Republic of the Philippines

Department of Health
OFFICE OF THE CHIEF OF STAFF
ONE HOSPITAL COMMAND CENTER

MEMORANDUM

TO : ALL ONE HOSPITAL COMMAND CENTER EMPLOYEES/ STAFF

FROM : BERNADETT P. VELASCO, MD, FPCEM

Medical Specialist III / Operations Manager
One Hospital Command Center

DATE : JULY 28, 2021

SUBJECT : Approved Operational Definition of Event Dispositions

To operationalize the use of appropriate event disposition in event closing that is one of the vital
parameters obtained and to be reported in the Accomplishment Report (daily, weekly, monthly,
and quarterly), a consensus final definition and guidelines is hereby assigned accordingly and will
be effective starting August 1, 2021:

DISPOSITION DEFINITION DATA NEEDED

BEFORE CLOSING
OHCC# CT:
FIRST CALL Prio 15, Pureforce dispatcher or CT | Contact person/guardian:
RESOLUTION facilitates the query of patient and | Name of patient (first,
middle, last):
close the Event
| Age/Sex:
| Birthdate:
| Contact#:
| Current location:
| Home address:
| Transport:
| Occupation:
| Query:
| Answer details:
| Query Addressed
REFERRED BY OHCC • Successfully referred the patient • Admitting Facility
AND ADMITTED and admitted to any healthcare
facility (LGU QF / MEGA • Date and time of
TTMF/ OK HIF / HOSPITAL) admission/time being
• The patient was referred in the managed in the ER
hospital and was seen and
managed in the ER • Transport Provision
• Patient brought to OHCC referred
hospital and was being checked • Receiving
by a physician and advised to do physician/nurse
some laboratories before sending
the patient home.
• The patient expired at the
receiving hospital but was catered
and seen by any HCW

> If the case was managed in the ER and

assessed as non-admissible and need
for OPD schedule, close the existing
event and tagged as > Referred by
OHCC and Admitted and create a
new event under Priority 12
(Coordinator handling the case will
create the event)
REFERRED BY • OHCC personnel referred the • A call was received by
OTHER OPCEN patient to other OPCEN and the the patient/client from
referring OPCEN acknowledged to the receiving OPCEN
take the responsibility of the
patient’s request (hospital and • Provide the name of the
isolation referral). focal person.
• Transfer of Accountability to the
concerned OPCEN. • Provide the hotline of the
• For OPCEN WITHOUT CAD, OPCEN
close the event once acknowledged
and monitor using a separate google • Identified
spreadsheet focal/BHERT/DSO
• For OPCEN WITH CAD, change
assigned to assist the
the event type of existing CH event
to regional type once patient
acknowledged. That event will stay
pending in Pureforce and will
monitor if the case is being handled
by the Regional OHCC Coordinator
(NCR, HEMB, Region VIII, XI )
