Modernizing Government Regulations Program

PHILIPPINE
HEALTHCARE
INDUSTRY
Regulatory Review

December 2018
LIST OF ACRONYMS
BHDT Bureau of Health Devices and Technology
DAP Development Academy of the Philippines
DENR Department of Environment and Natural Resources
DOH Department of Health
FDA Food and Drug Administration
FGD Focus Group Discussion
HFSRB Health Facilities and Services Regulatory Bureau
HHRDB Health Human Resource Development Bureau
HMO Health Maintenance Organization
IRR Implementing Rules and Regulations
KII Key Informant Interview
LGU Local Government Unit
MDG Millennium Development Goals
MGRP Modernizing Government Regulations Program
NDHS National Demographic and Health Survey
NHIP National Health Insurance Program
NEDA National Economic and Development Authority
PHA Philippine Health Agenda
PHIC Philippine Health Insurance Corporation
PITAHC Philippine Institute of Traditional and Alternative Health Care
RIA Regulatory Impact Analysis
SDGs Sustainable Development Goals
SDN Service Delivery Network
TAHC Traditional and Alternative Health Care
TLSM Traffic Light Score Methodology
TAT Turn Around Time
TM Traditional Medicine
UHC Universal Health Coverage
WHO World Health Organization
TABLE OF CONTENTS
INTRODUCTION ........................................................................................................................................................ 1
Industry Background ............................................................................................................................................. 1
Industry Subsector Profile ................................................................................................................................. 3
Current performance of the industry ................................................................................................................ 4
Growth potential of the health industry............................................................................................................ 4
Regulatory environment of the Health Industry .................................................................................................... 5
Health Regulatory Thrust and Priorities of the Health Sector ............................................................................ 6
Regulations in the Health industry .................................................................................................................... 6
Regulatory Terminologies in the Context of the Health Industry ....................................................................... 7
Initial issues/concerns in Health Regulations .................................................................................................... 8
OBJECTIVES OF REGULATORY REVIEW ...................................................................................................................... 9
SCOPE OF THE STUDY ............................................................................................................................................... 9
Coverage: ............................................................................................................................................................. 9
Focus Areas for the Case Study ............................................................................................................................. 9
LIMITATIONS OF THE STUDY ................................................................................................................................... 10
RESEARCH QUESTIONS ........................................................................................................................................... 11
STUDY FRAMEWORK .............................................................................................................................................. 12
RESEARCH DESIGN AND METHODOLOGY................................................................................................................ 13
Sampling ............................................................................................................................................................. 13
Data Collection ................................................................................................................................................... 13
Data Management and Quality Assurance Processes .......................................................................................... 14
Data Processing and Analysis .............................................................................................................................. 14
RESULTS AND FINDINGS OF THE STUDY .................................................................................................................. 15
Results of Public Consultations ........................................................................................................................... 15
Results of the Health Industry Perception Survey Results ................................................................................... 20
PRIORITIES FOR RECOMMENDATION AND CONCLUSION ........................................................................................ 30
CASE STUDIES ..................................................................................................................................................... 31
CASE STUDY 1: RIA ON LICENSING OF BIRTHING HOMES................................................................................. 31
CASE STUDY 2: Licensing by Network .............................................................................................................. 38
VALUE STREAM MAP: STARTING A BIRTHING HOME .......................................................................................... 43
ANNEXES ................................................................................................................................................................ 46
Bibliography ....................................................................................................................................................... 46
Annex B. Data Collection Tools ............................................................................................................................... 47
BI. Draft Survey Tool ........................................................................................................................................... 47
BII. Draft KII/ FGD Tool ........................................................................................................................................ 55
Annex C. List of Respondents for Survey Method, KIIs and FGDs ......................................................................... 58
 Philippine Renewable Energy Industry Regulatory Review

INTRODUCTION

Industry Background
Health regulation is one of the vital components of the Philippines health system. The health system is a broad
umbrella term, which includes the formalized health care systems, which are formalized; legally regulated financing;
and the provision of health (medical) services, inclusive of preventive, curative and palliative interventions provided
by trained health personnel. It covers health care of a specific population in a defined geographic location id being
demanded, delivered, financed, organized and utilized. (WHO 2000, The World Health Report Health Systems:
Improving Performance).

DOH is the lead agency and the technical authority of
the Philippine Health Sector and the LGUs as the
administrative authority and stewards of the local
health systems. Given this, the DOH with its
regulatory clusters as the regulatory management,
serves as the focal, technical authority that develops
and enforces standards for health services, health
providers, and health devices, etc. Similarly, the local
government units, under the Local Government Code
of 1992, have regulatory functions as well in terms of
ensuring quality and accessibility of health services
given to the population. Both the DOH and LGUs
perform regulatory function in the health industry for
the public and private sector.
The Philippine Health Agenda (PHA) (Figure I)
captures the current health industry framework,
which encompasses regulatory thrusts of the Nation’s
health system. The Philippine Health Agenda aims to
ensure the best health outcomes for all, without
socio-economic, ethnic, gender, and geographic
disparities; promote health and deliver healthcare
through means that respect, value, and empower
clients and patients as they interact with the health
system; and protect all families especially the poor,
marginalized, and vulnerable against the high costs of
healthcare. It is guided by the values that all actions
that shall be done by the health system shall be
implemented in accordance with the values of equity,
quality, efficiency, transparency, accountability,
sustainability, and resilience. The PHA guarantees
that health system shall implement population- and
individual level interventions for all life stages that
promote health and wellness, prevent and treat the
triple burden of disease, delay complications,
facilitate rehabilitation, and provide palliation.
Improve access to health interventions through
functional Service Delivery Networks and
strengthening financial protection when accessing
these interventions through Universal Health
Insurance. Research agendas shall be aligned to the
PHA goals and attainment of the SDGs; and results of
the researches shall be utilized as basis for policy
directions and support.

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The PHA framework for attaining universal health care is the FOURmula One Plus. The FOURmula One Plus for
health now integrates five pillars (Figure II): heath financing, health service delivery, health regulation, good
governance, and the cross-cutting pillar that is performance accountability.

Figure 1: Philippine Health Agenda Framework

Figure 2: FOURmula One Plus Components

UHC

Service
Financing Regulations Governance
Delivery

Performance & Accountability

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Industry Subsector Profile

Regulation in the health industry plays a vital role not only in influencing behavior in the industry both in the supply
side and demand side but also addressing policy gaps. Mandated regulatory agencies in health can utilize regulation
as a means in which to ensure Universal access of all Filipinos specifically the poor to quality and accessible
healthcare services.

The main agency in charge of this work is the
Department of Health (Figure III). Under it is various
departments that have specific regulatory functions.
The Health Facilities and Services Regulatory Bureau
(HFSRB) set standards to regulate and license health
facilities and services such as hospitals, clinics,
birthing facilities, laboratories and other health
establishments. The Bureau of Health Devices and
Technology (BHDT) is responsible in the development
of standards for radiation facilities and devices used
in medicine, dentistry, veterinary medicine, industry,
education, research, anti-crime, military, and
consumer applications. The Food and Drugs
Administration (FDA) formerly Bureau of Food and
Drugs is in charge of four major areas: (1) Center for
Drug Regulation and Research, (2) Center for Food
Regulation and Research, (3) Center for Cosmetics
Regulation and Research and (4) Center for Device
Regulation, BHDT is now under FDA. The Philippine
Institute of Traditional and Alternative Health Care
(PITAHC) mandated to develop policies, standards
and guidelines for the practice of various traditional
medicine (TM) modalities and the manufacture,
marketing and quality control of TM products.
PhilHealth regulatory mandate is on accreditation of
health facilities and professionals and protect the
National Health Insurance Program (NHIP). For Health
personnel regulation the Philippine Regulation
Commission administers, implements and enforces
the standards. PRC also administers examinations to
certify medical professionals and has the capacity to
revoke license.

Figure 3: Organizational Structure of the DOH

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Current performance of the industry
The National Demographic and Health Survey Report
2017 (NDHS) showed gradual enhancement on
specific health indicators. The NDHS report is done
every three years and is designed to provide
indicators on fertility, fertility preferences, family
planning practice, childhood mortality, maternal
mortality, maternal and child health, knowledge and
attitude regarding HIV/AIDS, and violence against
women. The results are utilized in policy making and
program planning for the attainment of Sustainable
Development Goals (SDGs). Based on World Ranking
in healthcare conducted by WHO, the Philippines
ranked 60 behind Senegal and South Korea. This has
been the country’s rank since 2000. Based on the
Philippine Statistics Authority, health expenditure
increased by 10.3%. Although, the bulk of the
expenditure is still from out of pocket payments of
households. Equitable health financing is a major
indicator in measuring improvements in health
systems and eventually health outcomes. The NDHS
2017 report stated that 66% of population is covered
by PhilHealth. This data differs on rural and urban
areas and also by type of membership. In terms of
health services the Philippines met the MDG criteria
on infant and child mortality but failed to accomplish
the standard for maternal mortality, which at the
moment is the focus of intervention and strategy in
enhancing mother and child programs as well as
family planning.
Giving value to patient rights, patient participation
and respectful/compassionate care was the focus of
the Philippine Health Systems Review WHO 2011. The
Philippine Constitution of 1987 declares that The
State shall protect and promote the right to health of
the people and instill health consciousness among
them. (Sec 15, Art II, 1987 Constitution); although
there are various policies that clearly defines patients’
rights to appropriate information and choice the
study states that this had been more than a concept
than a practice specially for poor patients.
Growth potential of the health industry
The National Economic and Development Authority
(NEDA) identifies health as a major component in the
growth and development of the country. The
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Ambisyon 2040 sets goals in health emphasizing the
quality of healthcare is equal to long life where
Filipinos can realize their full potential. This shall be
done through promotion of healthy lifestyle choices,
the development and utilization of new products and
processes that are safer cleaner and promote good
health. This is also in harmony with Goal 3 of the
Sustainable Development Goals, which states that
countries should ensure healthy lives and wellbeing
for all and for all ages.
Present reforms in the health sector are potential for
enhancement of its regulatory mechanisms in health
in all levels of engagement in the health system.
These include the following:
1. Continue to pursue Universal Coverage
(improvement of PhilHealth core processes
and regulation of health financing).
2. Integration and harmonization of regulatory
mechanisms.
3. Updating the medical act of 1959
4. Updating of the Cheaper Medicines Act
(addressing issues in generic medicine)
5. Strengthening the DOH licensing Authority
6. Development of mechanism in taxing sin
products and non-essential, unhealthy food
products.
7. Development of restriction of harmful
marketing and targeted sales
8. Creation of a sector-wide price regulation
9. Mandating health impact assessment
10. Enhance the role of local government units
in health regulation (working in harmony
with national agencies)
The crucial role of the health industry in improving
the quality of life of Filipinos towards the
achievement of, not only of economic, but also of
social development is evident and essential. Given the
gradual improvement in health reforms, addressing
gaps and issues in the health sector should be
amplified and purposive.
Reforms and enhancement in the regulation of the
health industry is an essential component of
addressing issues in the healthcare industry.
Standards of healthcare and health service delivery,
and pricing are part of regulatory functions of not only
the Department of Health but also the local
government units.
 Philippine Renewable Energy Industry Regulatory Review

Regulatory environment of the Health Industry

The framework below best sums the regulatory direction for health (Figure IV). Regulatory clusters of the DOH, along
with its sister agencies (e.g. PhilHealth, PITAHC, etc.) and the LGU, are the main governing bodies of health regulation.

Efficient regulation involves the development and
maintenance of a clear regulatory structure with an
adequate understanding of regulatory jurisdiction.
The units of this structure are to enforce quality
standards and equitable operations of medical
services, facilities, human resource, devices &
products, and financing. In order to do this, systems
are processes for regulations are to be streamlined
and harmonized amidst the different regulatory units
and agencies. Further regulatory improvements
involve the monitoring and evaluation of regulations
towards regulatory management, regulatory quality
improvement, and deregulation.
The assurance of a business-friendly and yet equitable
health regulatory environment can in turn contribute
to responsive, efficient, and effective regulatory
reform towards better health and economic
outcomes. Below is the regulatory framework of the
health sector which presents the relationship of
regulation on specific components and function of the
health sector. It explains that regulation is an integral
part of the health systems structure, the products and
services it produce for the public and the processes
and systems it utilize to ensure that its mandate in
enhancing health outcomes for all Filipinos specially
the poor is met.

Figure 4: Regulatory Framework of the Health Sector

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Health Regulatory Thrust and Priorities of the Health Sector

In accordance with the PHA, the main thrust for health regulations is to ensure the safety, quality, affordability, and
accessibility of health products, devices, facilities, and services, especially those commonly used by the poor. In
doing so, the DOH employs two main strategies: I) the harmonization and streamlining of regulatory systems and
processes, and II) the development of innovative regulatory mechanisms.

In the attempts harmonize and streamline processes In the attempts to develop innovative regulatory
and systems for regulations regulatory units of the mechanisms, the DOH is banking on the following
DOH is undergoing the following: action points:

1. The establishment of mechanisms for 1. Capacity building of regular staff

automation especially for data-sharing 2. The development of a national fee to
2. Advocacy for the expansion and regulate health prices
strengthening of DOH’s regulatory mandate 3. Licensing by networks
3. The review and management of conflicts of 4. The implementation of risk and outcome-
interest in regulations based regulations
4. Compliance and harmonization with ASEAN 5. Regulation of production and distribution of
and other international standards health human resource to ensure equity, and
5. The conduct of information and education 6. The institutionalization of HTA.
campaigns for consumers on the quality,
safety, and pricing of health goods and
services (e.g. through sentrong sigla, food
labeling, and the publishing of prices).

Regulations in the Health industry

The following illustrates the different agencies involved in health industry regulation as well as their respective
jurisdiction. Each agency has their respective issuances pertaining to regulatory standards, requirements, and
processes relative to their jurisdiction.

Table 1: Health Regulatory Agencies and their Jurisdiction

Lead Government Agencies/type of
Business Process Facilities/ Devices / Medicines
regulation

Starting a business and Department of Health

operating a business

1. Health Facilities and Services • Hospitals

Regulatory Bureau (certification • Birthing facilities (public and private)
of need/ license to operate) • Health Centers
• Ambulatory Care Clinic
• TB DOTS clinic
• Dental Clinic
2. Food and Drug Administration • Processed food and pharmaceutical
(FDA) products including supplements,
vaccines etc.
3. Bureau of Health Devices and • medical equipment’s supplies and
Technology (BHDT) devices
4. PITAHC • Traditional and Complementary
Medicines

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Lead Government Agencies/type of

Business Process Facilities/ Devices / Medicines
regulation

Starting and Operating Local Government Units • Mayors permit to operate

a business • Sanitation permit
• Various Health ordinances
Licensing Health Philippine Regulation Commission • Health personnel(doctors, nurses,
human Resources (license) midwives, dentists, veterinarians,
radiologist etc
Health Human Resource Development • Licensing HHR as a requirement in
Bureau (HHRDB) providing a license of health facilities

PhilHealth • Accreditation of health professionals as

a requirement in accreditation of the
health facilities
Other certifications Department of Health (facility • MilkCode Implementation
that ensures quality certification) • Mother-Baby Friendly Initiative
healthcare services • TB DOTS
• Anti smoking

Department of Environment and • Environmental Compliance

Natural Resources (DENR)

Paying fees and taxes Bureau of Internal Revenue

Regulatory Terminologies in the Context of the Health Industry

There are many types of regulatory outputs identified through regulatory terminologies that may vary in context per
industry. The following defines and provides nuances to these terminologies based on the current context of the
health industry:

1. Licenses- Licenses are mandatory requirements for business operations. Obtaining a license translates in
the full compliance to industry standards. These standards are usually set by the Department of Health. The
DOH provides, for example, licenses to operate, which means that a facility is compliance with all standards
needed in the conduct of business operations.
2. Accreditation- Accreditations are non-mandatory but it signifies the recognition of your business by a
regulatory agency. In essence, your service is recognized by said regulatory agency and thus, can avail the
benefits of recognition. For example, if a health facility is PhilHealth accredited it mean this facility is
recognized by PhilHealth and thus, can avail its health financing subsidy benefits. It is non-mandatory,
however, accreditation is pursued by most, if not all, health service providers and facilities given the effect
of the benefits on business operations and gains.
3. Permits- Permits are usually the jurisdiction of the local government unit. It typically allows a business to
operate within a local government area given that you comply with the local government’s requirements
(e.g. business permit, sanitation permit).
4. Certificates- Certificates are testimonies of the accomplishment of something. It certifies compliance to a
particular direction or rule of a regulatory body. For example, Food Safety certificates means that a business
has accomplished all food safety requirements, e.g. they are using food safe handling methods, storage
methods, etc.

