LABMAN (Governance)

• Gerardo S. Manzo, M.D. is the Assistant Director for Medical Services and a Cardiovascular Surgeon at the Philippine Heart Center
• Our Commitment: ... is committed to the promotion and preservation of life by providing quality medical and diagnostic services. Our commitment shall be realized through the development, maintenance, and continual improvement of a formal Quality Management System to achieve total customer satisfaction. Furthermore, we shall: Enhance the technical expertise and professional competence of our employees; Develop cost-effective strategies in managing company resources; Continually heighten standards to improve quality service
• No industry conflicts of interest
• MISSION: To provide efficient and accurate yet affordable medical diagnostic services to the public in general and to the medical practitioners in particular, in an effort to improve the general health condition of the country
• Governance


  The process of controlling the use of resources to accomplish the organization’s mission
• Speaker: 'The Role of Governance in the Quality of Laboratory Services'
• VISION: The …… Clinic, Inc. will continuously seek innovative ways to further uplift and enhance patient care through diagnostic services of uncompromising quality. We are going to be ever responsive and sensitive to the changing technology as well as personnel capabilities and proficiency. Our company will further our diagnostic capabilities to surpass the standards, attain excellence and become the major player in the medical diagnostic industry, indirectly helping people lead a healthy and fulfilling quality of lives
• Sample Mission Vision Statements of Diagnostic Laboratories
• Our Vision: To be the leader in providing quality-assured diagnostics and healthcare services
• Key Governance Functions:
• Collaborative Governance involves participants representing different interests, parties, agencies, stakeholders, collectively empowered to make policy decisions or make recommendations to a final decision-maker who will not substantially change consensus recommendations from the group
• Responsibility for Governance depends on the organization’s size, structure, mandate, and model of governance. Usually, it involves a governing body, board of directors, and owners
• Structure of Stewardship and Accoun
• An Act Regulating the Operation and Maintenance of Clinical Laboratories was established in 1966
• The DOH seeks to serve as the national technical authority on health to ensure the highest achievable standards of quality health care, health promotion, and health protection
• With the streamlining of the DOH Office in line with the devolution of functions to improve the efficiency of health services, the Bureau of Research and Laboratories was abolished
• The DOH is required to undergo changes in roles, functions, organizational processes, corporate values, skills technology, and structures to fulfill its refocused mandate
• Stakeholders collectively empowered to make policy decisions or make recommendations to a final decision-maker who will not substantially change consensus recommendations from the group
• An Act Regulating the Operation and Maintenance of Clinical Laboratories was enacted

  1966
• The Department of Health (DOH) has transformed from being the sole provider of health services to being a provider of specific health services and technical assistance provider for health
• NEQAS is required in Hematology, Clinical Chemistry, HIV/AIDS, Hepatitis B & C, Drug and Water Proficiency Testing
• Certificate of participation/registration in NEQAS licensing is a requirement to operate clinical laboratory starting 2009
• One NEQAS is required per year for renewal
• Homer the Vigilante, “The Simpsons” Episode 11 Season 5: 'Quis custodiet ipsos custodes? Who is guarding the guardians? Who is watching the watchers?'
• National Center for Health Facilities and Services

  • Laboratory Coordinating Comm
  • National Reference Laboratories
• Translation: 'Who is watching the watchers?'
• Bureau of Health Facilities and Services

  • Licensing
  • Quality Standards (NEQAS NRL)
• Structure of Stewardship and Accountability Using Knowledge to Make Decisions

  1. Hospital Glucometers

  2. Who decides which to procure?

  3. Are regular quality checks performed?

  4. Are results documented in Laboratory Information System?
• Laboratory Data Systems Using Knowledge & Information to Make Decisions
• ISO Standards Govern
• PhilHealth Accreditation Awards

  • Center of Excellence: 3 years accreditation
  • Center of Quality: 2 years accreditation
  • Center of Safety: 1 year accreditation
• Homer the Vigilante, “The Simpsons” Episode 11 Season 5: 'Quis custodiet ipsos custodes?'
• Governance In Hospitals Point of Care Testing
• Sustainable Governance Issues for Clinical Laboratories Building Positive Relationships with Stakeholders

  1. Right test result

  2. At the right time

  3. On the right specimen

  4. From the right patient

  5. With result interpretation

  6. Based on the correct reference data

  7. And at the right price (NKTI)

  8. Avoid conflicts of interests

  9. The patient’s welfare is paramount. Patient First
• PhilHealth Benchbook Standards

  • Patient rights and organizational ethics
  • Patient care
  • Leadership and management
  • Human resource management
  • Information management
  • Safe practice and environment
  • Improving performance
• Voluntary External Regulation 3 out of 16 Standards Sets Focused on Clinical Laboratories
• Being a High Performing Organization Ethics in Laboratory Medicine ISO 15189 Annexes
• Voluntary External Regulation ISO 15189
• National Center for Health Facilities and Services
• Mandatory External Regulation PhilHealth Benchbook Standards to improving quality care