STANDARDIZATION AND

UPGRADING OF BARMM
HOSPITALS
 OUTLINE

CATEGORIES OF HOSPITALS HOSPITAL PROFILE AND IMPACT OF STANDARDIZATION

PERFORMANCE AND AND UPGRADING
TRANSITION PLAN
 CATEGORIES
ACCORDING TO
FUNCTIONAL CAPACITY
Level 1 Hospital
A Level 1 hospital shall have, as minimum, the following services and capacity:
a. A staff of qualified medical, allied medical and administrative personnel headed by
a physician duly licensed by the Professional Regulation Commission (PRC);
b. Bed space for its authorized bed capacity in accordance with DOH Guidelines in
the Planning and Design of Hospitals;
c. An operating room with standard equipment and provision for sterilization of
equipment and supplies in accordance with the:
i. DOH Reference Plan in the Planning and Design of an Operating Room/Theater 4
ii. DOH Guidelines on Cleaning, Disinfection and Sterilization of Reusable Medical
Devices in Hospital Facilities in the Philippines
d. A post-operative recovery room;
e. Maternity facilities, consisting of ward(s), room(s), and a delivery room exclusively for
maternity patients and newborns;
f. Isolation facilities with proper procedures for the care and control of infectious and
communicable diseases as well as for the prevention of cross infections;
g. A separate dental section/clinic;
h. A blood station;
i. A DOH-licensed secondary clinical laboratory with the services of consulting pathologist;
j. A DOH-licensed Level 1 imaging facility with the services of a consulting radiologist; and
k. A DOH-licensed pharmacy
Level 2 Hospital
A Level 2 hospital shall have as minimum, all of Level 1 capacity, including, but not limited to, the
following:
a. An organized staff of qualified and competent personnel with Chief of Hospital/Medical Director and
appropriate board-certified Clinical Department Heads;
b. Departmentalized and equipped with 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 sub-specialties and ancillary services;
c. A general Intensive Care Unit (ICU) for critically ill patients;
d. A Neonatal Intensive Care Unit (NICU);
e. A High Risk Pregnancy Unit (HRPU);
f. Provision of respiratory therapy services;
g. A DOH-licensed tertiary clinical laboratory; and
h. A DOH-licensed Level 2 imaging facility with mobile x-ray inside the institution and with capability
for contrast examinations.
Level 3 Hospital
A Level 3 hospital shall have as minimum, all of Level 2 capacity, including, but not limited
to, the following:
a. 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;
b. A physical medicine and rehabilitation unit;
c. An ambulatory surgical clinic;
d. A dialysis unit;
e. A blood bank;
f. A DOH-licensed tertiary clinical laboratory with standard equipment /reagents/ supplies
necessary for the performance of histopathology examinations; and
g. A DOH-licensed level 3 imaging facility with interventional radiology.
In summary, the services and facilities provided by each level of General Hospital is shown below:
SERVICES LEVEL 1
Clinical Services for in-patients Consulting Specialists in:
Medicine Pediatrics OB-Gyne
Surgery
Emergency and Out-patient
Services
Isolation Facilities
LEVEL 2 LEVEL 3
All of Level 1 plus: All of Level 2 plus:
Departmentalized Clinical Teaching/training services with
Services accredited residency training
program in the 4 major clinical
services
Respiratory Unit Physical Medicine and
Rehabilitation Unit
General ICU

Surgical/Maternity Facilities High Risk Pregnancy Unit Ambulatory Surgical Clinic

Dental Clinic NICU Dialysis Clinic

Ancilliary Services Secondary Clinical Laboratory Tertiary Clinical Laboratory Tertiary laboratory with
histopathology
Blood Station Blood Station Blood Bank

1st Level X-ray 2nd Level X-ray with mobile 3rd Level X-ray
unit
Pharmacy Pharmacy Pharmacy
 HOSPITAL PROFILE,
PERFORMANCE, PROPOSAL
AND TRANSITION PLAN
 Hospital Unayan District Tamparan Wao District Buluan District
Hospital District Hospital Hospital Hospital
Level 1 Level 1 Level 1 Level 1
Category No Surgical Capabilities No Surgical With Surgical With Surgical
Capabilities Capabilities Capabilities
2019 2020 2019 2020 2019 2020 2019 2020
Authorized Bed Capacity 10 10 25 25 25 25 75 75
(ABC)
Actual Implementation Bed 20 20 25 25 25 25 69 24

