Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
APR D4 2024

ADMINISTRATIVE ORDER
No. 2024-_0004

SUBJECT: Policy Framework for _the Streamlined Implementation of

Learning and Development Interventions for Health Care
Provider Networks

I. RATIONALE
The Department of Health (DOH) has developed the 8-Point Action Agenda as
a medium-term strategy for the health sector for 2023-2028. The Agenda espouses an
action-focused framework prioritizing key strategic areas to attain the overarching
goals of Universal Health Care (UHC) as outlined in the National Objectives for
Health (NOH) 2023-2028. The mandate of the Health Human Resource Development
Bureau has been rearticulated in Action Agenda 7: Kapakanan at Karapatan ng
Health Workers, reiterating the core objective of the National Human Resources for
Health Master Plan (NHRHMP) 2020-2040 of having an adequate, competent, and
committed health workforce being provided fair compensation, decent work
conditions, and opportunities for career development.

In the same vein, the Department is enabling the establishment of health care
provider networks (HCPNs) to facilitate local health system integration for the
effective and efficient delivery of promotive, preventive, curative, rehabilitative, and
palliative health services pursuant to Section 19 of the Republic Act (RA) No. 11223
otherwise known as the “UHC Act”. Further, the Department, as enshrined in RA No.
11959, or the “Regional Specialty Centers Act,” is leading the institutionalization of
specialty centers in all regions of the Philippines to provide specialized health services
to the general public. Central to these UHC initiatives and reforms is the provision of
comprehensive health services to all Filipinos. Thus, the DOH is reinforcing the
service delivery and systems management capabilities of the health facilities of the
HCPNs.

To support the strengthening of HCPNs, the DOH

enhancing the
is
aiming to be strategic in
competencies of the health workforce based on the needs of the
network. With persistent deficiency in resources amidst increasing demands,
challenges in cascading and dissemination of information, and limited availability and
accessibility of Learning and Development Interventions (LDIs), it is imperative to
rationalize and streamline its implementation of LDIs within the HCPNs as
the Administrative Order (AO) No. 2021-0007: Guidelines on the Implementation of
out in set
Integrated Learning and Development Management System.

Il. OBJECTIVES
This Order aims to provide a policy framework for streamlining the
implementation of LDIs for HRH in HCPNs.

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Craz, 1003 Manila ¢ Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 ¢ URL: http://www.doh.gov.ph; e-mail: dohosec@doh.gov.ph
 Specifically, this Order aims to:
A. Provide the framework, directions, and mechanisms in the implementation
of LDIs for HRH in health facilities within HCPNs.
B. Delineate the roles and responsibilities of DOH Central Offices/Bureaus,
Centers for Health Development (CHD) and Ministry of
Health-Bangsamoro Autonomous Region in Muslim Mindanao
(MOH-BARMM), public and private health facilities, local government
units (LGUs), Provincial Health Offices, and City Health Offices
(PHOs/CHOs) of Highly Urbanized Cities/Independent Component Cities
(HUC/ICCs), and other stakeholders involved in the implementation of
LDIs in HCPNs.

HI. SCOPE AND COVERAGE

This Order shall apply to all DOH Central Office bureaus, services, attached
agencies, CHDs, PHOs, and CHOs of ICC/HUC. Likewise, this shall also apply to
all public and private DOH and non-DOH health facilities that compose the
HCPNs, National Specialty Centers, LGUs, and partner organizations.

In the case of the BARMM, the adoption of this Order shall be following
RA No. 11054, or the Organic Law for the BARMM, and other subsequent related
laws and issuances.

IV. DEFINITION OF TERMS

For purposes of this Order, the following terms shall be defined as follows:
A. Competencies — refer to observable, measurable, and vital knowledge, skills,
and attitudes that are translations of capabilities of human resources for health
(HRH) in the health care provider networks (HCPN) deemed essential for the
local health system integration as identified in AO No. 2020-0037: Guidelines
on the Implementation of Local Health Systems Maturity Level. In this Order,
the competencies are classified into two domains: Health System Management
and Health Service Delivery.
1) Health System Management (HSM) Competencies — refer to
knowledge, skills, and attitudes necessary that shall enable the
demonstration of the characteristics: (i) Unified Governance of the Local
Health System, (ii) Strategic and Investment Planning, (iii) Financial
Management, (iv) Human Resource for Health Management and
Development, (v) Information Management System, (vi) Epidemiology
and Surveillance System, (vii) Procurement and Supply Chain
Management, (viii) Referral System, (ix) Disaster Risk Reduction
Management for Health System, and (x) Health Promotion Programs or
Campaigns.
2) Health Service Delivery (HSD) Competencies — refer to
knowledge, skills, and attitudes necessary for the delivery of
 comprehensive and quality individual-based and population-based
promotive, preventive, curative, rehabilitative, and palliative health
services

