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PCF Action Plan Template

The document outlines an action plan for a primary care facility to comply with licensing requirements from Administrative Order 2020-0047. It includes objectives, activities, resources, timelines, budgets, and responsibilities to address gaps in emergency preparedness, information management, and electronic medical records.

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karlmariano89
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127 views2 pages

PCF Action Plan Template

The document outlines an action plan for a primary care facility to comply with licensing requirements from Administrative Order 2020-0047. It includes objectives, activities, resources, timelines, budgets, and responsibilities to address gaps in emergency preparedness, information management, and electronic medical records.

Uploaded by

karlmariano89
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SPECIFY CITY/MUNICIPALITY

PRIMARY CARE FACILITY (PCF) ACTION PLAN

Sample document template. Please remove all text written in red.


Make a Google Docs copy of this document by clicking ‘File > Make a copy’, or an offline Word document by clicking ‘File > Download >
Microsoft Word (.docx).’
Edit items highlighted in yellow. Remove highlights after editing. Insert logos of PCF and city/municipality in the headers.
Sample rows have been provided in the table below for your reference.

Name of Facility:
Address:

Objective (based on Activity Resources Needed Timeline Budget Responsible


requirements in AO 2020- (to address licensing Person
0047) gaps)

Compliance with Service Review DOH guidelines on Written policies and Feb 2024 - Dr. Santos
Delivery requirements: emergency preparedness procedures on
shall be capable of and response and draft emergency
providing population-based appropriate guidelines for preparedness and
health services the PCF response

Compliance with Procurement of ICT ICT infrastructure Jan 2024 50,000 (annual Internet
Information Management infrastructure, internet (computer, WiFi fee for internet service
requirements: validated service, EMR provider router) ready for EMR and EMR provider, PCF
Electronic Medical Records implementation provider) staff
(EMR)
Training of PCF HRH on Teaching materials/ April 2024 10,000 (meals PCF staff
EMR modules ℅ EMR for 1 day with EMR
provider workshop) provider
*Insert as many rows below
as necessary. Multiple
activities/ strategies may be
linked to a single objective.
SPECIFY CITY/MUNICIPALITY
PRIMARY CARE FACILITY (PCF) ACTION PLAN

Print the document and sign, to be then approved by the CHO/MHO.


Ensure that the action plan is reviewed, approved, and signed by the Mayor, prior to submission to CHD-RLED.

Prepared by: Approved by: Noted and approved:

Maria Santos, MD Juan Dela Cruz, MD Crisostomo Ibarra


City/Municipal Health Officer Mayor

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