LEVEL 2 HOSPITAL

INTRODUCTION TO HOSPITAL ADMINISTRATION

DR. CHRISTIAN SALAZAR
 DOH ADMINISTRATIVE ORDER NO. 2012-0012
“NEW CLASSIFICATION OF HOSPITALS AND OTHER HEALTH
FACILITIES”
Department of Health
Bureau of Health Facilities and Services
(HFSRB)
According to Ownership:
A. Government
Created by law. May be under DOH, DND, DOJ,PNP, LGU,SUCs, GOCC and
others
• B. Private
May be a single proprietorship, partnership, corporation, cooperative, foundation,
religious, non-government organization and others (A.O. No. 2012-0012 Rule V. B. 1.a., p.6)
LEVEL 2 HOSPITAL
Is a departmentalized hospital and non teaching and training hospital that provide
clinical care and management on the prevalent diseases in the locality as well as particular
forms of treatment, surgical procedure and intensive care.
The basic structure of a hospital is composed of three major divisions; namely, Medical, Nursing and
Administrative. However, it varies depending on the classification and levels of service capabilities

DEPARTMENT OF
HEALTH

HOSPITAL

MEDICAL NURSING ADMINISTRATIVE

ORGANIZATIONAL STRUCTURE FOR LEVEL 2
HOSPITAL
Office of the Medical
Center Chief/ Chief
of Hospital

Office of the Chief

of the Administrative
and Finance Service

Internal
Patient Support
Administrative General Services Finance Management
Services
Management

Human Resource Admitting and

Engineering Accounting
Management Information

Procurement
Property and Supply Linen and Laundry Medical Records Budget
Management

Central Information Nutrition and

Housekeeping Billing and Claims
Management Dietetics

Security Pharmacy Cash Management

Medical Social
Service
 ORGANIZATIONAL STRUCTURE OF THE NURSING
SERVICE SHOWING LEVELS OF POSITION
Medical Center Chief

Chief, Medical Supervising Nurse Senior Nurse

Nurse I Nursing Attendant
Professional Staff Nurse III Nurse II

Supervising Nurse Senior Nurse

Chief Nurse Assistant Chief Nurse Nurse I Nursing Attendant
Nurse III Nurse II

Chief Administrative Supervising Nurse Senior Nurse

Nurse I Nursing Attendant
Officer Nurse III Nurse II
SERVICE CAPABILITIES OF LEVEL 2 HOSPITAL

• LEVEL 1 PLUS ALL:

> Departmentalized Clinical Services
> Respiratory Unit
> General ICU
> High Risk Pregnancy Unit
> Neonatal Intensive Care Unit
>Tertiary Clinical Laboratory
>Blood Station
> Second Level X-ray with Mobile Unit
LEVEL 2 HOSPITAL
FLOOR PLAN
*When the services are contracted out, these areas are not required. However, a contract
of service or memorandum of agreement with a service provider should be secured as a
prerequisite for license to operate.
1. PHYSICAL PLANT
1.1Administrative Service – Business office located near the main entrance of the hospital
>Lobby
>Waiting Area, Information, Reception and Communication Area, Public Toilet (M/F/PWD)
Staff Toilet (M/F)
>Admitting and Social Service Area
>Business Office
>Billing, cashier, budget and finance
>Medical Records Section >Sorting and Washing Area*
>Personnel Office >Pressing and Ironing Area*
>Prayer Room >Storage Area
>Office of the Administrative Officer >Maintenance Office
>Office of the Chief of Hospital >Work Area*
>Office of the Chief of Clinics >Housekeeping Area*
>Conference and Training Room >Motorpool* and Ambulance Parking Area
>Library >Property and Supply Office
>Staff Toilet >Waste Holding Room
>Laundry and Linen Office >Dietary
>Dietary >Garbage Disposal Area
>Dietitian Office >Dining Area
>Supply Receiving Area* >Toilet
>Cold and Dry Storage Area* >Cadaver Holding Area
>Food Preparation Area*
>Cooking and Baking Area*
>Serving and Food Assembly Area*
>Washing Area
 Dietary, maintenance and other non-patient contact services located in areas away from
normal traffic with the hospital, or located in separate buildings within the hospital
premises
> The dietary service shall be away from the morgue with at least 25-meter distance
 CLINICAL SERVICE

