Documente Academic
Documente Profesional
Documente Cultură
Most of the patients and staff sentiments are not well said and raised. And most of A. Female clients and staff are more reac
the time male clients and staffs were deprived of telling their concerns related to and open for passive communication.
their safety and quality of healthcare they received than female clients and staff.
> Safety walk-rounds are a way of ensuring that senior B. Male clients and staff
managers can build relationships and trust so they are informed and can exchange more stoic with regards to their feelings,
views, regarding the safety concerns of units/teams. They provide an opportunity for emotions and concerns.
frontline staff, patients and clients to identify and discuss their safety concerns. They
are also a way of demonstrating visible commitment by listening to and supporting
staff when issues of safety are raised. Walk-rounds can be instrumental in
developing an open culture where the safety of service users and receivers are seen
as the priority of the organization. Quality and safety walk-rounds can be conducted
in any setting such as community group homes, residential units, hospitals, high
dependency units, etc… They are also useful in other areas that may affect service
user care or the safety of the organization such as clinics.
There is an increased number of cases of the following: NOTE: According to Patient Safety Office
1. Occupational Incident/Accident: graphical data. It shows significant incre
2017 Cases (Male: 4 / Female: 0), of Occupational related incident/acciden
2018 Cases (Male: 1 / in Male than females. Maybe due to the
Female: 0) & delegation of feminine and masculine w
2019 Cases (Male: 1 / Female: 1). nature. Male employees are performing
2. Workplace and Environment Incident/Accident: much physical strength activities. While
2017: (Male: 4 / Female: 1), there were 11 reported cases of W&E
2018: (Male: 2 / Female: 2), related and 6 of the reported harrassme
2019: (Male: 1 / Female: 1), and violence incident transpired to fema
3. Harrasment and subjects. The following factors are:
Violence Incident: A. Uneve
2017 Cases (Male: 0 / Female: 2), floorings;
2018 Cases (Male: 0 / Female: 3), B. Pushing of heavy oxygen tank uphill;
2019 Cases (Male: 0 / Female: 1). C. Slip and Trip Incident;
> Strengthen Administrative D. Old age infrastructure layout resulting
Order No. 2012-0020 the Guidelines Governing the Occupational Safety and Health untoward incidents related to safety;
of Public Workers of the Department of Health. Healthcare workers safety shall be E. Improper storage of
established to ensure that the culture of safety in a healthcare institution is enforced heavy oxygen tanks;
thru regulation and accreditation. Creation of safe healthcare environment by F. Poor illumination and
providing protection both to the patients and the healthcare workers, the rules and ventilation (i.e busted street and emerge
regulations set by the Occupational Safety and Health, issued by the Department of exit lights);
Labor and Employment and adopted by the Department of Health shall be followed. G. Privacy concerns (i.e comfort rooms,
Strengthening the occupational health and safety of healthcare workers thru the patient cohorting, anterooms/dressing
enforcement of institutionalization of Occupational Health and Safety in all levels of room in radiology department, etc);
care in healthcare facilities and provision of safe workplace and environment for all H. Broken
shall be ensured at all times. fire supression system
PEDIATRIC DEPARTMENT
RELEVANT
CAUSE OF GENDER ISSUE GAD RESULT STATEMENT / GAD ORGANIZATIONAL GA
OBJECTIVE OUTCOMES
A. Infectious disease outbreak for year Mark a significant decrease in the 1. Healthy hospital 1. Regular health educ
2019: number of cases of pediatric patient fall environment for pediatric preventive measures u
Declaration of measles outbreak on and prevent prolong hospital stay due patients free from injuries, equipment (i.e televiso
February 2019 with at least 3,000 measles to untoward events that needs disability and death materials);
admission in SLH and outbreak declaration additional management. stemming from fall; 2. Provision of ag
of dengue in August 2019 with 98% 2. and adolescent hospita
increase of cases compared to the same Increase patient admission;
period in 2018. Most of the affected coded side rails linen c
population belongs to pediatric patients. 3. Good customer
B. Age satisfaction rating. Increase compliance le
inappropriate beds: Current design of beds updating the fall risk as
used by pediatric patients.
