PUBLIC CONSULTATION
“Proposed Classification of Hospitals
and Other Health Facilities”
DEPARTMENT OF HEALTH
BUREAU OF HEALTH FACILITIES AND SERVICES
Atty. Nicolas B. Lutero III, CESO III
March 2, 2012, Duque Hall, DOH
OBJECTIVE
To consult stakeholders on
the “Proposed Classification
of Hospitals and Other
Health Facilities”.
Figure 1. Percent Distribution of DOH
Licensed Hospitals as to Ownership
n = 1,812
4%
DOH-Retained
36%
60%
Government
Private
Source: DOH – BHFS 2010
Figure 2. Percentage of DOH Licensed
Hospitals with PhilHealth Accreditation
n = 1,812
12%
PhilHealth
Accredited
Non-PhilHealth
Accredited
88%
Source: DOH – BHFS and
PHIC, 2010
Figure 3. Percent Distribution of DOH
Licensed Hospitals According to
Scope of Services, n = 1, 812
5%
General
Special
95%
Source: DOH – BHFS 2010
Figure 4. Number of DOH Licensed Hospitals
by Service Capacity, n = 1,812 (Year 2010)
Number of Hospitals
Figure 5. Percent Distribution of DOH
Licensed Hospitals by Service Capacity
n = 1,812
7%
13%
Level 4
Level 3
Level 2
Level 1
42%
38%
Source: DOH – BHFS 2010
Figure 6. Percent Distribution of Authorized
Beds of DOH Licensed Hospitals, n = 98,154
13%
37%
28%
22%
Level 4
Level 3
Level 2
Level 1
Source: DOH – BHFS 2010
Legal Basis for Defining a Hospital
Per R.A. 4226
Section 2
Section 8
Beds or
cribs or
bassinets
for 24
hour use
or longer
Bed space
Laboratory
OR
X-ray
Pharmacy
OPD
DR
Isolation
Morgue
Section 16
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Legal Basis for Defining a Hospital
Per R.A. 4226
Section 2
Beds or cribs
or bassinets
for 24 hour
use or longer
Section 8
Bed space
Laboratory
OR
X-ray
Pharmacy
OPD
DR
Isolation
Morgue
Section 16
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Legal Basis for Defining a Hospital
Per R.A. 4226
Section 2
Beds or cribs
or bassinets
for 24 hour
use or longer
Section 8
Bed space
Laboratory
OR
X-ray
Pharmacy
OPD
DR
Isolation
Morgue
Section 16
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
Legal Basis for Defining a Hospital
Per R.A. 4226
Section 2
Beds or cribs
or bassinets
for 24 hour
use or longer
Section 8
Bed space
Laboratory
OR
X-ray
Pharmacy
OPD
DR
Isolation
Morgue
Section 16
Classify hospitals
as to:
General or Special
Service Capacity
Size or bed capacity
Training or not
All 3 Sections of the Law have to be complied
with to be classified as a hospital.
CURRENT CLASSIFICATION OF HOSPITALS
PER DOH A.O. NO. 2005 – 0029
LEVEL 1
Primary care
LEVEL 2
Level 1 plus: Level 2 plus:
General Medicine Surgery
General
Pediatrics
Emergency and
Out-patient
Services
LEVEL 3
Anesthesia
Level 3 plus:
Specialty Clinical
Care with
departmentalized
clinical services
Teaching and/or training
with at least 1 accredited
residency training
program for physicians
General Dentistry
Department of
Emergency Medicine
General
Obstetrics
Pharmacy
Provision for ICU
Non-surgical
Gynecology
Secondary
Clinical
Laboratory
Tertiary Clinical
Laboratory
1st Level
Radiology
2nd Level
Radiology
Minor Surgery
LEVEL 4
Specialized and subspecialized forms of
treatment, surgical
procedure and intensive
care
Rehabilitation Service
3rd Level Radiology
INCONSISTENCY OF CURRENT CLASSIFICATION VS. LAW
CATEGORY
Bed
space
OR
Level 1
✓
X
✓
Level 2
✓
✓
✓
✓
Level 3
Level 4
Lab
X-ray
P
I M
Consistent
with Law
X
X
X
X
X X
NO
✓
✓
✓
✓
✓
✓ ✓
YES
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓ ✓
DR OPD
YES
YES
Legend:
OR – Operating Room
P – Pharmacy
DR – Delivery Room
I – Isolation Facilities
OPD – Out-patient Department
M – Morgue
Level 2 – cadaver holding area
Levels 3 and 4 – mortuary
Lab – Clinical Laboratory
INCONSISTENCY OF CURRENT CLASSIFICATION VS. LAW
CATEGORY
Bed
space
OR
DR
OPD
Lab
X-ray
P
I M
Consistent
with Law
Level 1
✓
X
✓
X
X
X
X
X X
NO
Level 2
✓
✓
✓
✓
✓
✓
✓
✓ ✓
YES
✓
✓
✓
✓
✓
✓
✓
✓ ✓
✓
✓
✓
✓
✓
✓
✓
✓ ✓
Level 3
Level 4
YES
YES
Therefore, Level 1 does not qualify as a
hospital and must be given a different
category for licensure purposes.
