The document outlines the hospital licensing process in the Philippines which has 3 phases: pre-inspection, inspection, and post-inspection. It details the requirements, documents, and activities involved in each phase. The goal is to orient stakeholders on the rules for hospital licensing and clarify any issues. Key parts of the process include applying for a Certificate of Need, Permit to Construct, One-Stop Shop licensing, and maintaining standards to obtain a License to Operate. Non-compliance can result in warnings, fines, and license suspension or revocation.
A hospital is a residential establishment which provides short term and long term medical care consisting of observational , diagnostic , therapeutic and rehabilitative services for persons suffering or suspected to be suffering from a disease or injury and for parturients . It may or may not also provide services for ambulatory patients or an out patient basis.
Hospitals are classified into primary, secondary and tertiary based on bed capacity.
Primary hospital
Primary hospital is typically a hospital that contains less than 100 beds They are tasked withproviding preventive care, minimal health care and rehabilitation services.
They are a basic level of contact between individuals and families with the healthy system
They include general practitioners, family physicians and physiotherapist .The basic services provided by them are immunization, maternal and child health services, curative care services and prevention of diseases are provided by PHC.
The staff in PHC includes a medical officer, a staff nurse and paramedical support staff
2. Secondary hospital
Secondary hospitals are preferred with a medium size city, country or district and contain more than 100 beds but less than 500.
They are responsible for providing complete health services and medical education and also conduct research on regional basis.
These hospitals include cardiologists, urologists, dermatologists and other such specialists. The services are provided by medical specialists.
The services include acute care, short period stay in hospital emergency department for brief but serious illness.
There may be providers who remain in contact but do not work in hospitals such as psychiatrists, physiotherapists, respiratory therapists etc.
District hospitals and community health centres at the block level are the examples of secondary hospitals
3) Tertiary hospitals
These are comprehensive or general hospitals of the city at national or provincial level with the bed capacity exceeding 500.
They are responsible for providing specialist health services and play a vital role with regard to medical education and scientific research and they also serve as a medical hub providing care to multiple regions.
The Patients are admitted into these centres on a referral from primary or secondary health professionals.
They offer personnel facility as well as facilities for advanced medical investigation and treatment.
They provide advanced diagnostic support services, specialized intensive care and special services such as neurosurgery, cancer management, cardiac surgery etc that cannot be provided by primary and secondary health centres.
The examples of tertiary hospitals include 3 medical colleges and advanced medical research institutes.
A hospital is a residential establishment which provides short term and long term medical care consisting of observational , diagnostic , therapeutic and rehabilitative services for persons suffering or suspected to be suffering from a disease or injury and for parturients . It may or may not also provide services for ambulatory patients or an out patient basis.
Hospitals are classified into primary, secondary and tertiary based on bed capacity.
Primary hospital
Primary hospital is typically a hospital that contains less than 100 beds They are tasked withproviding preventive care, minimal health care and rehabilitation services.
They are a basic level of contact between individuals and families with the healthy system
They include general practitioners, family physicians and physiotherapist .The basic services provided by them are immunization, maternal and child health services, curative care services and prevention of diseases are provided by PHC.
The staff in PHC includes a medical officer, a staff nurse and paramedical support staff
2. Secondary hospital
Secondary hospitals are preferred with a medium size city, country or district and contain more than 100 beds but less than 500.
They are responsible for providing complete health services and medical education and also conduct research on regional basis.
These hospitals include cardiologists, urologists, dermatologists and other such specialists. The services are provided by medical specialists.
The services include acute care, short period stay in hospital emergency department for brief but serious illness.
There may be providers who remain in contact but do not work in hospitals such as psychiatrists, physiotherapists, respiratory therapists etc.
District hospitals and community health centres at the block level are the examples of secondary hospitals
3) Tertiary hospitals
These are comprehensive or general hospitals of the city at national or provincial level with the bed capacity exceeding 500.
They are responsible for providing specialist health services and play a vital role with regard to medical education and scientific research and they also serve as a medical hub providing care to multiple regions.
The Patients are admitted into these centres on a referral from primary or secondary health professionals.
They offer personnel facility as well as facilities for advanced medical investigation and treatment.
They provide advanced diagnostic support services, specialized intensive care and special services such as neurosurgery, cancer management, cardiac surgery etc that cannot be provided by primary and secondary health centres.
The examples of tertiary hospitals include 3 medical colleges and advanced medical research institutes.
Hospital:
Definition
Classification
Functions of hospitals
Requirements for Hospital
Q. Differences between General Hospital and Specialized Hospital
Hospital Pharmacy
Objectives of hospital pharmacy
Functions of general hospital pharmacy
Operational functions of hospital pharmacy
Administrative structure of hospital pharmacy
Abilities and responsibilities of hospital pharmacist
Hospital – its functions, types and organization- By rxvichu !!! :)RxVichuZ
Hello friends...........:)
This is my first ppt on HOSPITAL PHARMACY SUBJECT......
This ppt comprises:
a. DEFINITION OF HOSPITAL
b. FUNCTIONS OF HOSPITAL
c. CLASSIFICATION OF HOSPITAL
d. ORGANIZATION OF HOSPITAL.........
Hope u like the ppt! do send ur reviews!!!
@rxvichu-alwz4uh!! :)
Hospital Engineering Services is backbone of hospital. The engineering services in a hospital include the Civil assets, Electricity supply, water supply including plumbing and fittings, steam supply, piped medical gases, air and clinical vacuum delivery system, air conditioning and refrigeration, lifts and dumb waiters, public health services, lightening protection, communication system (public address system, telephones, paging system), TV and piped music system, non conventional energy devices, horticulture, arboriculture and landscaping and last but not the least workshop facilities for repairs and maintenance.
Hospital:
Definition
Classification
Functions of hospitals
Requirements for Hospital
Q. Differences between General Hospital and Specialized Hospital
Hospital Pharmacy
Objectives of hospital pharmacy
Functions of general hospital pharmacy
Operational functions of hospital pharmacy
Administrative structure of hospital pharmacy
Abilities and responsibilities of hospital pharmacist
Hospital – its functions, types and organization- By rxvichu !!! :)RxVichuZ
Hello friends...........:)
This is my first ppt on HOSPITAL PHARMACY SUBJECT......
This ppt comprises:
a. DEFINITION OF HOSPITAL
b. FUNCTIONS OF HOSPITAL
c. CLASSIFICATION OF HOSPITAL
d. ORGANIZATION OF HOSPITAL.........
Hope u like the ppt! do send ur reviews!!!
@rxvichu-alwz4uh!! :)
Hospital Engineering Services is backbone of hospital. The engineering services in a hospital include the Civil assets, Electricity supply, water supply including plumbing and fittings, steam supply, piped medical gases, air and clinical vacuum delivery system, air conditioning and refrigeration, lifts and dumb waiters, public health services, lightening protection, communication system (public address system, telephones, paging system), TV and piped music system, non conventional energy devices, horticulture, arboriculture and landscaping and last but not the least workshop facilities for repairs and maintenance.
Global Clinical Tirals.pptx (GCP) Global Clinical Trial means any clinical tr...cisukraine00
Sure, here's a summary of a global clinical trial description:
- **Scope:** The clinical trial is conducted on a global scale, spanning multiple countries or regions.
- **Objective:** It aims to assess the efficacy, safety, or both of a particular intervention, such as a drug, medical device, or treatment method, across diverse populations.
- **Participants:** It involves a diverse participant pool, potentially including individuals from various ethnicities, backgrounds, and geographic locations, to ensure the intervention's applicability across different demographics.
- **Regulatory Compliance:** The trial adheres to regulations and guidelines set forth by multiple regulatory bodies, ensuring consistency and safety in all participating regions.
- **Collaboration:** Often, global trials involve collaboration between multiple research centers, institutions, or pharmaceutical companies across the globe to facilitate recruitment, data collection, and analysis.
- **Logistics and Challenges:** Managing logistics, such as coordinating different time zones, language barriers, diverse healthcare systems, and varying infrastructures, presents challenges in conducting and monitoring the trial.
- **Data Collection and Analysis:** Data collection and analysis procedures are standardized across sites to maintain consistency and reliability in the trial's results.
- **Impact:** Results from global trials have the potential to influence medical practices and policies worldwide, providing insights into the intervention's efficacy and safety in diverse populations.
#Global Clinical Trials #Clinical Research #International Trials
#Healthcare Trials #Medical Research
#Global Health Studies
#Multinational Clinical Trials
#Cross-border Studies
#Pharmaceutical Trials
# Clinical Trial Management
Global clinical trials often fall under various categories based on their nature, focus, or the medical field they address. Here are some common categories:
1. **Therapeutic Area:** Trials can be categorized by the medical condition or disease they aim to address, such as oncology, cardiology, neurology, infectious diseases, etc.
2. **Intervention Type:** Categorization based on the type of intervention being studied, like drug trials, medical device trials, behavioral interventions, surgical procedures, or combination therapies.
3. **Phase of Clinical Trial:** Trials are typically categorized into phases (Phase I, II, III, IV) based on their stage of development and purpose, such as testing safety, efficacy, dosage, and post-market surveillance.
4. **Population Focus:** Some trials might focus on specific populations like pediatric trials, geriatric trials, trials in pregnant women, or trials in rare diseases, catering to particular demographic or medical needs.
5. **Global Health Initiatives:** Trials addressing global health challenges, like infectious disease outbreaks, pandemic responses, vaccine trials in various regions, etc.
6.
Indian regulatory requirements - industrial pharmacy 2Jafarali Masi
Indian Regulatory Requirements: Central Drug Standard Control Organization (CDSCO) and State Licensing Authority: Organization, Responsibilities, Certificate of Pharmaceutical Product (COPP), Regulatory requirements and approval procedures for New Drugs
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
1. Hospital Licensing Process
“Rules and Requirements Explained”
DEPARTMENT OF HEALTH
BUREAU OF HEALTH FACILITIES AND SERVICES
Atty. Nicolas B. Lutero III, CESO III
Director IV
2. Objectives
1. General
To acquire a broad-based view of the hospital
licensing process.
2. Specific
To orient stakeholders on the rules and
requirements involved in hospital licensing;
To clarify issues and enlighten
stakeholders on rules and requirements in
hospital licensing.
3. Acronyms
1. BHFS – Bureau of Health Facilities
and Services
2. CHD – Center for Health
Development
3. CON – Certificate of Need
4. PTC – Permit to Construct
5. OSS – One-Stop Shop
6. LTO – License to Operate
7. AO – Administrative Order
4. DOH Website
www.doh.gov.ph
Doing Business
Licensing
BHFS Requirements
Hospitals and Other Health Facilities
5. The process has 3 phases:
1. Pre-inspection Phase
2. Inspection Phase
3. Post-inspection Phase
6. Pre-inspection Phase
1. Goal:
a) To coordinate with the health
facility to be visited;
b) To inform the management of the
purpose of the inspection and
their participation in the activity.
7. Pre-inspection Phase
2. Activities:
a) Fill up application form
b) Inspection activity agenda
c) Copy of Administrative Order
and other related issuances
d) Checklist of documents to be
available during inspection
8. Inspection Phase
Goal:
To encourage interactive
participation of the key staff
in the inspection process.
10. Post-inspection Phase
Goal:
To make a decision on the extent
to which the health facility is able
to meet the minimum licensing
requirements.
11. Post-inspection Phase
Activities:
b)Regulatory officers collate findings.
c) The team prepares the report.
d)The team submits the report together
with its recommendations to the director
of the CHD.
e)The CHD director approves or
disapproves the issuance of the LTO.
12. Process Flow
CHD
Secretariat
NO Health
Documents facility
complete owner
YES
CHD cashier Pre-inspection Phase
13. Process Flow
Head of the licensing
team at CHD
Additional
requirements
Inspection MD, RN, RMT,
FDRO, HEALTH
Non-compliance proper plus PHYSICIST,
ENGINEER
feedback
Compliance
CHD director approves
issuance of LTO Inspection and
Post-inspection
Phases
14. Hospital Licensing Process
STANDARDS BHFS/ FEEDBACK
CHD Review of accomplished
Legislative Acts
Rules & Regulations DOH forms (application,
inspection, evaluation)
Technical Requirements
Monitoring reports
Administrative SOPs
Oral reports
Manuals
Written reports
Complaints
Consultation meetings
Hospital performance
INPUT PROCESS
OUTPUT
Manpower Application Accomplished forms(application,
Forms Payment of fees inspection, evaluation forms)
Office/ furniture Processing Certificate of Need
Clerical support Inspection Permit to Construct
Travel fund Evaluation Hospital license
Action Reports
Education Enlightened hospital staff
15. Certificate of Need (CON)
A legal document issued by the CHD
regulatory agency with authority over an
area which affirms that a proposed
acquisition, expansion or creation of a
medical facility falling under that authority
is required to fulfill the needs of a
community.
This certificate is necessary for the
construction of a medical facility to be
issued by the responsible CHD.
www.wikipedia
16. CON
Criteria for the establishment of a new
general hospital:
2.Bed to population ratio shall not be
more than 1 bed per 1,000 population
(1:1,000);
3.Travel time – proposed hospital shall
be at least 1 hour away from the
nearest existing hospital;
4.Accessibility – strategically located;
AO No. 2006 - 0004
17. CON
Criteria for the establishment of a new
general hospital:
3.Integration with Provincial/ City
Strategic Plan for the Rationalization of
the Health Care Delivery System Based
on Health Needs;
4.Track record. AO No. 2006 – 0004
AO No. 2006 – 0004 A
AO No. 2006 – 0004 B
AO No. 2006 – 0029
18. CON
Requirements for general hospitals:
Application form for CON
Certification from the Provincial
Planning and Development Office that
the proposed hospital is part of the
duly approved Provincial Hospital/
Health Care Delivery Plan (if available)
AO No. 2006 - 0004
19. Permit to Construct (PTC)
A PTC is a pre-requisite for LTO.
It is required for:
Construction of a new hospital or other
health facility;
Substantial alteration, expansion or
renovation of an existing hospital or
other health facility;
Change in classification
Increase in bed capacity Republic Act 4226
AO No. 147 s. 2004
20. Application for PTC
1. Three sets of site development & architectural floor plans:
a) Signed and sealed by an architect
b) Showing all areas with appropriate scale, dimensions,
and labels
2. For new hospitals:
a) CON from the CHD
b) Zoning certificate/ location clearance from the City/
Municipal Planning and Development Office
c) DTI/ SEC Registration (for private hospital)
d) Board Resolution (for government hospital)
21. One-Stop Shop (OSS)
DOH strategy to harmonize licensure of hospitals, its
ancillary and other facilities, such as but not limited to,
the following:
Clinical laboratory;
HIV testing;
Drinking water analysis;
Drug testing;
Blood bank, blood collection unit, and blood station;
Dialysis clinic;
Ambulatory surgical clinic;
Pharmacy;
Medical x-ray facility.
AO No. 2007 – 0021
22. OSS Exclusion
OSS excludes the following:
Hospital-based medical facility for
overseas workers and seafarers;
Hospital-based drug abuse treatment
and rehabilitation center;
Facility using radioactive material
regulated by the PNRI;
Performance of kidney transplantation.
AO No. 2007 – 0021
23. Application for OSS
Required for all hospitals:
2. Hospital documents
3. Clinical Laboratory
4. Pharmacy
5. Radiology
AO No. 2007 - 0021
24. OSS
When provided by the hospital :
2. Dialysis Clinic
3. Blood Station/ Blood Collection Unit
4. Blood Bank
5. HIV Testing Laboratory
6. Laboratory for Drinking Water Analysis
7. Drug Testing Laboratory
8. Ambulatory Surgical Clinic
9. Birthing home or CEmOC
AO No. 2007 - 0021
25. Classification of Hospitals
A. By function
1. General
2. Special
B. By service capability
1. Level 1
2. Level 2
3. Level 3
4. Level 4
AO No. 2005 - 0029
26. Classification of Clinical Labs
By service capability
1. General Clinical Lab
a. Primary Category
b. Secondary Category
c. Tertiary Category
d. Limited Service
2. Special Clinical Lab
AO No. 2007 - 0027
DM No. 2009 - 0086
27. Classification of X-ray Facilities
By service capability:
1. Level 1 – < 100 ma
2. Level 2 – > 100 ma
special procedures with contrast
3. Level 3 – > 300 ma with image
intensifier system
(e.g. interventional radiology)
AO No. 35 s. 1994
28. Schedule of Fees
a) The applicant, upon filing the application,
shall pay at the CHD or DOH cashier.
b) Fees for the OSS licensure system shall
be regularly reviewed by the BHFS, BHDT,
and BFAD in consultation with the CHDs
and stakeholders.
c) All fees, surcharges, and discounts shall
follow the current DOH prescribed
schedule of fees.
AO No. 2007 – 0023
29. Validity of LTO
The LTO shall be valid for one
year from January 1 to
December 31.
AO No. 2007 – 0021
Republic Act 4226
31. Sanctions
1. Violations involving facilities/ services not
required for hospital licensure:
2nd violation – Php 20,000.00
Every subsequent violation – additional 20%
of the previous fine
4. Fine imposition procedures:
Fines should be paid within 10 working days
after receipt of the official notice.
A surcharge of 3% shall be imposed for each
month of delay in payment. AO No. 2007 - 0022
33. ISSUES/ CONCERNS
cyros_2005@yahoo.com.ph
711-95-72, 743-83-01 loc 2525
Standards Development Division
Bureau of Health Facilities and Services
Department of Health
34. BHFS
Division Contact Landline
person
Standards
Development Dr. Cynthia 743-8301 loc 2525;
Division Rosuman 711-9572
Licensing and
Accreditation Dr. Mercedes 743-8301 loc 2502 –
Division Palma 2504; 711-6982
Monitoring &
Surveillance
Dr. Beauty 743-8301 loc 2528
Division Palongpalong
35.
36. Related Issuances
Health Facility AO
Dialysis Clinic AO No. 163 s. 2004
Blood Station/ Blood AO No. 2008 – 0008
Collection Unit
Blood Bank AO No. 2008 – 0008
HIV Testing Laboratory AO No. 2005 – 0027
Laboratory for Drinking AO NO. 2006 – 0024
Water Analysis
Drug Testing Laboratory IRR revised July 11, 2003
Ambulatory Surgical Clinic AO No. 183 s. 2004
Birthing Home or CEmOC AO No. 2007 – 0039