QuestionsQuestions (DOH ADMINISTRATIVE ORDER NO. 2009-0012)
To institutionalize and strengthen the Philippine Renal Disease Registry (PRDR) under the DOH National Epidemiology Center (NEC), and to formalize the role of NKTI-REDCOP and other participating health facilities in renal disease surveillance.
It started in 1995 as a project of the Philippine Society of Nephrology (PSN), covering Chronic Renal Disease Registry and End Stage Renal Disease (ESRD) Registry. From 2000 to October 2008, it was managed by NKTI through REDCOP.
The Chronic Renal Disease Registry (including Renal Biopsy Registry) and the ESRD Registry (including Hemodialysis, Peritoneal Dialysis, and Transplant Registries).
The PRDR is institutionalized within the DOH under the NEC, with NKTI-REDCOP as the implementing arm, and coordination with CHDs and other participating facilities.
Facilities include hemodialysis centers, peritoneal dialysis units, transplant centers, and other renal-biopsy-capable hospitals; professionals include nephrologists, transplant surgeons, pathologists, internists, residents/fellows, nurses, medical technologists, and others as applicable.
The DOH, through its designated office (NEC and implementing arm), owns the data, while it can make PRDR data/information available and accessible through REDCOP based on set guidelines and protocols.
Privacy is the patient’s right to choose what information to release and to whom; Confidentiality is the obligation of public health workers to keep individual information restricted only to persons who absolutely need it for community health purposes.
The ESRD Registry (HD, PD, and transplant patient data) and the Chronic Renal Disease Registry (renal biopsy data).
NEC provides overall supervision and allocates funds/logistics; ensures results are used for planning/policy; designates authority to NKTI-REDCOP to coordinate with CHDs; requires semi-annual reports; monitors and evaluates implementation; creates/chairs ad hoc working committees with quarterly meetings; spearheads appraisal of research proposals; designates an official point person.
NKTI-REDCOP maintains patient privacy/confidentiality; hires/designates technical staff for report prep; manages and implements PRDR; provides technical support on reporting forms; submits semi-annual reports to NEC; submits biannual accomplishment and audited financial reports; submits publishable annual reports; liaises with other agencies; attends quarterly NEC meetings.
Under AO No. 163, s. 2004, BHFS enforces the registry of patients of all dialysis units with the PRDR being implemented by REDCOP, as part of dialysis clinic registration/licensure requirements.
PHIC linkage makes submission of dialysis patient data forms mandatory as part of licensing/accreditation requirements for dialysis centers, pursuant to PHIC Circular No. 06 s. 2006.
CHDs, through officially assigned REDCOP coordinators, collect/retrieve dialysis data forms from dialysis centers, collate them, and submit to the REDCOP office.
NKTI-REDCOP must submit an annual report every first quarter of each succeeding year, with quarterly updates on implementation status and budget utilization during the first month of each ensuing quarter.
Monitoring is done by REDCOP program management for operational details, while NEC conducts semi-annual supervisory assessment. Administrative/financial problems are brought to the NEC Director and the designated coordinator for discussion and appropriate action.
NEC releases DOH funds yearly for PRDR operations based on the budget proposed by NKTI-REDCOP and approved by NEC. Funds cover operations like transport/communications, supplies, salaries of contractual personnel, honorarium for consultants, and regional-level PRDR operations.
It takes effect upon approval and fifteen (15) days after publication in the Official Gazette or a newspaper of general circulation.