DOH-QCP-06-

Document Code
Form 1
MANAGEMENT REVIEW REPORT Revision No. 2

Effectivity 30 Apr 2020

DEPARTMENT OF HEALTH CENTER FOR HEALTH DEVELOPMENT –

CARAGA
Next review Date: October 17,
Date: October 11 , 2022 Period Covered: July - August 2022 2022
AGENDA

1. Follow up Status of Actions from Previous Approved by:

Management Review
2. Process Performance and Conformity via OPCR
3. Quality Management System Performance through CESAR C. CASSION, MD, MPH, CESO III
Audits and Self-Assessment Quality Management Representative/
Head of Office
4. Customer Feedback Results and Analysis
5. Performance Evaluation of External Providers Date:
6. Organizational Assessment
a) Changes in Internal and External Issues
b) Effectives of Actions to Address Risks and Noted by:
Opportunities
7. Agreements
a) Opportunities for Improvement SADAILA K. RAKI-IN, MD, MCHM, MDM, CESE
b) Changes in the QMS Deputy Quality Management Representative
c) Resource Needs
Date:
EXPECTED OUTPUT
Management Review Report
COPY FURNISHED:

AGENDA 1: FOLLOW UP STATUS OF ACTIONS FROM PREVIOUS MANAGEMENT REVIEW

Next Steps
No. Action Plans Status
If applicable
1
2
3

AGENDA 2: PROCESS PERFORMANCE AND CONFORMITY VIA OPCR

Actual Achieved?
No. Objective Target Remarks
Performance Y/N
STRATEGIC OBJECTIVES
 PDOHO – ADN
Provide LGUs with competencies and a. 100% (12) UHC Non- 100% (12/12 ) Y 1- province
I resources for Health System IS Provided with 10- municipalities
Strengthening Technical Assistance 1 -city
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 DOH-QCP-06-
Document Code
Form 1
MANAGEMENT REVIEW REPORT Revision No. 2

Effectivity 30 Apr 2020

Actual Achieved?
No. Objective Target Remarks
Performance Y/N

CORE OBJECTIVES

I To ensure that relevant policies, 100 % (6) of policies 200% (20/10) Y

guidelines, and programs are cascaded and programs with
to LGUs and other health partners. dissemination
campaigns/ activities
conducted
II To ensure efficacy on the provision of 100% of LGUs and other
technical assistance to LGUs and other health partners provided
Health Partners towards the with technical
achievement of UHC assistance :
a. (15) Public Health 100% (15/15) Y 3-
Programs NGOs(SHE,ACC
ORD,REACH
HEALTH,
12-LGUs
b. (12) Local Health 100% (12/12) Y 1-province
System Development 10-municipalities
1-city
III To effective monitoring of the 80 % of HFEP projects
implementation of HFEP projects monitored
a. 80 % of on-going 100% (10/10) Y DOH
HFEP infrastructure Implemented
projects monitored at On-going:
least once every Three 1.Comagascas
(3) months BHS,CBR
2.Bonifacio
BHS,LN
3.Consorcia
BHS.LN
4.Durian BHS,LN
5.So. Hinandayan
BHS, Nasipit
6. So. Tabon
BHS,Nasipit
7.Kitcharao RHU
8.Nasipit RHU
&Family Planning
LGU
Downloaded
(GAA):
1.Bay-ang BHS,
CBR
2.Dona Rosario
BHS,CBR

b. 80% of health
facilities provided with
HFEP equipment
monitored for
functionality of
equipment within the
rating period
IV To ensure access to effective, safe and 100% (167 )of priority
quality health care services through areas supplemented with ANNUAL N/A

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 DOH-QCP-06-
Document Code
Form 1
MANAGEMENT REVIEW REPORT Revision No. 2

Effectivity 30 Apr 2020

Actual Achieved?
No. Objective Target Remarks
Performance Y/N
provision of Health Human Resource HRH from DOH
Deployment Program
SUPPORT OBJECTIVES

I To ensure efficient utilization of DOH Budget Utilization Rate

funds 95% Obligation Still waiting for
Utilization Rate FUR from BO

85% Disbursement Still waiting for

Utilization Rate FUR from BO

II To ensure compliance with cross- a. 100% of documents/

cutting requirements based on standard requests processed 100% (24/24 ) Y
procedures and timelines in accordance within the prescribed
to ARTA and other relevant law timeline

FUND UTILIZATION
No. % Budget Utilization Target Actual Expenditure Achieved?
Expenditure Y/N
1. Obligation Utilization Rate 95% Obligation c/o Budget
Utilization Rate
2. Disbursement Utilization Rate 75% c/o Budget
Disbursement
Utilization Rate

AGENDA 3: QMS PERFORMANCE VIA AUDIT and SELF ASSESMSENT

IQA Findings Resources
RFA No. Actions Taken Status Remarks
(Brief Description) Needed
N/A

