Technological Institute of the Philippines

938 Aurora Blvd Cubao, Quezon City

Architectural Design 7

HOSPITAL and HEALTH FACILITY

Submitted by:
BOQUIRON, NAJA MEI S.
NACABUAN, IAN PATRICK
PITOGO, JEANETTE P.
SALVADOR, KARLO BENJAMIN B.

Submitted to:
Arch. Billie A. Cruz
January 20, 2020
OUTLINE:

Hospital and Health Facility Classification:

Classification of Hospital
Types of Hospital (According to classification)
Classification of Health Facilities
Standards, Laws, Codes, Guidelines
Guidelines in the planning and Design of a Hospital and other
Health Facilities
Schematic Plans and Technical Requirements of 100-bed
hospital
Licensing Requirements for Level 1/2/3 Hospital
Spaces and required area per square meter
Ratio of Staff to patient
Others

Case study:
General Hospital
Historical Background
Mandate, Mission, Vision
Photos
Hospital and Health Facility Classification:

CLASSIFICATION OF HOSPITALS
A. According to Ownership
B. According to Scope Of Services
C. According to Functional Capacity

TYPES OF HOSPITALS
A. Government Hospital (According to Ownership)
B. Private Hospital (According to Ownership)
C. General Hospital (According to Scope Of Services and Functional
Capacity)
• Level 1 (According to Functional Capacity)
• Level 2 (According to Functional Capacity)
• Level 3 (According to Functional Capacity)
D. Specialty Hospital (According to Scope Of Services and Functional
Capacity)
E. Trauma capability of Hospitals (According to Functional Capacity)
• Trauma-capable facility
• Trauma-receiving facility

CLASSIFICATION OF OTHER HEALTH FACILITIES

1. Category A: Primary Care Facility
2. Category B: Custodial Care Facility
3. Category C: Diagnostic/Therapeutic Facility
4. Category D: Specialized Out-Patient Facility
 ACCORDING TO OWNERSHIP
Government Private
Created by law. A government Owned, established and operated
health facility may be under the with funds through donation,
national government, doh, local principal, investment or other
government unit (lgu), department means by any individual,
of national defense (dnd), corporation, association or
philippine national police (pnp), organization. A private health
department of justice (doj), state facility may be a single
universities and colleges (sucs), proprietorship, partnership,
government owned and controlled corporation, cooperative,
corporations (gocc) and others. foundation, religious, non-
government organization and
others
ACCORDING TO SCOPE OF SERVICES
General Specialty
A hospital that provides services A hospital that specializes in a
for all kinds of illnesses, diseases, particular disease or condition or
injuries or deformities. A general in one type of patient.
hospital shall provide medical and
surgical care to the sick and
injured, maternity, newborn and
child care.
It shall be equipped with the A specialized hospital may be
service capabilities needed to devoted to treatment of any of the
support board certified/eligible following:
medical specialists and other
licensed physicians rendering a. Treatment of a particular
services in, but not limited to, the type of illness or for a particular
following: condition requiring a range of
treatment.
a. Clinical Services
1. Family Medicine; b. Treatment of patients
2. Pediatrics; suffering from diseases of a
3. Internal Medicine; particular organ or groups of
4. Obstetrics and Gynecology; organs.
 5. Surgery;
b. Emergency Services; c. Treatment of patients belonging
c, Outpatient Services; to a particular group such as
d. Ancillary and Support Services children, women, elderly and
such as, clinical laboratory, others.
imaging facility and pharmacy.

