CLASSIFICATION OF PHILIPPINE HOSPITALS
Derived from: Administrative Order No. 2012-0012
Rules and Regulations .Governing the New Classification of Hospitals and Other Health Facilities in the Philippines (Effective: August 18, 2012)
A. ACCORDING TO OWNERSHIP
1. Government – created by law. A government health facility may be under the national government, DOH, Local Government Unit (LGU), Department of National Defense (DND), Philippine National Police (PNP), Department of Justice (DOJ), StateUniversities and Colleges (SUCs), Government Owned and Controlled Corporations (GOCC) and others.
2. Private – owned, established and operated with funds through donation, principal, investment or other means by any individual, corporation, association or organization. A private health facility may be a single proprietorship, partnership, corporation, cooperative, foundation,
religious, non-government organization and others.
B. ACCORDING TO SCOPE OF SERVICES
1. General – a hospital that provides services for all kinds of illnesses, diseases, injuries or deformities. A general hospital shall provide medical and surgical care to the sick and injured, maternity, newborn and child care. It shall be equipped with the service capabilities needed to support board certified/eligible medical specialists and other licensed physicians rendering services in, but not limited to, the following:
a. Clinical Services
1. Family Medicine;
3. Internal Medicine;
4. Obstetrics and Gynecology;
b. Emergency Services;
c. Outpatient Services;
d. Ancillary and Support Services such as, clinical laboratory’, imaging facility and pharmacy.
2. Specialty – a hospital that specializes in a particular disease or condition or in one type of patient. A specialized hospital may be devoted to treatment of any of the following:
a. Treatment of a particular type of illness or for a particular condition requiring a range of treatment.
Examples of these hospitals are Philippine Orthopedic Center, NationalCenter for Mental Health, San Lazaro Hospital, a hospital dedicated to the treatment of cancer.
b. Treatment of patients suffering from diseases of a particular organ or groups of organs.
Examples of these hospitals are LungCenter of the Philippines, Philippine Heart Center, National Kidney and Transplant Institute, a hospital dedicated to treatment of eye disorders. .
c. Treatment of patients belonging to a particular group such as children, women, elderly and others.
Examples of these hospitals are Philippine Children’s MedicalCenter, National Children’s Hospital, Dr. Jose Fabella Memorial Hospital.
C. ACCORDING TO FUNCTIONAL CAPACITY
a. Level l
A Level I hospital shall have as minimum the services stipulated under Rule V. B. 1. b. 1. of this Order, including, but not limited to, the following:
1. A staff of qualified medical, allied medical and administrative personnel headed by a physician duly licensed by PRC;
2. Bed space for its authorized bed capacity in accordance with DOH Guidelines in the Planning and Design of Hospitals;
3. An operating room with standard equipment and provision for sterilization of equipment and supplies in accordance with:
a. DOH Reference Plan in the Planning and Design of an Operating Room/Theater (Annex A);
b. DOH Guidelines on Cleaning, Disinfection and Sterilization of Reusable Medical Devices in Hospital Facilities in the Philippines (Annex B);
4. A post-operative recovery room;
5. Maternity facilities, consisting of ward(s), room(s),a delivery room, exclusively for maternity patients and newborns;
6. Isolation facilities with proper procedures for the care and control of infectious and communicable diseases as well as for the prevention of cross infections;
7. A separate dental section/clinic;
8. Provision for blood station;
9. A DOH licensed secondary clinical laboratory with the services of a consulting pathologist; •
10. A DOH licensed level 1 imaging facility with the services of a consulting radiologist;
11.A DOH licensed pharmacy.
A Level 2 hospital shall have as minimum, all of Level l capacity, including, but not limited to, the following:
1. An organized staff of qualified and. competent personnel with Chief of Hospital/Medical Director and appropriate board certified Clinical Department Heads;
2. Departmentalized and equipped with the service capabilities needed to support board certified/eligible medical specialists and other licensed physicians rendering services in the specialties of Medicine, Pediatrics, Obstetrics and Gynecology, Surgery; their subspecialties and ancillary services;
3. Provision for general ICU for critically ill patients.
4. Provision for NICU (Neonatal Intensive Care Unit)
5. Provision for HRPU (High Risk Pregnancy Unit)
6.. Provision for respiratory therapy services;
7. A DOH licensed tertiary clinical laboratory;
8. A DOH licensed level 2 imaging facility with mobile x-ray inside the institution and with capability for contrast examinations.
A Level 3 hospital shall have as minimum, all of Level 2 capacity, including, but not limited to, the following:
1. Teaching and/or training hospital with accredited residency training program for physicians in the four (4) major specialties namely: Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery;
2. Provision for physical medicine and rehabilitation unit;
3. Provision for ambulatory surgical clinic;
4. Provision for dialysis facility;
5. Provision for blood bank;
6. A DOH licensed tertiary clinical laboratory with standard equipment/reagents/supplies necessary for the performance of histopathology examinations;
7. A DOH licensed level 3 imaging facility with interventional radiology.
2. Specialty Hospitals (refer to Rule V. B. 1. b. 2.·ofthis Order)
3. Trauma Capability of Hospitals
The trauma capability of hospitals shall be assessed in accordance with the guidelines formulated by the Philippine College of Surgeons (PCS).
a. Trauma-Capable Facility – a DOH licensed hospital designated as a TraumaCenter.
b. Trauma-Receiving Facility – a DOH licensed hospital within the trauma service area which receives trauma patients for transport to the point of care or a trauma center.