EMERGENCY ROOM- located in the ground floor to ensure easy access for patients
>Separate entrance to eh emergency
>Ramp for wheel chair access (with clear width of at least 1.22m. Or 4ft)
>Easily accessible to the clinical and ancillary services (laboratory, radiology, pharmacy,
operating room)
>Nurses station located to permit observation of patient and control of access to entrance,
waiting area, and treatment area
>Waiting Area >Observation Area
>Toilet >Isolation room with toilet and ante room
with PPE rack, sink/lavatory
>Nurses’ Station
>Triage >Equipment and supply storage area

>Minor/OR Area >Wheeled Stretcher Area

>Examination and Treatment Area with

Lavatory/Sink
 OUTPATIENT DEPARTMENT

>Located near the main entrance of the lavatory/sink

hospital to ensure easy access for patients >Dental Clinic
>Separate toilets for patients and staff >Office of the Department Head
>Waiting area >Medicine
>Toilet >Pediatrics
>Admitting and Records Area >Obstetrics and Gynecology
>Consultation Area >Surgery and Anesthesia
>Respiratory Unit
>Examination and treatment area with
 SURGICAL SERVICE

>Located and arranged to prevent non-related traffic through the suite

>Operating room located as remote as practicable from the entrance to the suite to provide
greater asepsis
>Dressing room arranged to avoid exposure to dirty areas after changing to surgical garments
>Nurses station located to permit visual observation of patient and movement into the suite
>Scrub-up area recessed into an alcove or other open space out of the main traffic
>Sub-sterilizing area shall be provided and accessible form the operating room
>Recovery room located within the suite in an area near the entrance to the suite
>Major Operating Room >Nurses Station/Work area
>Recovery room with Nurses Work Area >Wheeled Stretcher Area
>Sub-Sterilizing Area/ Work Area >Janitor’s Closet with mop sink
>Scrub-up Area
>Clean-up Area
>Male dressing room and toilet
>Female dressing room and toilet
 OBSTETRICAL SERVICE

>Located and arranged to prevent non-related traffic through the suite

>Delivery room located as remote as practicable from the entrance to the suite to provide
greater asepsis
>Dressing room arranged to avoid exposure to dirty areas after changing to surgical garments
>Nurses station located to permit visual observation of patient and movement into the suite
>Scrub-up area recessed into an alcove or other open space out of the main traffic
>Sub-sterilizing area shall be provided and accessible form the delivery room
>Delivery room and NICU located on the same floor
>NICU separate but immediately accessible from the delivery room
>Delivery Room >Male dressing room and toilet
>High Risk Pregnancy Unit >Female dressing room and toilet
>Labor room with toilet >Nurses Station/Work area
>Sub-sterilizing area/work area >Wheeled Stretcher Area
>Sterile Instrument, supply and storage area >Janitor’s Closet with mop sink
>scrub-up area
>clean-up area
 NEONATAL INTENSIVE CARE UNIT (NICU)

>Nurses Station/Work station

>Newborn care area
>Breastfeeding area with lavatory
>Treatment Area
>Viewing Area
 NURSING UNIT

>Nurses station located and designed to allow visual observation of patient and movement
into the nursing unit
>Nurses station provided in all nursing units of the hospital with a ratio of at least one 1
nurses station for every thirty five 35 beds
>Toilet immediately accessible form each room in a nursing unit
>Separate toilets and rooms for male and female patients
>Patient room with toilet
>Isolation room with toilet and Ante room with PPE rack, sink/lavatory and hamper
>Nurses Station
>Utility area
>Linen area
>Toilet
>Treatment and Medication area with sink/lavatory
 INTENSIVE CARE UNIT

>Nurses Station with work area with sink/lavatory

>Medication Preparation Area
>Toilet
>Patient Area
>Dressing Area
>Equipment and Supply Storage area
 CENTRAL STERILIZING AND SUPPLY ROOM

>Receiving and Cleaning area

>Inspection and Packing Area
>Sterilizing Room
>Storage and Releasing Area
 NURSING SERVICE

>Office of the Chief Nurse

>Toilet
ANCILLARY SERVICE
>Tertiary Clinical Laboratory
>Clinical Work area with lavatory/sink (min. of 60.00 sq.m.)
>Pathologist Area
>Microbiology Room
>Extraction Area Separate from Clinical Work Area
>Toilet
>Blood Station
 RADIOLOGY
(2ND LEVEL)
>X-ray room with control booth, dressing area and toilet
>Dark room
>Film file and Storage area
>Radiologist Area
PHARMACY
>Work counter with sink
 PLANNING AND DESIGN