ACCORDING TO FUNCTIONAL CAPACITY

Level 1 Level 2
General Hospital General Hospital
A Level I hospital shall have as A Level 2 hospital shall have as
minimum the services stipulated minimum, all of Level 1 capacity,
under Rule V. B. 1. b. 1. of this including, but not limited to, the
Order, including, but not limited following:
to, the following:
1. An organized staff of
1. A staff of qualified medical, qualified and competent personnel
allied medical and administrative with Chief of Hospital/Medical
personnel headed by a physician Director and appropriate board
duly licensed by PRC; certified Clinical Department
2. Bed space for its authorized bed Heads;
capacity in accordance with DOH 2. Departmentalized and
Guidelines in the Planning and equipped with the service
Design of Hospitals; capabilities needed to support
3. An operating room with board certified/eligible medical
standard equipment and provision specialists and other licensed
for sterilization of equipment and physicians rendering services in
supplies in accordance with: the specialties of Medicine,
a. DOH Reference Plan in Pediatrics, Obstetrics and
the Planning and Design of an Gynecology, Surgery, their
Operating Room/Theater (Annex subspecialties and ancillary
A); services;
b. DOH Guidelines on 3. Provision for general ICU
Cleaning, Disinfection and for critically ill patients;
Sterilization of Reusable Medical
Devices in Hospital Facilities in 4. Provision for NICU;
the Philippines (Annex B); 5. Provision for HRPU;
4. A post-operative recovery 6. Provision for respiratory
room; therapy services;
5. Maternity facilities, consisting 7. A DOH licensed tertiary
of ward(s), room(s), a delivery clinical laboratory;
room, exclusively for maternity 8. A DOH licensed level 2
patients and newborns; imaging facility with mobile x-ray
6. Isolation facilities with proper inside the institution and with
procedures for the care and capability for contrast
control of infectious and examinations.
communicable diseases as well as
for the prevention of cross
infections;
7. A separate dental section/clinic;
8. Provision for blood station;
9. A DOH licensed secondary
clinical laboratory with the
services of a consulting
pathologist;
10. A DOH licensed level 1
imaging facility with the services
of a consulting radiologist;
11. A DOH licensed pharmacy.
 Level 3 Specialty
General Hospital Hospital
A Level 3 hospital shall have as a hospital that specializes in a
minimum, all of Level 2 capacity, particular disease or condition or
including, but not limited to, the in one type of patient. A
following: specialized hospital may be
devoted to treatment of any of the
following:

1. Teaching and/or training a. Treatment of a particular

hospital with accredited residency type of illness or for a particular
training program for physicians in condition requiring a range of
the four (4) major specialties treatment.
namely: Medicine, Pediatrics, Examples of these hospitals are
Obstetrics and Gynecology, and Philippine Orthopedic Center,
Surgery. National Center for Mental
2. Provision for physical Health, San Lazaro Hospital, a
medicine and rehabilitation unit; hospital dedicated to the treatment
3. Provision for ambulatory of cancer.
surgical clinic;
4. Provision for dialysis b. Treatment of patients
facility; suffering from diseases of a
5. Provision for blood bank; particular organ or groups of
6. A DOH licensed tertiary organs.
clinical laboratory with standard Examples of these hospitals are
equipment/reagents/supplies Lung Center of the Philippines,
necessary for the performance of Philippine Heart Center, National
histopathology examinations; Kidney and Transplant Institute, a
7. A DOH licensed level 3 hospital dedicated to treatment of
imaging facility with eye disorders.
interventional radiology.
c. Treatment of patients belonging
to a particular group such as
children, women, elderly and
others.
Examples of these hospitals are
Philippine Children's Medical
 Center, National Children's
Hospital, Dr. Jose Fabella
Memorial Hospital.
Trauma Capability ➢ The trauma capability of
of Hospitals hospitals shall be assessed in
accordance with the
guidelines formulated by the
Philippine College of
Surgeons (PCS).
A. Trauma-Capable Facility B. Trauma-Receiving Facility

— a DOH licensed hospital — a DOH licensed hospital within

designated as a Trauma Center. the trauma service area which
receives trauma patients for
transport to the point of care or a
trauma center.

CLASSIFICATION OF OTHER HEALTH FACILITIES

Category A: Primary 1. With In-patient beds — a short stay
Care Facility facility where a short (average of one to
three days) length of time is spent by
— a first-contact patients before discharge. Examples are, but
healthcare facility that not limited to, the following:
offers basic services
including emergency a. Infirmary;
service and provision for b. Birthing Home
normal deliveries. It is 2. Without beds — a facility where
subdivided into: medicine, medical and/or dental
examination/treatment is dispensed.
Examples are, but not limited to, the
following:
 a. Medical Out-patient Clinic;
b. Medical Facility for Overseas Workers
and Seafarers (OFW clinic);
c. Dental Clinic.

