Revised Organizational Structure and Staffing Standards for Government Hospitals

CY 2013 Edition

PART I – INTRODUCTION: CLASSIFICATION OF HOSPITALS
Classification of Hospitals 2 Categories of General Hospitals 3
PART II – MODEL ORGANIZATIONAL STRUCTURE
Organizational Configuration 8 Level 1 Hospital 10 Level 2 Hospital 13 Level 3 Hospital 17
PART III – STANDARD STAFFING PATTERN
Medical Staff 24 Nursing Staff 27 Other Hospital Professional Personnel 28 Supplemental Guidelines 29 Standard Staffing Pattern per Category
Level 1 Hospital 25 Beds 31 50 Beds 35 75 Beds 39 Level 2 Hospital
100 Beds 44 150 Beds 53 200 Beds 62 Level 3: Teaching and Training Hospitals
200 Beds 71 300 Beds 82 400 Beds 93 500 Beds .104
Annex: Tally of Positions by Level, by Bed Capacity 118

PART I

Introduction:

CLASSIFICATION OF HOSPITALS

INTRODUCTION: CLASSIFICATION OF HOSPITALS

A. Classification of Hospitals

Hospitals are classified according to:

Ownership
Scope of Services

General Hospitals are further classified by functional capability.

1. Classification According to Ownership

a. Government a hospital owned, established, established and created by law; facility may be under the national government like the, the Department of Health (DOH), Department of National Defense (DND), Philippine National Police (PNP), Department of Justice (DOJ), State Universities and Colleges (SUCs), Government Owned or Controlled Corporations (GOCC) or Local Government Units (LGUs).
b. Private – a hospital owned, established and operated with funds through donation, principal investment or other means by any individual, non-government corporation, association or organization.

2. Classification According to Scope of Services

a. General a hospital that provides services for all kinds of illnesses, diseases, injuries or deformities. A general hospital shall provide medical and surgical care to the sick and injured, as well as maternity, newborn and child care. It shall be equipped with the service capabilities needed to support board certified/eligible medical specialists and other licensed physicians rendering services in, but not limited to, the following:
- i. Clinical Services
  - 1. Family Medicine
  - 1. Pediatrics
  - 1. Internal Medicine
  - 1. Obstetrics and Gynecology
1. Surgery
ii. Emergency Services
iii. Outpatient Services
iv. Ancillary and Support Services, such as clinical laboratory, imaging facility and pharmacy.
b. Specialty a hospital that specializes in a particular disease or condition or in one type of patient. A speciality hospital may be devoted to treatment of any of the following**:**
- i. Treatment of patients suffering from diseases of a particular organ or groups of organs (e.g. Lung Center of the Philippines, Philippine Heart Center, National Kidney and Transplant Institute); or a hospital dedicated to treatment of eye disorders or cancers.
- ii. Treatment of patients belonging to a particular group such as children, women, elderly and others (e.g. Philippine Children's Medical Center).

B. Categories of General Hospitals According to Functional Capacity

1. 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

2. 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.

3. Level 3

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	LEVEL 2	LEVEL 3
	Consulting	All of Level 1 plus:	All of Level 2 plus:
Clinical Services for in-patients	Specialists in: Medicine Pediatrics OB-Gyne Surgery	Departmentalized Clinical Services	Teaching/training services with accredited residency training program in the 4 major clinical services
	Emergency and Out patient Services	Respiratory Unit	Physical Medicine and Rehabilitation Unit
	Isolation Facilities	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 unit	3rd Level X-ray
	Pharmacy	Pharmacy	Pharmacy

PART II

MODEL ORGANIZATIONAL STRUCTURE

A. ORGANIZATIONAL CONFIGURATION

The new standards on organizational structure and staffing pattern of government hospitals took into consideration the following factors:

a. Minimum DOH Licensing Requirements and Philhealth Accreditation Requirements
b. New hospital licensing category (Level 1, Level 2, Level 3 hospitals) based on Department of Health Administrative Order No. 2012-0012.
c. Specialty Society Training Accreditation Requirements (particularly for Medical Staff)
d. Distribution of Medical Staff to cover the Outpatient Department, Emergency Room and Inpatient hospital areas; and
e. Health Human Resource Master Plan

Level 1 and Level 2 hospitals shall have four (4) basic organizational units: the Office of the Chief of Hospital; Medical Service; Nursing Service; and Hospital Operations and Patient Support Service (HOPSS). Internal management functions are combined under one organizational unit, the HOPSS**,** which shall subsume both administrative and finance services.

A Level 3 hospital shall be provided with an additional division-level entity, the Finance Service, to handle accounting, budgeting, cashiering, billing and claims and cash operations. Given the need to attain financial sustainability of said hospitals, this unit shall be tasked to improve revenue generating capacity.

The general functions of the major organizational units are as follows:

a. Office of the Chief of Hospital/ Medical Center Chief

Shall be 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.

b. Medical Service

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.

c. Nursing Service

Shall be responsible for implementing nursing programs for total quality health care; providing nursing care to medical cases; and developing, coordinating and implementing relevant training programs for nursing personnel.

d. Hospital Operations and Patient Support Service (formerly Administrative Service)

Shall be responsible for the provision of administrative services relating to personnel management, administrative records management, property and supply management, general services, engineering, and security.

e. Finance Service

Shall be responsible for the provision of financial services relating to budgeting, accounting, cash operations, billing and claims.

1. Below these offices/services, sub-units are allowed depending on service capability, ancillary services, kind and level of care and segregation of patients, and kind and variety of support functions. The hospital administration is given the flexibility to structure/group its internal management support units in a manner deemed more efficient and effective for the hospital's organization and operation.
B. The model organizational structure for each category of hospital and authorized bed capacity is shown in the succeeding pages.

Level 1 Hospital

Model Organizational Structure for a Level 1 Hospital (25 to 75 Bed Capacity)

	Organizational Unit		Number of Positions
			25	Bed Capacity 50	75

A.		Office of the Chief of Hospital	3	3	3
B.		Medical Service	52	64	74
	1.	Outpatient	5	5	5
	2.	Emergency Room	5	9	12
	3.	Clinical Units	11	14	16
	4.	Clinical Laboratory	5	6	7
		a. Blood Station	3	3	3
	5.	Radiology	4	5	6
	6.	Dental	2	2	2
	7.	Health Information Management	3	3	3
		a. Admitting/Information	4	4	4
	8.	Nutrition and Dietetics	4	5	6
	9.	Pharmacy	4	5	6
	10.	Medical Social Work	2	3	4
C.		Nursing Service	39	51	61
	1.	Office of the Nurse Supervisor	1	1	1
	2.	Clinical Nursing Units	13	24	34
	3.	Operating Room	6	6	6
	4.	Recovery Room	6	6	6
	5.	Isolation Room	4	4	4
	6.	Delivery Room	9	10	10

Organizational Unit		Number of Positions Bed Capacity
				50	75
D.		Hospital Operations and Patient Support Service	19	26	28
	1.	Office of the Administrative Officer	2	2	2
	2.	Human Resource Management	2	2	2
	3.	Procurement, Property and Supply	2	2	2
	4.	Engineering and Facilities Management	5	9	11
	5.	Housekeeping/Laundry	2	3	3
	6.	Accounting	2	3	3
		a. Billing and Claims	2	2	2
	7.	Cash Operations	2	3	3
	8.	Security	- to be contracted out -
Total Number of Positions		113	144	166

Organizational Chart Level 1 Hospital 25, 50, 75 Bed Capacity

Level 2 Hospital

Model Organizational Structure for a Level 2 Hospital (100 to 200 Bed Capacity)

		Number of Positions
	Organizational Unit			Bed Capacity 150	200
			100
A.		Office of the Medical Center Chief	4	4	5
	1.	Office of the Medical Center Chief	2	2	2
	2.	Integrated Hospital Operations and Management Program	2	2	3
B.		Medical Service	122	161	192
	1.	Office of the Chief of Medical Professional Staff	2	2	2
	2.	Outpatient Department	9	11	12
	3.	Emergency Medicine Department	19	26	31
	4.	Clinical Departments	26	35	48
	5.	Special Care Areas	4	6	6
	6.	Department of Pathology	2	2	2
		a. Blood Bank	6	8	9
		b. Anatomic and Clinical Laboratory	13	18	20
	7.	Department of Radiology	8	11	11
	8.	Dental	3	3	4
	9.	Health Information Management	5	7	9
		a. Admitting/Information	5	6	7
	10.	Nutrition and Dietetics	9	13	15
	11.	Pharmacy	7	8	10
	12.	Medical Social Work	4	5	6
C.		Nursing Service	122	180	227
	1.	Office of the Chief Nurse	4	4	4
	2.	Clinical Nursing Units	55	83	108
	3.	Operating Room	14	21	26
	4.	Delivery Room	11	17	21
	5.	Special Care Areas

		Organizational Unit		Number of Positions
				Bed Capacity
			100	150	200
		a. Post Anesthesia Care Unit	7	10	11
		b. Intensive Care Unit	6	9	10
		c. Neonatal Intensive Care Unit (NICU)	14	21	27
		d. Pulmonary/Respiratory Unit	5	7	9
	6.	Central Supply and Sterilization	6	8	11
D.	Hospital Operations and Patient Support Department			59	69
	1.	Office of the Administrative Officer	2	2	2
	2.	Human Resource Management		5	6
	3.	Procurement	4	5	5
	4.	Materials Management	5	6	7
	5.	Engineering and Facilities Management	8	13	15
		a. Housekeeping/Laundry	3	5	5
	6.	Budget	3	3	3
	7.	Accounting	5	6	7
		a. Billing and Claims	5	7	9
	8.	Cash Operations	5	7	10
	9.	Security	- to be contracted out -
Total Number of Positions		292	404	493

Organizational Chart Level 2 Hospital 100, 150 and 200 Bed Capacity

Basic Structure

Medical Service

¹ Special Care Areas:

Intensive Care Units (ICU), Surgical Intensive Care Unit (SICU), Post-Intensive Care Unit (PICU), Neonatal Intensive Care Unit (NICU), etc.

Nursing Service

Hospital Operations and Patient Support Service

Level 3 Hospital

Model Organizational Structure for a Level 3 Hospital (200 to 500 Bed Capacity)

	Organizational Unit				No. of Positions Bed Capacity
			200	300	400	500
A.		Office of the Medical Center Chief	12	14	14	14
	1.	Office of the Medical Center Chief		4	4	4
	2.	Professional Education and Training	5	5	5	5
	3.	Integrated Hospital Operations and Management Program	3	5	5	5
B.		Medical Service	306	455	592	727
	1.	Office of the Chief of Medical Professional Staff	2	2	2	2
	2.	Outpatient Department	14	19	22	25
	3.	Emergency Medicine Department	34	49	64	76
	4.	Clinical Departments	95	167	231	311
	5.	Special Care Areas	15	17	19	21
	6.	Department of Pathology
		a. Blood Bank	12	17	21	24
		b. Anatomic and Clinical Laboratory	34	51	63	70
	7.	Department of Radiology	20	26	33	37
	8.	Dental	5	7	8	8
	9.	Health Information Management	16	18	22	25
		a. Admitting/Information	8	12	15	17
	10.	Nutrition and Dietetics	23	26	34	37
	11.	Pharmacy	20	32	42	54
	12.	Medical Social Work	8	12	16	20
C.		Nursing Service	211	299	389	469
	1.	Office of the Chief Nurse	5	5	5	5
	2.	Clinical Nursing Units	84	125	165	205
	3.	Operating Room	32	44	57	69

	Organizational Unit		No. of Positions Bed Capacity
					400	500
	4.	Special Care Areas	31	44	57	69
	5.	Pulmonary/Respiratory Unit	11	14	19	21
	6.	Obstetric Complex	5	7	9	9
		a. Labor Room	5	8	10	12
		b. Delivery Room	16	21	26	31
		c. Obstetrical OR
		i. Caesarean Section(CS) Operating Room (OR)	8	12	16	19
		ii. Ligation Room	2	2	3	3
		d. Recovery Room/PACU	5	8	10	12
	7.	Central Supply and Sterilization	7	9	12	14
D.		Hospital Operations and Patient Support Service	44	58	72	76
	1.	Office of the Administrative Officer	3	3	3	3
	2.	Human Resource Management	8	9	11	11
	3.	Procurement	5	7	8	8
	4.	Materials Management	5	7	8	8
	5.	Engineering and Facilities Management	18	25	32	35
		a. Housekeeping/Laundry	5	7	10	11
	6.	Security	- to be contracted out -
E.		Finance Service	36	44	55	63
	1.	Office of the Finance Officer	2	2	2	2
	2.	Budget	3	4	4	4
	3.	Accounting	8	10	12	13
		a. Billing and Claims	13	15	20	24
	4.	Cash Operations	10	13	17	20
Total Number of Positions				869	1,122	1,349

F. Specialty and Sub-specialty Services (Optional)

1. Burn Unit
1. Rehabilitation Medicine
1. Respiratory Therapy Unit
1. Dialysis Unit
1. Heart Station
1. Electrophysiology Unit
1. Endoscopy Unit
1. Radiation Oncology
1. Nuclear Medicine
1. MRI Section
1. Interventional Radiology
1. Mammography

Organizational Chart Level 3 Hospital

200, 300, 400 and 500 Bed Capacity

Basic Organizational Structure

Medical Service

¹Special Care Areas:

Intensive Care Units (ICU), Surgical Intensive Care Unit (SICU), Post-Intensive Care Unit Neonatal Intensive Care Unit (NICU), etc.

