached list of

training/Seminars attended
1 see attach list of related

activity
K EDISON G. MARTINEZ, RMT

Supervisor
JULY TO DECEMBER 2020

SUCCESS INDICATORS
JUL AUG SEPT
100% of Radiographic procedures performed 10 minutes upon 473 230 0
receipt of request per patient with no error
100% of Radiographic results reviewed and released 10 minutes 473 230 120
2 maintenance of Radiologic Equipments performed at the end of 1 1
each quarter with 100% reliability
2 Request of Supplies prepared and submitted to the Supplies 1 1
Section at the end of each quarter with no revision
Third Quarterly Accomplishment Report prepared and forwarded

to the Division Head of the Ancillary Services for consolidation on
October 3, 2019, no error
1 Seminar/Training attended. 1
100% related and other services attended as scheduled or as

need arises with no negative feedback

Employee Supervisor
OL
ITAL/ANCILLARY/RADIOLOGY
TUAL ACCOMPLISHMENT
TOTAL REMARKS
OCT NOV DEC
16 20 10 749
23 12 9 867
1 3
12/31/1899 1
1 2 see attached list of

- see attach list of related

activity
K EDISON G. MARTINEZ, RMT

Supervisor
JANUARY TO JUNE 2021

SUCCESS INDICATORS TOTAL REMARKS
JAN FEB MAR APRIL MAY JUNE
100% of patients provided / assisted with radiologic services as 3 17 2 1 2 2 27
scheduled with no error
100% of Radiographic results reviewed and released 10 minutes 3 17 2 3 2 2 29

2 maintenance of Radiologic Equipments performed at the end of 1 0 0 0 0 1 2
each quarter with no error
4 Request of Supplies prepared and submitted to the Supplies 1 0 1 1 0 1 4
Section at the end of each quarter with no revision.
100% of COVID 19 Health protocols performed daily with 90% of 22 20 22 21 21 22 128
VS and O rating with 100% of negative feedback addressed.
Quarterly Accomplishment Reports prepared and forwarded to 0 0 0 1 0 0 1

the Division Head of the Ancillary Services for consolidation on or
before the third day of the following month, with no revision.
1 Seminar/Training attended. 0 1 0 0 1 0 2 see attached list of

100% of related and other services provided as scheduled or as 0 0 1 0 0 0 1 see attach list of related
need arises with no negative feedback activity

Employee Supervisor
DEPARTMENT/DIVISION TARGETS AND ACCOMPLISHMENT
SUMMARY
Department: Oriental Mindoro Southern District Hospital

Division: ANCILLARY SERVICE
Department Head: MARK EDISON G. MARTINEZ, RMT
TARGETS ACTUAL ACCOMPLISHMENT
OUTPUTS Effectiveness/ Effectiveness

Quantity/ Efficiency Timeliness Quantity/ Efficiency Timeliness OPCR RATING REMARKS
Quality / Quality
CORE FUNCTIONS
MFO 1 : Quality and Affordable Hospital Services
Output 1: Laboratory Services
100% (120, 902) of patients provided within 2 hours

100% of patients provided with 100%
no error as scheduled with laboratory services as scheduled after extraction 4.33
laboratory services as scheduled with reliability
per patient
with 100% reliability
with 6
Casual lab
1.1 Laboratory 100% of available laboratory
Examinations 100% (120, 902) of available laboratory 100 0% of Aides, 6
examination results recorded and 90% of VS and O VS and O Contractual
2 hours after examination results recorded and within 2 hours,
released 2 hours after examination per rating with 100% rating no Med Techs
examination per released 2 hours after examination per after extraction 4.33
patient with with 90% of VS and O rating negative feedback patient negative
addressed. patient with with 90% of VS and O rating feedback to per patient
with 100% negative feedback
with no negative feedback to address address
addressed.
Output 2: Dietary Services
100% of full/regular, modified, 100% (36,248) of full/regular, modified, with 96.88%