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Initial issues/concerns in Health Regulations
In 2010 an article in health regulation by the Asian
Institute of Management presented issues and
concerns in health regulation:
1. Despite the laws and standards in quality
assurance and efficient investment, some
health facilities remain to be substandard
and fragmented: This attributes to lack of
enforcement and monitoring capacity of
agencies involved in the regulation process.
2. Lack of health human resource, technical
capacity and staff to enforce regulation:
Human resource for health and regulation of
licensed facilities and monitoring these
facilities for compliance needs to be
addressed.
3. FDA’s failure to regulate unethical and
intensive marketing practices which led to
asymmetry of information where the
consumer has less knowledge of the
products they are availing.
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Other important concerns that need to be address
include:
1. Lowering cost of health care to include
professional fees and medicines among
others.
2. Regulating alternative, integrated and
complementary medicine: To date there is
mushrooming of complementary medicine
providers and ensuring compliance to health
standards remain to be a challenge for both
facilities and health human resource.
3. Other facilities that need continued,
appropriate standards development, and
regulating are the hospice facilities,
rehabilitation centers, and geriatric facilities.
4. Equitable health financing and high out of
pocket remain an issue to date. There is also
the need to reduce out of pocket
expenditures and the need to revisit and
potential regulate HMO’s role in financing
health.
5. Need to review and enhance Health Systems
and Regulatory processes like third party
accreditation, public partnership with
private sector and involvement of the civil
society in ensuring quality and equitable
health care delivery systems.
 Philippine Renewable Energy Industry Regulatory Review

OBJECTIVES OF REGULATORY REVIEW

1. Review existing regulations with the view to streamline unnecessary rules and reduce compliance costs.
Specifically, vis-à-vis objective I, the study aims to:
a. Provide a regulatory map and profile for the selected industries to understand the rationale behind
each regulatory measure
b. Determine the issues confronting the private and public sector in their compliance to and
enforcement of regulations, respectively; and
c. Determine the “costs and benefits” of the regulations currently governing the specific industry.
2. Propose sound, actionable, business-friendly and citizen-focused regulatory changes; specifically, through:
a. Estimating the projected benefits, compliance cost savings, and lead-time reduction arising from
the proposed regulatory change; and
b. Providing a realistic assessment of the likely rate of compliance with the proposed changes in
regulations

SCOPE OF THE STUDY

Coverage:
Private and government health businesses will be included in the study. Regulations governing management,
standards, and transactional processes will be mapped. Business experiences pertinent to health from Luzon, Visayas
and Mindanao will be captured to see nuances or differences in the regulatory atmosphere vis-à-vis geographic
location in terms of regulatory burden, implementation efficiency, etc. Regulator and regulatee perspectives will be
captured to allow for realistic, practical, and contextually appropriate regulatory reforms that will benefit the
regulated entity while ensuring that the improvements are feasible for the regulatory bodies.

Focus Areas for the Case Study

1. Health Facilities Turn Around Time for at different levels of care within a defined
birthing facilities geographic location (e.g. province wide, etc.).

The focus of this case study is to determine
the economic and temporal aspects of each
step in the licensing turn-around time for
private and public birthing facilities. It will
encompass both licensing processes for
initial start-up of said facilities as well as their
renewal.
2. Licensing by Service Delivery Network
Currently, there is no administrative order
standardizing the licensing of facilities in the
context of a health service delivery network.
A health service delivery network is the
juxtaposition of health workers, facilities and
the capacity and capability of care providers
Licensing through this approach is the
current direction of the health sector given
that it is more systemic and theoretically
more efficient in terms of licensing
operations given that service delivery
systems are regulated and not merely
individual facilities and health workers. The
current approach is licensing and
accreditation per facility, however there is
no regulation for systemic facility licensing.
The case study aims to explore the potential
efficiency of this approach in relation to the
current approach used and its effect on
public health outcomes as well as health
business operations.

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LIMITATIONS OF THE STUDY

Given the temporal delimitations of the study (i.e. there is only an allotted three months for data collection),
mapping data may be delimited to key informant reports and secondary data from the conducted desk reviews. Key
informant reports may have delimited accuracy due to recall bias amidst others. The latter may delimit the depth of
data gathered with regard to the burden of regulations on businesses depending on the availability of data obtained,
given that the proponents will be exploring secondary data (i.e. data not initially generated for the purpose of the
research).

Further, as a result of temporal constraints, the scope
of the study is delimited in terms of case study and
value mapping coverage. There are two case study
areas as mentioned in the previous section. In terms
of health facility licensing turn-around time (TAT), the
covered facilities will only involve birthing facilities
from the public and private sector. Licensing TAT for
both renewal and initial facilities will be included.
The priority areas for the case study are the first two
aforementioned topics (i.e. Turn-around-time for
birthing facility licensing and licensing thru the service
delivery network. Inclusion of the third as well as the
depth of the third is subject to the temporal
delimitations of the research.
With regard to the value-mapping component of the
research, major regulatory areas to be mapped are as
follows:
• Health facility regulations of birthing facilities,
which are administrative orders that outline
licensing processes and requirements (i.e. AO 12s
2012 obtained from HFSRB); as specifically pertains
for value mapping the birthing facility regulation
requirement which has direct effect on maternal
and child health, health outcomes.
5. Food safety certification standards and
processes obtained from administrative
orders from the FDA.
shall be part of the discussion and partial analysis but
shall not be part of the value mapping because of the
aforementioned limited time to develop the study.
The aforementioned components of the health
industry are the regulations that relatively affect
common, voluminous, and major business operations,
thus they have been the primary focus of the value-
mapping component. Delimiting focus will allow for
more comprehensive, quality value maps given the
temporal delimitations of the study; which in turn can
yield more strategic regulatory recommendations
offering potentially higher economic and social
impact. Further, the aforementioned regulations
have established standards and procedures that have
been implemented for a long time and may
potentially require revisiting and assessment to see
points for improvements. These operations given that
they affect basic needs of the people (i.e. health care,
medicines, food, etc.) are also high-impact for both
the consumer and the service provider or business
owner/ operator.

Other aspects of health regulation such as:

1. Pharmacology accreditation regulations

obtained from the FDA
2. Medical device and product accreditation
also obtained from the FDA, specifically from
the BHDT;
3. Human resource licensing standards and
processes, wherein said administrative
orders are obtained from HHRDB;
4. Health Financing Accreditation standards
and processes obtained from PhilHealth
circulars; and

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RESEARCH QUESTIONS
The following are the formulated research questions for the study:

1. Which government agencies are included in regulating the setting up, regular operations and closing down
of businesses under this industry type?
2. How do these agencies regulate this industry/sector?
3. What specific regulatory policies/laws/legal issuances govern this industry?
4. What are the rationale, purposes and intents behind these regulatory policies/laws/legal issuances?
5. Do the industry players understand the rationale behind the specific regulation and the meaning of their
compliance?
6. What regulations related to the acquisition of materials and services from suppliers, the flow of information
required by the business, the delivery of goods and services to customer, and the flow of funds to and from
the business affect the industry?
7. What are the regulatory issues related to the setting up, operations and closure of businesses under this
industry?
8. What is the current level of compliance? How is compliance to these regulations monitored? What are the
repercussions for violators?
9. What are the “costs and benefits” of the regulations currently governing the specific industry?
10. Are there non-regulatory alternatives to the regulations that are suggested to be removed?
11. Are regulations regularly reviewed by concerned agencies? Are there improvements instituted to the ease
of doing business?
12. Should changes be introduced, what is the likelihood of compliance?
13. What benefits may be derived from the proposed changes?

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STUDY FRAMEWORK
The figure below (Figure V) illustrates the framework of the study for the health industry.

Figure 5: Health Industry Study Framework

As seen in the figure, the main methodologies to further unpack the regulatory atmosphere of the health industry
involve the conduct of key informant interview, focus group discussions, a survey, and a comprehensive desk review.

Various forms of health regulations from different levels of the regulatory hierarchy will be reviewed, mapped, and
profiled. The study also aims to unpack the perceptions, awareness level and experiences of both the regulator side
and the regulated with regard to these regulations for a holistic picture of their strengths and weaknesses better
regulatory recommendations and directions.

Analysis of the obtained data shall mainly involve the conduct of RIA and TLSM so as to determine empirically the
costs and benefits as well as the effects (intended or unintended) of these regulations with respect to the time and
economic investment of the consumers, the public and the regulating agencies.

The outcome of which is to unpack the current level of regulatory efficiency and equitability of the health industry
as well as recommended directions for its improvement. In the context of this study, regulatory efficiency has
economic and temporal components for both regulatory enforcement/ implementation and compliance processes,
respectively. In essence it aims to unpack the level of regulatory burden (in terms of time, resource and monetary
costs), as well as movements to reduce this.

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Given that the health industry attempts to balance both equitable service aside from health business sustainability
and economic profit, another outcome is to describe and improve the equitability of health regulations, meaning
that the services although are economically sustainable from the business owner and provider perspective, are still
accessible, affordable, and quality assured for the consumers who will avail said services and products.

In essence, there is a balance between equity and efficiency as facilitated by regulations and non-regulatory
alternatives.

RESEARCH DESIGN AND METHODOLOGY

Sampling

The participants included in the study are sampled purposively. Key informants and FGD participants are selected
based on their expertise and experiences in either regulating or complying to health regulations. A list of possible
participants for key informant interviews and FGDs are outlined in Annex D.

Survey participants are sampled purposively also,
complying with the minimum number of participants
prescribed by DAP (i.e. n>50). A list of different types
of businesses within the health industry was outlined
based on desk review (e.g. types of facilities or
businesses regulated by DOH). A representative from
Luzon, Visayas, and Mindanao from each type of
business establishment, who is familiar with
regulations and regulation compliance for business
start-up, operations maintenance, and closure,
respectively will serve as the survey respondents. A
list of possible survey participants can be seen in
Annex D. Based on the list a total sample of n=68
participants will be involved in the study.
A list of participants with contact details can also be
seen in Annex D.
The selection of regulations and case study focus
areas are also purposive and are determined based
on the concerns and issues voiced out through public
consultations with stakeholders both in the regulator
(e.g. DOH, PHIC, PITAHC, etc.) and regulatee (hospital
personnel, health providers, etc.) side. The focus
areas are the ones with the most potential impact to
health industry regulations. Issuances selected are
administrative orders on health facility licensing,
specific to birthing hospitals (e.g. AO 2012-0012, etc.),
and administrative orders governing foreign
donations. Given that there are many administrative
orders pertaining to licensing, standards, and quality
regulations for both the case study and value-
mapping component, a better outline of these
issuances will be provided after the desk review.

Data Collection and public consultations, as well as the conduct of an

industry survey. These will provide better insight on
Collection methods for the study will involve a
the consumer’s experience on regulatory efficiency
comprehensive desk review of regulatory documents
and burdens when it comes to compliance for
that provide standards, processes and other
business operations and development. It can also
stipulations with regard to the start-up and
maintenance amidst other components of health provide ideas on regulatory recommendations to
businesses. address the gaps and further enhance the strengths
of health regulations.
Health regulations and policies will be profiled and
reviewed through value stream mapping, which will Public consultations will also serve as a data quality
capture temporal and economic aspects of regulatory procedure for validation of the collected data. The
enforcement and compliance. data collection tools as prescribed by DAP can be seen
in Annex B.
Information and experiences from stakeholders of
the demand and supply side will be captured through
key informant interviews, FGDs, industry dialogues,

Modernizing Government Regulations Program / Page 13 of 76


Data Management and Quality
Assurance Processes
The research associates and enumerators will capture
data collected through the data collection tools and
templates. Qualitative data will be encoded in
electronic form via MS word. Quantitative data,
particularly, frequencies for stakeholder backgrounds
(e.g. type of business, capitation, etc.) will be encoded
in STATA 13 and/or excel sheets.
Research associates shall ensure the completeness of
survey forms as well as the documentation of
qualitative data obtained through the various data
collection methods such as KIIs. Data quality checks
by the lead consultant/ researcher will be conducted
semi-monthly to further ensure data quality.
Given that quality data procedures also encompass
ethical considerations, informed consent will be
obtained prior to data collection. Adequate
safeguards to maintain participant confidentiality and
comfort will be conducted. When relevant, codes or
aliases will be used to protect participant privacy. All
collected data will be stored appropriately. In essence,
hard copies will be kept in organized folders stored in
cabinets with lock and key, and soft copies will be
password protected. Data collected will be used
solely for the DAP study towards the improvement of
the health regulatory atmosphere.
Validation through Key Informants Interview and
FGDs will also be conducted to ensure that an
accurate and relatively complete picture of the health
industry regulatory experience was captured by the
study.
Data Processing and Analysis
Regulations, particularly those for the case studies,
will mainly be analyzed through Regulatory Impact
Analysis (RIA), which is a “systematic approach to
critically and empirically examining the positive and
negative effects of proposed and existing regulations
and non-regulatory alternatives” (Organization for
Economic Co-operation and Development, 2014). It
generally involves the following: I) identification and
description of the regulatory problem, II) conduct of
the proportionate analysis of the regulatory problem
and its proposed direction, III) conduct of cost-benefit
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Philippine Renewable Energy Industry Regulatory Review
analysis of the regulatory, non-regulatory or mixed
options for the regulatory problem area, and IV) the
crafting of the regulatory impact statement with
recommended actions.
Traffic light score method will also be used to
complement the RIA analysis, ex-facto. “It provides a
simple, practical and systematic qualifying tool, which
recommends action courses on regulation, derived
from the analysis of its real impacts” (APEC, Traffic
Light Score Method Workshop, 2017).
Excel will be utilized to facilitate the conduct of RIA,
especially for the cost-benefit analysis. Frequencies
and other quantitative descriptors will also be
generated through excel.
Qualitative data obtained through KIIs and FGDs will
be documented and summarized using MS word.
Thematic analysis will be used to cluster responses
into themes, which can provide insight on regulatory
burdens, in/efficiencies, strengths, and gaps as well as
possible recommendatory directions to address these.
Regulations will also be subjected through value
stream mapping, which outlines the requirements
and processes for all the steps in business operations
(i.e. from start-up, to maintenance, to closure). Value
stream mapping can flesh out processes, which add
unnecessary burden to the business owner,
duplicative procedures, etc. It can also identify the
time and costs allotted per requirement and
procedure. Data analysis tools follow the DAP tools
and templates for conducting value stream mapping,
RIA and TLSM.
 Philippine Renewable Energy Industry Regulatory Review

RESULTS AND FINDINGS OF THE STUDY

Results of Public Consultations

Key issues raised by the industry and public sector

Three public consultations were done mainly in Luzon,
Visayas and Mindanao out of these consultations
common issues were raised by the respondents with
regards to health regulation. Major themes that
surfaced during the public consultations are in line
with restrictions brought about by over regulation in
the health sector. Participants of the said
consultations are both from the health regulatory
bodies in the national levelheaded by the Department
of Health and PhilHealth. National and regional
agencies engage in health regulation such as the
Department of Environment Natural Resources,
Department of interior and Local Government were
also present during the consultations. Apart from the
major health regulators stakeholders in the health
sector were also present to share their thoughts and
experience regarding health regulation and its
implication to the services they render. These
stakeholders came from different sides of the health
sector starting with the pharma industry, public and
private hospitals owners and administrator,
representatives from the medical societies, birthing
homeowners and staff and also consumers of health
products and services.
The presence of various stakeholders during the
consultations and focus group discussions enable the
team to get inputs on a holistic level and in
consideration also of geographic location these
consultations were done in the three main Island
groups (Luzon, Visayas and Mindanao). Results of the
activities are utilized as part of the study results
together with the perception survey and key
informant interviews.

