1. PUBLIC CONSULTATION
“Proposed Classification of Hospitals and Other Health Facilities”
The following slides summarizes the essence of the proposed changes in the classification of hospitals and other health facilities. These materials together with the relevant inputs obtained in the public consultation will become the basis of the Administrative Order.
DEPARTMENT OF HEALTH
BUREAU OF HEALTH FACILITIES AND SERVICES
Atty. Nicolas B. Lutero III, CESO III
March 2, 2012, Duque Hall, DOH

2. OBJECTIVE
To consult stakeholders on the “Proposed Classification of Hospitals and Other Health Facilities”.

3. Figure 1. Percent Distribution of DOH Licensed Hospitals as to Ownership n = 1,812
Private – 1,087 (60%)
Government – 652 (36%)
DOH Retained – 68 (3.75%)
Source: DOH – BHFS 2010

4. Source: DOH – BHFS and PHIC, 2010
Figure 2. Percentage of DOH Licensed Hospitals with PhilHealth Accreditation n = 1,812
PHIC accredited – 1,603 (88.467%)
Non-PhilHealth accredited – 217 (12%)
Source: DOH – BHFS and PHIC, 2010

5. Figure 3. Percent Distribution of DOH Licensed Hospitals According to Scope of Services, n = 1, 812
General – provides services for all types of deformity, disease, illness or injury.
Special – primarily engaged in the provision of specific clinical care and management. It must have ancillary and support services appropriate for a given service capability.
Source: DOH – BHFS 2010

6. Figure 4. Number of DOH Licensed Hospitals by Service Capacity, n = 1,812 (Year 2010)
Number of Hospitals

7. Figure 5. Percent Distribution of DOH Licensed Hospitals by Service Capacity n = 1,812
Source: DOH – BHFS 2010

8. Figure 6. Percent Distribution of Authorized Beds of DOH Licensed Hospitals, n = 98,154
Source: DOH – BHFS 2010

9. Legal Basis for Defining a Hospital Per R.A. 4226
Section 2
Section 8
Section 16
Bed space
Laboratory OR
X-ray
Pharmacy
OPD DR
Isolation
Morgue
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Beds or cribs or bassinets for 24 hour use or longer

10. Legal Basis for Defining a Hospital Per R.A. 4226
Section 8
Section 2
Section 16
Bed space
Laboratory OR
X-ray
Pharmacy
OPD DR
Isolation
Morgue
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Beds or cribs or bassinets for 24 hour use or longer

11. Legal Basis for Defining a Hospital Per R.A. 4226
Section 2
Section 8
Section 16
Bed space
Laboratory OR
X-ray
Pharmacy
OPD DR
Isolation
Morgue
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Beds or cribs or bassinets for 24 hour use or longer

12. Legal Basis for Defining a Hospital Per R.A. 4226
Section 2
Section 8
Section 16
Bed space
Laboratory OR
X-ray
Pharmacy
OPD DR
Isolation
Morgue
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Beds or cribs or bassinets for 24 hour use or longer
All 3 Sections of the Law have to be complied with to be classified as a hospital.

13. CURRENT CLASSIFICATION OF HOSPITALS
PER DOH A.O. NO – 0029
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
Primary care
Level 1 plus:
Level 2 plus:
Level 3 plus:
General Medicine
Surgery
Specialty Clinical Care with departmentalized clinical services
Teaching and/or training with at least 1 accredited residency training program for physicians
General Pediatrics
Anesthesia
Emergency and Out-patient Services
General Dentistry
Department of Emergency Medicine
General Obstetrics
Pharmacy
Provision for ICU
Specialized and sub-specialized forms of treatment, surgical procedure and intensive care
Non-surgical Gynecology
Secondary Clinical Laboratory
Tertiary Clinical Laboratory
Rehabilitation Service
Minor Surgery
1st Level Radiology
2nd Level Radiology
3rd Level Radiology

14. INCONSISTENCY OF CURRENT CLASSIFICATION VS. LAW
CATEGORY
Bed space OR DR
OPD
Lab
X-ray P I M
Consistent with Law
Level 1 ✓ X NO
Level 2
YES
Level 3
Level 4
Legend:
OR – Operating Room
P – Pharmacy
DR – Delivery Room
I – Isolation Facilities
M – Morgue
Level 2 – cadaver holding area
Levels 3 and 4 – mortuary
OPD – Out-patient Department
Lab – Clinical Laboratory

15. INCONSISTENCY OF CURRENT CLASSIFICATION VS. LAW
CATEGORY
Bed space OR DR
OPD
Lab
X-ray P I M
Consistent with Law
Level 1 ✓ X NO
Level 2
YES
Level 3
Level 4
Therefore, Level 1 does not qualify as a hospital and must be given a different category for licensure purposes.

