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ADMINISTRATIVE ORDER NO. 2012-0012
Classification of a hospital is based on this law.
“Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines”
July 18, 2012
When was Administrative Order No. 2012-0012 signed?
Classifications of Hospital and Other Health Facilities in the Philippines
According to Ownership
According to Scope of Service
According to Functional Capacity
What are the classifications under According to Ownership?
Government
Private
What are the classifications under According to the Scope of Service?
General Hospital
Specialty Hospital
General Hospital
Provides medical and surgical care
Treats all kinds of illnesses, diseases, injuries/deformities.
Examples of General Hospital Services
1. Clinical Services (Family Medicine, Pediatrics, Internal Medicine, Obstetrics and Gynecology, Surgery)
2. Emergency Services
3. Outpatient Services
4. Ancillary
5. Support Services (Clinical Laboratory, Imaging Facility, Pharmacy)
Specialty Hospital
particular disease/particular organ/patients belonging to a group (children, elderly, women or others)
Level 1
This level of hospital capacity has astaff of qualified, medical, allied medical and administrative personnel headed by a physician duly licensed by the PRC (Professional Regulation Commission).
Level 1
Bed space for its authorized bed capacity
Level 1
This level has an operating room.
Level 1
This level has post-operative Recovery Room
Level 1
This level has maternity facilities.
Level 1
This level has a separate dental section/clinic.
Level 1
This level has blood donation.
Level 1
this level has a DOH-licensed secondary Clinical Laboratory with consulting pathologist.
Level 1
This level has Level 1 Imaging Facility
Level 1
This level has a DOH-licensed pharmacy.
Level 2
This level encompasses all the minimum of Level 1 Capacity
Level 2
This level has an organized staff of qualified and competent personnel
Has Chief of Hospital/Medical Director and board certified Clinical Department Heads.
Level 2
This level of hospital capacity is departmentalized, rendering services:
Medicine
Pediatrics
Obstetrics and Gynecology
Surgery, their subspecialties and;
other ancillary services
Level 2
This level of hospital capacity provides ICU (intensive Care Unit)
Level 2
This level of hospital capacity provides NICU (Neonatal Care Unit)
Level 2
This level of hospital capacity provides HRPU (High Risk Pregnancy Unit)
Level 2
This level of hospital capacity provides Respiratory Theraphy Services
Level 2
This level of hospital capacity has DOH-licensed Tertiary Clinical Laboratory
Level 2
This level of hospital capacity has DOH-licensed Level 2 Imaging Facility with Mobile X-ray.
Level 3
This level encompasses all the minimum of Level 2 Capacity
Level 3
This level of hospital capacity is where the physicians (Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery) train.
Level 3
This level of hospital capacity provides physical medicine and rehabilitation units.
Level 3
This level of hospital capacity provides ambulatory surgical services.
Level 3
This level of hospital capacity has a dialysis facility.
Level 3
This level of hospital capacity provides blood bank.
Level 3
This level of hospital capacity has a lvl 3 Imaging Facility with interventional radiology.
Philippine College of Surgeons
They assess the Trauma Capability of Hospitals
Trauma Capable Facility
DOH licensed hospital designated as a Trauma Center
Trauma Receiving Facility
DOH licensed hospital within the trauma service area which receives trauma patients for transport to the point of care or a trauma center.
Mental Health Facility
For psychiatric patients
Formerly called as asylums or mental hospitals.
Long-Term-Care Facility
homes for the elderly, the infirm, and those with chronic, irreversible, and disabling disorders, especially if the patients were indigent.
Hospice Care
special kind of care; focuses on the quality of life
Hospice Care
provides compassionate care for people who are experiencing advanced, life-limiting illnesses.
Hospice
a home providing care for the sick/terminally ill.
Outpatient/Ambulatory Care
performed on an outpatient basis, without admission to a hospital or other facility.
X-rays, MRIs, CT scans, and other types of imaging
Lab tests, such as bloodwork
Minor surgeries
Colonoscopies
Mammograms
Consultations or follow-ups with specialists
Routine physical exams
Chemotherapy or radiation treatment
Examples of Outpatient/Ambulatory Care
Preventive Care
routine healthcare; screenings, check-ups, and patient counseling (to prevent complications)
Blood pressure tests
Diabetes screening
Cholesterol tests
Routine vaccinations
Cancer screenings
STI screenings
Well-child visits
Mental health screenings
Examples of Preventive Care
Home Health Care
a care that allows people with special needs to stay in their home.
Personal Care and Companionship
Private Duty Nursing Care
Home Health Care
3 Types of Home Care
Personal Care and Companionship
Help with everyday activities (bathing, dressing, meal prep, and household task) to enable independence and safety.
Private Duty Nursing Care
Long-term, hourly nursing care at home for adults with chronic illness, injury, or disability.
Personal Care and Companionship
Known as: Non-medical Care, Home Health Aide Services, Senior Care, Homemaker Care, Assistive Care or Companion Care.