Table 2: Key Issues Raised by the Industry and Public Sector

INDUSTRY THEMES ISSUES1
INFORMATION • No updated, easily accessible repository or information database for policies or
EXCHANGE documents pertaining to regulatory processes and requirements
• No standard information on regulations within one agency and across agencies
relevant to the health industry. (E.g. there are regional deviations on the regulatory
requirements. One regional focal person will give different information on the same
regulatory process)
• Difficult to get information access unless you have a “friend on the inside” or you
have human resource to serve as a focal person for monitoring regulatory updates
• Informal coordination remains. Even updates are sent thru informal means (e.g. no
letter heads, no provision of official documents, no face validity to the information
flow)
• Inadequate consultation processes (sometimes consultations are not
representative of operations and businesspeople, consultation inputs are not
always integrated in the formulated regulation or policy so the stakeholders
wonder how the policy stipulations were formulated)
PROBLEMATIC • No rationalization behind policies. Enforces forget the rationale of a regulation,
REGULATIONS AND ITS which affects standard quality enforcement that is contextually appropriate to the
ENFORCEMENT business type and its unique geo-cultural circumstances
• Volatile, unpredictable regulations, which affect compliance (suddenly standards
will change with no rationale and transition of instruction so stakeholders find it
hard to comply)

1Issues were taken from initial desk review, industry dialogues, and initial key informant interviews with
health industry regulators and regulatees

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 Philippine Renewable Energy Industry Regulatory Review

• Presence of standards or requirements that increase operations costs without due

relevant impact (e.g. nursing staff is based on # of beds of a facility not average
occupancy rate so you incur more costs for unnecessary human resource or in the
case of public hospitals, average occupancy surpasses number of beds but the
standard limits acquisition of needed human resource)
• No policy manual or IIRs available to adequately ensure standard compliance for
the business owners
• No continuity or alignment of regulations at different levels of the regulatory
hierarchy (i.e. law should take precedent over the regulations developed but
sometimes there is no alignment)
• Policy interpretation is not standard within one agency so their enforcement of
requirements varies each time across different geographical areas.
• Enforcement is inadequate since there is not enough human resource and capacity
for monitoring and evaluating regulations
• No sunset clauses. There are a lot of irrelevant policies created before that still
applies today.
• Different agencies that regulate the same thing have different, competing
standards. (E.g. LLDA have different requirements on environmental sanitation
than DENR which has added costs). There is no inter-agency alignment with
regulatory requirements
• Need for regulatory transparency. (What is the rationale behind the regulations?
How were they developed? How were the costs computed?)
• Regulations do not take into consideration sustainability of small and local
businesses and enterprises, mostly macro, transnational firms.
HINDRANCES TO STARTING A BUSINESS
BUSINESS • Obtaining the Permit to Construct (PTC) is difficult due to regulatory requirements
OPERATIONS2 that are not standardized (e.g. facility design will be evaluated multiple times,
sometimes by the same architect. The architect will disapprove even if the design
was made by them. Further, sometimes they will approve the PTC with facility
design then after construction, will ask the business owner to change aspects of the
building, which incur costs)
• Overlapping requirements with different agencies that incur additional costs
MAINTENANCE OF BUSINESSES
• Sudden change in standards that may not be appropriate to the business (e.g.
sudden requirement of an ambulance for a birthing facility, which is not business
sustainable especially for smaller scale birthing facilities)
• No standard turn-around time within and across different regulatory agencies. (TAT
for PHIC reimbursements or claims processing can have a span of two weeks to 6
months)
• Additional compliance costs and administrative burdens due to attempts at
automation even though the automated capacity is still inadequate (e.g. PHIC
claims submission is online but the online system is not always functional this adds
delays for the business owner’s compliance which may even result to the nulling of
claims for reimbursement)
• Policies are released when the agency is not ready for its implementation, which
hinders the compliance of business owners.

2Hindrances in business operations have economic repercussions to business sustainability. It pertains to the
economic side of the health industry. Standard quality and relevant impact pertains to true social gains as the
health industry is not only a viable economic operation but it has social mandates and responsibilities for the
populace

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 Philippine Renewable Energy Industry Regulatory Review

HINDRANCES IN • Distribution of facility and business acumen of operators are not taken into
ENSURING STANDARD consideration in regulations, which affect health service access and business
QUALITY AND sustainability. Not all health providers are business people and vice versa.
RELEVANT IMPACT • Collaboration with private sector in terms of aiding government owned health
businesses or facilities is inadequate thus health access and health resources are
not fully maximized.
• Ensure appropriate fees for the standard quality of medicines, drugs and products,
especially for the FDA.
• Inadequate police power of regulations that compromise quality of care. “Policies
with no teeth”, which can lead to deviant businesses and corruption venues.

Apart from public consultations done in the three
major Island groups focus group discussions were also
done and common themes regarding regulations in
health and issues were also raised as well as
recommendations. There were common themes that
surfaced from the activities from the feedback of
stakeholders. They stated that regulatory agencies
should explain to end user the rationale behind the
regulation in order to provide end users guidance and
entice compliance. There is also a need to standardize
requirements on licensing and accreditation
(different standards per region). Policy on regulation
in relation to licensing should consider level of
business i.e requirements for private birthing facility
should not be like a requirement for a private
hospital).
If the end users are informed and engage in the
rationale and use of regulation it will enhance
predictability that shall result in compliance with the
said health regulation. There was also a suggestion to
make the license to operate of the DOH for three
years. Other relevant comments from the group are
the following:
• Review standards that increase cost: i.e.
requirement on the building of excessive
number of ramps for PWDs.
• Repetition of requirements Quezon City
requires Annual Physical Exam for service
providers (APE) of birthing facilities (look
into regulation as income)
• Nursing staffing based on number of beds
and not on based on average occupancy rate
• Open up point of care to private healthcare
providers
• Bidding process should include distribution
• Tapped the private sector to contract out
including facility
• Law should be precedent from any policy
regulation
• Strengthen the role of Food and Drugs
Administration (FDA) to support regulatory
and enforcement function
• FDA to look into the calculations of variable
fees
• Impact assessment that has been done by
the FDA/ compare filing fees in other
countries
• Most PhilHealth circulars contains no
transition of instructions
• Regulation should look into small enterprise/
how to strengthen the multiply policy for
these enterprises are different from big
facilities and make sure that these facilities
exists in the industry.
• Implement the Universal Coverage to lower
the cost of medicines
• Regulators should improve transparency in
all aspects

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On the Case study 1: Birthing home issues for
consideration:
• Laws take precedence need to Rationalise
laws - Remove redundancy (proceed to
Environmental Management Bureau (EMB)
• Implementing IRRs should converge toward
a mother health policy- MNCHN
• A comment - Operating a birthing home is a
social enterprise. No economies of scale
among 2 bed facilities therefore inefficient
• Look into Midwifery law, RA7392, sec. 23
(Philhealth)- (MOA)
• RA 9288 NewBorn Screening law (Philhealth)
- birth certificate requirement
• Holidays
• Separate system for Birthing homes
• OT for small Philhealth claims (birthing
homes), others operate only during office
weekdays
• LGU and concerned agencies:
o EMB
o PD 1586: Phil Environment Impact
Statement System
o RA 9275: Phil Clean Water Act of
2004
o RA 6969: Toxic Substances,
Hazardous and nuclear wastes
control act
o DAO 2014-02 Revised Guidelines
for Accreditation of PCOs
o PD 856, Sanitation Code DoH (Is
there a need for this)?
On Case study 2: Common themes regarding
licensing by network
• MGRP and Universal Healthcare based on
FourMula 1 Plus
o MGRP support UHC in terms of
ensuring efficient health regulation
• Regulatory (licensing by network)
• Health Industry Profile
o Issues Confronting the health
sector
o Vision, mission, goals, core values
• Study Framework Licensing by SDN
• Health Industry Regulatory Framework
• Value stream map
What is your perception on the licensing by network?
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Philippine Renewable Energy Industry Regulatory Review
• I license facilities by network
• Services defined and support services
including programs
• Blood network/HIV network testing/ ABCT /
Mental Health/ MBHFI
What should be included in the Licensing by network
(LBN)?
• Network blood/pharma/ birthing facilities/
hospitals
• Health financing (ensuring financial access)
and financing the system ( prioritizing
benefits, paying for services)
• Human Resource System
What legal instruments are needed to implement the
LBN?
• Creation of DOH administrative order
(integrate to UHC law)
• Creation of ordinance/Resolution
integration of licensing by network
• Utilization
• Creation of MOA DOH RO 7 with health
facilities
• Payment method dependent on the
timeliness of payment and payment terms
with partners
• Mental health medicine procurement
(bidding/ VSMC)/ Community based mental
health program supported by other regions
lodged initially in hospitals
• Trained doctors in district hospitals in mental
health
• 40 indigent patients for 3 months (once a
month shot)
• Continuity hospital in mental health LGU has
specific designated hospital beds partnered
with GLOBE i.e. Pinamunahan
• Start in Bugo under Bugo ILHZ Basameda /
Bantayan Island /Camotes Island
• Joan Santiago to develop a concept note
(legal instruments , process)
• Inclusion in the PhilHealth package
Other Comments and suggestions:
• Deployment of HR staff ( deploy 1 nurse per
5,000 pop) proposal HFIDP
• Among the provinces Cebu already
established SDN lacks governing body /

management (cluster SDN because of
geographical issues) with sub APEX in each
coordinate (tatak PGH deployment of doctor
specialist mainly anesthesiologist) upgrade
facility through existence of MOA
• Governing body (LGU, PHO, PhilHelath,
MLGP, DOH)
• Advocacy strategy health promotion start
first with (wellness) personal family health,
individual, preventive, curative.
• Include network normal time and time of
disaster and emergency (quick response in
disaster) same on the responders
(management and services for cares)
• Substance abuse in mental health
• Monitoring and Evaluation, data collection
record keeping and reporting
• Capacitate licensing officers of DOH regional
office (lack of staff and training)
o Needs to check SOP of each
program
o Develop SOPs
• For now individual licensing what we can do
is mayor or governor take lead local health
board/ individual facility payment
(upgrading of health facilities)
• License look into service capacity of facilities
to determine intervention and improvement
in terms of systems (DOH provide general
specialist) VSMM as end referral facility in
the future establishment of specialty center
(eye center, renal center, trauma etc.)
• Jumpstart categorization of service capacity
of facilities, started in maternal health m and
e for MNCHN to expand to other programs
• RHUs to be licensed for preventive programs
and PhilHealth
• Through the SDN we develop standard of
payment using PhilHealth/ sharing
percentages develop into ordinance, DOH
order (technical) at first and then ordinance
by LGU to secure resource allocation and
accountability of the LGUs to institutionalize
the system
• More on the investment is the infrastructure
(cleanliness can be done even if we have low
budget)
• Problem on demoralization of health
workers reason is (PhilHealth sharing)
because of the disparity in the sharing
schemes.
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Philippine Renewable Energy Industry Regulatory Review
• Motivation of service incentivization on
getting share from PhilHealth
• LGU case the benefit PhilHealth
reimbursement does not come back to the
facility and health workers
• Regularization/ Standardization of human
resources (problem) some hospital staff is on
job order basis
• Most participants are willing and amenable
to Licensing by Network
• Back to pre-devolution centralize healthcare
services
• DOH to look at how LGU share PhilHealth
sharing
• Can APEX hospital be led by DOH? Direct
payment sa hospital facility
What should be included in LBN?
• Incentive for performance
• Health financing / health financing
mechanism for utilization sharing and policy
• Favorable LBN with APEX and sub hospitals
(sharing of resources and services) ideally
public hospitals
• Human Resource requirement for network
of health service providers
• LNB good because there is no redundancy
and resources of network is maximized
(leaders management authority)
• Equitable resources sharing of PhilHealth
(sharing training, incentive)
• Can we pressure
Legal Instruments to implement LBN?
• Health facilities organized and each has his
own responsibility
• Can all facilities under the network follow
VSMC i.e. VSMC provider to LGU Liluan (xray,
provider radiologist)
• Framework itself without political issues and
problems is doable and ideal can be barrier
or positive
• LBN VMC will have control of the sharing of
PhilHealth
If that is the case can it be palatable in other DOH
retained hospital
• As long as may prototype kayang gawin /
prototype can be a standard
 Philippine Renewable Energy Industry Regulatory Review

• Role naming is not just carrying them in
terms of licensing but also to identify what
the critical equipment’s should be
• Human Resource as problems: companies
are ready to provide outsourcing contracting
i.e. radiology radio tech services
• It may be ok initially, but the ultimate goal is
to be the APEX (first capacitate these
hospitals but eventually they will be the one
to take care of developing the hospital)
• LBN will strengthen gate keeping i.e. cardio
clinic basic services/ pathologic in lower level
hospital
• Standardize service package in defined
facility
• VMSC accredit Family Med doctors MHO
doctors i.e Siargao to capacitae Siargao
hospital no doctors put doctors initially
second to improve the trust and confidence
to use the hospitals (family med, surgeon)
evreyt ime na nadun lang tao ng VSMC
• Mag apply Sotto pero I deploy sa Siargao
VMSC accredit as fellow
• Application of accreditation of fellowship is
in VSMC

Results of the Health Industry Perception Survey Results

Note: A total of 72 respondents answered the perception survey on the impact of regulations on businesses for the
Health industry. However, not all respondents provided responses for all questions. For each “major item”, the
sample size of respondents is indicated.

Description of Respondents

Types of Businesses. A total of 71 respondents provided information on the type of business they own. Majority of
the business types are corporations (41 respondents; 57.7%), while 20 are sole proprietorships (28.2%).

Table 3: Types of Businesses

Type of Business Frequency
Corporation 41
Sole proprietorship 20
Partnership 3
Government 1
Medical 1
Non-stock, Non-profit organization 2
NGO 1
Pharmaceutical Industry Association 1

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 Philippine Renewable Energy Industry Regulatory Review

Figure 6: Types of Businesses

Figure 7: Location of Businesses

Business Locations. Majority of business owners are located in Luzon (63.9%. 46 respondents out of 72). 19.4% (14
respondents) are located in Mindanao; and 9.7% (7 respondents) are located in Visayas. 6.9% (5 respondents) have
multiple locations all over the country.

Type of Business by Capitalization. Of the 70 respondents that provided their business capitalization, 18 businesses
qualify as microbusinesses with a capitalization of up to Php 3, 000, 000; 12 are small businesses with a capitalization
of Php 3,000,001 to Php 15, 000,000; 18 are medium businesses with a capitalization of Php 15, 000, 0001 to 100,
000, 000; and 22 are large businesses with a capitalization of Php 100, 000, 001 and above.

Table 4: Type of Business by Capitalization

Frequency
Micro 18
Small 12
Medium 18
Large 22

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Figure 8: Type of Business by Capitalization

Type of Business by Capitalization

Frequency

22
18 18

12

Micro Small Medium Large

Of the 71 respondents who provided an answer, majority of the businesses have been operating for more than 10
years (49 respondents), 29.6% have been operational for two to 10 years (21 respondents), and 1.4% (one
respondent) reported being operational for less than two years.

Figure 9: Length of Operation

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 Philippine Renewable Energy Industry Regulatory Review

Interaction with Regulatory Agencies

Listed below are the regulatory agencies, which businesses deal with the most. The agencies are arranged in terms
of importance to the business owners (n=69).

1. DOH 11. LLDA 21. SSS

2. PHIC 12. DSWD 22. Pag-ibig
3. FDA 13. SEC 23. PNRI
4. BIR 14. DTI 24. BPLO
5. LGU 15. BFAD 25. Mapecon
6. DENR 16. BOQ 26. X-ray regulatory board
7. City/ Provincial Health 17. BOC 27. Newborn screening
Offices 18. DOLE center
8. PRC 19. National Privacy 28. NPC
9. PDEA Commission
10. BFP 20. CDA

Top 10 agencies are cross-cutting amidst all businesses. Those listed below were mentioned by only approximately
15% of the respondents. The agencies from 18 and onwards were only mentioned by one business and are listed as
the “least impactful” agency dealt with.

Reasons for Interaction. Top 5 reasons for interaction with said agencies are as follows I) Registration and renewal
of permits (n=68 out of 72 respondents), II) Inspection of products/ premises (n=56), III) accreditation of products/
services/ personnel, etc. (n=54), IV) provision of required regulatory information (n-54), and V) remittance of
government shares (n=40).

