Hospital Level Requirements

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AO 2012-0012 classifies hospitals in the Philippines based on ownership (government

or private), scope of services (general or specialized), and functional capacity


(level 1, 2 or 3).

Among others, a Level 1 hospital must have an operating room to be able to provide
surgical services. A Level 2 hospital has all of Level 1 capacity and must be
departmentalized, equipped to be able to provide services in the specialties of
medicine, surgery, pediatrics and obstetrics-gynecology and has an intensive care
unit. A Level 3 hospital has all of Level 2 capacity plus a residency or teaching
program.

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

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
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.

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