Category B: Custodial ➢ Custodial Psychiatric Care Facility;

Care ➢ Substance/Drug Abuse Treatment and
Facility Rehabilitation Center;
➢ Sanitarium/Leprosarium;
— a health facility that ➢ Nursing Home.
provides long term care,
including basic human
services like food and
shelter to patients with
chronic or mental illness,
patients in need of
rehabilitation owing
substance abuse, people
requiring ongoing health
and nursing care due to
chronic impairments and
a reduced degree of
independence in
activities of daily living.
Examples of such
facilities are, but not
limited to, the following:
 Category C: 1. Laboratory Facility, such as, but not
Diagnostic/Therapeutic limited to, the following:
Facility a. Clinical Laboratory;
b. Human Immunodeficiency Virus
— a facility that (HIV) Testing Laboratory;
examines the human c. Blood Service Facility;
body or specimens from d. Drug Testing Laboratory;
the human body (except e. Newborn Screening Laboratory;
laboratory for drinking f. Laboratory for Drinking Water
water analysis) for the Analysis.
diagnosis, sometimes 2. Radiologic Facility, such as, but not
treatment of diseases. limited to, the following:
The test covers the pre- a. Ionizing Machines as X-Ray, CT
analytical, analytical and scan, mammography and others.
post-analytical phases of b. Non-Ionizing Machines as MR1,
examination. ultrasound and others.
3. Nuclear Medicine Facility — a facility,
presently regulated by PNRI, embracing all
applications of radioactive materials in
diagnosis, treatment or in medical research,
with the exception of the use of sealed
radiation sources in radiotherapy.
Category D: ➢ Dialysis Clinic;
Specialized Out- ➢ Ambulatory Surgical Clinic;
Patient Facility ➢ In-Vitro Fertilization Center;
➢ Stem Cell Facility;
— a facility with highly ➢ Oncology Chemotherapeutic
competent and trained Center/Clinic;
staff that performs ➢ Radiation Oncology Facility;
highly specialized ➢ Physical Medicine and Rehabilitation
procedures on an out- Center/Clinic.
patient basis. Examples
are, but not limited to,
the following:
 STANDARDS TO FOLLOW FOR EVERY HOSPITALS AND
HEALTHCARE FACILITIES

Every health facility shall be organized to provide safe, quality, effective

and efficient services for patients.

PERSONNEL

Every health facility shall have an adequate number of qualified, trained

and competent staff to ensure efficient and effective delivery of quality
services.

1. Every health facility shall have a duly licensed physician to oversee

the clinical/ medical operations of the health facility.
2. The staff composition, particularly the Medical, Allied Medical,
Nursing, Administrative and Finance Sections of the hospital, shall depend
on the workload and the services being provided and other personnel
qualifications as may be required by DOH.
3. There shall be staff development and continuing education program
at all levels of organization to upgrade the knowledge, attitude and skills
of staff.

PHYSICAL FACILITIES

Every health facility shall have physical facilities with adequate areas to
safely, effectively and efficiently provide health services to patients as
well as members of the public as necessary.
1. Every health facility shall comply with the applicable local and
national regulations for the construction, renovation, maintenance and
repair of the health facility.
2. Every health facility shall provide enough space for the conduct of
its activities depending on its workload and the services being given.
3. Every health facility shall have an approved DOH-PTC in accordance
with the planning and design guidelines prepared by DOH.
EQUIPMENT AND INSTRUMENTS

Every health facility shall have available and operational equipment and
instruments consistent with the services it will provide.
Every health facility shall be adequately equipped based on the level and
complexity of healthcare it provides.
2. There shall be a program for calibration, preventive maintenance and
repair of equipment.
3. There shall be a contingency plan in case of equipment breakdown
and malfunction.

