COA report: ‘Red tape’ hampers operations of Iloilo hospitals
By FLORENCE F. HIBIONADA,
Philippine News Service (PNS)
June 27, 2012
ILOILO, Philippines – A disturbing pattern of delay has been
established by the Commission on Audit (COA) on the procurement of
medicines for Iloilo hospitals.
Delays that ranged from 171 days as in the case of 5 procurements of
Dumangas District Hospital to the longest of 374 days as in the case
of one procurement in Januiay’s Federico Roman Tirador Sr. Memorial
District Hospital.
With government provisions on mandated “period of action on
procurements,” the attention and action of the Iloilo Provincial
Government (IPG) has now been called.
Subject of the COA findings were data gathered from various district
hospitals under the IPG as culled from Purchase Requests (PRs)
obtained by State Auditors.
The Commission as per analysis made on the sample PRs gathered got to
confirm the pattern of delay translated into nearly P9 million worth
of medicine procurements. In fact, of the 93 PRs scrutinized, only 21
or 23% met the “28 calendar period of action” while 72 PRs or 77% way
exceeded the 124-maximum calendar-day period of action on procurement.
“It was observed that from the time the hospitals submitted their
purchase requests to the Hospital Operations Management Service (HOMS),
an office under the Provincial Health Office to which the hospitals
directly submit their procurement requests, it also takes several
days, based on herein data the longest is 33 days, for the said office
to transmit the PRs to the Bids and Awards Committee (BAC),” the COA
wrote.
Said delay in transmission caused the domino-effect of more delays
that the COA said “resulted to the absence or insufficiency of
medicines and medical supplies in different hospitals in the province
of Iloilo.”
The problem was extensive that even commonly-used and essential
medicines were depleted in hospital pharmacies.
“In fact, in order to provide the urgent need for these medicines and
medical supplies, almost all hospitals are constrained to utilize a
large portion of their petty cash fund although use of such fund
should have been limited only to petty expenses,” COA lamented while
adding that doing so, “the hospitals are also circumventing the rules
on the proper use thereof.”
Philippine News Service (PNS) learned that in order to resolve the
lack of medicines, common practice in Iloilo hospitals was to split
into small amounts the purchases. This was done in order for the
petty cash fund to accommodate the need.
Other instance common to all hospitals was to buy medicines from
outside private pharmacies.
“If this scenario will continue unaddressed, the provincial government
would be losing more income considering that this type of service is
also one of those which are included in the return-incentives granted
by PhilHealth, which ultimately redound to the benefit of both
hospital personnel and the provincial government,” COA said. “The
income lost by the provincial government brought about by the
dwindling or nonexistence of these medicines could have been used to
improve the delivery of hospital’s basic services.”
As such, COA called on the Capitol to “exert extra effort to speed up
the procurement process for medicines and medical supplies as these
are considered very vital and life-saving necessities in hospitals.”
Further still was COA’s call to have a separate BAC to attend to the
hospitals’ needs pursuant to procurement law. While at it, revisit
and evaluate existing procurement process, COA added, then make proper
changes to attain efficiency.
“Red tape is seen as one reason for the delay hence it is also
recommended that the provincial government simplify things on this
respect,” COA said.
Other notable delayed procurements of medicine were two purchases for
Don Valerio Palmares Sr. Memorial District Hospital in Passi City
similarly delayed for 158 days. Guimbal’s Rep. Pedro Trono Memorial
District Hospital had 9 delayed major procurements ranging from 168
days to 238 days.
Lambunao’s Dr. Ricardo Ladrido Memorial Hospital had 14 procurement
delays with the worst at 354 days.
Even
medicines for the Iloilo Provincial Hospital faced considerable delays
in 8 procurements with the longest delay of 197 days.