RECAP

DIALOGUE WITH BIRTHING HOME OWNERS AND HEAD OF

FACILITIES
OCTOBER 1-2, 2019
LEYTE PARK HOTEL
Can an AO supersede the law on Midwifery?
There is a Department Circular 2019-0436 from We will follow up on this in central office, rest
IMAP
I understand the concern of our Private
Birthing Facilities, this is their bread and butter. concern
May recommend to revisit MCP package to
compensate the private sectors.
Yes, you are all licensed under the DOH. In
fact, the PhilHealth will not reimburse your
claims if you are not licensed. From the very
start when you applied for a BH, you signed in
that you will abide with the rules and
regulations based on standards and that
includes all orders related to licensing.
assured that we will follow up the official order
and disseminate this information.
c/o Philhealth, this has been a constant
Since we are on the transition state of
implementing the UHC Law, this concern is
being reviewed already. The different societies
have different proposals for the package costs
of the treatment of cases these are being
thought of well for the equitability of the
prices of such packages in the future
implementation of the UHC.
Imminent deliveries of high risk cases
To elaborate why the DOH get research from
other countries, example Pakistan
Did the DOH inform the hospitals with their
role in the AO?
Please prepare the hospitals of any new
directives from the DOH Central office
The facility is obliged to give the service
because the mother is already on the verge of
delivering. After delivery, since it is mandated
by the AO to refer even the postpartum, once
these high risk mothers are stable, they
should be referred to the nearest Hospital via
your organized referral system. Everything
that transpired during the delivery of the
patient in the facility must be documented
and written in the chart of the patient.
Research conducted with the same samples of
the same population and with the same
related risks factors, can be cited as evidence
even if the study or research was conducted in
other countries.
Not yet, but CHD will ensure that this policy
will be disseminated to the hospitals
Rest assured that we will disseminate such
policies to concerned Hospitals, Agencies and
LGUs
Department Circular 2019-0436 the
moratorium on certain provision on AO 2019-
0026
If the private BH will have Maternal Deaths,
why is it that the partner Physician not
mandated to sign the death certification?
MHO will sign the death certificates in the
community including deaths in the BH
What is the assurance of the DOH that the
primigravidas will have safe
deliveries and quality health care service at
hospitals? Given that the hospitals have many
patients to attend to plus some heath workers
are mean to patients?
We will ask for an official copy of this in
Central Office. We will disseminate the AO as
soon we can
MOA of partner Physicians is only related to
the BeMONC, since Birthing Homes are
expected to refer high risk cases as early as
possible to avoid complications that will lead
to maternal deaths.
Refer to medical certification of death
handbook that will be emailed
Not all facilities have mean health workers.
High risk patients will be safe in the
appropriate hospitals because they have the
capability to manage such case.
There are ordinances. Infairness with the
hospitals, it depends on the
individuals. There are dialogues as well for the
referral hospitals to
inform them of their responsibilities
Ask favor to the CEMONC hospitals not to treat
the private facilities badly while referring. They
are bullying the referring facilities in front of
their patients while referring.
If referred to hospital and not yet fully dilated,
patients are sent home and delivered at home.
This AOs will increase the home deliveries.
This is noted.
Document everything
All your reasons are valid.
It is in the regional data that primigravida and gravida
5 had high risks
Please always consider the safety of our mothers.
Private BH owners went to the Central Office to site
their concerns with regards to AO 2019-0026 hence
the issuance of the moratorium.
MHOs invited during the safe motherhood forum – are
willing to implement the AOs.
All concerns will be heard to come up with a win-win
solution.
MOAs with MDs must be used.
It all boils down to the safety of our mothers. Please
reflect.
Always know when to refer.
This will be addressed properly.
Certification that the facility does not perform We will revisit this with our legal division.
D&C, BTL and vasectomy must be renewed
yearly
Only 1 person shall check the compliance of a
said facility.
No NCP payment from Philhealth yet.
Facilities without 2019 NBS stickers
Schedule for NBS training for 2019.
We will consult this with our Chief RLED.
This is a national problem due to a glitch in the
system of Philhealth. Encouraged the private
societies to write a letter to Philhealth to look
on this problem. IMAP already wrote to
Philhealth.
Ms. Tutaan will check with NBS Iloilo to follow
up on these facilities.
December 2019 in headed by IMAP, to cater
20 participants per training, first come, first
serve.
Confirmatory for G6PD Available at EVRMC Cabalawan, Php 400 pesos
every Mondays to Fridays, 8AM-5PM, and bring
Lab ID. For patients with monetary constraints, to
educate parents on the diet of the infant and the
mother while breastfeeding. And make sure to
immunize these babies as they need it more than
the babies without these conditions.

Can a 5-year-old child be tested for confirmatory Yes, there is no age limit on the confirmatory
G6PD? of G6PD.
REMINDERS
• Emphasized, every time there is a patient admitted in the private clinics, please
inform your partner MDs of your admissions. It is also their burden. There is a big
responsibility of OB and Pedia. Always inform your MDs – Have close coordination.
• Even a second can make a big difference in the lives of the Mothers. Always
remember your limitations. Refer to the medical certification of death handbook.
• Per AO 2019-004, Renewal Period October 1, 2019 – December 16, 2019
• Less than or equal to 3 months expired 100% surcharge and gap in the validity.
• More than 3 months expired for processing as initial application, PTC
• Reminder: Facilities with MOA with Ambulance Service Provider must
make sure that the facility the had a MOA will renew as ASP. In the
event that the facility will not renew as ASP, it will be a violation
on the side of the facility with MOA
REMINDERS

• All facilities must be having active status on NBS before renewal.

• The new NBS package on expanded NBS with the code 99460, the system of
Philhealth will automatic reject if the package code is wrong.
• Hearing Screening Facilities: Leyte – ACE Hospital, LPH, Schisto Hospital, EVRMC,
DWH, WLPH, OHD; Southern Leyte – Living Hope Hospital, SOYMPH, Sogod District
Hospital; Samar – SPH; Northern Samar – NSPH, Biri District Hospital, Allen District
Hospital; Eastern Samar – FAMH, ESPH, Albino Duran Hospital.
• May have MOA with facilities with NBHearing
• Facilities to always check on the Philhealth website, call ups and forums are not of
high priority at this time.
Thought to ponder:
Let us work hand in hand in protecting our
mothers and their newborns.

Thank you.