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Ao2023 0005
Ao2023 0005
Republic
Department of Health
OFFICE OF THE SECRETARY
MAR 71 2023
ADMINISTRATIVE ORDER
No. 2023 - 0005
IL RATIONALE
In order to effectively address these issues, the statistical system itself has to
undergo redesign, hence the Routine Information and Statistics for Enhancement of
Public Health (RISE PH), to meet digitization demands of the Universal Health Care
(UHC). There shall be a standardized processing and electronic submission of health and
health-related data through validated Electronic Medical Record (EMR) systems (e.g,
Integrated Clinic Information System or iClinicSys) and improved data validation process
through the RISE PH repository system for timely and evidence-informed sectoral policy
and planning in support to the attainment of the UHC, consistent with CARE strategic thrust
of the Health Sector Strategy for 2023-2028 (or DOH AO No. 2022-0038) with focus on
health system design.
The RISE PH is guided by four technical principles: (1) Process Efficiency; (2)
Data Integrity; (3) Timeliness; and (4) Reliability. Institutionalization of the information
system-based mechanisms aims to increase the efficiency of processes and integrity of data
by promoting and establishing paperless transactions and automated data quality checks
across all levels which lead to a timely generation of reports; to increase the reliability of
information for sound decision-making as data being processed are patient- or individual-
based; and to increase the accessibility of patient records throughout the province/city-wide
health systems.
II. OBJECTIVES
A. Define the standards, guidelines, and mechanisms in the implementation of the RISE
PH repository system;
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Building1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila ® Trunk Line 651-7800 local 108, 1111t0 13
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Direct Line: 711-9502 to 03 Fax: 743-1829 & URL: hutp://www.doh.gov.ph: e-mail: dohosecidoh.gov.ph
III. SCOPE OF APPLICATION
This Order shall apply to DOH Central Office (DOH CO), Centers for Health
Development (CHDs), Provincial DOH Offices (PDOHOs); and the Local Government
Units’ (LGUs) Provincial Health Offices (PHOs), Municipal Health Offices (MHOs), City
Health Offices (CHOs), Primary Care Facilities (PCFs), and all concerned stakeholders
involved in the reporting and operations of RISE PH.
For the purpose of this Order, the following terms are defined:
B. Data Processing - refers to any operations performed upon RISE PH data whether
through manual or automated means. It includes, but is not limited to, collection,
recording, organization, storage, updating, sharing, retrieval, consultation, use,
consolidation, blocking, and destruction.
C. Data Steward - refers to the concerned organizational unit within the agency that is
responsible for the accuracy, integrity, and data protection of all health and health-
related dataitprocesses, including all primary data sources it manages. Likewise, they
shall be accountable for the standardization of these health and health-related data, the
determination of their data classification as to restricted, private, or public, approval
and disapproval of data access requests, and compliance with all legal, regulatory, and
policy requirements in relation to the processing of health and health-related data,
among others (DOH-PHIC Joint Memorandum Circular No. 2021-0001).
D. Electronic Medical Record (EMR) - refers to the medical background and history of
health service provider's patients and such other information in a standard electronic
format.
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doctors, treatments, laboratory examinations, procedures, and data on public health
programs are entered into and generated by the system.
Primary Care Facility (PCF) - refers to a type of health facility that provides
population and individual based-health services that are accessible, continuous,
comprehensive, and coordinated at the time of need, including a range of services for
all presenting conditions. It also serves as the initial point of contact for individual-
based services, through its ability to navigate and coordinate referrals to other
healthcare providers in the healthcare delivery system, when necessary. Examples of
PCFs are Urban Health Centers, Rural Health Units, and health stations (DOH AO No.
2019-0060).
. Routine Information and Statistics for Enhancement of Public Health (RISE PH)
Repository System - refers to the web-based repository system where health service
coverage, and other health and health-related data being reported on a regular basis
through a validated EMR are stored.
