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POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 1

CHAPTER 1
THE ORGANIZATIONAL OVERVIEW

A. About the Hospital


Manila Doctors Hospital (MDH) is a premiere private tertiary hospital operating

at 667 United Nations Avenue, Ermita, Manila, Philippines. It was founded in 1956 by a

group of doctors, under the corporate name Manila Medical Services, Inc. (MMSI). In

1979, Metrobank Foundation, Inc. (MBFI) acquired majority shares of MMSI.

Located along United Nations Avenue in the old business district of Metro

Manila, which is also considered the tourist district of Manila, MDH is a stones throw

away from Chinatown. It has entry and exit points on both United Nations Avenue and

Teodoro M. Kalaw Avenue. Its T.M. Kalaw faade faces the Department of Tourism and

the eastern side of Rizal Park.

MDH operates only in the Philippines, but it serves many international clients and

plays an active role in promoting medical tourism in the country.

B. MDH Social Vision

We are a health institution providing holistic care that exceeds industry

standards and that anticipates and responds to the needs of the patients, their

families and relevant communities.


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Driven by our determination to make healthcare accessible to the

marginalized and the underserved, we consider it our ardent commitment to

provide service that is guided by ethical standards and improve the healthcare

delivery system with pronounced social impact. These establish Manila

Doctors Hospital as a vital partner of the Department of Health, local

government units and other like-minded institutions in empowering the

communities and the public we serve to sustain health and wellness.

We are engaged in heightening the consciousness and the participation of the

public in targeted health and environmental issues in the global community.

C. MDH Mission and Vision

In 1979, Dr. George S.K. Ty, Group Chairman of the Metrobank Group and

founder of the Metrobank Foundation, Inc., the parent company of Manila Doctors

Hospital, envisioned MDH to become the leading center of excellence and wellness in the

Philippines. His vision had MDH providing world-class holistic, quality, and safe patient

care.

As such, in keeping with its our goal to serve as a health and wellness center for

all Filipino and international clients, MDH adheres to a three-fold mission:


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To operate a world-class hospital

To undertake training and research programs to continually improve


quality and safe services

To pursue corporate social responsibility programs

D. Corporate Objectives

To provide health care services that meet the needs of:

Clients or customers

All pertinent statutory and regulatory requirements, and

The expectations of MDH top management

To conduct training programs that will continually improve services

To conduct researches that will continually improve services

To provide competent staff at all times

To establish and continually improve the quality management system

To provide corporate social responsibility services programs for the

underprivileged and underserved in the community


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E. Quality Policy

Excellent performance in all services and authorized functions

Effective and efficient health services, training, and research

Patient-centered personnel, and continually improvement of services so as to

achieve excellence in quality and safe health care

F. Core Values

MDH abides by these principles in its relationship with internal and external

stakeholders and the public:

Quality

Accountability

Innovativeness

Social Responsibility

Teamwork

Professionalism

Respect

Integrity

Compassion

Excellence
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 5

CHAPTER 2
MANAGEMENT ASPECT

A. Management Summary
MDH fosters good governance and effective leadership by providing the

necessary structures and processes to sustain patient safety and quality improvement. The

leadership responsibilities are well-defined and constantly evaluated. The Hospital is

guided by a well-communicated and practiced vision, corporate objectives, quality

policy, and core values, which are evaluated semi-annually in terms of relevance and

achievement. It has a well-documented performance review and planning process with a

strategic plan that was formulated in 2011. The said planning process, which shall guide

MDH until 2013, is supported by an operational plan and a balanced scorecard properly

cascaded to monitor expected outcomes. MDH is supported by a system of financial

planning and control. It utilizes a bottom up budgeting process that encourages unit

heads to be financially accountable. Periodic reporting is made in various levels.

B. Management Ownership

Board of Directors:
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Dr. George S.K. Dr. Antonio S. Mr. Aniceto M. Mr. Jose Ma K.

Ty Abacan Jr. Sobrepea Lim

Honorary Chairman Chairman/Acting Vice Chairman Director

President

Mr. Augusto P. Dr. Dante D. Dr. Mario Joselito Dr. Mark Richard

Palisoc, Jr. Morales M. Juco C. Kho

Director Director Director Director


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Dr. Cecilio K. Dr. Terrence L. Dra. Francisca

Pedro Cham DC. Roa

Director Director Director

Advisory Board

Mr. James Go Mrs. Elvira Ong

Mrs. Mary V. Ty Dr. Reynaldo O. Adviser Chan

Adviser Joson Adviser

Adviser
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Corporate Officers:

Dr. George S. K. Dr. Antonio S. Dr. Dante D. Dr. Hian Ho N.