REFERRED AND • Referred by OHCC personnel and • Receiving Facility
CONDUCTED BUT was conducted to another hospital • Transport Provision
EXPIRED AT but expired in the receiving hospital • Estimated Time of Death
RECEIVING without being seen/assessed by a
doctor or managed by the ER. This
FACILITY
 is applicable for hospital admission, • Verbalization from the
interfacility transfer and relative/guardian that
repatriation. patient expired (optional)
• Patient expired at the receiving
hospital while waiting in the ER or
to be catered by any HCW
ENDORSED TO LGU For Priority 16 (ROF) ONLY, currently • Attach memorandum for
FOR HOME located at OK hotels/BOQ hotels or in evidence
QUARANTINE overseas that was approved for home • Memorandum #
quarantine by the Inter Agency Task • Date of creation and
Force (IATF) through Memo release of Memorandum
• Mode of communication
Resolution 92
used to inform the
declined request
DECLINED REQUEST For Priority 16 (ROF) ONLY, currently • Attach memorandum for
FOR FACILITY – located at OK hotels/BOQ hotels or in evidence
BASED QUARANTINE overseas that was disapproved for home • Memorandum #
EXEMPTION
quarantine by the Inter Agency Task • Date of creation and
Force (IATF) through Memo release of Memorandum
• Mode of communication
Resolution 92 and will continue the
used to inform the
quarantine period.
declined request
SECURED FOR • For Priority 13 (Medical • Acceptance letter/email
ADMISSION Repatriation) ONLY, successfully of the receiving facility
referred to hospital and all (attach in PF CAD)
requirements are met with receiving • Receiving physician
hospital and physician but due to • Receiving Hospital (with
some reason, the patient cannot be contact info.)
transferred to that hospital • Certificate of exemption
immediately. from the BOQ and/or
• Accepted by a hospital before the any office responsible to
patient arrives at the Philippines
issue exemption
certificate/s
QUERY ADDRESSED • Query successfully addressed by the • RT PCR Testing: Date
coordinator. and Place of RT PCR
• Priority 15 inquiry ONLY: blood, Testing, facility that will
home care needs, financial conduct the testing,
assistance, sched of swab, ff up swab acknowledged by
result, vaccine, complaints, post- C/MESU.
mortem assistance and others • Blood Request:
• Coordinated with other agencies and Reference Code,
answer the patient’s query admitting facility, source
of blood product
> If the patient is pregnant , not in labor (facility), Time of pick
and no swab test – changed to priority up (optional).
15 and endorsed to LGU for swab test, • Vaccination: provide
will be tagged as query addressed. LGU hotline and name
of focal person.
 > Blood: reserved and has a reference
number but client failed to get it – query
addressed