C. safety wrist tag for fall
Unattentive watchers
of free information rea
A. Female clients and staff are more reactive The aims in introducing Quality and 1. A much open 1. Provision of quality a
and open for passive communication. Safety Walk-rounds are: communication increasing for patients and staff w
1. Demonstrate senior managers’ everyone's capability to hospital key officials an
B. Male clients and staff are commitment to quality and safety for verbalize their concerns
more stoic with regards to their feelings, service users, staff and the public; privately and in a much of tokens for the patien
emotions and concerns. 2. Increase staff engagement and comfortable manner;
develop a culture of open
communication; 2. Hospital key
3. Identify, acknowledge and share good officials and heads will be
practice; more aware about the
4. Support a proactive approach to present and current
minimizing risk, timely reporting and situation in different
feedback; and units/teams. They need to
5. Strengthen commitment and hear the concerns of
accountability for quality and safety. patients and staff in order
to develop necessary
actions to correct specific
gap, risk and problem;
3.
Good customer satisfaction
rating.
NOTE: According to Patient Safety Office 1. To promote occupational health and Healthy hospital 1. Effective, regular and
graphical data. It shows significant increase safety in healthcare facilities; environment free from of workplace and envir
of Occupational related incident/accidents 2. To protect public health workers injuries, disability and 2. Fabricatio
in Male than females. Maybe due to the from the hazards and risks stemming death stemming from storage, broken and un
delegation of feminine and masculine work from unsafe workplace and Occupational related
nature. Male employees are performing environment; 3. To incident and accident, public comfort rooms f
much physical strength activities. While prevent diseases and injuries to public workplace and violence;
there were 11 reported cases of W&E health workers, patients and guest; related incident. lights. Repair broken w
related and 6 of the reported harrassment 4. To provide access to 2. stairways and fabricate
and violence incident transpired to female treatment, rehabilitation and Increase patient admission;
subjects. The following factors are: compensation of work connected illness 5. Prepare necessary d
A. Uneven and injuries affecting public health 3. Good customer repair of fire supressio
floorings; workers. satisfaction rating. 6. Prov
B. Pushing of heavy oxygen tank uphill;
C. Slip and Trip Incident;
D. Old age infrastructure layout resulting to
untoward incidents related to safety;
E. Improper storage of
heavy oxygen tanks;
F. Poor illumination and
ventilation (i.e busted street and emergency
exit lights);
G. Privacy concerns (i.e comfort rooms,
patient cohorting, anterooms/dressing
room in radiology department, etc);
H. Broken
fire supression system
Prepared by:
Nikko Lae D. Abdon, RN, MAN
OIC, Patient Safety Officer
DEPARTMENT
TOTAL: 3
SOURCE
OF RESPONSIBLE UNIT /
GAD BUDGET
BUDGET OFFICE
1. Health education tools and equipment GAD Patient Safety Officer,
> 32 inches LED Television: 14,000.00 Budget Patient Safety
> Fabrication of steel Committee, CSSSD,
bracket: 3,000.00 EFMD, MMD, BAC, All
> Graphic arts presentation: 7,000.00 clinical departments,
2. Age appropriate hospital Linen Department &
beds > Procurement Office
Pediatrics Cribs: (70 units X 90,000.00) 6,300,000.00
> 100,000.00
8. Safety Trainings
> 150,000.00
TOTAL: 32,686,200.00
GAD RESULT RELEVANT
GENDER ISSUE / CAUSE OF GENDER ISSUE STATEMENT / GAD ORGANIZATIONAL
GAD MANDATE OBJECTIVE OUTCOMES
RA 9710 Section 17. According to World Health Organization, Increased access to OO2: Access to
women’s right to NCD’s Kills 41M people each year where in information and curative and
health. 15M of people dies from NCD was at the promotes healthy rehabilitative health
(a)Comprehensive age between 30 to 69 years which ranks lifestyle practices care services.
Health Services. CVD as number 1 and Diabetes Mellitus as among male and Improved-Health
Healthy Lifestyle Number 3. female hospital Facilities Operation
activities are service providers. Program.
encouraged and
promoted.
Poor access to Maternal death rates increased from MDG Increased access to OO2: Access to
maternal health target of 52 deaths per 100,000 live births maternal health curative and
services and health to 221 per 100,000 live births. services rehabilitative health
information. care services.