Ty Abacan Jr. Morales Kua

Honorary Chairman Chairman /Acting Senior Vice FVP for Corporate

President President for Affairs

Medical Affairs

Dr. Mario Joselito Dr. Terrence L. Dr. Nelson S. Dr. Mark Richard

M. Juco Cham Abelardo C. Kho

FVP Medical VP Deputy Assistant Medical VP for Medical

Director Administrative Director Service Operation


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Mrs. Anjanette T. Mr. Joaquin Sy Atty. Alexander P. Mr. Joshua E.

Dy-Buncio Corporate Secretary Mendoza Naing

Treasurer Assistant Corporate Controller

Secretary

C. Products and Summary

MDH defines itself as a private tertiary hospital. Based on the DOH definition, a

tertiary hospital is a medical center with a full complement of services and specialties

and state-of-the-art facilities. The services of MDH include:

Internal Medicine Otorhinolaryngology

- Allergology & Immunology - General Otorhinolaryngology

- Cardiology - Otology

- Dermatology - Clinical Audiology

- Endocrinology - Neuro-otology and Skull Base Surgery


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- Gastroenterology and Endoscopy - Laryngology and Phoniatrics

- General Internal Medicine - Head and Neck Tumor Surgery

- Hematology - Head and Neck Reconstructive Surgery

- Infectious Diseases - Facial Plastic and Reconstructive Surgery

- Medical Oncology - Maxillofacial Trauma

- Nephrology - Otolaryngic Allergy

- Neurology - Rhinopharyngology

- Psychiatry - Sleep Medicine and Surgery

- Pulmonary Medicine

- Rheumatology

- Toxicology

Cardiovascular Center Nuclear Medicine

- Cardiovascular Surgery - Bone Densitometry

- Cardiovascular Catheterization Laboratory - Gamma Camera

- Cardiovascular Anesthesia - Nuclear Cardiac Imaging

Oncology Rehabilitation Medicine

- Chemotherapy - Physical Therapy

- Occupational Therapy

- Speech Therapy
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Radiology Pharmacy

X-Ray

Ultrasound Emergency Medicine

CT Scan

Mammography

Industrial Medical Services Special Areas

- Pre-Employment Exams - Intensive Care Unit

- Company Consultations - Coronary Care Unit

- Annual Exams - Endoscopy Unit

- Diagnostic Executive Check-up - Dialysis Unit

Obstetrics - Gynecology Ancillary Services

- Gynecological Oncology - Heart Station

- Infertility & Laparoscopy - Electrocardiography

- Infectious Diseases - Echocardiography

- Ultrasound - Pulmonary Services

- Perinatology - Neurophysiology Services

- Reproductive Endocrinology & Infertility - Otorhinolaryngology Services

- Trophoblastic Diseases

- Urogynecology
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Surgery Dental Medicine

- General Surgery - Oral Maxillofacial Surgery

- Burns - Dental Implants

- Neurosurgery - Management of Temporomandibular

- Pediatric Surgery Joint Disorders

- Plastic and Reconstructive surgery - Orthodontics

- Thoracic and Cardiovascular surgery

- Urology

- Minimally Invasive Surgery

Orthopedic Surgery Specialty Centers

- General Orthopedics - Aesthetic Surgery and Dermatology

- Trauma - Child Neurosciences

- Pediatric Tumors - Pain Management and Wellness

- Arthroscopy - PRO-HEALTH Center

- Hand Surgery - Geriatric Multidisciplinary Clinic

- Spine Surgery - Vision Center

- Sports Medicine
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Extracorporeal Pastoral Care

Shockwave

Lithotripsy

Ophthalmology

- General Ophthalmology

- Pediatric Ophthalmology

- Cataract & Refractive Surgery

- Cornea and External Disease

- Glaucoma

- Oculoplastics and Orbit

- Ocular Oncology

- Retina and Vitreous

- Uveitis

- Neurophthalmology
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D. Corporate Governance
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D.1. Role of Board of Directors

MDH fosters good governance and effective leadership by providing the

necessary structures and processes to sustain patient safety and quality improvement. The

leadership responsibilities are well-defined and constantly evaluated. The Hospital is

guided by a well-communicated and practiced vision, corporate objectives, quality

policy, and core values, which are evaluated semi-annually in terms of relevance and

achievement. It has a well-documented performance review and planning process with a

strategic plan that was formulated in 2011. The said planning process, which shall guide

MDH until 2013, is supported by an operational plan and a balanced scorecard properly

cascaded to monitor expected outcomes. MDH is supported by a system of financial

planning and control. It utilizes a bottom up budgeting process that encourages unit

heads to be financially accountable. Periodic reporting is made in various levels.