SERVICE DELIVERY

Every health facility shall ensure that the services delivered to patients
comply with the standard quality embodied in the Assessment Tool for
licensure/accreditation of health facilities, other policy guidelines and/or
related issuances.
1. Every health facility shall have documented administrative Standard
Operating Procedures (SOP) for the provision of its services.
2. Every health facility shall have documented technical policies and
procedures in the different clinical areas of the facility.
3. Every health facility shall have documented policies and procedures
on the establishment of its referral system.
4. The management of the health facility shall ensure that blood comes
from licensed blood centers or authorized blood stations.
a, Blood shall be obtained only from DOH designated blood centers or the
Philippine Red Cross.
b. A Memorandum of Agreement (MOA) shall be entered into with
hospital facilities capable of blood transfusion and with volunteer donors.

QUALITY IMPROVEMENT (QI) ACTIVITIES

Every health facility shall establish and maintain a system for continuous
quality improvement activities.
1. Each health facility shall have policies and procedures on Quality
Assurance Program (QAP) and continuous quality improvement.
2. The Quality Assurance Program shall have a written plan and its
implementation shall be continuous with periodic reviews.
3. All hospitals and, whenever applicable, other health facilities, shall
participate in the National External Quality Assessment Scheme being
conducted by the National Reference Laboratories.

INFORMATION MANAGEMENT

Every health facility shall maintain a system of communication, recording

and reporting of results of examinations.
1 Contents of Medical Records
Each patient record shall be kept confidential and shall contain sufficient
information to identify the patient and to justify the diagnosis and
treatment. Current medical records shall contain, but are not limited to, the
following:
a. Summary or face sheet with patient identification data, diagnosis,
physician's name and phone number, family member to be contacted in
case of emergency and phone number, patient's address and phone
number, date of admission;
b. Doctor's orders. Standing orders shall be up-to-date.
e. Informed consent;
d. Problem list;
e. Clinical and graphic record of patient's vital signs;
f. Personal history and physical examination records;
g. Newborn record and physical maturity rating, whenever warranted;
h. Doctor's progress notes;
i. Medication and/or treatment record;
j. Laboratory and x-ray reports;
k. Operative and anesthesia records;
1. Dietary assessment;
m. Nurse's progress notes;
n. Records of transfer/referral of patient to another physician or health
facility;
o. Inpatient referral/ consultation notes of other physicians
p. Final Diagnosis;
q. Discharge summary;
r. Clinical Abstract;
s. Advance Directive, whenever available.
2. Collection and Aggregation of Data
a. There shall be relevant, accurate, qualitative and quantitative data for
the timely and efficient delivery of health services.
1. All hospitals and other health facilities (specified by DOH), shall
submit reports to BHFS/CHD on a regular basis in accordance with the
following statistical report format posted at DOH website
www.doh.gov.ph.
a. Annual Statistical Report of Hospitals (Annex E)
b. Annual Statistical Report of Birthing Homes (Annex F)
2. All hospitals and other health facilities shall submit data/information as
may be required by DOH through BHFS for purposes of research,
standards setting, improving access to quality health services and others.
3. All reports to be submitted to DOH shall be automated/ computerized.
b. All hospitals and other health facilities shall maintain a logbook of
Sentinel/Adverse Events (Annex G) following the format posted at DOH
website www.doh.gov.ph.
c. All health facilities shall maintain technical records/logbooks on the
following, the formats of which are posted at DOH website
www.doh.gov.ph.
1. Reports on Results of Water Analysis (Annex H)
2. Preventive and Corrective Maintenance of Equipment (Annex I)
3. Maintenance and Monitoring of Physical Facility (Annex J)
3. Records Management
a. There shall be documented policies and procedures on access to and
confidentiality of patient's information. Likewise, the right of the patient
to obtain records of treatment and other relevant medical information shall
be observed.
b. Retention and disposal of medical records and other relevant
information whether paper-based or electronic media shall be in
accordance with the standards promulgated by DOH or by competent
authorities for such purposes.
ENVIRONMENTAL MANAGEMENT
Every health facility shall ensure that the environment is safe for its
patients and staff including members of the public as necessary and that
the following measures and/or safeguards shall be observed.
1. There shall be well ventilated, lighted, clean, safe and functional areas
based on the services provided.
2. There shall be a program of proper maintenance and monitoring of
physical facilities.
3. Water supply for all purposes shall be adequate in volume and pressure.
Likewise, safe and potable water shall be available at all times.
4. There shall be procedures for the proper disposal of infectious wastes
and toxic and hazardous substances in accordance with R.A. 6969 known
as "Toxic and Hazardous Substances and Nuclear Wastes Act" and other
related policy guidelines and/or issuances.
a. Each health facility shall establish and implement a system for
proper solid waste management which shall be in accordance with the
revised DOH Manual on Health Care Waste Management and
Environmental Management Bureau — Department of Environment and
Natural Resources (EMB-DENR) environmental laws, particularly R.A.
9003 "Ecological Solid Waste Management Act" and the Environmental
Sanitation Code and other pertinent policy guidelines and/or issuances.
b. Each health facility shall establish and implement a system for
proper liquid waste management which shall be in accordance with the
revised DOH Manual on Health Care Waste Management and other
EMB—DENR policy guidelines and/or issuances.
5. There shall be a "no smoking policy" and that the same shall be strictly
enforced.
6. There shall be a contingency plan in case of accidents and emergencies
following the guidelines stipulated in DOH A.O. No. 2004 — 0168 known
as "National Policy on Health Emergencies and Disasters".
 GUIDELINES IN THE PLANNING AND DESIGN
OF A HOSPITAL AND OTHER HEALTH
FACILITIES

