Annex B.

Information Management System Assessment and Needs Analysis (IMSANA) Tool

LOCAL HEALTH SYSTEMS MATURITY LEVELS

INFO1: INFORMATION MANAGEMENT SYSTEM
KEY RESULT AREA 1.1
INFORMATION MANAGEMENT SYSTEM ASSESSMENT AND NEEDS ANALYSIS

A. INTRODUCTION
The Information Management System Assessment and Needs Analysis (IMSANA) is a self-assessment
that aims to track the progress of integration by the province/highly urbanized city (HUC)/independent
component city (ICC) for the Province-wide and City-wide Health System (P/CWHS) Characteristic on
Info1: Information Management System (Info1). Specifically, this Assessment is intended to:
1. Describe the state of IMS governance, strategy and investments by the Provincial/City Health Board
(P/CHB), through the Provincial/City Health Office (P/CHO), within the P/CWHS;
2. Determine the progress of implementation of all IMS works across all health facilities/offices within
the P/CWHS, including electronic medical records and telemedicine, among others;
3. Identify existing information and communications technology (ICT) capabilities, services, and
resources being used to manage health and health-related data and reports by the P/CHB, through
the P/CHO, and all health facilities/offices within its jurisdiction;
4. Update existing benchmark and standards on IMS of the P/CWHS; and
5. Provide inputs to the Department of Health (DOH) in determining and evaluating technical
assistance (TA) needs and resources of the P/CWHS.

B. GENERAL INSTRUCTIONS
1. The P/CHB, through the P/CHO, shall facilitate the conduct of the Information Management System
Assessment and Needs Analysis (IMSANA).

2. Upon completion of the IMSANA, the P/CHB, through the P/CHO, shall present the findings in a
narrative summary that is incorporated under the “Situational Analysis” section of their Local
Investment Plan for Health (LIPH) with the accomplished IMSANA tool annexed as supporting
evidence, and submit the approved LIPH to the CHD/MOH-BARMM for validation and analysis.

C. GENERAL INFORMATION
(To be accomplished by the P/CHO)
C.1. Fiscal Year:
(Indicate the fiscal year)
C.2. Province-Wide/City-Wide Health System of: C.3. Region:
(Indicate the name of the Province/ Highly Urbanized City
(HUC)/ Independent Component City (ICC))
C.4. Income Class 1st Class 2nd Class 3rd Class
4th Class 5th Class 6th Class
C.5. Assessment Period: From: To:
(Indicate the specific duration
when the assessment started and
ended)
C.6. Number of M: C.7. Total C.8. Total
Municipalities/Cities: CC: Number of Population:
a. Total number of Barangays: (Indicate the total
municipalities and a. Total population within
component cities within number of the province/
the province barangays
 within the HUC/ICC, year, and
province/ its source)
HUC/ICC
b. Total number of M: b. Total
municipalities and CC: number of
component cities that GIDA
committed to integration barangays
within the
province/
HUC/ICC