Figure 10: Major Reasons for Regulatory Agency Interaction

Registration Inspection of
and renewal products/ Accreditation
of permits premises

Provision of
regulatory Remittance
information

Interaction Frequency
Table 5: Number of Businesses who Reported their Interaction Frequency per Year by Type of Interaction
Interaction frequency per Year Inspection/ Audit Information Submission
Once a year 8 respondents 33 respondents
Twice/ Two to three times a year 9 7
More than twice/ 4-6 times a year 50 11
More than 6 times a year -- 21
Not applicable 3 --

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 Philippine Renewable Energy Industry Regulatory Review

Figure 11: Perception of the Respondents on the Interaction with the Regulatory Agents

Industry opinion is considered Regulation rationale is Regulation requirements Timely announcement

during regulation development clearly communicated are clearly communicated of regulation changes

As seen in the figure above, major issues with regard to regulations is with regard to consultation and mutual
regulation understanding, which is affected by the volatility and unpredictability of policies. Lack of consultation can
lead to regulations that are dissonant with industry context, which delimits rationale understanding an in turn affects
compliance efficiency. Lack of mutual understanding can also be due to untimely announcements of changes,
rendering the regulations unpredictable, which again influences compliance efficiency and ease. Interaction with the
regulatory agencies seems to be imbued with communication and information exchange issues. Perceptions on
Regulatory information will be discussed in the succeeding section.

Perception on Regulation Information

With regard to regulation awareness, 69 respondents provided answers. 20 of the respondents are very familiar with
industry regulations, 28 reported being familiar with the regulations, and 21 reported being only moderately familiar
with said regulations.

Figure 12: Regulation Familiarity of Respondents

REPORTED REGULATION
FAMILIARITY OF RESPONDENTS
Moderate Familiar Very Familiar

29% 30%

41%

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Table 6: Perceptions on Regulation Information

Agree Neither Agree nor Disagree
Information Characteristic Disagree
Information is readily available 47 6 18
Regulation rationale are easy to understand 42 14 14
Businesses are aware of the citizen’s charter 37 19 14
Regulatory agencies are aware of the citizen’s charter 37 23 16
Answers are clearly provided to queries of businesses 19 23 28
Regulatory agencies respond within the indicated time in the 26 23 22
citizen’s charter

More respondents have positive perceptions on the nature of the regulation information in terms of their availability,
timeliness, etc. although the increase is marginal relative to the number of respondents who disagree or have
relatively negative perceptions and those who have neutral perceptions.

Regulation Impact and Compliance

Table 7: Types of Regulations and their Perceived Impact
TYPE OF REGULATION
HEALTH
IMPACT
TAX CUSTOMS INFRA TECH & EMPLOYMENT ENV. ADMIN.
SAFETY
LOW (Business as 3 11 8 8 4 2 3 4
Usual)
MODERATE (Non- 25 8 20 25 17 6 26 17
compliance may
lead to penalties
MAJOR (May lead 40 18 41 26 48 7 38 47
to end of
business)
NA 2 33 -- 10 1 -- 3 2

All regulations, when considered applicable to the context of the business, have major impact since failure to comply
may lead to the end of the business.

Table 8: Ease of Compliance

TYPE OF REGULATION
COMPLIANCE HEALTH &
TAX CUSTOMS INFRA TECH EMPLOYMENT ENV. ADMIN.
SAFETY
EASY 43 21 29 30 46 11 29 47
HARD 26 34 38 31 21 2 35 19

More respondents perceive tax, health, employment, and administrative regulations as easy to comply with, while
customs, infrastructure, technological, and environmental regulations as difficult to comply with. Difficult
regulations pertain to infrastructure or facility requirements, human resource requirements, fire safety
requirements, and environmental requirements about safe disposal.

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 Philippine Renewable Energy Industry Regulatory Review

Major issues due to difficulty of regulation compliance is due to policy volatility or unpredictability (i.e. there are fast
changes, which the owners have difficulty tracking and the regulator end has insufficient capacity to implement
these changes as well). There is also limited human resource to monitor and implement regulations, which creates
backlogs and makes compliance difficult. Thus, turn-around-time serves as a major issue, which hinders compliance.
Further, there are additional requirements, which business owners deem unnecessary, laborious or hinder business
efficiency. There is also inter-agency overlap of requirements, which makes compliance redundant, confusing or
laborious. These are made even more difficult due to the inaccessibility of agencies (e.g. because there is limited
human resource to tend to the needs of the business owners as well the location of some agencies).

All these issues lead to the predominant perception (33 out of 63 respondents) that regulations are inadequately
enforced.

Figure 13: Reasons for Difficult Compliance

Backlog dueto limited

human resource for Turn-around-time Unnecessary
Unpredictable Policies
regulation issues requirements
enforcement

Inter-agency overlap Inaccessible agencies

Information Submission Compliance. One of the major trends in addressing administrative burden is through
automation (i.e. the online transactions for regulatory information). Based on the survey, majority of the participants
utilize online forms, granted that they are available (Lack of online forms is the main reason why not all respondents
utilize this).

Figure 14: Usage of Online Forms

Usage of Online Forms

27%
Yes
No
73%

Majority of the respondents (77%; 54 out of 70) claimed that online forms (assuming that online portals are fully
functional and that hybrid models (i.e. those that have online portals but still require hardcopies) are highly effective
since they reduce costs and make transactions smoother and easier. Provision of data also becomes easier across
agencies.

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 Philippine Renewable Energy Industry Regulatory Review

Effectiveness is reduced however if the agency does not have the sufficient capacity to implement, maintain and
sustain the online forms or if they have hybrid models which makes the administrative burdens redundant.

Figure 15: Perceived Effectiveness of Online Forms

Perceived Effectiveness of
Online Forms

23%
Effetive
Ineffective
77%

Figure 16: Major Reasons for Reduced Effectiveness of Online Forms

No sustainable Software or
automation technological
capacity glitches

Unsure if
documents are
Hybrid models
received and
checked

Cost of Compliance

There is a lot of variation in the reported estimate for the time spent annually (total workdays per year) in complying
with regulations. The reported mode (n=12 out of 56) is 30 days. The range of estimated working days for regulatory
compliance is from 3 days to 365 days. Average is 88. 64 days.

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Figure 17: Perceptions on Regulatory Compliance Costs

Majority of the participants (n=38) agree that regulatory breakdowns are clear and relatively transparent. They (n=31)
also perceive the costs as reasonable. 21 out of 67 respondents claim that there are other fees collected for
regulation compliance other than what is published, while the rest claimed they have not encountered such fees.
There was no mention on what these fees are and the rationale behind them.

Figure 18: Perception on Overall Regulatory Environment

Perception on Overall
Regulatory Environment

12%
27% Weakly regulated
Fairly regulated
Over reglated
61%

61% of the respondents (39 out of 64) claimed that the overall regulatory environment is fairly regulated; 27% (17)
claimed it is over regulated, while 12% (n=8) claim that it is weakly regulated.

Majority claim that regulations are necessary, relevant, and beneficial to business (i.e. its benefits outweigh its cons)
since it provides standards and quality assurance measures, however regulatory consistency amidst regulatory
agencies can be improved.

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 Philippine Renewable Energy Industry Regulatory Review

Figure 19: Perceptions on Regulations

Other issues and rooms for improvement are as follows: most regulations are not conducive to business expansion
and growth, especially due to overregulation, duplication of labor, unpredictable policies, long turn-around-time,
and inter-agency overlap. It is recommended by the respondents that although regulations are highly important
given that they assure and certify the quality of a business, which aids the business become trust worthy for
consumers, it has to reduce the burden of compliance and enhance its efficiency.

Nevertheless, majority of the respondents claim that regulations are highly beneficial to the health industry.

Figure 20: Perceived Effect of Regulation to Industry

PERCEIVED EFFECT OF
REGULATION TO INDUSTRY
Beneficial Not Beneficial

25%

75%

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PRIORITIES FOR RECOMMENDATION AND CONCLUSION

The results of the study indicates the need to revisit regulations for the health industry and utilize the use of RIA in
other aspect of the health industry not included in the study. Example of this is the regulation of the pharmaceutical
industry. Regulation that covers health maintenance organizations and also regulation regarding the use of
alternative medical services and medicines among other.

Current developments in the health sector specifically
on the Implementation of the Universal Healthcare
law should be considered in rationalizing and
developing additional policies in regulation as well as
revisions of existing regulation that are repetitive and
costly. There is also a need for comprehensive and
further study on health sector regulations and its
implication to the goal of the Department of Health
as the lead steward of Health of the country in
achieving its primary goal of enhancing health
outcomes and improvement in the quality of life of all
Filipinos.
Looking at the results of the consultations and
perception survey priorities for recommendation
were formulated. On the regulatory aspect, one is
that there is a need to develop policy on first revision
of administrative order (AO) & Circular on birthing
homes towards deregulation (i.e. PHIC becomes M&E,
LGU for continuous M&E) and second is that there is
a need to Develop an administrative order (AO) &
UHC IRR for Systems/Network accreditation.
education campaigns for service providers. Another is
to develop a prestige mechanism to ensure
compliance and essential in assuring improvement in
the system is to strengthen automation capacity and
support for service provider through system
enhancement and development of appropriate IT
infrastructure and communication strategy. A mixed
approach in regulation and non-regulation is also
recommended. Starting with the combination of
policy development (in phases) and non-regulatory
initiatives as presented above.
The recommended regulations are aligned based on
the findings of all collection and analysis methods
from VSM to RIA, from consultations to the survey.
Undergoing the proposed recommendations have
policy coherence: both bank on UHC Law towards
social and economic efficiency. Both are also aligned
with the recently passed UHC Law as well as other
international commitments

Also, among the recommendation is to work on

nonregulatory alternatives to entice compliance and
also answer the quality and income generation aspect
of the regulation. One way is through capacitation &

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CASE STUDIES

CASE STUDY 1: RIA ON LICENSING OF BIRTHING HOMES

Title: AO 0012 s2012 Annex C: Licensing Requirements for Birthing Homes

Type of regulation: AO
Lead department or agency: DOH
Stage: Existing Regulation for Review
Key Contents of Regulation:

The AO stipulates licensing requirements for both private and public birthing homes.

Licensing requirements provide standards for the following:

1. Service capability
2. Personnel requirements
3. Necessary equipment and instruments
4. Infrastructure (i.e. the physical facility)
5. Health care waste management

DOH, specifically the Health Facilities and Service Regulatory Bureau (HFSRB) is tasked to monitor the compliance to
this issuance. Lack of compliance can lead to non-licensing of the facility, which prevents business operations. Non-
compliance during continuous monitoring processes can also lead to closure of facility or inability to continue
operations

PROBLEM:

Inadequately distributed number of continuously compliant birthing facilities, which leads to gaps in the provision
of quality maternal health care

Possible causes: on the family, which in turn affects community

• Cumbersome, inappropriate licensing
requirements which vary in interpretation
amidst the regulatory institutions and their
respective levels
• Lack of policy enforcement, further
weakened by inadequate M&E initiatives of
the regulatory agents
• Inappropriate licensing considerations done
by regulator
Problem Analysis: Rationale for Improvement
Motherhood is a beautiful experience, which is
plagued by various health complications and risks--
complications with their respective social and
economic burdens for both the household and the
community. Complications for both the mother and
her child due to inadequate care can lead to greater,
riskier and more severe morbidities, and even
mortalities. Both can incur debilitating hospitalization
costs and burial costs, respectively. Maternal and
child morbidities and mortalities during pregnancy
can have physical, mental and psycho-social effects
participation in terms of social relations and
economic productivity.
Given the effects of proper maternal and child care to
social and economic development, addressing this
public health issues had been a global thrust as
reflected in the SDGs (Goal 3, specifically 3.1).
Access to proper medical attention and hygienic
conditions during delivery can reduce the risk of
complications and infections that may lead to death
or serious illness for the mother and/or baby (Van
Lerberghe and De Brouwere 2001; WHO 2006). This
finding has been translated through action, initially,
via former Secretary Ona’s thrust to enhance facility
capacity, inclusive of staff competency, via prompting
facility-based delivery (FBD) attended by a skilled
birth attendant (SBA). The national target is to
achieve 100% FBD.
Maternal mortality still remains an issue in the
Philippines, as reflected in its inability to meet the
MDG stipulation on maternal health, as well as
national targets, including FBD and SBA targets. There

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are also regional discrepancies with FBDs, which in
turn can have its effect on maternal mortality.
Currently, only 78% of live births are facility-based,
wherein 84% is attended by a SBA although these
figures have been relatively, statistically plateauing
for the last three years. This figure, although high
nationally, have great fluctuations regionally and
geographically amidst other demographic
characteristics, wherein urban areas have higher
percentages compared to rural ones; and NCR has the
highest percentage compared to ARMM, which has
the lowest. Further, higher income mothers have a
higher percentage of undergoing FBDs attended by
SBAs compared to lower income mothers (NDHS,
2017).
Factors that contribute to these discrepancies is a
matter of health literacy influenced by socio-
demographic characteristics, as well as barriers to
access and affordability. There is an inadequately
distributed number of birthing facilities who meet
and continuously comply with quality standard.
Licensing of facilities is part of DOH’s mandate, while
its accreditation is dependent on PHIC- both
regulatory agents for quality facility capacity. There is
a need to harmonize and streamline birthing facility
licensing to ensure there are adequate facilities with
its respective competent providers, and that these
facilities maintain quality service provision and
business operations.
To surmise, despite the importance of facility-based
delivery, not all mothers are able to avail of quality
facility-based delivery given the inadequacy of
facilities compliant to licensing standards. Inability for
facilities to get licensed not only have economic costs
in terms of hampering business operations, but also
social costs given its impact on maternal and infant
health.
Licensing issues for facilities include, but are not
delimited to: I) Difficult licensing processes and
procedures, and II) varying interpretations and
enforcement of licensing standards at different levels
of the regulatory institutions.
Result of Proportionate Analysis
Description of Groups Affected & their Respective
Impacts
• Consumers, the family, and the community.
Improved access to quality maternal and
neonatal care, wherein quality involves the
respectful encounters with proficient service
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Philippine Renewable Energy Industry Regulatory Review
providers offering contextually appropriate
care.
• Regulatory Institution.
• DOH streamlines processes, assures quality
care, lowers maternal mortality, service in
the un-served
• PHIC. Accredited facilities, more payment for
services, reduces out of pocket,
• LGU. As program implementers, they are
able to have good health outcomes for the
populace which it serves. Also allows for
sustained business for LGU-ran facilities
• Service Provider. Added income, ability to
conduct business and become economically
productive
Description of Impact
• Reduction of maternal mortality costs and
burdens on the family and community
• Increase economic productivity of birthing
facilities
• Reduction of out of pocket expenditures due
to increased number of accredited facilities
• Quality care guaranteed
Level III: Quantification of Effects
• Effects of inadequate policy will
contribute to stagnation in maternal
health outcomes, which have social and
economic costs on the individual, family,
and community level.
• Ensuring quality care through
appropriate birthing facility licensing
can limit hospitalization costs,
opportunity costs, etc. due to maternal
and child morbidities and mortalities
due to a lack of access to quality birthing
facilities.
Level IV: Partial Monetizing
• Direct Licensing Costs: transport, food,
greater hospitalization costs due to
more severe morbidities, mortality
costs, etc.
• Indirect Licensing Costs: Opportunity
cost for the consumer and the service
provider. The latter is due to delayed,
halted or discontinued business
operations.
• Days allotted for Licensing Compliance
due to cumbersome licensing
 Philippine Renewable Energy Industry Regulatory Review

requirements can also increase indirect related to maternal care. Household

costs.
Level V: Full Monetizing
• Impact costs to families with maternal
mortalities and more severe morbidities
are debilitating in nature. WHO
estimates that 40% of expendable
income is spent on hospitalization
operations are hindered, which impacts
not only the patient but also the
patient’s caregivers.
• Impact costs to Community: Hindered
economic development due to halted
businesses as well as incapacity of
consumer to economically and socially
participate due to illness.