Bed Occupancy Rate (BOR) 229% 129% 139% 92% 151% 84.2% 499% 260.76%
No. of Catchment 5 11 2
Municipalities
No. of Admission 2,984 1,850 3,801 3,107 4,126 2,152 11,309 6,760
Average No. In-patients 8,365 1,560 12,720 8,357 13,707 7,713 225 23,860
Total Outpatients Attended 10,600 7,690 8,182 5,375 11,137 5,769 8,381 6,286
 Datu Blah Sinsuat Sulu Provincial
Hospital
Municipal Hospital Hospital
Level 1 Level 1
Category
With Surgical Capabilities With Surgical Capabilities
2019 2020 2019 2020
Authorized Bed Capacity (ABC) 10 10 100 100
Actual Implementation Bed 35 35 195 205

Bed Occupancy Rate (BOR) 483% 289% 103% 48%

No. of Catchment Municipalities
No. of Admission 4,630 2,851 17,821 6,694
Average No. In-patients 5,511 10,544 39,748 19,293
Total Outpatients Attended 7,295 3,951 42,106 19,292
Unayan District Hospital
◦ STANDARD REQUIREMENT ◦ EXISTING

Bed Capacity: 10 Bed Capacity: 10

Staffing Requirement: 59 Staffing Requirement: 24

Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment
Class 2021 2022
PS 39,179,673.86
PS 14,509,731.00 15,066,285.56
MOOE 13,518,723.73 MOOE 13,518,723.73 13,919,854.74
Total 52,865,174.86 Total 28,028,455.73 28,986,140.30
Unayan District Hospital
◦ GAP (Standard versus Existing) ◦ PROPOSAL

Bed Capacity: 10 Bed Capacity: Upgrade to 50

Staffing Requirement: 113
Staffing Requirement: 35
Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment Class Amount
PS 24,113,388.30 PS 118,334,753.00
MOOE -401,131.01 MOOE 27,375,000.00
Total 23,712,257.29 Total 145,709,753.00
Unayan District Hospital
◦ Proposal versus Existing

Bed Capacity: 50
Increase No. of Beds: 40
Staffing Requirement: 89
Allotment Class Requirement in Amount:

Allotment Class Amount

PS 103,268,467.44
MOOE 13,455,145.26
Total 116,723,612.70
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (89) 103,268,467.44 49,489,108.04 83,911,930.52 118,334,753.00
MOOE 13,455,145.26 18,404,903.16 22,889,951.58 27,375,000.00
Total 116,723,612.70 67,894,011.20 106,801,882.10 145,709,753.00
Tamparan District Hospital
◦ STANDARD REQUIREMENT ◦ EXISTING

Bed Capacity: 50 Bed Capacity: 50

Staffing Requirement: 144 Staffing Requirement: 109

Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment
Class 2021 2022
PS 118,334,753.00
PS 86,462,692.23 85,469,466.12
MOOE 27,375,000.00 24,730,185.53 25,460,175.89
MOOE
Total 145,709,753.00 Total 111,192,877.76 110,929,642.01
Tamparan District Hospital
◦ GAP (Standard versus Existing) ◦ PROPOSAL

Bed Capacity: 50 Bed Capacity: Upgrade to 100

Staffing Requirement: 292
Staffing Requirement: 35
Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment Class Amount
PS 32,865,286.88 PS 217,156,856.00
MOOE 1,914,824.11 MOOE 62,050,000.00
Total 34,780,110.99 Total 279,206,856.00
Tamparan District Hospital
◦ Proposal versus Existing

Bed Capacity: 100

Increase No. of Beds: 50
Staffing Requirement: 183
Allotment Class Requirement in Amount:
Allotment Class Amount
PS 131,687,389.88
MOOE 36,589,824.11
Total 168,277,213.99
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (183) 131,687,389.88 129,365,262.75 173,261,059.37 217,156,856.00
MOOE 36,589,824.11 37,656,783.93 49,853,391.96 62,050,000.00
Total 168,277,213.99 167,022,046.67 223,114,451.34 279,206,856.00
Wao District Hospital
◦ STANDARD REQUIREMENT ◦ EXISTING

Bed Capacity: 25 Bed Capacity: 25

Staffing Requirement: 113 Staffing Requirement: 61

Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment
Class 2021 2022
PS 73,017,134.04
PS 42,076,889.16 43,345,768.08
MOOE 13,687,500.00 MOOE 21,021,024.59 21,667,629.63
Total 86,704,634.04 Total 62,097,913.75 65,013,397.71
Wao District Hospital
◦ GAP (Standard versus Existing) ◦ PROPOSAL