. Consolidated Learning and Development Plan — refers to the plans

resulting from the assessment of the learning and development needs of
provinces or highly urbanized cities or independent component cities within a
region.

. Health Care Provider Network (HCPN) — refers to a network of primary to

tertiary care providers within the geographic or political boundaries of a
province or highly urbanized or independent component city, whether public or
private, offering people-centered and comprehensive care in an integrated and
coordinated manner with the primary care provider acting as the navigator and
coordinator of health care within the network (AO No. 2020-2019: Guidelines
on the Service Delivery Design of Health Care Provider Networks).

. Human Resources for Health (HRH) — refers to all people engaged in

actions that influence access, quality, and effective delivery of health
interventions for improved health outcomes (National Human Resources for
Health Master Plan 2020-2040). They are the health workforce within the
HCPN whose duties and responsibilities are aligned with the characteristics
needed to integrate the local health systems as identified in AO 2020-0037.

. Learning and Development Interventions (LDI) for Health Care Provider

Networks — refer to a set of learning activities, events, or methods that teach
skills, knowledge, attitudes, or competencies to improve performance and meet
an agreed standard of proficiency for functional HCPNs. This includes training
and non-training interventions with defined learning outcomes (AO 2021-0007:
Guidelines on the Integrated Learning and Development Management System).

. Learning and Development (LD) Design/Instructional Design — refers to a

document that describes the objectives, learning outcomes, methodology, target
participants, and evaluation tools of a particular learning and development
intervention, it is also known as Instructional Design (AO 2021-0007:
Guidelines on the Integrated Learning and Development Management System).

. Learning and Development Officer (LDO) — refers to designated staff in

charge of assisting HHRDB or their respective Human Resource Development
Unit (HRDU) in the administration of LDNA, LD planning and implementation,
and evaluation of learning(AO 2021-0007: Guidelines on the Integrated
Learning and Development Management System).

. Learning and Development Needs Assessment (LDNA) — refers to methods,

tools, and activities designed to identify gaps in competencies necessary to
fulfill job functions and determine interventions necessary to fill the gaps (AO
2021-0007: Guidelines on the Integrated Learning and Development

lie
Management System).

3
 I. Learning and Development Intervention (LDI) Provider — refers to the
individual/institution/organization that provides learning
programs/interventions/courses that aim to capacitate human resources for
health through direct provision of LDIs and/or facilitation (AO 2021-0007:
Guidelines on the Integrated Learning and Development Management System).

V. GENERAL GUIDELINES
A. The streamlined Learning and Development Interventions for Health Care
Provider Networks shall be a strategy to achieve the objective of the Key
Result Area 3 (HRH Welfare, Protection, Career Development) of the
NHRHMP 2020-2040 of complementing the health facilities with adequate
HRH who are competent, committed, and given career opportunities in a
healthy working environment.
B. The implementation of LDIs for HCPNs shall be anchored on the design of
HCPNs prescribed in AO No. 2020-0019 “Guidelines on the Service Delivery
Design of Health Care Provider Networks.
C. The implementation of LDIs for HCPNs shall be aligned with the Philippine
Health Facility Development Plan (PHFDP) ensuring that health facilities
have systems delivery and systems management capabilities. The Streamlined
in
LDIs Policy Framework for HCPNs shall serve as a guide for the
needs-oriented, competency-based, systematic, and learner-centered
implementation of LDIs to establish HCPNs complemented by competent and
committed HRH based on the desired impacts of the 8-Point Action Agenda.
See Figure 1:

Impact Better Health Outcomes Stronger Health Systems Access to All Levels of Care

Outcome Competent health workforce to deliver quality health services In all levels of health care

Streamlined LDI management in Health Care Provider Networks

Cutputs
HCPN Competencies Map | LDNA Results | Consolidated LD Plan | LD! | Learning Assessment