EQA Findings Resources

RFA No. Actions Taken Status Remarks
(Brief Description) Needed
N/A

Findings during Self- Actions Resources

RFA No. Status Remarks
assessment Taken Needed

AGENDA 4: CUSTOMER SATISFACTION AND FEEDBACK RESULTS AND ANALYSIS

Analysis / Action / Improvement Next Steps and Resources
No. Relevant Findings
Recommendation Plan Timeline Needed
August 2022
Total Number of Clients More clients in the field
-6 need to be served with
Sex Ratio:0:6 (M:F) the CSS survey tool to
DOH Employee be provided by PDOHO
Ratio:6:0(DOH staff during field work.
Employee -
HRHs:Non DOH)
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 DOH-QCP-06-
Document Code
Form 1
MANAGEMENT REVIEW REPORT Revision No. 2

Effectivity 30 Apr 2020

Analysis / Action / Improvement Next Steps and Resources

No. Relevant Findings
Recommendation Plan Timeline Needed
Response Rate-
100%
Average Overall
Expectation- 6.33
(High Expectation)
Overall SERVQUAL
Score – 0.17
(Exceeds
Expectation)
Average Overall
Service Quality –
3.80 (Excellent)
Overall SERVQUAL
Score per Dimension-
exceeds expectation
Most Frequent Routine
services-Submission

September 2022
Total Number of Clients
– 53 (Routine
Services &
Participants)
Sex Ratio:18:34
(M:F)
DOH Employee
Ratio: 49:3 (DOH
Employee
-(HRHs/Staff: Non
DOH)
Response Rate-
100%
Average Overall
Expectation- 6.9
(high Expectation)
Overall SERVQUAL
Score – 1.05
(Exceeds
Expectation)
Average Overall
Service Quality – 4
(Excellent)
Overall SERVQUAL
Score per Dimension-
Exceeds Expectation
Most Frequent
Routine Services-
Submission &
Technical
Assistance

AGENDA 5: PERFORMANCE EVALUATION OF EXTERNAL PROVIDERS

No. Externally Provided Provider Evaluation of Providers Actions/ Remarks
Services (Performance Rating)
I Catering Services Prince Hotel Satisfactory
II Various Suppliers Water Boy Poor Long delayed delivery
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 DOH-QCP-06-
Document Code
Form 1
MANAGEMENT REVIEW REPORT Revision No. 2

Effectivity 30 Apr 2020

No. Externally Provided Provider Evaluation of Providers Actions/ Remarks

Services (Performance Rating)
despite frequent follow-
up calls

AGENDA 6: ORGANIZATIONAL ASSESMENT

No. New Issues Identification of New Issues/ Actions &
Persons Responsible
INTERNAL
I No more Medical Screener assigned in
Agusan del Norte starting October 2022
II Low utilization of funds ( Agusan del Budget Office - request for reallocation of budget to other supplies, specifically
Norte Province has not billed the lot rental toner for the expensive HP laser jet Pro MFP printer allocated by Central Office .
amounting to 9,000 per month)
III HFEP in-charge for equipment still no
updates provided
IV Some items in the PR were cancelled and
are not needed for procurement
V Delayed submission of regular staff
payroll for the months of July, August, and
September 2022
EXTERNAL
I DTTB of Santiago is on study leave
II

No. Proposed Changes in Stakeholder Analysis

i.e. this could be additional stakeholders, change of classification/requirements of identified stakeholder

Effectiveness of Actions to Address Risks and Opportunities

Measures Implemented/ Was it
Risks Source
Status
effective?
Action Plans
Herd community cannot be Strengthen advocacy and On-going
reach due to religious sector coordinate with PHO and
and kulto Provincial DILG to convince
some Brgy. Officials to get
vaccinated

Effectiveness of Actions to Address Risks and Opportunities

Measures Implemented/ Was it
Opportunities Status Action Plans
Source effective?
Provincial Governor Amante >300.00 provided per vaccinated On-going Yes >Additional allocation of
has provided funds for >Amount allocated: 150,00 after Special
Santiago ,RTR & Santiago-350,000 Vaccination Day
Guinabsan, Buenavista  RTR- 50,000 Senior Citizen -300.00
during Bayanihan Bakunahan Guinabsan,Buenavista -30,500.00 1st Booster Shot –
SVD 100.00
Supportive and Submit list of unvaccinated to On-going
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 DOH-QCP-06-
Document Code
Form 1
MANAGEMENT REVIEW REPORT Revision No. 2

Effectivity 30 Apr 2020

Effectiveness of Actions to Address Risks and Opportunities

Measures Implemented/ Was it
Opportunities Source
Status
effective?
Action Plans
accommodating Provincial PHO and Provincial DILG
Health Officer II Dr. Ferrer

AGENDA 7: AGREEMENTS
Recommendations and Action Plans Timeline and Resources Responsibility
Opportunities for
Improvement
Changes in the
QMS
Resource Needs

- - Nothing Follows - -

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