DPWH-DOH Joint Memorandum Circular No. 1, Series of 2024
DPWH-DOH Joint Memorandum Circular No. 1, Series of 2024
on
—
Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
for
the
MAY 02 2023
ADMINISTRATIVE ORDER
-_D00
Prioritization
No. 2023
and
SUBJECT: Guidelines Availment Projects
I. BACKGROUND
The Department of Health envisions to guarantee equitable, sustainable, and quality
health care for all Filipinos. Thus, healthcare facilities all over the country are enjoined in the
Health
further acceleration of the health reform agenda as stipulated in Boosting Universal Health
Care (UHC) through “Sulong Kalusugan” the Health Sector Strategy 2023-2028, Philippine
Health Facility Development Plan (PHFDP) 2020-2040, and the Republic Act (R.A.) No.
11223 otherwise known as the UHC Act.
In FY 2024, the HFEP Budget Proposal shall adhere to NBM No. 145 ofthe DBM and
the DOH Devolution Transition Plan. In compliance with the Implementing Rules and
Regulations of EO No. 138, issued on June 1, 2021, which pertains to the full devolution of
certain Executive Branch functions to Local Governments. This also follows the SC Decision
on G.R. Nos. 119802 and 208488, issued on July 3, 2018, where the major sections of this
Order were revised to conform with Section 5 of EO No. 138. Said section requires concerned
NGAs and LGUs to
prepare their respective Devolution Transition Plans (DTPs).
order to guide the health facilities in their submission of project proposals for
In
FY 2024, an administrative order needs be issued. to
Il. OBJECTIVES
This Administrative Order provides guidelines for the submission, evaluation, and
approval of project proposals of LGUs, National Government Agencies (NGAs), DOH
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila ¢ Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: dohosg¢[email protected]
Hospitals, Centers for Health Development (CHDs), other concerned health facilities, and
stakeholders for the availment of HFEP 2024 Budget.
This shall apply to DOH Central Office Bureaus and Services, CHDs, Ministry of
Health-Bangsamoro Autonomous Region of Muslim Mindanao (MOH-BARMM), DOH
Hospitals, National Government Agencies (NGAs), Local Government Units (LGU), and
other health facilities and stakeholders such as the Dangerous Drug Abuse Treatment and
Rehabilitation Centers (DATRCs) and Bureau of Quarantine (BOQ) involved in the
processing and submission of HFEP 2024 projects.
For the MOH-BARMM, the adoption of this issuance shall be pursuant to RA 11054
(Bangsamoro Organic Act) and subsequent laws and issuances issued by the Bangsamoro
government.
A. Ambulance- a vehicle designed and equipped for transporting sick or injured patients
to, from, and between places of treatment by land, water or air, affording safety and
comfort to the patients and avoiding aggravation of
illness or injury. (AO 2018-0001)
. Clearing House -refers to the office/unit that consolidates, reviews, and identifies
priority proposals from DOH Hospitals and DOH hospitals with specialty centers;
LGU hospitals; Primary Care Facilities; and other health facilities, medical equipment,
and medical transport vehicles to be funded for the fiscal year.
. Devolution- refers to the act by which the National Government confers power and
authority upon the various local government units to perform specific functions and
responsibilities.
. Devolution Transition Plan (DTP)- refers to a strategic document that outlines the
policies, strategies, programs, and activities that are needed for the successful transfer
of functions, personnel, assets, and resources from national government agencies
(NGAs) to local government units (LGUs) as part of the full devolution of certain
Executive Branch functions to LGUs. The preparation and submission of the DTP are
required by the Implementing Rules and Regulations of Executive Order No. 138,
which mandates the full devolution of certain functions of the Executive Branch to
LGUs.
> 2
. Health Facility - refers to a government-owned infrastructure that provides healthcare
services such as diagnostic, therapeutic, rehabilitative, palliative, and/or other related
health services.
. Medical Equipment
- refers to an instrument, equipment and/or machine that is used
for medical purposes, such as the diagnosis and treatment of medical conditions
GENERAL GUIDELINES
of Executive Order No. 138, DOH hospitals and other health facilities owned
In view
by DOH must be prioritized over the LGU facilities.
The HFEP 2024 Budget Proposal shall focus on the following priority areas to ensure
its proper alignment with the Philippine Health Facility Development Plan (PHFDP)
2020-2040:
To view the list of facilities under Category 1 of the National Allocation Framework
PHFDP 2020-2040, please refer to https://tinyurl.com/LGUcategoriesNAF.
A. Legal Framework
The following health facilities qualified for funding under HFEP 2024, which fall
issuance, and do not have concurrent approved funding from
under priorities set by this
other sources for the same proposed project and work scope:
1. Health facilities owned by the DOH such as hospitals, medical centers, drug
abuse treatment and rehabilitation centers, blood service facilities, laboratories,
psychiatric facilities, quarantine stations, and special or temporary emergency
health infrastructure.