D. INFORMATION MANAGEMENT SYSTEM (IMS) ASSESSMENT

(To be accomplished by the P/CHO)
D.1. IMS GOVERNANCE
Parameter Response Options P/CWHS Means of Remarks
Response Verification (Put here
(Indicate the relevant
document that inputs,
corresponds to issues, and
the submitted challenges
response.) relating to
the
parameter
concerned.)
1. Does the P/CHB, 1 No dedicated unit/team exists
through the P/CHO, within the P/CHO that oversees and
have a dedicated manages the implementation of the
unit/team that oversees P/CWHS Characteristic on Info1.
and manages the 2. A unit/team is formally constituted
implementation of the though not fully functional.
P/CWHS 3 The unit/team has a scope of work
Characteristic on (SOW) and conduct consultations
Info1: Information with local implementers and other
Management System stakeholders.
within the entire 4 The unit/team is fully-functional,
P/CWHS? consults with local implementers and
other stakeholders, and oversees and
(Note: The manages the implementation of the
implementation of the P/CWHS Characteristic on Info1
P/CWHS based on a work plan.
Characteristic on 5 The unit/team is institutionalized
Info1 is prioritized at within the P/CHO, consults with
the local level through local implementers and other
dedicated stakeholders, and oversees and
bodies/mechanisms for manages the implementation of the
governance.) P/CWHS Characteristic on Info1
based on a work plan. It is locally
recognized as the dedicated technical
lead in the P/CHO for the
implementation of the P/CWHS
Characteristic on Info1.
 2. Does the P/CHB, 1 Nascent (Capacity Absent and Ad
through the P/CHO Hoc Activities)
convene all 2 Emerging (Defined processes and
implementers and structures)
other stakeholders in 3 Established (Processes and
the P/CWHS on a structures documented and
regular basis to gauge functional)
the progress of 4 Institutionalized (Systems used by
implementation of the the government and stakeholders)
P/CWHS 5 Optimized (Activities adoptable to
Characteristic on changes)
Info1: Information
Management System?
3. Is there a monitoring 1 Nascent (Capacity Absent and Ad
and compliance Hoc Activities)
mechanism within the 2 Emerging (Defined processes and
P/CWHS that structures)
measures the 3 Established (Processes and
performance and structures documented and
progress of functional)
implementation of the 4 Institutionalized (Systems used by
P/CWHS the government and stakeholders)
Characteristic on 5 Optimized (Activities adoptable to
Info1: Information changes)
Management System?
D.2. IMS STRATEGY AND INVESTMENT
Parameter Response Options P/CWHS Means of Remarks
Response Verification (Put here
(Indicate the relevant
document that inputs,
corresponds to issues, and
the submitted challenges
response.) relating to
the
parameter
concerned.)
1. Does your local health 1 The local health policy or strategy
policy or strategy does not clearly refer and account for
clearly refer and the implementation of the P/CWHS
account for the Characteristic on Info1 as a priority
implementation of the area to support the integration of your
P/CWHS local health system.
Characteristic on 2 The local health policy or strategy
Info1: Information that clearly refers and accounts for
Management System the implementation of the P/CWHS
as a priority area to Characteristic on Info1 as a priority
support the integration area to support the integration of
of your local health local health system is developed, but
system? not officially reviewed.
3 The local health policy or strategy
that clearly refers and accounts for
 the implementation of the P/CWHS
Characteristic on Info1 as a priority
area to support the integration of
local health system is approved.
4 The local health policy or strategy
that clearly refers and accounts for
the implementation of the P/CWHS
Characteristic on Info1 as a priority
area to support the integration of
local health system is partially
implemented with resources to
ensure full implementation.
5 The local health policy or strategy
that clearly refers and accounts for
the implementation of the P/CWHS
Characteristic on Info1 as a priority
area to support the integration of
local health system is fully
implemented with planning
underway for the next 3-5-year cycle.
2. Is the implementation 1 The implementation of P/CWHS
of P/CWHS Characteristic on Info1 is not
Characteristic on included in the LIPH, or any local
Info1: Information health strategy or plan. It is being
Management System implemented in an ad hoc fashion in
included in the Local local health programs.
Investment Plan for 2 There is some discussion of
Health (LIPH)? inclusion of P/CWHS Characteristic
on Info1 in the LIPH, or any local
(Note: The focus of this health or other relevant strategies or
question is on the plans. Proposed language for
inclusion/ inclusion of P/CWHS Characteristic
prioritization of on Info1 in the LIPH, or any local
P/CWHS health or other relevant strategies or
Characteristic on plans has been made and is under
Info1 in the LIPH, or review.
any local health or 3 The implementation of P/CWHS
other relevant Characteristic on Info1 is included in
strategies or plans.) the LIPH, or any local health or other
relevant strategies or plans.
4 The P/CWHS Characteristic on
Info1 is being implemented as part of
LIPH, or any local health or other
relevant strategies or plans.
5 The P/CWHS Characteristic on
Info1 is implemented and
periodically evaluated and optimized
as part of LIPH, or any local health or
other relevant strategies or plans.
3. Are the identified 1 The identified PAPs and system
programs, activities, interventions on P/CWHS
and projects (PAPs) Characteristic on Info1 in the LIPH
and system are not translated and budgeted for in
interventions on the AOP. These are being
P/CWHS implemented in an ad hoc fashion in
Characteristic on local health programs.
Info1: Information 2 There is some discussion of
Management System, translation and budgeting of PAPs
as reflected in the and system interventions on
LIPH, translated and P/CWHS Characteristic on Info1, as
budgeted for in the identified in the LIPH, in the AOP.
Annual Operational Proposed language for translation
Plan (AOP)? and budgeting of these PAPs and
system interventions on P/CWHS
(Note: The focus of this Characteristic on Info1 in the AOP
question is on the has been made and is under review.
inclusion financing, 3 The identified PAPs and system
and implementation of interventions on P/CWHS
identified PAPs and Characteristic on Info1 in the LIPH
system interventions are translated and budgeted for in the
on P/CWHS AOP, but not implemented.
Characteristic on 4 The identified PAPs and system
Info1 in the AOP.) interventions on P/CWHS
Characteristic on Info1 in the LIPH
are translated, budgeted for, and
implemented as part of AOP.
5 The identified PAPs and system
interventions on P/CWHS
Characteristic on Info1 in the LIPH
are implemented and periodically
evaluated and optimized as part of
AOP.
4. What is the estimated 1 No budget line item for P/CWHS
percentage (%) of the Characteristic on Info1 available. A
annual public spending budget line item for P/CWHS
on health committed to Characteristic on Info1 exists but
P/CWHS proportion not available.
Characteristic on 2 Less than 1%
Info1: Information 3 1-3%
Management System? 4 4-5%
5 Greater than 5%
(Note: Public funding
for P/CWHS
Characteristic on
Info1.)
5. What is the extent of 1 Not engaged
engagement of the 2 Less than 25% of the overall
private sector in the funding for P/CWHS Characteristic
implementation of
 P/CWHS on Info1: Information Management
Characteristic on System
Info1: Information 3 25-50% of the overall funding for
Management System P/CWHS Characteristic on Info1:
strategy and Information Management System.
investments? 4 51-75% of the overall funding for
P/CWHS Characteristic on Info1:
Information Management System.
5 Greater than 75% of the overall
funding for P/CWHS Characteristic
on Info1: Information Management
System.
6. Is your local health 1 The local health policy or strategy
policy or strategy on on the implementation of the
the implementation of P/CWHS Characteristic on Info1 is
the P/CWHS not flexible and agile and does not
Characteristic on respond to evolving national health
Info1: Information directions and public health
Management System emergencies.
flexible and agile to 2 The local health policy or strategy
respond to evolving on the implementation of the
national health P/CWHS Characteristic on Info1 is
directions and public on the process of being revised to be
health emergencies more flexible, agile and respond to
(e.g. pandemic, evolving national health directions
disasters, etc.)? and public health emergencies.
Proposed revision to align with
evolving national health directions
and support public health
emergencies through P/CWHS
Characteristic on Info1 PAPs and
system interventions has been made
and is under review.
3 The local health policy or strategy
on the implementation of the
P/CWHS Characteristic on Info1 is
flexible, agile and incorporates
related strategies, PAPs, and system
interventions to respond to evolving
national health directions and public
health emergencies.
4 The local health policy or strategy
on the implementation of the
P/CWHS Characteristic on Info1 is
flexible, agile, responsive to evolving
national health directions and public
health emergencies, and is
consistently implemented as needed.
5 The local health policy or strategy
on the implementation of the
 P/CWHS Characteristic on Info1 is
flexible, agile, responsive to evolving
national health directions and public
health emergencies, and is
consistently implemented as needed
with periodic evaluation.
D.3. IMS POLICY AND STANDARDS
Parameter Response Options P/CWHS Means of Remarks
Response Verification (Put here
(Indicate the relevant
document that inputs,
corresponds to issues, and
the submitted challenges
response.) relating to
the
parameter
concerned.)
1. Does your P/CWHS 1 There is no local health policy or
have a local health strategy mandating the
policy or strategy implementation of an integrated
mandating the health information system in all
implementation of an health facilities/offices, public and
integrated health private, within the P/CWHS.
information system in 2 There is a local health policy or
all health strategy mandating the
facilities/offices, implementation of an integrated
public and private, health information system in all