16. Proposed Classification of Hospitals
According to Functional Capacity:
General Hospital
Provides medical and surgical care to the sick and injured and maternity care and shall have as minimum, the following clinical services: medicine, pediatrics, obstetrics and gynecology, surgery and anesthesia, emergency services, out-patient and ancillary services.
Specialty Hospital
Specializes in a particular disease or condition or in one type of patient.
Teaching/Research Hospitals
Teaching/training sites for physicians and other health professionals. It may be linked with medical school(s) or universities for medical research.
GENERAL HOSPITAL – Provides services for all types of deformity, disease, illness and/or injury.
SPECIALTY HOSPITAL – a hospital that has advanced capabilities pertaining to the type of service offered.
TEACHING/RESEARCH HOSPITAL – in addition to teaching, are training sites for physicians and other health professionals.

17. Classification of General Hospitals
CURRENT
PROPOSED
LEVEL I
RE-CLASSIFY TO PRIMARY CARE FACILITY
LEVEL 2
LEVEL 1
LEVEL 3
LEVEL 4

18. PROPOSED LEVEL 1 LEVEL 2 LEVEL 3
Clinical Services for in-patients
Medicine
Pediatrics
OB-GYNE
Surgery
Anesthesia
Level 1 plus:
Level 2 plus:
Departmentalized Clinical Services
Teaching with accredited residency training program in the 4 major clinical services
Emergency and Out-patient Services
Respiratory Unit
Department of Emergency Medicine
Maternity Facilities
ICU
Rehabilitation unit
Isolation Facilities
Dental Unit
Ambulatory Surgical Clinic
Dialysis Clinic
Ancillary Services
Secondary Clinical Laboratory
Tertiary Clinical Laboratory
Tertiary lab with histopathology
Blood Bank
1st Level X-ray
2nd Level X-ray with mobile unit
3rd Level X-ray
Pharmacy
Minimum Characteristics of the Proposed General Hospital Classification

19. PROPOSED CLASSIFICATION OF OTHER HEALTH FACILITIESB C D
Primary Care Facility
Custodial Care Facility
Diagnostic Facility
Specialized Out-patient Facility
With in-patient Beds:
Infirmary/ Dispensary
Birthing Home
Psychiatric Care Facility
Laboratories:
Clinical Lab/ HIV
Blood Service Facilities
Drug Test Lab
NB Screening Lab
Water Lab
Dialysis Clinic
(DC)
Without Beds:
Medical Out-patient Clinics
OFW Clinics
Dental Clinics
Drug Abuse Treatment and Rehabilitation Center (DATRC)
Radiologic Facility with X-ray, CT scan, mammography, etc.
Ambulatory Surgical Clinic (ASC)
Leprosarium
Biophysical Tests, Ultrasound, 2-D Echo, Stress Test, ECG, MRI
In-Vitro Fertilization (IVF) Centers
Nursing Home
Nuclear Medicine
Philippine Oncology Center
Primary Care Facility – usually a first contact facility which may offer in-patient and/or out-patient basic services.
Birthing Facility – a health facility that provides maternity service on pre-natal and post-natal care, normal delivery and care of newborn babies.

20. PROPOSED CLASSIFICATION OTHER HEALTH FACILITIES
HOSPITALS
OTHER HEALTH FACILITIES
General
Level 1
Level 2
Level 3
Primary Care Facility
Specialty
Custodial Care Facility
Teaching/ Research
Diagnostic Facility
Specialized Out-patient Facility
This is the summary of the proposed classification.

21. DOH Website
Doing Business Licensing BHFS Requirements Hospitals and Other Health Facilities

22. BUREAU OF HEALTH FACILITIES AND SERVICES
Division
Chief
Contact Number/
Address
Standards Development Division
Dr. Cynthia R. Rosuman
local 2525
(direct)
Licensing and Accreditation Division
Atty. Rodel C. Flores (OIC)
local
(direct)
Quality Assurance and Monitoring Division
Dr. Beauty A. Palongpalong
local 2528
Administrative Unit
Ms. Teresa Salgado
local 2500

23. Thank you.

24. Particular Group of Patients
SPECIALTY HOSPITALS
Particular Disease
Particular Organ(s)
Particular Group of Patients
National Orthopedic Hospital
Lung Center
Philippine Children’s Medical Center
National Center for Mental Health
Philippine Heart Center
Dr. Jose Fabella Memorial Hospital
San Lazaro Hospital
National Kidney and Transplant Institute
Philippine Geriatric Center