2. Health facilities that are owned by LGUs such as barangay health stations,
primary care facilities, infirmaries, hospitals, public laboratories, dental clinics,
blood service facilities, and special service delivery units within the hospitals
that provide direct patient care, health facilities falling under Geographically
Isolated and Disadvantaged Areas (GIDA) pursuant to DBM-NBM No. 142, Item
2.4.3 on Expenditure Management Framework, and/or located in the Universal
Health Care Integration Sites.
The HFEP 2024 budget proposals shall comprise of capital outlay designated for
infrastructure, medical equipment, medical transport vehicles, and land acquisition.
Specifically, the HFEP 2024 proposals shall include:
1. Funding assistance
for infrastructure:
Completion of existing projects previously funded by HFEP (ie. DOH
a.
Hospitals and DOH hospitals with specialty centers; LGU hospitals;
Primary Care Facilities; and other health facilities);
b. Construction/Upgrading of Apex hospital/Specialty centers;
c. New Construction and/or Upgrading of health facilities situated in the
71 UHC Integration Sites and locations included in GIDA list;
d. Infrastructure, Equipment, and Medical Transport vehicle needs of
other healthcare facilities (e.g.. DATRCs, Blood Facilities, BOQs, etc.)
e. Multi-Year Contractual Authority (MYCA) for Completion.
2. Funding assistance for the purchase of medical equipment (Same provision as
Section V. D.1)
3. Funding assistance for the purchase of a Medical Transport Vehicle (Same
provision as Section V. D.1.a; Ambulance can be either land or sea).
WS
E. Exclusions
1. Project Proposals for DOH health facilities. Proposals must be duly signed
by the chief or director of the hospital or facility concerned, it shall be
submitted directly to the HFEP-MO.
Project proposals for health facilities owned and/or administered by NGAs
must be endorsed and duly signed by their respective agency heads and shall be
submitted directly to the Secretary of Health.
The submission of the above project proposals shall comply with the
documentary requirements stated in Annex A of this Administrative Order. The
overall process flow from proposal, submission, evaluation and review, and
approval of HFEP 2024 proposals is
indicated in Annex D.
B. Screening Process
1. The DOH Centers for Health Development (CHDs) shall screen the
submitted proposals based on the Local Investment Plan for Health (LIPH)
which are submitted by the LGUs and shall utilize their Regional Health
Facility Development Plan as one of the layers of analysis at the regional
level. Also, CHDs shall validate the submitted proposals and review the
alignment with the Regional Health Facility Development Plan.
The Chiefs of Hospital or Medical Center Chiefs shall screen their project
proposal in alignment with the PHFDP 2020-2040, DOH Department Order
No. 2021-0001 entitled “Designation of Selected DOH Hospitals as Specialty
Center for Brain and Spine Care, Burn Care, Cancer Care, Cardiovascular
Care, Dermatology Care, Eye Care, Geriatric Gare, Infectious Disease and
Tropical Medicine, Lung Care, Mental Health, Neonatal Care, Orthopedic
Care, Physical Rehabilitation Medicine, Renal Care and Kidney Transplant,
Toxicology, and Trauma Care” and Annex B-Priority 2.
3. Both the CHDs and Chiefs of Hospital or Medical Center Chiefs shall
strictly follow the criteria set in the on-site validation of infrastructure, medical
equipment, and medical transport vehicle project proposal namely:
4. For project proposals for the BOQ, the BOQ Central Office shall submit the
said screened proposals to HFEP-MO for
further review.
For project proposals for DATRCs, the concerned Field Implementation and
concerned Coordination Team (FICT) shall submit the said screened proposals
to HFEP-MO for further review .
C. Review Process
1. The HFEP-MO shall review the vetted project proposals by the CHDs, DOH
Hospitals, and FICT in alignment with the PHFDP 2020-2040 and directives of
the current administration such as the Health Sector Strategy 2023-2028, and
including all its needed requirements for the attainment of the “Proficiency
Stage” level of the PGS Certification and prepare a project list as part of the
DOH 2024 budget proposal. It shall also prioritize the funding for
infrastructure, medical equipment, or transport vehicles as classified in
Annex B.
2. As part of the HFEP-MO technical review, a Steering Committee and
Technical Working Group (TWG) shall be created for the final screening of
HFEP 2024 Budget Proposals. The Steering Committee shall be headed by the
Undersecretary of Health from Health Policy and Infrastructure Development
Team. The members of the Steering Committee and Technical Working Group
shall consist of the Undersecretaries of Health from regional Field
Implementation and Coordination Teams, Assistant Secretary of
Health/Concurrent Director from the Health Facilities Enhancement
Program-Management Office (HFEP-MO), Directors from Health Facility
Development Bureau (HFDB) and Bureau of Quarantine (BOQ).
D. Approval Process
1. The HFEP 2024 Budget Proposals that are vetted by the Steering Commitiee
and Technical Working Group shall be forwarded to Health Policy
Development Planning Bureau (HPDPB) for submission to the DBM together
with details of project proposals in the National Expenditure Program (NEP)
Format.
2. Once the final budget proposal is approved by the DBM, the HPDPB shall
furnish CHDs, DOH Hospitals, and other DOH health facilities as indicated in
the 2024 NEP.