A hospital and other health facilities shall be planned and designed to observe appropriate
architectural practices, to meet prescribed functional programs, and to conform to applicable codes
as part of normal professional practice. References shall be made to the following:
• P. D. 1096 – National Building Code of the Philippines and Its Implementing Rules and
Regulations
• P. D. 1185 – Fire Code of the Philippines and Its Implementing Rules and Regulations
• P. D. 856 – Code on Sanitation of the Philippines and Its Implementing Rules and
Regulations
• B. P. 344 – Accessibility Law and Its Implementing Rules and Regulations
• R. A. 1378 – National Plumbing Code of the Philippines and Its Implementing Rules
and Regulations
• R. A. 184 – Philippine Electrical Code
• Manual on Technical Guidelines for Hospitals and Health Facilities Planning and
Design. Department of Health, Manila. 1994
• Signage Systems Manual for Hospitals and Offices. Department of Health, Manila.
1994
• Health Facilities Maintenance Manual. Department of Health, Manila. 1995
• Manual on Hospital Waste Management. Department of Health, Manila. 1997
• District Hospitals: Guidelines for Development. World Health Organization Regional
Publications, Western Pacific Series. 1992
• Guidelines for Construction and Equipment of Hospital and Medical Facilities.
American Institute of Architects, Committee on Architecture for Health. 1992
• De Chiara, Joseph. Time-Saver Standards for Building Types. McGraw-Hill Book
Company. 1980

1 Environment: A hospital and other health facilities shall be so located that it is readily accessible
to the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall
not be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial
plants, disposal plants.

2 Occupancy: A building designed for other purpose shall not be converted into a hospital. The
location of a hospital shall comply with all local zoning ordinances.

3 Safety: A hospital and other health facilities shall provide and maintain a safe environment for
patients, personnel and public. The building shall be of such construction so that no hazards to
the life and safety of patients, personnel and public exist. It shall be capable of withstanding
weight and elements to which they may be subjected.

3.1 Exits shall be restricted to the following types: door leading directly outside the
building, interior stair, ramp, and exterior stair.

3.2 A minimum of two (2) exits, remote from each other, shall be provided for each floor
of the building.
 GUIDELINES IN THE PLANNING AND DESIGN
OF A HOSPITAL AND OTHER HEALTH
FACILITIES

3.3 Exits shall terminate directly at an open space to the outside of the building.

4 Security: A hospital and other health facilities shall ensure the security of person and property
within the facility.

5 Patient Movement: Spaces shall be wide enough for free movement of patients, whether they
are on beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one area
to another shall be available and free at all times.