Improved-Health
Facilities Operation
Program.
Conduct reproductive health outreach Number of health outreach service IEC 60,000.00
service. Information, Education, campaign conducted at least twice a
Communication (IEC) campaign drive on month.
healthy maternal practices among adjacent
communities.
Conduct lectures and lay forum on Number of lectures and lay forum on 50,000.00
diabetes, hypertension and asthma and diabetes, hypertension and asthma and
other lifestyle diseases. other lifestyle diseases conducted at least
once a month.
SOURCE
OF RESPONSIBLE UNIT /
GAD BUDGET
BUDGET OFFICE
71,000.00 GAA SAN LAZARO
HOSPITAL -
PHO(WELLNESS
PROGRAM)
Inefficient existing In accordance with Batas Pambansa 344 (PB 1. Guarantee equal
elevators, that strain 344) or the "Accessibility Law", and DOH opportunity and
the PWD's, pregnant Guidelines in Planning and Design of a ensure barrier-free
women and senior Hospital, laws and guidelines which protect environment for
citizens the rights and privileges of PWD's, PWD's, pregnant
accessibility of patients and stakeholders, all women and senior
buildings should comply with these citizens
standards. Currenly SLH has only one (1)
operating but inefficeint elevator but there
are three (3) existing elevator shaft in the 2. Enhance
hospital main building. the vertical
accessibility of
Hospital Building
(e.g. accessibility of
people within the
building between
floor levels)
EFMD
Establish maintenance of elevators and Number of existing elevators that are 5,000,000.00 x 2units Total bud
replacement of defective elevator cars to replaced with new elevator car. Php10,000,000.00
address gender-related health needs of Two (2) Existing Elevators to be replaced
pregnant women, senior citizens and PWD's with new elevator car up to 2021
SOURCE
OF RESPONSIBLE UNIT /
GAD BUDGET
BUDGET OFFICE
Php 15,000.00 x 4.0sq.m. = GAA SLH - EFMD; BAC
Php 60,000.00 x 75units = 4,500,000.00 +
2,000,000.00 (new cr) + 1,500,000.00 (ramp & rails)
Total budeget req'd: Php 8,000,000.00
Empower hospital Conduct training and lecture to improve Trained personnel Access to hospital
personnel on the hospital service on frontline services services
various hospital
programs and
services in
addressing gender-
biased violence
Strengthen RA An act declaring every November 25 to Advocacy campaign Advocate lecture for
10398 "End VAW December 12 as 18-Day Campaign to address the the case on the 18-
18-Day elimination of VAWC Day Campaign to
Campampaign" End VAW
WCPU
Orientation seminar on RA9262 and RA Number of clients oriented on RA 9262 and GAD
7610 RA 7610 (Target - 60 pax)
GAD WCPU
GAD WCPU
GAD WCPU
GAD RESULT RELEVANT
GENDER ISSUE / CAUSE OF GENDER ISSUE STATEMENT / GAD ORGANIZATIONAL
GAD MANDATE OBJECTIVE OUTCOMES
TB Decrease TB incidence and prevalence by
incidence/prevalenc developing appropriate health education on
e is higher in adult TB symptoms, diagnosis and for thr general
males than adult population
females (WHO
Department of
Gender and
Women's Health
(2012)
HRMD
2. Lack of Due to less programs and alotted budget. To established a Conduct monitoring
motivational committe that will on the programs
activities which will take all formulated that was
boost the morals plans into action. implemented.
and empowers
employees.
HRMD
SLH - HRMD
GAD RESULT RELEVANT
GENDER ISSUE / CAUSE OF GENDER ISSUE STATEMENT / GAD ORGANIZATIONAL
GAD MANDATE OBJECTIVE OUTCOMES
1. Increasing cases According to our 2019 census, there is an Prevent Maternal &
of high risk increase in the number of OB cases. From Fetal Death /
pregnancy that 64 cases in 2018 it rise up to 134 cases as of Distress during labor
needs necessary November 2019. Additional equipment will and delivery
equipment during be of great help.
birth and delivery
Availment of incubator for preterm infants. Indicator: Recorded preterm deliveries 200,000.00 for IEC Mate
Routine health teaching to mother / decreased. Target: 100% Fullterm
watchers at clinical area (once a month). deliveries, 0 fetal death.