The Hospital is governed by a Board of Directors (the highest governance body)

led by a Chairman, the President, two Senior Vice Presidents, the Hospital Director, and

three Directors (one for each directorate). The Board of Directors is led by a Chairman

who is not an executive officer. The following committees support the governance

structure at various levels: Executive Committee (ExCom), Management Committee

(ManCom), and the Senior Management Team.


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There are 10 members in the Board of Directors; six are independent/non-

executive members. There are two representatives who are members of the Medical Staff

Association, conferred and endorsed by a Nominations Committee. It is chaired by a

highly competent and experienced executive. The Internal Auditor reports to the Board of

Directors.

The three directorates cover the three major areas of the Hospitals: the Finance

Directorate, Administrative Directorate, and the Medical Directorate. The Finance

Directorate oversees the financial performance of the entire Hospital and ensures that

proper monitoring and control systems are in place. The Administrative Directorate takes

care of the support operations of the Hospital. It also oversees the Hospitals Business

Development Division as well as the outsourced operations of the Housekeeping and

Linen Service and Security. The Medical Directorate includes the Medical Services

Division and the Allied Medical Services Division. It oversees the medical services

offered by the Hospital and the activities and services of doctors and allied health

professionals at MDH.

Shareholders and employees provide recommendations or seek direction from the

highest governance body. With the help of data culled from surveys and consultations,

these recommendations and directions are implemented prior to every annual planning

conference. A process of collaboration, communication, and coordination is done in each

unit of the Hospital. Employees are represented by their corresponding division heads

during executive meetings and their opinions and comments are taken into consideration.
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D.2. Internal Stakeholders

Regular employees. They are empowered to pursue their assigned tasks, Hospital

and proactive decisions are encouraged to be made at every level. They participate in

strategic and operational planning of the hospital by providing their inputs through

surveys. They are given the opportunity to give suggestions during departmental and

divisional meetings and during the Hospital Affairs Update (HAU) a bi-annual report

given by the hospital director.

Aside from their contributions based on authorized functions, MDH employees

also play an active role in the development of various processes within their functional

areas. Some of them are appointed as members of various cross functional committees

and task forces dealing with different segments of hospital operations (e.g. Internal

Quality Auditors, Trainer Corps, Committee on Cafeteria Committee, Obligation

Committee, and Sports Committee). They actively participate in volunteer work through

the official hospital volunteer organization called the MDH Purple Hearts Club. The

MDH Employees Association (MDHEA) is one of the three key partners of the Hospital.

Doctors and trainees. They are engaged by the Hospital to participate in setting

the directions regarding the various health and medical services offered by the Hospital.

They are made accountable to discharge the function of various positions, medical or

administrative, where they are appointed. They serve as officers in the medical, training,

and research undertakings of MDH. Moreover, doctors are encouraged to participate in


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various hospital activities such as Continual Improvement Program, sports tournaments,

and research competitions. During hospital CSR undertakings, specifically during

medical missions, doctors take on an active role. There exist rewards and recognition

programs where deserving physicians are recognized and rewarded at the end of each

year as part of the anniversary celebrations. The Medical Staff Association (MSA) is the

second key partner of the Hospital.

Stockholders. An annual stockholders meeting is held wherein stockholders are

informed of the state of the affairs of the Hospital. They are also informed of the

Hospitals highlights and activities through Good Health - the official publication of

MDH; through the hospitals website, print advertisements and publicity efforts (press

releases, TV episodes). The stockholders are the third key partner of the Hospital.

D.3 External Stakeholders

MDH establishes strategic partnerships with different institutions for purposes of

synergistic complementation and mutual benefit. These partnerships are established with

institutions whose visions, missions, and values are aligned with that of the Hospital.

Partners are either locally or internationally based. MDH observes the highest standards

of ethics in entering into these agreements.


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Patients and relatives. MDH ensures that patients and their relatives are fully

aware of the relationship between them and the Hospital. Transparency and openness are

observed with respect to the Hospital and its team members responsibility to patients.

They are well informed of their rights and responsibilities while they are within the

jurisdiction of the Hospital. Their inputs are solicited in regular customer surveys and the

suggestions are taken into consideration in the improvement efforts of hospital processes

and in operations planning.