therapeutic diets prepared, apportioned 90% of VS and O therapeutic diets prepared, apportioned of VS and O
rating with 100% with 4
2.1 Meal Preparation and served as scheduled with 90% of negative feedback
as scheduled and served as scheduled with 96.88% rating, no as scheduled 4.33
Casuals
VS and O rating with 100% negative of VS and O rating with no negative negative
addressed.
feedback addressed. feedback to address feedback
100% of in-patient provided with proper 100% (14,974) of in-patient provided with 96.88%
90% of VS and O
of VS and O
diet per Doctors order as scheduled rating with 100% with proper diet per Doctors order as 10 mins upon
2.2 Meal Distribution as scheduled rating, no 4.33
with90% of VS and O rating with 100% negative feedback scheduled with 96.88% of VS and O negative
Doctor's order
negative feedback addressed. addressed. rating, no negative feedback to address feedback
100% of diet counselling performed 100% (48) of diet counselling performed with 96.88%
within 1 hour for OPD or 48 hours for In- 90% of VS and O 1 hour for OPD or within 1 hour for OPD or 48 hours for In- of VS and O 45 mins for OPD
rating with 100%
2.3 Diet Counselling Patient upon doctors' request with with negative feedback 48 hours for In- Patient upon doctors' request with 96.88% of rating, no or 40hours for In- 4.33
90% of VS and O rating with 100% of Patient VS and O rating, no negative feedback to negative Patient
addressed.
negative feedback addressed. address feedback
100% of In-Patient provided with proper diet within 30 minutes 100% (62) of In-Patient provided with proper within 30 minutes
2.4 Diet Computed computation within 30 minutes upon doctor's no error upon doctor's diet computation within 30 minutes upon no error upon doctor's 4.33
order with no error order doctor's order with no error. order
12 Monthly Cycle Menu prepared and 12 Monthly Cycle Menu prepared and
every 25th of the every 25th of the
2.5. Menu Planning submitted to the Chief of Hospital every 25th no error submitted to the Chief of Hospital every 25th no error 4.33
month month
of the month, with no error. of the month, with no error.
Output 3: Pharmacy Services
90% of VS
100% of items of drugs, medicines and 100% (2,262) of items of drugs, medicines
3.1 Storage and 90% of VS and O and O rating
supplies properly stocked and managed 30minutes upon and supplies properly stocked and managed 30 minutes upon
Management of Drugs, rating with 100% with 100%
30minutes upon receipt from BLOM with 90% receipt from 30minutes upon receipt from BLOM with receipt from 4.33
Medicines and Medical negative feedback negative
of VS and O rating with 100% of negative BLOM 100% of VS and O rating with no negative BLOM
Supplies addressed. feedback
feedback addressed. feedback to address.
addressed.
100% prescribed drugs, medicines and 90% of VS

supplies dispensed 10 minutes upon 90% of VS and O 100% (43,963) prescribed drugs, medicines and O rating
3.2 Issuance of Drugs, 10 minutes upon 10 minutes upon
rating with 100% and supplies dispensed 10 minutes upon with 100%
Medicines and Medical receipt of prescription with 90% of VS negative feedback
receipt of
receipt of prescription with 100% of VS and O negative
receipt of 4.33
Supplies and O rating with 100% of negative prescription prescription
addressed. rating with no negative feedback to address. feedback
feedback addressed. addressed.
100% of items of drugs, medicines and

