THE HOSPITAL

DEFINITION OF HOSPITAL
• Institution maintained for reception, care and
treatment of those who need medical or surgical
attention.
• Includes establishments which admit and take
care of persons who are not sick but require
attention like childbirth, body debility, mental
condition.
• Primarily a service institution.
 HOSPITAL LICENSURE ACT

HOSPITAL means a place devoted

primarily to the maintenance and
operation of facilities for the diagnosis,
treatment, and care of individuals suffering
from illness, disease, injury or deformity, or
in need of obstetrical or other medical and
nursing care. (Sec.2(a), RA 4226)
• The term ‘hospital’ shall also be construed
as any institution, building or place where
there are installed beds, cribs, bassinets
for twenty-four hour use or longer by
patients in the treatment of diseases
 CLASSIFICATION OF HOSPITALS

A. According to scope of infirmities admitted:

1. General --- concerned with admission and
treatment of a substantial range of disease or
injuries
2. Specialized --- admit specific illness,
treatments, organs affected or for a class of
people.
 CLASSIFICATION OF HOSPITALS
2. Specialized
a. Treatment of a particular illness/condition
requiring range of treatment example :
Cancer hospital, Orthopedic hospital
b. Treatment of patients suffering from diseases
of a particular organ example: eye hospital,
chest hospital
c. Treatment of patients of particular class
example: children, women, seamen
B. Functional Classification :
1. Diagnostic
2. Maternity
3. Rehabilitation
4. Surgical
5. Cosmetic
C. According to Control and Financial Support:
1. Public/Government - operated & maintained
either partially or wholly by national
provincial municipal or city government or
other political subdivision
C. According to Control and Financial Support:

2. Private - privately owned especially

established & operated with funds raised
or contributed through donation, or private
individual, associations, corporation,
religion organization, company or joint
stock association
D. Based on the size or bed capacity
- Purpose to determine the & quality or
facilities including staff & other personal of
a hospital service, designated by law as
the licensing agency to set up minimum
standard requirement’s for hospital of
25,50,100 & 450 bed capacity hospital
E. Whether it is training or not
Undergraduate students are given
training as part of curriculum while
other may pursue further development
in the post-graduate
 CLASSIFICATION OF HOSPITALS
DOH AO 2012-0012
Rules and Regulations Governing the New
Classification of Hospitals and other Health Facilities in
the Philippines
July 18, 2012
Promulgated to protect & promote the health of
the public by ensuring a minimumquality of
service rendered by hospitals & other regulated
health facilities & to ensure the safety of patients &
personnel
 CLASSIFICATION OF HOSPITALS
General Guidelines
1. All hospitals licensed by DOH = automatically
accredited by Philhealth as Centers for Safety
2. All hospital – basic hospital functions
Acute medical & surgical service
Anesthesia services
Emergency & Outpatient services
Nursing Service
Dental Service
Diagnostic & support units (Laboratory, Radiology,
Pharmacy)
 CLASSIFICATION OF HOSPITALS
GENERAL HOSPITAL –
♦ Clinical Services ♦Emergency Services
Family Medicine ♦Outpatient Services
Pediatrics ♦Ancillary & Support
Internal Medicine Services (clinical
laboratory, imaging &
Obstetrics & pharmacy)
Gynecology
Surgery
 CLASSIFICATION OF HOSPITALS
GENERAL HOSPITAL –
a. LEVEL 1 –
✓Operating room & recovery room
✓Maternity facilities
✓Isolation facilities
✓Separate dental section
✓Blood station
✓DOH licensed secondary clinical laboratory
✓DOH licensed level 1 imaging facility
✓DOH licensed pharmacy
 CLASSIFICATION OF HOSPITALS
GENERAL HOSPITAL –
b. LEVEL 2 – all of Level 1 plus
✓Departmentalized (Medicine, Pedia, OB-Gyne, Surgery
✓ICU
✓NICU
✓HRPU
✓Respiratory therapy services
✓Tertiary clinical laboratory
✓Level 2 imaging facilities w/ mobile xray & contrast
studies
 CLASSIFICATION OF HOSPITALS
GENERAL HOSPITAL –
c. LEVEL 3 – Level 2 plus
✓Teaching/training hospital w/ accredited residency
training program for Internal Medicine, Surgery,
Pediatrics & OB-Gyne
✓Physical Therapy & Rehabilitation
✓Ambulatory Surgical Unit
✓Dialysis facility
✓Blood bank
✓Tertiary laboratory w/ capability for histopathology
✓Level 3 imaging facility w/ interventional radiology
 HOSPITAL
A hospital cannot practice medicine & surgery --- it
merely agrees to care for the patient.
REASONS:
1. Practice of medicine by a hospital for profit through
hiring of licensed physicians is not in the interest of
public safety, health & welfare, & therefore contrary to
public policy, it is not subject to government exams to
determine whether it is qualified to diagnose, treat or
employ any other form of treatment.
 HOSPITAL
2. If hospital is allowed to practice
medicine, then the physician is merely
receiving orders from the corporate
body or its officers who are not licensed
to practice medicine.
 PRIMARY DUTIES OF A HOSPITAL
1. To furnish a safe and well-maintained
building and ground.
2. To furnish adequate and safe
equipment.
3. To exercise reasonable care in the
selection of the hospital staff.
 PERSONS COMING WITHIN THE
PREMISES OF THE HOSPITAL:
1. Trespasser -- enters the property of another without
being granted the privilege to do so.
2. Licensee – neither a customer, a servant or a
trespasser, has no contractual relation with
hospital, is permitted, expressly or impliedly, to be
within the premises for his own interest or
convenience, is not invited but his presence is
merely tolerated.
 PERSONS COMING WITHIN THE
PREMISES OF THE HOSPITAL:
3. Invitee – essential to operation of a hospital or for whom the
hospital has a purpose
- e.g. attending physician, private nurse hired by the patient,
voluntary workers, blood donors, students
• If the cause of an injury is sustained by invitees was due
to negligence of hospital, then the hospital must be held
liable
• but the hospital may put up the defense of assumption of
risk of the invitee to free itself of liability or apply the
doctrine of comparative negligence to mitigate liability
 PERSONS COMING WITHIN THE
PREMISES OF THE HOSPITAL:
e.g. Attending physician: fell in an elevator caused by
malfunction (hospital negligence) > being an employee of the
hospital, the doctor was not precluded (excluded) for
recovering damages from hospital

private nurses: was carrying tray to patients room when she fell
over a pan negligently left in the hall by an employee > she
was an invitee & therefore hospital has duty to make premises
safe > was able to recover damages
 PERSONS COMING WITHIN THE
PREMISES OF THE HOSPITAL:
• Voluntary worker: a candy-stripper was asked by the
nurse to help a patient while the nurse cleaned him up.
The patient became sick at her stomach, fainted & fall
and broke her nose > court held hospital liable
because it was its duty to tell the servant to refrain from
asking an untrained girl to participate in the task
beyond her capacity