Nursing Service

Hospital Operations and Patient Support Service

Finance Service

PART III

STANDARD STAFFING PATTERN

The staffing pattern of a hospital is determined based on the assigned classification, bed capacity and organizational structure of the hospital.

A. Medical Staff

The medical staff is divided into general practitioners and specialists such as surgeons, eye, ear, nose and throat specialists, internist, obstetricians, roentgenologists, pathologists, radiologists, urologists, orthopedic surgeons, dermatologists and psychiatrists.

The number of general practitioners needed for each hospital is based on the ratio of one general practitioner for every 1,000 population.

The number and type of specialists required to staff a hospital are variable depending on the services offered and the specialties and sub-specialties.

1. Medical Staff Positions

The Philippine hospitals' standard for medical staffing is derived from the study entitled "Developing Metrics for Hospital Medical Workforce Allocation" (Shannon, et al, 2007) which is used internationally.

In addition, the DOH Administrative Order No. 2012-0012 dated July 18, 2012 entitled "Rules and Regulations Governing New Classification of Hospitals and Health Facilities in the Philippines" is used as reference.

Based on the Shannon formula, DOH considered the last 3 years' average increase in inpatient discharges and outpatient visits for each level of hospitals to determine the needed staff per level and bed capacity of the hospitals. The formula applied follows:

a. Computation of the Required Number of Medical Specialist

(Average Inpatients x 0.489) (Average Outpatients x 0.252) 1,000 ⁺ 1,000

b. Computation of the Required Number of Medical Officers

(Average Inpatients x 0.737) (Average Outpatients x 0.181) 1,000 ⁺ 1,000

The total number of the required medical staff is based on the sum of the computed number of Medical Specialists and Medical Officers. However, this does not include the following:

a. Chief of the Medical Service
b. Head of the different Medical Departments
c. Medical Specialist and Medical Officers of the Pathology Department
d. Medical Specialist and Medical Officers of the Radiology Department

2. Computation of Additional Medical Staff for Teaching and Training Hospital

The number of resident physicians and interns will be governed by the type of hospital or level of care delivered by a teaching and training hospital; and the accreditation requirement of Specialty Societies¹ .

The considerations in number and types of medical specialists depend on the level of care, number of inpatients and outpatients, authorized and implementing bed capacity, specialty services, capability of the hospital based on the physical structure, availability of equipment, presence of accredited residency training program, wherein the ratio of medical specialist to resident physician depends on the particular specialty. In general, the standard ratio of one surgeon for every 50 beds is applied.

¹ Philippine Society of Anesthesiologists, Philippine Academy of Family Physicians, Philippine College of Physicians, Obstetrical and Gynecological Society of Pathologists, Philippine Pediatric Society, Philippine College of Radiology, and Philippine College of Surgeons

The specialty requirements for training are the following:

SPECIALTY		RATIO
Pediatrics ·	-	1 Consultant2 : 4 Resident3 Physicians
Surgery ·	-	1 Consultant : 1 Resident Physician
		Minimum of 3 Fellows4 for 8 or fewer residents. A Fellow is added for every two (2) additional residents.
Neurology ·	-	3 Training Neurologists : 3 Resident Physicians
		1 faculty member responsible for each of the following: Neurophysiology, Neuroanatomy, Psychiatry and Behavioral Sciences, Internal Medicine, Pediatric Neurology, Neuropathology, Neuroimaging
Dermatology ·	-	1 Consultant : 3 Resident Physicians
Nuclear · Medicine	-	At least 3 Nuclear Medicine full time physicians, diplomate status, for every gamma machine, and at least 3 training residents for every accredited Nuclear Medicine residency training facility
Anesthesiology ·	-	1 Consultant : 2 Resident Physicians
Radiation · Oncology	-	1 Consultant : 3 Resident Physicians
Obstetrics and · Gynecology	-	1 Consultant : 2 Resident Physicians
Urology ·	-	1 Consultant : 1 Resident Physician
Otolaryncology · (head and neck surgery)	-	1 Consultant : 1 Resident Physician

² Consultants refer to those occupying Medical Specialist positions. Physicians accredited by their respective specialty societies and are experts in their medical specialties act as training supervisors to residents.

³ Residents refer to Medical Officer positions that undergo specialty training program under the supervision of the Consultants.

⁴ Fellows refer to physicians who enter a training program in a medical specialty after completing residency; board-qualified specialist pursuing subspecialty training.

B. Nursing Staff

Staffing of nurses is the largest and the most crucial aspect of administration because the quality of the personnel and their performance will determine the degree of achieving the goals of the Nursing Service.

The goal of staffing is to provide the appropriate number and mix of nursing staff (nursing care hours) to the actual or projected patient care needs that will lead to the delivery of effective and efficient nursing care. This means determining the level of care, average daily census and hours of care provided for 24 hours a day, 7 days a week.

1. Factors in Determining Nursing Staffing Needs

Patients Acuity of Illness
i. Level of Care
- a) Obstetrics Gynecology
- b) Pediatrics
- c) Medical
- d) Surgical
ii Degree of Dependence
iii. Communicability
iv. Rehabilitation Needs
Special treatment and procedures
Type of hospital
Ratio of professional to non-professional nursing personnel
Turn-over of patients and nursing personnel
Hospital policy
i. Budget
ii. Available equipment/materials/supplies
iii. Population served.
Patient Care Classification System

Patient care classification allows a more accurate computation of nursing hours needed for different categories of care and patients.

The manner of computing the required number of nursing personnel using the patient care classification system shall consider such factors as the percentage of patients in each level of care, the number of nursing care hours, ratio of professional nurses to non-professional nursing personnel and distribution by shifts and number of relievers.

2. Required Staff to Patient/Bed Ratio

The nursing service staffing requirement shall adhere to the following staff-patient/bed ratio:

UNIT	Nurse to Staff Ratio
Ward	1 Supervising Nurse (Nurse III) : 50 Staff Nurses
	1 Head Nurse (Nurse II) : 15 Staff Nurses
	1 Staff Nurse ( Nurse I) : 12 beds per shift
	1 Nursing Attendant : 24 beds per shift

Critical Care	1 Supervising Nurse (Nurse III) : 30 Staff Nurses
	1 Head Nurse (Nurse II) : 15 Staff Nurses
	1 Staff Nurse (Nurse II) : 3 beds per shift
	1 Nursing Attendant : 15 beds per shift

C. Other Hospital Professional Personnel in Indirect Patient Care Services

In general, units or sections needing 24 hours services will require a minimum of 5 personnel to fill the 24 hours-seven days a week schedule following the 40-hour labor law. Hence, the Emergency Room, Operating Room, Delivery Room, X-ray, Laboratory and even the Pharmacy staff requirements will need to be computed accordingly. With the operation of DOH Botikas, additional pharmacists are needed. Also, with present demands for a commercial pharmacy (service for outpatients as well), an extra pharmacist for such purpose will be needed. In Dispensing Pharmacy, the ratio of pharmacist to administrative assistant (pharmacy assistant) is: 1 pharmacist: 2 administrative assistants.

The requirement for other allied health personnel is determined based on the time and motion study conducted by DOH's National Center for Health Facility Development (NCHFD). As the result of the study, the ratios of staff to bed capacity in the following units are indicated below:

1.	Pharmacy	1:25
2.	Nutritionist-Dietetics	1:60
3.	Medical Social Work	1:25
4.	Health Information Management	1:20
	(formerly Medical Records)

In addition to the hospital administrator, there will be required assistants, clerks, bookkeepers, cooks, engineers, attendants, nurse aide, orderlies, janitors, maintenance crew and others so that the total hospital personnel will amount to approximately two and one half (2.5) for each occupied bed.

D. Supplemental Guidelines

1. The number and level of positions prescribed for each hospital category shall be the maximum that will be allowed for the various organizational units. However, hospitals may adopt a lesser number and lower levels of positions and/or merge different staff offices in the internal management and support units, depending on their financial capability.
1. Hospitals that qualify for the next higher category shall adopt the corresponding organizational structure and staffing pattern (OSSP) herein prescribed. However, the hospital management has the option to adopt a leaner OSSP by merging the prescribed organizational units or using lower-level positions. If the authorized bed capacity of a hospital falls between two of the specified bed capacities in the standard staffing pattern, the higher set of standards shall be applied if the number of beds is in excess of one half of their difference.
1. Hospitals that are not qualified for upward categorization may continue to adopt their existing OSSP provided that existing positions higher than those provided in the SP prescribed for their appropriate category shall be abolished once vacated by their present incumbents. Hospitals may also be allowed to adopt the new OSSP prescribed for the category that corresponds to their existing category approved by the DOH.
1. In the case of downward categorization, the hospitals shall adopt the model OSSP for the new category, provided that incumbents of positions higher than those prescribed shall continue to retain their positions. Once vacated, the same will be abolished and replaced by those appropriate under the new category.
1. The security, dietary and utility services may be contracted out in accordance with pertinent guidelines.
1. The Housekeeping, Linen and Laundry service may be contracted out but subject to infection control mechanism.
1. As an option, additional staff per approved Specialty/Sub-specialty service may be provided as part of the Medical Staff, contingent on the service capability of the particular hospital and subject to the approval

of the Department of Health. The number of staff is not part of the regular staffing standards for Level 3 Hospitals.

The standard staffing pattern for each category of hospital and authorized bed capacity is shown in the succeeding pages.

Level 1 Hospital

Staffing Pattern for a 25 Bed Capacity Hospital

Level 1: 25 Beds

Level 1: 25 Beds
Org. Unit		No. of Pos.	Position Title	Salary Grade
A.	A. Office of the Chief of Hospital
		1 1 1 3	Chief of Hospital II Administrative Assistant II Computer Maintenance Technologist I	25 8 11
В.	B. Medical Service
	1. Outpatient Unit
		1 1 1 1 1 5	Medical Officer IV Health Education and Promotion Officer II Psychologist I Nurse I Nursing Attendant I	23 14 11 11 4
	2. Emergency Room
		1 3 1 5	Medical Officer IV Nurse II Nursing Attendant I	23 15 4
	3. Clinical Units
		5 1 5 11	Medical Specialist II Medical Officer IV Medical Officer III	23 23 21
	4. Clinical Laboratory
		1 1 2 1 5	Medical Specialist II Medical Technologist II Medical Technologist I Laboratory Technician I	23 15 11 6
	a.	ation
		2 1 3	Medical Technologist I Laboratory Technician I	11 6

Level 1: 25 Beds

Org. Unit		No. of Pos.	Position Title	Salary Grade
	5. Radiology	1 1 1 1 1 4	Medical Specialist II Radiologic Technologist II Radiologic Technologist I Administrative Aide IV	23 13 11 4
	6.	Dei	ntal 1 1 2	Dentist II Dental Aide	17 4
	7.	Hea	1 2 3	nation Management Administrative Officer III Data Controller I	14 6
		a.	Admittin 4 4	g/Information Administrative Assistant II	8
	8.	Nut	trition and 1 2 1 4	Dietetics Nutritionist-Dietitian II Cook II Administrative Aide III	15 5 3
	9.	Pha	1 2 1 4	Pharmacist II Pharmacist I Administrative Aide IV	15 11 4
	10.	Me	dical Socia 1 1 2	Al Work Social Welfare Officer II Social Welfare Assistant	15 8
C.	Nurs	sing	Service
	1.	Off	ice of the $\frac{1}{1}$	Nurse Supervisor Nurse V	20

Level 1: 25 Beds

Org. Unit		No. of Position Title		Salary Grade

	2.	Clir	nical Nursi	ng Units
			1	Nurse III	17
			2	Nurse II	15
			6	Nurse I	11
			4	Nursing Attendant I	4
			13
	3.	Ope	erating Ro
			4	Nurse II	15
			2	Nursing Attendant II	6
			6
	4.	Red	covery Roc
			4	Nurse II	15
			2	Nursing Attendant II	6
			6
	5.	Iso	lation Roc	om
			4	Nurse II	15
			4
	6.	Del	livery Roo	m
			4	Nurse II	15
			4	Midwife I	9
			1	Nursing Attendant II	6
			9
D.	Hos	pital	Operation	ns and Patient Support Service
		O£	ioo of the	Administrative Officer
	1.	UTT		Administrative Officer	10
			1	Administrative Officer V	18
			1	Administrative Assistant I	7
			2
	2.	Hu	man Reso	urce Management
			1	Administrative Officer III	14
			1	Administrative Assistant II	8
			2	-	-
	3.	Pro	curement	, Property and Supply
			1	Administrative Officer III	14
			1	Administrative Aide VI	6
			2

Level 1: 25 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
4. Engineering and Facilities Management
	1	Engineer II	16
	1	Medical Equipment Technician III	11
	2	Administrative Aide IV	4
	1	Administrative Aide III	3
	5
5. Housekeeping/Laundry
	1	Laundry Worker II	3 2
	1	Seamstress	2
	2
6. Accounting
	1	Accountant II	16
	1	Administrative Assistant II	8
	2
a.	Billing a	nd Claims
	1	Administrative Officer II	11
	1	Administrative Assistant II	8
	2
7. Cash Operations
	1	Administrative Officer I	10
	1	Administrative Assistant II	8
	2
8. Security		( to be contracted out)
Total	113