Vendors (service providers and suppliers). MDH engages its vendors by setting

a good example to do responsible business, by being a good corporate citizen, and

enabling them to grow with hospital by imparting to them the virtue of practicing quality

standards. MDHs vendors are constantly updated through regular communication and

regular meetings. The Hospital prefers vendors with good manufacturing practices that

are compliant to its standards and policies.

Community and school. Engagement of the community and school is done using

triangulation of methodologies such as: partnership in governance, community and

school diagnosis and program planning, and implementation and evaluation. The

students, teachers, community members, and hospital staff collaborate in the attainment

of community-oriented healthcare and delivery and other projects such as youth

mentoring, environmental safety, and disaster risk reduction.


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Health Maintenance Organizations (HMOs) Corporate Guarantors.

Physician coordinators are involved in periodic meetings dealing with patient

management success, collaborative endeavors to address patients needs and safety, and

best practices. The contribution of corporate guarantors, HMOs and MDH are validated

through intensive patient satisfaction surveys as well as increasing patronage of services.

Accrediting bodies. MDH commits to improve customer access to its quality

products, and safe services as validated by AJA Registrars (ISO 9001: 2008 certifying

body), Accreditation Canada International, PhilHealth, and the Department of Health.

These bodies serve as partners in formulating, implementing, and setting of international

standards of quality and safe healthcare.

Government agencies. MDH complies diligently and conscientiously with the

requirements and standards set by government agencies, from local government units, the

Department of Health, Department of Labor and Employment, Department of

Environment and Natural Resources, Laguna Lake Development Authority, and other

applicable entities, which affect the operations of the Hospital. It takes upon itself to be

aware of the latest policies, circulars, and directives of government agencies and ensures

that all internal stakeholders are duly informed for judicious compliance.
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According to the sustainability report of Manila Doctors Hospital (MDH), they

are already showing good governance and effective leadership by providing necessary

structures and processes to sustain patient safety and at the same time quality

improvement. It is also stated that their leaders responsibility were all well defined and

constantly evaluated, they also have a good communication. Their policies and rules were

guided by their well define mission, vision, corporate objectives, quality policies and core

values. They also give equal importance to other stakeholders such as employee which

good in both parties. It is truly effective that they give equal importance and opportunity

to other stakeholders because it will give them a good performance thus providing a good

return in the hospitals earnings. They have also a good relationship with the

stockholders, in fact they currently have an annual stockholders meeting in order to

assess the companys state.

According to them the Board of Directors who are responsible for ensuring that

the policies most importantly the internationally agreed standards are followed, held a

meeting six times a year while the Executive and Management Committee who provide

governance and effective organization, meet every month. The performances of the

highest governing body is annually- every end of the year, are evaluated and serves as a

reference for reappointment or disengagement, which is good because in order for a

company to have an successful fruit, the leaders should be evaluated to know if they are

fit for the position, and if not they should find someone who is willing and skillful leader
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who will lead the company because at the end of the day the main goal of the companies

is to maximize their profits.

The Board of Directors should communicate more often by providing more

meetings. Currently, they meet 6 times a year which is for us long enough to settle issues

that needed immediate attention from the highest power, we think a monthly meeting will

be enough to settle possible issues and problems company may face. They also need to

have a constant communication with their stockholders by providing them some emails

regarding on the standing of the company. Continue to have an advisory board in order to

have an opinion coming from an independent person. They should add an addition

directorate who will be responsible for the Nursing Service division and Human Resource

division so that Hospital director will not be burden on handling 2 divisions, also he only

needed to communicate with the directorates. In terms of evaluating governing bodies,

they should have at least 2 evaluations a year: one in mid-year and another on the year

end, the mid-year evaluation is subject to probation if they are not doing their best in

contributing to the company, in that way the governing body will be push to work harder

and will be inspired to do their best. If they do the 2 evaluation, they should provide

additional reward for those who will be performing well.


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CHAPTER 3

MARKETING ASPECT

Since its beginning, Manila Doctors Hospital has been a private tertiary hospital

withan authorized bed-capacity of 300. Over the years, it has continually developed its

entire medicaland support departments to become one of the top five and top-of-mind

hospitals in Metro Manila.It offers medical specialty residency and fellowship programs

to physicians who seek further training in Internal Medicine, Pediatrics, General

Surgery, Obstetrics and Gynecology, Pulmonology, Gastroenterology, and many

others. This medical institution has several medical departments and facilities to serve

its patient population. Here are some of its services and programs:

A. Allied Medical Services

Pharmacy- the MDH Pharmacy Department is responsible for the

procurement, storage, compounding, dispensing, distribution and monitoring

of medications through drug-therapy management of both in and out patients.