>Floor plans properly identified and completely labeled

>Conforms to applicable codes as part of normal professional service:
>Exits restricted to the following types: door leading directly outside the buildings, interior stair, ramp, and exterior stair
>Minimum of two 2 exits, remote from each other, for each floor of the building
>Patient corridors for ingress and egress shall be at least 2.44 meters in clear and unobstructed width
>Exits terminate directly at an open space to the outside of the building
>Minimum of one 1 toilet on each floor accessible to the disabled
>Meets prescribed functional programs:
>main entrance of the hospital directly accessible from public road
>ramp or elevator for clinical, nursing and ancillary service located on the upper floor
 STAFFING PATTERN FOR LEVEL 2 HOSPITAL
(150-200 BED CAPACITY)
ORG. UNIT 150 200
A. OFFICE OF THE MEDICAL DIRECTOR
1. Office of the Medical Center Chief
>Medical Center Chief1 1 1
>Administrative Assistant III 1 1
TOTAL 2 2
2. Integrated Hospital Operations and Management Program
> Computer Maintenance Technologist II 1 1
> Computer Maintenance Technologist I 1 2
TOTAL 2 3
 ORG. UNIT 150 200
B. MEDICAL SERVICE
1. Office of the Chief Medical Professional Staff
>Chief of Medical Professional Staff I 1 1
> Administrative Assistant I 1 1
TOTAL 2 2
2. OUTPATIENT DEPARTMENT
> Medical Specialist III 1 1
> Medical Specialist II 1 1
> Medical Officer IV 1 1
>Nurse III 1 1
>Psychologist II 1 1
>Health Education and Promotion Officer II 1 1
>Nurse I 3 4
>Nursing Attendant 1 2 2
TOTAL 11 12
 ORG. UNIT 150 200
3. EMERGENCY MEDICINE DEPARTMENT
>Medical Specialist III 1 1
>Medical Specialist II 2 2
>Medical Officer IV 1 1
>Medical Officer III 5 6
>Nurse III 1 1
>Nurse II 10 13
>Nursing Attendant II 6 7
TOTAL 26 31
4. CLINICAL DEPARTMENT
>Medical Specialist III 5 5
>Medical Specialist II 12 19
>Medical Officer IV 6 8
>Medical Officer III 12 16
TOTAL 35 48
 ORG. UNIT 150 200
5.SPECIAL CARE AREAS
>Medical Specialist III 2 2
>Medical Officer 4 4
TOTAL 6 6
6. DEPARTMENT OF PATHOLOGY
>Medical Specialist III 1 1
>Administrative Aide VI 1 1
TOTAL 2 2
a. Blood Bank
>Medical Specialist II 1 1
>Medical Technologist III 1 1
>Medical Technologist II 3 4
>Nurse II 3 3
TOTAL 8 9
 ORG. UNIT 150 200
b.Anatomic and Clinical Laboratory
> Medical Specialist II 1 2
>Medical Technologist III 1 1
>Chemist II 1 1
>Medical Technologist II 3 3
>Medical Technologist I 4 4
>Medical Laboratory Technician II 4 4
>Laboratory Aide II 4 5
TOTAL 18 20
7. DEPARTMENT OF RADIOLOGY
>Medical Specialist III 1 1
>Medical Specialist II 2 2
>Radiologic Technologist III 1 1
>Radiologic Technologist II 3 3
>Radiologic Technologist I 3 3
>Administrative Aide IV 1 1
TOTAL 11 11
 ORG. UNIT 150 200
8. DENTAL
>Dentist IV 1 1
>Dentist III 0 1
>Dentist II 1 1
>Dental Aide 1 1
TOTAL 3 4
9.HEALTH INFORMATION MANAGEMENT
>Administrative Officer V 1 1
>Statistician 1 1
>Administrative Officer IV 1 1
>Administrative Officer I 2 3
>Data Controller II 2 3