Bed Capacity: 25 Bed Capacity: Upgrade to 50

Staffing Requirement: 144
Staffing Requirement: 52
Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment Class Amount
PS 29,671,365.96 PS 118,334,753.00
MOOE -7,980,129.63 MOOE 27,375,000.00
Total 21,691,236.33 Total 145,709,753.00
Wao District Hospital
◦ Proposal versus Existing

Bed Capacity: 50
Increase No. of Beds: 25
Staffing Requirement: 83
Allotment Class Requirement in Amount:

Allotment Class Amount

PS 74,988,984.92
MOOE 5,707,370.37
Total 80,696,355.29
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (83) 74,988,984.92 68,342,096.39 93,338,424.69 118,334,753.00
MOOE 5,707,370.37 23,570,086.42 25,472,543.21 27,375,000.00
Total 80,696,355.29 91,912,182.81 118,810,967.90 145,709,753.00
Buluan District Hospital
◦ STANDARD REQUIREMENT ◦ EXISTING

Bed Capacity: 75 Bed Capacity: 75

Staffing Requirement: 166 Staffing Requirement: 71

Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment
Class 2021 2022
PS 109,685,446.00
PS 45,847,257.18 47,980,571.12
MOOE 41,062,500.00 MOOE 30,192,042.29 31,091,210.15
Total 150,747,946.00 Total 76,039,299.47 79,071,781.27
Buluan District Hospital
◦ GAP (Standard versus Existing) ◦ PROPOSAL

Bed Capacity: 75 Bed Capacity: Upgrade to 150

Staffing Requirement: 404
Staffing Requirement: 95
Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment Class Amount
PS 61,704,874.88 PS 324,427,561.00
MOOE 9,971,289.85 MOOE 93,075,000.00
Total 71,676,164.73 Total 417,502,561.00
Buluan District Hospital
◦ Proposal versus Existing

Bed Capacity: 150

Increase No. of Beds: 75
Staffing Requirement: 333
Allotment Class Requirement in Amount:

Allotment Class Amount

PS 276,446,989.88
MOOE 61,983,789.85
Total 338,430,779.73
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (333) 276,446,989.88 140,129,567.75 232,278,564.37 324,427,561.00
MOOE 61,983,789.85 51,752,473.43 72,413,736.72 93,075,000.00
Total 338,430,779.73 191,882,041.18 304,692,301.09 417,502,561.00
Datu Blah Sinsuat Municipal Hospital
◦ STANDARD REQUIREMENT ◦ EXISTING

Bed Capacity: 10 Bed Capacity: 10

Staffing Requirement: 59 Staffing Requirement: 42

Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment
Class 2021 2022
PS 39,179,673.86
PS 27,572,354.07 28,825,459.60
MOOE 13,518,723.73 MOOE 20,957,813.99 21,583,251.71
Total 52,698,397.59 Total 76,039,299.47 79,071,781.27
Datu Blah Sinsuat Municipal Hospital
◦ GAP (Standard versus Existing) ◦ PROPOSAL

Bed Capacity: 10 Bed Capacity: Upgrade to 100

Staffing Requirement: 166
Staffing Requirement: 17
Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment Class Amount
PS 10,354,214.26 PS 217,156,856.00
MOOE -8,064,527.98 MOOE 62,050,000.00
Total 2,289,686.28 Total 279,206,856.00
Datu Blah Sinsuat Municipal Hospital
◦ Proposal versus Existing

Bed Capacity: 100

Increase No. of Beds: 90
Staffing Requirement: 124
Allotment Class Requirement in Amount:

Allotment Class Amount

PS 188,331,396.40
MOOE 40,466,748.29
Total 228,798,144.69
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (124) 188,331,396.40 91,602,591.73 154,379,723.87 217,156,856.00
MOOE 40,466,748.29 35,072,167.81 48,561,083.90 62,050,000.00
Total 228,798,144.69 126,674,759.54 202,940,807.77 279,206,856.00
Sulu Provincial Hospital
◦ STANDARD REQUIREMENT ◦ EXISTING

Bed Capacity: 100 Bed Capacity: 100

Staffing Requirement: 292 Staffing Requirement: 227

Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment
Class 2021 2022
PS 204,716,275.28
PS 143,068,095.52 164,110,017.48
MOOE 62,050,000.00 MOOE 74,500,463.13 76,695,030.99
Total 266,766,275.28 Total 217,568,558.65 240,805,048.47
Sulu Provincial Hospital
◦ GAP (Standard versus Existing) ◦ PROPOSAL

Bed Capacity: 100 Bed Capacity: Upgrade to 200

Staffing Requirement: 493
Staffing Requirement: 65
Allotment Class in Amount:
Allotment Class Requirement in Amount:
Allotment Class Amount Allotment Class Amount
PS 40,606,257.80 PS 348,000,063.52
MOOE -14,645,030.99 MOOE 124,100,000.00
Total 25,961,226.81 Total 472,100,063.52
Sulu Provincial Hospital
◦ Proposal versus Existing

Bed Capacity: 200

Increase No. of Beds: 100
Staffing Requirement: 266
Allotment Class Requirement in Amount:

Allotment Class Amount

PS 183,890,046.04
MOOE 47,404,969.01
Total 231,295,015.05
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (266) 183,890,046.04 225,406,699.49 286,703,381.51 348,000,063.52
MOOE 47,404,969.01 92,496,687.33 108,298,343.66 124,100,000.00
Total 231,295,015.05 317,903,386.82 395,001,725.17 472,100,063.52
*Maimbung District Hospital
◦ STANDARD REQUIREMENT

Bed Capacity: 100

Staffing Requirement: 292
Allotment Class Requirement in Amount:
Allotment Class Amount
PS 217,156,856.00
MOOE 62,050,000.00
Total 279,206,856.00
 Transition Plan based on the increase in Bed
Capacity
Allotment Class Proposal 2022 2023 2024
PS (292) 217,156,856.00 217,156,856.00 217,156,856.00 217,156,856.00
MOOE 62,050,000.00 62,050,000.00 62,050,000.00 62,050,000.00
Total 279,206,856.00 279,206,856.00 279,206,856.00 279,206,856.00
 IMPACT OF
STANDARDIZATION
AND UPGRADING
 Ratio on Bed Capacity Against Population
RATIO
Standard Ratio 1 hospital bed : 1,000 population
Projected Bed Need base on Population 4,811 hospital beds
Actual No. of Beds 1,336 hospital beds
Unmet Bed Need 3,475 hospital beds
Current BARMM Ratio 1 hospital bed : 3,602 population

Impact of Proposal on the Bed Need

Ratio
Proposed Increase in Beds in 7 Hospitals 480 hospital beds
Total Projected No. of Beds 1,616 hospital beds
Projected BARMM Ratio 1 hospital bed : 2,977 population
 Impact on Service Delivery
On Bed Occupancy Rate
700

600

500

400

300

200

100

0
2017 2018 2019 2022*

Unayan Tamparan Wao Buluan Datu Blah Sulu

The 2022 assumption was based on the 2019 BOR (since 2020 and 2021 admission abruptly decreased due to
COVID-19), wherein only limited beds and services are available to the patients. Those patients assessed but not
admitted by the hospitals are referred to the referral Hospitals. Referrals are due to non-availability of services and
lack of available beds. Referred patients are excluded from BOR.
 Impact on Service Delivery
Hospitals Services Maybe Provided Cases Maybe Managed
Unayan District Hospital Competent Manpower 1. Mild to Moderate Respiratory Cases
Adequate Bed Space 2. Mild to Moderate Peptic and Intestinal Cases
Wao District Hospital Surgical Services 3. Mild to Moderate Urinary Cases
Maternal and Child Services 4. Mild to Moderate Cardiologic Cases
Clinical Laboratory 5. Mild to Moderate Infectious Diseases
Imaging Facility 6. Mild to Moderate Lifestyle-related Diseases
Pharmacy 7. Cesarian Section
Dental Services 8. Minor Surgical Cases
Outpatient Services
Tamparan District Hospital + +
Intensive Care Unit 1. Severe to Critical Respiratory Cases
Buluan District Hospital Departmentalized Services 2. Severe to Critical Peptic and Intestinal Cases
3. Severe to Critical Urinary Cases
Respiratory Therapy Services 4. Severe to Critical Cardiologic Cases
Datu Blah Sinsuat District Hospital Isolation Unit 5. Severe to Critical Infectious Diseases
High-Risk Pregnancy Unit 6. Severe to Critical Lifestyle-related Diseases
Sulu Provincial Hospital Upgraded Laboratory and Imaging Facilities. 7. Major Surgical Cases
8. Emerging and Re-Emerging Infectious Diseases
Maimbung District Hospital 9. Orthopedic Cases
10. Cancer Cases