New Rules & Regulations governing the Regulations of Clinical Laboratories in the Philippines
What is the title of DOH AO NO. 2021-0037
DOH AO NO. 2021-0037
This refers to the New Rules & Regulations governing the Regulations of Clinical Laboratories in the Philippines
13 sections
How many sections does DOH AO NO. 2021-0037 have?
June 11, 2021
When did DOH AO NO. 2021-0037 take effect?
Francisco Duque III (DOH Secretary) and President Rodrigo Duterte
Who signed the DOH AO NO. 2021-0037?
Clinical Laboratory Law of 1966
What is RA 4688?
RA 4688
What is the RA of Clinical Laboratory Law of 1966?
AO 59 s2001
This refers to the Rules & Regulations Governing the Establishment, Operation and Maintenance of Clinical Labs in the PH
AO 2007-0027
This refers to the revised Rules & Regulations Governing the Licensure & Regulation of Clinical Labs in the PH
Universal Health Care Act
What is RA 11223?
RA 11223
This act guarantee the access to quality & affordable health products, devices, facilities, and services
FALSE
TRUE or FALSE The scope of DOH AO NO. 2021-0037 includes COVID-19 testing laboratories.
DOH AO NO. 2020-0014
What administrative order does the COIVD-19 testing labs fall under?
Applicant
This refers to any natural juridical person, government instrumentalities/agencies, partnership, corporation, or agency seeking a license to operate and maintain a clinical laboratory
Assessment Tool
This refers to the checklist which prescribes the minimum standards and requirements for licensure of a clinical lab
Clinical Laboratory
This refers to a facility that is involved in the (a) pre-analytical, (b) analytical, (c) and post-analytical procedures, where tests are done on specimens to obtain information about the health status of a patient
DOH - License to Operate
This is a formal authorization issued by the DOH to those who are seeking to perform laboratory tests in compliance with the requirements
DOH - Permit to Construct
This is a permit issued by DOH through HFSRB or Center for Health Development-Regulation, Licensing and Enforcement Division (CHD-RLED)
DOH - Permit to Construct
This document is required for hospitals and other health facilities with substantial alteration, expansion, renovation, increase in the number of beds, transfer of site, or for additional services
(EQAP) External Quality Assessment Program
What program gives participating CLs unknown samples for analysis?
Initial Application
This refer to the applications by newly constructed health facilities, or those with changes in the circumstances of the facility
Mobile Clinical Laboratory
This refers to a lab testing unit that performs limited CL diagnostic procedures that moves from one testing site to another
Mobile Clinical Laboratory
This refers to a laboratory that is in a 100km radius from the Clinical Lab
(NEQAS) National External Quality Assessment Scheme
This assesses the quality of performance and accuracy of the results of laboratories
(NRL) National Reference Laboratory
NEQAS is conducted by what organization?
(NRL) National Reference Laboratory
This is the highest level of laboratory in the country performing highly complex procedures
(NRL) National Reference Laboratory
This is the responsible entity for facilitating NEQAS to ensure compliance to quality standards for regulation and licensing of all laboratories in the Philippines
(POL) Physician's Office Laboratory
This refers to a doctor's office/clinic wherein CL examinations are performed for the purpose of monitoring the doctor's patients only
(POCT) Point of Care Testing
This refers to the diagnostic testing done at or near the site of patient care rather than in the CL
(SCL) Satellite Clinical Laboratory
This refers to the extension of the main CL that has the same service capability as the main laboratory
Referral Tests
These refer to CL tests that are either sent-out or outsourced to other DOH licensed CL with the same or higher service capability
Letter of Application to the Director of Health Facilities & Services Regulatory Bureau
Four (4) sets of Site Development Plans & Floor plans approved by an Architect or Engineer
DTI Sec registration (private)
What are the requirements for the application of DOH-PTC?
Four (4)
How many site development & floor plans does the DOH-PTC require?
AO No. 2016-0042
What administrative order has the guidelines in the application for DOH-PTC?
HFSRB (Health Facilities And Services Regulatory Bureau)
or Center of Health Development Regulatory Licensing & Enforcement Division (CHD-RLED)
DOH-LTO is issued by?
One (1) year
DOH-LTO is valid for how many years?
One (1) year
DOH-PT is valid for how many years?
Ninety (90) days
How many days before to the expiration date of your LTO should you submit your renewal application?
January to March
What is the schedule for license renewal application in the NCR region?
February to April
What is the schedule for license renewal application in the 1, 2, 3, CAR regions?
March to May
What is the schedule for license renewal application in the 4, 5, 6 regions?
April to June
What is the schedule for license renewal application in the 7, 8, 9 regions?
May to July
What is the schedule for license renewal application in the 10, 11, 12, CARAGA, & ARMM regions?
P1,000 + Renewal Fee
How much is the penalty when an applicant failed to renew his/her LTO for two months?
P100 each month
How much is the late fee for each month that a license is not renewed on time?
(HFSRB & CHD-RLED)
Health Facilities & Services Regulatory Bureau
Center for Health Development Regulation, Licensing and Enforcement Division
Application & Renewal of DOH-LTO shall be approved by _________ & __________?
Four (4)
How many classifications of clinical lab are there?
by Ownership
by Institutional Characteristics
by Function
by Service Capability
Enumerate the classifications of Clinical Labs
Government-owned
Privately-owned
What laboratories fall under the classification of Ownership?
