Scope
- Data collection from all dialysis units, transplant centers, and hospitals managing kidney patients nationwide.
- Applies to private and government health facilities and professionals including:
- Hemodialysis Centers (free-standing and hospital-based)
- Peritoneal Dialysis Units
- Transplant Centers
- Hospital facilities with renal biopsy capability
- Participating personnel include nephrologists, transplant surgeons, pathologists, internists, residents/fellows in nephrology and transplantation, nurses, and medical technologists.
Objectives
- Institutionalize and strengthen the PRDR under NEC-DOH.
- Formalize the roles of NKTI through REDCOP as implementing arm.
- Engage participating health facilities with defined roles and responsibilities.
Definitions
- Partnership: Voluntary cooperation among public/private sectors and stakeholders for disease surveillance.
- Privacy: Patient's right to control disclosure of personal info.
- Confidentiality: Public health workers' obligation to restrict patient info access.
- Dialysis: Removal of dissolved substances from patients by diffusion; includes hemodialysis and peritoneal dialysis.
- Patient: Individual admitted and receiving care in dialysis clinics/hospitals.
- Government hospital: Government-operated hospitals.
- Private hospital: Privately owned hospitals.
- Institution/hospital-based clinic: Clinic operating within a health institution.
- Free-standing clinic: Independent clinic/center.
- Training Institution: Facility providing subspecialty training in nephrology/transplant.
Policy Statements
- PRDR aligns with DOH’s technical leadership and National Objectives for Health and Millennium Development Goals.
- Data must be useful, applicable, simple, and flexible for integration.
- Emphasis on partnership and shared responsibility.
- Maintain privacy and confidentiality of patient information.
- DOH owns the PRDR data; data access controlled through REDCOP with guidelines.
Implementing Mechanism
- PRDR comprises ESRD Registry (hemodialysis, peritoneal dialysis, transplant data) and Chronic Renal Disease Registry (renal biopsy data).
- National Epidemiology Center (NEC-DOH): Supervises, funds, analyzes, disseminates data, coordinates with NKTI-REDCOP and other stakeholders, monitors implementation, chairs review committees.
- NKTI-REDCOP: Manages PRDR operations, ensures confidentiality, prepares reports, liaises with agencies.
- Bureau of Health Facilities and Services (BHFS): Enforces patient registry requirements in dialysis clinics.
- Participating facilities: Dialysis centers/units, hospitals/training institutions, DOH’s Centers for Health Development (CHD), Philippine Society of Nephrology (PSN), and Philippine Health Insurance Corporation (PHIC).
- Operational standards in PRDR Manual of Procedures 2006.
- DOH allocates annual funds to support PRDR operations including salaries, materials, and regional activities.
- NKTI-REDCOP submits annual reports to NEC and quarterly updates on implementation and budget.
- Monitoring is conducted by REDCOP management and NEC’s supervisory assessments; issues addressed via official channels.
Repealing Clause
- Any inconsistent existing orders are repealed or superseded by this AO.
Effectivity
- Effective upon approval and fifteen days after publication in the official gazette or general circulation newspaper.