within its jurisdiction health facilities/offices, public and
as guided by relevant private, within the P/CWHS that has
national health been proposed and is under review.
policies and 3 There is a local health policy or
standards? strategy mandating the
implementation of an integrated
health information system in all
health facilities/offices, public and
private, within the P/CWHS that has
been passed, but has not yet been
fully implemented.
4 There is a local health policy or
strategy mandating the
implementation of an integrated
health information system in all
health facilities/offices, public and
private, within the P/CWHS that has
been implemented, but not
consistently enforced.
5 There is a local health policy or
strategy mandating the
implementation of an integrated
health information system in all
health facilities/offices, public and
 private, within the P/CWHS that has
been implemented and enforced
consistently.
2. Does your P/CWHS 1 There is no local health policy or
have a local health strategy mandating the
policy or strategy implementation of electronic medical
mandating the records in all health facilities/offices,
implementation of public and private, within the
electronic medical P/CWHS.
records in all health 2 There is a local health policy or
facilities/offices, strategy mandating the
public and private, implementation of electronic medical
within its jurisdiction records in all health facilities/offices,
as guided by relevant public and private, within the
national health P/CWHS that has been proposed and
policies and is under review.
standards? 3 There is a local health policy or
strategy mandating the
implementation of electronic medical
records in all health facilities/offices,
public and private, within the
P/CWHS that has been passed, but
has not yet been fully implemented.
4 There is a local health policy or
strategy mandating the
implementation of electronic medical
records in all health facilities/offices,
public and private, within the
P/CWHS that has been implemented,
but not consistently enforced.
5 There is a local health policy or
strategy mandating the
implementation of electronic medical
records in all health facilities/offices,
public and private, within the
P/CWHS that has been implemented
and enforced consistently.
3. Does your P/CWHS 1 There is no local health policy or
have a local health strategy mandating the adoption and
policy or strategy routine use of telemedicine in the
mandating the delivery of individual-based health
adoption and routine services in all health
use of telemedicine in facilities/offices, public and private,
the delivery of within the P/CWHS.
individual-based 2 There is a local health policy or
health services in all strategy mandating the adoption and
health routine use of telemedicine in the
facilities/offices, delivery of individual-based health
public and private, services in all health
within its jurisdiction facilities/offices, public and private,
 as guided by relevant within the P/CWHS that has been
national health proposed and is under review.
policies and 3 There is a local health policy or
standards? strategy mandating the adoption and
routine use of telemedicine in the
delivery of individual-based health
services in all health
facilities/offices, public and private,
within the P/CWHS that has been
passed, but has not yet been fully
implemented.
4 There is a local health policy or
strategy mandating the adoption and
routine use of telemedicine in the
delivery of individual-based health
services in all health
facilities/offices, public and private,
within the P/CWHS that has been
implemented, but not consistently
enforced.
5 There is a local health policy or
strategy mandating the adoption and
routine use of telemedicine in the
delivery of individual-based health
services in all health
facilities/offices, public and private,
within the P/CWHS that has been
implemented and enforced
consistently.
4. Does your P/CWHS 1 There is no local health policy or
have a local health strategy mandating the adoption and
policy or strategy use of national health data standards
mandating the for the interoperability of processing
adoption and use of and analysis of health and health-
national health data related data and reports, and among
standards for the implemented IMS services and
interoperability of applications in all health
processing and facilities/offices, public and private,
analysis of health and within the P/CWHS.
health-related data and 2 There is a local health policy or
reports, and among strategy mandating the adoption and
implemented use of national health data standards
information for the interoperability of processing
management system and analysis of health and health-
(IMS) services and related data and reports, and among
applications in all implemented IMS services and
health applications in all health
facilities/offices, facilities/offices, public and private,
public and private, within the P/CWHS that has been
within its jurisdiction proposed and is under review.
 as guided by relevant 3 There is a local health policy or
national health strategy mandating the adoption and
policies and use of national health data standards
standards? for the interoperability of processing
and analysis of health and health-
related data and reports, and among
implemented IMS services and
applications in all health
facilities/offices, public and private,
within the P/CWHS that has been
passed, but has not yet been fully
implemented.
4 There is a local health policy or
strategy mandating the adoption and
use of national health data standards
for the interoperability of processing
and analysis of health and health-
related data and reports, and among
implemented IMS services and
applications in all health
facilities/offices, public and private,
within the P/CWHS that has been
implemented, but not consistently
enforced.
5 There is a local health policy or
strategy mandating the adoption and
use of national health data standards
for the interoperability of processing
and analysis of health and health-
related data and reports, and among
implemented IMS services and
applications in all health
facilities/offices, public and private,
within the P/CWHS that has been
implemented and enforced
consistently.
5. Are mechanisms in 1 Nascent (Capacity Absent and Ad
place that promote Hoc Activities)
adoption and use of 2 Emerging (Defined processes and
standards, including structures)
establishment of best 3 Established (Processes and
practices for data structures documented and
capture, and functional)
realization of big data 4 Institutionalized (Systems used by
operations within the the government and stakeholders)
P/CWHS? 5 Optimized (Activities adoptable to
changes)
(Note: Existence of
mechanisms for the
promotion of
 standards – i.e.
effective standards
adoption and best
practices for data
capture are
established and
operational for
effective data
management at the
local level to be
realized.)
6. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework to
policy, strategy, protect privacy rights of individuals
protocol, or (i.e. data subjects), governing
framework to protect ownership, access, and sharing of
privacy rights of personal data, and institutionalizing
individuals (i.e. data the implementation of
subjects), governing organizational, physical and
ownership, access, technical security measures in all
processing, and health facilities/offices, public and
sharing of personal private, within the P/CWHS.
data, and 2 There is a local policy, strategy,
institutionalizing the protocol, or framework to protect
implementation of privacy rights of individuals (i.e. data
organizational, subjects), governing ownership,
physical and technical access, and sharing of personal data,
security measures in and institutionalizing the
all health implementation of organizational,
facilities/offices, physical and technical security
public and private, measures in all health
within its jurisdiction facilities/offices, public and private,
as guided by the Data within the P/CWHS that has been
Privacy Act of 2012, proposed and is under review.
its Implementing 3 There is a local health policy,
Rules and Regulations strategy, protocol, or framework to
(IRR), and other protect privacy rights of individuals
relevant issuances (i.e. data subjects), governing
from the National ownership, access, and sharing of
Privacy Commission personal data, and institutionalizing
(NPC)? the implementation of
organizational, physical and
technical security measures in all
health facilities/offices, public and
private, within the P/CWHS that has
been passed, but has not yet been
fully implemented.
4 There is a local health policy,
strategy, protocol, or framework to
protect privacy rights of individuals
 (i.e. data subjects), governing
ownership, access, and sharing of
personal data, and institutionalizing
the implementation of
organizational, physical and
technical security measures in all
health facilities/offices, public and
private, within the P/CWHS that has
been implemented, but not
consistently enforced.
5 There is a local health policy,
strategy, protocol, or framework to
protect privacy rights of individuals
(i.e. data subjects), governing
ownership, access, and sharing of
personal data, and institutionalizing
the implementation of
organizational, physical and
technical security measures in all
health facilities/offices, public and
private, within the P/CWHS that has
been implemented and enforced
consistently.
7. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework on
policy, strategy, cybersecurity that is relevant to the
protocol, or implementation of information and
framework on communications technologies (ICT)
cybersecurity that is for health, and processing of all
relevant to the health and health-related data in all
implementation of health facilities/offices, public and
information and private, within the P/CWHS.
communications 2 There is a local health policy,
technologies (ICT) for strategy, protocol, or framework on
health, and processing cybersecurity that is relevant to the
of all health and implementation of information and
health-related data in communications technologies (ICT)
all health for health, and processing of all
facilities/offices, health and health-related data in all
public and private, health facilities/offices, public and
within its jurisdiction private, within the P/CWHS that has
