STEP 1: Referral

1. The City Epidemiology Surveillance Unit (CESU) will inform the patient of their COVID-19 positive results,  assess and issue isolation/quarantine order.
2. CESU will inform the barangay/BHERT of the issued isolation/quarantine order of home quarantine order (ONLY for patients with clear x-ray result and has an isolation area/room with toilet in their home.
3. Barangay/QCPD/City Legal Department will enforce the isolation/quarantine order.

STEP 2: Coordination

1. CESU will coordinate with DRRMO/BHERT for proper disposition (HOPE or hospital).
2. DRRMO will confirm with barangay for the transport of the patient.
3. DRRMO will verify with patient the schedule of pick-up.
4. DRRMO will contact the HOPE admitting section (HOPE 2, HOPE 6 and HOPE 7) for possible isolation.
   • For hospital admission: DRRMO will contact the LGU hospital coordinator/ private hospital.
   • For hospital walk-in patients (mild asymptomatic): after assessment, hospital will coordinate with DRRMO District Office for the transport of patient to HOPE admitting section.
5. DRRMO/BHERT will transport the patient and fill up the dispatch form.

STEP 3: Admission

1. HOPE 2, HOPE 6 or HOPE 7 will receive the patient and sign the dispatch form (BHERTs are requested to stay maximum of one hour).
2. HOPE 2, HOPE 6 or HOPE 7 admitting section will issue a routing slip (in case of delay, patients are admitted temporarily in HOPE 2).
3. Patients to present the following:
   • Positive RT PCR Results/Antigen Results
   • Valid ID/Employee ID (with proof of residency)
4. Triage
   • Medical doctor consult
   • X-Ray
   • Disposition or HOPE Facility Assignment

STEP 4: Quarantine

1. Orientation on House Rules and Medical Assessment schedules.
2. Provision of health/hygiene kit and COVID Recovery Kit.
3. Regular health monitoring/telemed.

STEP 5: Discharged/Recovered

1. Basis for discharge
   • COVID-19 confirmed asymptomatic – 10 days
   • COVID-19 confirmed with mild symptoms – at least 10 days
   • COVID-19 suspect, probable and close contacts (with negative results) – 14 days
2. HOPE facility will issue a medical certificate and home instructions.
3. HOPE facility will coordinate with barangay/ BHERT for the discharge of the patient.
4. Barangay/BHERT will transport the patient from the HOPE facility.