. System Owner - refers to an entity who oversees, advocates, and has authority on the
development, modification, maintenance, management, and implementation of the
system.
. System User - refers to an encoder, validator, or viewer that has restricted access to the
information systems, as designated by the system owner.
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security, and other performance criteria (DOH-PHIC-DOST-DICT JAO No. 2017-
0001).
V. GENERAL GUIDELINES
B. The RISE PH shall be the official repository of health service coverage, and other health
and health-related data generated by the validated EMR systems; and shall be the
official platform for consolidation, monitoring, and validation of these data.
C. The RISE PH repository system shall be interoperable with validated EMR systems,
and other existing or to-be-developed DOH information systems or public-facing
dashboards for data consolidation, generation, and use.
D. The data generated by the RISE PH shall comprise health service coverage indicators,
and other health- and health-related data based on the latest version of RISE PH Manual
of Operations (MOP). The release of the MOP shall be in the 3rd Quarter of 2024.
E. All indicatorsin the latest MOP shall be revisited, reviewed, and revised, as necessary,
in accordance with Section 31 of the RA No. 11223 or the UHC Act. The inclusion of
these indicators for the standardized reporting of data shall be one of the minimum
requirements in the Standards Conformance and Interoperability Validation (SCIV) of
third-party EMR systems and other information systems.
F. The revised or latest version of the MOP, succeeding policy issuances, memorandums,
and other relevant issuances shall cover health service coverage indicators and their
metadata, scope and limitations, updates, reporting forms, system use, data processing
and validation, concerns referral, incident reporting, frequency of report, schedule and
duration of data submission, roles and responsibilities of implementers, guidelines on
appropriate data security measures, monitoring and evaluation, among others.
G. For concerns relating to data, data validation, and submission, the reporting units, health
offices, CHDs/MOH, and DOH CO shall be involved in the pathway and shall follow
the sequential manner of notification and feedback based on the latest RISE PH MOP.
(see Annex A, Item 1.B.)
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There shall be an initial and follow-up training, if necessary, on system access, data
generation, and system use.
There shall be at least one consultative meeting in a month, or when needed, on the
referral of concerns, incident reporting, updates on reporting tools, among others to
address implementation issues.
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not be higher than the population in a certain area).
6. The RISE PH shall have algorithms for detecting and flagging erroneous data, and
instructions to be followed by the system users for correction.
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and technical security measures in the collection, processing, and submission of
RISE PH data using their EMR systems.
3. For healthcare providers who are implementing a validated third-party EMR system
for the collection, processing, and submission of RISE PH data, the legal agreements
or their equivalent between the healthcare provider/system user and EMR system
provider shall be legal and binding only to the contracting parties. Hence, the DOH
shall not be responsible nor be held liable for any action of the EMR system provider
with regard to its engagement with the healthcare provider, or vice-versa, that may
result in any damage, loss, or injury to any or both parties.
1. Act as the system owner of iClinicSys and RISE PH, and act as the lead data steward
in the processing of RISE PH data;
2. Collect, monitor, and generate tentative or finalized aggregated regional, provincial,
municipal/city, and/or barangay-level RISE PH data, as needed;
3. Provide technical support or training to CHDs and MOH-BARMM on data
processing and validation as necessary and appropriate;
4. Engage with non-government organizations and identified partner institutions for the
capacity-building of CHDs and MOH-BARMM,;
5. Allocate budget to RISE PH-related activities (i.e., training, monitoring, efc.), as
needed;
6. Ensure the quality and integrity of data submitted and collected through RISE PH
through validation with CHDs and MOH;
7. Ensure timely data submission and completion of CHDs and MOH-BARMM,;
8. Disseminate, through CHDs/MOH-BARMM and subsequent health offices, an
advisory on the cut-off period of reporting of the PCFs to ensure timeliness and
consistency of reporting;
9. Publish finalized annual RISE PH report on the DOH website, or on a dedicated
health statistical website;
10. Extract CHD-validated data through RISE PH for purposes of routine reporting and
data requests from a requesting party (i.e., decision-makers, researchers, and other
stakeholders),
11. Conduct the M&E of RISE PH in relation to RISE PH reporting, in coordination and
in consultation with concerned DOH offices and stakeholders;
12. Formulate and implement appropriate policy, program, and/or information system
framework based on the results and findings of the M&E; and
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13. Respond to/act on queries, requests, complaints, and other concerns relating to RISE
PH and RISE PH data, in coordination with KMITS or Disease Prevention and
Control Bureau (DPCB), as needed.