as guided by the been proposed and is under review.
National 3 There is a local health policy,
Cybersecurity Plan strategy, protocol, or framework on
and other relevant cybersecurity that is relevant to the
issuances from the implementation of information and
Department of communications technologies (ICT)
Information and for health, and processing of all
Communications health and health-related data in all
Technology (DICT) health facilities/offices, public and
 and the Department of private, within the P/CWHS that has
Health (DOH)? been passed, but has not yet been
fully implemented.
4 There is a local health policy,
strategy, protocol, or framework on
cybersecurity that is relevant to the
implementation of information and
communications technologies (ICT)
for health, and processing of all
health and health-related data in all
health facilities/offices, public and
private, within the P/CWHS that has
been implemented, but not
consistently enforced.
5 There is a local health policy,
strategy, protocol, or framework on
cybersecurity that is relevant to the
implementation of information and
communications technologies (ICT)
for health, and processing of all
health and health-related data in all
health facilities/offices, public and
private, within the P/CWHS that has
been implemented and enforced
consistently.
8. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework that
policy, strategy, governs ownership, access,
protocol, or processing, sharing, exchange, and
framework that submission of health and health-
governs ownership, related data to relevant public health
access, processing, authorities by all health
sharing, exchange, facilities/offices, public and private,
and submission of within the P/CWHS in accordance
health and health- with set national data quality, data
related data to relevant integrity, and data processing and
public health submission standards.
authorities by all 2 There is a local health policy,
health strategy, protocol, or framework that
facilities/offices, governs ownership, access,
public and private, processing, sharing, exchange, and
within its jurisdiction, submission of health and health-
based on set national related data to relevant public health
data quality, data authorities by all health
integrity, and data facilities/offices, public and private,
processing and within the P/CWHS in accordance
submission standards? with set national data quality, data
integrity, and data processing and
submission standards, that has been
proposed and is under review.
 3 There is a local health policy,
strategy, protocol, or framework that
governs ownership, access,
processing, sharing, exchange, and
submission of health and health-
related data to relevant public health
authorities by all health
facilities/offices, public and private,
within the P/CWHS, in accordance
with set national data quality, data
integrity, and data processing and
submission standards, that has been
passed, but has not yet been fully
implemented.
4 There is a local health policy,
strategy, protocol, or framework that
governs ownership, access,
processing, sharing, exchange, and
submission of health and health-
related data to relevant public health
authorities by all health
facilities/offices, public and private,
within the P/CWHS, in accordance
with set national data quality, data
integrity, and data processing and
submission standards, that has been
implemented, but not consistently
enforced.
5 There is a local health policy,
strategy, protocol, or framework that
governs ownership, access,
processing, sharing, exchange, and
submission of health and health-
related data to relevant public health
authorities by all health
facilities/offices, public and private,
within the P/CWHS, in accordance
with set national data quality, data
integrity, and data processing and
submission standards, that has been
implemented and enforced
consistently.
9. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework that
policy, strategy, governs mandatory compliance with
protocol, or submission for national online
framework that registries (e.g. master person index,
governs mandatory health workforce registry, health
compliance with facility registry, immunization
submission for registry, AEFI registry, ONEISS,
national online etc.) by all health facilities/offices,
registries (e.g. master public and private, within the
person index, health P/CWHS, in accordance with set
workforce registry, national data quality, data integrity,
national health facility and data processing and submission
registry, standards.
immunization 2 There is a local health policy,
registry, Adverse strategy, protocol, or framework that
Event Following governs mandatory compliance with
Immunization [AEFI] submission for national online
registry, Online registries (e.g. master person index,
National Electronic health workforce registry, health
Injury Surveillance facility registry, immunization
System [ONEISS], registry, AEFI registry, ONEISS,
etc.) by all health etc.) by all health facilities/offices,
facilities/offices, public and private, within the
public and private, P/CWHS, in accordance with set
within its jurisdiction national data quality, data integrity,
as guided by relevant and data processing and submission
national health policy standards, that has been proposed and
and standards? is under review.
3 There is a local health policy,
strategy, protocol, or framework that
governs mandatory compliance with
submission for national online
registries (e.g. master person index,
health workforce registry, health
facility registry, immunization
registry, AEFI registry, ONEISS,
etc.) by all health facilities/offices,
public and private, within the
P/CWHS, in accordance with set
national data quality, data integrity,
and data processing and submission
standards, that has been passed, but
has not yet been fully implemented.
4 There is a local health policy,
strategy, protocol, or framework that
governs mandatory compliance with
submission for national online
registries (e.g. master person index,
health workforce registry, health
facility registry, immunization
registry, AEFI registry, ONEISS,
etc.) by all health facilities/offices,
public and private, within the
P/CWHS, in accordance with set
national data quality, data integrity,
and data processing and submission
standards, that has been
 implemented, but not consistently
enforced.
5 There is a local health policy,
strategy, protocol, or framework that
governs mandatory compliance with
submission for national online
registries (e.g. master person index,
health workforce registry, health
facility registry, immunization
registry, AEFI registry, ONEISS,
etc.) by all health facilities/offices,
public and private, within the
P/CWHS, in accordance with set
national data quality, data integrity,
and data processing and submission
standards, that has been implemented
and enforced consistently.
10. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework that
policy, strategy, governs electronic coordination of
protocol, or referrals and secure sharing and/or
framework that exchange of medical/health records
governs electronic using a validated EMR system as
coordination of mandated for all health facilities/
referrals and secure offices, public and private, within the
sharing and/or P/CWHS.
exchange of 2 There is a local health policy,
medical/health records strategy, protocol, or framework that
using a validated EMR governs electronic coordination of
system as mandated referrals and secure sharing and/or
for all health facilities/ exchange of medical/health records
offices, public and using a validated EMR system as
private, within its mandated for all health facilities/
jurisdiction as guided offices, public and private, within the
by relevant national P/CWHS that has been proposed and
health policies and is under review.
standards? 3 There is a local health policy,
strategy, protocol, or framework that
governs electronic coordination of
referrals and secure sharing and/or
exchange of medical/health records
using a validated EMR system as
mandated for all health facilities/
offices, public and private, within the
P/CWHS that has been passed, but
has not yet been fully implemented.
4 There is a local health policy,
strategy, protocol, or framework that
governs electronic coordination of
referrals and secure sharing and/or
 exchange of medical/health records
using a validated EMR system as
mandated for all health facilities/
offices, public and private, within the
P/CWHS that has been implemented,
but not consistently enforced.
5 There is a local health policy,
strategy, protocol, or framework that
governs electronic coordination of
referrals and secure sharing and/or
exchange of medical/health records
using a validated EMR system as
mandated for all health facilities/
offices, public and private, within the
P/CWHS that has been implemented
and enforced consistently.
11. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework on
policy, strategy, individual identification and
protocol, or authentication management within
framework on the P/CWHS.
individual 2 There is a local health policy,
identification and strategy, protocol, or framework on
authentication individual identification and
management as authentication management within
guided by relevant the P/CWHS that has been proposed
national health and is under review.
policies and 3 There is a local health policy,
standards? strategy, protocol, or framework on
individual identification and
authentication management within
the P/CWHS that has been passed,
but has not yet been fully
implemented.
4 There is a local health policy,
strategy, protocol, or framework on
individual identification and
authentication management within
the P/CWHS that has been
implemented, but not consistently
enforced.
5 There is a local health policy,
strategy, protocol, or framework on
individual identification and
authentication management within
the P/CWHS that has been
implemented and enforced
consistently.
12. Does your P/CWHS 1 There is no local health policy,
have a local health strategy, protocol, or framework
 policy, strategy,
governing the implementation of
protocol, or
other IMS services and applications
framework governing
such as mHealth, personal health
the implementation of
record, artificial intelligence for
other information
health, etc.
management system
2 There is a local health policy,
