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ADMINISTRATIVE ORDER NO. 2012-0012

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189 Terms

1

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

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July 18, 2012

When was Administrative Order No. 2012-0012 signed?

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Classifications of Hospital and Other Health Facilities in the Philippines

  • According to Ownership

  • According to Scope of Service

  • According to Functional Capacity

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What are the classifications under According to Ownership?

  • Government

  • Private

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What are the classifications under According to the Scope of Service?

  • General Hospital

  • Specialty Hospital

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General Hospital

  • Provides medical and surgical care

  • Treats all kinds of illnesses, diseases, injuries/deformities.

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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)

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Specialty Hospital

particular disease/particular organ/patients belonging to a group (children, elderly, women or others)

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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).

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Level 1

Bed space for its authorized bed capacity

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Level 1

This level has an operating room.

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Level 1

This level has post-operative Recovery Room

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Level 1

This level has maternity facilities.

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Level 1

This level has a separate dental section/clinic.

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Level 1

This level has blood donation.

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Level 1

this level has a DOH-licensed secondary Clinical Laboratory with consulting pathologist.

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Level 1

This level has Level 1 Imaging Facility

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Level 1

This level has a DOH-licensed pharmacy.

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Level 2

This level encompasses all the minimum of Level 1 Capacity

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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.

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Level 2

This level of hospital capacity is departmentalized, rendering services:

  • Medicine

  • Pediatrics

  • Obstetrics and Gynecology

  • Surgery, their subspecialties and;

  • other ancillary services

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Level 2

This level of hospital capacity provides ICU (intensive Care Unit)

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Level 2

This level of hospital capacity provides NICU (Neonatal Care Unit)

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Level 2

This level of hospital capacity provides HRPU (High Risk Pregnancy Unit)

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Level 2

This level of hospital capacity provides Respiratory Theraphy Services

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Level 2

This level of hospital capacity has DOH-licensed Tertiary Clinical Laboratory

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Level 2

This level of hospital capacity has DOH-licensed Level 2 Imaging Facility with Mobile X-ray.

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Level 3

This level encompasses all the minimum of Level 2 Capacity

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Level 3

This level of hospital capacity is where the physicians (Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery) train.

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Level 3

This level of hospital capacity provides physical medicine and rehabilitation units.

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Level 3

This level of hospital capacity provides ambulatory surgical services.

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Level 3

This level of hospital capacity has a dialysis facility.

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Level 3

This level of hospital capacity provides blood bank.

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Level 3

This level of hospital capacity has a lvl 3 Imaging Facility with interventional radiology.

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Philippine College of Surgeons

They assess the Trauma Capability of Hospitals

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Trauma Capable Facility

DOH licensed hospital designated as a Trauma Center

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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.

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Mental Health Facility

  • For psychiatric patients

  • Formerly called as asylums or mental hospitals.

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Long-Term-Care Facility

homes for the elderly, the infirm, and those with chronic, irreversible, and disabling disorders, especially if the patients were indigent.

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Hospice Care

special kind of care; focuses on the quality of life

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Hospice Care

provides compassionate care for people who are experiencing advanced, life-limiting illnesses.

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Hospice

a home providing care for the sick/terminally ill.

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Outpatient/Ambulatory Care

performed on an outpatient basis, without admission to a hospital or other facility.

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  • 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

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Preventive Care

routine healthcare; screenings, check-ups, and patient counseling (to prevent complications)

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  • Blood pressure tests

  • Diabetes screening

  • Cholesterol tests

  • Routine vaccinations

  • Cancer screenings

  • STI screenings

  • Well-child visits

  • Mental health screenings

Examples of Preventive Care

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Home Health Care

a care that allows people with special needs to stay in their home.

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  1. Personal Care and Companionship

  2. Private Duty Nursing Care

  3. Home Health Care

3 Types of Home Care

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Personal Care and Companionship

Help with everyday activities (bathing, dressing, meal prep, and household task) to enable independence and safety.

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Private Duty Nursing Care

Long-term, hourly nursing care at home for adults with chronic illness, injury, or disability.