And Prenatal care services at OPD.
SOURCE
OF RESPONSIBLE UNIT /
GAD BUDGET
BUDGET OFFICE
2,000,000.00 for the ff equipment: Cardiotocograph, SLH - OB Complex,
Cardiac Monitor, Fetal Doppler, Fetal Warmer, Suction Procurement Dept.
Machine
Executive Order 51 SLH being the Apex referral 1.To implement the Mother baby 1. Implemented the Ten Ste
also known as “Milk hospital for infectious and tropical Ten Steps to Friendly Hospital conducting training among
Code” or “ National diseases has a unique set-up and Successful Initiative (MBFHI) is are directly involve in servic
Code of Marketing may put children at risk from the Breastfeeding. a global initiative of Breastfeeding in Workplace.
of Breastmilk infected mother, and vice- versa. 2. To end the the World Health 2. All HCW, including outsou
Substitutes, Majority of admitted children distribution of free Organization (WHO) security guards) aware and
Breastmilk underfive in SLH are below and low-cost and UNICEF that of free and low-cost supplie
supplements and poverty and marginalized, making supplies of breast aims to give every facilities.
other related them more susceptible to disease, milk substitutes to baby the best start 3. Provided a framework for
products.” disablity and death due to health facilities. in life by creating a skills they need to breastfee
Executive Order 51 SLH being the Apex referral 1.To implement the Mother baby 1. Implemented the Ten Ste
also known as “Milk hospital for infectious and tropical Ten Steps to Friendly Hospital conducting training among
Code” or “ National diseases has a unique set-up and Successful Initiative (MBFHI) is are directly involve in servic
Code of Marketing may put children at risk from the Breastfeeding. a global initiative of Breastfeeding in Workplace.
of Breastmilk infected mother, and vice- versa. 2. To end the the World Health 2. All HCW, including outsou
Substitutes, Majority of admitted children distribution of free Organization (WHO) security guards) aware and
Breastmilk underfive in SLH are below and low-cost and UNICEF that of free and low-cost supplie
supplements and poverty and marginalized, making supplies of breast aims to give every facilities.
other related them more susceptible to disease, milk substitutes to baby the best start 3. Provided a framework for
products.” disablity and death due to health facilities. in life by creating a skills they need to breastfee
R.A. No. 10028 “ an infection. • Provides a health care continue breastfeeding with
act expanding the framework for environment that foods for 2 years or beyond.
promotion of enabling mothers to supports 4. HIV mothers given inform
breastfeeding acquire the skills breastfeeding as the right to fully informed decis
amending for the they need to norm. WHO AND particularly breastfeeding am
purpose.” breastfeed UNICEF Global
R.A. No. 7600 exclusively for six Strategy for Infant
otherwise known as months and and Young Child
“ an act providing continue Feeding (IYCF) aim-
incentives to all breastfeeding with to improve through
government and the addition of optimal feeding- the
private health complementary nutritional status,
institutions with foods for 2 years or growth and
rooming-in and beyond. development,
breastfeeding health and thus the
practices and for • Assists mothers survival of infants
other purposes.” who are not and young children.
breastfeeding to It supports exclusive
make informed breastfeeding for 6
decisions and to months, followed by
care for their babies timely, adequate,
as well as possible. safe and
appropriate
• BFHI is important complementary
in areas of high HIV feeding, while
prevalence continuing
The breastfeeding for
WHO/UNICEF/UNAI two years and
DS policy statement beyond. It also
on HIV and infant supports maternal
feeding states that nutrition, and social
mothers have a right and community
to information and support.
support that will
enable them to
make fully informed
decisions about
infant feeding.
PEDIATRIC DEPARTMENT
GAD ACTIVITY
PERFORMACE INDICATOR / TARGET
1. Conduct and complete baseline sex diaggregated data among 1. Conducted and completed sex-diaggregated baseline data for
Under-Five Clinic / Immunization Program by Pedia Dept at the children underfive who will be given vaccines in Underfive Clinic at
end of 2020, including baseline sex disaggregated data on the OPD and those who will be admitted in ward.
dengue, measles, rabies, pneumonia, diphtheria,
meningococcemia and tetanus.
