IMPLEMENTATION REVIEW AND CATCH-UP PLANNING TO SUSTAIN FAST PLUS ENGAGEMENT

Workshop: Accomplishments, Challenges and Planned Actions

Name of Hospital: Dr. Jose Fabella Memorial Hospital
Date when the plan was made/finalized: August 03, 2023,
Category Accomplishments Challenges Plan List of
good
practices
(at least
2-3)
Intervention Responsible Timeline
Party
Governance  Approved hospital TB Policy  Approved hospital TB Policy not  Schedule for Hospital TB 4th Quarter
(e.g., approved hosp. TB disseminated yet to all hospital dissemination. Medical/Nurse
policy, dissemination, &  Strong collaboration with LGU and departments. Coordinator
implementation; DOH other NTP partners
certification, familiarity  Establishment of DOTS Clinic
and compliance to DOH  Hospital TB point persons are  Organizational Structure  meeting with hospital
NTP MOP protocols, familiar to TB related DOH memos  Chain of command – management to
memos; LGU and guidelines.  TB DOTS Committee facilitate issuance of
memos/advisories) under the Employees hospital order re:
Welfare hospital DOTS clinic
Financing  No workplan and budget for TB  Draft workplan and Hospital TB 4th Quarter
(e.g., hosp. TB plan with Lobby to hospital Medical/Nurse
budget, use of PHIC TB management Coordinator
package, etc.)

HHR  With functional Hospital TB  TB Notification Officer has other  Request for official TB Hospital TB 4th Quarter
(e.g., training on NTP committee assigned job Notification Officer or Medical/Nurse
MOP 6th ed., TB team, Hospital TB Nurse to Coordinator
committees, HCW  Hospital TB Medical/Nurse focus on TB
surveillance, etc.) Coordinator trained to MOP 6th Notification in the
Edition. hospital

 Conducted NTP Orientation among

healthcare workers last April 14,
2023 and registered new physicians
on ITIS.
Service Delivery  Hospital practiced XPERT MTB/Rif 4th Quarter
(e.g., screening, test as primary diagnostic test for  No designated staff to identify  To include in the Hospital TB
counselling, testing, TB. patients with cough/sneezing (first hospital TB Policy. Medical/Nurse
diagnosis, treatment,  Radiology Department submits CXR level of contact)  Establish screening of Coordinator
 contact investigation, screening data to hospital TB nurse  No designated Sputum Collection TB at all points using
TPT, etc.) and submits to LGU. Area TB Covid-Screening
*review CXR screening Form.
data, testing data, and  CXR screening to all hospital  No existing transport mechanism
ITIS data including TPT. employees for specimens sent to other  Identify area for
laboratories. Sputum Collection

 Coordinate with LGU

for schedule of strider
to the facility
Information System  Hospital has ITIS lite account.  No reported cases on MTBN (2023)  Nurse to schedule at Hospital TB
(e.g., Hospital TB least once a week Nurse
Notification Officer, IT encoding to MTBN. Coordinator
IS/IT IS Lite accounts
including MN Data,
registration of
physicians, action on
alerts, encoding &
reporting, monitoring,
etc.)
Others (to include
technology,
supplies)
TB med supply
TB Lab supplies
Access to Diagnostics
(in-house or links to NONE
external) NONE NONE NONE NONE
Radiology
RTDL
Other diagnostic tests
(DSSM, TB LAMP,
TrueNat)
Experience with use of
CAD or AI (mobile CXR
van or in-house)

Prepared by: __ROMEO REY T. OPJER, RN_ Noted By:__DR. MONINA B. TALADUA_