Table 9: Proportionate Analysis

CRITERIA SCALE RATING VALUE
Importance/Urgency Very High 5 Significant importance with ample groups
affected
Impact Medium 3 Major (60%)
Level of Certainty High 4 Highly Certain
Time Available for Policy Development High 4 More than adequate
TOTAL High 16 CONDUCT COMPLETE RIA

Objective: To increase the number of continuously compliant birthing home facilities providing quality maternal care
for mothers within three years

Specifically:

• To streamline licensing processes for public and private birthing facilities within three years via deregulation
• To improve synchronization of licensing regulations by regulatory institutions within three years

Policy Direction Rationale:

• Deregulate and render PHIC and LGU as main enforcers so as to ensure true quality of service, remove
duplication of labor and regulations, as well as standardize process
o Cost-effective
o Logical or coherent
o Holistic

Identification of Alternatives

Option 1: Do Nothing

• Lack of quality facilities and service providers that can cater to mothers’ and infants’ needs
• Hindrance to business operations of lying-in facilities
• Continuation of varying standards and cumbersome licensing processes

Option 2 non regulatory option:

• Voluntary Education and Capacitation Initiatives

o Capacitate and educate service providers with regard to licensing and accreditation sustainability
for continuous business operations
• Prestige mechanisms towards facility compliance
o Education and capacitation as well as voluntary incentive mechanisms are cost-effective initiatives
that cater to behavioral change which can affect licensing compliance

Option 3: Regulatory Option

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• Revise existing administrative order in terms of:

o Streamlining processes through inter-agency and intra-agency coordination and synchronization
o Enhancing coordination mechanisms within regulatory institutions
o Enhance police power of policy
o Ensure appropriate licensing considerations to truly affect health outcomes
o Capacitation and augmentation of PHIC & LGU personnel into becoming regulatory managers
o Enhance Policy M&E capacity of regulatory agents
• Policy improvement institutionalizes enforcement initiatives

Option 4: Mixed

• Combination of Regulatory and Non-regulatory Initiatives previously mentioned

• More cost-effective, caters to awareness and capacities of various players and stakeholders, which
increases compliance while said initiatives are cemented and enforced/ institutionalized thru policy

Evaluation of Alternatives

Table 10: Status Quo costs: Narrative

Cost of Provider Cost of Consumer Cost of Regulator

Naturally occurring cost for start-up and MMR Costs of illness: Government spending on
licensing compliance to varying • 0.46 million dollars for illness
requirements maternal deaths
Loss of investment come
• 1,500,000 start-up cost • 7.36 million maternal
closing of facility due to lack of
• Compliance to unnecessary morbidity
business acumen
requirement can go up to 1,280,000 • Cost of burial
• Economic 234.6 dollars/ person/facility
halting/Productivity Loss due to inadequate facility care
=Loss of 51 million per year

Table 11: Mixed Approach Costs: Approach

Cost of Provider Cost of Consumer Cost of Regulator

Naturally occurring cost NO INCREMENTAL COST Twenty million budget for

(Savings of 1,280,000 due to reduction additional enforcement
of unnecessary requirements) operations

Administrative burden cost: (1,500 unit 1,800,000 for additional

cost per report) for financial and Administration costs
business sustainability annually

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Table 12: Cost Estimates

Status Quo Mixed Approach

Administrative Burden 2,500 Negligible cost: 1,000 unit cost

• Start up: 1,500,000

• Yearly licensing renewal: 26,000
Substantive Compliance Cost
• Compliance to additional non-
standard requirements: 1,280,000

• Enforcement: ₱1,500,000 • Enforcement Cost: Twenty

Administration & Enforcement
• Admin: ₱25,000,000 million (initial)
Cost
• Admin Cost: 250,000

TOTAL 115,956,000 18,081,000

Table 13: Cost and Benefits Analysis: Narrative

STATUS
MIXED APPROACH
QUO

• Continuous and increased cost savings due to illness prevention and burial
Benefit 1 costs
• Continued economic productivity

• Added sustainable income for providers

• Savings due to removal of non-standard, additional unnecessary
Benefit 2
requirements
• Reduction in licensing compliance costs to standard requirements

• More cost-effective quality assurance operations for regulators

Benefit 3 • Preventive benefits and decrease in hospitalization subsidy cost for
increased maternal morbidity and mortality

Table 14: Benefits: Estimates

STATUS QUO MIXED APPROACH

1, 280,000 savings/ facility

Benefit 1 17,280,000,000
Reduction in start up cost

4.97 dollars/person/ year

Benefit 2 Non-quantified
122 dollars/live birth per year

Benefit 3 40,805,600 51 million productivity savings per year

TOTAL 17,204,619,600 17,281,305,000

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Table 15: Benefits: Cost Benefit Analysis

Status Quo Mixed Approach

Social Discount Rate 10% 10%

NPV 7,401,953,737 76,235,412,538

AV 1,952,616,749 12,406,962,318

Assumptions/ Caveats for CBA:
No attributable probability of policy effect to delimit
corresponding change in maternal mortality and its
reduced costs. (i.e. there are parallel interventions
that may contribute to the benefit, the policy being
one of them, however the latter cannot be isolated.
Quantification of cost of illness was lifted from
literature covering low income countries such as
Africa, conditions may differ in the Philippines. Use of
these estimates are due to delimitations in the
information available. Costs and benefits are dynamic
thru the 10-year period. Refer to excel sheet on CBA
for better breakdowns of costs and benefits.
Interpretation:
Although both initiatives have positive NPVs, which
mean both are economically viable options, mixed
approach implementation has higher yield and is
more cost-effective than the existing regulatory
environment.

Stakeholders Analysis:

The result of the stakeholders analysis indicates that that the major implementers in the management and regulation
of birthing facilities as a service provider such as the Department of Health, PhilHealth, LGHUs, PRC and the midwives
societies should be manage closely in terms of policy making and operationalization of these policies. DENR on its
part as a national agency involved in the regulation of environmental safety should be complied by stakeholders. As
for the NGS’s/CSOs and mothers and their families information with regards to the services and privileges as well as
the responsibilities of the consumers should always be in p[lace and updated.

Figure 21: Stakeholders Analysis

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Consultative Mechanism:

As for the consultative mechanism the team conducted key informant interviews with policy makers in DOH and
PhilHealth and results of the consultations were presented to stakeholders and policy makers. Below is the table of
the consultation and stakeholders of the activity.

Table 16: Consultation Mechanism

Enforcement, Compliance, and Monitoring Mechanism

Enforcement Agency: Compliance Mechanism:

• PHIC shall serve as the overall enforcement • Non-provision or removal of license

head.
• Collaborations with LGU as co-regulators can
be considered in the M&E plan of the policy
for continuing quality control and enforcer
HR augmentation
Policy in Monitoring and Evaluation:
• A Policy M&E manual will be developed to
identify and operationalize indicators
• A randomly sampled 10% of the facilities will
be monitored by PHIC per year, all facilities
within a region shall annually be inspected
by LGU
• Mid-term assessment after 3 years, full
policy evaluation after 5 years (outsourced)
• Monitoring levels: national, regional, local
(from LGU)
• Prestige incentives for motivation: E.g. Best
birthing homes, Best LGU health quality
Process
• Conduct of consultations and policy
refinement
• Release of circulars, relevant issuances at
national, regional and local levels
• Conduct of policy information forums for
stakeholders
• Conduct of orientations for regulators &
regulatees
• Annual monitoring
• Evaluation after 5-years
• Conduct of automation capacitation
initiative

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CASE STUDY 2: Licensing by Network

Title: Public Health Service Delivery Accreditation

Type of regulation: UHC IRR, then AO & AO IRR
Lead department or agency: DOH
Stage: To be developed, NO policy yet

PROBLEM

Lack of integration towards a more effective health care system

Problem Analysis/ Rationale for improvement:
Provision of the UHC Law defines the network of
health facilities that shall render health services to
specified clients and in different levels of care
depending on the case of the patient/client. Health
facilities shall be the main provider of care per
catchment area. The Administrative Order on Service
Delivery Network “AO 2014-0046 Designing the SDN
for Universal Health Care” (UHC ) provides guidelines
for the establishment of SDN to efficiently and
effectively cover the needs of priority groups and the
general population for UHC programs and projects. As
support another AO was developed “AO 2017 – 0014
Framework for Redefining Service Delivery Network”
which provides new guidelines on the establishment
of SDN. The function and services of public and
private health facilities is a major component of the
referral system function of the service delivery
network.
The development of SDN is a response to the
fragmented health service delivery system and facility.
Service delivery network, as defined by the
Responsible Parenthood and Reproductive Health
(RPRH) Law, refers to the network of health facilities
and providers within the province- or city-wide health
system, offering core packages of health care services
in an integrated and coordinated manner.
Furthermore, it specified that service delivery
network should be established and organized by LGUs
in coordination with DOH to effectively deliver
reproductive health care services to priority
population.
Rule 5 of the Implementing Rules and Regulations
(IRR) states that the Department of Health shall
develop specific guidelines for these sections: (a)
identifying needs of the priority population within the
SDN (5.10); (b) mapping the available facilities in the
SDN (5.09); (c) designating of population to facilities
(5.11); and (d) monitoring and evaluation of the SDN
(5.20).
Also, quality health service provision from health
facilities are part of international commitments on
meeting the sustainable development goals. It is in
this context that improving policy on licensing of
health facilities can contribute to business continuity,
competitiveness, and economic productivity of the
health care service providers and consumers through
illness reduction for the latter.
Proportionate Analysis
Description of Groups Affected & their Respective
Impacts
• Consumers, the family, and the community.
Improved access to quality health care,
wherein quality involves the respectful
encounters with proficient service providers
offering contextually appropriate care.
• Regulatory Institution.
• DOH streamlines processes, assures quality
care, lowers health morbidities and
mortality, service in the un-served
• PHIC. Accredited facilities, more payment for
services, reduces out of pocket,
• LGU. As program implementers, they are
able to have good health outcomes for the
populace which it serves. Also allows for
sustained business for LGU-ran facilities
• Service Provider. Added income, ability to
conduct business and become economically
productive
Description of Impact
• Reduction of illness costs and burdens on the
family and community
• Increase economic productivity of all health
facilities from all levels

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• Reduction of out of pocket expenditures due
to increased number of accredited facilities
• Addresses HR and other logistical resource
concerns due to better resource pooling at a
systems level
• Quality care guaranteed
Level III: Quantification of Effects
• Effects of inadequate policy will
contribute to stagnation in health
outcomes, which have social and
economic costs on the individual, family,
and community level.
• Ensuring quality care through
appropriate public health network
licensing can limit hospitalization costs,
opportunity costs, etc. due to
morbidities and mortalities due to a lack
of access to quality facilities and
providers
Level IV: Partial Monetizing
• Direct Licensing Costs: transport, food,
greater hospitalization costs due to
more severe morbidities, mortality costs,
etc.
• Indirect Licensing Costs: Opportunity
cost for the consumer and the service
provider. The latter is due to delayed,
halted or discontinued business
operations.
• Days allotted for Licensing Compliance
due to cumbersome licensing
requirements can also increase indirect
costs.
Level V: Full Monetizing
• Impact costs to families with health
afflictions and other morbidities that
can be debilitating in nature. Household
operations are hindered, which impacts
not only the patient but also the
patient’s caregivers.
• Impact costs to Community: Hindered
economic development due to halted
businesses as well as incapacity of
consumer to economically and socially
participate due to illness.

Objective: To develop systems for an integrated health care delivery network accreditation

The figure below presents the Universal; Health Care Integration (UHC) between levels of care from the basic or
primary up to the unified health network based on provinces and cities.

Figure 22: Universal Health Care Integration

Integration Unified Health

ILHZ Municipal &
Primary Care Network Province
Province/ City wide
Hospital /City

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Identification of Alternatives

Option 1: Do Nothing

• Lack of quality facilities and service providers that can cater to needs and inequitable access
• Hindrance to business operations of health facilities and providers
• Continuation of varying standards and cumbersome accreditation processes and understanding of the
policy
• Crowding at various levels of care due to inadequate resources and gatekeeping failure

Option 2: Non-Regulatory Option

• Voluntary Education and Capacitation Initiatives

o Capacitate and educate service providers with regard to licensing and accreditation sustainability
for continuous business operations
• Prestige mechanisms towards facility compliance
o Education and capacitation as well as voluntary incentive mechanisms are cost-effective initiatives
that cater to behavioral change which can affect licensing compliance

Option 3: Regulatory Option

• Develop UHC Law IRR: Local Health Systems Integration and systems accreditation
• Policy development for the systems integration and systems accreditation for a more efficient and effective
health care delivery systems: non fragmented, access, quality and safety and institutionalizes enforcement
initiatives

Option 4 Mixed Approach

• Combination of Regulatory and Non-regulatory Initiatives previously mentioned

• More cost-effective, caters to awareness and capacities of various players and stakeholders, which
increases compliance while said initiatives are cemented and enforced/ institutionalized thru policy
o Reduce cost: Money, HR and Systems
o Initial cost: develop integration and hubs: Information systems, Capacity Building, local policy
development and modeling/ piloting/Advance implementation of UHC

Evaluation of Alternatives

Table 17: Status Quo: Cost Narrative

Cost of Provider Cost of Consumer Cost of Regulator
Individual investments for both Incurred cost for medical and non-medical DOH and LGU cost
Licensing and Accreditation interventions
DOH and LGU costs: Management
of health care delivery and ensuring
access and equity

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Table 18: Mixed Approach: Cost Narrative

Cost of Provider Cost of Consumer Cost of Regulator
Systems Integration strat up costs: Access to Medical Care Province wide/citywide
Local policy, Systems enhancement, management
CB and Communication
Unified systems cost Paid services especially for the poor and
marginalized sector
Navigating, Coordinating cost Gatekeeping

Evaluation Alternative: Leyte Model

Table 19: Cost Estimates

Status Quo Mixed Approach
Administrative Burden 350,000.00 800,000.00
Substantive Compliance Cost 2,550,000.00 500,000.00
Administration & Enforcement Cost 3,825,000.00 500,000.00
TOTAL 6,375,000.00 1,800,000.00

Table 20: Benefits

STATUS QUO MIXED APPROACH
Continuous and increased cost savings due to illness prevention and burial
Benefit 1
costs, continued economic productivity

• Added sustainable income for providers

• Savings due to removal of non-standard, additional unnecessary
Benefit 2 requirements
• Reduction in licensing and accreditation compliance costs to standard
requirements

• More cost-effective quality assurance operations for regulators

Benefit 3 • Preventive benefits and decrease in hospitalization subsidy cost for
increased morbidity and mortality, Gatekeeping complied

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Table 21: Consultation Mechanism

Consultation Strategy

• Conduct of key informant interviews with policy makers in DOH, PhilHealth, LGU: Province & City and direct
health providers and facility managers
• Presentation of consultation results to stakeholders and policy makers

Enforcement Compliance and Monitoring Mechanism

Enforcement Agency Compliance Mechanism

• PHIC shall serve as the overall enforcement • Non-provision or removal of license

head for Accreditation, DOH for Licensing. • Prestige incentives for motivation: E.g.
• Collaborations with LGU as co-regulators can Network Accreditation, Best LGU health
be considered in the M&E plan of the policy quality
for continuing quality control and enforcer
HR augmentation Process

Policy M&E • Conduct of consultations and policy

• A Policy M&E manual will be developed to
identify and operationalize indicators
• A randomly sampled 10% of the facilities will
be monitored by PHIC per year, all facilities
within a region shall annually be inspected
by LGU
• Mid-term assessment after 3 years, full
policy evaluation after 5 years (outsourced)
• Monitoring levels: national, regional,
province/City (from LGU)
refinement
• Release of circulars, relevant issuances at
national, regional and local levels
• Conduct of policy information forums for
stakeholders
• Conduct of orientations for regulators &
regulates
• Annual monitoring
• Evaluation after 5-years
• Conduct of automation capacitation
initiative

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VALUE STREAM MAP: STARTING A BIRTHING HOME

Part of the case study output is the value stream mapping of the process of starting a birthing facility up to the actual
licensing approval and eventual start of operation of the birthing facility. The first figure shows the step by step
procedure of the process and the agencies and institutions that the business owner should engage with to comply
with the licensing requirements. Included in the figure are marks where there are duplication on the process for
example SEC registration and DTI registration both requires article of incorporation. The second figure is the
computation of reduction of requirements on the process if duplication is removed and process is rationalized.

