PHILIPPINE RED CROSS BATANGAS CHAPTER

BLOOD CENTER

PROCESS FLOW OF HOSPITAL PARTNERSHIP

INITIAL APPLICATION OF MEMORANDUM OF AGREEMENT (MOA) AND
RECOMMENDATION TO DOH FOR THE ISSUANCE OF CERTIFICATE OF INCLUSION (COI)

Secure a copy of Letter of Intent to Philippine Red Cross Batangas Chapter Blood Center regarding to Blood Services Network. Please
include in the letter the following details to be used in Memorandum of Agreement:

a. Complete name and designation of principal signatory

b. Complete name of witness and designation (authorized person as second signatory)
c. Complete name of hospital, complete address, contact number and email address of Blood Service Facility

Address to: Mr. Ronald G. Generoso, EMT-B, RRT-3

Chapter Administrator
Philippine Red Cross-Batangas Chapter
Capitol Site, Kumintang Ibaba, Batangas City

Attached to the letter are the following requirements for MOA and recommendation for the issuance of Certificate of Inclusion:

a. Photocopy of the latest Authority/License to Operate as Blood Station / Blood Bank with Additional Function
b. List of Blood Service Facility Equipment
STEP c. List of Blood Service Facility Manpower
1 d. Photocopy of maintenance and calibration record of Blood Bank equipment
e. Policy on Management of Blood Inventory, Stored and Issued Blood
f. Contingency Plan During Equipment Breakdown
g. Photo of Hospital BSF and Equipment (Please note number of bed capacity of hospital and number of unit capacity of BB ref
h. Prepare and submit initial information using report listed below to be sent at prcbatangas.bloodservice@gmail.com
h.1 NVBSP Report –Blood Safety Indicator Report (Section 1, 4, 6 for Blood Station); HBB++ (Section 1-6) (Quarterly Report
every 1st of the month)
h.2.NVBSP Report-Collection/Blood Stocks Vs. Demand Report (Monthly every 1 st of the month)
h.3 NVBSP Report-Blood Monitoring Report (Monthly for HBB++ Only)
h.4 NVBSP Report-Blood Collected Units Per Municipality HBB++ only (Monthly every 1st of the month)
h.5 PRC Monthly Utilization (Monthly)
h.6 PRC Report-Blood Sources Report (Annual from previous year)
h.7 PRC Wastages Report (monthly)
h.8 PRC Report-Blood Letting Activity Conducted together with PRC BATS- BC (At least 2 schedules in a year)

NOTE: INCOMPLETE REQUIREMENTS WILL NOT BE PROCESSED.

STEP Submit the Letter of Intent together with the above mentioned documents to Ms. Rowena B. Mendoza for evaluation.
2

STEP Schedule of visit to Hospital Blood Service Facility Blood Station/HBB++. (Within 7 working days after submission of complete
3 requirements)

STEP Issuance of Draft Memorandum of Agreement between PRC and Hospital.

4

Approval of the Memorandum of Agreement? NO

YES

STEP The PRC Batangas Chapter Blood Center will notify the Hospital Blood Service Facility for the agreed schedule of MOA signing.
5 (within 7 working day or by appointment)

Is the hospital BSF qualified for the issuance of certificate of

NO
inclusion?

YES

STEP The Chapter will recommend the hospital for the issuance of Certificate of Inclusion to the DOH. (Up to 5 working days after sending
6 MOA)

Release and issuance of signed MOA from NHQ and Certificate of Inclusion issued by the Department of Health. (Notification will send
STEP
via email for pick-up)
7

END