TRANSPORT • OHCC successfully communicated / • Transportation provider:

SUCCESSFULLY coordinated to government and (gov’t or private)
CONDUCTED private sector for the transportation
of the patient to any receiving • Transportation focal
facility. person
• OHCC gave number of
transportation services to the
relative/client and the latter used
those to secure vehicle for the
patient.
• FOR PRIO 15: transportation
ONLY
TELECONSULTATION • OHCC MD / ROD gave consultation Prescription attached in PF
DONE BY OHCC MD to a patient and provide diagnostic or CAD (optional)
therapeutic advice through call.
Provided appropriate action
(Refer to chart 1)
depending on their assessment
(assessed as non-admissible). – for
TCS event Priority 14
• Provided e-prescription to the
patient
• The patient should NOT have a
MODERATE symptoms.
• Patient can be from community or
any health care facility
• If the patient assessed as admissible
to any healthcare facility or has other
request , close the existing TCS
event priority 14 and create new CH
event (Priority 1, 2, 5, 6, 10, 11, 12
or 15)
REFERRED FOR • For INSTITUTION-BASED • Schedule of Teleconsult
SPECIALIST TELECONSULTATION – for CH
TELECONSULTATION event Priority 14 • Teleconsult modality
• Referred by OHCC personnel to identified (i.e. FB, Viber,
specialist teleconsultation from Call)
(Refer to chart 2) another hospital or entity.
• Event can be closed once the • Facility and/or
schedule for teleconsultation is department to conduct
secured teleconsultation.
• If the patient assessed as admissible
to any healthcare facility or has other
request, close the existing CH event
priority 14 and create new CH event
(Priority 1, 2, 5, 6, 10, 11, 12 or 15)
REFERRED TO • If the request ONLY is OPD/check- • Schedule of appointment
HOSPITAL OPD up. The patient should be non-
COVID • Receiving physician or
• OHCC Personnel successfully HCW (optional)
coordinated with hospital for OPD
schedule • Receiving hospital
• Event can be closed once the OPD
schedule is secured
REFERRED BUT • OHCC Personnel successfully • Name of receiving
EXPIRED WHILE IN referred the patient to the receiving hospital if referred
TRANSIT hospital but expired during transit.
• OHCC Personnel assisted the • Contact number of
patient (called for hospitals but no hospital
acceptance given, patient is in
queue) but the patient expired in • Estimated Time of Death
transit while looking for available by the HCW in the
hospital. ambulance/transportation
• Applicable for Priority 1-11
• Document in remarks if assisted
with tele-CPR
REFERRED BUT • OHCC Personnel successfully • Name of receiving
EXPIRED AT HOME referred the patient to hospital but hospital if referred
expired at home
• OHCC Personnel assisted the patient • Contact number of
(called for hospitals but no hospital
acceptance given, patient is in
queue) but the patient expired at • Estimated Time of Death
home.
• Applicable for Priority 1-2, 10-11
• Document in remarks if assisted
with tele-CPR
REFERRED BUT • Successfully referred the patient to • Name of receiving
EXPIRED AT another hospital but expired at hospital if referred
REFERRING referring facility (hospital)
FACILITY • OHCC Personnel assisted the patient • Contact number of
(called for hospitals but no hospital
acceptance given, patient is in
queue) but the patient expired at the • Confirmation of death
referring facility (hospital) from HCW of referring
• In rare cases, it can be used for facility and name
Priority 5-6, if the patient is being referring facility
assisted or referred to any hospital
but was expired at the said • Estimated Time of Death
healthcare facility (HIF/TTMF).
• Applicable for Priority 3-6
• Document in remarks if assisted
with tele-CPR
EXPIRED AT HOME • Patient expired at home, OHCC • Receiving
(CPR – ASSISTED) Personnel assisted the patient physician/HCW
• Estimated time of death.
 through tele-CPR or first aid while • C/MHO declared death.
waiting for the ambulance. • Patient was brought to
• Applicable for Priority 1-2, 10-11 the funeral service
provider (optional).
• Status of responder (e.g.
responder exhausted) –
case to case basis.
EXPIRED AT HOME • OHCC Personnel called but patient • Reason for delay in
NO ASSISTANCE already expired at home and can’t be handling of case
REQUESTED revived by CPR. • Verbalization from
• OHCC Personnel offered tele-CPR client/relative that there
to relative of the unconscious patient is no more assistance
but refused the assistance needed and patient
• Applicable for Priority 1-2, 10-11 expired
• If the request is assistance to bring • Reason for
the patient to morgue or any request refusal/Verbal account
for the dead patient, create a new over the phone.
event under Priority 15: Post-
mortem assistance
EXPIRED AT • Applicable for Priority 3-6 Reason for delay in
REFERRING • The patient already expired at the handling of case
FACILITY referring facility (hospital) before
the coordination of OHCC to any
hospital
• The patient still reported conscious
at the time of Call Taker’s Triaging
but expired at his current location
(hospital) when the coordinator
called.
EXPIRED WHILE IN • Applicable for Priority 1-11 Reason for delay in
TRANSIT • The patient already expired in transit handling of case
during hospital hopping and before
the coordination of OHCC to any
hospital
• The patient still reported conscious
at the time of Call Taker’s Triaging
but expired at his current location (or
transit) when the coordinator called
• The patient is not admitted nor
catered in the ER and is being held
in the ambulance