(IMS) services and
strategy, protocol, or framework
applications such as
governing the implementation of
mobile health
other IMS services and applications
(mHealth), personal
such as mHealth, personal health
health record, artificial
record, artificial intelligence for
intelligence for health,
health, etc. that has been proposed
etc. as guided by
and is under review.
relevant national
3 There is a local health policy,
health policies and
strategy, protocol, or framework on
standards? governing the implementation of
other IMS services and applications
such as mHealth, personal health
record, artificial intelligence for
health, etc. that has been passed, but
has not yet been fully implemented.
4 There is a local health policy,
strategy, protocol, or framework
governing the implementation of
other IMS services and applications
such as mHealth, personal health
record, artificial intelligence for
health, etc. that has been
implemented, but not consistently
enforced.
5 There is a local health policy,
strategy, protocol, or framework
governing the implementation of
other IMS services and applications
such as mHealth, personal health
record, artificial intelligence for
health, etc. that has been
implemented and enforced
consistently.
D.4. HUMAN RESOURCES FOR HEALTH ICT
Parameter Response Options P/CWHS Means of Remarks
Response Verification (Put here
(Indicate the relevant
document that inputs,
corresponds to issues, and
the submitted challenges
response.) relating to
the
parameter
concerned.)
1. Does the P/CWHS 1 There is no local ordinance that
have a local ordinance institutionalizes the creation and
that institutionalizes hiring of staffing positions dedicated
the creation and hiring for the implementation of P/CWHS
of staffing positions Characteristic on Info1, or human
dedicated for the resources for health ICT for health
implementation of facilities/offices within the P/CWHS.
P/CWHS 2 There is a local ordinance that
Characteristic on institutionalizes the creation and
Info1, or human hiring of staffing positions dedicated
resources for health for the implementation of P/CWHS
ICT for health Characteristic on Info1, or human
facilities/offices resources for health ICT for health
within its jurisdiction? facilities/offices within the P/CWHS
that has been proposed and is under
review.
3 There is a local ordinance that
institutionalizes the creation and
hiring of staffing positions dedicated
for the implementation of P/CWHS
Characteristic on Info1, or human
resources for health ICT for health
facilities/offices within the P/CWHS
that has been passed, but has not yet
been fully implemented.
4 There is a local ordinance that
institutionalizes the creation and
hiring of staffing positions dedicated
for the implementation of P/CWHS
Characteristic on Info1, or human
resources for health ICT for health
facilities/offices within the P/CWHS
that has been implemented, but not
consistently enforced.
5 There is a local ordinance that
institutionalizes the creation and
hiring of staffing positions dedicated
for the implementation of P/CWHS
Characteristic on Info1, or human
resources for health ICT for health
facilities/offices within the P/CWHS
that has been implemented and
enforced consistently.
2. Do the health 1 No dedicated human resources for
facilities/offices health ICT exist at the health
within the P/CWHS facilities/offices within the P/CWHS
have dedicated human that oversee and manage the
resources for health implementation of the P/CWHS
ICT – i.e. oversee and Characteristic on Info1 within their
manage the respective facility/office.
 implementation of the 2. Human resources for health ICT
P/CWHS have been formally assigned though
Characteristic on not fully functional.
Info1: Information 3 Human resources for health ICT
Management System have a scope of work (SOW) and
within their respective conduct consultations with
facility/office? concerned end-users in their
respective facility/office.
4 Human resources for health ICT are
fully-functional, consults with
concerned end-users, and oversee
and manage the implementation of
the P/CWHS Characteristic on Info1
based on a work plan in their
respective facility/office.
5 Human resources for health ICT are
institutionalized within their
respective health facility/office,
consults with concerned end-users,
and oversee and manage the
implementation of the P/CWHS
Characteristic on Info1 based on a
work plan. These HR are locally
recognized as the dedicated focal by
the P/CHO for the implementation of
the P/CWHS Characteristic on Info1
in their respective health
facility/office.
3. What is the proportion 1 None of the health facilities/offices
of health have dedicated human resources for
facilities/offices health ICT that oversee and manage
within the P/CWHS the implementation of the P/CWHS
that have dedicated Characteristic on Info1 within their
human resources for respective facility/office.
health ICT – i.e. 2 1-25% of health facilities/offices
oversee and manage have dedicated human resources for
the implementation of health ICT that oversee and manage
the P/CWHS the implementation of the P/CWHS
Characteristic on Characteristic on Info1.
Info1: Information 3 26-50% of health facilities/offices
Management System? have dedicated human resources for
health ICT that oversee and manage
the implementation of the P/CWHS
Characteristic on Info1.
4 51-75% of health facilities/offices
have dedicated human resources for
health ICT that oversee and manage
the implementation of the P/CWHS
Characteristic on Info1.
 5 > 75 of health facilities/offices have
dedicated human resources for health
ICT that oversee and manage the
implementation of the P/CWHS
Characteristic on Info1.
4. What is the proportion 1 None of the health facilities/offices
of health have designated a DPO/COP.
facilities/offices 2 1-25% of health facilities/offices
within the P/CWHS have designated a DPO/COP.
that have designated a 3 26-50% of health facilities/offices
Data Protection have designated a DPO/COP.
Officer (DPO)/ 4 51-75% of health facilities/offices
Compliance Office for have designated a DPO/COP.
Privacy (COP)? 5 > 75 of health facilities/offices have
designated a DPO/COP.
5. What is the proportion 1 None of the health facilities/offices
of health have designated a CERT/CSO.
facilities/offices 2 1-25% of health facilities/offices
within the P/CWHS have designated a CERT/CSO.
that have designated a 3 26-50% of health facilities/offices
Computer Emergency have designated a CERT/CSO.
Response Team 4 51-75% of health facilities/offices
(CERT)/ have designated a CERT/CSO.
Cybersecurity Officer 5 > 75 of health facilities/offices have
(CSO)? designated a CERT/CSO.
6. Are mechanisms in 1 Nascent (Capacity Absent and Ad
place that facilitate Hoc Activities)
continuous learning 2 Emerging (Defined processes and
and development (i.e. structures)
in-service training) 3 Established (Processes and
among human structures documented and
resources for ICT in functional)
the implementation of 4 Institutionalized (Systems used by
the P/CWHS the government and stakeholders)
Characteristic on 5 Optimized (Activities adoptable to
Info1: Information changes)
Management System?
D.5. ICT INFRASTRUCTURE
Parameter Response Options P/CWHS Means of Remarks
Response Verification (Put here
(Indicate the relevant
document that inputs,
corresponds to issues, and
the submitted challenges
response.) relating to
the
parameter
concerned.)
1. Is there an articulated 1 There is no an articulated costed
costed plan for plan for supporting health ICT
supporting health ICT infrastructure (including ICT
 infrastructure equipment, servers and cloud,
(including ICT connectivity, recovery site, etc.)
equipment, servers provision and maintenance.
and cloud, 2 A costed plan for supporting health
connectivity, recovery ICT infrastructure (including ICT
site, etc.) provision equipment, servers and cloud,
and maintenance? connectivity, recovery site, etc.)
provision and maintenance has been
(Note: Planning and developed, but not implemented.
support for ongoing 3 A plan for supporting health ICT
health ICT infrastructure (including ICT
infrastructure equipment, servers and cloud,
maintenance.) connectivity, recovery site, etc.)
provision and maintenance has been
implemented partially, but not
consistently with estimated 0-50% of
necessary health ICT infrastructure
needed in the P/CWHS available and
in use.
4 A plan for supporting health ICT
infrastructure (including ICT
equipment, servers and cloud,
connectivity, recovery site, etc.)
provision and maintenance has been
implemented partially, but not
consistently with estimated 51-75%
of necessary health ICT
infrastructure needed in the P/CWHS
available and in use.
5 Health ICT infrastructure
(including ICT equipment, servers
and cloud, connectivity, recovery
site, etc.) provision and maintenance
is available, in use, and regularly
maintained and upgraded in > 75% of
the P/CWHS operations.
2. At what level is the 1 No access to electricity in any
availability/access to health facility/office within the
electricity within the P/CWHS.
P/CWHS? 2 Electricity is available in 1-25% of
all health facilities/offices within the
P/CWHS.
2 Electricity is available in 26-50% of
all health facilities/offices within the
P/CWHS.
3 Electricity is available in 51-75% of
all health facilities/offices within the
P/CWHS.
 4 Electricity is available in 76-90% of
all health facilities/offices within the
P/CWHS.
5 Electricity is available in all health
facilities/offices within the P/CWHS.
3. At what level is the 1 0-25% reliable for all health
reliability of facilities/offices with electricity.
electricity within the 2 26-50% reliable for all health
P/CWHS? facilities/offices with electricity.
3 51-75% reliable for all health
facilities/offices with electricity.
4 76-90% reliable for all health
facilities/offices with electricity.
5 > 90% reliable for all health
facilities/offices with electricity.
4. At what level is the 1 No access to internet in any health
availability/access to facility/office within the P/CWHS.
internet within the 2 With internet access in 0-25% of all
P/CWHS? health facilities/offices within the
P/CWHS.
2 With internet access in 26-50% of
all health facilities/offices within the
P/CWHS.
3 With internet access in 51-75% of
all health facilities/offices within the
P/CWHS.
4 With internet access in 76-90% of
