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I Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORA T!ON
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ACCREDITATION DEPARTMENT
12/F City State Centre, 709 Shaw Blvd Oranbo, Pasig Cit:y
Tel Nos. 63 7-99"99 loc 1:Z 14,. 1215 / 637-25-27 /Fax: 63 7-62-65
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27 November 2000
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': PHILHEAL TH CIRCULAR
No. 0~!{__ s. 2000
,I TO~ ; MEDICAL DIRECTORS AND ADlVllNlSTRATORSI OF ALL PHJLHEALTH
AC:REDlTED ~OSPITALS AND M.ANAGERS REGIONA.L HEALTHOJ.·
INStiRANCE OI•FlCES.
I SUBJECT :AMENDMENTS TO MEMORANDUIVI CIRCULA. No. 056 s. 1999.
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vie\"" of the revision of the I~nplementi~g
Rul.es and Regulation of Republic IAct 5. 7.8~ oth~r:wisc
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as the !'lat~onal Healt!1 Insurance 1~ct at ~?9_5. the 1~11~\vtng amendments ~o MemorandiJ!n Circular 0)6 s. 19?9 on
the gurdelmes regardmg the use ot the oJtrcral Adrmssron Logbook by Phdhealtb accreCillited ho:;pitals. one ol the
I continuing requisites of accreditation are hereby issued:

(I.) The Admission logbook should have the required 12 columns heading of which are as items (a.) lo (1.) below

I and should be properly· and completely accomplished as follows:

(a.) case number
(b.) date and time of admission
(c.) complete name of patient

II (d.) age
(e.) sex
(f) complete residential/ot11.ce address

II, (g.) membership

A. NHJP Beneficiaries:
(1.) Employed: GJ\,1- Governn1ent-member
GD -Government-dependent

I P:tvl - Private-member
PD - Private-dependent
(2.) Individually -paying:
SM - Self-employed-member
SD - Self-employed-dependent
OFJvi - OHV-member
OFD - OFW-dependent

I 0\VM - OV/WA-member
OV./D - 0\\'\VA-dependent
OT - Others

li (3.) Indigent:
IJ\1 - lndigent-mem ber
lD - Indigent-dependent
(4.) Pensioner/Retiree:

I B. Non-NHIP:
P/RM - Pensioner/Retiree-n1ember
P/RD - Pensioner/Retiree-dependent
NN - 1\on-NHIP

I (h.) admitting diagnosis

(i.) final diagnosis
U.) attending physician

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I (k.) disposition:
IMP - Improved UNIMP -Unimproved
TRANS - Transferred REF - Refened

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EXP - Expired
HAMA - Home against medical advice
WB -Well baby
ABS - Absconded
OT - Others

(!.) date and time of discharge

I (2.) At the end of every month, the Chief of Hospital or Medical Director should accomplish the monthly summary
of hospital activities in the Admission Logbook as follows: I

! I .
SUMMARY OF ACTIVITIES FOR THE MONTH OF

Number of patients remaining forwarded from the previous month-----'----

Number of patients admitted for the month I

Number of patients discharged for the month:

A. NHIP Beneficiaries
(1.) Employed:
GM PM

I- I GO
(2.) Individually paying:
PO

SM OFM OWM
SO OFO ___ owo
I (3.) Indigent:
OT
(4.) Pensioners/Retiree:
IM P/RM
I B. NON- NHIP:
10 P/RD

NN

Number of patients discharged for the month

Number of patients remaining to be forwarded to the succeeding month. ___!,___

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I Signature of the Medical Director/ Administrafor

N?n-compliance hereof shall be regar~ed as a violation ofSe~tion I~em

59 (g.) land a Breach of Warranties
I under Sectwn 157 of the IRR ofR.A. 7875. Sa1d offense shall be pumshable w1th a fine of not Jess than Ten
Thousand ( P I 0,000) pesos but not more than fifty Thousand ( P 50,000) pesos , and th1llee momhs suspension :liom
participation in the NHIP to revocation of accreditation.

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All other provisions of Philhealth Circular No. 05 6 s. 1999 not inconsistent herewith shll remain in force
and in effect.
For strict compliance.

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This Circular takes effect Janum·y 1, 2001.
0~'--7
ENRI~lJE M. ZALAMEA
President and CE~
I ACCRE:OITATION DEPARTMENT
NDT/Ivillrcvi::;cdC561 0~24~00

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