Bridging Local Health Systems for a

Strengthened HCPN in the Province of Bataan:

A UHC Initiative
November 22, 2022

Glory V. Baltazar, MD, MPH, MHA, CESe

Medical Center Chief II
Bataan General Hospital and Medical Center
 DISCLOSURE

The BGHMC HCPN is an initiative of BGHMC which was adopted by

the Provincial Government of Bataan through a provincial ordinance

BGHMC HCPN is developed in the hospital and copyrighted under

the Philippine Laws. The software is continuously being improved
to favor efficiency and user-friendly interface.
BATAAN - BGHMC Delivery
Network (SDN) Software is
registered under the
Philippine Copyright Laws
 OBJECTIVES:

To share the following:

1. 1. The strategies used by BGHMC to be upgraded from
Level 2 to Level 3 hospital in preparation for becoming
2. 2. The online referral system in Bataan which is a
BGHMC initiative for UHC
THE PAST
POOR SERVICE
PROVISION
ISO-QMS
2008 and
2015
2014
 BGHMC TRANSFORMATION JOURNEY

INTERNAL FACTORS

Lack of committed staff Lack of medicine Lack of equipment Lack of facilities

 FAIR RATING
FROM PATIENTS
 CONGESTED WARDS

Source: https://www.pagcor.ph/press-releases/public-hospital-in-davao-gets-P184-M-financial-support-from-pagcor.php
MANDATE
Republic Act No. 8561, with
its mandate to “serve as the referral
hospital of all district hospitals, rural
health units and other LGUs of the
Province of Bataan and the neighboring
provinces. An Act Upgrading the Bataan
Provincial Hospital in the Province of
Bataan and the neighboring provinces
of Zambales and Pampanga”

DOH Administrative Order No. 2015-0023

Implementing Rules and Regulations of RA No.
8561
BGHMC TRANSFORMATION JOURNEY

EXTERNAL FACTORS

IMPROVED PRIMARY POOR NO FUNCTIONAL

FACILITIES GATEKEEPING SDN
PRIVATE
HOSPITALS
AS
PREFERRED
HEALTH
FACILITY
THE PAST
HOW DID WE TRANSFORM CONSIDERING
OUR 2 PROBLEMS?

Bad Image
5 Ms COVERED WITH CHANGE:

Manpower
Machines and Facilities
Manual of Operations
Money
Management
I. MANPOWER

Increase
plantilla
positions thru
RA 11107
Number of BGHMC plantilla
positions as of Sept 30, 2022

700 to 1,445 positions

I. MANPOWER

Improve the attitude, commitment (values)

Work Attitude and Values Enhancement (WAVE) Seminar

I. MANPOWER

Putting the right

people in the right
position
I. MANPOWER
4 PILLARS OF PRIME-HR

• Recruitment Selection and

Placement
• Learning and Development
• Performance Management
• Rewards and Recognition
I. MANPOWER
NETWORKING MARKETING
I. MANPOWER
6 CLINICAL DEPARTMENTS
ACCREDITED RESIDENCY TRAINING PROGRAMS

Internal Medicine Pediatrics Surgery

Family Medicine Anesthesiology

Obstetrics and Gynecology

II. MACHINE and FACILITIES
UPGRADING OF MEDICAL EQUIPMENT
MULTI-SPECIALTY BUILDING

PSYCHIATRIC BUILDING

HEMODIALYSIS BUILDING PEDIATRIC BUILDING

III. MANUAL OF OPERATIONS
III. MANUAL OF OPERATIONS
Patient Safety
IV. MONEY
• - No balance billing for patients
• - Employees Clinic
• - On time provision of employees’ salary and
benefits
• - MOOE
IV. MONEY

QFS NBB
in millions
V. MANAGEMENT
PREVENT PROMOTE

PROTECT PERAMBULATE/
NAVIGATE
 PUBLIC HEALTH UNIT
Focus: Patient and Community Wellness

General Objective: To provide holistic patient care in the context of public health.

Goals:
1. To prevent illness by providing health education
2. To promote wellness by improving health seeking behavior of the patients through
proper health information
3. To protect:
a. patients from harm and injury through coordination with PDRRMO and other
stakeholders
b. women and children through an institutionalized WCPU
c. patients from financial crisis while undergoing treatment at BGHMC
4. To perambulate and navigate patient for ease of access to all services in the hospital
and coordinate to other health service provider.

 
 
HEALTH CARE PROVIDER NETWORK
BATAAN

® 2018 Glory V. Baltazar. All Rights Reserved.