every 2nd day of 12 Monthly Inventory report prepared every 2nd day
supplies properly stocked and managed
no error. the following and submitted to COH every 2nd day of no error. of the following 4.33
30minutes upon receipt from BLOM with month month
the following month withno error
with no error.
3.3 Inventory Report
100% of available drugs and medicines
report prepared and submitted to 100% (1) of available drugs and medicines
report prepared and submitted to Electronic
Electronic Drug Price Monitoring System no error. as scheduled
Drug Price Monitoring System of the
no error. as scheduled 4.33
of the Department of Health quarterly Department of Health quarterly with no error
with no error.
1 Prescription book and senior citizens record 1 Prescription book and senior citizens record
every end of the every end of the
book updated every end of the shift, with no no error. book updated every end of the shift, with no no error. 4.33
shift shift
error. error.
3.4 Pharmacy Records
100 % of Dangerous Drugs Record Book 100 % (258) of Dangerous Drugs Record
no error. 2x / week no error. 2x / week 4.33
updated twice a week,with no error. Book updated twice a week, with no error
Output 4. Radiology Services
100% of patients provided with 10 minutes upon 100% (3,861) of patients provided with 10 minutes upon
100%
radiologic services as scheduled with no no error. receipt of request radiologic services as scheduled with 100%
reliability
receipt of request 4.33
error. per patient reliability per patient
4.1 Radiographic
Procedures 100% of Radiographic results reviewed 10 minutes upon 100% (3,979) of Radiographic results 10 minutes upon
and released 10 minutes upon requests 90% of VS and O requests on reviewed and released 10 minutes upon requests on
rating with 100%
on scheduled date of release per patient negative feedback scheduled date of requests on scheduled date of release per no error scheduled date of 4.33
with 90% of VS and O rating with 100% release per patient with 100% of VS and O rating with no release per
addressed.
of negative feedback addressed. patient negative feed back to address patient
Output 5. Medical Social Services
100% Ward follow-up provided to 90% of VS and O 100% (2,848) Ward follow-up provided
patients 24 hours upon admission with rating with 100% 24 hours upon to patients 24 hours upon admission no negative 24 hours upon
4.33
90% of VS and O rating with 100% of negative feedback admission with 100% of VS and O rating with no feedback admission
negative feedback addressed. addressed. negative feedback
100% clients interviewed and classified 90% of VS and O 100% (3,290)of clients interviewed and
5.1. Social Welfare 10 minutes upon arrival with 90% of VS rating with 100% 10 minutes per classified 10 minutes upon arrival with no negative 10 minutes per
4.33
Services and O rating with 100% of negative negative feedback client upon arrival 100% of VS and O rating with with no feedback client upon arrival
feedback addressed. addressed. negative feedback
100% of Point of Service Intervention

90% of VS and O 100% (681) of Point of Service
provided to patients and families 10
rating with 100% 10 minutes per Intervention provided to patients and no negative 10 minutes per
minutes upon with 90% of VS and O 4.33
negative feedback client upon arrival families 10 minutes upon 1with no feedback client upon arrival
rating with 100% of negative feedback addressed. negative feedback
addressed.
MFO 2: General Administration and Support Services
9 Staff (permanent) supervised and 9 Staff (permanent) supervised and

monitored daily with no with 90% of VS no negative monitored daily with no with 95% of VS no negative
daily daily 4.33
and O rating with 100% of negative feedback and O rating with 100% of negative feedback
feedback addressed. feedback addressed.
Quarterly Accomplishment Report prepared Quarterly Accomplishment Report (4)

on or before the on or before the
and forwarded to the Division Head of the prepared and forwarded to the Division Head
no error. 3rd day of the no error. 3rd day of the 4.33
Ancillary Services for consolidation on 3rd day of the Ancillary Services for consolidation on
following month following month
of the following month 3rd day of the following month
1 DPCR (Jul-Dec 2019) prepared and 1 DPCR (Jan-Dec 2020) prepared and
submitted and 8 IPCR (Jul-Dec 2019) submitted and 8 IPCR (Jul-Dec 2019)
reviewed, signed and submitted to COH on reviewed, signed and submitted to COH on
no revision as scheduled no revision on October 4.33
January 23, 2020 with no revision. January 29, 2020 with no revision.
1 DPCRs (July to December 2019 2019) and 1 DPCRs (July to December 2019 2019) and
on January 31, on January 31,
9 IPCRs (July to December 2019) submitted no revision 9 IPCRs (July to December 2019) submitted no revision 4.33
2020 2020
to PHRMO to PHRMO
Support functions
Output 6. Enhanced 1 training/seminar attended 1 training, 1 seminar attended 5.00

Competency/Skill of 8 personnel attended training / 1personnel
Personnel 9personnel attended training / seminar. 5.00
attended seminar.
4 NEQAS (Clinical Chemistry, Serology, 4 NEQAS (Clinical Chemistry, Serology,

Output 7. Related and on or before Dec on or before Dec
Parasitology, Hematology) enrolled thru the no error. Parasitology, Hematology) enrolled thru the no error. 4.33
Other Services 31, 2020 31, 2020
NRL for accreditation purposes with no error NRL for accreditation purposes
no negative as scheduled or 100% (137) of related and other services no negative as scheduled or
100% of related and other services provided 4.33
feedback as ned arises provided feedback as ned arises
Seminars /Training /Workshop Attendedof Ancillary Department
July 1, 2018 to December 31, 2018
DATE VENUE EMPLOYEE Sem