WALKED IN AND • Applicable for Priority 1-11 • Verify receiving facility

ADMITTED • Patient successfully admitted to if patient is admitted
hospital without the assistance of (ER/ward admission
OHCC Personnel acceptable)
• Patient’s relative coordinated with
other hospital where the patient is • Receiving
admitted or being catered in the ER HCW/Physician
 • FOR PRIO 1-6: The relative and/or • Name of Admitting
other entity communicated to other Facility
healthcare facility for the patient’s
successful admission/transfer • Person or entity
without the help from OHCC responsible for the
Personnel patient’s admission
• OHCC Personnel called the
healthcare facility and tried to refer
the patient but the relative reported
that they already secured admission
or transfer to other healthcare facility
and decided to push through the
admission/transfer to their chosen
facility
• For INTERFACILITY TRANSFER,
the relative asked helped to their
known doctor for the patient’s
transfer to hospital and was admitted
• For INTERFACILITY TRANSFER,
the referring MD endorsed the patient
to another hospital and was admitted
• For ISOLATION TRANSACTION:
The relative/agency/other entity
connected first with the LGU or other
government unit for the patient’s
isolation facility and was admitted
REQUEST • Client/ patient decided to cancel the • Reason for cancellation
CANCELLED request to OHCC and not due to
situational reason. (As long as the • Status of patient VS if
patient/client stated the need for available
admission or transfer, event WILL
NOT be closed) • Confirmation of the
• For Hospital Admission (Prio 1-2): LGU (LGU name, focal
Relative decided to defer the hospital person’s full name,
admission request as the patient is contact person)
already in good condition
• For PRIO 12-15: OHCC Coordinator
called the patient, but the
query/request was already handled by
other entity and NO coordination to
other agency was done
• FOR PRIO 16: 10 days had passed,
and NO memo was released for the
patient’s exemption for quarantine-
based facility
• FORINTERFACILITY TRANSFER
(PRIO 3-6): Relative decided to let
the patient stay at the referring
hospital or health care facility
because the patient is being catered
there
 • FOR ISOLATION TRANSACTION
(PRIO 7-11): Patient wanted to do
home quarantine and the OHCC
Personnel coordinated with the
respective LGU and was approved to
do home quarantine. (Data needed:
LGU name, focal person’s full name,
contact person)
• If the initial request is admission to
hospital or isolation facility and the
patient decided to be monitored by
the LGU and assessed as stable and
safe in staying at home – OHCC
Personnel should confirm the
coordination to LGU and if not
coordinated, endorsed the case to
LGU for monitoring. (Data needed:
LGU name, focal person’s full name,
contact person)

> Will not close the existing event

priority (hospital referral, interfacility
transfer) and make another event for
addressing the patient’s query. If there
is another request under the pending
event, create a new event for that
(coordinator handling the case will
create the event)
Template in Notes/remarks: New
Request for *insert existing event
number” | Pt’s name | Age | Sex | New
Request | Contact number; then copy
triage template from original event
number but edit some info aligned for
prio 15.

> Applicable to ALL priority

> It is the responsibility of the

coordinator to confirm with the LGU if
patient is stable and for assessment
REFUSED ADMISSION • Applicable to Priority 1-11, and13
TO ANY FACILITY • Patient and/or relative doesn’t want
to pursue the admission to any
healthcare facility despite persistent
efforts and strong
recommendation of the OHCC
coordinator and MDs to push
through the admission.
• FOR HOSPITAL REFERRAL
(PRIO 1-6): Patient MUST BE
 ADMISSIBLE and need urgent
higher hospital care but strongly
refusing admission/transfer even the
OHCC Personnel successfully
referred or assisted (queueing for
admission) the patient to the hospital
• For ISOLATION TRANSACTION
(prio 7-11), the patient opted to do
re-swab after being positive for not
less than 7 days and refusal to be
isolated in a quarantine-based
isolation facility (HIF/TTMF/LGU
QF). Source: IATF Resolution No.
123-C Series of 2021 (June 28,
2021).
• For ISOLATION TRANSACTION
(prio 7-11): Patient wanted to do
home quarantine and the OHCC
Personnel coordinated with the
respective LGU but was
disapproved due to patient’s
unconducive home
• The decision of patient’s admission
was from medical personnel/HCW
and assessed as admissible or need
for transfer but the patient/relative
refused admission/transfer

LOST CONTACT Client or patient cannot be reached for • Date and time of all
WITH THE CLIENT 72 hours or 3 days given that the attempts (8am-12pm-4pm-
coordinator tried to communicate at 8pm)
least 3 times in 24 hours and exhausted • Log all communication
all communication lines and measures lines used
including but not limited to SMS, • Type of contact (ringing
landline, TP, LGU coordination and no answer, ringing and
(through BHERT), and email. dropped, invalid number,
CBR, ringing and
cancelled, wrong number)
• Should be indicated that
the coordinator referred
the case to LGU that we
are unable to contact the
patient:

For Priority 1: If still

inactive after 1 hour, call
LGU
For Priority 2: If still
inactive after 3 hours, call
LGU
 Chart 1. Teleconsultation Done By OHCC MD

Chart 2. Referred to Specialist Teleconsultation

For strict compliance.

Noted by:

BERNADETT P. VELASCO, MD, FPCEM

Medical Specialist III / Operations Manager
One Hospital Command Center