Figure 23: Starting a Birthing Facility

Starting a Birthing Facility

Birthing Home located in Pasig City Starting a Birthing Fa

I. SEC II. DTI III. Business IV. Permit to Licensing

V. Licensing
Requirements
Registration Registration Permit Construct Requirements Continued
21. Business
X 6.Barangay
X Clearance
10. Barangay
X18. SEC Permit 28. Certificate of
1. Registration training
Clearance Registration • Lactation
Data Sheet X11. Articles of
Incorporation
X 22. SEC
Management • License to
Registration • BEMONC
operate
X2. Articles of 7. Articles of
12. Fire 23. DTI
XRegistration
• FPCBT 1
Incorporation X Incorporation
Certificate
X 19. DTI • Environmental Certificate
13. Sanitary Officer training • Performance
Registration 24. Waste
3. Treasurer’s Permit Commitment
Disposal Plan
Affidavit
X 8.Contract of 14. Environmental
Certificate 25. MOA
4. Audited lease Ambulance
Financial 15. SEC 20. 3 Sets of Site
Statements Registration Development Plan 26. Certificate as
9. two Valid IDs 16. Locational and Floor Plan newborn screening
5. Bank Certificate 11.clearance
Fire Safety
of Deposit Cert.
17. Contract of 27. Manual of
X lease operations/ SOP 1

Figure 24: Licensing of Birthing Homes

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Figure three and four presents the length of time and distance needed to acquire license per agency starting with
getting a barangay clearance until finally release of license from the DOH and accreditation from PhilHealth which
will take almost 55 days or two months. Figure four shows the length of time and distance for renewal of license
and accreditation from PhilHealth.

Figure 25: Value Stream Map for Birthing Facility Licensing

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Figure 26: Value Stream Map for Renewal of Accreditation of Birthing Homes and Possible Closing due to Non-
compliance

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 Philippine Renewable Energy Industry Regulatory Review

ANNEXES
Bibliography

Department of Health, A.O. 2017-006. Redefining Service Delivery Networks, Manila, 2017

Department of Health, A.O. 2017-0012. Guidelines on the Adoption of Baseline Primary Health Care Guarantees
for All Filipinos, Manila, 2017

Department of Health, A.O. 2016-0038. Philippine Health Agenda 2016-2022, Manila, 2016

Department of Health, A.O. 2014-0046. Defining of SDNs for UHC. Manila, 2014

Department of Health, A.O. 2014-0044. Guidelines for SDN’s

Department of Health(A.O.) No. 2012-0012 Amendment to Administrative Order entitled “Rules and Regulation
Governing the New Classification of Hospitals and Other Health Facilities in the Philippines”

Department of Health Circular: 2015-0392Additional Clarification on the Requirement of a License to Operate

(LTO) a Birthing Facility Pursuant to Administrative Order No. 2012-0012 known as “Rules and Regulations
Governing the New Classification of Hospitals and Other Health Facilities in the Philippines”

National Demographic and Health Survey. (2017).

National Economic and Development Authority. (2017). Philippine development Plan

World Health Organization. (2011). Philippine Health Systems Review. PDF,

Huntington, D., Banzon, E., and Recidoro, Z. Systems Approach to Improving Maternal Health in the Philippines.
Bulletin of the World Health Organization, 90:104-110.

Lavado, R.F., & Lagrada, L.P. (2008). Are Maternal and Child Care Programs Reaching the

Poorest Regions in the Philippines? Philippine Institute for Development Studies Discussion Series 30. Retrieved on
December, 2016 from http://dirp3.pids.gov.ph/ris/dps/pidsdps0830.pdf

NEDA (2015). Philippines 5th Progress Report on the Millennium Development Goals. Retrieved on December,
2016 from http://www.neda.gov.ph/wp-content/uploads/2014/08/MDG-Progress-Report-5-Final.pdf

Ross, C.E., Masters, R.K., & Hummer, R.A. (2012, November). Education and the Gender Gaps in Health and
Mortality. Demography, 49(4), 1157-83

United Nations. Sustainable Development Goals Indicators. Retrieved on April 11, 2018 from
https://unstats.un.org/sdgs/indicators/indicators-list/

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 Philippine Renewable Energy Industry Regulatory Review

Annex B. Data Collection Tools

BI. Draft Survey Tool

Perception Survey on the Impact of Regulations

on Businesses in the Philippines

Good day! Your business is invited to participate in a survey, entitled “Perception Survey on the
Impact of Regulations on Businesses in the Philippines.” This is being conducted by the
Modernizing Government Regulations Program Office of the Development Academy of the
Philippines (DAP) for five (5) industries: tourism, healthcare, construction, renewable energy, and
consumer goods.

We would like to request the survey respondent to be someone familiar with the activities done
by your business related to complying with government regulations such as reportorial
requirements and renewal of permits. The purpose of this study is to determine the outlook of the
industry toward government regulations in terms of their perceived ease and/or difficulty in
complying with regulatory requirements.

Your participation in this survey is voluntary. You may decline to answer any question and you
have the right to withdraw from participation at any time. There are neither known risks nor costs
to participating in this activity. Your responses will remain confidential and anonymous. Any
information gathered will only be used for the purpose of our study and reported as a whole.

If you have questions, please contact us at (02) 631-2163 or send an email to mgr@dap.edu.ph.
Thank you!

CONSENT

I have read the foregoing information. I understand that I may withdraw my consent and
discontinue participation at any time without penalty or loss of benefits to which I may otherwise
be entitled. Should I elect to discontinue participation; any information already collected will be
discarded. I have had the opportunity to ask questions and all questions have been answered to
my satisfaction. I consent voluntarily to be a participant in this study.

Signature of Participant
Contact No: Date:

Section A: Background

A1. What type of business do you represent?

☐ Sole proprietorship ☐ Partnership ☐ Corporation

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 Philippine Renewable Energy Industry Regulatory Review

A2. Where is your business located?

☐ Luzon ☐ Visayas ☐ Mindanao ☐ Multiple

locations

A3. What is the capitalization of your business?

☐ Micro ☐ Small ☐ Medium ☐ Large

(Up to (Php3,000,001– (Php15,000,001– (Php100,000,00
Php3,000,000) 15,000,000) 100,000,000) 1 above)

A4. How long has your business been operating?

☐ Less than two years ☐ 2-10 years ☐ More than 10 years

NOTE FOR SUCCEEDING SECTIONS: For the purpose of this questionnaire, the term “regulatory
agencies” may refer to any national government agency (NGA) or local government unit (LGU) with
regulatory functions (e.g. accreditation, clearance, certification, inspection, licensing, permitting).

Section B: Interaction with Regulatory Agencies

B1. Who are the regulatory agencies that you most deal with? If more than one, please list in the
order of importance on your business.

1
2
3
4
5

B2. Which of the following describe the nature of your interaction with the regulatory agencies?
(tick all that apply)

☐ Providing information required by a regulation

☐ Accreditation of product/service/personnel
☐ Remitting government share in sales/taxes
☐ Inspection of products/premises
☐ Registration/renewal of permits/license
☐ Others (please specify)

B3. How often do you have to submit information to the regulatory agencies that you most
regularly deal with?

☐ Once a year ☐ 2-3x a year ☐ 4-6x times a ☐ More than 6x a year

year

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 Philippine Renewable Energy Industry Regulatory Review

B4. How frequently have your business been inspected and/or audited by regulatory agencies in
the past 3 years?

☐ Once ☐ Twice ☐ More than twice ☐ Not applicable

B5. Please tick the box on the rating column that best corresponds to your answer.

Never Sometime Often Always

s

a The opinion of the industry is taken into account ☐ ☐ ☐ ☐

when regulations are being developed

b The reason for the regulation is clearly ☐ ☐ ☐ ☐

communicated to the industry

c The requirements of a regulation are clearly ☐ ☐ ☐ ☐

communicated to the industry

d Changes in regulation are announced before ☐ ☐ ☐ ☐

implementation

Section C: Information about Regulations

C1. How familiar are you with government regulations that affect your business?

☐ Moderately familiar ☐ Familiar ☐ Very familiar

C2. Please indicate to what extent you agree or disagree with the statements below:
Neither
Strongly agree Strongly
Statements Disagree Agree
disagree nor Agree
disagree

a Accurate information is readily ☐ ☐ ☐ ☐ ☐

available at the regulatory
agencies or through their
websites

b The objectives and purpose of ☐ ☐ ☐ ☐ ☐

the regulations are easy to
understand

c Businesses are aware of the ☐ ☐ ☐ ☐ ☐

Citizen’s Charter of the
regulatory agencies

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 Philippine Renewable Energy Industry Regulatory Review

d Regulatory agencies are aware ☐ ☐ ☐ ☐ ☐

of their own Citizen’s Charter

e Regulatory agencies give clear ☐ ☐ ☐ ☐ ☐

and sure answers to queries of
businesses

f Regulatory agencies respond ☐ ☐ ☐ ☐ ☐

within the indicated time in their
Citizen’s Charter

Section D: Compliance with Regulations

D1. Rate the impact of the following regulations to your business?

Not Low Moderate Major

Applicable Impact impact Impact
Business Non- Non-
as usual compliance compliance
Regulation
may lead to may lead to
imposition of end of
penalties business
operations

a Tax regulations ☐ ☐ ☐ ☐
(e.g. business tax, indirect taxes,
etc.)
b Customs regulations ☐ ☐ ☐ ☐
(e.g. import/export permits, etc.)
c Infrastructure/facilities ☐ ☐ ☐ ☐
regulations
(e.g. building permit, locational
clearance, land-use permit, etc.)
d Technological regulations ☐ ☐ ☐ ☐
(e.g. intellectual property
regulations, product
registrations, etc.)
e Health and safety regulations ☐ ☐ ☐ ☐
(e.g. food safety certification,
sanitation certification, etc.)
f Employment regulations ☐ ☐ ☐ ☐
(e.g. occupational health
regulations, social security
regulations, etc.)
g Environmental regulations ☐ ☐ ☐ ☐

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 Philippine Renewable Energy Industry Regulatory Review

(e.g. wastewater discharges

regulation, pollution control
policy, etc.)
h Administrative regulations ☐ ☐ ☐ ☐
(e.g. Mayor’s permit, barangay
clearance, etc.)

D2. Are the following areas easy to comply with?

Regulation YES NO

a Tax regulations
☐ ☐
(e.g. business tax, indirect taxes, etc.)
b Customs regulations
☐ ☐
(e.g. import/export permits, etc.)
c Infrastructure/facilities regulations
(e.g. building permit, locational clearance, land-use ☐ ☐
permit, etc.)
d Technological regulations
(e.g. intellectual property regulations, product ☐ ☐
registrations, etc.)
e Health and safety regulations
(e.g. food safety certification, sanitation certification, ☐ ☐
etc.)
f Employment regulations
(e.g. occupational health regulations, social security ☐ ☐
regulations, etc.)
g Environmental regulations
(e.g. wastewater discharges regulation, pollution ☐ ☐
control policy, etc.)
h Administrative regulations
☐ ☐
(e.g. Mayor’s permit, barangay clearance, etc.)

D3. What specific regulations are the most difficult to comply with (kindly cite at least three)?

1
2
3
4
5

D4. Do you think that regulations are appropriately enforced?

☐ YES ☐ NO

D5. If NO, why (tick all that apply)

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 Philippine Renewable Energy Industry Regulatory Review

☐ Requirements for compliance are unclear

☐ Enforcement is inconsistent across businesses
☐ There are not enough inspections or audits
☐ Access to regulatory agencies is difficult
☐ Others (please
specify)

D6. In your experience, are you required to provide the same information to a number of different
regulatory agencies?

☐ YES ☐ NO

If yes, please give details

D7. Do you use online forms for submitting information to regulatory agencies?

☐ YES ☐ NO

If no, why?

D8. Are online forms effective in reducing the difficulty in submitting information to regulatory
agencies?

☐ YES ☐ NO

If so, why?

Section E: Cost of Complying with Regulations

E1. Estimate the time spent annually in complying with regulations.

___ Total workdays per year

E2. Please tick the box that best corresponds to your answer.

Neither
Strongly agree Strongly
Disagree Agree
disagree nor Agree
disagree

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 Philippine Renewable Energy Industry Regulatory Review

a Regulatory agencies provide

information on the breakdown ☐ ☐ ☐ ☐ ☐
of fees

b Government charges for

permits, licenses and other fees ☐ ☐ ☐ ☐ ☐
are reasonable

E3. Are there other fees collected in complying with regulations beyond what is published?

☐ YES ☐ NO

Section F: Impact of Regulations

F1. Rate the overall regulatory environment in your industry

☐ Weakly regulated ☐ Fairly regulated ☐ Overly regulated

F2. Do you agree or disagree with the following statements?

Neither
Strongly agree Strongly
Disagree Agree
disagree nor Agree
disagree

a Regulations are relevant and ☐ ☐ ☐ ☐ ☐

necessary
b Regulations are beneficial to ☐ ☐ ☐ ☐ ☐
business
c Regulations are consistent and ☐ ☐ ☐ ☐ ☐
don’t overlap with other
regulatory agencies

F3. Do you think that the benefits outweigh the costs to comply with government regulations?

☐ YES ☐ NO

Why or why not?

F4. Have government regulations been a critical factor in your decision to grow and expand your
business?

☐ YES ☐ NO

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 Philippine Renewable Energy Industry Regulatory Review

Why or why not?

F5. Have government regulations helped in the development of your industry?

☐ YES ☐ NO

Why or why not?

Thank you for completing our survey!

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 Philippine Renewable Energy Industry Regulatory Review

BII. Draft KII/ FGD Tool

For the Regulatees:

Good day!
You have been purposively selected due to your unique expertise and experience to be part of a
study conducted by the Modernizing Government Regulations Program Office of the Development
Academy of the Philippines (DAP).
If you agree to participate, you will be required to answer some questions as part of a key
informant interview. The questions mainly revolve around your experience on health business
regulations, e.g. your issues and concerns with the current regulations, the typical activities you
undergo with various government agencies with regard to regulation compliance, etc.).
Your participation in this survey is voluntary. You may decline to answer any question and you
have the right to withdraw from participation at any time. There are neither known risks nor costs
to participating in this activity. Your responses will remain confidential and anonymous. Any
information gathered will only be used for the purpose of our study and reported as combined
total.
If you have questions, please contact us at (02) 631-2163 or send an email to mgr@dap.edu.ph.
Thank you!

CONSENT FORM

I have read the foregoing information. I understand that I may withdraw my consent and
discontinue participation at any time without penalty or loss of benefits to which I may otherwise
be entitled. Should I elect to discontinue participation; any information already collected will be
discarded. I have had the opportunity to ask questions and all questions have been answered to
my satisfaction. I consent voluntarily to be a participant in this study.

Signature of Participant
Contact No:
Date:

QUESTIONS:
1. What agencies are involved in regulating the setting up, regular operations and closing down
of your health business?
2. What are your transactions with these agencies?
3. Are you aware of any regulations pertaining to your health business? If so what are they and
what do they require?
4. What do you think is the rationale, purposes and intents behind these regulatory

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 Philippine Renewable Energy Industry Regulatory Review

policies/laws/legal issuances?
5. What regulations related to the acquisition of materials and services from suppliers, the flow of
information required by the business, the delivery of goods and services to customer, and the flow
of funds to and from the business affect your operations?
6. What are your main concerns or issues with regard to the current regulations for your business?
7. What are some initiatives or processes, which the agencies implement so as to make your
transactions with them more efficient and convenient?
8. Are you compliant to the regulations? If yes, what facilitates compliance? If no, what are some
obstacles to the regulatory requirements for your business?
9. Do you have any recommendations for the improvement of the regulations affecting your health
business?

For the Regulators:

Good day!
You have been purposively selected due to your unique expertise and experience to be part of a
study conducted by the Modernizing Government Regulations Program Office of the Development
Academy of the Philippines (DAP).
If you agree to participate, you will be required to answer some questions as part of a key
informant interview. The questions mainly revolve around your experience and expertise on health
business regulations, e.g. your issues and concerns with the current regulations, the typical
activities you conduct with regard to regulation implementation and enforcement, compliance
concerns etc.).
Your participation in this survey is voluntary. You may decline to answer any question and you
have the right to withdraw from participation at any time. There are neither known risks nor costs
to participating in this activity. Your responses will remain confidential and anonymous. Any
information gathered will only be used for the purpose of our study and reported as combined
total.
If you have questions, please contact us at (02) 631-2163 or send an email to mgr@dap.edu.ph.
Thank you!