Clinical Pathology
Anatomic Pathology
Molecular Pathology (new)
What laboratories fall under the classification of Function?
Institution-based
Non-institution based
What laboratories fall under the classification of Institutional Characteristics?
Primary Category
Secondary Category
Tertiary Category
National Reference Laboratory
What laboratories fall under the classification of Service Capability?
Government-owned laboratory
This laboratory is operated and maintained, partially or wholly, by the national government, a local government unit
Privately-owned laboratory
This laboratory is established & operated with funds through donation, principal, investment or other means, by any individual, corporation, association or organization
Institution-based lab
This laboratory is located in the premises & operates as part of a DOH licensed health facility
Non institution-based
This lab operates independently and is not attached to any DOH licensed health facility
Clinical Pathology
This lab deals with the chemical & cellular analyses of blood and other body fluids, identification & examination of microbes and parasites
Anatomic Pathology
This lab provides processing & examination of surgical specimens (microscopic structure of tissues, surgical pathology, cytopathology, immunohistochemical techniques, autopsies, and forensic pathology
Molecular Pathology
This lab deals with the analysis of certain genes, proteins, and other molecules in samples for organs, tissues or bodily fluids in order to diagnose disease
Primary lab
This lab provides minimum service capabilities
Secondary lab
This lab provides the minimum service capabilities of a primary category with additional services
Tertiary lab
This lab provides the minimum service capabilities of a secondary category with additional services
Specialized tests
This lab provides one or two specialized tests that are not classified under anatomic or molecular pathology
Secondary & Tertiary lab
What lab offer these kinds of services?
Serum
ALT
AST
Coagulation studies
Secondary & Tertiary lab
What lab offer these kinds of services?
Gram stain
KOH
Pap smear
Tertiary lab
This lab offers any machine based serological & immunological testing such as:
Tumor markers
Thyroid function tests
Hepatitis profile
Primary lab
This lab does not offer Anatomic pathology tests
Specialized tests
These tests can be performed by a clinical laboratory as long as it is indicated in the license to operate
National Reference Laboratory
This laboratory is where other labs send specimens for confirmation testing.
a. Confirmatory Testing b. Surveillance c. Resolution of Conflicts d. Training & Research e. Evaluation of kits & reagents f. External quality assessment program
Functions & Services of NRLs
Research Institute for Tropical Medicine (RITM)
What is the reference laboratory for dengue, influenza, tuberculosis, mycobacteria, malaria, bacterial enteric diseases, measles, mycology, enteroviruses, antimicrobial resistance, and emerging diseases?
Research Institute for Tropical Medicine (RITM)
Reference lab for confirmatory testing of SARS-CoV-2
Research Institute for Tropical Medicine (RITM)
Reference lab for measles
Research Institute for Tropical Medicine (RITM)
Reference lab for malaria
Research Institute for Tropical Medicine (RITM)
Reference lab for viral exanthems
Research Institute for Tropical Medicine (RITM)
Reference lab for influenza
Research Institute for Tropical Medicine (RITM)
Reference lab for tuberculosis
STD-AID Cooperative Central Lab San Lazaro Hospital
Reference lab for HIV/AIDS, hepatitis, syphilis, and STIs
STD-AID Cooperative Central Lab San Lazaro Hospital
Reference lab for HIV/AIDS
STD-AID Cooperative Central Lab San Lazaro Hospital
Reference lab for syphilis
STD-AID Cooperative Central Lab San Lazaro Hospital
Reference lab for hepatitis
East Avenue Medical Center
Reference lab for Environmental & Occupational Health
East Avenue Medical Center
Reference lab for Toxicology & Micronutrient Assay
East Avenue Medical Center
Reference lab for drug testing
East Avenue Medical Center
Reference lab for water bacteriology/ drinking water analysis
National Kidney and Transplant Institute
Reference lab for hematology tests
Lung Center of the Philippines
Reference lab for biochemistry
HFSRB/CHD Director
If a person who owns/ runs a Clinical Laboratory break any rules or policies from this law, who would sanction and fine them?
Stern warning
What is the sanction for the 1st offense of a non-institution based CL?
Php 30,000
What/ How much is the sanction for the 2nd offense of a non-institution based CL?
Php 50,000
What/ How much is the sanction for the 2nd offense of a non-institution based CL?
Revocation of DOH-LTO
What is the sanction for the 4th offense of a non-institution based CL?
AO No. 2007-0022 (
According to what administrative order declares the violations under the One-Stop Shop Licensure System for Hospitals?
AO No. 2007-0022
What administrative order governs CLs that are part of hospitals under OSS licensure system?
Cease-and-Desist Order (CDO) & P50,000
Those CLs without DOH-PTC and DOH-LTO would receive an issuance of ___ and a fine that costs ___?
60 day preventive suspension
How many days of investigation is given in case of complaints for the issuance of Cease & Desist Order?
Head of the Health Regulation Team (HRT) - 10 days
Who/Where will you file a notice of appeal if you don’t agree with the HFSRB/CHDRLED's decision?
10 days
Within how many days should you file a notice of appeal in case you do not agree with the HFSRB/ CHDRLED's decision
Secretary of Health
This person will have the last say or final decision whether to accept the appeal or not
FALSE - it should be 1 year after the revocation
TRUE OR FALSE CLs with revoked licenses re-apply after 6 months from the date of LTO revocation?