RAFAEL LAZATIN MEMORIAL MEDICAL CENTER

(Ospital Ning Angeles)

“PHIC Accredited Health Care Provider”
Visitacion Street corner Villa Rosario
Pampang, Angeles City, Philippines 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

Rafael Lazatin Memorial Medical Center Risk Management Plan for Pharmacy

Section A: Introduction

1. Internal Environment

Rafael Lazatin Memorial Medical Center is a hospital which includes pharmacy

services that is licensed to sell drug products, including temperature sensitive
products and controlled substances.

Rafael Lazatin Memorial Medical Center license number 03-0172-23-H1-1 located at

Visitacion Street, Villa Rosario Pampang, Angeles City, Pampanga 2009

Rafael Lazatin Memorial Medical Center is owned by the City Government of

Angeles.

The following the responsibilities of the pharmacist:

• The establishment is open round-the-clock under the supervision of a duly licensed

pharmacist.
• Assure the compliance with all legal and regulatory requirements.
• Ensure availability of affordable, quality, safe, and efficacious medicines/drug
products.
• Maintain the good condition of the storeroom, manage the storage of drug products
•

Attached is the organizational chart of the establishment.

In case of emergency, the following are the contact information of the Risk
Management Officer

Mariper Santos Porac, Pampanga 09176841016

John Carlo De Silva Concepcion, Tarlac 09261980693

 RAFAEL LAZATIN MEMORIAL MEDICAL CENTER
(Ospital Ning Angeles)
“PHIC Accredited Health Care Provider”
Visitacion Street corner Villa Rosario
Pampang, Angeles City, Philippines 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

2. Risk Management Approach

The establishment will use the SOP (SOP No. 1-18). The RMP will be reviewed 3
months before the expiration of the LTO. Minutes of the meeting will be taken.

3. Risk Management Objectives

Our general risk management objective is to ensure the safety, efficacy, and quality
of drug products SPECIFICALLY:

• Ensure availability of drugs

• Ensure compliance to GSP
• Ensure compliance with government regulations

Objective Category
Objective Name Particulars KRA KPI
Ensure availability Availability of drug Drugs available Prescribed
of drugs in the pharmacy inside the hospital medicines are in the
pharmacy PNF and hospital
formulary
Emergency cart Availability of drug Emergency drugs
drugs in the pharmacy are in the purchase
requests and petty
cash expenses
Ensure compliance Room temperature Products stored and Daily writing on
in GSP monitoring maintained in temperature
correct temperature monitoring card
Cold Chain Consistent
Management in temperature in cold
Cold Boxes box
Ensure compliance Records and reports Full compliance Up to date
with government submission of
regulations records and reports

4. Data Lock Point

The data lock point is set 3 months before the expiration of the validity of the LTO.
 RAFAEL LAZATIN MEMORIAL MEDICAL CENTER
(Ospital Ning Angeles)
“PHIC Accredited Health Care Provider”
Visitacion Street corner Villa Rosario
Pampang, Angeles City, Philippines 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

Section B: Risk Identification

1. Risk Universe

Ensure availability of drugs

Availability of drug in the pharmacy
Physicians prescribing NON-PNF drugs
Lack of drug alternative to treatment
Lack of funding (highest risk)
Slow deliveries
Drug was pulled out of market
Emergency cart drugs
Lack of time to check per station or department
Lack of funding
Slow deliveries
Near expiry drugs not replaced

Ensure compliance in GSP

Room temperature monitoring
Lack of time to write
Card place in an inconspicuous space
Forgetting to write in the card (highest risk)
Cold Chain Management in Cold Boxes
Irregularly checking
Ice packs (highest risk)

Ensure compliance with government regulations

Records and reports
Lack of time to check
Poor internet connection
Lack or no data (highest risk)
Slow computer

2. Risk Assessment

The Risk Matrix was used to assess the risk identified in the risk universe and
prioritize them.
 RAFAEL LAZATIN MEMORIAL MEDICAL CENTER
(Ospital Ning Angeles)
“PHIC Accredited Health Care Provider”
Visitacion Street corner Villa Rosario
Pampang, Angeles City, Philippines 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

3. Summary Risk Register

Naming Convention Priority Risk Risk Management

Objective
Funding Risk Lack of funding may cause Ensure availability of
delay of treatment, cure, drugs
and prolong hospitalization
of the patient
Writing Risk Forgetting to write the Ensure compliance in
temperature in the GSP
monitoring card may lead
to sanctions if FDA have a
surprise visit
Ice pack Risk Temperate ice pack may Ensure compliance in
lead to biological products GSP
ineffectivity
Data Risk Administrative reports Ensure compliance with
prepared by pharmacy government regulations
staff are necessary for
sound management

4. Unknown Risks

The risk management officer, in coordination with the store staff, will also address
risks not previously identified in the SOP.

Section C: Risk Minimization

Priority Risk Routine Risk Additional Risk

Minimization Minimization
Funding Risk Conduct regular Lobby of additional budget
discussion with from the city government
stakeholders
Writing Risk Regular alarm/ reminder to Add a to do list
write at the temperature
monitoring card
Ice pack Risk Replacement of ice pack Additional purchase of ice
every 3 hours or when the packs for emergency room
ice packs are sub cold
temperature
Data Risk Conduct regular No additional risk
discussion with staff and minimization required
pharmacist
 RAFAEL LAZATIN MEMORIAL MEDICAL CENTER
(Ospital Ning Angeles)
“PHIC Accredited Health Care Provider”
Visitacion Street corner Villa Rosario
Pampang, Angeles City, Philippines 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

Section D: Risk Communication

Funding Risk
Criteria Communication Content Medium
Drug prices Inform on the changes and Oral communication/
prices in the DPRI formal letter

Writing Risk
Criteria Communication Content Medium
Writing in the temperature Remind of daily writing Oral communication
monitoring card

Ice pack Risk

Criteria Communication Content Medium
Replacement of ice pack Remind of replacement of Oral communication
ice packs in the cold box

Section E: Risk Monitoring and Management Evaluation

1. Routine Evaluation
The pharmacy will review on the date indicated in the cover
The pharmacy will monitor the effectiveness or outcomes of the RMP every 2
years

2. Additional Evaluation
The RMP will review the RMP in cases of critical or new issues have shown
up.
 RAFAEL LAZATIN MEMORIAL MEDICAL CENTER
(Ospital Ning Angeles)
“PHIC Accredited Health Care Provider”
Visitacion Street corner Villa Rosario
Pampang, Angeles City, Philippines 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

Rafael Lazatin Memorial Medical Center

Visitacion Street, Villa Rosario
Pampang, Angeles City, Pampanga 2009
Tel. Nos.: (045) 322-1222, (045) 322-4495, (045) 887-4133
e-mail: ona_rlmmc@yahoo.com

Prepared by: Mariper D. Santos, RPh, MPA

Reviewed and Approved by: Froilan A. Canlas, M.D.

Date of Effectivity: July 2023

Date of Review: December 2023 (or 3 months before the expiration of LTO)