We
VII. SEPARABILITY CLAUSE
If any part or parts of this Order, should for any reason, be held invalid or declared
unconstitutional by a court of law of competent jurisdiction, the remaining parts
hereof shall remain in full force and effect.
VII. EFFECTIVITY
This Order shall take effect after fifteen (15) days following its complete
publication in the Official Gazette or in a newspaper of general circulation and
filing three (3) certified copies before the Office of the National Administrative
Register, University of the Philippines Law Center, pursuant to Section 3, Book VII
of Executive Order No. 292 or the Administrative Code of 1987.”
Department of Health
Annex A: Basic Documentary Requirements to Clearing Houses
(Subject to onsite validation of DOH Hospitals, Centers for Health Development, Other DOH
Health Facilities such as Dangerous Drugs Abuse Treatment and Rehabilitation Centers, Bureau
of Quarantine, etc.)
1. Proof of land ownership of the land for the project (any of the following):
a. Deed of Donation; and
b. Transfer Certificate Title
A. Those health facilities which were aligned with PHFDP and were previously funded
through HFEP that require additional funding or provision of medical equipment
and medical transport that were not devolved in 2024, (Category 1 of the National
Allocation Framework of PHFDP 2020-2040);
A. Those health facilities which require funding for the new construction of
infrastructure projects, and upgrading of DOH Apex Hospitals and Specialty
Centers;
A. Those health facilities and areas require funding for the new construction of
infrastructure projects, and the purchase of medical equipment for
the 58 Universal
Health Care Integration Sites (UHC IS) specifically provincial hospitals and rural
health units (RHUs) as stated in DOH Department Memorandum 2020-0414 and
those areas belonging to areas with the poverty incidences, ranked in top third
highest (new construction, completion, repair/renovation, equipping, and upgrading
of UHC IS);
B. Those health facilities and areas require funding for the new construction of
infrastructure projects, specifically rural health units (RHUs) and purchase of
medical equipment for the Geographically Isolated and Disadvantaged Areas
(GIDA). Please refer to https://gidais.doh.gov.ph/downloads/gidalist2020.pdf to
download the list of GIDA based on DOH Administrative Order No. 2020-0023,
“Guidelines on Identifying Geographically Isolated and Disadvantaged Areas
(GIDA) and Strengthening their Health Systems”.
C. Those health facilities requiring funding for the Construction of Super/ Mega Health
Centers in the remaining strategic areas to fill in the gaps for RHUs. The intended
recipients are: UHC, GIDA, Island Municipalities and Tourist Destination areas.
D. Those health facilities requiring funding for the upgrading of Level 1 and Level 2
DOH Hospitals in alignment with PHFDP 2020-2040;
E. Those health facilities requiring funding through the establishment or upgrading the
bed capacity of the renationalized hospitals as stipulated Legislations (Republic
in
Acts)
A. Those health facilities requiring funding for the upgrading of other health facilities
(e.g. Dangerous Drug Abuse Treatment Rehabilitation Centers specifically the four
(4) Apex DATRCs, Bureau of Quarantine Stations, Regional Offices, Central
Offices, etc.) in alignment with PHFDP 2020-2040
Annex C: Legal Framework
The Project Proponents shall align HFEP requests with the laws, regulations, and plans
namely:
—=
Republic Act No. 11223 entitled “Universal Health Care Act of 2019”;
DOH Philippine Health Facility Development Plan 2020-2040;
DBM
National Budget Memorandum no. 145 dated 12 January 2023 providing for the
National Budget Call for FY 2024;
0-10 Point Socioeconomic Agenda and the Philippine Development Plan;
Priority projects contained in the Public Investment Program (PIP) and Approved FY
2024-2026 Three-Year Rolling Infrastructure Program (TRIP) of NEDA;
EO No. 138 dated June 1, 2021 entitled “Full Devolution of Certain Functions of the
Executive Branch to Local Governments, Creation of a Committee on Devolution, and
For Other Purposes”’;
Supreme Court (SC) Decision on Congressman Hermilando I. Mandanas, et. al vs.
Executive Secretary Paquito N. Ochoa, Jr. et.al and Honorable Enrique T. Garcia Jr. vs
Executive Secretary Paquito N. Ochoa, et. al (G.R Nos. 119802 and 208488, 3 July
2018); and
DOH Green and Safe Health Facility Manual 1st Edition
Annex D: Overall process flow from proposal, submission, evaluation and review, and
approval of HFEP 2024 Proposals
By:
DOH Health
Boa
Facilities
FICT (DATRCs)
HFEP-MO HPDPB
National
‘
Government CHDs
Agencies
DOH
Hospitals
-
LGU
health TWG shall consist of: OSEC / ExeCom
facilities
t
HFEP-MO FICT
Oe
Review of other HPIDT
HC
Facilities HFDB
DOH
nena
Proposals
a so
owned Health Facilities
signed by
duly
NGA
Ree
Proposals
_PrOPOSAlS
Proposals
Leus
duly signed by Local Chief
Executive, Hospital Chief Hospital
Asiministrater,
BOO and
Bare
—
BOQ and DATRC
Project
—_—Other
Proposal Submitted to
FICT