.The practice of pharmacy in the hospital also includes broad responsibility for

the safe and appropriate use of drugs in patients, which includes, among other

things, the rational selection, monitoring, dosing and control of the patients

overall drug therapy program in coordination with the Pharmacy and

Therapeutics Committee.
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Endoscopy Unit- The Endoscopy Unit is a special medical facility that offers a

variety of state-of-the-art gastrointestinal diagnostic examinations and

therapeutic procedures conducted by well-trained and board-certified

gastroenterologists.

Radiology- The Department of Radiology continues to grow by leaps and

bounds with the support from the hospital administration, boosted by the

competence and reputation of its medical staff and with the efficiency and

competence of its technical staff.

Vision Center- Equipped, staffed and designed to become one of the citys

leading eye centers, the MDH Vision Center provides its clients with a host of

excellent and up-to-date equipment, including the latest Humphrey visual field

analyzer, an Ophthalmic Technologies Inc. (OTI) 3-dimensional

ultrasonography machine, the IOL Master biometer for precision

measurements of intraocular lens powers essential in cataract surgery visual

outcome. And just recently, the Center acquired the Optical Coherence

Tomography (OCT), a non-contact, non-invasive imaging technique used to

obtain high resolution cross-sectional images of the retina.More than the top-

of-the-line equipment, the Vision Center also boasts of the most proficient eye

specialists and top-notch medical staff to ensure that your eyes are kept in the

best possible condition.


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Rehabilitation Medicine- The Department of Rehabilitation Medicine (DRM)

with its team of dynamic physiatrists, physical therapists, occupational

therapists, and speech therapists, is a purveyor of a holistic approach in the

diagnosis and treatment of impairment to improve the quality of life of the

disabled and redirect the human function of the handicapped.Working in

partnership with the patient and their support system, its thrust is to enhance

the patients physical, cognitive, emotional, communicative, and socio-

environmental status.

Laboratory Medicine- The MDH Laboratory Medicine Department offers

services that encompass a wide array of vital tasks that support the physicians

in the diagnosis and treatment of their patients.

Industrial Medical Services- The Industrial Medical Services Department is

the referral arm of Manila Doctors Hospital. The Department also serves as

the employees clinic of MDH and the center for occupational health and

safety for the institution. IMSD also serves as the pay out-patient center and

HMO-approval hub.

Pulmonary Physiology and Sleep Lab- The Pulmonary Physiology & Sleep

Lab Services is a unit which aims to provide immediate assistance to patients

with reliable and effective therapeutic procedures in nebulization and assisted


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ventilation, and with accurate and reliable diagnostic procedure on Pulmonary

Function Test and Arterial Blood Gas Analysis.

B. Specialty Clinics

Aesthetic & Reconstructive Surgery Center- The Aesthetic & Reconstructive

Surgery Center takes a holistic approach to cosmetic procedures, offering

multiple services for all your health, beauty and wellness needs, in a hospital

environment that is safe, responsive, and readily accessible.Reputable Board

Certified plastic surgeons now package aesthetic surgery with other wellness

services and leisure activities to give local and foreign clients more value per

visit in a secure and comfortable setting.

Child Neurosciences Center- The Child Neurosciences Center is the first

private center in Manila that adopts the multidisciplinary approach a one-

stop-shop center that offers comprehensive medical specialty services

dedicated to the care of children with special needs under one roof.The center

takes a holistic approach offering affordable multi-specialty diagnostic and

intervention services to patients, and support programs to families to give

them the quality of life that they deserve.


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Clinical Nutrition Management Service- The Clinical Nutrition

Management Services (CNMS) was conceptualized with the goal of

improving patient care and outcomes through widely accepted benefits of

nutrition management. Composed of a multidisciplinary team of clinical

nutrition physicians, dieticians, nurses and pharmacists, CNMS is in charge of

ensuring that the proper nutrition care plan is implemented accordingly as part

of actual inpatient management.

Cardiovascular Center- The Cardiovascular Center (CVC) aims to address a

wider array of patient needs in cardiac care allowing medical practitioners to

better care for their patients on a world-class standard.

Geriatric Multidisciplinary Clinic- The Geriatric Multidisciplinary Clinic is

an outpatient consultative service that provides a comprehensive assessment

of older persons with medical, psychological, cognitive or social problems

that impede function or threaten independent living.A complete one-stop

facility, the center is designed to cater to the specific requirements of the

elderly (60 years old and above) from evaluation to management and

treatment of geriatric disorders, including rehabilitation and other ancillary

services.