BATAAN GENERAL HOSPITAL AND MEDICAL CENTER
PUBLIC HEALTH UNIT
 OUR INITIATIVES FOR UHC

COVID-19 PCR
LABORATORY TOBACCO
CESSATION

MS ON WHEELS

EMR TELECONSULTATION
Establishment of BGHMC
COVID-19 PCR Laboratory
• operated by the Department of
Pathology and Laboratory
• certified and monitored by RITM
• confirmatory laboratory by lower
facilities in Bataan
 CIF

BGHMC Other
PCR Health
Laboratory Facilities
 OUR INITIATIVES FOR UHC

COVID-19 PCR
LABORATORY TOBACCO
CESSATION

MS ON WHEELS

EMR TELECONSULTATION
TOBACCO CESSATION
TOBACCO-FREE
GENERATION

City of Balanga
 OUR INITIATIVES FOR UHC

COVID-19 PCR
LABORATORY TOBACCO
CESSATION

MS ON WHEELS

EMR TELECONSULTATION
BLOOD SERVICES BGHMC

NETWORK
Lead Service

Zonal
Network

Regional
Blood Center

Region 3

Philippine
Blood Center
BLOOD NETWORKING
● continuous supply of blood thru MBD
despite pandemic

● the only blood bank in the province at

the height of pandemic

BGHMC
BLOODBANK
 BGHMC
BLOODBANK
 BGHMC
BLOODBANK

1 2 3
JULY 2018 – SEPTEMBER 30,
14,5 2022

22

8,44 4,092
2 DONORS
OTHER HOSPITALS SERVED BY
BGHMC BLOODBANK
 OUR INITIATIVES FOR UHC

COVID-19 PCR
LABORATORY TOBACCO
CESSATION

MS ON WHEELS

EMR TELECONSULTATION
MS ON
WHEELS
 OUR INITIATIVES FOR UHC

COVID-19 PCR
LABORATORY TOBACCO
CESSATION

MS ON WHEELS

EMR TELECONSULTATION
 ARSP Accreditation

• Antimicrobial Resistance
Surveillance Program

• Major turning point in

favor to AMS activities

• BGHMC as the only

hospital in Bataan with
ARSP Accreditation

• Ensures PhilHealth
reimbursement claims
 BGHMC AMS ACTIVITIES

AMS Anti-Microbial Stewardship

1
monitoring for
restricted antimicrobials
Patient
2 COUNSELING
FOR MGH PATIENTS

3 PHARMACY
INTERVENTION
 BGHMC

BGHMC AS ONE OF THE

6 AMS TRAINING HUBS IN THE PHILIPPINES
 PGH

BGHMC

CLMMRH
SPMC

RITM
JBLMRH
 OUR INITIATIVES FOR UHC

COVID-19 PCR
LABORATORY TOBACCO
CESSATION

MS ON WHEELS

EMR TELECONSULTATION
Bataan-BGHMC Healthcare
Provider Network (HCPN) as
anchor to all digital
processes

● BGHMC HPCN Online

Referral System as the
base program for all other
digital processes
LEGAL BACKBONE
Presentation of MOA for
the SDN Protocol to the
Sangguniang Panlalawigan
with the presence of
Municipal Health Officers
and Provincial Health
Officer

July 9, 2018
 BGHMC PRIMARY AND TERTIARY CASES

86.5 %
increase
Percentage of Cases

3,859
29,033 cases
33,408
cases cases
23,751
cases
23,034 6,756
cases cases
20
cases
10,17 14,117 5,528
9 cases cases 6,364
4,339 cases
cases cases

Data from BGHMC HIRM

 PARTICIPATING HEALTH FACILITIES
MUNICIPALITY DATE of HCPN Implementation
4 RHUs in City of Balanga
3 District Hospitals (ODH, JCPMH, BCMH) July 2, 2018
Balanga City Health Office
Samal October 22, 2018
Mariveles District Hospital November 6, 2018
Orion January 10, 2019
Abucay February 15, 2019
Pilar February 15, 2019
Morong February 17, 2019
Bagac March 3, 2019
Dinalupihan March 17, 2019
Hermosa March 29, 2019
Orani June 4, 2019
Mariveles June 26, 2019
Limay July 8, 2019
 BGHMC TELEMEDICINE

04

Visit Fill-up BGHMC

Account
registration doctor will
website verification
form call

https://www.bghmc-s Attach valid Issuance of

queueing
dn.net/telemedicine ID
number
ELECTRONIC MEDICAL
RECORD (EMR)

• Can be viewed using any

mobile phone
• Data protected
• All wards were issued
with tablets
REFERRALS FROM PRIVATE HOSPITALS
during Pandemic

ER OB OPD
NON-TERTIARY CASES TRANSFERRED
TO OTHER HEALTH FACILITIES
BGHMC PRIMARY AND TERTIARY CASES
PER DEPARTMENT THRU EMR
January to September 2022
 BGHMC HCPN
HITS MISSES

1. Investing in computer software 1. Internet connection

and hardware
2. Seeking support from local 2. Manpower capacity of lower
government healthcare facilities
3. Securing legal document for the
implementation
4. Providing the necessary resources
for the lower health facilities
5. Coordination with DOH, PhilHealth
and DICT
Can we say that we are we ready for
the UHC?
• Gatekeep
• Access
• Navigate
• Protect
TAKE AWAY…
• Sufficient manpower, medicine, equipment and
infrastructure
• The organization’s buy-in to the hospital’s mission
and vision
• Look at unfortunate situation as opportunity
more than a threat to growth
• Teamwork
• Digitalization
THANK YOU