Process

rc
<>
Competency Needs
Assexcirert)
Planning &
Designing Delivery
Monitoring &
Evaluation

In puts Policles and Tools and Financial Infrastructure and Network of LDI
Standards es Te
y rs
L

Principles of the Implementation of Learning and Development Interventions for Health Care Provider Networks
Needs O1 Ic ncy-based atic Method |
1 L

Figure 1. Results Framework for Streamlined LDIs for UHC in HPCNs

a. As envisioned in the UHC Act, HCPN shall strengthen its service

delivery and systems management capabilities to deliver

We
 comprehensive individual-based and population-based health services.
The identification of learning and development needs of the HCPN shall
be aligned with its current and evolving functions and network
requirements, the national practice guidelines (NPGs), standards for
health facilities, industry competency standards, strategic directions, the
pressing public health emergencies, issues, concerns, and challenges,
and the introduction of new technologies and innovations. Thus, the LD
needs of the HRH shail also align with the needs of the HCPNs.
b. The learning and development needs of the HCPN shall be categorized
into two competency domains: 1) Health Service Delivery and 2)
Health Systems Management.
c. The inputs shall be the prerequisites in the operationalization of the
process and outputs of the DOH competency-based learning and
development framework described under the AO No. 2021-0007
“Guidelines on the Integrated Learning and Development Management
System of the DOH.”
D. The LDIs for HCPNs shall be provided in accordance with the goals of career
progression and specialization as provided by the Philippine Qualifications
Framework (PQF) Act of 2018 and the Continuing Professional Development
(CPD) Act of 2016.
E. The Consolidated LD Plan shall be the basis for identifying priority LDIs to be
included in the Local Investment Plan for Health (LIPH) and Annual
Operational Plan (AOP) of LGUs.
F. There shall be collaborative efforts among stakeholders such as academe,
accredited professional organizations, and local government units, among
others, in implementing this Order to ensure efficient and effective provision
of LDIs.

VI. SPECIFIC GUIDELINES

A. National Technical Committee for Learning and Development
Interventions for HCPN
1. The National Technical Committee shall be composed of representatives
from all the DOH Central offices and bureaus responsible for the
establishment of health care provider networks to enable local health
system integration identified in AO 2020-0037.
2. The National Technical Committee shall perform the following
functions:
a. Ensure alignment of priorities, criteria, and standards for the
implementation of LDIs for HCPNs with the goals of UHC.
b. Lead the identification and mapping of HCPN competencies
based on the current and evolving functions and network
requirements, the NPG, standards for health facilities, industry
competency standards, the strategic directions, the pressing

4
public health emergencies, issues, concerns, and challenges, and
the introduction of new technologies and innovations and update
as deemed necessary.
 c. Monitor the implementation of LDIs for HCPNs, in
coordination
with the regional technical committees.
d. Ensure the provision of standard modules, learning designs, and
manuals to PHOs/CHOs, through the assistance of CHDs and
MOH-BARMM.
e. Assist the CHDs and MOH-BARMM
technical committee in all regions
in
establishing the regional
f. Assist regional technical committee to streamline and manage
the implementation of LDIs for HCPNs within its jurisdiction.
g. Develop an impact evaluation framework including the
indicators that shall be used to determine the effectiveness of
the LDIs provided to the HRH and its
effect on the intended goal
of strengthening HCPNs.
B. Regional Technical Committee for Learning and Development
Interventions for HCPN
1. Regional Technical Committees shall be created and shall be composed
of representatives from the CHD Human Resource Development Unit
(CHD HRDU) and MOH-BARMM Human Resource Management
Division (MOH-BARMM HRMD), Provincial and City DOH Office (for
HUC/ICC), Professional Education, Training and Resource Office/Unit
(PETRO/U) of Level 3 hospitals, National Specialty Centers and
designated regional specialty centers, and Provincial Quarantine Stations.
The Regional Technical Committees LDIs for HCPNs shall have two
subcommittees:
a. Sub-committee for Health System Management Competencies;
and
b. Sub-committee for Health Service Delivery Competencies
The Regional Technical Committee shall perform the following
functions:
a. Assist the national technical committee in the identification and
mapping of competencies of HCPNs.
b. Develop a Consolidated Learning and Development Plan based
on the LD plans from provinces and independent component
cities/highly urbanized cities within its jurisdiction.
c. Engage LDI providers within their respective regions and
coordinate the delivery of appropriate LDIs to all facilities in the
HCPN. The guidelines on the evaluation of the acceptability of
LDI providers shall be provided for in a separate issuance.
d. Develop and publish a menu of LDIs for each region.
e. Submit monitoring and evaluation reports through email to the
national technical committee on a semestral basis.