Hearing, Dizziness, Voice and ORL Endoscopy Center- One of the leaders

and innovators in ENT diagnostics, the Hearing, Dizziness, Voice and ORL
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Endoscopy Center is manned with competent doctors and technologists who

attend to the various tests involved to diagnose disorders of the ear, nose, and

throat, as well as those related to voice, speech, and swallowing. The center is

equipped with up-to-date machines and the latest technology, giving patients

the guarantee of reliable results.

Pain Management and Wellness Center- The Pain Management and

Wellness Center (PMWC) is a one-stop facility that caters to patients with

acute and chronic pain. The countrys top pain interventionalists, palliative

care specialists, psychologists, anesthesiologists, acupuncturists, and highly

skilled allied medical pain team offer medical care that is both cutting-edge

and affordable, providing you with ground-breaking treatments for pain.

PROHEALTH Education & Research Center- The PROHEALTH (Prevent

Obesity, Hypertension, Endocrine Abnormalities and Lifestyle Threats to

Health Educationand Research Center is the specialty education and

research center providing structured, intensive and effective education

programs to patients and their families to help achieve treatment goals on the

most common metabolic diseases, with the ultimate aim of improving quality

of life.
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C. Programs

FORGE (Community Health Program)- Fostering Oneness Responsibility

Growth and Empowerment (FORGE) is a program implemented by the

Manila Doctors Hospital Department of Family and Community Medicine and

the Corporate Social Responsibility Office (CSRO). The program includes the

seven (7) elements of Community Health in line with the standards of the

World Health Organization (WHO).

This includes:

1. Building, Connecting, Mobilizing Neighborhood

2. Preventing Chronic Diseases (Non-Communicable Diseases)

3. Promote a Healthy and Safe Environment

4. Promote Healthy Women, Infants & Children

5. Promote Mental Health & Prevent Substance Abuse

6. Prevent HIV, STI, Vaccine Preventable Diseases & Infections

7. Community Productivity & Sustainability

In-house Surgical Programs- Manila Doctors Hospital (MDH) brings its world

class patient care to different areas around the country through medical

programs in partnership with different organizations. Doctors from the

Department of Family and Community Medicine, Internal Medicine,

Obstetrics and Gynecology, Ophthalmology, Otorhinolaryngology (ENT),


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Pediatrics, and Surgery join the team who provides free consultation during

these programs. Aside from the external medical programs, MDH also

conducts in-house medical programs which cater to the needs of

economically-challenged patients who needs to avail certain surgical

procedures. In-house medical programs are done in partnership with the

Department of Anesthesiology, and all four (4) are partly funded by the

Metrobank Foundation.

The following missions are implemented every year:


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Share the Gift of Vision (STGOV) is a program of the Department of

Ophthalmology which entails free surgery for the removal of cataract with free

intraocular lens. From two (2) legs per year, the program now offers four (4) runs

since 2014. This is conducted during the months of April, August, October and

November. STGOV aims to cater to 80 patients for the year.

Bridging the Gap (BTG) is a program of the Department of

Otorhinolaryngology (ORL) which benefits children who have cleft lip and

palate. The program targets a total of twenty (20) beneficiaries each year. The

operations are usually conducted in May.


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Goiter Ends Today through Surgery (GETS), a surgical program of the

Department of Surgery, caters to patients with thyroid problems. The free surgery

also caters to twenty (20) patients every year. The program is usually conducted

every September.
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For women with ovarian and uterine tumors, WE SHOUT (Women

Empowerment through Surgical Help for Ovarian and Uterine Tumors) is

offered by the Department of OB-GYN. The program benefits twenty (20)

patients every year, and it is usually done during the month of November.

Outpatient Services- Manila Doctors Hospital offers its world-class

care to the economically challenged patients through its MDH CSR

Clinic. Patients of the MDH CSR Clinic are able to access services

from the seven (7) different medical departments which include:

Pediatrics

OB-Gyne

Internal Medicine

Family & Community Medicine

Surgery

Ophthalmology

Otorhinolaryngology

For a minimal fee of Php100 per consultation, patients are able to

access quality health care intervention from the 6 medical departments and

Php150 for the Department of Ophthalmology. To avail of this service, a

patient is required to submit requirements, which the MDH CSRO social

workers will evaluate. Upon approval, a Blue Card will be issued which
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will entitle them to get the subsidized rates for their consultation.Our CSR

patients can also avail of the various services being offered by our MDH

CSRO Circle of Partners.