CONSENT FORM

I have read the foregoing information. I understand that I may withdraw my consent and
discontinue participation at any time without penalty or loss of benefits to which I may otherwise
be entitled. Should I elect to discontinue participation; any information already collected will be
discarded. I have had the opportunity to ask questions and all questions have been answered to
my satisfaction. I consent voluntarily to be a participant in this study.

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 Philippine Renewable Energy Industry Regulatory Review

Signature of Participant
Contact No:
Date:

1. What is your agency’s role in regulating health industry businesses?

2. What are the other agencies you collaborate with for regulatory implementation and
enforcement? How do these agencies regulate this industry/sector in relation to your agency?
3. What specific regulatory policies/laws/legal issuances govern this industry?
4. What are the rationale, purposes and intents behind these regulatory policies/laws/legal
issuances?
5. Do you think the industry players understand the rationale behind the specific regulation and
the meaning of their compliance, especially those being regulated?
6. What regulations related to the acquisition of materials and services from suppliers, the flow of
information required by the business, the delivery of goods and services to customer, and the flow
of funds to and from the business affect the industry?
7. What are the regulatory issues related to the setting up, operations and closure of businesses
under this industry?
8. What is the current level of compliance? How is compliance to these regulations monitored?
What are the repercussions for violators?
9. What are the “costs and benefits” of the regulations currently governing the specific industry?
10. Are there non-regulatory alternatives to the regulations that are suggested to be removed?
11. Are regulations regularly reviewed? Are there improvements instituted to the ease of doing
business?
12. Should changes be introduced, what is the likelihood of compliance?
13. What benefits may be derived from the proposed changes?

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 Philippine Renewable Energy Industry Regulatory Review

Annex C. List of Respondents for Survey Method, KIIs and FGDs

Responders SURVEY
A representative from Luzon, Metro Manila, Visayas, and Mindanao operations will be involved
hence n=4 per business type
Mercury 4

Generics Pharmacy 4

Therapeutic Massage Clinic 4

Private Birthing Home 4

Private Hospitals Level 1 4

Private Hospitals Level 2 4

Private Hospitals Level 3 4

Private TAHC provider 4

Water Station 4

HMO 4

PMA 4

PHA 4

PNA 4

IMAP 4

PDA 4

Optometry 4

Dialysis Center 4

TOTAL 68

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 Philippine Renewable Energy Industry Regulatory Review

Identified Survey Participants with Contacts

*The above table are the ideal business or agency distribution per region. The actual facilities and respondents per type of business or agency is seen below.

Respondent
Responders Facility Name Designation Contact/Email Contact Number
Name
LUZON
Private DR. WILFREDO G. CORTEZ DR. WILFREDO G. Medical
wgcmdc110802@yahoo.com 045-361-2132 / 09189185830
Infirmary HOSPITAL, INC. CORTEZ director
Private JESUS OF NAZARETH GENERAL DR. REMY ROSA Medical jesusofnazarethgen@yahoo.c
(044) 794-1202
Infirmary HOSPITAL G. GARCIA director om
Private
Hospitals Level Dr. Cecilia Tobillo BOT cjt118@hotmail.com 09175009028
1
Private
DR. JOSE E. medical
Hospitals Level AGOO FAMILY HOSPITAL docjoe1959@ yahoo.com (072)607-2708
ASPIRAS, JR. director
1
Private
DR. ROEL TITO A. Medical mission_hospital98@yahoo.co
Hospitals Level Mission Hospital 565-2851 / 655-4337
MARCIAL Director m
1
Private
UHBI - PARAÑAQUE DOCTORS DR. LOIDA S. Medical parañaquedoctors@yahoo.co 776-0288 / 776-0644 / 776-
Hospitals Level
HOSPITAL, INC. PONIO Director m.ph 0648 / 831-1340
2
Private
COMMONWEALTH HOSPITAL JUAN A. Medical
Hospitals Level chmc.ph@gmail.com 930-0000
AND MEDICAL CENTER LAGUNZAD, MD Director
2
Private LOS BAÑOS DOCTORS
DR. ROWENA A. medical
Hospitals Level HOSPITAL AND MEDICAL lbdhmc@yahoo.com 536-0100
PUA director
2 CENTER
Private THE MEDICAL CITY
DR. Benito President & rctecson@medicalcity.com.ph
Hospitals Level COMPOUND, ORTIGAS 988-1000 loc 6314 & 6294
Bengzon CEO / cndiwa@medicalcity.com.ph
3 AVENUE,
Private
DR. EVANGELINA Medical maryjohnstonhospital@yahoo
Hospitals Level Mary Johnston Hospital 245-4021 to 25
C. DURAN Director .com.ph
3

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 Philippine Renewable Energy Industry Regulatory Review

Respondent
Responders Facility Name Designation Contact/Email Contact Number
Name
Private
DE LA SALLE UNIVERSITY DR. GARY N. Medical
Hospitals Level gncarlos@dlshi.edu.ph (046) 481-8000
MEDICAL CENTER CARLOS Director
3
Private Birthing Bet-Nori Health Care Systems, Dr. Godwyn
Owner godwynmd@yahoo.com 09175031902
Home Inc. Bernardo
Private Birthing BLESSED MERCY BIRTHING MERCY V. blessedmercybirthinghomeclin
Clinic Head 0927-6204146
Home HOME CLINIC BAUTISTA ic@yahoo.com
Private Birthing CRESILDA BIRTHING HOME CRESILDA R. cresildakilalalabaon@yahoo.c
Owner 09065237044
Home CLINIC KILALA LABAON om.ph
WELL CARE MATERNITY
Private Birthing LENIELYN F. wellcare_midwife_clinic@yah
MEDICAL & PEDIATRIC CLINIC Clinic Head 6976092
Home JOSEPH, RM oo.com
INC.
Ambulatory
AMBULATORY HEALTH CARE DR. ACHELLE C. medical the_comedian_edz@yahoo.co
Surgical Care 633-6597; 633-5747
INSTITUTE, INC. RONQUILLO director m
Clinic
Private Stand
Dr. Cecilia Bacani Owner cecyderma@yahoo.com 09285032262
Alone Clinic
Dr. Condrado
Private Clinic Dx BOT 09428091089
Quebael
Private Pedia, eduardo_borja_md@yahoo.co
Dr. Edu Borja
Practioner Greenhils m
Dr. Ferdinand
Private Hospital Owner 09175133166
Macababad
Private Dx Clinic Dr. Rafael Yu Owner 09178555428
Private OFW
Dr. Ralf Sison Owner 09173164275
Provider
Private
Dr. Jody Pharma
practitioner jrvd2003@yahoo.com
Dalmacion Consultant
pharma
BOT, Former imapinc@mozcom.com
IMAP Patricia Gomez 09054979705
President patmg55@yahoo.com
Optometry Mildred premildred@yahoo.com 09175497692

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 Philippine Renewable Energy Industry Regulatory Review

Respondent
Responders Facility Name Designation Contact/Email Contact Number
Name
Private Dialysis NEPHROLOGY CENTER OF REY B. JAIME B. Medical
ncm.mla@yahoo.com 5365108
Clinic MANILA TAN, MD director
Value Care Health website: http://www.valucare.
HMO
Systems, Inc. com.ph/
PhilhealthCare, website: https://www.philcare
HMO hotline: (02) 462 1800
lnc. .com.ph/
Pacific Cross
Health Care, lnc. website: http://www.pacificcr
HMO hotline: +63 2 899-8001
(Formerly oss.com.ph/
Bluecross)
Life & Health http://lifeandhealthhmp.com hotline: 742-9750/ 781-9682/
HMO
HMP, Inc. / 732-4415/ 411-0555/ 4116384
Kaiser
website: http://www.kaiserhe
HMO International
althgroup.com/contact.php
Healthgroup, Inc.
Insular Health website: https://www.insularh
HMO
Care, Inc ealthcare.com.ph/
Fortune website: http://www.fortunec
HMO
Medicare, lnc are.com.ph/
Caritas Health website: http://www.caritash
HMO
Shield, Inc. ealthshield.com.ph/
VISAYAS
Private REINHARD WIRTGEN DR. GILBERTO F. Medical rwmh_alegriacebu@yahoo.co (032) 476-8028 / (032) 476-
Infirmary MEMORIAL HOSPITAL MAGALLON director m 7101 / (0916) 920-5475

Private MITIONG-DODING MEMORIAL DR. BIENVENIDO Medical (038) 530-6602 / (0916) 892-
duerohospital@gmail.com
Infirmary HOSPITAL C. MOLINA JR. director 8445

Private
STA. ROMANA-YSON JULIUS CAESAR Y. Medical staromanaysonmemhospital@
Hospitals Level 91613088431
MEMORIAL HOSPITAL STA. ROMANA Director gmail.com
1

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 Philippine Renewable Energy Industry Regulatory Review

Respondent
Responders Facility Name Designation Contact/Email Contact Number
Name
Private
PAULINA LIM MEMORIAL DR. PAULINE L. Medical plmh_guindulman@yahoo.co (038) 510-0299 / (0999) 366-
Hospitals Level
HOSPITAL RAMOS Director m 9822
1
Private
JULIO CARDINAL ROSALES DR. GENALYN B. Medical cardinalhosp@yahoo.com /
Hospitals Level (032) 484-8601
MEMORIAL HOSPITAL LABADAN Director jcrmh_spc@yahoo.com
1
Private
Hospitals Level Dr. Susan Aspiras Owner susanaaspiras@yahoo.com
2
Private
ST. ANTHONY COLLEGE SR. MANILEÑA A.
Hospitals Level Administrator sach_roxas@pldtdsl.net (036) 621-0434/ 621-6004
HOSPITAL LIBO-ON , DC
2
Private
CEBU NORTH GENERAL DR. ROBERTINO L. Medical cebunorthgeneralhospital@ya
Hospitals Level (032) 343-7777
HOSPITAL ESPLANADA Director hoo.com
2
Private
DR. KENNETH T. Medical (035) 225-0510 / (035) 421-
Hospitals Level HOLY CHILD HOSPITAL holy_child65@yahoo.com
COO Director 0991
2
Private
DR. ROLANDO R. Medical
Hospitals Level ILOILO DOCTORS HOSPITAL idhdirect@skyinet.net 337-7702 TO 06
PADILLA Director
3
Private
ADVENTIST MEDICAL CENTER- DR. HECTOR G.
Hospitals Level Administrator bamc_2004@yahoo.com 433-4831
BACOLOD, INC. GAYARES, JR.
3
Private
DR. CESAR A. Medical
Hospitals Level DIVINE WORD HOSPITAL dwhospital2gmail.com 321-4228
AQUITANIA Director
3
Private Birthing
Dr. Marietta Hao Owner 09176278532
Home
JAZMIN LAURE-
Birthing Home JKL Birthing Home Clinic Head jkapunan@yahoo.com 3917122
KAPUNAN, MD

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Respondent
Responders Facility Name Designation Contact/Email Contact Number
Name
CATALINA B.
Birthing Home CFC Birthing Center Clinic Head cathy.catubac@yahoo.com 033-5003214
CATUBAC, RM
IMAP LYING-IN CLINIC, INC.-
Birthing Home EMMA S. PLAZA Clinic Head pettepanis@yahoo.com 0916-7197808
SANDINGAN BRANCH
Ambulatory
MEDICUS AMBULATORY DR. JAIME medical medicus_iloilo-
Surgical Care 5085488
HEALTHCARE CENTER MANILA director adm@yahoo.com
Clinic
Private TAHC
MotherBles Birthing Clinic Sis. Eloisa David BOT siseloisa@gmail.com 09178532775
provider
DR. KAREN
METRO CEBU KIDNEY DIALYSIS Medical mck_dialysiscenter@yahoo.co (032) 254-4715 / (0917) 709-
Dialysis Center ROSARIO C.
CENTER, INC. director m 7778
LICUANAN
MINDANAO ARMM
Private OROQUIETA COMMUNITY DR. ANDREA P. Medical
och.mancao@gmail.com (088) 531-1858
Infirmary HOSPITAL MANCAO director
JOSE
Private TIBUNGCO DOCTORS Medical tibungcodoctorshospital@yah
DOMINADOR (82) 2380774
Infirmary HOSPITAL director oo.com
QUITAIN, MD
Private Hospital
Dr. Rashid Chin BOT 09173006689
1
Private
JANUARIA MARCIAL DR. NEREO A. Medical
Hospitals Level jmmhbanga@yahoo.com 9189480269
MEMORIAL HOSPITAL OCSIO Director
1
Private
MIDSAYAP COMMUNITY DR. EMILY C. Medical
Hospitals Level mcdh_012002@yahoo.com (064) 229-8337
DOCTORS HOSPITAL DIZOR Director
1
Private
R. O. DIAGAN COOPERATIVE DR. RENATO G. Medical
Hospitals Level diaganmd_1@yahoo.com (083)552-3942
HOSPITAL DIAGAN Director
1
Private
METRO DAVAO MEDICAL AND YVETTE YENCO- Medical
Hospitals Level mdmrcdavao@yahoo.com.ph (082) 2877777
RESEARCH CENTER, INC. TAN, MD Director
2

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Respondent
Responders Facility Name Designation Contact/Email Contact Number
Name
Private
DIGOS DOCTORS' HOSPITAL, RODRIGO P. Medical digosdoctorshospital@yahoo.c
Hospitals Level (82) 5533584
INC. NAVARRO, MD Director om
2
Private
CAGAYAN DE ORO MEDICAL DR. EDNA E. Medical
Hospitals Level cdomedicalcenter@gmail.com (08822) 711-874 to 76
CENTER, INC. RICARTE Director
2
Private DR. RAUL
MARIA REYNA- XAVIER Medical
Hospitals Level WINSTON mrxuh_cdo@yahoo.com (08822) 727530
UNIVERSITY HOSPITAL, INC. Director
3 ANDUTAN
Private DR. BABY
ADVENTIST MEDICAL CENTER- Medical
Hospitals Level DARLENE LL. amc.iligan@gmail.com (063) 221-3029
ILIGAN CITY, INC. Director
3 DELA CRUZ
Private
SAN PEDRO HOSPITAL OF MARCELO L. Medical
Hospitals Level sphadmin@sphdavao.com (82) 2270250
DAVAO CITY, INC. DAHINOG, MD Director
3
DBM PAANAKAN AND FAMILY COSME M.
Birthing Home Clinic Head dbmpaanakan@yahoo.com 9357910121
PLANNING CLINIC MABINI, RM
GRACE ANNE MATERNITY AND FREDESMINDA J.
Birthing Home Clinic Head minda_andunyan@yahoo.com (82) 2985227
FAMILY PLANNING CLINIC ANDUYAN, MD
MS. HERMINIA A. sttheresebirthinghome@yaho
Birthing Home ST. THERESE BIRTHING HOME Owner 9483142507
TELARMA o.com
Ambulatory
SURIGAO HEALTH DR. ROY N. medical surigaohealthspecialist@yaho
Surgical Care 086 8266200
SPECIALISTS', INC. YCONG director o.com
Clinic

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Name of Agency National Luzon Visayas Mindanao Total

KII ( Individual or during Forum)

Department of Labor and Employment (DOLE) 1

Department of Interior Local Gvernment (DILG) 1

Department of Health
Dr. ROLANDO ENRIQUE D. DOMINGO, DPBO

Undersecretary of Health
1
Health Regulations Cluster
reddomingo@doh.gov.ph
(632) 651-7800 local 2901, 2916, 2917
Dr. MARIO C. VILLAVERDE, MPH, MPM, CESO I

Undersecretary of Health
Health Sector Reform Cluster 1
officeofusecmcv@gmail.com
(632) 651-7800 local 2901, 2902, 2903, 2904,
2919 ; TF: 711-0780
DR. LYNDON L. LEE SUY, MPH

Assistant Secretary of Health 1

Health Regulations Cluster
donleesuymd@yahoo.com
DR. KENNETH G. RONQUILLO, MPHM, CESO III

Director IV
Health Policy Development and Planning
Bureau (HPDPB) 1
kgronquillo@doh.gov.ph
ken2000_hhrdb@yahoo.com
651-7800 local 1326-1331, 4203-4204, 4250-
4251
DR. MA. THERESA G. VERA, MSc, MHA, CESO
III