Staffing Pattern for a 50 Bed Capacity Hospital

Org. Unit		No. of Pos.	Position Title	Salary Grade
A.	A. Office of the Chief of Hospital
			1	Chief of Hospital II	25
			1	Administrative Assistant II	8
			1	Computer Maintenance Technologist I	11
			3	·
В.	Medi	ical s	Service
	1.	Out	patient U	nit
			1	Medical Officer IV	23
			1	Health Education and Promotion Officer II	14
			1	Psychologist I	11
			1	Nurse I	11
			1	Nursing Attendant I	4
			5
	2.	Eme	ergency R
			1	Medical Officer IV	23
			6	Nurse II	15
			2	Nursing Attendant I	4
			9
	3.	Clin	ical Units		22
			6	Medical Specialist II	23
			2	Medical Officer IV	23
			6	Medical Officer III	21
			14
4. Clinical Laboratory
			1	Medical Specialist II	23
			1	Medical Technologist II	15
			3	Medical Technologist I	11
			1	Laboratory Technician I	6
			6
		a.	Blood Sta
			2	Medical Technologist I	11
			1	Laboratory Technician I	6
			3

Org. Unit		No. of Pos.	Position Title	Salary Grade
5. Radiology	1 2 1 5	Medical Specialist II Radiologic Technologist II Radiologic Technologist I Administrative Aide IV	23 13 11 4
6. Dental	1 1 2 2	Dentist II Dental Aide	17 4
7	. Hea	alth Inform 1 2 3	mation Management Administrative Officer III Data Controller I	14 6
	a.	Admittin 4 4	g/Information Administrative Assistant II	8
8. Nutrition and Dietetics	1 2 2 5	Nutritionist-Dietitian II Cook II Administrative Aide III	15 5 3
9. Pharmacy	1 3 1 5	Pharmacist II Pharmacist I Administrative Aide IV	15 11 4
10. Medical Social Work	1 1 1 1	Social Welfare Officer II Social Welfare Officer I Social Welfare Assistant	15 11 8
C. N	ursing	Service
1	. Off	ice of the $\frac{1}{1}$	Nurse V	20

Org. Unit		No. of Pos.	Position Title	Salary Grade
		1 03.		Grade
2	2. Clinical Nursing Units
		2	Nurse III	17
		3	Nurse II	15
		12	Nurse I	11
		7	Nursing Attendant I	4
		24
3	. Ope	erating Ro	oom
		4	Nurse II	15
		2	Nursing Attendant II	6
		6	•
4	Do	covery Ro	om.
7	. Ke	4	Nurse II	15
		•	Nursing Attendant II	6
		6		•
5	Too	lation Roo	···
5	. 150	4	Murse II	15
		4	Nuise II	13

6	. Del	livery Roo
		4	Nurse II	15
		4	Midwife I	9
			Nursing Attendant II	6
		10
D. H	ospital	Operation	ns and Patient Support Service
1	Off	ice of the	Administrative Officer
	. 011	1	Administrative Officer V	18
		1	Administrative Assistant I	7
		2	, Administrative / Bolowitt I	,

2	. Hu		urce Management
		1	Administrative Officer III	14
		1	Administrative Assistant II	8
		2

3	. Pro		, Property and Supply	4 4
		1	Administrative Officer III	14
		2	Administrative Aide VI	6
		2

Level 1: 50 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
4. Engineering and Facilities Management
•	1	Engineer II	16
	2	Medical Equipment Technician III	11
	4	Administrative Aide IV	4
	2	Administrative Aide III	3
	9
5. Housekeeping/Laundry
	2	Laundry Worker II	3 2
	1	Seamstress	2
	3
6. Accounting
	1	Accountant II	16
	2	Administrative Assistant II	8
	3
a.	Billing a	nd Claims
	1	Administrative Officer II	11
	1	Administrative Assistant II	8
	2
7. Cash Operations
	1	Administrative Officer I	10
	2	Administrative Assistant II	8
	3
8. Security		(to be contracted out)
Total	144

Staffing Pattern for a 75 Bed Capacity Hospital

Level 1: 75 Beds

0	rg. Unit	No. of Pos.	Position Title	Salary Grade
A.	Office	of the Chief	of Hospital
A.	Office	or the Chier	oi riospitai
		1	Chief of Hospital II	25
		1	Administrative Assistant II	8
		1	Computer Maintenance Technologist I	11
		3
В.	Medica	l Service
	1. 0	utpatient U	nit
		1	Medical Officer IV	23
		1	Health Education and Promotion Officer II	14
		1	Psychologist I	11
		1	Nurse I	11
		1	Nursing Attendant I	4
		5
	2. Emergency Room
		1	Medical Officer IV	23
		8	Nurse II	15
		3	Nursing Attendant I	4
		12
	3. Clinical Units		3
		7	Medical Specialist II	23
		2	Medical Officer IV	23
		7	Medical Officer III	21
		16
	4. Clinical Laboratory
		1	Medical Specialist II	23
		1	Medical Technologist II	15
		4	Medical Technologist I	11
		1	Laboratory Technician I	6
		7

Level 1: 75 Beds

Org. Unit		No. of Pos.	Position Title	Salary Grade

	a.	Blood St	ation
		2	Medical Technologist I	11
		1	Laboratory Technician I	6
		3
5.	Rad	diology
		1	Medical Specialist II	23
		1	Radiologic Technologist II	13
		3	Radiologic Technologist I	11
		1	Administrative Aide IV	4
		6
6.	De	ntal
		1	Dentist II	17
		1	Dental Aide	4
		2
7.	He	alth Infor	mation Management
		1	Administrative Officer III	14
		1	Administrative Officer I	10
		1	Data Controller I	6
		3
	a.	Admittin	g/Information
		4	Administrative Assistant II	8
		4	-
8.	Nu	trition and	d Dietetics
0.		1	Nutritionist-Dietitian II	15
		2	Cook II	5
		3	Administrative Aide III	3
		6	-	-
9.	Pha	armacy
		1	Pharmacist II	15
		4	Pharmacist I	11
		1	Administrative Aide IV	4
		6	-

Level 1: 75 Beds

Level 1: 75 Beds
Org. Unit		No. of Pos.	Position Title	Salary Grade

	10.	Me	dical Soci
			1	Social Welfare Officer II	15
			2	Social Welfare Officer I	11
			1	Social Welfare Assistant	8
			4
C.	Nur	sing	Service
	1.	Off	ice of the	Nurse Supervisor
			1	Nurse V	20
			1
	2.	Cli	nical Nurs	ing Units
			2	Nurse III	17
			4	Nurse II	15
			18	Nurse I	11
			10	Nursing Attendant I	4
			34
	3.	Op	erating Ro	oom
			4	Nurse II	15
			2	Nursing Attendant II	6
			6
	4.	Re	covery Ro	om
			4	Nurse II	15
			2	Nursing Attendant II	6
			6
	5.	Iso	lation Ro
			4	Nurse II	15
			4
	6.	Del	livery Roo
			4	Nurse II	15
			4	Midwife I	9
			2	Nursing Attendant II	6
			10

Level 1: 75 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
-----------	----------------	----------------	-----------------	--

D.

Hos	spital Operation	ns and Patient Support Service
1.	Office of the	Administrative Officer
	1	Administrative Officer V	18
	1	Administrative Assistant I	7
	2	-
2.	Human Reso	ource Management
	1	Administrative Officer III	14
	1	Administrative Assistant II	8
	2
3.	Procuremen	t, Property and Supply
	1	Administrative Officer III	14
	1	Administrative Aide VI	6
	2
4.	Engineering	and Facilities Management
	1	Engineer II	16
	2	Medical Equipment Technician III	11
	5	Administrative Aide IV	4
	3	Administrative Aide III	3
	11
5. Housekeeping/Laundry
	2	Laundry Worker II	3
	1	Seamstress	2
	3
6.	Accounting
	1	Accountant II	16
	2	Administrative Assistant II	8
	3
	a. Billing a	nd Claims
	1	Administrative Officer II	11
	1	Administrative Assistant II	8
	2

Level 1: 75 Beds

Org. Unit		No. of Pos.	Position Title	Salary Grade
7.	Cas	h Operati	ions
		1	Administrative Officer I	10
		2	Administrative Assistant II	8
		3	-
8.	Sec	urity	(to be contracted out)
Total		166

Level 2 Hospital

Staffing Pattern for a 100 Bed Capacity Hospital

Org. Unit		No. of Pos.	Position Title	Salary Grade
A.	A. Office of the Medical Center Chief
	1. Office of the Medical Center Chief
			1	Medical Center Chief I	26
			1	Administrative Assistant III	9
			2
	2.	Inte	grated Ho	spital Operations and Management Program
			1	Computer Maintenance Technologist II	15
		-	1	Computer Maintenance Technologist I	11
			2
В.	3. Medical Service 1. Office of the Chief of Medical Professional Staff
			1	Chief of Medical Professional Staff I	25
			1	Administrative Assistant I	7
			2
	2. Outpatient Department
			1	Medical Specialist III	24
			1	Medical Specialist II	23
			1	Medical Officer IV	23
			1	Nurse III	17
			1	Psychologist II	15
			1	Health Education and Promotion Officer II	14
			2	Nurse I	11
		-	1	Nursing Attendant I	4
			9

Org. Unit	No. of Pos.	Position Title	Salary Grade
3. Emergency Medicine Department
3. Emergency Medicine Department	1	Medical Specialist III	24
	1	Medical Specialist II	23
	1	Medical Officer IV	23
	4	Medical Officer III	21
	1	Nurse III	17
	7	Nurse II	15
	4	Nursing Attendant II	6
		19
	13
4. Clinical Departments
	5	Medical Specialist III	24
	7	Medical Specialist II	23
	4	Medical Officer IV	23
	10	Medical Officer III	21
	26
5. Special Care Areas
	2	Medical Specialist III	24
	2	Medical Officer III	21
	4
6. Department of Pathology
	1	Medical Specialist III	24
	1	Administrative Aide VI	6
	2	•	-
	Blood Ba	ank.
a.			22
	1	Medical Specialist II	23
	1	Medical Technologist III	18

Level 2: 100 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
	2	Medical Technologist II	15
	2	Nurse II	15
	6	-
b.	Anatomi	c and Clinical Laboratory
	1	Medical Specialist II	23
	1	Medical Technologist III	18
	1	Chemist II	15
	2	Medical Technologist II	15
	3	Medical Technologist I	11
	2	Medical Laboratory Technician II	8
	3	Laboratory Aide II	4
	13	-
7. Department of Radiology
	1	Medical Specialist III	24
	1	Medical Specialist II	23
	1	Radiologic Technologist III	15
	2	Radiologic Technologist II	13
	2	Radiologic Technologist I	11
	1	Administrative Aide IV	4
	8	-
8. Dental
8. Dental	1	Dentist IV	23
	1	Dentist II	23 17
	1	Dental Aide	4
	3	Dental Aide	7
	3

Org. Unit	No. of Pos.	Position Title	Salary Grade
9. Health Information Management
	1	Administrative Officer V	18
	1	Statistician II	15
	1	Administrative Officer IV	15
	1	Administrative Officer I	10
	1	Data Controller II	8
	5
a.	. Admittin	g/Information
	1	Administrative Officer II	11
	4	Administrative Assistant I	7
	5
10. Nutrition and Dietetics
	1	Nutritionist-Dietitian III	18
	1	Nutritionist-Dietitian I	11
	3	Cook II	5
	4	Administrative Aide III	3
	9
11. Pharmacy
	1	Pharmacist III	18
	5	Pharmacist I	11
	1	Administrative Assistant II	8
	7
12. Medical Social Work
	1	Social Welfare Officer III	18
	2	Social Welfare Officer I	11

Org. Unit		No. of Pos.	Position Title	Salary Grade
		1	Social Welfare Assistant	8
		4
C.	Nursing	Service
	1. Office of the Chief Nurse
		1	Nurse VI	22
		1	Nurse V	20
		1	Nurse IV	19
		1	Administrative Aide VI	6
		4
	2. Clinical Nursing Units
		1	Nurse III	17
		3	Nurse II	15
		34	Nurse I	11
		17	Nursing Attendant I	4
		55
	3. Operating Room
		1	Nurse III	17
		1	Nurse II	15
		8	Nurse I	11
		4	Nursing Attendant II	6
		14
	4. Delivery Room
		1	Nurse III	17
		4	Nurse II	15
		3	Nurse I	11

Org. Unit		No. of Pos.	Position Title	Salary Grade
		3 11	Midwife I	9
5.	Spe	cial Care A	Areas
	a. Post Anesthesia Care Unit
		1	Nurse III	17
		4	Nurse II	15
		2	Nursing Attendant II	6
		7
	b.	Intensive	e Care Unit
		1	Nurse III	17
		4	Nurse II	15
		1	Nursing Attendant II	6
		6
	C.	Neonata	Intensive Care Unit (NICU)
		1	Nurse III	17
		9	Nurse II	15
		4	Nursing Attendant II	6
		14
	d.	Pulmona	ry/Respiratory Unit
		1	Respiratory Therapist II	14
		2	Respiratory Therapist I	10
		2	Laboratory Aide II	4
		5

	No. of Pos.
Org. Unit		No. of Pos.	Position Title	Salary Grade

	6.	Cen	tral Suppl	y and Sterilization
			1	Nurse II	15
			2	Nursing Attendant II	6
			3	Nursing Attendant I	4
			6
D.	Hos	pital (	Operation	s and Patient Support Department
	1.	Offi	ce of the A	Administrative Officer
			1	Supervising Administrative Officer	22
			1	Administrative Aide VI	6
			2
	2.	Hun	nan Resou	irce Management
			1	Administrative Officer V	18
			1	Administrative Officer IV	15
			1	Administrative Officer II	11
			1	Administrative Assistant II	8
			4		J
	2	Dec	ciiromont
	3.	Pro(	curement 1	Administrative Officer V	18
			1	Administrative Officer III	16