2. Approval and implementation of research on PreP 2.
Administration among children <15 years old in Jaen, Nueva Approved research on PreP Administration in Nueva Ecija by 2nd
Ecija by 2nd quarter of 2020. quarter and implementation by 3rd quarter of 2020. 3a.Total
3. Capacitate 80% of newly hired doctors and nurses on number of Doctors and NUrses who are given updated training in
updated diagnosis and management in dengue, animal the ff infectious diseases: 3a1. dengue
bite/rabies, diarrhea, and other vaccine preventable diseases in 3a2.measles
partnership with Training Dept. 3a3.animal bite/rabies
4. Strengthen health promotion thru: 3a4.diarrhea
(a) Health education 3b. Decreased number of measles admission by
(a.1) Nurse Educator and/or Nursing students 50% and decreased number of deaths by 10% among underfive by
provide health teaching at OPD and wards 2020 3c. Decreased number
(a.2) Midwives showing post partum of dengue admission by 50% and decreased number of mortality
mothers on proper breastfeeding by less than 1% among underfive by the end of 2020
(b) Reproduction and 4a1. average score of 75%
distribution of IEC materials on common infectious diseases; during post test during quarterly monitoring of health education.
including reproduction and distribution of Pocketguide on 4a2.Total number of breastfeeding and
Diarrhea (c) Advocacy postpartum mothers given proper demonstration on
- (c.1)Supplemental Immunization breastfeeding by midwives during hospital stay.
Activity (SIA) 4b.At least 10, 000 copies of all IEC materials
(c.2)Rabies Awareness Month - reproduced and distributed.a. Increased immunization coverage of
(c.3)Dengue Awareness Month (d) OPV from 66% to 95% during the implementation of Sabayang
Community outreach (e) Patak Polio Nationwide
Health Awareness and Information tru Facebook posting 4c.At least 2 advocacies implemented
5. Provision of 4c1. Establishment of baseline data on number of children aged
basic drugs, medicines among admitted children less than five 0-59 months who will be given IPV during the 3rd dose of OPV by
years old. 6. Provision of free PEP the end of 2020
for Category 3 children less than 15 years old. d.At least 2 community outreach facilitated. 4e.total
7.Implement Mother Baby Friendly number of FB followers seen FB posts .
Hospital Initiatives (MBFHI) and Breastfeeding in the Workplace 4d1.Establishment of baseline data on number of
accreditation in collaboration of Public Health Unit with Pedia, children under 15 years old who will be given PEP for Category 3
DR and Nursing Dept. of potential rabies exposure in OPD.
8. Sustain 100%-smoke-free environment 4. Strengthened health promotion activities such as ff: 5.
100% Provision of basic drugs, medicines and diagnostics for sick
mothers and children underfive.
1. Implemented the Ten Steps to Successful Breastfeeding by 1.At least one training on Breastfeeding conducted at the end of
conducting training among doctors,nurses and midwives who 2020. Number of women (in-patient and employees) who practice
are directly involve in services related to MBFHI and breastfeeding and expression of breastmilk at San Lazaro
Breastfeeding in Workplace. Hospital. 2. Total
2. All HCW, including outsource services (e.g janitorials and number of HCW who are aware and informed regarding zero
security guards) aware and informed regarding zero distribution distribution of free and low cost supplies of breastmilk substitute
of free and low-cost supplies of breast milk substitutes to health in SLH. 3. Total number of
facilities. enabling mothers who are taught the skills needed to breastfeed
3. Provided a framework for enabling mothers to acquire the exclusively for six months and mixed- feeding for two years old
skills they need to breastfeed exclusively for six months and and beyond. 4.