SHARED (School Health Program)- School Health Advancement as a

Response to Education Development (SHARED) is the School Health

Program of Manila Doctors Hospital (MDH) implemented through its

Department of Pediatrics and the Corporate Social Responsibility Office

(CSRO). The program is composed of 7 globally accepted elements of School

Health in line the World Health Organization (WHO) accepted protocols.

The seven (7) elements are:

HEALTH EDUCATION covering physical and social challenges

using the entertainment for education approach pioneered by the Johns

Hopkins Center for Communication.

PHYSICAL EDUCATION importance of physical activities in

preventing diseases.

HEALTH SERVICES for preventive, curative and determination of

handicapping conditions

COACHING, COUNSELING, LIFESKILLS SERVICES Meeting the

needs for mental development. (emotional & behavioral adjustment)

Early detection of problem.


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HEALTHY SCHOOL ENVIRONMENT Basic preventive measure of

communicable diseases & Provides feeling of comfort, and enhances

educational achievement. To learn effectively, children must: Feel

comfortable and supported Attend a safe, properly functioning school

Have minimal distractions

HEALTH PROMOTION AND STAFF TRAINING skills

enhancement and personal development.

PARENTS AND TEACHERS ASSOCIATION (PTA)

INVOLVEMENT Social activities and recreation, prevention of

mental fatigue amongst school personnel and promotes cooperation to

the advantage of the school.The Hospitals current adopted school is

Dr. Celedonio A. Salvador Elementary School (CSES) located at

Merced St., Paco, Manila.


POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 36

CHAPTER 4

FINANCIAL ASPECT

Manila Doctors Hospital is one of the biggest active hospitals in the Philippines.

They offered a line of services that will surely catered the needs of the people. Also it is

the first privat hospital in Asia to be surveyed by and awarded accreditation from

Accreditation Canada International. It was also accredited as a Center of Excellence by

the Philippine Health Insurance Corporation up to 2013.

As of 2011, Manila Doctors Hospital (MDH) shows a good records presenting

their services already catered which is presented below.


POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 37

Manila Doctors Hospital Financial Performance

One of goals of Manila Doctors Hospital is to achieve financial viability through

profitable growth of their normal operations and other sources of income. Thus the

Hospital policy ensures that their financial resources is efficiently and effectively

managed. In order to continuously improve its economic performance, MDH started a

program of thorough cost analysis of key units to determine the efficiency of operations

and come up with competitive pricing of services.

The key strategies for implementing policies in 2011 included the annual unit

planning and budgeting workshop for unit heads and cost review of its centers. The major

success in 2011 was the strengthening of the Hospitals Financial Management System

and the reinforced training and development program of its people. This prepared the

Hospital in the bottomup budgeting process it implemented in 2011. The gross revenue

in 2011 posted a 5.3% increase. New sources of revenue included new packages, tests,

and procedures. The target 9% of net income over equity, or the return on equity, was

achieved at 28%. Being a hospital, MDH focuses on the number of clients (patients) in

terms of admission which showed an increase compared to the previous year. The

Hospital exceeded its bed occupancy target of 70%.

The Hospital had also a good control of its expenses and maintained efficient use

of its resources. It was able to prevent accounts receivables by monitoring the number of
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 38

admitted patients with account receivables (5% in 2011). It maintained an effective and

efficient accounting system with no reported material and asset losses.

Below is the financial record of MDH.


POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 39

CHAPTER 5

ATTRIBUTE TO THE RESEARCH

A. Enumerate topics in order

Corporate Governance

Role of Board of Directors

MDH fosters good governance and effective leadership by providing the

necessary structures and processes to sustain patient safety and quality improvement. The

leadership responsibilities are well-defined and constantly evaluated. The Hospital is


POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 40

guided by a well-communicated and practiced vision, corporate objectives, quality

policy, and core values, which are evaluated semi-annually in terms of relevance and

achievement.

The Hospital is governed by a Board of Directors (the highest governance body)

led by a Chairman, the President, two Senior Vice Presidents, the Hospital Director, and

three Directors (one for each directorate). The Board of Directors is led by a Chairman

who is not an executive officer. The following committees support the governance

structure at various levels: Executive Committee (ExCom), Management Committee

(ManCom), and the Senior Management Team. There are 10 members in the Board of

Directors; six are independent/non-executive members. There are two representatives

who are members of the Medical Staff Association, conferred and endorsed by a

Nominations Committee. It is chaired by a highly competent and experienced executive.