			1	Administrative Assistant III	9
			1	Administrative Assistant I	7
			4
	4.	Mat	erials Mar	nagement
			1	Administrative Officer V	18
			1	Warehouseman II	8

Level 2: 100 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
	1	Administrative Assistant I	7
	2	Administrative Aide IV	4
	5
5. Engineering and Facilities Management
	1	Engineer III	19
	1	Engineer II	16
	1	Medical Equipment Technician II	8
	1	Medical Equipment Technician I	6
	3	Administrative Aide VI	6
	1	Administrative Aide IV	4
	8
a.	Houseke	eeping/Laundry
	1	Hospital Housekeeper	8
	1	Laundry Worker II	3
	1	Seamstress	2
	3
6. Budget
	1	Administrative Officer V	18
	1	Administrative Officer II	11
	1	Administrative Assistant II	8
	3
7. Accounting
	1	Accountant III	19
	1	Accountant II	16
	3	Administrative Assistant II	8
	5

Total

292

Org. Unit	No. of Pos.	Position Title	Salary Grade

a	. Billing ar	nd Claims
	1	Administrative Officer IV	15
	1	Administrative Assistant II	8
	3	Administrative Aide VI	6
	5

8. C	8. Cash Operations
	1	Administrative Officer V	18
	3	Administrative Officer I	10
	1	Administrative Assistant II	8
	5

9. S	ecurity	(to be contracted out)

Staffing Pattern for a 150 Bed Capacity Hospital

Level 2: 150 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
-----------	----------------	----------------	-----------------	--

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

2
1	Administrative Assistant III	9
1	Medical Center Chief I	26

2. Integrated Hospital Operations and Management Program

1	Computer Maintenance Technologist II	15
1	Computer Maintenance Technologist I	11
2

B. Medical Service

1. Office of the Chief of Medical Professional Staff

2
1	Administrative Assistant I	7
1	Chief of Medical Professional Staff I	25

2. Outpatient Department

1	Medical Specialist III	24
1	Medical Specialist II	23
1	Medical Officer IV	23
1	Nurse III	17
1	Psychologist II	15
1	Health Education and Promotion Officer II	14
3	Nurse I	11
2	Nursing Attendant I	4

Org. Unit	No. of Pos.	Position Title	Salary Grade
3. E		disina Danasturant
3. Emergency Medicine Department	1	edicine Department Modical Specialist III	24
	2	Medical Specialist II	24
	1	Medical Specialist II Medical Officer IV	23
	5	Medical Officer III	23
	1	Nurse III	17
	10	Nurse II	15
	6	Nursing Attendant II	6
		26
	20
4. Clinical Departments
	5	Medical Specialist III	24
	12	Medical Specialist II	23
	6	Medical Officer IV	23
	12	Medical Officer III	21
	35
5. Special Care Areas
	2	Medical Specialist III	24
	4	Medical Officer III	21
	6
6. Department of Pathology
	1	Medical Specialist III	24
	1	Administrative Aide VI	6
	2
a.	Blood Ban	ik
	1	Medical Specialist II	23
	1	Medical Technologist III	18

Level 2: 150 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
	2		45
	3	Medical Technologist II	15
	3	Nurse II	15
	8
b.	Anatomic	and Clinical Laboratory
	1	Medical Specialist II	23
	1	Medical Technologist III	18
	1	Chemist II	15
	3	Medical Technologist II	15
	4	Medical Technologist I	11
	4	Medical Laboratory Technician II	8
	4	Laboratory Aide II	4
	18
7. Department of Radiology
	1	Medical Specialist III	24
	2	Medical Specialist II	23
	1	Radiologic Technologist III	15
	3	Radiologic Technologist II	13
	3	Radiologic Technologist I	11
	1	Administrative Aide IV	4
	11
8. Dental
J. Del		Dentist IV	23


		Dental Aide	i
	1 1 1 3	Dentist IV Dentist II Dental Aide	23 17 4

Org. Unit	No. of Pos.	Position Title	Salary Grade
9. Health Information Management
	1	Administrative Officer V	18
	1	Statistician II	15
	1	Administrative Officer IV	15
	2	Administrative Officer I	10
	2	Data Controller II	8
	7
	a. Admitting	ر/Information
	1	Administrative Officer II	11
	5	Administrative Assistant I	7
	6
10. Nutrition and Dietetics
	1	Nutritionist-Dietitian III	18
	2	Nutritionist-Dietitian I	11
	4	Cook II	5
	6	Administrative Aide III	3
	13
11. Pharmacy
	1	Pharmacist III	18
	6	Pharmacist I	11
	1	Administrative Assistant II	8
	8
12. Medical Social Work
	1	Social Welfare Officer III	18
	3	Social Welfare Officer I	11

Org. Unit		No. of Pos.	Position Title	Salary Grade
			Pos.		Grade
			1	Social Welfare Assistant	8
			5

C.	Nur	sing	Service
	1.	Off	ice of the (	Chief Nurse
			1	Nurse VI	22
			1	Nurse V	20
			1	Nurse IV	19
			1	Administrative Aide VI	6
			4

	2.	Cli	nical Nursir	ng Units
			2	Nurse III	17
			4	Nurse II	15
			51	Nurse I	11
			26	Nursing Attendant I	4
			83

	3.	Op	erating Roo
			1	Nurse III	17
			2	Nurse II	15
			12	Nurse I	11
			6	Nursing Attendant II	6
			21
	4.	De	livery Roon	1
		3	1	Nurse III	17
			6	Nurse II	15

Org. Unit	No. of	Position Title	Salary
Org. Unit	Pos.	Position Title	Grade

	5	Nurse I	11
	5	Midwife I	9
	17
5. Special Care Areas
a.	Post Anes	thesia Care Unit
	1	Nurse III	17
	6	Nurse II	15
	3	Nursing Attendant II	6
	10
b.	Intensive	Care Unit
	1	Nurse III	17
	6	Nurse II	15
	2	Nursing Attendant II	6
	9	-
C.	Neonatal	Intensive Care Unit (NICU)
-	1	Nurse III	17
	14	Nurse II	15
	6	Nursing Attendant II	6
	21	- -
i	Dulmons	v/Posniratory Unit
d.		y/Respiratory Unit	4.4
	1	Respiratory Therapist II	14
	3	Respiratory Therapist I	10
	3	Laboratory Aide II	4
	7

Level 2: 150 Beds
Org. Unit	;	No. of Pos.	Position Title	Salary Grade
	6. Central Supply and Sterilization	y and Sterilization
			1	Nurse II	15
			2	Nursing Attendant II	6
			5	Nursing Attendant I	4
			8
D.	Hosp	ital	Operations	and Patient Support Department
	1.	Off	ice of the A	dministrative Officer
			1	Supervising Administrative Officer	22
		;	1	Administrative Aide VI	6
			2
	2.	Hui	man Resoui	rce Management
			1	Administrative Officer V	18
			1	Administrative Officer IV	15
			1	Administrative Officer II	11
			2	Administrative Assistant II	8
			5
	3.	Pro	curement
			1	Administrative Officer V	18
			1	Administrative Officer III	14
			1	Administrative Assistant III	9
			2	Administrative Assistant I	7
			5
	4.	Ma	terials Man	agement
			1	Administrative Officer V	18
			1	Warehouseman II	8

Org. Unit	No. of Pos.	Position Title	Salary Grade

	1	Administrative Assistant I	7
	3	Administrative Aide IV	4
	6
5. Engineering and Facilities Management
	1	Engineer III	19
	1	Engineer II	16
	1	Engineering Assistant	8
	1	Medical Equipment Technician II	8
	2	Medical Equipment Technician I	6
	5	Administrative Aide VI	6
	2	Administrative Aide IV	4
	13

a.	Housekee	ping/Laundry
	2	Hospital Housekeeper	8
	2	Laundry Worker II	3
	1	Seamstress	2
	5

6. Budget		Advitate att a Office V	40
	1	Administrative Officer V	18
	1	Administrative Officer II	11

	1	Administrative Assistant II	8
	1 3	Administrative Assistant II	8
7. Accounting		Administrative Assistant II	8
7. Accounting	3	Administrative Assistant II Accountant III	8 19

Level 2: 150 Beds

| Org. Unit | No. of
Pos. | Position Title | Salary
Grade | | | | |-------|--------------------|----------------|-----------------------------|-----------------|--|--|--| | | | 4 | Administrative Assistant II | 8 | | | | | | | 6 | | | | | | | | a. | Billing and | l Claims | | | | | | | | 1 | Administrative Officer IV | 15 | | | | | | | 1 | Administrative Assistant II | 8 | | | | | | | 5 | Administrative Aide VI | 6 | | | | | | | 7 | | | | | | | 8. Cash Operations | | | | | | | | | | | 1 | Administrative Officer V | 18 | | | | | | | 5 | Administrative Officer I | 10 | | | | | | | 1 | Administrative Assistant II | 8 | | | | | | | 7 | | | | | | | | ). Sed | curity | (to be contracted out) | | | | | | Total | | 404 | | | | | |

Staffing Pattern for a 200 Bed Capacity Hospital

Level 2: 200 Beds

Org. Unit No. of Pos.	Position Title	Salary Grade
-----------------------	----------------	-----------------

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

2
1	Administrative Assistant III	9
1	Medical Center Chief I	26

2. Integrated Hospital Operations and Management Program

1	Computer Maintenance Technologist II	15
2	Computer Maintenance Technologist I	11
2

B. Medical Service

1. Office of the Chief of Medical Professional Staff

1	Chief of Medical Professional Staff I	25
1	Administrative Assistant I	7
2

2. Outpatient Department

1	Medical Specialist III	24
1	Medical Specialist II	23
1	Medical Officer IV	23
1	Nurse III	17
1	Psychologist II	15
1	Health Education and Promotion Officer II	14
4	Nurse I	11
2	Nursing Attendant I	4

Org. Unit	No. of Pos.	Position Title	Salary Grade
3. Emergency Medicine Department
	1	Medical Specialist III	24
	2	Medical Specialist II	23
	1	Medical Officer IV	23
	6	Medical Officer III	21
	1	Nurse III	17
	13	Nurse II	15
	7	Nursing Attendant II	6
	31
4. Clinical Departments
	5	Medical Specialist III	24
	19	Medical Specialist II	23
	8	Medical Officer IV	23
	16	Medical Officer III	21
	48
5. Special Care Areas
	2	Medical Specialist III	24
	4	Medical Officer III	21
	6
6. Department of Pathology
	1	Medical Specialist III	24
	1	Administrative Aide VI	6
	2

Level 2: 200 Beds
Org. Unit		No. of Pos.	Position Title	Salary Grade
		Blood Ba	l.
	a.			22
		1	Medical Specialist II	23
		1	Medical Technologist III	18
		4	Medical Technologist II	15
		3	Nurse II	15
		9
b. Anatomic and Clinical Laboratory
		2	Medical Specialist II	23
		1	Medical Technologist III	18
		1	Chemist II	15
		3	Medical Technologist II	15
		4	Medical Technologist I	11
		4	Medical Laboratory Technician II	8
		5	Laboratory Aide II	4
	·	20
7.	Dej	partment o	of Radiology
	•	1	Medical Specialist III	24
		2	Medical Specialist II	23
		1	Radiologic Technologist III	15
		3	Radiologic Technologist II	13
		3	Radiologic Technologist I	11
		1	Administrative Aide IV	4
	•	11

8.	Der	ntal
		1	Dentist IV	23
		1	Dentist III	20

Level 2: 200 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
	1	Dentist II	17
		Dentist II Dental Aide	4
	1 4	Dental Aide	4
	-
9. Health Information Management
	1	Administrative Officer V	18
	1	Statistician II	15
	1	Administrative Officer IV	15
	3	Administrative Officer I	10
	3	Data Controller II	8
	9
a.	Admitting	g/Information
	1	Administrative Officer II	11
	6	Administrative Assistant I	7
	7
10. Nutrition and Dietetics
	1	Nutritionist-Dietitian III	18
	2	Nutritionist-Dietitian I	11
	5	Cook II	5
	7	Administrative Aide III	3
	15
11. Pharmacy
11. Pharmacy	1	Pharmacist III	18
	8	Pharmacist I	11
	1	Administrative Assistant II	8
	10	- Administrative / Issistant II	0
	10

Org	. Unit	No. of Pos.	Position Title	Salary Grade
1	12. Medical Social Work
		1	Social Welfare Officer III	18
		4	Social Welfare Officer I	11
		1	Social Welfare Assistant	8
		6
C. N	Nursing	Service
1	L. Off	ice of the	Chief Nurse
		1	Nurse VI	22
		1	Nurse V	20
		1	Nurse IV	19
		1	Administrative Aide VI	6
		4
2	2. Clinical Nursing Units
		2	Nurse III	17
		5	Nurse II	15
		67	Nurse I	11
		34	Nursing Attendant I	4
		108
3	3. Ор	erating Ro	oom
		1	Nurse III	17
		2	Nurse II	15
		16	Nurse I	11
		7	Nursing Attendant II	6
		26

Org. Unit		No. of Pos.	Position Title	Salary Grade

4.	Deli	ivery Roo
		1	Nurse III	17
		8	Nurse II	15
		6	Nurse I	11
		6	Midwife I	9
		21
5.	Spe	cial Care	Areas
	a.	Post Ane	sthesia Care Unit
		1	Nurse III	17
		7	Nurse II	15
		3	Nursing Attendant II	6
		11
	b.	Intensive	e Care Unit
		1	Nurse III	17
		7	Nurse II	15
		2	Nursing Attendant II	6
		10
	C.	Neonatal	Intensive Care Unit (NICU)
		1	Nurse III	17
		18	Nurse II	15
		8	Nursing Attendant II	6
		27		-
	d.	Pulmona	ry/Respiratory Unit
		1	Respiratory Therapist II	14
		4	Respiratory Therapist I	10
		i	Respiratory Therapist 1	10