5.1 Corridors for access by patient and equipment shall have a minimum width of
2.44 meters.

5.2 Corridors in areas not commonly used for bed, stretcher and equipment transport may
be reduced in width to 1.83 meters.

5.3 A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on
the upper floor.

5.4 A ramp shall be provided as access to the entrance of the hospital not on the same level
of the site.

6 Lighting: All areas in a hospital and other health facilities shall be provided with sufficient
illumination to promote comfort, healing and recovery of patients and to enable personnel in the
performance of work.

7 Ventilation: Adequate ventilation shall be provided to ensure comfort of patients, personnel and
public.

8 Auditory and Visual Privacy: A hospital and other health facilities shall observe acceptable
sound level and adequate visual seclusion to achieve the acoustical and privacy requirements in
designated areas allowing the unhampered conduct of activities.

9 Water Supply: A hospital and other health facilities shall use an approved public water supply
system whenever available. The water supply shall be potable, safe for drinking and adequate,
and shall be brought into the building free of cross connections.

10 Waste Disposal: Liquid waste shall be discharged into an approved public sewerage system
whenever available, and solid waste shall be collected, treated and disposed of in accordance with
applicable codes, laws or ordinances.

11 Sanitation: Utilities for the maintenance of sanitary system, including approved water supply
and sewerage system, shall be provided through the buildings and premises to ensure a clean
and healthy environment.
 GUIDELINES IN THE PLANNING AND DESIGN
OF A HOSPITAL AND OTHER HEALTH
FACILITIES

12 Housekeeping: A hospital and other health facilities shall provide and maintain a healthy and
aesthetic environment for patients, personnel and public.

13 Maintenance: There shall be an effective building maintenance program in place. The buildings
and equipment shall be kept in a state of good repair. Proper maintenance shall be provided to
prevent untimely breakdown of buildings and equipment.

14 Material Specification: Floors, walls and ceilings shall be of sturdy materials that shall allow
durability, ease of cleaning and fire resistance.

15 Segregation: Wards shall observe segregation of sexes. Separate toilet shall be maintained for
patients and personnel, male and female, with a ratio of one (1) toilet for every eight (8) patients
or personnel.

16 Fire Protection: There shall be measures for detecting fire such as fire alarms in walls, peepholes
in doors or smoke detectors in ceilings. There shall be devices for quenching fire such as fire
extinguishers or fire hoses that are easily visible and accessible in strategic areas.

17 Signage. There shall be an effective graphic system composed of a number of individual visual
aids and devices arranged to provide information, orientation, direction, identification,
prohibition, warning and official notice considered essential to the optimum operation of a
hospital and other health facilities.

18 Parking. A hospital and other health facilities shall provide a minimum of one (1) parking space
for every twenty-five (25) beds.

19 Zoning: The different areas of a hospital shall be grouped according to zones as follows:

19.1 Outer Zone – areas that are immediately accessible to the public: emergency service,
outpatient service, and administrative service. They shall be located near the entrance of
the hospital.

19.2 Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy,
and radiology. They shall be located near the outer zone.

19.3 Inner Zone – areas that provide nursing care and management of patients: nursing
service. They shall be located in private areas but accessible to guests.

19.4 Deep Zone – areas that require asepsis to perform the prescribed services: surgical
service, delivery service, nursery, and intensive care. They shall be segregated from the
public areas but accessible to the outer, second and inner zones.
 GUIDELINES IN THE PLANNING AND DESIGN
OF A HOSPITAL AND OTHER HEALTH
FACILITIES

19.5 Service Zone – areas that provide support to hospital activities: dietary service,
housekeeping service, maintenance and motorpool service, and mortuary. They shall be
located in areas away from normal traffic.

20 Function: The different areas of a hospital shall be functionally related with each other.

20.1 The emergency service shall be located in the ground floor to ensure immediate access.
A separate entrance to the emergency room shall be provided.