Director IV
1
Health Human Resource Development Bureau
mgvera@doh.gov.ph
tgvera@yahoo.com
651-7800 local 4226, 4225

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Name of Agency National Luzon Visayas Mindanao Total

DR. MYRNA C. CABOTAJE, MPH, CESO III

1
Director IV
Disease Prevention and Control Bureau
ATTY. NICOLAS B. LUTERO III, CESO III

Director IV
1
Health Facilities and Services Regulatory Bureau
(HFSRB)
651-7800 local 2503, 2500, 2505
R. FERDINAND S. SALCEDO, MPH, CESO IV

Director IV
1
Bureau of Quarantine (BOQ)
ferdinandsalcedo@yahoo.com
527-4678, 320-9103
MS. NELA CHARADE G. PUNO, RPh

Director General
1
Food and Drug Administration (FDA)
cgpuno@fda.gov.ph
(632) 857-1999
MARIA LOURDES C. SANTIAGO, MSc, MM,
CESO II

Deputy Director General for Field Regulatory

1
Operations Office
Food and Drug Administration
mlcsantiago@fda.gov.ph
857-1999
DR. ANNA MELISSA S. GUERRERO
Program Manager 1
Pharmaceutical Division
DR. CORAZON I. FLORES, MPH, CESO IV
1
OIC-DIRECTOR IV, NCR
MARLYN W. CONVOCAR, MD, MPH, CESO III
1
DIRECTOR IV Region 6
NIMFA B. TORRIZO, MD, MPH
1
DIRECTOR IV Region 10

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Name of Agency National Luzon Visayas Mindanao Total

ANNABELLE DE GUZMAN, MD, FPAFP, MHA,

MA MED, CESE
Director General
376-3067 (TF), 376-30-68
pitahc@gmail.com
1
Philippine Institute of Traditional and
Alternative Health Care (PITAHC)
Matapang St East Avenue Center Compound,
Diliman, Q.C.
Hospitals

EAST AVENUE MEDICAL CENTER

EAST AVE., QUEZON CITY

EMMANUEL M. BUENO, MD, FPCS, FACS

1
Medical Center Chief II
928-0611 local 201, 928-0611 to 24, 426-4405
(TF)
eamc.info@gmail.com
TONDO MEDICAL CENTER
BALUT, TONDO, MANILA

DR. MARIA ISABELITA M. ESTRELLA

Medical Center Chief II
(02) 865-9000, Emergency Room: (02) 865- 1
9035, Alagang Pinoy Kiosk : Globe-
09773370546 / Smart-09395222095 / Sun-
09430614987
mimestrella@yahoo.com
tmcdohgovph@gmail.com
PHILIPPINE CHILDREN'S MEDICAL CENTER
QUEZON AVE., QUEZON CITY

DR. JULIUS LECCIONES

1
Executive Director
588-9900, 924-6001 to 02, 924-0836 , 924-0840
(F)
hiss@pcmc.gov.ph
PHILIPPINE HEART CENTER
EAST AVE., QUEZON CITY
1
DR. JOEL ABANILLA
Executive Director

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Name of Agency National Luzon Visayas Mindanao Total

925-2402 to 50 , 922-0551 (TF)

director@phc.gov.ph

AMANG RODRIGUEZ MEMORIAL MEDICAL

CENTER
MARIKINA CITY

DR. IMELDA M. MATEO 1

Medical Center Chief II
948-1263 Local 106, 570-2776, 941-5854, 941-
3441 (TF)
amangrod@yahoo.com
WESTERN VISAYAS MEDICAL CENTER
MANDURRIAO, ILOILO CITY

DR. JOSEPH DEAN NICOLO

1
Medical Center Chief II
(033) 321-2841 to 50 Local 134, 321-1797, 321-
2802 , 321-1797, 321-2802
westernvisayasmedicalcenter@yahoo.com
CORAZON LOCSIN MONTELIBANO MEMORIAL
REGIONAL HOSPITAL
BACOLOD CITY

DR. JULIUS DRILON 1

Medical Center Chief II
(034) 433-2697, 435-1591
jmdrilon@hotmail.com
clmmrh_coh@yahoo.com

VICENTE SOTTO MEMORIAL MEDICAL CENTER

CEBU CITY

DR. GERARDO AQUINO 1

Medical Center Chief II
(032) 253-9891 to 99 , (032) 382- 5514
gmajr27@yahoo.com

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Name of Agency National Luzon Visayas Mindanao Total

EASTERN VISAYAS REGIONAL MEDICAL CENTER

TACLOBAN CITY, LEYTE

DR.JOVITO SALINAS 1
OIC, Medical Center Chief II
(053) 321-3129, 321-3363 , (053) 321-8724
evrmc.hrms@gmail.com
NORTHERN MINDANAO MEDICAL CENTER
CAPITOL CMPD., CAGAYAN DE ORO CITY

DR. JOSE CHAN

Medical Center Chief II 1
Tel. No. (08822) 726362, 723735 local 607,
728829 , (0882) 721794 (TF)
nmmc_cdo@yahoo.com
josechan592000@yahoo.com
SOUTHERN PHILIPPINES MEDICAL CENTER
DAVAO CITY

DR. LEOPOLDO VEGA 1

Medical Center Chief II
(082) 227-2731, 221-7029 (F)
lvega@spmc.com.ph
PhilHealth

BASA, RUBEN JOHN A.

Executive Vice President and Chief Operating
1
Officer Office of the Executive Vice President
and Chief Operating Officer (02) 637-6448

PARGAS, ISRAEL FRANCIS A. Concurrent OIC-

Vice President and Head Executive Assistant
Corporate Affairs Group and Office of the 1
President and Chief Executive Officer (02) 638-
1682
ASPRER, LEILANI V.
OIC, Senior Manager Accreditation Department 1
(02) 637-6265

ALONTO, MASIDING JR. M. Regional Vice

President and Concurrent Area Vice President
1
for Mindanao PhilHealth Regional Office X and
Office of Area Vice President for Mindanao

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 Philippine Renewable Energy Industry Regulatory Review

Name of Agency National Luzon Visayas Mindanao Total

DIOCSON, LOURDES F.
Regional Vice President
1
PhilHealth Regional Office VI (02) 441-7444 loc.
5401

Provincial Hospital Iloilo 1

Provincial Hospital Misamis 1

Professional Regulation Commission 1

Veterans Memorial Medical Center 1

Philippine Council for Health Research and

1
Development

Civil Service Commission 1

Development Academy of the Philippines 1

Philippine Charity Sweepstakes Office 1

Total 36 2 7 5 50

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 Philippine Renewable Energy Industry Regulatory Review

FGD (5-7 pax) Luzon Visayas Mindanao Total

PHO Iloilo 1

PHO Misamis 1

QC Health Department 1

Barangay Dona Imelda Health Center 1

Iloilo City HO 1

Miagao RHU 1

CDO CHO 1

Total Participants 10 15 10 35

*Assuming there are 5 participants per FGD; lower limit of estimated participants was used

‘Resources needed for KIIs and FGD:

1. Token for participants

2. Transportation cost
3. Meals, if necessary

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 Philippine Renewable Energy Industry Regulatory Review

Public Forum Participants

National Private Forum (July 6 and Nov. 7)
NAME OFFICE POSITION ADDRESS CONTACT # EMAIL
Mr. Rhais Mt. Grace BOT, Chief Operating 2/F Bayanihan Center (632) rmgamboa@mtgracehospitals.com.ph,
Gamboa Hospital Inc. Officer Annex 132 Pioneer St. 9175763362; info@mtgracehospitals.com.ph;
Mandaluyong City 7302203, careers@mtgracehospitals.com.ph
1550 7194821
Atty. Joey Ochave UNILAB VP Pioneer St. 09178359443 cdpapa@unilab.com.ph
Mandaluyong City
1550
Ms. Daisy Pharmaceautical Health Policy Advicor, 09178882633 dcembrano@phap.org.ph
Cembrano and Healthcare Regulatory
Association of the
Philippines
(PHAP)
Ms. Patricia Integrated Chief Executive Officer Pinaglabanan cor. Dr. 09988599869 imapinc@mozcom.com
Gomez Midwives A. Ejercito St. (02) 7275225/ patmg55@yahoo.com
Assosiation of the San Juan City, Metro Fax 02 7244849
Phil. Manila
DR. HUBERTO F. Phil. Hospitals President for Luzon Nueva Ecija 09178601957 dr_hubertlapuz@yahoo.com
LAPUZ Association
Dr. Godwyn Bet-Nori Health BOT, Owner Cavite, City 09175031902 godwynmd@yahoo.com
Bernardo Care Systems,
Inc.
Midwife Birthing Home Owner MetroMla

Ms. Teresita Friendly Care president chief 401-5210 and inquire@friendlycareclinic.com

Panganiban clinic executive 722-2986/ 0977-
2744874

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 Philippine Renewable Energy Industry Regulatory Review

Public Forum Luzon (Tentative Participants)

Office Participants and Contact
MA. PAZ P. CORRALES, MD, MHA, MPA
DOH NCR DIRECTOR III
531-0032 local 103, 535-4538 (F)

AMELITA M. PANGILINAN, MD, MPH, CESO IV

DIRECTOR III
DOH CAR
(074) 442-8096, 442-8097 (TF)
melypangilinan@yahoo.com.ph
DOH RO 1 RLED and FDA
RIO L. MAGPANTAY, MD, PHSAE, CESO III
DIRECTOR IV
DOH RO !!
(078) 304-6523 (TF)
chdcvdoh@yahoo.com

RUBEN SIAPNO, MD, MPH, CESO IV

DOH RO III DIRECTOR III
(045) 861-3428 Local 118
DOH RO IV A RLED
DOH RO V FDA RLED
DOH RO IV B FDA RLED

ILOCOS TRAINING AND REGIONAL MEDICAL CENTER DR. EDUARDO M. BADUA III
SAN FERNANDO, LA UNION OIC-Medical Center Chief II
(072) 607-6418, 607-6422
itrmc2010@yahoo.com
DOH Hospitals
BATAAN GENERAL HOSPTAL DR. GLORY V. BALTAZAR
MANAHAN ST., TENEJERO, BALANGA, BATAAN Medical Center Chief II
(047) 237-1274, 237-1275 (TL), 237-3635 (TF)
bgh_bataan2005@yahoo.com.ph

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 Philippine Renewable Energy Industry Regulatory Review

Office Participants and Contact

JOSE B. LINGAD MEMORIAL REGIONAL HOSPITAL DR. MONSERRAT S. CHICHIOCO
SAN FERNANDO, PAMPANGA Medical Center Chief II
(045) 961-3921, 961-3544
chie_jblmgh@yahoo.com
OSPITAL NG PALAWAN DR. MELECIO N. DY
PUERTO PRINCESA CITY Medical Center Chief I
(048) 434-2148, 434-8339
ospital.palawan@yahoo.com

Public Forum Visayas (Tentative Participants)

ORGANIZATION NAME/POSITION CONTACT NUMBER EMAIL ADDRESS
DOH RO VI MARLYN W. CONVOCAR, MD, (033) 321-3673 local 126, 321- mconvocar@yahoo.com
MPH, CESO III 1036 (TF)
DIRECTOR IV
MA. JULIA Z. VILLANUEVA, MD (033) 321-3673 local 132, 321-
OIC-DIRECTOR III 1036 (TF)
DOH RO VI RLED, FDA
DOH RO VII SOPHIA M. MANCAO, MD (032) 418-7130; 254-0109
OIC-DIRECTOR III
DOH RO VII RLED, FDA
DOH RO VIII Exu Sabaldarino RLED
CORAZON LOCSIN MONTELIBANO (034) 433-2697, 435-1591 jmdrilon@hotmail.com
MEMORIAL REGIONAL HOSPITAL clmmrh_coh@yahoo.com
DR. JULIUS DRILON
BACOLOD CITY Medical Center
Chief II
DON JOSE MONFORT MEDICAL (033) 361-2009, 361-2011 adlm_rlm@yahoo.com
CENTER EXTENSION HOSPITAL DR.
MARIANO HEMBRA

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ORGANIZATION NAME/POSITION CONTACT NUMBER EMAIL ADDRESS

BAROTAC NUEVO, ILOILO OIC-
CHIEF OF HOSPITAL II

WESTERN VISAYAS MEDICAL (033) 321-2841 to 50 Local 134,

CENTER DR. JOSEPH DEAN NICOLO 321-1797, 321-2802 , 321-1797, westernvisayasmedicalcenter@yahoo.com
MANDURRIAO, ILOILO CITY 321-2802
Medical Center Chief II
WESTERN VISAYAS SANITARIUM (033) 523-9331, 523-9885, 523- wvsanitarium1927@gmail.com
DR. GARY U. ONG 8617, 523-9515 (F) (Office of MCC)
BRGY. INANGAYAN, SANTA
BARABARA, ILOILO OIC - Medical
Center Chief I
VICENTE SOTTO MEMORIAL (032) 253-9891 to 99 , (032) 382- gmajr27@yahoo.com
MEDICAL CENTER DR. GERARDO 5514
AQUINO
CEBU CITY Medical Center Chief II
DR. JOHN EDWARD M. COLOMA (053) 321-3129, 321-3363 , (053) evrmc.hrms@gmail.com
Medical Center Chief II 321-8724

Public Forum Mindanao (Tentative Participants)

ORGANIZATION NAME/ POSITION CONTACT NUMBER
DOH RO IX EMILIA P. MONICIMPO, MD, MPH (062) 992-2745; 991-3380 (F)
DIRECTOR IV
DOH RO X NIMFA B. TORRIZO, MD, MPH (088) 858-7123 local 219 ; Fax No.: 991-3380
DIRECTOR IV
DOH RO X FDA
DOH RO X RLED
DOH RO XI Fda RLED
DOH RO XII ARISTIDES C. TAN, MD, MPH, CESO III (064) 421-4726 Local 202 ; (064) 421-2373 (TF)
DIRECTOR IV

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ORGANIZATION NAME/ POSITION CONTACT NUMBER

DOH RO CARAGA JOSE R. LLACUNA, JR., MD, MPH, CESO III (085) 342-5208 Local 124, 225-2970, 225-2970 ; (085)
DIRECTOR IV 341-2579 ; Fax: (085)225-2970
ARMM KADIL M. SINOLINDING, JR., MD, DPBO Fax – (064)-421-6842 TL: (064) 421-7703, 421-3988,421-
SECRETARY OF HEALTH 6889, 552-0110, 552-0118, 552-0095, 552-0160
MAYOR HILARION A. RAMIRO SR. REGIONAL AND TEACHING (088) 521-0022
HOSPITAL DR. JESUS MARTIN SANCIANGCO III
OZAMIS CITY Medical Center Chief I
NORTHERN MINDANAO MEDICAL CENTER DR. JOSE CHAN (08822) 726362, 723735 local 607, 728829 , (0882)
CAPITOL CMPD., CAGAYAN DE ORO CITY Medical Center Chief II 721794 (TF)
AMAI PAKPAK MEDICAL CENTER DR. LUZ A. SABER (063) 352-0070, 352-0274, 0918-9325-120
MARAWI CITY, LANAO DEL SUR OIC-Medical Center Chief II
CARAGA REGIONAL HOSPITAL PONCIANO S. LIMCANGCO, MD, MBA, (086) 826-2459
CEO VI
RIZAL STREET, BRGY. WASHINGTON, SURIGAO CITY Medical Center
Chief I
PhilHealth ALONTO, MASIDING JR. M. Regional Vice President and Office of the (02) 441-7444 loc. 6201
Area Vice President
Concurrent Area Vice President for Mindanao for Area IV
PhilHealth ALBERTO, ROMEO D. Regional Vice President PhilHealth Regional (02) 441-7444 loc. 6100
Office IX
PhilHealth DEL ROSARIO, RODOLFO JR. B. Regional Vice President PhilHealth (082) 295-0151
Regional Office XI
PhilHealth DONATOS, EUGENIO II C. OIC-Regional Vice President PhilHealth (02) 441-7444 loc. 6400
Regional Office XII
PhilHealth GONZALES, EDUARDO S. OIC-Regional Vice President PhilHealth (02) 441-7444 loc. 6500
Regional Office CARAGA
PhilHealth MACABATO, KHALIQUZZAMAN M. Regional Vice President PhilHealth (02) 441-7444 loc. 6600
Regional Office ARMM

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