Org. Unit	No. of Pos.	Position Title	Salary Grade
	4	Laboratory Aide II	4
	9
6. Central Supply and Sterilization
	1	Nurse II	15
	4	Nursing Attendant II	6
	6	Nursing Attendant I	4
	11
D. Hospital	l Operatior	ns and Patient Support Department
1. Office of the Administrative Officer
	1	Supervising Administrative Officer	22
	1	Administrative Aide VI	6
	2
2. Human Resource Management
	1	Administrative Officer V	18
	1	Administrative Officer IV	15
	2	Administrative Officer II	11
	2	Administrative Assistant II	8
	6
3. Procurement
5	1	Administrative Officer V	18
	1	Administrative Officer III	14
	1	Administrative Assistant III	9
	2	Administrative Assistant I	7
	5	,	-

Org. Unit		No. of Pos.	Position Title	Salary Grade
4. Materials Management
		1	Administrative Officer V	18
		1	Warehouseman II	8
		1	Administrative Assistant I	7
		4	Administrative Aide IV	4
	•	7	•
5.	Eng	jineering a	and Facilities Management
		1	Engineer III	19
		1	Engineer II	16
		2	Engineering Assistant	8
		1	Medical Equipment Technician II	8
		2	Medical Equipment Technician I	6
		6	Administrative Aide VI	6
	į	2	Administrative Aide IV	4
		15
	a.	Houseke	eping/Laundry
		2	Hospital Housekeeper	8
		2	Laundry Worker II	3
		1	Seamstress	2
		5
6.	Bud	lget
		1	Administrative Officer V	18
		1	Administrative Officer II	11
		1	Administrative Assistant II	8
		3

Level 2: 200 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
7. Accounting
	1	Accountant III	19
	1	Accountant II	16
	5	Administrative Assistant II	8
	7
a.	Billing ar	nd Claims
	1	Administrative Officer IV	15
	1	Administrative Assistant II	8
	7	Administrative Aide VI	6
	9
8. Cash Operations
	1	Administrative Officer V	18
	6	Administrative Officer I	10
	3	Administrative Assistant II	8
	10
9. Security		(to be contracted out)
Total 493

Level 3 Hospital (Teaching and Training)

Staffing Pattern for a 200 Bed Capacity Hospital

Level 3: 200 Beds

Org. Unit No. of Pos.
-----------------------

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

4
1	Administrative Assistant III	9
1	Administrative Officer IV	15
1	Attorney IV	23
1	Medical Center Chief II	27

2. Professional, Education and Training


2	Training Assistant	8
1	Training Specialist IV	22
1	Nurse VI	22
1	Medical Specialist IV	25

3. Integrated Hospital Operations and Management Program

3
2	Computer Maintenance Technologist II	15
1	Computer Maintenance Technologist III	17

B. Medical Service

1. Office of the Chief of Medical Professional Staff


1	Administrative Assistant I	7
1	Chief of Medical Professional Staff II	26

Org. Unit	No. of Pos.	Position Title	Salary Grade
2. Outpatient Department
•	1	Medical Specialist IV	25
	2	Medical Specialist III	24
	1	Health Education and Promotion Officer III	18
	1	Nurse III	17
	1	Psychologist II	15
	5	Nurse I	11
	3	Nursing Attendant I	4
	14	-

3. Emergency Medicine Department
	1	Medical Specialist IV	25
	1	Medical Specialist III	24
	2	Medical Specialist II	23
	8	Medical Officer IV	23
	2	Nurse III	17
	13	Nurse II	15
	7	Nursing Attendant II	6
	34	-
4. Clinical Departments
	8	Medical Specialist IV	25
	6	Medical Specialist III	24
	15	Medical Specialist II	23
	26	Medical Officer IV	23
	32	Medical Officer III	21
	8	Administrative Assistant I	7
	95	-

Org. Unit	No. of Pos.	Position Title	Salary Grade
5. Special Care Areas
	5	Medical Specialist III	24
	10	Medical Officer III	21
	15
6. Department of Pathology
a. B	lood Bank
	1	Medical Specialist III	24
	1	Medical Officer IV	23
	1	Medical Technologist III	18
	4	Medical Technologist II	15
	4	Nurse II	15
	1	Administrative Assistant I	7
	12
b. A	natomic an	d Clinical Laboratory
	1	Medical Specialist IV	25
	2	Medical Specialist III	24
	2	Medical Officer IV	23
	1	Medical Technologist V	22
	5	Medical Officer III	21
	2	Medical Technologist IV	20
	3	Medical Technologist III	18
	1	Chemist III	18
	3	Medical Technologist II	15
	5	Medical Technologist I	11
	5	Medical Laboratory Technician III	10
	1	Administrative Assistant I	7
	3	Laboratory Aide II	4
	34

Org. Unit No. of Pos.	Position Title	Salary Grade
-----------------------	----------------	-----------------

7. Department of Radiology

(Diagnostic Radiology and Ultrasound, CT-Scan)

20
1	Administrative Assistant I	7
3	Radiologic Technologist I	11
3	Radiologic Technologist II	13
2	Radiologic Technologist III	15
1	Radiologic Technologist IV	18
4	Medical Officer III	21
2	Medical Officer IV	23
1	Health Physicist III	22
2	Medical Specialist III	24
1	Medical Specialist IV	25

8. Dental

5
2	Dental Aide	4
1	Dentist II	17
1	Dentist III	20
1	Dentist V	24

9. Health Information Management

1	Supervising Administrative Officer	22
1	Statistician III	18
1	Administrative Officer V	18
1	Statistician II	15
3	Administrative Officer III	14
4	Administrative Officer I	10

Org. Unit	No. of Pos.	Position Title	Salary Grade

	1	Administrative Assistant II	8
	4	Administrative Assistant I	7
	16
a. Ad	lmitting/I	nformation
	1	Administrative Officer III	14
	2	Administrative Officer II	11
	5	Administrative Assistant I	7
	8
10. Medical Social Work
	1	Social Welfare Officer IV	22
	2	Social Welfare Officer II	15
	4	Social Welfare Officer I	11
	1	Social Welfare Assistant	8
	8
11. Nutrition and Dietetics
	1	Nutritionist-Dietitian V	22
	1	Nutritionist-Dietitian IV	20
	2	Nutritionist-Dietitian II	15
	1	Administrative Assistant II	8
	6	Cook II	5
	12	Administrative Aide III	3
	23
12. Pharmacy
	1	Pharmacist V	22
	1	Pharmacist IV	20

No. of Pos.	Position Title	Salary Grade
6	Pharmacist II	15
12	Administrative Assistant II	8
20

C. Nursing Service

1. Office of the Chief Nurse

1	Nurse VII	24
1	Nurse VI	22
2	Nurse V	20
1	Administrative Assistant I	7
-

2. Clinical Nursing Units

84
30	Nursing Attendant II	6
48	Nurse I	11
4	Nurse II	15
2	Nurse III	17

3. Operating Room

22
2	Administrative Aide VI	6
3	Nursing Attendant II	6
13	Nurse II	15
13	Nurse III	17
1	Nurse IV	19

| Org. Unit |------|-------|-- | 4. | Speci | ial Care Ar | | | 4 | | | 23 | | | 4 | | | 31 | 5. | Pulm | onary/Res | | | 1 | | | 2 | | | 4 | | | 4 | | | 11 | 6. | Obst | etric Comp | | | 1 | | | 2 | | | 2 | | | 5 | | a. La | abor Room | | | 5 | | | 5 | | b. D | elivery Roc | | | 4 | | | 4 | | | 8 | | | 16 | No. of
Pos. | Position Title | Salary
Grade | --------------|-------------------------------|-----------------| | eas | | | Nurse III | 17 | | Nurse II | 15 | | Nursing Attendant II | 6 | | | | | piratory Unit | | | Respiratory Therapist III | 17 | | Respiratory Therapist II | 14 | | Respiratory Therapist I | 10 | | Physical Therapy Technician I | 6 | | | | | lex | | | Nurse IV | 19 | | Nurse III | 17 | | Administrative Assistant I | 7 | | | | | | | | Midwife II | 11 | | | | | om | | | Nurse II | 15 | | Midwife II | 11 | | Midwife I | 9 | | | |

Org. Unit	No. of Pos.	Position Title	Salary Grade
-----------	----------------	----------------	-----------------	--

c. Obstetrical OR

i. Caesarean Section OR

6 Nurse II 15

2 Midwife I 9

ii. Ligation Room

2 Midwife II 11

d. Recovery Room/PACU

5 Midwife II 11

7. Central Supply and Sterilization

1 Nurse II 15 2 Nursing Attendant II 6 4 Nursing Attendant I 4

D. Hospital Operations and Patient Support Department

1. Office of the Administrative Officer

1 Chief Administrative Officer 24 1 Administrative Officer II 11 1 Administrative Assistant I 7 3

Org. Unit	No. of Pos.	Position Title	Salary Grade
2. Human Resource Management
	1	Supervising Administrative Officer	22
	1	Administrative Officer IV	15
	1	Administrative Officer III	14
	2	Administrative Officer II	11
	3	Administrative Assistant II	8
	8
3. Procu	irement
	1	Supervising Administrative Officer	22
	1	Administrative Officer III	14
	1	Administrative Assistant III	9
	2	Administrative Assistant I	7
	5
4. Materials Management
	1	Supervising Administrative Officer	22
	1	Administrative Officer III	14
	1	Warehouseman III	11
	2	Administrative Assistant I	7
	5
5. Engineering and Facilities Management
	1	Engineer IV	22
	1	Engineer III	19
	1	Medical Equipment Technician IV	13
	1	Medical Equipment Technician III	11
	2	Administrative Assistant III	9
	2	Medical Equipment Technician II	8
	2	Medical Equipment Technician I	6

Org. Unit	No. of Pos.	Position Title	Salary Grade
	6	Administrative Aide VI	6
	2	Administrative Aide V	5
	18
a. H	lousekeepi	ng/Laundry
	2	Hospital Housekeeper	8
	2	Laundry Worker II	3
	1	Seamstress	2
	5
6. Security	(to be contracted out)
. Finance S
. Finance S	ervice	nance Officer
. Finance S	ervice		24
. Finance S	ervice se of the Fir	nance Officer	24 7
. Finance S	ervice se of the Fir	nance Officer Financial and Management Officer II
. Finance S	ervice 1 1 2	nance Officer Financial and Management Officer II
Finance S	ervice 1 1 2	nance Officer Financial and Management Officer II
Finance S	ervice 1 1 2	nance Officer Financial and Management Officer II Administrative Assistant I	7
Finance S	ervice 1 1 2 get	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer	7
Finance S	ervice 1 1 2 get 1 1	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV	7 22 15
Finance Solution 1. Office 2. Budg	ervice 1 1 2 get 1 1 1 1	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV	7 22 15
Finance Solution 1. Office 2. Budg	ervice 1 1 2 get 1 1 3	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV	7 22 15
Finance Solution 1. Office 2. Budg	ervice 1 1 2 get 1 1 3	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV Administrative Assistant II	7 22 15 8
Finance Solution 1. Office 2. Budg	ervice 1 1 2 get 1 1 3 ounting 1	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV Administrative Assistant II Accountant IV	7 22 15 8

Level 3: 200 Beds

Org. Un	it No. of Pos.	Position Title	Salary Grade
	4	Administrative Assistant II	8
a	. Billing and C	Claims
	1	Administrative Officer IV	15
	2	Administrative Officer II	11
	10	Administrative Assistant III	9
	13
4. C	ash Operation	s
	1	Supervising Administrative Officer	22
	1	Administrative Officer III	14
	6	Administrative Officer I	10
	2	Administrative Assistant II	8
	10
Total	609

Staffing Pattern for a 300 Bed Capacity Hospital

Level 3: 300 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
-----------	----------------	----------------	-----------------	--

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

1	Medical Center Chief II	27
1	Attorney IV	23
1	Administrative Officer IV	15
1	Administrative Assistant III	9

2. Professional, Education and Training

1	Medical Specialist IV	25
1	Nurse VI	22
1	Training Specialist IV	22
2	Training Assistant	8

3. Integrated Hospital Operations and Management Program

4
3	Computer Maintenance Technologist II	15
1	Computer Maintenance Technologist III	17

B. Medical Service

1. Office of the Chief of Medical Professional Staff

2
1	Administrative Assistant I	7
1	Chief of Medical Professional Staff II	26

Org. Unit		No. of Pos.	Position Title	Salary Grade

2.	Outpat	ient Depa
		1	Medical Specialist IV	25
		2	Medical Specialist III	24
		1	Health Education and Promotion Officer III	18
		1	Nurse III	17
		2	Psychologist II	15
		8	Nurse I	11
		4	Nursing Attendant I	4
		19
3.	Emora	anay Mad	icina Danautmant
Э.	Eilleige	incy Meu 1	icine Department Medical Specialist IV	25
			•
		2	Medical Specialist III	24
		2	Medical Specialist II	23
		11	Medical Officer IV	23
		3	Nurse III	17
		20	Nurse II	15
		10	Nursing Attendant II	6
		49
4.	Clinica	l Departn	nents
		8	Medical Specialist IV	25
		10	Medical Specialist III	24
		18	Medical Specialist II	23
		59	Medical Officer IV	23
		64	Medical Officer III	23 21