C. Learning and Development Management Process

1. Identification and Mapping of Competencies for HCPNs
a. The identification of competencies shall be anchored on current
and evolving functions and network requirements of HCPNs, the

A y
 NPGs), Omnibus Health Guidelines, standards for health
facilities, the pressing public health emergencies, issues,
concerns, and challenges, industry competency standards, and
the introduction of new technologies and innovations:
(1) For Primary Care Facilities, it shall be based on the
service capability requirements prescribed in the Manual
of Standards for Primary Care Facilities and Omnibus
Health Guidelines. The Primary Care Facility licensing
checklist and Primary Care Workers (PCW)
self-assessment, including the LGU Competency
Framework for LGU-owned PCFs, shall also be used for
identifying and mapping competencies.
(2) For Levels 1-3 Hospitals, it shall be based on the AO No.
2012-0012 “New Classification of Hospitals” and its
amendments (for general and specialty hospitals). The
hospital licensing checklist, the Hospital Competency
Framework, and the Nurse Certification Program
self-assessment forms in the various specialty areas shall
also be referenced in identifying and mapping
competencies.
b. The competencies shall be classified according to the following
domains:
(1) Health Service Delivery Competencies, and
(2) Health Systems Management Competencies
c. The DOH competency map for hospitals and LGU health
facilities shall be used as a reference in developing the
competency map for HCPNs.
2. Assessment of Learning and Development Needs of HRH in HCPNs
a. All HRH employed in government health facilities within the
HCPN shall accomplish the Learning and Development Needs
Assessment (LDNA) using the prescribed tools from the DOH.
b. The administration of assessment tools shall correspond to the
HRH's function and/or position.
c. The results of the assessments shall be consolidated into a
Learning and Development (LD) plan of the facility to be
submitted to the PHO/CHO.
3. Development of Consolidated LD Plan and Menu of LDIs
a. The LD Plan of the facility shall be developed based on the
identified LD needs of its HRH. The Individual Development
Plan shall be considered pursuant to Civil Service Commission
Memorandum Circular No. 6, s. 2012: Guidelines in the
Establishment and Implementation of Agency Strategic
Performance Management System (SPMS).
b. The PHOs/CHOs shall consolidate LD Plans and requests from
the health facilities within the jurisdiction, while CHDs and

FY
 MOH-BARMM shall consolidate LD Plans and requests from
the DOH-retained hospitals.
c. The regional technical committee shall develop a Consolidated
LD Plan from provinces and independent component cities or
highly urbanized cities within its jurisdiction.
d. The regional technical committee shall develop and publish a
menu of LDIs for the region.

4. Provision of LDIs for Health System Management Competencies

a. The PHOs/CHOs shall act as a resource person for identified
health system management LDIs aligned with their mandate and
function and their assessed expertise on the subject matter.
b. The PHOs/CHOs and DOH-retained hospitals, with the
assistance of the DOH representative, can coordinate with the
CHD and MOH-BARMM for the provision of the identified
Health System Management LDIs.
c. The PHOs/CHOs and DOH-retained hospitals, with the
assistance of the DOH representative, shall coordinate with
partner LDI providers and Higher Education Institutions (HEIs)
for the delivery of appropriate courses or programs
Health System Management LDI needs.
to address the

d. Appropriate partnership instruments shall be utilized to facilitate

the conduct and delivery of management courses based on the
Consolidated LD Plan.
e. The learning design/instructional design or curriculum of the
courses and programs shall follow the identified priorities and
health sector strategies of the DOH.
f. The learning design/instructional design or curriculum to be
developed by the LDI provider shall be subject to the approval of
the PHO/CHO.

