Hospi module 1 lec

• Hospital is an organized structure that pools together all the health professions, diagnostic and therapeutic facilities, equipment, and supplies into a coordinated system for delivering health care to the public
• According to the Department of Health (DOH), a hospital is a place devoted primarily to the maintenance and operation of health facilities for the diagnosis, treatment, and care of individuals suffering from illness, disease, injury, or deformity
• A hospital is an institution where the injured or ill may receive medical, surgical, or psychiatric treatment, nursing care, food, and lodging
• Clinic is a facility where ambulatory patients (out-patients) are seen by appointment for treatment by a group of physicians practicing together
• Ambulatory Surgery Center is a facility where patients are admitted for minor surgical procedures and discharged afterwards
• Birthing Homes are a special type of health care facility that provides maternity services on pre and postnatal care, normal spontaneous delivery, and care of newborn babies
• Main functions of a hospital can be grouped into four categories:

  • Patient care: Diagnosis and Testing, Treatment and therapy, Preventive Medicine, Dental Care, Personalized Care, Rehabilitation, Convalescent Care
  • Education: Education of medical and allied health professions, Education of patients
  • Training: Reduction of incidence of illness, Prevention, Improvement of general health of the people
  • Medical research: Advancement of medical knowledge, Improvement of hospital services
• Levels of Prevention:

  • Primordial: Actions and measures that inhibit the emergence of risk factors
  • Primary: Preventing disease in a well person
  • Secondary: Early detection and prompt treatment of disease
  • Tertiary: Reduction and limitation of disability and rehabilitation
• Classification of Hospitals:

  • Type of service
  • Average length of stay
  • Bed capacity
  • Functional capability
  • Ownership
• Type of Services:

  • General: Provides services for all kinds of illnesses, diseases, injuries, or deformities
  • Specialty: Specializes in a particular disease or condition
  • Trauma Capability: Equipped and staffed to provide care for patients suffering from major traumatic injuries
• According to Bed Capacity:

  • Small: <100 beds
  • Medium: 101-499 beds
  • Large: >500 beds
• Functional Capacity:

  • Level 1 (Primary): Must have minimum facilities licensed by the Department of Health (DOH)
  • Level 2 (Secondary): Includes minimum health care services and extra facilities like intensive care unit
  • Level 3 (Tertiary): Selected to provide tertiary hospital services with teaching, training, and research functions
• Ownership:

  • Government/Public: Owned, administered, and controlled by the government
  • Private: Owned or controlled by an individual, group, or private organization
• Examples of Hospitals in NCR:

  • Amang Rodriguez Memorial Medical Center: General, Level 3, Bed Capacity: 413, Trauma Capable
  • Research Institute for Tropical Medicine (RITM): Specialty, Level 3, Bed Capacity: 41, Undertakes research in the prevention, diagnosis, and treatment of tropical diseases
• East Avenue Medical Center:

  • Location: East Avenue, Diliman Quezon City
  • Classification: General
  • Level: 3
  • Bed Capacity: 800 (2019)
  • Trauma Center: Trauma Capable
  • Functions: Undertake research in the prevention, diagnosis, and treatment of tropical diseases of public health importance and produce vaccines for the control of vaccine-preventable diseases
• San Lazaro Hospital:

  • Location: Sta. Cruz, Manila
  • Classification: Specialty
  • Level: 3
  • Bed Capacity: 500 (2019)
  • Function: National hospital for infectious diseases
• Dr. Jose Fabella Memorial Hospital:

  • Location: Sta. Cruz, Manila
  • Classification: Specialty
  • Level: 3
  • Bed Capacity: 496 (2019)
  • Function: National Maternity Hospital in NCR. It is a maternal and newborn tertiary hospital
• National Center for Mental Health:

  • Location: Mauway, Mandaluyong
  • Classification: Specialty
  • Level: 3
  • Bed Capacity: 3500 (2019)
  • Length of stay: Long-term
  • Function: Delivering preventive, curative, and rehabilitative mental health care services
• National Children’s Hospital:

  • Location: E. Rodriguez St. Ave. Damayang Lagi, Quezon City
  • Classification: Specialty
  • Level: 3
  • Bed Capacity: 200 (2019)
  • Function: Special tertiary and training hospital that provides quality care to children 0-19 years old
• Philippine Orthopedic Center:

  • Location: Sta. Mesa Heights, Quezon City
  • Classification: Specialty
  • Level: 3
  • Bed Capacity: 564 (2019)
  • Function: Specializes in the treatment of musculoskeletal disorders and serves as a center for trauma and orthopedics
• Quirino Medical Center:

  • Location: JP Rizal Project 4 Quezon City
  • Classification: General
  • Level: 3
  • Bed Capacity: 500 (2019)
  • Trauma Center: Trauma capable
• Healthcare Team Members:

  • Doctors
  • Nurses
  • Pharmacists
  • Dentists
  • Technologists and technicians
  • Therapists and rehabilitation specialists
  • Emotional, social, and spiritual support providers
  • Medical social workers
• • Courtesy Medical Staff: Not a member but allowed to attend to a private patient
  • Resident Medical Staff: Full-time staff offering patient care in exchange for training
• Medical Staff Categories:

  • Open Staff: Physicians allowed to use private room facilities
  • Closed Staff: All professional services provided and controlled by attending physician
  • Honorary Medical Staff: Retired or emeritus practitioners honored for outstanding contribution
  • Consulting Medical Staff: Specialists who give advice but are not staff members
  • Attending Medical Staff: Most active, involved in regular patient care and administrative duties
  • Associate Medical Staff: Junior staff considered for advancement
• Hospital Organization Structure and Administration:

  • Organizational structure varies from hospital to hospital
  • Large hospitals have complex organizational structures
  • Smaller hospitals have simpler organizational structures
• Common Categorical Grouping in Hospital Organization:

  • Administrative Services
  • Information Services
  • Medical and Therapeutic Services
  • Direct Patient Care Services
  • Ancillary Services
  • Diagnostic Services
  • Support Services
• Different Hospital Departments:

  • In-Patient Department: Patients admitted for monitoring during procedures and recovery
  • Medical Department: Overseen by Medical Director, includes various specialties
  • Nursing Department: Provides comprehensive nursing care
  • Pharmacy Department: Responsible for drug management and pharmaceutical care
  • Central Sterile Supply Department: Ensures cleanliness and sterilization of instruments
  • Housekeeping: Maintains hospital cleanliness and waste disposal
  • Medical Social Work: Helps patients and families with psychosocial issues
• • Rehabilitation Department: Assists patients with functional disabilities
  • Nutrition and Dietetics Department: Provides food service according to patient needs
  • Radiology Department: Diagnoses conditions using imaging tests
  • Clinical Laboratory Department: Conducts diagnostic tests using specimen samples
  • Administrative Departments: Manage hospital records, maintenance, IT, HR, finance
• Out-Patient Department:

  • Allows investigative and curative work without admitting the patient
  • Scope includes consultation, investigation, specialty services, preventive care, and health education
• Hospital


  It shall also be construed as any institution, building, or place where there are installed beds, cribs or bassinets for twenty-four hour use or longer by patients in the treatment of diseases.
• Ambulatory Surgery Center is also known as


  "same day" or ambulatory surgery