1. Implemented the Ten Steps to Successful Breastfeeding by 1.At least one training on Breastfeeding conducted at the end of
conducting training among doctors,nurses and midwives who 2020. Number of women (in-patient and employees) who practice
are directly involve in services related to MBFHI and breastfeeding and expression of breastmilk at San Lazaro
Breastfeeding in Workplace. Hospital. 2. Total
2. All HCW, including outsource services (e.g janitorials and number of HCW who are aware and informed regarding zero
security guards) aware and informed regarding zero distribution distribution of free and low cost supplies of breastmilk substitute
of free and low-cost supplies of breast milk substitutes to health in SLH. 3. Total number of
facilities. enabling mothers who are taught the skills needed to breastfeed
3. Provided a framework for enabling mothers to acquire the exclusively for six months and mixed- feeding for two years old
skills they need to breastfeed exclusively for six months and and beyond. 4.
continue breastfeeding with the addition of complementary Total number of mothers living with HIV who are given
foods for 2 years or beyond. information and support regarding the right to fully informed
4. HIV mothers given information and support regarding the decisions about infant feeding, particularly breastfeeding among
right to fully informed decisions about infant feeding, HIV mothers.
particularly breastfeeding among HIV mothers.
PARTMENT
GAD BUDGET
PERFORMACE INDICATOR / TARGET
1. Conducted and completed sex-diaggregated baseline data for
children underfive who will be given vaccines in Underfive Clinic at
the OPD and those who will be admitted in ward.
2.
Approved research on PreP Administration in Nueva Ecija by 2nd
quarter and implementation by 3rd quarter of 2020. 3a.Total
number of Doctors and NUrses who are given updated training in
the ff infectious diseases: 3a1. dengue
3a2.measles
3a3.animal bite/rabies
3a4.diarrhea
3b. Decreased number of measles admission by
50% and decreased number of deaths by 10% among underfive by
2020 3c. Decreased number
of dengue admission by 50% and decreased number of mortality
by less than 1% among underfive by the end of 2020
4a1. average score of 75%
during post test during quarterly monitoring of health education.
4a2.Total number of breastfeeding and
postpartum mothers given proper demonstration on
breastfeeding by midwives during hospital stay.
4b.At least 10, 000 copies of all IEC materials
reproduced and distributed.a. Increased immunization coverage of
OPV from 66% to 95% during the implementation of Sabayang
Patak Polio Nationwide
4c.At least 2 advocacies implemented
4c1. Establishment of baseline data on number of children aged
0-59 months who will be given IPV during the 3rd dose of OPV by
the end of 2020
d.At least 2 community outreach facilitated. 4e.total
number of FB followers seen FB posts .
4d1.Establishment of baseline data on number of
children under 15 years old who will be given PEP for Category 3
of potential rabies exposure in OPD.
4. Strengthened health promotion activities such as ff: 5.
100% Provision of basic drugs, medicines and diagnostics for sick
mothers and children underfive.
1.At least one training on Breastfeeding conducted at the end of 1. IEC materials for the promotion of 10 steps to
2020. Number of women (in-patient and employees) who practice successful breastfeeding
breastfeeding and expression of breastmilk at San Lazaro
Hospital. 2. Total Tarpaulins - 2000.00
number of HCW who are aware and informed regarding zero Flyers - 5000.00
distribution of free and low cost supplies of breastmilk substitute 2. Supplies/equipment for storage of expressed
in SLH. 3. Total number of breastmilk
enabling mothers who are taught the skills needed to breastfeed Glass bottles with lid - 5000.00
exclusively for six months and mixed- feeding for two years old
and beyond. 4. Refrigerator - 25,000.00
1.At least one training on Breastfeeding conducted at the end of 1. IEC materials for the promotion of 10 steps to
2020. Number of women (in-patient and employees) who practice successful breastfeeding
breastfeeding and expression of breastmilk at San Lazaro
Hospital. 2. Total Tarpaulins - 2000.00
number of HCW who are aware and informed regarding zero Flyers - 5000.00
distribution of free and low cost supplies of breastmilk substitute 2. Supplies/equipment for storage of expressed
in SLH. 3. Total number of breastmilk
enabling mothers who are taught the skills needed to breastfeed Glass bottles with lid - 5000.00
exclusively for six months and mixed- feeding for two years old
and beyond. 4. Refrigerator - 25,000.00
Total number of mothers living with HIV who are given
information and support regarding the right to fully informed 3. Supplies/ equipment in lactation station
decisions about infant feeding, particularly breastfeeding among Electrical breastpump - 10,000.00
HIV mothers.
Table - 5,000.00
2 Chairs - 2000.00
Sink - 30,000.00