all health facilities/offices within the
P/CWHS.
5 With internet access in all health
facilities/offices within the P/CWHS.
5. At what level is the 1 0-25% reliable for all health
reliability of internet facilities/offices with internet access.
connectivity within 2 26-50% reliable for all health
the P/CWHS? facilities/offices with internet access.
3 51-75% reliable for all health
facilities/offices with internet access.
4 76-90% reliable for all health
facilities/offices with internet access.
5 > 90% reliable for all health
facilities/offices with internet access.
D.6. IMS SERVICES AND APPLICATIONS
Parameter Response Options P/CWHS Means of Remarks
Response Verification (Put here
(Indicate the relevant
document that inputs,
corresponds to issues, and
the submitted challenges
response.) relating to
the
 parameter
concerned.)
1. At what level is the 1 Nascent (Capacity Absent and Ad
institutionalization of Hoc Activities)
the implementation of 2 Emerging (Defined processes and
an integrated health structures)
information system 3 Established (Processes and
(iHIS) in all health structures documented and
facilities/offices functional)
within the P/CWHS? 4 Institutionalized (Systems used by
the government and stakeholders)
5 Optimized (Activities adoptable to
changes)
2. What is the proportion For iHIS Stage 1 implementation:
of health 1 None of the health facilities/offices
facilities/offices that are at iHIS Stage 1 implementation.
are implementing an 2 1-25% of health facilities/offices
iHIS within the are at iHIS Stage 1 implementation.
P/CWHS? 3 26-50% of health facilities/offices
are at iHIS Stage 1 implementation.
Notes: 4 51-75% of health facilities/offices
 iHIS Stage 1 refers are at iHIS Stage 1 implementation.
to implementation 5 > 75 of health facilities/offices are
of all minimum at iHIS Stage 1 implementation
validated clinical For iHIS Stage 2 implementation:
modules of an 1 None of the health facilities/offices
integrated HIS, i.e. are at iHIS Stage 2 implementation.
electronic 2 1-25% of health facilities/offices
health/medical are at iHIS Stage 2 implementation.
record, referral 3 26-50% of health facilities/offices
system are at iHIS Stage 2 implementation.
management, 4 51-75% of health facilities/offices
telemedicine, are at iHIS Stage 2 implementation
laboratory & 5 > 75% of health facilities/offices
diagnostics, are at iHIS Stage 2 implementation.
electronic For iHIS Stage 3 implementation:
prescription & 1 None of the health facilities/offices
dispensing, human are at iHIS Stage 3 implementation.
resource 2 1-25% of health facilities/offices
information, are at iHIS Stage 3 implementation.
clinical decision 3 26-50% of health facilities/offices
support, and are at iHIS Stage 3 implementation.
PhilHealth 4 51-75% of health facilities/offices
electronic claims are at iHIS Stage 3 implementation.
processing & 5 > 75% of health facilities/offices
provider payment. are at iHIS Stage 3 implementation.
 iHIS Stage 2 refers
to implementation
of all minimum
validated clinical,
 and non-clinical
modules of an iHIS,
i.e. enterprise
resource planning,
supply chain
management,
financial & capital
asset management,
and quality
management
system.
 iHIS Stage 3
implementation
refers to
implementation of
all minimum
validated clinical
and non-clinical
modules of an iHIS,
and its integration
with the Philippine
Health Information
Exchange (PHIE).
 The implementation
of an iHIS is
pursuant to Section
36 of the UHC Act,
its IRR, and other
relevant issuances
from DOH and
PhilHealth.
3. At what level is the 1 Nascent (Capacity Absent and Ad
institutionalization of Hoc Activities)
the implementation of 2 Emerging (Defined processes and
a functional electronic structures)
medical record (EMR) 3 Established (Processes and
system in all health structures documented and
facilities/offices functional)
within the P/CWHS? 4 Institutionalized (Systems used by
the government and stakeholders)
5 Optimized (Activities adoptable to
changes)
4. What is the proportion 1 None of the health facilities/offices
of health are implementing a functional EMR
facilities/offices that system.
are implementing a 2 1-25% of health facilities/offices
functional EMR are implementing a functional EMR
system within the system.
P/CWHS?
 3 26-50% of health facilities/offices
are implementing a functional EMR
system.
4 51-75% of health facilities/offices
are implementing a functional EMR
system.
5 > 75% of health facilities/offices
are implementing a functional EMR
system.
5. At what level of 1 Nascent (Capacity Absent and Ad
progress is the Hoc Activities)
institutionalization of 2 Emerging (Defined processes and
the integration and structures)
interoperability 3 Established (Processes and
mechanism among structures documented and
implemented EMR functional)
systems by various 4 Institutionalized (Systems used by
health facilities/offices the government and stakeholders)
within the P/CWHS? 5 Optimized (Activities adoptable to
changes)
6. What is the proportion 1 None of the health facilities/offices
of health are implementing a functional EMR
facilities/offices that system that is validated to be capable
are implementing a of linking with other health
functional EMR facilities/offices within the P/CWHS.
system that is 2 1-25% of health facilities/offices
validated to be capable are implementing a functional EMR
of linking with other system that is validated to be capable
health facilities/offices of linking with other health
within the P/CWHS? facilities/offices within the P/CWHS.
3 26-50% of health facilities/offices
(Note: Determine the are implementing a functional EMR
level of progress of the system that is validated to be capable
integration and of linking with other health
interoperability of the facilities/offices within the P/CWHS.
implemented EMR 4 51-75% of health facilities/offices
systems among various are implementing a functional EMR
health facilities/offices system that is validated to be capable
within the P/CWHS.) of linking with other health
facilities/offices within the P/CWHS.
5 > 75% of health facilities/offices
are implementing a functional EMR
system that is validated to be capable
of linking with other health
facilities/offices within the P/CWHS.
7. At what level of 1 Nascent (Capacity Absent and Ad
progress is the Hoc Activities)
institutionalization of 2 Emerging (Defined processes and
adoption and routine structures)
use of telemedicine
 services in the delivery 3 Established (Processes and
of individual-based structures documented and
health services in functional)
health facilities/offices 4 Institutionalized (Systems used by
within the P/CWHS? the government and stakeholders)
5 Optimized (Activities adoptable to
changes)
8. What is the proportion 1 None of the health facilities/offices
of health have adopted and are routinely using
facilities/offices that telemedicine services in the delivery
have adopted and are of individual-based health services.
routinely using 2 1-25% of health facilities/offices
telemedicine services have adopted and are routinely using
in the delivery of telemedicine services in the delivery
individual-based of individual-based health services.
health services within 3 26-50% of health facilities/offices
the P/CWHS? have adopted and are routinely using
telemedicine services in the delivery
of individual-based health services.
4 51-75% of health facilities/offices
have adopted and are routinely using
telemedicine services in the delivery
of individual-based health services.
5 > 75% of health facilities/offices
have adopted and are routinely using
telemedicine services in the delivery
of individual-based health services.
9. At what level of 1 Nascent (Capacity Absent and Ad
progress is the Hoc Activities)
institutionalization of 2 Emerging (Defined processes and
mandatory adoption structures)
and use of national 3 Established (Processes and
health data standards structures documented and
to support functional)
interoperability of 4 Institutionalized (Systems used by
implemented EMR the government and stakeholders)
systems within the 5 Optimized (Activities adoptable to
P/CWHS? changes)
10. What is the proportion 1 None of the health facilities/offices
of health are implementing a validated EMR
facilities/offices that system or similar IMS
are compliant with the service/application.
adoption and use of 2 1-25% of health facilities/offices
national health data are implementing a validated EMR
standards to support system.
interoperability of 3 26-50% of health facilities/offices
implemented EMR are implementing a validated EMR
systems within the system.
P/CWHS?
 4 51-75% of health facilities/offices
are implementing a validated EMR
system.
5 > 75% of health facilities/offices
are implementing a validated EMR
system.
11. At what level of 1 Nascent (Capacity Absent and Ad
progress is the Hoc Activities)
implementation of 2 Emerging (Defined processes and
other IMS services structures)
and applications 3 Established (Processes and
within the P/CWHS? structures documented and
a. mHealth functional)
4 Institutionalized (Systems used by
the government and stakeholders)
5 Optimized (Activities adoptable to
changes)
b.personal health 1 Nascent (Capacity Absent and Ad
record system Hoc Activities)
2 Emerging (Defined processes and
structures)
3 Established (Processes and
structures documented and
functional)
4 Institutionalized (Systems used by
the government and stakeholders)
5 Optimized (Activities adoptable to
changes)
12. What is the proportion 1 None of the health facilities/offices
of health are implementing mHealth services.
facilities/offices that 2 1-25% of health facilities/offices
are implementing are implementing mHealth services.
mHealth services 3 26-50% of health facilities/offices
within the P/CWHS? are implementing mHealth services.
4 51-75% of health facilities/offices
are implementing mHealth services.
5 > 75% of health facilities/offices
are implementing mHealth services.
13. What is the proportion 1 None of the health facilities/offices
of health are implementing personal health
facilities/offices that record system.
are implementing 2 1-25% of health facilities/offices
personal health record are implementing personal health
system within the record system.
P/CWHS? 3 26-50% of health facilities/offices
are implementing personal health
record system.
4 51-75% of health facilities/offices
are implementing personal health
record system.