TOTAL 7 9
a. ADMITTING/INFORMATION
>Administrative Officer II 1 1
>Administrative Assistant I 5 6
TOTAL 6 7
 ORG. UNIT 150 200
10. NUTRITION AND DIETETICS
>Nutritionist-Dietitian III 1 1
>Nutritionist-Dietitian I 2 2
>Cook 4 5
>Administrative Aide III 6 7
TOTAL 13 15
11. PHARMACY
>Pharmacist III 1 1
>Pharmacist I 6 8
>Administrative Assistant II 1 1
TOTAL 8 10
12. MEDICAL SOCIAL WORK
>Social Welfare Officer III 1 1
>Social Welfare Officer I 3 4
>Social Welfare Assistant 1 1
TOTAL 5 6
 ORG. UNIT 150 200
c. NURSING SERVICE
1.Office of the Chief Nurse
>Nurse VI 1 1
>Nurse V 1 1
>Nurse IV 1 1
>Administrative Aide VI 1 1
TOTAL 4 4
2.CLINICAL NURSING UNITS
>Nurse III 2 2
>Nurse II 4 5
>Nurse I 51 67
>Nursing Attendant I 26 34
TOTAL 83 108
3.OPERATING ROOM
>Nurse III 1 1
>Nurse II 2 2
>Nurse I 12 16
 ORG. UNIT 150 200
4.DELIVERY ROOM
>Nurse III 1 1
>Nurse II 6 8
>Nurse I 5 6
>Midwife I 5 6
TOTAL 17 21
5. SPECIAL CARE ARES
a. Post Anesthesia Unit
>Nurse III 1 1
>Nurse II 6 7
>Nursing Attendant II 3 3
TOTAL 10 11
b. Intensive Care Unit
>Nurse III 1 1
>Nurse II 6 7
>Nursing Attendant II 2 2
TOTAL 9 10
 ORG. UNIT 150 200
c. NEONATAL INTENSIVE CARE UNIT
>Nurse III 1 1
>Nurse II 14 18
>Nursing Attendant II 6 8
TOTAL 21 27
d. PULMONARY/RESPIRATORY UNIT
>Respiratory Therapist II 1 1
>Respiratory Therapist I 3 4
>Laboratory Aide II 3 4
TOTAL 7 9
6. CENTRAL SUPPLY AND STERILIZATION
>Nurse III 1 1
>Nurse II 2 4
>Nursing Attendant II 5 6
TOTAL 8 11
 D.HOSPITAL OPERATIONS AND PATIENT SUPPORT
DEPARTMENT
ORG. UNIT 150 200
1. OFFICE OF THE ADMINISTRATIVE OFFICER
>Supervising Administrative Officer 1 1
>Administrative Aide VI 1 1
TOTAL 2 2
2.HUMAN RESOURCE MANAGEMENT
>Administrative Officer V 1 1
>Administrative Officer IV 1 1
>Administrative Officer III 1 2
>Administrative Assistant II 2 2
TOTAL 5 6
 ORG. UNIT 150 200
3. PROCUREMENT
>Administrative Officer V 1 1
>Administrative Officer IV 1 1
>Administrative Officer III 1 1
>Administrative Assistant I 2 2
TOTAL 5 5
4. MATERIALS MANAGEMENT
>Administrative Officer V 1 1
>Warehouseman II 1 1
>Administrative Assistant I 1 1
>Administrative Aide IV 3 4
TOTAL 6 7
a. HOUSEKEEPING/LAUNDRY
>Hospital Housekeeper 2 -
>Laundry Worker II 2 -
>Seamstress 1 -
TOTAL 5 -
 ORG. UNIT 150 200
5. ENGINEERING AND FACILITY MANAGEMENT
>Engineer III 1
>Engineer II 1
>Engineer Assistant 1
>Medical Equipment Technician II 1
>Medical Equipment Technician I 2
>Administrative Aide VI 5
>Administrative Aide IV 2
TOTAL 13
6. BUDGET
>Administrative Officer V 1 1
>Administrative Officer II 1 1
>Administrative Officer II 1 1
TOTAL 3 3
 ORG. UNIT 150 200
7.ACCOUNTING
>Accountant III 1 1
>Accountant II 1 1
>Administrative Assistant II 4 5
TOTAL 6 7
a. BILLING AND CLAIMS
>Administrative Officer IV 1 1
>Administrative Officer I 1 1
>Administrative Aide VI 5 7
TOTAL 7 9
8.CASH OPERATIONS
>Administrative Officer V 1 1
>Administrative Officer I 5 6
>Administrative Assistant II 1 3
TOTAL 7 10
9.SECURITY (to be contracted out)
TOTAL 404 493