20.2 The administrative service, particularly admitting office and business office, shall be
located near the main entrance of the hospital. Offices for hospital management can be
located in private areas.

20.3 The surgical service shall be located and arranged to prevent non-related traffic. The
operating room shall be as remote as practicable from the entrance to provide asepsis.
The dressing room shall be located to avoid exposure to dirty areas after changing to
surgical garments. The nurse station shall be located to permit visual observation of
patient movement.

20.4 The delivery service shall be located and arranged to prevent non-related traffic. The
delivery room shall be as remote as practicable from the entrance to provide asepsis. The
dressing room shall be located to avoid exposure to dirty areas after changing to surgical
garments. The nurse station shall be located to permit visual observation of patient
movement. The nursery shall be separate but immediately accessible from the delivery
room.

20.5 The nursing service shall be segregated from public areas. The nurse station shall be
located to permit visual observation of patients. Nurse stations shall be provided in all
inpatient units of the hospital with a ratio of at least one (1) nurse station for every thirty-
five (35) beds. Rooms and wards shall be of sufficient size to allow for work flow and
patient movement. Toilets shall be immediately accessible from rooms and wards.

20.6 The dietary service shall be away from morgue with at least 25-meter distance.

21 Space: Adequate area shall be provided for the people, activity, furniture, equipment and
utility.

Space Area in Square Meters

Administrative Service
Lobby
Waiting Area 0.65/person
Information and Reception Area 5.02/staff
Toilet 1.67
Business Office 5.02/staff
Medical Records 5.02/staff
 GUIDELINES IN THE PLANNING AND DESIGN
OF A HOSPITAL AND OTHER HEALTH
FACILITIES
Space Area in Square Meters
Office of the Chief of Hospital 5.02/staff
Laundry and Linen Area 5.02/staff
Maintenance and Housekeeping Area 5.02/staff
Parking Area for Transport Vehicle 9.29
Supply Room 5.02/staff
Waste Holding Room 4.65
Dietary
Dietitian Area 5.02/staff
Supply Receiving Area 4.65
Cold and Dry Storage Area 4.65
Food Preparation Area 4.65
Cooking and Baking Area 4.65
Serving and Food Assembly Area 4.65
Washing Area 4.65
Garbage Disposal Area 1.67
Dining Area 1.40/person
Toilet 1.67
Cadaver Holding Room 7.43/bed
Clinical Service
Emergency Room
Waiting Area 0.65/person
Toilet 1.67
Nurse Station 5.02/staff
Examination and Treatment Area with Lavatory/Sink 7.43/bed
Observation Area 7.43/bed
Equipment and Supply Storage Area 4.65
Wheeled Stretcher Area 1.08/stretcher
Outpatient Department
Waiting Area 0.65/person
Toilet 1.67
Admitting and Records Area 5.02/staff
Examination and Treatment Area with Lavatory/Sink 7.43/bed
Consultation Area 5.02/staff
Surgical and Obstetrical Service
Major Operating Room 33.45
Delivery Room 33.45
Sub-sterilizing Area 4.65
Sterile Instrument, Supply and Storage Area 4.65
Scrub-up Area 4.65
Clean-up Area 4.65
Dressing Room 2.32
Toilet 1.67
Nurse Station 5.02/staff
Wheeled Stretcher Area 1.08/stretcher
Janitor’s Closet 3.90
 GUIDELINES IN THE PLANNING AND
DESIGN OF A HOSPITAL AND OTHER HEALTH
FACILITIES
Space Area in Square Meters
Nursing Unit
Semi-Private Room with Toilet 7.43/bed
Patient Room 7.43/bed
Toilet 1.67
Isolation Room with Toilet 9.29
Nurse Station 5.02/staff
Treatment and Medication Area with Lavatory/Sink 7.43/bed
Central Sterilizing and Supply Room
Receiving and Releasing Area 5.02/staff
Work Area 5.02/staff
Sterilizing Room 4.65
Sterile Supply Storage Area 4.65
Nursing Service
Office of the Chief Nurse 5.02/staff
Ancillary Service
Primary Clinical Laboratory
Clinical Work Area with Lavatory/Sink 10.00
Pathologist Area 5.02/staff
Toilet 1.67
Radiology
X – Ray Room with Control Booth, Dressing Area and 14.00
Toilet
Dark Room 4.65
Film File and Storage Area 4.65
Radiologist Area 5.02/staff
Pharmacy 15.00