		8	Administrative Assistant I	7
		167

Org. Unit	No. of Pos.	Position Title	Salary Grade
5. Special Care Areas
	5	Medical Specialist III	24
	12	Medical Officer III	21
	17
6. Department of Pathology
6. Department of Pathology
a. Blo	od Bank
	1	Medical Specialist III	24
	2	Medical Officer IV	23
	1	Medical Technologist III	18
	6	Medical Technologist II	15
	6	Nurse II	15
	1	Administrative Assistant I	7
	17
b. And	atomic ai	nd Clinical Laboratory
	1	Medical Specialist IV	25
	3	Medical Specialist III	24
	3	Medical Officer IV	23
	1	Medical Technologist V	22
	8	Medical Officer III	21
	3	Medical Technologist IV	20
	5	Medical Technologist III	18
	1	Chemist III	18
	4	Medical Technologist II	15
	8	Medical Technologist I	11
	8	Medical Laboratory Technician III	10

Level 3:	Level 3: 300 Beds
Org. Unit	No. of Pos.	Position Title	Salary Grade

		1	Administrative Assistant I	7
		5	Laboratory Aide II	4
		51
7.	Depart	ment of I	Radiology
		(Diagno	ostic Radiology and Ultrasound, CT-Scan)
		1	Medical Specialist IV	25
		3	Medical Specialist III	24
		1	Health Physicist III	22
		2	Medical Officer IV	23
		6	Medical Officer III	21
		2	Radiologic Technologist IV	18
		2	Radiologic Technologist III	15
		4	Radiologic Technologist II	13
		4	Radiologic Technologist I	11
		1	Administrative Assistant I	7
		26
8.	Dental
		1	Dentist V	24
		2	Dentist III	20
		2	Dentist II	17
		2	Dental Aide	4
		7
9.	Health	Informat	tion Management
J.				22

		1	Administrative Officer V	18
9.	Health	2 7 Informat 1 1	tion Management Supervising Administrative Officer Statistician III	22 18

Level 3: 300 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
	1	Statistician II	15
	4	Administrative Officer III	14
	6	Administrative Officer I	10
	2	Administrative Assistant II	8
	2	Administrative Assistant I	7
	18
a. A	dmitting/	Information
	1	Administrative Officer III	14
	3	Administrative Officer II	11
	8	Administrative Assistant I	7
	12
10. Medical Social Work
	1	Social Welfare Officer IV	22
	3	Social Welfare Officer II	15
	5	Social Welfare Officer I	11
	3	Social Welfare Assistant	8
	12
11. Nutrit	tion and D	ietetics
	1	Nutritionist-Dietitian V	22
	1	Nutritionist-Dietitian IV	20
	3	Nutritionist-Dietitian II	15
	1	Administrative Assistant II	8
	8	Cook II	5
	12	Administrative Aide III	3
	26

Org. Unit		No. of Pos.	Position Title	Salary Grade
	12.	Pharma	асу
			1	Pharmacist V	22
			1	Pharmacist IV	20
			10	Pharmacist II	15
			20	Administrative Assistant II	8
			32
C.	Nur	sing Serv	/ice
	1.	Office of	of the Chi	ief Nurse
			1	Nurse VII	24
			1	Nurse VI	22
			2	Nurse V	20
			1	Administrative Assistant I	7
			5
	2.	Clinica	l Nursing	Units
			3	Nurse III	17
			6	Nurse II	15
			71	Nurse I	11
			45	Nursing Attendant II	6
			125
	3.	Operat	ing Room	1
			1	Nurse IV	19
			19	Nurse III	17
			19	Nurse II	15
			3	Nursing Attendant II	6
			2	Administrative Aide VI	6
			44

| Org. Unit | No. of
Pos. | Position Title | Salary
Grade | |------|--------|----------------|-------------------------------|-----------------| | 4. | Specia | al Care Are | eas | | | | | 6 | Nurse III | 17 | | | | 33 | Nurse II | 15 | | | | 5 | Nursing Attendant II | 6 | | | | 44 | | | | 5. | Pulmo | nary/Res | piratory Unit | | | | | 1 | Respiratory Therapist III | 17 | | | | 3 | Respiratory Therapist II | 14 | | | | 5 | Respiratory Therapist I | 10 | | | | 5 | Physical Therapy Technician I | 6 | | | | 14 | | | | 6. | Obste | tric Comp | lex | | | | | 1 | Nurse IV | 19 | | | | 3 | Nurse III | 17 | | | | 3 | Administrative Assistant I | 7 | | | | 7 | | | | | a. La | ibor Room | i | | | | | 8 | Midwife II | 11 | | | | 8 | | | | | b. De | elivery Ro | om | | | | | 6 | Nurse II | 15 | | | | 5 | Midwife II | 11 | | | | 10 | Midwife I | 9 | | | | 21 | | |

	Org. Unit	No. of Pos.	Position Title	Salary Grade
	c. Obstetrical OR \ni Caesarean Section OR
	i.	9	Nurse II	15
		3	Midwife I	9
		12	Pildwife I	J
	ii.	Ligation
		2	Midwife II	11
		2
	d. Re		pom/PACU
		8	Midwife II	11
		8
	7. Centra	l Supply a	and Sterilization
		1	Nurse II	15
		3	Nursing Attendant II	6
		5	Nursing Attendant I	4
		9
D.	Hospital Ope	erations a	and Patient Support Department
	1. Office	of the Ad	ministrative Officer
		1	Chief Administrative Officer	24
		1	Administrative Officer II	11
		1	Administrative Assistant I	7
		3

Org. Unit	No. of Pos.	Position Title	Salary Grade
2. Human	Resourc	e Management
	1	Supervising Administrative Officer	22
	1	Administrative Officer IV	15
	1	Administrative Officer III	14
	3	Administrative Officer II	11
	3	Administrative Assistant II	8
	9
3. Procurement
J. Procure	1	Supervising Administrative Officer	22
	1	Administrative Officer III	14
	2	Administrative Assistant III	9
	3	Administrative Assistant I	7
	7	, Administrative / Isolatane I	•
4. Materia	als Mana	gement
	1	Supervising Administrative Officer	22
	1	Administrative Officer III	14
	2	Warehouseman III	11
	3	Administrative Assistant I	7
	7
E Engine	orina ses	l Facilities Management
5. Engine		fracilities Management	22
	1	Engineer IV
	2	Engineer III Medical Equipment Technician IV	19
	1	Medical Equipment Technician IV	13
	1	Medical Equipment Technician III	11
	2	Administrative Assistant III	9
	3	Medical Equipment Technician II	8

	Org. Unit	No. of Pos.	Position Title	Salary Grade

		3	Medical Equipment Technician I	6
		9	Administrative Aide VI	6
		3	Administrative Aide V	5
		25
	a. H	ousekeepi	ng/Laundry
		3	Hospital Housekeeper	8
		3	Laundry Worker II	3
		1	Seamstress	2
		7
E.	Finance Se		ance Officer
		1	Financial and Management Officer II	24
		1	Administrative Assistant I	7
		2
	2. Budge	et
		1	Supervising Administrative Officer	22
		1	Administrative Officer IV	15
		2	Administrative Assistant II	8
		4
	3. Accou	inting
		1	Accountant IV	22
		1	Accountant III	19
		1	Administrative Officer IV	15

Level 3: 300 Beds

| Org. Unit | No. of
Pos. | Position Title | Salary
Grade | |-------|--------|----------------|------------------------------------|-----------------| | | | | | | | | | 2 | Administrative Assistant III | 9 | | | | 5 | Administrative Assistant II | 8 | | | | 10 | | | | | a. Bil | ling and ( | Claims | | | | | 1 | Administrative Officer IV | 15 | | | | 3 | Administrative Officer II | 11 | | | | 11 | Administrative Assistant III | 9 | | | | 15 | | | | 4. | Cash O | perations | 5 | | | | | 1 | Supervising Administrative Officer | 22 | | | | 1 | Administrative Officer III | 14 | | | | 9 | Administrative Officer I | 10 | | | | 2 | Administrative Assistant II | 8 | | | | 13 | | | | Total | | 869 | | |

Staffing Pattern for a 400 Bed Capacity Hospital

Level 3: 400 Beds

Org. Unit No.	Position Title	Salary Grade
---------------	-----------------	-----------------

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

1	Medical Center Chief II	27
1	Attorney IV	23
1	Administrative Officer IV	15
1	Administrative Assistant III	9

2. Professional, Education and Training

5
2	Training Assistant	8
1	Training Specialist IV	22
1	Nurse VI	22
1	Medical Specialist IV	25

3. Integrated Hospital Operations and Management Program

5
4	Computer Maintenance Technologist II	15
1	Computer Maintenance Technologist III	17

B. Medical Service

1. Office of the Chief of Medical Professional Staff

2
1	Administrative Assistant I	7
1	Chief of Medical Professional Staff II	26

Level 3: 400 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
2. Outpa	2. Outpatient Department
	1	Medical Specialist IV	25
	2	Medical Specialist III	24
	1	Health Education and Promotion Officer III	18
	1	Nurse III	17
	2	Psychologist II	15
	10	Nurse I	11
	5	Nursing Attendant I	4
	22
3. Emergency Medicine Department
	1	Medical Specialist IV	25
	2	Medical Specialist III	24
	3	Medical Specialist II	23
	15	Medical Officer IV	23
	4	Nurse III	17
	26	Nurse II	15
	13	Nursing Attendant II	6
	64
4. Clinical Departments
	8	Medical Specialist IV	25
	15	Medical Specialist III	24
	24	Medical Specialist II	23
	80	Medical Officer IV	23
	96	Medical Officer III	21
	8	Administrative Assistant I	7
	231

Level 3: 400 Beds
No. of Pos.	Position Title	Salary Grade
cial Care Areas
5	Medical Specialist III	24
14	Medical Officer III	21
19	•
eartment of Pat	hology
Blood Bank
1	Medical Specialist III	24
2	Medical Officer IV	23
1	Medical Technologist III	18
8	Medical Technologist II	15
8	Nurse II	15
1	Administrative Assistant I	7
21
Anatomic and (	Clinical Laboratory
1	Medical Specialist IV	25
4	Medical Specialist III	24
4	Medical Officer IV	23
1	Medical Technologist V	22
10	Medical Officer III	21
4	Medical Technologist IV	20
6	Medical Technologist III	18
1	Chemist III	18
5	Medical Technologist II	15
10	Medical Technologist I	11
10	Medical Laboratory Technician III	10
1	Administrative Assistant I	7
	No. of Pos.	Cial Care Areas 5 Medical Specialist III 14 Medical Officer III 19 artment of Pathology Blood Bank 1 Medical Specialist III 2 Medical Officer IV 1 Medical Technologist III 8 Medical Technologist II 8 Nurse II 1 Administrative Assistant I 21 Anatomic and Clinical Laboratory 1 Medical Specialist IV 4 Medical Specialist IV 4 Medical Specialist IV 1 Medical Officer IV 1 Medical Specialist IV 6 Medical Officer III 7 Medical Officer III 7 Medical Technologist V 7 Medical Officer III 7 Medical Technologist III 8 Medical Technologist III 9 Medical Technologist III 1 Chemist III 1 Chemist III 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II 1 Medical Technologist II

Org. Unit	No. of Pos.	Position Title	Salary Grade
	6 63	Laboratory Aide II	4
7. Department of Radiology
	(Diagnosti	ic Radiology and Ultrasound, CT-Scan)
	1	Medical Specialist IV	25
	4	Medical Specialist III	24
	1	Health Physicist III	22
	3	Medical Officer IV	23
	8	Medical Officer III	21
	2	Radiologic Technologist IV	18
	3	Radiologic Technologist III	15
	5	Radiologic Technologist II	13
	5	Radiologic Technologist I	11
	1	Administrative Assistant I	7
	33
8. Dental
	1	Dentist V	24
	2	Dentist III	20
	2	Dentist II	17
	3	Dental Aide	4
	8
9. Health	Informatio	n Management
	1	Supervising Administrative Officer	22
	1	Statistician III	18
	1	Administrative Officer V	18
	1	Statistician II	15

Level 3: 400 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
	5	Administrative Officer III	14
	8	Administrative Officer I	10
	2	Administrative Assistant II	8
			o 7
	3	Administrative Assistant I	/
	22
a. Ad	mitting/Inf	formation
	1	Administrative Officer III	14
	4	Administrative Officer II	11
	10	Administrative Assistant I	7
	15

10. Medica	il Social Wo	rk
	1	Social Welfare Officer IV	22
	4	Social Welfare Officer II	15
	7	Social Welfare Officer I	11
	4	Social Welfare Assistant	8
	16

11. Nutriti	on and Diet
	1	Nutritionist-Dietitian V	22
	1	Nutritionist-Dietitian IV	20
	5	Nutritionist-Dietitian II	15
	1	Administrative Assistant II	8
	10	Cook II	5
	16	Administrative Aide III	3
	34