5. Provision of LDIs for Health Service Delivery Competencies

a. Individual-based Services:
(1) The DOH hospital, through the training unit/office and
PETRO/U, shall identify and engage the appropriate LDI
provider for the particular Health Service Delivery LDI
needs:
i. Level 1 or 2 hospital as a provider for the PCF
ii. Level 2 hospital as a provider for the Level 1 hospital
iii. Level 3 hospital as a provider for the Level 2
hospital
iv. National Specialty Center as a provider for the Level
3 hospitals and DOH hospitals with specialty centers.
(2) Delivery of the Health Service Delivery (individual-based
services) LDIs shall follow the Consolidated LD Plan and
can be either in-house or outsourced.
(3) The learning design/instructional design or curriculum of

F-;
 the courses and training programs shall follow the
standard modules or practice guidelines prescribed by the
DOH.
(4) The DOH hospitals or designated regional specialty/apex
hospitals shall engage partner organizations or specialty
societies to be part of its pool of resource persons or
trainers, through a Memorandum of Agreement or other
appropriate partnership instruments.
(5) For LDIs that are not available within the region, the
PETRO/U of the designated regional specialty centers or
apex hospital shall coordinate with the nearest designated
regional specialty center or apex hospital where the
is
particular LDI available.

b. Population-based (Public Health) Services:

(1) All identified public health LDIs shall be based on the
population-based services that shall be mandated to be
delivered at the Primary Care Facilities (PCFs). These
shall be mainly epidemiologic and surveillance services,
health promotion services, and disaster risk reduction
services.
(2) The PHOs/CHOs and DOH-retained hospitals shall
facilitate the delivery of public health LDIs, based on the
Consolidated LD Plan and priority public health concerns
in the particular province or city.
(3) The PHOs/CHOs shall act as a resource person for
public health LDIs aligned with their mandate and
functions as well as their assessed expertise on the subject
matter. The assistance of resource persons from DOH
Central Office bureau/units shall be requested should
their expertise be needed.
(4) The delivery of PHO/CHO-initiated LDIs shall either be:
i. online or self-paced through the DOH Academy;
ii. blended with live synchronous sessions; or
iii. blended with face-to-face skills training
(5) Standard DOH modules, designs, and manuals shall be
provided to the PHOs/CHOs and DOH-retained hospitals,
with continuous technical assistance from the CHDs and
MOH-BARMM.
(6) Delivery of the Health Service Delivery (public health)
LDIs shall either be in-house or outsourced.

6. Monitoring and Evaluation of the Implementation of LDIJs for

HCPN
a. Regular monitoring shall be conducted to assess the
implementation of this Order through the CHDs and
MOH-BARMM, DOH Hospitals, and the HCPN quarterly.

WF
 CHDs and MOH-BARMM sshall submit monitoring and
evaluation reports to the national technical committee on LDIs
for HCPN on a semestral basis.
Processed and analyzed results of the monitoring shall be
disseminated to concerned parties to inform them of needed
improvements in the LDI management. A monitoring and
evaluation report shall be issued through a Department
Memorandum and published on the DOH website.
Impact evaluation of LDIs for HCPN shall be conducted every
three years after implementation, as applicable.
Findings from the evaluation shall be considered in future
amendments and revisions of this Order.

VII. ROLES AND RESPONSIBILITIES

A. DOH Central Office
1. Health Human Resource Development Bureau shall:
a. Act as the chair and technical secretariat of the national technical
committee on LDI for HCPN. The Director of the bureau shall be
the chairperson of the committee, and the Learning and
Development Division shall be the Secretariat, respectively.
Develop policies, standards, and tools for implementing the LDIs
for the HCPN.
Provide technical assistance to the CHD and MOH-BARMM
in
the cascading and operationalization of the policies, standards,
and tools for the implementation of LDIs.

2. Disease Prevention and Control Bureau (DPCB), Epidemiology

Bureau (EB), Health Promotion Bureau (HPB), Health Emergency
Management Bureau (HEMB), Knowledge Management and
Information Technology Service (KMITS) shall:
a. Serve as content experts in the development of standard learning
modules for Primary Care Workers and other HRH at the LGUs.
b. Develop national practice guidelines, such as the Omnibus
Health Guidelines, clinical practice guidelines (CPGs), interim
public health emergency (PHE), and emerging and re-emerging
infectious disease (EREID) guidelines to guide the delivery of
individual-based and population-based services.
Concerned DOH Bureaus shall incorporate relevant provisions
and/or frameworks developed through consensus among various
public health practitioners such as but not limited to the
following:
i. De Beaumont Foundation. 2021. Adapting and Aligning
Public Health Strategic Skills
 ii. Council on Linkages Between Academia and Public
Health Practice 2021. Core Competencies for Public
Health Professionals
iti US CDC. 2022. Competencies for Public Health
Professionals
iv. World Health Organization. 2020. WHO-ASPHER
Competency Framework for the Public Health Workforce
d. Provide technical inputs on the delivery of Primary Care
Integrated courses, aligned with the Omnibus Health Guidelines
per Lifestage (AO No. 2022-0018).
e. Coordinate with the CHDs and MOH-BARMM, through the
Field Implementation and Coordination Team, to facilitate the
dissemination and implementation of LDIs to provide Primary
Care services.