January 21-24, 2020 Bluelane Hotel, Sta. Cruz, Mark Edison G. Martinez PMDT DATA QUALIT
Manila
January 31, 2020 Oriental Mindoro Southern Mark Edison G. Martinez Occupational Safety
District Hospital Kristian Ian A. Delos Reyes
Conference Room Earl Kirsten Ruth F. Gamboa
Meriam Gene G. Perez
Gemma F. Yason
Abegail M. Catapang
Marigrace I. Datingguinoo
Girlie F. Ferias
February 7, 2020 Oriental Mindoro Southern Mark Edison G. Martinez COVID-19 Orientatio
District Hospital Kristian Ian A. Delos Reyes
Conference Room Earl Kirsten Ruth F. Gamboa
Gemma F. Yason
Abegail M. Catapang
Girlie F. Ferias
February 19-24, 2019 Bagiuo City Kristian Ian A. Delos Reyes Training for HIV Profi
February 23, 2020 Bagiuo City Earl Kirsten Ruth F. Gamboa Renewal of HIV Profi
March 11, 2020 Oriental Mindoro Provincial Mark Edison G. Martinez Zonal Blood Network
Hospital Blood Bank
May 10, 2020 ONLINE Kristian Ian A. Delos Reyes Biosecurity & Biosec
May 16, 2020 ONLINE Merlin Jetro G. Martinez High Impact Roles an
During COVID-19 Pan
June 12, 2020 ONLINE Merlin Jetro G. Martinez Utility of Emergency
Lung Ultrasound in C
August 6, 2020 ONLINE Merlin Jetro G. Martinez Resiliency Toolkit for
August 8, 2020 ONLINE Mark Edison G. Martinez PAMET President's C
September 23-25, 2020 Oriental Mindoro Provincial Mark Edison G. Martinez Hands-on Training o
Hospital Blood Bank Kristian Ian A. Delos Reyes
September 28-230, 2020 Earl Kirsten Ruth F. Gamboa
October 9, 2020 ONLINE Merlin Jetro G. Martinez GE: High Impact Role
Technologist During
November 9, 2020 Viking Grill, Roxas Girlie F. Ferias Asthma and the Lun
November 25-27, 2020 ONLINE Mark Edison G. Martinez 56th PAMET Annual
y Department
Seminar/Training Attended/
MDT DATA QUALITY CHECK AND PLAN
ccupational Safety and Health Standards
OVID-19 Orientation
raining for HIV Proficiency

enewal of HIV Proficiency
onal Blood Network Meeting
osecurity & Biosecurity Training for Laboratorians

igh Impact Roles and Safety of Radiology Technologist
uring COVID-19 Pandemic in Asia
tility of Emergency Department Point-of-Care
ung Ultrasound in Covid-19 webminar
esiliency Toolkit for New Normal
AMET President's Chapters Meeting
ands-on Training on Blood Banking Procedures
E: High Impact Roles and Safety of Radiology

echnologist During COVID-19 Pandemic in Asia
sthma and the Lungs
6th PAMET Annual Conference

Related and Other Services Provided
January 1 to December 31, 2020
Employee Related and Other Services Provided

Mark Edison G. Martinez As Gene expert Technician of TB Clinic ,performimg test 5 days a week. (120)
Earl Kirsten Ruth F. Gamboa As HIV Proficient Analyst of OMSDH HIV Clinic testing HIV 2X a week (48)
As Chronicler during Hospital general Meetings: Taking minutes of meetings (17) from
January 11, 2018 to June 14, 2018
Kristian Ian A. Delos Reyes Acting as Polution Control Officer

Mark Edison G. Martinez January 14-16, 2020
Kristian Ian A. Delos Reyes St. Lukes Surgical Mission
Earl Kirsten Ruth F. Gamboa OMSDH
Gemma F. Yason June 6-9, 2019
Merlin Jetro G. Martinez Operation Smile
Abegail M. Catapang OMSDH
Girlie F. Ferias
Abegail M. Catapang October 23, 2020; November 29, 2020; December 20, 2020
Gemma F. Yason Mobile Blood Donation
Earl Kirsten Ruth F. Gamboa OMSDH
Mark Edison G. Martinez
Kristian Ian A. Delos Reyes