14. Is a secure local
master person index of
uniquely identifiable
individuals available,
accessible, and current
for use for health and
health-related
purposes?
5 > 75% of health facilities/offices
are implementing personal health
record system.
1 No secure local master patient
index exists.
2 A secure local master patient index
exists, but is incomplete / partially
available, used, and irregularly
maintained.
3 A secure local master patient index
exists, is available and in active use
and includes < 25% of the relevant
population.
4 A secure local master patient index
exists, is available and in active use,
and includes 25-50% of the relevant
population.
5 A secure local master patient index
exists, is available and in active use
and includes > 50% of the relevant
population. The data is available,
used, and curated.

E. INFORMATION MANAGEMENT SYSTEM (IMS) INVENTORY

(To be accomplished by all health facilities/offices within the P/CWHS, including those contracted for P/CWHS integration, and
consolidated by the P/CHO)
E.1. DESIGNATED IMS PLANNER
1. Name of Health Facility/Office: _______________________________________________________
2. Name of IMS Planner: ________________________________________________________
3. Position/Designation: _______________________________________________________________
4. Division/Section/Unit: ______________________________________________________________
5. Email Address: ____________________________________________________________________
6. Contact Number/s: _______________________________________________________
E.2. HARDWARE AND OTHER ICT EQUIPMENT
(Fill-in instruction: Please count all existing computing devices and peripherals owned or leased by your facility/office that are
functioning, including those acquired through projects, for the implementation of the P/CWHS Characteristic: Info1. In case of multi-
year contract for leased units, then just write the number of units under the appropriate year when the leased units were acquired.
Do not include in succeeding years unless another batch was leased. Reference year is last year. Kindly replace “last year: and
preceding years by the actual year number. For example, if last year is 2021, then write 2021 under the 1st column. For last 2 years,
write 2020 and for last 3 years, write 2019).
1. Number of Computing Devices and Peripherals by Type and by Year Acquired
Total Number of Functioning Units by Year Acquired
Types <Last Year> <Last 2 Years> <Last 3 Years> <More
Owned Leased Owned Leased Owned Leased than 3
years
Mainframe
Servers
Desktop PC
Laptop/Notebook/Netbook
PC
Mobile Phone (including
smart phone)
Tablet PC
Multi-function printer
(print, copy, etc.)
Printer only
Digital camera (include
DLSR, if any)
Wide-format Printer or
Plotter
Small Scanner (ex. flatbed
scanner)
Smart Card Reader
Wide-format Scanner
External Hard Drive
Generator Set
Others, please specify

2. Number of Computing Devices and Peripherals

Types <Current Year>
Servers
Desktop PC
Laptop/Notebook/Netbook PC
Multi-function Printer (print, copy,
etc.)
Printer only
Others, please specify

3. Number of Servers by Capacity and by Location

Total Capacity of HDD Location
In-House Co-Located
Above 4 TB
2 TB to 4 TB
Below 2 TB

4. Issues and Challenges Encountered relating to Hardware and Other ICT Equipment
Issue/Challenge Recommended Interventions/Technical Assistance
(Note: List down common priority issues and Needed
challenges encountered among health (Note: List down corresponding recommended interventions/technical
facilities/offices within the P/CWHS relating to assistance needed to address identified issues/challenges.)
hardware and other ICT equipment.)

E.3. IMS SOFTWARE, APPLICATION SYSTEMS, INFORMATION SYSTEMS AND DATABASES

1. Operating System for Workstations (Desktops and Laptops)
Operating System Lifetime License? If not, write below the year of expiration
Older than Windows XP Yes; No
Windows NT Yes; No
Windows XP Yes; No
Windows Vista Yes; No
 Windows 7 Yes; No
Windows 8 and up Yes; No
Solaris Yes; No
Linux Yes; No
Mac OS Yes; No
Mac OS X Yes; No
Others, please specify Yes; No

2. Operating System for Servers

Operating System Lifetime License? If not, write below the year of expiration
Windows NT Yes; No
Windows 2000 Yes; No
Windows Server 2003 Yes; No
Windows Server 2008 Yes; No
Windows Server 2012 Yes; No
Solaris Yes; No
Open Solaris Yes; No
OS/2 Yes; No
Linux Yes; No
Mac OS X Server Yes; No
Others, please specify Yes; No

3. IMS Application and Information Systems and Services

Name of Description Own Development Working Maintenance
System/Service (Note: Indicate the Intellectual Platform Environment Cost
(Note: Please list down purpose of the Property, (e.g. LAMP, (e.g. Stand-
the name of your application/information .NET, Java) alone, Client
system/service)
Yes or No?
application/information Server, Web-
systems and services based)
being implemented by
your facility/office
under P/CWHS
Characteristic: Info1)

4. IMS Databases (Note: Please include only existing databases.)

Name of Description Own Database Management Maintenance
Database (Note: Indicate the Intellectual Software Used Cost
purpose of the Property, Yes (e.g. MS Excel, MS Access, MS SQL
database) Server, MySQL, IBM’s DB2, Oracle SQL,
or No?
Sybase SQL, Informix, FoxPro)

5. Issues and Challenges Encountered relating to IMS Software, Application Systems,

Information Systems and Databases
Issue/Challenge Recommended Interventions/Technical Assistance
(Note: List down common priority issues and Needed
challenges encountered among health (Note: List down corresponding recommended interventions/technical
 facilities/offices within the P/CWHS relating to IMS assistance needed to address identified issues/challenges)
software, application systems, information
systems and databases)

E.4. NETWORK AND INTERNET CONNECTIVITY IMPLEMENTATION

1. Network and Internet Connectivity Implementation
Parameter Response Options Response Remarks
1. Does your facility/office have a Local Yes; No
Area Network (LAN)?
2. Does your facility/office have an Intranet? Yes; No
3. If yes, does your facility/office have a Yes; No
Virtual Private Network (VPN)?
4. Does your facility/office have a Wide Yes; No
Area Network (WAN)?
5. Does your facility/office have a Private Yes; No
Automatic Branch Exchange (PABX or
PBX)
6. If yes, what is the PABX/PBX setup? Private; Hosted; VoIP
PBX; Hosted IP
7. Is your facility/office connected to the Yes; No
Internet?
8. If yes, what is/are your facility’s/office’s Dial-up; DSL; ISDN; (Note: List down all items
mode of access to the internet? Leased line; Mobile that are applicable.)
phone; Satellite; WiFi;
Others, please specify:
9. Who is (are) your Internet Service (Note: If more than one,
Provider(s)? please state who is the
primary and who is the
secondary provider.)
10. What is the combined internet bandwidth
(voice and data)?
11. How many workstations have access to
the internet in the facility/office?

