1. The Operations of Rosario District Hospital
Prof. Josefina B. Bitonio
PA 101 Local Governance and
Administration
Alexander N. Flores,DPA
Presenter

2.  Republic Act No. 7160 known as the
Local Government Code of 1991
 Basic Services and Facilities shall be
devolved from the National
Government to provinces,
municipalities and barangays so that
each Local Government Unit shall be
responsible for a minimum set of
services and facilities in accordance
with established national policies,
guidelines, and standards.

3.  DEFINITION OF LOCAL
GOVERNMENT
1. POLITICAL SUBDIVISION OF THE
STATE
2. INFRA-SOVEREIGN
3.WITH TERRITORIAL BOUNDARIES
4. CONSTITUTED BY LAW;
POSSESSES RIGHTS
NECESSARY TO REGULATE ITS
OWN AFFAIRS
5. LEGAL AUTHORITY PROVIDING
SERVICES

4. Rationale for Local Governments
1. Promotion of “liberty” – provides access
points, pressure and control
2. Promotion of “equality” – provides wide-
scale
participation and fostering
3. Promotes responsiveness and flexibility –
community demands to be heard
4. Promotes welfare and provides services

5.  Models of Enabling Authority
1. Traditional Bureaucratic Authority
2. Residual Enabling Authority
3. Market-Oriented Enabling
Authority
4. Community-Oriented Enabling
Authority

6.  Republic Act No. 4226 otherwise
known as Hospital Licensure Act “ The
licensing agency shall study and adopt
a system of classifying hospitals in the
Philippines as to
1. general or special
2. service capabilities
3. size or bed capacity
4. classification of hospital whether
training or not.

7.  Administrative Order No. 2012-
0012 Rules and Regulations Governing
the New Classification of Hospitals and
other Health Facilities in the
Philippines

9. VISION:
 The Hospital is geared towards becoming
one of the centers of health manned by
competent and highly motivated personnel
dedicated to the service of our clientele
MISSION:
 The Rosario District Hospital aims to be a
center of wellness that will provide an
efficient and effective health care that is
accessible/affordable cost effective and
equitable to the people of Rosario and its
catchment areas

10. FUNCTIONS:
 Provision of a comprehensive quality health
care to all patients.
OBJECTIVES:
 a. To improve all facilities of the hospital by
acquiring modern equipment but at low cost
to our clientele and aim for the renovation
of some dilapidated parts of the hospital;
 b. To appeal for the filling up of vacancies
to improve hospital services.

11. Rosario District Hospital History
1. Infirmary
Annexed to the Rosario Health Center
with:
7 staff including the chief of clinic
1 Nurse
1 Nursing Attendant
1 Driver/Maintenance
1 All around Utility
1 Radiologic Technologist
1. Supply Officer/Property Custodian

12. 2. Rosario Emergency Hospital
on April 18, 1972 inaugurated its
new building situated at Barangay
Concepcion, Rosario, La Union
3. Rosario District Hospital
At present Rosario District Hospital
has:
49 Permanent Employee
15 Casuals
7 Job Order
2 Detailed

13.  The Operations Management has
three Division
1. Administrative Support
Services Division
2. Nursing Services Division
3. Medical Ancillary Division

14. Services of the Rosario District Hospital
1. Emergency Room
2. In Patient
3. Out Patient
4. Ambulance
5. Family Planning
6. Under six clinic

15. Source of Fund for the Operation,
Programs and Projects .
1. Income generated from the services
and the Pharmacy
- Regular Pharmacy
- Cash Pharmacy
2. Subsidy from the Provincial
Government

16. 3. DOH – Hospital Facility
Enhancement Program (HFEP)
4. Assistance from the Municipal
Government of Rosario

17. Hospital Annual Budget for the Past 3
Years
CY 2010 - 20,791,771.00
CY 2011 - 24,708,528.00
CY 2012 - 28,656,178.00

18. Hospital Annual Income for the
Past 3 Years
CY 2010 - 21,136,684.79
CY 2011 - 26,039,457.06
CY 2012 - 31,344,847.81

19. Hospital Annual Expenditure for the
Past 3 Years
CY 2010 - 19,828,488.88
CY 2011 - 22,758,822.20
CY 2012 - 25,641, 841.81

20. CLASSIFICATION OF
ROSARIO DISTRICT HOSPITAL
1. According to Ownership
Government
2. According to Scope and Services
General
Rendering services in but not limited to the
following
a. Clinical Services
Family Medicine
Pediatrics

21. Internal Medicine
Obstetrics and Gynecology
Surgery
b. Emergency Services
c. Out Patient Services
d. Ancillary and support services such as
Clinical Laboratory
Imaging Facility
Pharmacy

22. 3. According to Functional Capacity
Level 1
a. a staff of qualified medical, allied
medical and administrative personnel
headed by a Physician duly licensed by
PRC.
b. Bed space for its authorized bed
capacity in accordance with DOH
Guidelines in the Planning and Design
of Hospital

23.  c. An operating room with standard
equipment and provision for
sterilization of equipment and supplies
in accordance with

24. 1. DOH Reference Plan in the
Planning and Design of an Operating
Room/Theater.
2. DOH Guideline on Cleaning ,
Disinfection and Sterilization of
Reusable Medical Devices in Hospital
Facilities in the Philippines.

25.  d. A post Operative Recovery Room
e. Maternity facilities, consisting of
ward(s), room(s), a delivery room,
exclusively for maternity patients and
new born
f. Isolation Facilities with proper
procedures for the care and control of
infectious and communicable diseases
as well as for the

26. for the prevention of cross infections
g. A separate Dental Section/Clinic
h. Provision for blood station
i. A DOH licensed secondary clinical
laboratory with the services of
consulting pathologist
j. A DOH licensed level 1 imaging
facility with the services of a consulting
radiologist
k. A DOH licensed Pharmacy

27. Best Practices
1. QUANTIFIED FREE SERVICE
A services extended to the most
indigent patient through community
service
2. CASH PHARMACY
Income generated used in the other
services