Notes:

1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space
for occasional visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional
visitor, and space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher
Case study:

1. General Hospital

East Avenue Medical Center – is a 600-bed, tertiary, general hospital under

the Department of Health. It has the primary goal of providing quality
medical care and treatment to patients irrespective of sex, socio-economic
status and religious creed.

Designated by the DOH as a training and teaching center, the hospital

provides appropriate training programs, materials and facilities that aim at
providing its medical and non-medical staff with opportunities for
professional development and competency-building. Thus, with its well-
trained and competent professionals, the hospital has continued to achieve
its primary goal- the delivery of quality health care services to its patients.

2. Historical Background

1969 - The GSIS general hospital was established in line with the
government service insurance system policy to extend its services to all its
members. Inaugurated by His Excellency, President Ferdinand E. Marcos
and first lady Mrs. Imelda R. Marcos on the 8th day of October, 1969.

1978 - Hospital ng Bagong Lipunan created by Presidential Decree No. 1411

“Dissolving the GSIS Hospital, Inc. and transferring all its assets, liabilities
and properties to the Ministry of Health and appropriating funds for its
operations and for other purposes.” Signed into law on June 9, 1978 by His
Excellency, Ferdinand E. Marcos, and then President of the Republic of the
Philippines.

1986 - On November 12, 1986, Executive Secretary Joker P. Arroyo by

authority of President Corazon C. Aquino signed Memorandum Order No.
48, changing the name of Hospital ng Bagong Lipunan to East Avenue
Medical Center.

1997 - Republic Act No. 8345 Signed on June 4, 1997 increased the
authorized bed capacity of EAMC from 350 to 600.
3. Mandate, Mission, Vision

Mandate

The EAST AVENUE MEDICAL CENTER is a 600-bed, tertiary, general

hospital under the Department of Health. It has the primary goal of
providing quality medical care and treatment to patients irrespective of sex,
socio-economic status and religious creed.
Designated by the DOH as a training and teaching center, the hospital
provides appropriate training programs, materials and facilities that aim at
providing its medical and non-medical staff with opportunities for
professional development and competency-building. Thus, with its well-
trained and competent professionals, the hospital has continued to achieve its
primary goal- the delivery of quality health care services to its patients.

R.A. 8345 dated August 1997 entitled "An Act increasing the bed capacity
of the East Avenue Medical Center located in East Avenue, Quezon City,
from three hundred and fifty (350) to six hundred (600) beds, upgrading the
service facilities and professional healthcare therein and appropriating funds
therefore"

EAMC has at present, pending implementation of the above mentioned

Republic Act a manpower compliment of 1081 employees consisting of 269
Medical, 534 Nursing and 278 Paramedical and Administrative

EAMC is a national government hospital under the Department of Health

regulated by Civil Service Commission for the Human Resource
Management, Department of Budget and Management for Funding and
Commission on Audit for General Accountabilities.

Vision

East Avenue Medical Center, in pursuit of continual improvement for global

excellence by 2030.
 Mission

The EAST AVENUE MEDICAL CENTER, driven by highly-competent,

committed, compassionate and client-focused healthcare professionals, aims
to improve healthcare delivery by:

- Providing quality tertiary healthcare services

- Providing training to medical and allied health care professionals

- Conducting relevant and bioethical researches

Core Values

Excellence
Adeptness
Moral Integrity
Compassion
Quality Policy

We, at EAST AVENUE MEDICAL CENTER, a tertiary DOH Hospital,

commit ourselves, to provide the highest standard of hospital care in
compliance with the statutory and regualtory requirements by continually
improving quality management system to the highest satisfaction of our
clients.

So help us GOD.

4. Photos (from the internet)