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Personal Care and Companionship

Known as: Non-medical Care, Home Health Aide Services, Senior Care, Homemaker Care, Assistive Care or Companion Care.

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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.

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Home Health Care

Short-term, physician-directed care designed to help a patient prevent or recover from an illness, injury, or hospital stay.

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Home Health Care

Known as: Medicare-certified Home Health Care, Intermittent Skilled Care, or Visiting Nurse Services.

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Telemedicine

evaluate, diagnose and treat patients at a distance using telecommunications technology.

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Telemedicine

an alternative to in-person visits

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  • 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

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Vision and Mission Statement

is crucial to the success of community initiatives.

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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.

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Organization

Collection of persons, materials, procedures, ideas, or facts; arranged and ordered to achieve organizational objectives.

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Mission Statement

  • Defines the hospital’s business, objectives, and its approach to reach those objectives

  • Short-term goals.

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Vision Statement

Describes the desired future position of the hospital.

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Hospital Philosophy

Maintain balance in pursuit of excellence in clinical care, quality improvement, research, and education.

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Hospital Philosophy

Seek out well-trained physicians with excellent clinical skills and academic skills.

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Hospital Philosophy

Support those interests through hands-on mentorship, and tailored opportunities for professional development.

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  1. Board of Trustees

  2. Executive Administration

  3. Medical Staff

  4. Nursing Service

  5. Allied Health Service

  6. Clinical Support Service

  7. Administrative Support Services

7 Hospital Organization

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Board of Trustees

Other term is “Governing Board

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Board of Trustees

  • Operates the hospital

  • Has a fiduciary duty to protect the assets 

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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. 

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Executive Administration

The CEO (Chief Executive Officer) in under this organization.

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CEO (Chief Executive Officer)

  • Represents the hospital

  • Must coordinate the collective effort of the hospital’s personnel.

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Medical Staff

A formally organized self-governing unit within the hospital, primarily physicians, but also includes other doctoral health care (dentists, psychologist)

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Physician

  • leader of the clinical team;

  • major agent working on behalf of the patient. 

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Physician

  • Responsible for diagnosing patient’s condition accurately, and prescribing the best and most cost-effective treatment plan.

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Nursing Services

Other term is Patient Care Services

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Nursing Services

Responsible for carrying out the treatment plan developed by the physician.

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Nursing Services

The largest component of the hospital.

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Allied Health Service

Perform support functions that help with diagnosis and treatment.

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Clinical Laboratory

a diagnostic centre that performs a variety of functions (autopsy, clinical cytology, and clinical pathology.)

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Hospital Pharmacy

purchases and dispenses all the medications used to treat patients in the hospital.

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Pharmacist

works directly with the medical staff.

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Administrative Support Service

Non-medical administrative services

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Administrative Support Service

Necessary to the hospital’s business and physical plant management.

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Administrative Support Service

The CEO leads these services

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Administrative Support Service

Responsible for day-to-day operations of the facility.

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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.)

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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

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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.

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Health Information System (HIS)

A system designed to manage healthcare data.

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Health Information System (HIS)

Collect, store, manage, and transmit a patient’s electronic medical record.

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EMR

Electronic Medical Record

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ADMINISTRATIVE SERVICES

A program that prepares individuals to develop, plan, and manage healthcare operations and services within healthcare facilities across healthcare systems.

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  1. Governing Board

  2. Hospital Administrator

  3. Admissions

  4. Information Systems

  5. Procurement

  6. Accounting

  7. Support Services

  8. Human Resources

8 Hospital Organization (Based on CHED CMO Course Outline)

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Governing Board

Have general supervision over the welfare and conduct of staff.

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Hospital Administrator

responsible for the smooth daily operations of facilities.

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Emergent Admission

a patient seen in the emergency department is subsequently admitted to the hospital.

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Elective Admission

occurs when a doctor requests a bed be reserved for a patient on a specific day.

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Information System

A computer system that manages all the information to allow health care providers to do their jobs.

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Procurement

  • Process of finding and agreeing to terms and acquiring goods, services/works from an external source (tendering/competitive bidding process)

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Medical Procurement

the effort to quantify medicine requirements, select appropriate procurement methods, and pre-qualify suppliers and products.

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