Org. Unit		No. of Pos.	Position Title	Salary Grade
	12.	Pharm	асу
			1	Pharmacist V	22
			2	Pharmacist IV	20
			13	Pharmacist II	15
			26	Administrative Assistant II	8
			42
C.	Nur	sing Ser	vice
	1.	Office	of the Chief	Nurse
			1	Nurse VII	24
			1	Nurse VI	22
			2	Nurse V	20
			1	Administrative Assistant I	7
			5
	2.	Clinica	l Nursing U	nits
			4	Nurse III	17
			8	Nurse II	15
			93	Nurse I	11
			60	Nursing Attendant II	6
			165
	3.	Operat	ting Room
			1	Nurse IV	19
			25	Nurse III	17
			25	Nurse II	15
			4	Nursing Attendant II	6
			2	Administrative Aide VI	6
			57

| Org. Unit | No. of
Pos. | Position Title | Salary
Grade | |------|--------|----------------|---------------------------------|-----------------| | 4. | Specia | al Care Areas | ; | | | | | 8 | Nurse III | 17 | | | | 43 | Nurse II | 15 | | | | 6 | Nursing Attendant II | 6 | | | | 57 | | | | 5. | Pulmo | nary/Respi | ratory Unit | | | | | 1 | Respiratory Therapist III | 17 | | | | 4 | Respiratory Therapist II | 14 | | | | 7 | Respiratory Therapist I | 10 | | | | 7 | Physical Therapy Technician I | 6 | | | | 19 | | | | 6. | Obste | tric Complex | ( | | | | | 1 | Nurse IV | 19 | | | | 4 | Nurse III | 17 | | | | 4 | Administrative Assistant I | 7 | | | | 9 | | | | | a. La | bor Room | | | | | | 10 | Midwife II | 11 | | | | 10 | | | | | b. De | elivery Roon | 1 | | | | | 8 | Nurse II | 15 | | | | 6 | Midwife II | 11 | | | | 12 | Midwife I | 9 | | | | 26 | | |

Org. Unit	No. of Pos.	Position Title	Salary Grade
	FUS.		Grade
c. Ob	stetrical OR
i.	Caesarean	Section OR
	12	Nurse II	15
	4	Midwife I	9
	16
ii.	Ligation Ro	oom
	3	Midwife II	11
	3
d. Re	ecovery Roon	n/PACU
	10	Midwife II	11
	10
7. Centra	al Supply and	l Sterilization
	1	Nurse II	15
	4	Nursing Attendant II	6
	7	Nursing Attendant I	4
	12
D. Hospital Op	erations and	Patient Support Department
1. Office	of the Admir	nistrative Officer
	1	Chief Administrative Officer	24
	1	Administrative Officer II	11
	1	Administrative Assistant I	7

Org. Unit		No. of Pos.	Position Title	Salary Grade
2.	Human	Resource	Management
		1	Supervising Administrative Officer	22
		1	Administrative Officer IV	15
		1	Administrative Officer III	14
		4	Administrative Officer II	11
		4	Administrative Assistant II	8
		11
3.	Procur	ement
		1	Supervising Administrative Officer	22
		1	Administrative Officer III	14
		2	Administrative Assistant III	9
		4	Administrative Assistant I	7
		8
4.	Materia	als Manage	ment
		1	Supervising Administrative Officer	22
		1	Administrative Officer III	14
		2	Warehouseman III	11
		4	Administrative Assistant I	7
		8
5.	Engine	ering and F	acilities Management
	J	1	Engineer IV	22
		2	Engineer III	19
		1	Medical Equipment Technician IV	13
		1	Medical Equipment Technician III	11
		3	Administrative Assistant III	9
		4	Medical Equipment Technician II	8
		4	Medical Equipment Technician I	6
				101

Org. l	Unit	No. of Pos.	Position Title	Salar Grade
		12	Administrative Aide VI	6
		4	Administrative Aide V	5
		32
	a. Ho	usekeeping	g/Laundry
		4	Hospital Housekeeper	8
		4	Laundry Worker II	3
		2	Seamstress	2
		10
. Fina 1.	nce Serv		nce Officer
		/ice	, and the second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second second
		vice of the Finar	nce Officer Financial and Management Officer II	24 7
		vice of the Finar	nce Officer	24 7
		vice of the Finar 1 1 2	nce Officer Financial and Management Officer II
1.	Office	vice of the Finar 1 1 2	nce Officer Financial and Management Officer II
1.	Office	vice of the Final 1 2	nce Officer Financial and Management Officer II Administrative Assistant I	7
1.	Office	vice of the Final 1 2	rice Officer Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer	7 22
1.	Office	vice of the Final 1 2 2	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV	7 22 15
1.	Office	vice of the Final 1 2 1 2 4	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV	7 22 15
1.	Office of	vice of the Final 1 2 1 2 4	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV	7 22 15
1.	Office of	vice of the Final 1 2 1 2 4 ating	Financial and Management Officer II Administrative Assistant I Supervising Administrative Officer Administrative Officer IV Administrative Assistant II	7 22 15 8

Level 3: 400 Beds

Org. l	Unit	No. of Pos.	Position Title	Salary Grade

		2	Administrative Assistant III	9
		7	Administrative Assistant II	8
		12
	a. Billing and Claims
		1	Administrative Officer IV	15
		4	Administrative Officer II	11
		15	Administrative Assistant III	9
		20
4.	Cash 0	perations
		1	Supervising Administrative Officer	22
		1	Administrative Officer III	14
		12	Administrative Officer I	10
		3	Administrative Assistant II	8
		17
Total		1,122

Staffing Pattern for a 500 Bed Capacity Hospital

Level 3: 500 Beds

Org. Unit No. of Position Title Sa Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant Grant

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

1	Medical Center Chief II	27
1	Attorney IV	23
1	Administrative Officer IV	15
1	Administrative Assistant III	9

2. Professional, Education and Training

5
2	Training Assistant	8
1	Training Specialist IV	22
1	Nurse VI	22
1	Medical Specialist IV	25

3. Integrated Hospital Operations and Management Program

5
4	Computer Maintenance Technologist II	15
1	Computer Maintenance Technologist III	17

B. Medical Service

1. Office of the Chief of Medical Professional Staff

2
1	Administrative Assistant I	7
1	Chief of Medical Professional Staff II	26

Level 3: 500 Beds

| Org. Unit | No. of
Pos. | Position Title | Salary
Grade | |------|---------|----------------|--------------------------------------------|-----------------| | 2. | Outpat | ient Departr | ment | | | | ошерие | 1 | Medical Specialist IV | 25 | | | | 2 | Medical Specialist III | 24 | | | | 1 | Health Education and Promotion Officer III | 18 | | | | 1 | Nurse III | 17 | | | | 2 | Psychologist II | 15 | | | | 12 | Nurse I | 11 | | | | 6 | Nursing Attendant I | 4 | | | • | 25 | | | | | | | | | | 3. | Emerge | ency Medicir | ne Department | | | | | 1 | Medical Specialist IV | 25 | | | | 2 | Medical Specialist III | 24 | | | | 3 | Medical Specialist II | 23 | | | | 18 | Medical Officer IV | 23 | | | | 4 | Nurse III | 17 | | | | 32 | Nurse II | 15 | | | | 16 | Nursing Attendant II | 6 | | | | 76 | | | | | | | | | | 4. | Clinica | l Departmen | ts | | | | | 8 | Medical Specialist IV | 25 | | | | 22 | Medical Specialist III | 24 | | | | 30 | Medical Specialist II | 23 | | | | 115 | Medical Officer IV | 23 | | | | 128 | Medical Officer III | 21 | | | | 8 | Administrative Assistant I | 7 | | | | 311 | | |

Level 3: 500 Beds
Org. Unit	No. of Pos.	Position Title	Salary Grade
5. Special Care Areas
•	5	Medical Specialist III	24
	16	Medical Officer III	21
	21

6. Department of Pathology
a.	Blood Bank
	1	Medical Specialist III	24
	2	Medical Officer IV	23
	1	Medical Technologist III	18
	10	Medical Technologist II	15
	9	Nurse II	15
	1	Administrative Assistant I	7
	24

b.	Anatomic and (	Clinical Laboratory
	1	Medical Specialist IV	25
	2	Medical Specialist III	24
	4	Medical Officer IV	23
	1	Medical Technologist V	22
	12	Medical Officer III	21
	2	Medical Technologist IV	20
	6	Medical Technologist III	18
	1	Chemist III	18
	9	Medical Technologist II	15
	12	Medical Technologist I	11
	12	Medical Laboratory Technician III	10
	1	Administrative Assistant I	7

Level 3: 500 Beds
Org. Unit	No. of Pos.	Position Title	Salary Grade
	7 70	Laboratory Aide II	4
7. Depar	tment of Rad	diology
	(Diagnosti	c Radiology and Ultrasound, CT-Scan)
	1	Medical Specialist IV	25
	5	Medical Specialist III	24
	1	Health Physicist III	22
	3	Medical Officer IV	23
	9	Medical Officer III	21
	2	Radiologic Technologist IV	18
	3	Radiologic Technologist III	15
	6	Radiologic Technologist II	13
	6	Radiologic Technologist I	11
	1	Administrative Assistant I	7
	37
8. Denta	I
	1	Dentist V	24
	2	Dentist III	20
	2	Dentist II	17
	3	Dental Aide	4
	8
9. Health	Informatio	n Management
	1	Supervising Administrative Officer	22
	1	Statistician III	18
	1	Administrative Officer V	18
	1	Statistician II	15

Level 3: 500 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade
		Administration Office TTT
	6	Administrative Officer III	14
	10	Administrative Officer I	10
	2	Administrative Assistant II	8
	3	Administrative Assistant I	7
	25
a. Adi	mitting/Inf	ormation
	1	Administrative Officer III	14
	4	Administrative Officer II	11
	12	Administrative Assistant I	7
	17
10. Medica	il Social Wo	rk
	1	Social Welfare Officer IV	22
	4	Social Welfare Officer II	15
	8	Social Welfare Officer I	11
	7	Social Welfare Assistant	8
	20
11. Nutrition and Dietetics
	1	Nutritionist-Dietitian V	22
	1	Nutritionist-Dietitian IV	20
	6	Nutritionist-Dietitian II	15
	1	Administrative Assistant II	8
	12	Cook II	5
	16	Administrative Aide III	3
	37

Org. Unit No. o		Position Title	Salary Grade
12 Dha	\	•	1
12. Pharm	асу 1	Pharmacist V	22

	2	Pharmacist IV	20
	17	Pharmacist II	15
	34	Administrative Assistant II	8
	54
C. Nursing Ser	vice
	of the Chief	^. Nurse
	1	Nurse VII	24
	1	Nurse VI	22
	2	Nurse V	20
	1	Administrative Assistant I	7
	5
2. Clinica	al Nursing U	nits
	4	Nurse III	17
	10	Nurse II	15
	116	Nurse I	11
	75	Nursing Attendant II	6
	205
2 0	D
3. Opera	ting Room	Numer TV	10
	1	Nurse IV	19
	31	Nurse III	17
	31	Nurse II	15
	4	Nursing Attendant II	6
	2	Administrative Aide VI	6
	69

Level 3: 500 Beds

| Org. Unit | No. of
Pos. | Position Title | Salary
Grade | |------|--------|----------------|-------------------------------|-----------------| | 4. | Specia | l Care Areas | | | | | | 10 | Nurse III | 17 | | | | 53 | Nurse II | 15 | | | | 6 | Nursing Attendant II | 6 | | | | 69 | | | | 5. | Pulmo | nary/Respira | atory Unit | | | | | 1 | Respiratory Therapist III | 17 | | | | 4 | Respiratory Therapist II | 14 | | | | 8 | Respiratory Therapist I | 10 | | | | 8 | Physical Therapy Technician I | 6 | | | | 21 | | | | 6. | Obstet | ric Complex | | | | | | 1 | Nurse IV | 19 | | | | 4 | Nurse III | 17 | | | | 4 | Administrative Assistant I | 7 | | | | 9 | | | | | a. La | bor Room | | | | | | 12 | Midwife II | 11 | | | | 12 | | | | | b. De | livery Room | | | | | | 10 | Nurse II | 15 | | | | 7 | Midwife II | 11 | | | | 14 | Midwife I | 9 | | | | 31 | | |

	Org. Unit	•	No. of Pos.	Position Title	Salary Grade
	c.	Ob	stetrical OR
		i.	Caesarean	Section OR
			15	Nurse II	15
			4	Midwife I	9
			19
		ii.	Ligation Ro	oom
			3	Midwife II	11
			3
	d.	Re	covery Roon	n/PACU
			12	Midwife II	11
			12
	7. Central Supply and Sterilization
			1	Nurse II	15
			5	Nursing Attendant II	6
			8	Nursing Attendant I	4
			14
D.	Hospita	l Ор	erations and	l Patient Support Department
	1. Office of the Administrative Officer
			1	Chief Administrative Officer	24
			1	Administrative Officer II	11
			1	Administrative Assistant I	7

Org. l		No. of Pos.	Position Title	Salary Grade
2.	Human	n Resource M	nagement
		1	Supervising Administrative Officer	22
		1	Administrative Officer IV	15
		1	Administrative Officer III	14
		4	Administrative Officer II	11
		4	Administrative Assistant II	8
		11
3.	Procur	ement
		1	Supervising Administrative Officer	22
		1	Administrative Officer III	14
		2	Administrative Assistant III	9
		4	Administrative Assistant I	7
		8
4.	Materia	als Managei	ment
		1	Supervising Administrative Officer	22
		1	Administrative Officer III	14
		2	Warehouseman III	11
		4	Administrative Assistant I	7
		8
5.	Engine	ering and F	acilities Management
		1	Engineer IV	22
		2	Engineer III	19
		1	Medical Equipment Technician IV	13
		1	Medical Equipment Technician III	11
		3	Administrative Assistant III	9
		4	Medical Equipment Technician II	8