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E. The Provincial Health Offices/Provincial DOH Offices/City Health
Offices/Municipal Health Offices shall:
1. Collect, process, and submit RISE PH data using iClinicSys or other DOH-
developed information systems;
2. Check quality of encoded data;
3. Validate submitted barangay-level data with CHOs/MHOs;
Follow data submission and completion guidelines or instructions from
CHOs/MHOs;
Practice organizational, physical, and technical security measures to protect all data
being processed through RISE PH in adherence to RA No. 10173;
6. Report to CHDs/MOH-BARMM the information system difficulties encountered;
and
7. Notify CHOs/MHOs any RISE PH data concerns.
. The Primary Care Facilities (PCFs) using validated third-party EMR Systems
shall:
— Comply with the standards of the DOH on RISE PH data and EMR systems;
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Subject their EMR systems to SCIV;
Collect, process, and submit RISE PH data using their validated EMR system;
Check quality of encoded data;
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Transmit RISE PH data collected by the EMR to RISE PH for national reporting;
Validate submitted barangay-level data with CHOs/MHOs;
Follow data submission and completion guidelines or instructions from
CHOs/MHOs;
* Implement and practice appropriate and reasonable organizational, physical, and
technical security measuresin the collection, processing, and submission of RISE
PH data using their validated EMR system; and
Report issues/concerns on their EMR system to CHD/MOH-BARMM and external
developers for appropriate action.
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VIII. SEPARABILITY CLAUSE
DOH DC No. 128 s. 1977, or the FHSIS as the official designated statistics in
accordance with Executive Order No. 352 and DOH AO No. 2011-0010, or the
Implementing Procedures and Guidelines in Reporting Field Health Services Data to DOH
Central Office, and all other Orders, Rules, Regulations and related issuances inconsistent
with or contrary to this Order are hereby repealed, amended, or modified accordingly.
EFFECTIVITY
This Order shall take effect after fifteen (15) days following its publication in a
newspaper of general circulation and upon filing of three (3) certified copies to the
University of the Philippines Law Center.
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Annex A
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Annex B
L Tabular Summary of RISE PH reporting tools, platforms, frequency of report, and schedule and duration of submitting data
by various levels
Facility/Office Encoding Platform Recipient and Reporting Tools used Frequency Schedule of Submission to Allowable duration to
Reporting Platform by Platforms higher level update and submit data to
RISE PH repository
system
BHS EMR/other IS
M/CHO
Monthly Forms
M1, M2
Monthly Monday of the
succeeding month
1st week of the Up
the
to 6 working days from
date of unlocking by
through RISE M/CHO
PH repository
system
Annual Form Annual Wednesday of the 1st week of
A-Barangay January of the succeeding year
M/CHO/RHU EMR/other IS C/PHO Monthly Form Monthly Friday of the 1st week of the Up to 6 working days from
through RISE M2 succeeding month the date of unlocking by
PH repository C/PHO
system
CHD/MOH (Not applicable) EB through RISE PH Monthiy Report Monthly Monday of the 3rd week of the Up to 8 working days from
repository system M2 succeeding month the date of unlocking by EB
EB (Not applicable) {Data extraction from Monthly Report Monthly Wednesday of the 4th week of (Not applicable)
RISE PH repository M2 the succeeding month
system;
and final report for
posting at DOH
website)
Quarterly Report Quarterly Friday of the 2nd week of the
Ql 2nd month of the succeeding
quarter