The Internal Auditor reports to the Board of Directors


POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 41

Members of the Board of Directors

Board of Directors:

Dr. George S.K. Dr. Antonio S. Mr. Aniceto M. Mr. Jose Ma K.

Ty Abacan Jr. Sobrepea Lim

Honorary Chairman Chairman/Acting Vice Chairman Director

President

Mr. Augusto P. Dr. Dante D. Dr. Mario Joselito Dr. Mark Richard

Palisoc, Jr. Morales M. Juco C. Kho

Director Director Director Director


POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 42

Dr. Cecilio K. Dr. Terrence L. Dra. Francisca

Pedro Cham DC. Roa

Director Director Director

Nomination and Election of Board Members

Role of Top Management

The three directorates cover the three major areas of the Hospitals: the Finance

Directorate, Administrative Directorate, and the Medical Directorate. The Finance

Directorate oversees the financial performance of the entire Hospital and ensures that

proper monitoring and control systems are in place. The Administrative Directorate takes

care of the support operations of the Hospital. It also oversees the Hospitals Business

Development Division as well as the outsourced operations of the Housekeeping and

Linen Service and Security. The Medical Directorate includes the Medical Services

Division and the Allied Medical Services Division. It oversees the medical services

offered by the Hospital and the activities and services of doctors and allied health

professionals at MDH.
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 43

B. Hypothesis

There is a significant difference in the role of Board of Directors.

C. Observation and remarks

MDH fosters good governance and effective leadership by providing the

necessary structures and processes to sustain patient safety and quality improvement. The

leadership responsibilities are well-defined and constantly evaluated. The Hospital is

guided by a well-communicated and practiced vision, corporate objectives, quality

policy, and core values, which are evaluated semi-annually in terms of relevance and

achievement.

The Hospital is governed by a Board of Directors (the highest governance body)

led by a Chairman, the President, two Senior Vice Presidents, the Hospital Director, and

three Directors (one for each directorate). The Board of Directors is led by a Chairman

who is not an executive officer. The following committees support the governance

structure at various levels: Executive Committee (ExCom), Management Committee

(ManCom), and the Senior Management Team. There are 10 members in the Board of

Directors; six are independent/non-executive members. There are two representatives

who are members of the Medical Staff Association, conferred and endorsed by a

Nominations Committee. It is chaired by a highly competent and experienced executive.

The Internal Auditor reports to the Board of Directors

Dr. George SK Ty is the honorary chairman. Dr. Antonio S. Abacan Jr. is the

current Chairman of the board and the acting President. Mr. Aniceto M. Sobrepea is the
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 44

Vice Chairman of the board. While the rest of the board are composed of Mr. Jose Ma K.

Lim, Mr. Augusto P. Palisoc, Jr., Dr. Dante D. Morales, Dr. Mario Joselito M. Juco, Dr.

Mark Richard C. Kho, Dr. Cecilio K. Pedro, Dr. Terrence L. Cham and Dra. Francisca

DC. Roa.

The three directorates cover the three major areas of the Hospitals: the Finance

Directorate, Administrative Directorate, and the Medical Directorate. The Finance

Directorate oversees the financial performance of the entire Hospital and ensures that

proper monitoring and control systems are in place. The Administrative Directorate takes

care of the support operations of the Hospital. It also oversees the Hospitals Business

Development Division as well as the outsourced operations of the Housekeeping and

Linen Service and Security. The Medical Directorate includes the Medical Services

Division and the Allied Medical Services Division. It oversees the medical services

offered by the Hospital and the activities and services of doctors and allied health

professionals at MDH.

D. Recommendation

MDH fosters good governance and effective leadership by providing the

necessary structures and processes to sustain patient safety and quality improvement. The

leadership responsibilities are well-defined and constantly evaluated. The Hospital is

guided by a well-communicated and practiced vision, corporate objectives, quality

policy, and core values, which are evaluated semi-annually in terms of relevance and

achievement.
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES 45

The Hospital is governed by a Board of Directors (the highest governance body)

led by a Chairman, the President, two Senior Vice Presidents, the Hospital Director, and

three Directors (one for each directorate). The Board of Directors is led by a Chairman

who is not an executive officer. The following committees support the governance

structure at various levels: Executive Committee (ExCom), Management Committee

(ManCom), and the Senior Management Team. There are 10 members in the Board of

Directors; six are independent/non-executive members. There are two representatives

who are members of the Medical Staff Association, conferred and endorsed by a

Nominations Committee. It is chaired by a highly competent and experienced executive.

The Internal Auditor reports to the Board of Directors

E. Detailed Plan of Action

(See the next page)

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