3. Health Regulation and Facility Development Cluster shall:

a. Review and/or update the facility requirements and service
standards for hospitals and other health facilities, aligned with
the PHFDP, and other rules and regulations, to inform capacity
building needs.
b. Monitor appropriateness and adequacy of training facilities e.g.
infrastructure, technology in the health facility planning and
establishment of DOH training hospitals.

4. Bureau of Local Health Systems Development shall:

a. Assist in coordinating with DMOs and PDOHOs for their
participation in organizing regional technical committees.
b. Facilitate the inclusion of the identified priority LDIs in the
Local Investment Plan for Health (LIPH) and Annual
Operational Plan (AOP) of LGUs.

5. Universal Health Care-Health Services Cluster (UHC-HSC) shall:

a. Through the CHDs and MOH-BARMM, organize the regional
technical committees that will oversee the delivery of appropriate
LDIs to the HCPNs.
b. Perform oversight monitoring and guidance in implementing the
LDIs management in the regions.
c. Monitor the performance of the CHDs and DOH representatives
as to their roles and responsibilities in implementing the LDIs for
HCPNs within their region.

B. DOH Centers for Health and Development and Ministry of

Health-Bangsamoro Autonomous Region in Muslim Mindanao through
their Human Resource Development Units shall:
1.Lead the establishment of the Regional Technical Committee on LDIs
for HCPN its
region.
in

2. Actas the Secretariat of the Regional Technical Committee.

 3. Provide technical assistance to the HCPN through the PHOs/CHOs and
DOH
regional specialty centers/apex hospitals in the delivery of Health
Systems Management and Health Service Delivery LDIs.
Consolidate and analyze LD Plans submitted by the DOH-retained
hospitals.
Submit monitoring reports to the national technical committee, through
the Field Implementation and Coordination Teams, on a semestral basis.

C. Provincial/City DOH Office shall:

1. Coordinate with the CHD-HRDUs and MOH-BARMM-HRMD,
PHOs/CHOs, and HCPNs for the implementation of Health System
Management and Health Service Delivery LDIs for the HRH in all the
facilities within the HCPN.
Support the PHOs/CHOs in monitoring
LDIs based on the consolidated LD Plan.
the
delivery and effectiveness of

D. Provincial Health Offices/City Health Offices shall:

1. Designate a Learning and Development Officer to coordinate with the
CHD and MOH-BARMM, P/CDOHOs, and the HCPNs in the
implementation of LDIs for all health facilities within the city or
province
Consolidate and analyze LD Plans of the health facilities within the
province and independent component cities or highly urbanized cities,
except LD Plans from DOH-retained hospitals.
Identify priority LDIs based on the consolidated LD Plan.
Act as resource persons for identified health systems management and
public health LDIs that are aligned with their mandate and assessed
expertise and capacity.
Engage and partner with Higher Education Institutions and LDI
providers within the region or the nearby regions for Health Systems
Management LDIs.
6. Monitor the delivery and effectiveness of LDIs based on the
consolidated LD Plan.
7. Submit monitoring reports to the regional technical committee.