Private Duty Nursing Care
Known as: Home-based Skilled Nursing, Long-term Nursing Care, Tracheostomy Care, Ventilator Care, Shift Nursing, Hourly Nursing, or Adult Nursing.
Home Health Care
Short-term, physician-directed care designed to help a patient prevent or recover from an illness, injury, or hospital stay.
Home Health Care
Known as: Medicare-certified Home Health Care, Intermittent Skilled Care, or Visiting Nurse Services.
Telemedicine
evaluate, diagnose and treat patients at a distance using telecommunications technology.
Telemedicine
an alternative to in-person visits
Less time away from work
No travel expenses or time
Less interference with child or elder care responsibilities
Privacy
No exposure to other potentially contagious patients
Telemedicine Benefits
Vision and Mission Statement
is crucial to the success of community initiatives.
Vision and Mission Statement
These statements explain your group’s aspirations in a concise manner, help your organization focus on what is really important, and provide a basis for developing other aspects of your strategic plan.
Organization
Collection of persons, materials, procedures, ideas, or facts; arranged and ordered to achieve organizational objectives.
Mission Statement
Defines the hospital’s business, objectives, and its approach to reach those objectives.
Short-term goals.
Vision Statement
Describes the desired future position of the hospital.
Hospital Philosophy
Maintain balance in pursuit of excellence in clinical care, quality improvement, research, and education.
Hospital Philosophy
Seek out well-trained physicians with excellent clinical skills and academic skills.
Hospital Philosophy
Support those interests through hands-on mentorship, and tailored opportunities for professional development.
Board of Trustees
Executive Administration
Medical Staff
Nursing Service
Allied Health Service
Clinical Support Service
Administrative Support Services
7 Hospital Organization
Board of Trustees
Other term is “Governing Board”
Board of Trustees
Operates the hospital
Has a fiduciary duty to protect the assets
Board of Trustees
Responsible for establishing the hospital’s mission and establishing its laws and strategic policies.
Trustees select the administrative leader and delegate the hospital’s daily operations and budgeting to the appointed executive.
Executive Administration
The CEO (Chief Executive Officer) in under this organization.
CEO (Chief Executive Officer)
Represents the hospital
Must coordinate the collective effort of the hospital’s personnel.
Medical Staff
A formally organized self-governing unit within the hospital, primarily physicians, but also includes other doctoral health care (dentists, psychologist)
Physician
leader of the clinical team;
major agent working on behalf of the patient.
Physician
Responsible for diagnosing patient’s condition accurately, and prescribing the best and most cost-effective treatment plan.
Nursing Services
Other term is Patient Care Services
Nursing Services
Responsible for carrying out the treatment plan developed by the physician.
Nursing Services
The largest component of the hospital.
Allied Health Service
Perform support functions that help with diagnosis and treatment.
Clinical Laboratory
a diagnostic centre that performs a variety of functions (autopsy, clinical cytology, and clinical pathology.)
Hospital Pharmacy
purchases and dispenses all the medications used to treat patients in the hospital.
Pharmacist
works directly with the medical staff.
Administrative Support Service
Non-medical administrative services
Administrative Support Service
Necessary to the hospital’s business and physical plant management.
Administrative Support Service
The CEO leads these services
Administrative Support Service
Responsible for day-to-day operations of the facility.
Administrative Support Service
Manages hospital’s admitting and discharge functions, records charges to a patient’s account, and handles accounts receivables with third-party payers (insurance companies.)
Republic Act No. 9439
“An Act Prohibiting the Detention of Patients in Hospitals and Medical Clinics on Grounds of Nonpayment of Hospital Bills or Medical Expenses”
Republic Act No. 9439
addresses the problem involving some hospitals and medical clinics that refuse to discharge patients due to the latter’s inability to pay their hospital bills or medical expenses by encouraging them to employ appropriate payment schemes.
Health Information System (HIS)
A system designed to manage healthcare data.
Health Information System (HIS)
Collect, store, manage, and transmit a patient’s electronic medical record.
EMR
Electronic Medical Record
ADMINISTRATIVE SERVICES
A program that prepares individuals to develop, plan, and manage healthcare operations and services within healthcare facilities across healthcare systems.
Governing Board
Hospital Administrator
Admissions
Information Systems
Procurement
Accounting
Support Services
Human Resources
8 Hospital Organization (Based on CHED CMO Course Outline)
Governing Board
Have general supervision over the welfare and conduct of staff.
Hospital Administrator
responsible for the smooth daily operations of facilities.
Emergent Admission
a patient seen in the emergency department is subsequently admitted to the hospital.
Elective Admission
occurs when a doctor requests a bed be reserved for a patient on a specific day.
Information System
A computer system that manages all the information to allow health care providers to do their jobs.
Procurement
Process of finding and agreeing to terms and acquiring goods, services/works from an external source (tendering/competitive bidding process)
Medical Procurement
the effort to quantify medicine requirements, select appropriate procurement methods, and pre-qualify suppliers and products.