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ORIENTAL MINDORO SOUTHERN DISTRICT HOSPITAL

INDIVIDUAL PERFORMANCE COMMITMENT (IPC)

MERLIN JETRO G. MARTINEZ, RRT

MARK EDISON G. MARTINEZ, JOCEL C. CARANZO, MD,MHA RATING SCALE 3-Satisfactory

2 maintenance of Radiologic Equipments performed at 2 maintenance of Radiologic Equipments performed at

Discussed with Date: Assessed by:I discussed my

MERLIN JETRO G. MARTINEZ, RRT

MARK EDISON G. MARTINEZ, JOCEL C. CARANZO, MD,MHA RATING SCALE 3-Satisfactory

2 maintenance of Radiologic Equipments performed at 2 maintenance of Radiologic Equipments performed at

AVERAGE RATING 4.29

Discussed with Date: Assessed by:

CONSOLIDATED SATISFACTION SURVEY RESULTS

No. of Quality Services

Magalang ang pagbibigay ng serbisyo 0 0 0 8 5 0

Mabilis na natutugunan ang pangangailangan 0 0 1 5 6 0

Naibigay ng tama ang serbisyong nararapat sa

Percentage Rate Approved:

CONSOLIDATED SATISFACTION SURVEY RESULTS

No. of Quality Services

Kumpleto ang kagamitan /kasuotang

COVID PROTOCOL- Maingat sa pagbibigay ng serbisyo ayon sa

Natugunan ang pangangailangan ng pasyente

Average (% Rating) 0.00% 0.00% 7.32% 34.15% 58.54% 100%

Percentage Rate Approved:

Prepared and submitted by: Received by:

MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ

DATE: ____________ DATE: ____________

OFFICE/DEPARTMENT/DIVISION: ORIENTAL MINDORO SOUTHERN DISSTRICT HOSPITAL/ANCILLARY/RADIOLOGY

Quarterly Accomplishment Reports prepared and forwarded to

100% of related and other services provided as scheduled or as 1

PREPARED BY: NOTED BY:

MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ, RMT

142 215 280 3,112

1 1 3 see attached list of

1 see attach list of related

K EDISON G. MARTINEZ, RMT

OFFICE/DEPARTMENT/DIVISION: ORIENTAL MINDORO SOUTHERN DISSTRICT HOSPITAL/ANCILLARY/RADIOLOGY

Third Quarterly Accomplishment Report prepared and forwarded

100% related and other services attended as scheduled or as

PREPARED BY: NOTED BY:

MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ, RMT

1 2 see attached list of

- see attach list of related

K EDISON G. MARTINEZ, RMT

OFFICE/DEPARTMENT/DIVISION: ORIENTAL MINDORO SOUTHERN DISSTRICT HOSPITAL/ANCILLARY/RADIOLOGY

100% of Radiographic results reviewed and released 10 minutes 3 17 2 3 2 2 29

Quarterly Accomplishment Reports prepared and forwarded to 0 0 0 1 0 0 1

1 Seminar/Training attended. 0 1 0 0 1 0 2 see attached list of

PREPARED BY: NOTED BY:

MERLIN JETRO G. MARTINEZ, RRT MARK EDISON G. MARTINEZ, RMT

Department: Oriental Mindoro Southern District Hospital

OUTPUTS Effectiveness/ Effectiveness

100% (120, 902) of patients provided within 2 hours

Output 2: Dietary Services

100% of full/regular, modified, 100% (36,248) of full/regular, modified, with 96.88%

Output 3: Pharmacy Services

100% prescribed drugs, medicines and 90% of VS

100% of items of drugs, medicines and

Output 5. Medical Social Services

100% of Point of Service Intervention

MFO 2: General Administration and Support Services

9 Staff (permanent) supervised and 9 Staff (permanent) supervised and

Quarterly Accomplishment Report prepared Quarterly Accomplishment Report (4)

DATE: DATE: