MAJOR FACILITY REQUIREMENTS

The following are the major facilities to be considered at the site:

1. Emergency department
2. Outpatient Department
 Orthopedic trauma
 Adult orthopedics
 Pediatrics orthopedics
 Subspecialty
3. In patients Department
 Male Ward
 Female Ward
 Children’s Ward
4. Rehabilitation Department
 Clinical Department
 Ancillary
 Radiographic services
5. Outpatient Department
 Radiographic
 Computed Tomographic (CT Scan)
 Special CT Scan study of
6. In Patients Radiographic Department
 Emergency Room (ER)
 Recovery room / Operating Room
7. Blood bank and transfusion Department
 Screening and Bleeding of donors
 Crossmatching of blood
 Receiving and releasing of blood
8. Pharmacy
 Main pharmacy
 Satellite pharmacy
9. Dental Service Department

ORGANIZATIONAL CHART

Basic Organizational Structure

Office of the Medical

Center chief

Hospital operation Professional education

and management and training

Medical Nursing Non- Medical

Medical Service Nursing service Hospital Operation Finance Service

and patient Support
Service
Medical Service

Office of the medical

center chief

Medical service

Outpatient Department of Health Information

Department Pathology Management

Emergency Medicine Anatomic & Admitting/

Department Clirecal Lab Information

Clinical Department Blood Bank Nutrition & Dietetics

Department of
Special Care Areas Radiology Pharmacy

Dental
Medical Social Work

Nursing Service

Office of the Medical

Center Chief

Nursing service

Clirical Nursing Unit Special Care Areas

Operating Room Central Supply &

Sterilization
 Hospital Operation and Patient Support Medical Service

Office of the Medical

Center Chief

Hospital Operation and

Patient Support Service

Procurement Human Resource

Management

Material Management Engineering &

Facilities
Management

Laundry and
Housekeeping

Finance Service

Office of the Medical

Center Chief

Finance Service

Budget Cash Operations

Accounting

Laundry and
Housekeeping
 ROLES AND RULES
Administrative Division

 Hospital operation and patient support Services

The administrative division provides services from recruitment to retirement of

personnel, procurement of equipment’s, supplies and material drugs and
medicines, property asset and disposal management, plant operation and
maintenance. It is also responsible for the maintenance of internal and external
cleanliness and sanitation. It also provides laundry and linen services, security
and safety of hospital staff, patients, clients, and properties. All these services
are geared towards attaining an atmosphere conductive to the effective and
efficient delivery of health care services, included the services:

a. Human Resource
b. Linen and Laundry
c. Maintenance and Engineering
d. Transportation
e. Security
Office of the Chief of Hospital

Responsible for the overall management and administration of the hospital; formulation
of policies, plans, programs and strategies to ensure implementation of health
standards for the attainment of quality health care and high standards of clinical training
for medical and allied medical personnel; and the day-to-day supervision and
administration of the functional units.

Finance Services

It formulates process geared towards optimal financing, allocation and control of all
resources of the healthcare organization. It provides financial data, reports and
statements that are useful for planning, organizing, directing and controlling the
activities of the organization. The finance service is responsible for financial
transactions of the Hospitals such as:
a. Accounting
b. Budgeting
c. Cash Operations
 d. Billing and Claims

Nursing Division

The nursing services provides and ensure full support in the provision of better health
outcomes, more responsive health care system by establishing and maintaining
standards of nursing care. It also promotes and advocates health, safety and rights of
each patient.

The Nursing Division composed of the following:

a. Emergency Department
b. Operating Room/ Post-Operative Care Unit
c. Intensive Care Unit
d. Out- Patient Department
e. Wards
Medical Division

Shall be responsible for providing quality inpatient and outpatient care and high
standards of clinical training for medical and allied medical personnel, provision of
ancillary and allied health services to patients; promotion of research activities;
implementation of clinical resource management system, and advising and assisting the
chief of hospital in the formulation and implementation of policies, plans and programs
of the hospital.
Anesthesia
Internal Medicine
Ancillary Division
Dental Services
Pathology, Laboratories and Blood Transfusion Service
Pharmacy
Radiology
Rehabilitation and Physical Medicine
‘
 Care Pathways
INPATIENT

Patient admitted in the hospital (intensive

care unit, stroke unit)

Referral to Physiatrist for rehabilitation

evaluation by Neurologist, Internist,
Cardiologist or Family Physician

Treatment given to patient

Physical Therapy

Occupational Therapy

Speech Therapy

Reassessment of patient

1. Modification of Rehabilitation
prescription
2. Assessment of possible medical
complications

Patient discharge:

Discharge planning

Rehabilitation continued as “Outpatient”

OUTPATIENT

Patient referred at outpatient rehabilitation

clinic

Rehabilitation evaluation by Physiatrist

Treatment given to patient

Physical Therapy

Occupational Therapy

Speech Therapy

Reassessment by Physiatrist for:

1. Modification of rehabilitation
prescription
2. Need for assistive device
3. Need for splint orthosis
4. Fall assessment
5. Need for medication
6. Secondary prevention
7. Reintegration into community

Continuation of treatment