2. Issues and Challenges Encountered relating to Network and Internet Connectivity

Issue/Challenge Recommended Interventions/Technical Assistance Needed
(Note: List down common priority issues and (Note: List down corresponding recommended interventions/technical
challenges encountered among health assistance needed to address identified issues/challenges.)
facilities/offices within the P/CWHS relating to
network and internet connectivity.)

E.5. SECURITY, DISASTER RECOVERY AND BACK-UP

1. Security, Disaster Recovery and Back-Up Implementation
Parameter Response Options Response Remarks
1. Does your facility/office have a Yes; No
protection scheme for your ICT
resources?
Information Security
 2. If yes, what is/are the measure/s2 Application Security
being used by your
facility/office? Network Security

Internet Security

Critical Information
Infrastructure (Infostructure)
Protection
Fill-in Instructions:
1. Examples of security measures are Security Policy/Guideline; Back-up power unit (e.g. UPS, generator); Encryption; Hardware
Firewall; Software Firewall; Subscription to a Security Service (e.g. antivirus software, intrusion alert); Regular ICT Security
Training; Disaster Recovery Plan; Digital Signature; Off-site Back-up; Physically Restricted Access to Critical ICT Equipment;
Secure Servers; Storage of Back-up Media in localities other than the operating environment.
2. List down all applicable security measures under each Cybersecurity Domain.
3. Information security refers to confidentiality, integrity, availability, authenticity, and non-repudiation of information as an asset
of the P/CWHS, including all its health facilities/offices.
4. Application security refers to the application of controls and measurements to the implemented application systems themselves
(e.g. processes, components, software, and results) to the data (e.g. configuration data, user data, organization data), and to all
technology, processes and stakeholders involved in each application’s life cycle to manage deployment and use risks.
5. Network security covers design, implementation, and operation of implemented networks in health facilities/offices within the
P/CWHS.
6. Internet security refers to the protection of internet-related services and ICT systems and networks as an extension of network
security, including ensuring reliability and availability of internet services.
7. CII protection refers to the protection and securement of systems and networks that are operated by critical infrastructure
providers (e.g. telecommunications).

2. Issues and Challenges Encountered relating to Security, Disaster Recovery and Back-up
Issue/Challenge Recommended Interventions/Technical Assistance
(Note: List down common priority issues and Needed
challenges encountered among health (Note: List down corresponding recommended interventions/technical
facilities/offices within the P/CWHS relating to assistance needed to address identified issues/challenges)
security, disaster recovery and back-up
implementation)

E.6. SPECIAL SOLUTIONS AND OTHER SERVICES

Special Solutions Maintenance Cost Issue/Challenge Recommended
Package Encountered Intervention/Technical
Assistance Needed
Cloud Computing
Artificial Intelligence
Blockchain Technology
Others, please specify
E.7. DATA CENTER/SERVER ROOM
1. Data Center/Server Room Maintenance
Parameter Response Options Response Remarks
1. Does your facility/office have a data Yes; No
center/server room?
2. Please confirm applicable maintenance In-house; Outsourced
setup.
3. Does it have a back-up site? Yes; No
 2. Issues and Challenges Encountered relating to Data Center/Server Room Maintenance
Issue/Challenge Recommended Interventions/Technical Assistance
(Note: List down common priority issues and Needed
challenges encountered among health (Note: List down corresponding recommended interventions/technical
facilities/offices within the P/CWHS relating to assistance needed to address identified issues/challenges.)
data center/server room maintenance.)

E.8. HUMAN RESOURCES FOR HEALTH ICT

1. Inventory of Human Resources for Health ICT
Health Facility/Office Position Title Status of Employment (Existing)
Plantilla/ Casual Contractual Total # of
Permanent (B) (C) Approved
(A) Positions
(D = A + B + C)
A. Health Offices
1. Provincial Health
Office (PHO)
Example
a. Aklan PHO Computer 1 1 - 2
Maintenance
Technologist III
Information - 1 1 2
Officer I
2. City Health Office
(CHO)
3. Municipal Health
Office (MHO)

B. Hospitals
1. Apex Hospital/s
2. Level 3 Hospital
3. Level 2 Hospital
4. Level 1 Hospital

C. Infirmary
 Infirmary

D. Primary Care Facilities

 Rural Health
Unit/Health Center

2. P/CWHS Learning and Development (LD) Plan

Learning and Development Proposed Learning and Development
Gaps & Needs Interventions
(Note: Indicate common priority areas for growth and/or common L&D (Note: Indicate corresponding proposed LD
or performance gaps among existing human resources for health ICT interventions to address identified gaps and needs)
within the P/CWHS)
ICT Service Management
 Criterion: Minimum required ICT capabilities, services, infrastructure, and support for implementation of priority LHS ML Info1
initiatives such as on electronic medical records and telemedicine are adequate and readily available.
Example
Needs training on PHP programming language Training on PHP Programming Language
Data Privacy
Criterion: All processing of personal data either manually or electronically through implemented IMS software, application
systems, information systems, and databases remain confidential, secured and protected.

Cybersecurity
Criterion: All processing of health and health-related data through implemented IMS software, application systems, information
systems, and databases, including all application programming interfaces (APIs) and other technical processes are secured.

Data/Information/Knowledge Management
Criterion: Conformance with technical and data standards for processing of health and health-related data, and compliance with
submission of priority minimum data and reportorial requirements at the local and national levels.

3. Issues and Challenges Encountered relating to Human Resources for Health ICT
Issue/Challenge Recommended Interventions/Technical Assistance Needed
(Note: List down common priority issues and (Note: List down corresponding recommended interventions/technical
challenges encountered among health assistance needed to address identified issues/challenges)
facilities/offices within the P/CWHS relating to
human resources for health ICT)

E.9. ONGOING IMS PROJECTS

1. Details of Ongoing IMS Projects
Project Name Description Period Actual Development Status
(Note: Please list down (Note: Indicate (in mm/dd/yyyy) Cost Strategy (e.g. Under
the name of ongoing the purpose/ Start Date End Date (in pesos) (e.g. In-House; Development;
IMS projects by your objective of the Outsourced; For
facility/office under project) Combination) Deployment;
P/CWHS Operational)
Characteristic: Info1)
Example
Implementation of To fully 06/01/2022 12/31/2022 2,500,000 Outsourced For
Telemedicine in all transition the deployment
public and private adoption and
hospitals routine use of
telemedicine
in the delivery
of individual-
based health
services using
third-party
telemedicine
platform
among public
and private
 hospitals
within the
P/CWHS.

2. Issues and Challenges Encountered relating to the Implementation of IMS Projects

Issue/Challenge Recommended Interventions/Technical Assistance
(Note: List down common priority issues and Needed
challenges encountered among health (Note: List down corresponding recommended interventions/technical
facilities/offices within the P/CWHS relating to assistance needed to address identified issues/challenges)
the implementation of IMS Projects)

F. SIGNATORIES
Accomplished by: Approved by:
(Designated Provincial/City LHS ML Info1 Technical Coordinator) (Provincial/ City Health Officer)
Signature: Signature:
Name: Name:
Designation/ Designation/
Position: Position:
Date: Date:

FOR OFFICIAL USE ONLY

Validated by (1st Level): Validated by (2nd Level): Noted by:
(Provincial/City DOH Officer) (CHD/MOH-BARMM LHS ML Info1 (CHD/MOH-BARMM Core Group Leader)
Technical Coordinator)
Signature: Signature: Signature:
Name: Name: Name:
Designation/ Designation/ Designation/
Position: Position: Position:
Date: Date: Date: