CITIZENS CHARTER for CLINICAL SERVICE FOR PATIENTS OF VSU HOSPITAL VSU Hospital, VSU Campus Tel.

# 335-2607 Head of Health Services: Elwin Jay V. Yu, M.D. Medical Officer III : Dr. Josephine O. Zafico
Vision: The Visayas State University Hospital as a center of excellence in health care delivery system that provides preventive, therapeutic, and rehabilitative services and opportunities for medical education, training, research and development. Enhancement of the general well being of the populace through quality health care that is affordable, accessible, and sustainable, supported by relevant medical education, training, research, and development.

Mission:

The VSU Hospital shall provide promotive, curative and rehabilitative services to its clientele. This includes general pediatrics, general obstetrics and gynecology, general surgery (minor ambulatory clinical surgery), internal medicine, primary eye care, primary ENT, family medicine. Delivery of appropriate patient care by physicians shall be guided by the principle of providing wholistic patient care, respecting the rights and needs of patients and consistent with the code of Ethics upheld by the PMA. The physician on duty reserves the right to determine the appropriate patient care, along with the giving of proper information and advice to patient and to his/her accompanying relative(s), and in determining whether a patient is in need of further care in other facilities. I. II. REQUIREMENTS: Hospital Number SCHEDULE OF SERVICES A. OPD: Consultation Service: Monday- Friday (except Holidays): 8:30AM - 12:00NN ; 1:00 PM - 5:00 PM Pre-natal Consultation: Every Friday: 1:30 PM 5:00 PM

Health Education Service: Monday-Friday (except on Holidays):8:30 AM-12:00NN Minor Surgery (non-emergency/ambulatory clinical surgery): 1:30 PM-5:00 PM Annual Medical Examination for Staff & Students: Monday- Friday (except on Holidays): 8:00 AM - 11:00 AM; 1:00 PM - 4:00 PM B. Emergency Room Services: 24 hours a day, 7 days a week

C. Delivery Room Service III. FEES

: 24 hours a day, 7 days a week

SERVICES

Student

BASE RATES Staff & Their Neighboring Siblings Brgy.

Medical Services Consultation Fee Delivery Room Fee (exclusive of medicines & anesthesia) Dilation & Curettage Minor surgery Circumcision I&D Excision Suturing Dressing - Small - Big PF for normal delivery inclusive of OB pack Admission & Daily Rates ER Fee 30.00 (after office hrs) 1,000.00 4,000.00 1,500.00 5,000.00

200.00

100.00 150.00 100.00 10.00 20.00 50.00 -

400.00 200.00 150.00 250.00 20.00 40.00 3,500.00 100.00 200.00

400.00 300.00 175.00 300.00 25.00 50.00 5,000.00 150.00 250.00

IV.

A. PATIENT ADMISSION PROCEDURE AND AVAILMENT OF SERVICES

STEP CLIENT/PATIENT ACTIVITY DURATION PERSONIN-CHARGE

Patient presents himself at the reception area or brought directly to the emergency room

Rapid initial assessment by Nurse on Duty Initiation of initial emergency measures Informs Physician on duty

Within 2 minutes

Nurse on duty (NOD)

NOD/Institu tional Worker Note: Duration taken from steps 2 - 4 may vary on a case to case basis Physician on duty

Patient submits for evaluation

Quick History taking/ physical examination, giving of emergency measures Requests for STAT lab procedures Continuous emergency and resuscitative measures done until patient is stable

Patient gives necessary specimen or submits to extraction of needed blood sample

Assists patient by giving the appropriate specimen container Extracts blood sample

Within 5 mins.

Nurse on duty

Med. Tech.

Patient brought to ward once stabilized or may be referred ASAP to higher centers when necessary

Patient wheeled to ward or to ambulance for transport

Institutional Worker

B. OUTPATIENT DEPARTMENT PROCEDURE AND AVAILMENT OF SERVICES STEP CLIENT/PATIENT ACTIVITY DURATION PERSONINCHARGE Nurse on duty (NOD)

Patient approach reception counter or nurses station

Initial assessment by Nurse on duty

Retrieval of OPD Record/Issuance of New OPD Record Taking of vital signs and taking note of chief complaint 2 Proceeds to Doctors Office for consultation History taking/ physical evaluation, request for necessary lab. procedures Receives payment of requested clinical lab procedure.

15 mins.

Admin Aide III

NOD

20 mins.

ROD

Pays the laboratory/ consultation fee and proceeds for examination

25 mins.

Cashier

Conducts the clinical lab. procedure and prepares the results

(Time may vary depending on lab. procedure done) 20 mins.

Med. Tech

Returns to Doctors Office for evaluation

Presents laboratory results for evaluation and re-assessment; gives final diagnosis, health counseling and schedule of follow-up

Physician on duty

For complaints, please call : Elwin Jay V. Yu, M.D. Head, VSU Hospital Tel. # 335-2607 or Dr. Roberto C. Guarte Vice Pres. For Admin & Finance VSU, Visca, Baybay, Leyte Tel. # 335-2602

CITIZENS CHARTER for LABORATORY SERVICES FOR OPD AND ADMITTED PATIENTS VSU Hospital, VSU Campus Head of Health Services : Elwin Jay V. Yu, M.D. Medical Technologist : Hermila P. Chiong, R.M.T. Tel. # 335-2607
Vision : The Visayas State University Hospital as a center of excellence in health care delivery system that provides preventive, therapeutic, and rehabilitative services and opportunities for medical education, training, research and development.

Mission : Enhancement of the general well being of the populace through quality health care that is affordable, accessible, and sustainable, supported by relevant medical education, training, research, and development.

The VSU Hospital performs the following clinical laboratory procedures: Complete Blood Count (CBC), Hemoglobin and Hematocrit determination, White Blood Cells and Differential count, Platelet Count, Blood Typing, Bleeding and Clotting time, Urinalysis, Pregnancy Test, Fecalysis, and Fasting Blood Sugar/Random Blood Sugar. The VSU Hospital reserves the right to accept or refuse procedures requested depending on the availability of equipment and reagent for such laboratory procedure. Emergencies or STAT requests shall have priority over all other laboratory request.

I.

REQUIREMENTS FOR LABORATORY EXAMINATIONS: Laboratory request signed by a physician.

II.

SCHEDULE OF AVAILABILITY OF SERVICE: a. Laboratory hours, Monday to Friday: 8:00 A.M. - 12:00 NOON 1:00 P.M. - 5:00 P.M.

b. Specimen for routine CBC, Urinalysis, Fecalysis etc., will be accepted at the laboratory from: 8:00 A.M. 11:00 A.M. 1:00 P.M. 4:00 P.M. c. Specimen for STAT examination will be accepted or taken any time upon presenting physicians request.

III.

FEES Laboratory Services RATE Staff & Dependents 40.00 40.00 95.00 65.00 35.00 95.00 65.00 65.00 110.00 65.00 20.00 NEIGHBORING BARANGAYS

PROCEDURE

STUDENT

Urinalysis Fecalysis CBC HGB & HCT Hemoglobin Platelet count Clotting & Bleeding Time WBC & Differential Count FBS/ RBS Blood Typing Pregnancy test (without kit)

35.00 35.00 75.00 50.00 25.00 75.00 50.00 50.00 95.00 50.00 15.00

50.00 50.00 110.00 75.00 40.00 110.00 75.00 75.00 125.00 75.00 25.00

Payment of laboratory procedures shall be made @ Administrative section of the VSU hospital. IV. PROCEDURE AND AVAILMENT OF SERVICE STEP 1 CLIENT Presents OR and laboratory request with specimen or submits for extraction of sample Waits for lab result ACTIVITY Checks request form if completely filled-up. Receives or extracts proper specimen from patient Processes specimen and Records lab result *Releases lab result to patient or representative DURATION 5 mins. PERSON-INCHARGE Med. Tech

25 mins.

Med. Tech.

Signs the Release logbook upon receipt of result

2 mins.

Med. Tech

* Lab results for in-patient will be submitted to the NOD by MT as soon as procedure is finished. For complaints, please call : Elwin Jay V. Yu, M.D. Head, VSU Hospital Tel. # 335-2607 or Dr. Roberto C. Guarte Vice Pres. For Admin & Finance VSU, Visca, Baybay, Leyte Tel. # 335-2602

CITIZENS CHARTER for DENTAL SERVICES OF VSU HOSPITAL VSU Hospital, VSU Campus Head of Health Services : Elwin Jay V. Yu, M.D. Dentist II : Dr. Maria Belen J. Buzon Tel. # 335-2607
Vision: The Visayas State University Hospital as a center of excellence in health care delivery system that provides preventive, therapeutic, and rehabilitative services and opportunities for medical education, training, research and development. Mission: Enhancement of the general well being of the populace through quality health care that is affordable, accessible, and sustainable, supported by relevant medical education, training, research, and development.

Basic Dental Health Services shall be made available to the students, employees and their dependents as well as the general public.

I.

REQUIREMENT: 1. Students below 18 yrs old must present duly signed consent from parents/guardian. 2. Present Hospital Number to the Dental Aide for records retrieval.

II.

SCHEDULE OF AVAILABILITY OF SERVICE Monday Friday : 8:00 AM - 12:00 NN; 1:00 PM - 5:00 PM

III.

SCHEDULE OF FEES RATES SERVICES Dental Examination & Consultation Extraction: Temporary tooth w/o injection Temporary tooth w/ injection Permanent tooth-simple Permanent tooth w/ bur sectioning Permanent tooth w/ gelfoam Light Cure Fillings: a. Class III Incipient cavity 1 side only b. Class III incipient cavity 2 sides 30.00 50.00 75.00 100.00 150.00 120.00 120.00 140.00 140.00 50.00 60.00 100.00 150.00 200.00 175.00 175.00 200.00 200.00
STUDENT STAFF & THEIR DEPENDENTS GENERAL PUBLIC

50.00 70.00 75.00 150.00 200.00 300.00 250.00 250.00 275.00 275.00

RATES SERVICES c. Class IV 1 side only d. Class I Restorative Fillings: Amalgam a. Class I Incipient cavity b. Class I deep cavity c. Class II ideal case d. Class II deep case e. MOD Prophylaxis a. Supragingival calculus b. Subgingival calculus c. Subgingival calculus & stain Periodontal Treatment a. Gingivitis curettage & scaling b. Curettage/root planing IV.
STUDENT STAFF & THEIR DEPENDENTS GENERAL PUBLIC

140.00 120.00 140.00 60.00 70.00 70.00 80.00 100.00 65.00 125.00 100.00 150.00 150.00

250.00 250.00 200.00 120.00 150.00 150.00 170.00 200.00 125.00 200.00 250.00 300.00 300.00

275.00 300.00 300.00 150.00 170.00 180.00 200.00 250.00 150.00 250.00 300.00 350.00 400.00

PROCEDURE OF AVAILMENT OF SERVICE A. For Tooth Extraction and Periodontal Diseases Treatment STEP 1 CLIENT Proceeds to Dental Clinic for evaluation/consultation OFFICE/ACTIVITY DURATION PERSON-INCHARGE

Submits to dental procedure as discussed with the Dentist Proceeds to Cashier for payment of services rendered Return charge slip and OR to Dental Office

Retrieves dental record 30 minutes Dental Aide/ & takes vital signs and Dentist history& assesses the patient and discusses the treatment plan and corresponding fees. Dentist/Dental Conducts the procedure 1-2 hours, depends on Aide Gives the charge slip to the the patient. procedure Accepts payment and 10 mins Dental Aide issues Official Receipt Cashier Dentist/ Dental Aide

Gives discharge order and treatment prescription

2 mins.

*Medical clearance from physician on duty is required for medically compromised patient before any dental procedure is undertaken

For complaints, please call : Elwin Jay V. Yu, M.D. Head, VSU Hospital Tel. No. 335-2607

Dr. Roberto C. Guarte VP, Admin & Finance VSU, Visca, Baybay, Leyte Tel No. 335-2602

CITIZENS CHARTER

for ISSUANCE OF MEDICAL, BIRTH, DEATH AND MEDICO-LEGAL CERTIFICATES General Administrative Service, VSU Hospital, Administrative Office Administrative Aide III Glenda E. Racho
Tel. No. 335-2607 Vision: The Visayas State University Hospital as a center of excellence in health care delivery system that provides preventive, therapeutic, and rehabilitative services and opportunities for medical education, training, research and development.

Mission: Enhancement of the general well being of the populace through quality health care that is affordable, accessible, and sustainable, supported by relevant medical education, training, research, and development I. REQUIREMENTS : A. MC for routine medical/physical exam for employment purposes; scholarship; drivers license; OJT for VSU students 1. Laboratory results CXR, CBC, U/A, S/E and other laboratory tests may be requested as specifically required by the physician) 2. Official Receipt B. Medico-Legal Certificate 1. Request for issuance of medico-legal certificate from police department 2. Official Receipt C. Annual Medical Exam. Certificate for VSU faculty and staff 1. Laboratory results (Chest Xray, CBC, Urinalysis) 2. Official Receipt D. Medical Examination for Freshmen & Transferees. 1. Medical exam referral from the Admissions Office for College students; from Principal for High school students 2. 1 copy 1x1 ID picture 3. Laboratory results: Chest Xray, CBC, Urinalysis, Stool examination II. SCHEDULE OF AVAILABILITY OF SERVICE Regular Days: 8:00 AM 12:00 NN and 1:00 PM - 5:00 PM

III.

FEES
MEDICAL DEATH/LIVE MEDICOCERTIFICATE CERTIFICATES LEGAL Student 10.00 50.00 50.00 VSU Empl./Dependents 10.00 50.00 50.00 Outsiders 50.00 50.00 100.00 PROCEDURE FOR ISSUANCE OF MEDICAL CERTIFICATE FOR ANNUALLY ADMITTED OR OPD TREATED; MEDICO-LEGAL CLIENT

IV.

STEP 1

CLIENT

ACTIVITY

DURATION

PERSONINCHARGE AA III

Pays the certification fees at Window 3 VSU Hosp. Administration Office

Receives the payment and issues Official Receipt; retrieves OPD records. Refers chart and medical certificate form to POD Checks record and indicates the diagnosis and remarks in the OPD record Encodes the proper diagnosis & remarks; Brings back to POD the properly filled Medical Certificate for his/her signature

20 minutes

10 minutes

POD

15 minutes

AA III

Goes back to Window 3 for issuance of Medical Certificate

Releases medical certificate and retains file copy

5 minutes

AA II

For complaints, please call : Elwin Jay V. Yu, M.D. or Head, VSU Hospital Tel. No. 335-2607

Dr. Roberto C. Guarte VP, Admin & Finance VSU, Visca, Baybay, Leyte Tel No. 335-2602