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• Republic Act No. 4226, known as the Hospital

  Licensure Act of 1965, mandated the DOH Bureau of medical Services, now called the Health Facilities and Services Regulatory Bureau (HFSRB).
• REGULATION AND GOVERNANCE OF PROVIDERS

  Adopt a system of classifying hospitals, taking into account their service capacities and compliance with standards for human resources, equipment, construction and physical facilities.
• UPDATED CLASSIFICATION OF HOSPITALS

  • According to ownership (government or private)
  • Scope of services (general hospital or specialty hospital)
  • And functional capacity such as

  ▪ Level 1 (non-departmentalized general hospital)

  ▪ Level 2 (departmentalized hospital)

  ▪ Level 3 (teaching and training hospital)

  • It also defined a specialty hospital as a hospital that specializes in a particular disease or condition,
• specialty hospital

  • specializes in a particular disease or condition
  • Philippine Orthopedic Hospital, National Center for Mental Health; a particular organ or groups of organs
  • Lung Center of the Philippines, Philippine Heart Center, National Kidney and Transplant Institute; and particular groups of patients
  • Philippine Children’s Medical Center, Dr Jose Fabella Memorial Hospital.
• REPUBLIC ACT NO. 4226

  Hospital Licensure Act of 1965,

  ADMINISTRATIVE ORDER NO. 2012-0012

  • To ensure the quality of services rendered by hospitals and to assure the safety of patients and hospital personnel.
• LICENSING OF CLINICAL LABORATORIES.

  • Republic Act No. 4688, enacted in 1966, mandated thenDOH to regulate the operation, maintenance and registration of clinical laboratories.

  • DOH issued Administrative Order No. 2007-0027,
• REPUBLIC ACT NO. 4688

  ADMINISTRATIVE ORDER NO. 2007-0027 PROVIDED FOR THE CLASSIFICATION OF CLINICAL LABORATORIES:

  • According to Ownership (government or private)
  • Function (clinical pathology or anatomical pathology)
  • Institutional character (institution- based or free – standing ) and
  • Service capability for general clinical laboratories (primary, secondary and tertiary categories) and special clinical laboratory.
  • Clinical laboratories that exclusively operate for research and teaching purposes are exempted from the licensing requirements
• Administrative Order No. 2007-0027 also sets the standards for physical facilities, equipment and supplies, administrative and technical policies and procedures, and

  a Quality Assurance Programs (QAP).
• MEASURE OF QUALITY CONTROL, CLINICAL

  LABORATORIES ARE REQUIRED OF THE FF:

  • Internal and External quality assurance program (QAP) - covers, inputs, processes and outputs, and the practice of continuous quality improvement covers all aspects of laboratory performance.
  • A clinical laboratory is also required to participate in the National External Quality Assessment Scheme administered by designated National Reference Laboratories (NRLs) or in other local or international external GAPs recognized by the DOH.
• LOCAL INSTITUTIONS HAVE BEEN DESIGNATED AS

  NATIONAL REFERENCE LABORATORIES (NRLS)

  • National Kidney and Transplant Institute for hematology, immunopathology and anatomical pathology for renal diseases.
  • Philippine Heart Center for anatomical pathology for cardiac diseases.
  • Lung Center of the Philippines for biochemistry and anatomical pathology for pulmonary diseases
• LOCAL INSTITUTIONS HAVE BEEN DESIGNATED AS

  NATIONAL REFERENCE LABORATORIES (NRLS)

  • Research Institute for Tropical Medicine for dengue, TB, influenza, malaria
  • San Lazaro Hospital for HIV/AIDS, sexually transmitted infections and hepatitis.
  • East Avenue Medical Center for environmental andnoccupational health and toxicology.
• Licensing of Other Health Facilities.

  • primary care facilities, which are first –contact health facilities that offer basic services, including emergency services and provision for normal deliveries such as those with inpatient beds like infirmaries and birthing homes.
  • Custodial care facilities providing long - term care such as psychiatric care facilities, substance abuse treatment and rehabilitation centers, sanitaria and nursing homes are also required to acquire licenses.
• Under the law, licenses of hospitals, laboratories, infirmaries, and specialized outpatient facilities are valid for a period of 1 year. The license may be suspended or revoked at any time for violation of specific rules, regulations and standards set by the DOH
• HARMONIZATION OF LICENSURE AND ACCREDITATION SYSTEMS FOR HOSPITALS - TWO MAJOR POLICIES WERE INITIATED

  • First was the establishment of the One-Stop Shop Licensure System for Hospitals, wherein a unified procedure and a single LTO would be issued to hospitals.
  • Second strategy was the decentralization of certain licensing processes, such as renewal of licenses for Level 1 and Level 2 hospitals and the grant of permits to construct to the DOH Regional Offices.
• Secretary of Health issued Administrative

  Order No. 2011 – 0020 providing for the automatic accreditation by Phil – health of all hospitals duly licensed by the DOH.
• REGISTRATION AND PLANNING OF HUMAN RESOURCES

  • Regulations of academic institutions for the health professions. The Higher Education Act of 1994 (Republic Act No. 7722), created the Commission on Higher Education (CHED).
  • To act as the governing body that regulated both public and private institutions of higher education, as well as degree granting programs in all tertiary educational institutions.
• For private institutions of higher education, the

  authority to operate a degree program is granted by CHED in two (2) different phases.

  • permit phase
  • recognition phase.
• • The permit phase applies only to the first – and second – year levels of the degree program applied for. If all the requirements for the continuous operation of the degree program have been complied with.
  • The institution may apply for recognition to proceed with the third year level and on.
• Higher education institutions that attain standards of quality over and above minimum standards required for government recognition may apply for voluntary accreditation (Level I, Level II, Level III and Level IV status). A Level IV status means attainment of a very high quality academic program and entitles the higher education institution to grant of full autonomy for the program.
• Health care accreditation - help organization improve the quality of care, streamline operation, reduces liability risk
• Purpose of accreditation

  • strengthen the organization
  • prove provision of high quality care