E. DOH Level 3 Hospitals or Designated Regional Specialty Centers/Apex

Hospitals through the PETRO/Us
1. Identify the appropriate Health Service Delivery LDI provider for all
facilities at all levels of the HCPN.
2. Submit LD Plans and requests to the CHDs.
3. Engage and partner with relevant organizations or institutions to create a
pool of trainers or resource persons for the delivery of Health Service
Delivery LDIs.
Facilitate the conduct of in-house or outsourced courses or training
programs based on the identified Health Service Delivery LDI needs.
Submit regular monitoring reports to the regional technical committee.
 F. Primary Care Facilities and Levels 1-2 Hospitals shall:
1. Designate a Learning and Development Officer in every section and/or
office of the hospitals who shall facilitate the conduct of LDNA, assist
in the development of facility LD Plan, and coordinate with the LDI
providers.
2. Conduct the necessary assessment of LDI needs based on the service
delivery standards and use the prescribed assessment tools.
3. Develop, through the PETRO/U and learning & development/training
units, a facility LD plan based on the assessment results.
4. Submit LD Plans and requests to the PHOs/CHOs. For DOH-retained
hospitals, LD Plans and requests shall be submitted to the CHDs.
5. Submit LDI requests for Health System Management Competencies to
the PHO or CHOs. For DOH-retained hospitals, requests shall be
submitted to the CHDs.
6. Submit LDI request for Health Service Delivery Competencies to the
Level 3 hospitals of the region.
7. Facilitate the LDI-related request from other health facilities within
HCPN and/or outside the HCPN.

G. Other DOH Offices, Attached Agencies and Relevant Institutions shall:

1. Assist in the identification and mapping of competencies for HCPN.
2. Provide inputs to the instructional design and learning modules for the
LDIs to
be developed based on the HCPN competencies.
3. Act as an LDI provider for LDIs relevant to the mandate and functions
of the office.

VII. FUNDING
The financing for the implementation of the LDIs shall be sourced from the
DOH-Institutional Capacity Management line item, the allotted budget for the program
and activities on HRH development of the DOH-retained health facilities, the budget
allocation of the Local Government Units for LGU-owned health facilities, funding
support from development partners and other government agencies, and other sources
of the public fund subject to the laws of the government and usual government
accounting and auditing rules and regulations.

IX. REPEALING CLAUSE

Any orders, issuances, rules, and regulations inconsistent with or contrary to

this Order shall be modified, superseded, and repealed accordingly.

X. SEPARABILITY CLAUSE

If any of the provisions of this Order shall be declared unconstitutional by a

competent court of jurisdiction, the other provisions not affected shall remain valid, in

f~-
force, and effect.
 This Order is without prejudice to policies and guidelines that will be issued
later on by the Department of Health.

XI, EFFECTIVITY CLAUSE

This Order shall take effect fifteen (15) days following the date of its
publication in a newspaper of general circulation and upon the filing of three (3)
certified copies to the University of the Philippines Law Center.

mbson }

. HERBOSA, MD
Secrgfary of Health

14
 Annex A. Process
Flow for the Implementation of the Learning and
Development Interventions (LDIs) for Health Care Provider Networks

Identification and Mapping of HCPN Competencies

Legend:

Ww Health
System
Assessment of Learning and Development (LD) Needs of the HRH within HCPN Management
LDIs

vy
Development of LD Plan of the Health Facilities of the HCPN based identified
LDneeds
coat
System Management
Competencies

Development and Publication of

v
Consolidation of LD Plan of the HCPNs by PHO/CHO >
Menu of LDIs

Implementation of LDIs
» Individual-based HSD LDIs

DOH hospitals, through training unit and PETRO/U,

to
identify
and engage appropriate LD! provider for particular HSD LOIs
PHO/CHO, with DOH Rep, to based on the Consolidated LD Plan:
coordinate HSM LDI requests to
CHDs and MOH-BARMM @ Level} or 2 hospital as a provider for PCFs
© |
Level 2 hospital as a provider for Level hospital
PHO/CHO to act as resource person © Level 3 hospital as a provider for Level 2 hospital
for identitied HSM LDIs that
aligned ‘@ National Specialty Center as a provider for Level 3 hospitals
with the mandate and functions as and DOH hospitals with specialty centers
well as assessed expertise on the
subject matter DOH hospitals or designated regional specialty centers/apex
hospitals, through PETRO/Us, to engage partner organizations
and specialty societies for the establishment of pool or
PHO/CHO, with DOH Rep, to
coordinate with LD! providers and
HEIs for HSM LOIs and engage them
through appropriate partnership LDIs to follow the standard modules and
instruments
DOH practice
guidelines
PHO/CHO to approve the learning
LOls to be delivered either in-house or outsourced mode.
design/instructional
design/curriculum develop by the For LOls not available within the region, PETRO/U to
LO! provider
coordinate with the nearest regional specialty center or apex
hospital where the particular LOI is available