Proposed Classification of
Hospitals
According to Functional Capacity:
A. 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.
B. Specialty Hospital
Specializes in a particular disease or condition or in one type of
patient.
C. 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.
Classification of General
Hospitals
CURRENT
PROPOSED
LEVEL 2
RE-CLASSIFY TO
PRIMARY CARE
FACILITY
LEVEL 1
LEVEL 3
LEVEL 2
LEVEL 4
LEVEL 3
LEVEL I
PROPOSED
Clinical
Services for
in-patients
LEVEL 1
Medicine
Pediatrics
OB-GYNE
Surgery
Anesthesia
LEVEL 2
Level 1 plus:
LEVEL 3
Level 2 plus:
Teaching with
accredited residency
Departmentalized
training program in
Clinical Services
the 4 major clinical
services
Emergency and OutRespiratory Unit
patient Services
Department of
Emergency Medicine
Maternity Facilities
ICU
Rehabilitation unit
Isolation Facilities
Dental Unit
Ambulatory Surgical
Clinic
Dialysis Clinic
Ancillary
Services
Secondary Clinical Tertiary Clinical
Laboratory
Laboratory
Tertiary lab with
histopathology
Blood Bank
1st
Level X-ray
Pharmacy
2nd Level X-ray
with mobile unit
3rd Level X-ray
PROPOSED CLASSIFICATION OF OTHER HEALTH FACILITIES
A
Primary Care
Facility
B
C
Custodial Care
Diagnostic Facility
Facility
D
Specialized Outpatient Facility
With in-patient
Beds:
Psychiatric
 Infirmary/
Care Facility
Dispensary
 Birthing Home
Laboratories:
 Clinical Lab/ HIV
 Blood Service
Facilities
 Drug Test Lab
 NB Screening Lab
 Water Lab
Without Beds:
 Medical Outpatient Clinics
 OFW Clinics
 Dental Clinics
Drug Abuse
Treatment and
Rehabilitation
Center
(DATRC)
Radiologic Facility with Ambulatory
X-ray, CT scan,
Surgical Clinic
mammography, etc.
(ASC)
Leprosarium
Biophysical Tests,
Ultrasound, 2-D Echo,
Stress Test, ECG, MRI
In-Vitro
Fertilization (IVF)
Centers
Nursing Home
Nuclear Medicine
Philippine
Oncology Center
Dialysis Clinic
(DC)
PROPOSED CLASSIFICATION
HOSPITALS
General
 Level 1
 Level 2
 Level 3
Specialty
Teaching/
Research
OTHER HEALTH
FACILITIES
A. Primary Care Facility
B. Custodial Care Facility
C. Diagnostic Facility
D. Specialized Out-patient
Facility
DOH Website
www.doh.gov.ph
Doing Business
Licensing
BHFS Requirements
Hospitals and Other Health Facilities
BUREAU OF HEALTH FACILITIES AND SERVICES
Contact Number/
Division
Chief
Email Address
Standards
6517800 local 2525
Dr. Cynthia R.
Development
7119572 (direct)
Rosuman
Division
cyros88@gmail.com
Licensing and
6517800 local 2502-2504
Atty. Rodel C.
Accreditation
7116982 (direct)
Flores (OIC)
Division
ledor72@yahoo.com
Quality
6517800 local 2528
Assurance
Dr. Beauty A.
bapalongpalong@yahoo.
and Monitoring Palongpalong
com
Division
Administrative
Unit
Ms. Teresa
Salgado
6517800 local 2500
Thank you.
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