	Org. Unit	No. of Pos.	Position Title	Salary Grade

		5	Medical Equipment Technician I	6
		14	Administrative Aide VI	6
		4	Administrative Aide V	5
		35
	a. Ho	ousekeeping	/Laundry
		4	Hospital Housekeeper	8
		5	Laundry Worker II	3
		2	Seamstress	2
		11
E.		of the Finan 1 1 2	ce Officer Financial and Management Officer II Administrative Assistant I	24 7
	2. Budge	t
		1	Supervising Administrative Officer	22
		1	Administrative Officer IV	15
		2	Administrative Assistant II	8
		4
	3. Accour	nting
		1	Accountant IV	22
		1	Accountant III	19
		1	Administrative Officer IV	15

Level 3: 500 Beds

Org. Unit	No. of Pos.	Position Title	Salary Grade

	2	Administrative Assistant III	9
	8	Administrative Assistant II	8
	13
a.	Billing and Cla	ims
	1	Administrative Officer IV	15
	5	Administrative Officer II	11
	18	Administrative Assistant III	9
	24
4. Cash Operations
	1	Supervising Administrative Officer	22
	1	Administrative Officer III	14
	15	Administrative Officer I	10
	3	Administrative Assistant II	8
	20
Total	1, 349

Optional Staffing Standards for Specialty/Sub-speciality Service in Level 3 (Teaching and Training Hospitals)

Org.		Salary	Number of Positions
Unit	Position Title	Grade	Bed Capacity
		3.2.3	200	300	400	500

Burn U	nit
	Nurse III	17	1	1	1	1
	Nurse II	15	4	6	8	10
	Nursing Attendant II	6	6	6	8	10
		Total	11	13	17	21
Rehahi	litation Medicine
	Medical Specialist IV	25	1	1	1	1
	Medical Specialist III	24	1	1	1	1
	Medical Officer IV	23	4	4	4	4
	Medical Officer III	21	9	9	9	9
	Occupational Therapist III	18	1	1	1	1
	Physical Therapist III	18	1	1	1	1
	Occupational Therapist II	15	3	3	3	3
	Physical Therapist II	15	3	3	3	3
	Speech Therapist II	14	2	2	2	2
	Occupational Therapist I	11	3	4	6	8
	Speech Therapist I	11	1	1	1	1
	Physical Therapist I	11	4	5	7	9
	, , , , , , , , , , , , , , , , , , , ,	Total	33	35	39	43
Respiratory	atory Therapy Unit
veshile	Respiratory Therapist III	17	1	1	1	1
	, , ,	17	4	4	4	4
	Respiratory Therapist I				3
	Respiratory Therapist I	10	2	3		4
	Laboratory Aide II	4 Total	2	3	12	5
		Total	9	11	12	14
Dialysis	s Unit
	Nurse III	17	1	1	1	1

Ora		Coloma	Number of Positions
Org. Unit	Position Title	Salary Grade	Bed Capacity
		0.000	200	300	1	500
	Nurse II	15	2	2	3	3
	Nurse I	11	1	1	1	1
	Medical Laboratory Technician I	6	1	1	1	1
	Nursing Attendant II	6	1	1	1	2
		Total	6	6	7	8
Heart S	Station
	Medical Specialist III	24	2	2	2	2
	Medical Equipment Technician III	11	2	2	2	2
	Medical Equipment Technician II	8	3	4	5	6
		Total	7	8	9	10
Electro	physiology Unit
	Medical Equipment Technician II	8	2	2	3	4
		Total	2	2	3	4
Endosc	opy Unit
	Nurse II	15	1	1	1	1
	Medical Equipment Technician II	8	1	1	1	1
	Nursing Attendant I	4	1	2	3	3
	raising reconduite 1	Total	3	4	5	5
Radiati	on Oncology Medical Specialist IV (Radiation Med.)	25	1	1	1	1
	Medical Specialist II	23	2	2	2	2
	Radiologic Technologist V	20	1	1	1	1
	Radiologic Technologist IV	18	1	1	1	1
	Health Physicist III	18	1	1	1	1
	Radiologic Technologist III	15	1	2	2	3
		Total	7	8	8	9
Depart	ment of Nuclear Medicine Medical Specialist IV (Nuclear Med.)	25	1	1	1	1

Org.	Position Title	Salary	Number of Positions
Unit		Grade	Bed Capacity
Oilic		Grade	200	300	400	500
	Medical Specialist II	23	2	2	2	2
	Health Physicist III	18	1	1	1	1
	Chemist II	15	1	1	1	1
	Medical Technologist II	15	1	2	3	4
		Total	6	7	8	9
MRI Se	ection
	Medical Specialist III	24	2	2	2	2
	Radiologic Technologist III	15	1	1	1	1
	Radiologic Technologist II	13	1	2	2	3
		Total	4	5	5	6
Interve	entional Radiology
	Medical Specialist III	24	2	2	2	2
	Radiologic Technologist III	15	1	1	1	1
	Radiologic Technologist II	13	2	2	3	3
		Total	5	5	6	6
Mamm	ography
	Medical Specialist III	24	2	2	2	2
	Radiologic Technologist III	15	1	1	1	1
	Radiologic Technologist II	13	2	2	2	2
		Total	5	5	5	5

ANNEX

TALLY OF POSITIONS

TALLY OF POSITIONS (Level 1)

Position Title	Salary	Number of Positions
	Grade	25 Beds	50 Beds	75 Beds
Medical and Allied Medical Positions
Chief of Hospital II	25	1	1	1
Medical Specialist II	23	7	8	9
Medical Officer IV	23	3	4	4
Medical Officer III	21	5	6	7
Nurse V	20	1	1	1
Nurse III	17	1	2	2
Dentist II	17	1	1	1
Social Welfare Officer II	15	1	1	1
Pharmacist II	15	1	1	1
Nutritionist-Dietitian II	15	1	1	1
Nurse II	15	21	25	28
Medical Technologist II	15	1	1	1
Health Education and Promotion Officer II	14	1	1	1
Radiologic Technologist II	13	1	1	1
Social Welfare Officer I	11		1	2
Radiologic Technologist I	11	1	2	3
Psychologist I	11	1	1	1
Pharmacist I	11	2	3	4
Nurse I	11	7	13	19
Medical Technologist I	11	4	5	6
Medical Equipment Technician III	11	1	2	2
Midwife I	9	4	4	4
Social Welfare Assistant	8	1	1	1
Nursing Attendant II	6	5	6	6
Laboratory Technician I	6	2	2	2
Nursing Attendant I	4	6	10	14
Dental Aide	4	1	1	1

Position Title	Salary	Number of Positions
	Grade	25 Beds	50 Beds	75 Beds
Subtotal		81	105	124
General Administrative Services Positions
Administrative Officer V	18	1	1	1
Engineer II	16	1	1	1
Accountant II	16	1	1	1
Administrative Officer III	14	3	3	3
Computer Maintenance Technologist I	11	1	1	1
Administrative Officer II	11	1	1	1
Administrative Officer I	10	1	1	2
Administrative Assistant II	8	9	11	11
Administrative Assistant I	7	1	1	1
Data Controller I	6	2	2	1
Administrative Aide VI	6	1	1	1
Cook II	5	2	2	2
Administrative Aide IV	4	4	6	7
Laundry Worker II	3	1	2	2
Administrative Aide III	3	2	4	6
Seamstress	2	1	1	1
Subtotal		32	39	42
Grand Total		113	144	166

Percentage Distribution

	Number of Positions
Particulars	25 Beds 50 Beds		75 Beds
Medical and Allied Medical Positions	71.7%	72.9%	74.7%
General Administrative Positions	28.3%	27.1%	25.3%

TALLY OF POSITIONS (Level 2)

Position Title	Salary Grade	Number of Positions
		100 Beds	150 Beds	200 Beds
Medical and Allied Medical Positions
Medical Center Chief I	26	1	1	1
Chief Medical Professional Staff I	25	1	1	1
Medical Specialist III	24	11	11	11
Medical Specialist II	23	12	19	27
Medical Officer IV	23	6	8	10
Dentist IV	23	1	1	1
Nurse VI	22	1	1	1
Medical Officer III	21	16	21	26
Nurse V	20	1	1	1
Dentist III	20	0	0	1
Nurse IV	19	1	1	1
Social Welfare Officer III	18	1	1	1
Pharmacist III	18	1	1	1
Nutritionist-Dietitian III	18	1	1	1
Medical Technologist III	18	2	2	2
Nurse III	17	8	9	9
Dentist II	17	1	1	1
Radiologic Technologist III	15	1	1	1
Psychologist II	15	1	1	1
Nurse II	15	35	52	64
Medical Technologist II	15	4	6	7
Respiratory Therapist II	14	1	1	1
Health Education and Promotion Officer II	14	1	1	1
Radiologic Technologist II	13	2	3	3
Social Welfare Officer I	11	2	3	4
Radiologic Technologist I	11	2	3	3
Pharmacist I	11	5	6	8

Position Title	Salary	Number of Positions
	Grade	100 Beds	150 Beds	200 Beds
Nutritionist-Dietitian I	11	1	2	2
Nurse I	11	47	71	93
Respiratory Therapist I	10	2	3	4
Midwife I	9	3	5	6
Social Welfare Assistant	8	1	1	1
Medical Laboratory Technician II	8	2	4	4
Medical Equipment Technician II	8	1	1	1
Nursing Attendant II	6	17	25	31
Medical Equipment Technician I	6	1	2	2
Nursing Attendant I	4	21	33	42
Laboratory Aide II	4	5	7	9
Dental Aide	4	1	1	1
Sub Total		221	312	385
General Administration Services Positions Supervising Administrative Officer	22	1	1	1

Accountant III	19	1	1	1
Engineer III	19	1	1	1
Administrative Officer V	18	6	6	6
Engineer II	16	1	1	1
Accountant II	16	1	1	1
Statistician II	15	1	1	1
Computer Maintenance Technologist II	15	1	1	1
Chemist II	15	1	1	1
Administrative Officer IV	15	3	3	3
Administrative Officer III	14	1	1	1
Medical Technologist I	11	3	4	4
Computer Maintenance Technologist I	11	1	1	2
Administrative Officer II	11	3	3	4
Administrative Officer I	10	4	7	9

Position Title	Salary Grade	Number of Positions
		100 Beds	150 Beds	200 Beds
Administrative Assistant III	9	2	2	2
Warehouseman II	8	1	1	1
Hospital Housekeeper	8	1	2	2
Engineering Assistant	8	0	1	2
Data Controller II	8	1	2	3
Administrative Assistant II	8	8	10	13
Administrative Assistant I	7	7	9	10
Administrative Aide VI	6	9	13	16
Cook II	5	3	4	5
Administrative Aide IV	4	4	6	7
Laundry Worker II	3	1	2	2
Administrative Aide III	3	4	6	7
Seamstress	2	1	1	1
Sub Total		71	92	108
GRAND TOTAL		292	404	493

Percentage Distribution

Particulars	Number of Positions
	100 Beds	150 Beds	200 Beds
Medical and Allied Medical Positions	75.7%	77.2%	78.1%
General Administrative Positions	24.3%	22.8%	21.9%

TALLY OF POSITIONS (Level 3)

Position Title		Number of Positions
	Salary Grade	200 Beds	300 Beds	400 Beds	500 Beds
Medical and Allied Medical Positions
Medical Center Chief II	27	1	1	1	1
Chief of Medical Professional Staff II	26	1	1	1	1
Medical Specialist IV	25	13	13	13	13
Nurse VII	24	1	1	1	1
Medical Specialist III	24	19	26	33	39
Dentist V	24	1	1	1	1
Medical Specialist II	23	17	20	27	33
Medical Officer IV	23	39	77	104	142
Social Welfare Officer IV	22	1	1	1	1
Pharmacist V	22	1	1	1	1
Nutritionist-Dietitian V	22	1	1	1	1
Nurse VI	22	2	2	2	2
Medical Technologist V	22	1	1	1	1
Health Physicist III	22	1	1	1	1
Dentist III	20	1	2	2	2
Medical Officer III	21	51	90	128	165
Pharmacist IV	20	1	1	2	2
Nutritionist-Dietitian IV	20	1	1	1	1
Nurse V	20	2	2	2	2
Medical Technologist IV	20	2	3	4	2
Nurse IV	19	2	2	2	2
Radiologic Technologist IV	18	1	2	2	2
Medical Technologist III	18	4	6	7	7
Health Education and Promotion Officer III	18	1	1	1	1
Dentist II	17	1	2	2	2
Respiratory Therapist III	17	1	1	1	1
Nurse III	17	24	35	46	54

		Number of Positions
Position Title	Salary Grade	200 Beds	300 Beds	400 Beds	500 Beds
Social Welfare Officer II	15	2	3	4	4
Radiologic Technologist III	15	2	2	3	3
Psychologist II	15	1	2	2	2
Pharmacist II	15	6	10	13	17
Nutritionist-Dietitian II	15	2	3	5	6
Nurse II	15	68	100	131	161
Medical Technologist II	15	7	10	13	19
Respiratory Therapist II	14	2	3	4	4
Radiologic Technologist II	13	3	4	5	6
Medical Equipment Technician IV	13	1	1	1	1
Radiologic Technologist I	11	3	4	5	6
Nurse I	11	53	79	103	128
Midwife II	11	16	23	29	34
Medical Technologist I	11	5	8	10	12
Medical Equipment Technician III	11	1	1	1	1
Medical Laboratory Technician III	10	5	8	10	12
Respiratory Therapist I	10	4	5	7	8
Midwife I	9	10	13	16	18
Social Welfare Assistant	8	1	3	4	7
Medical Equipment Technician II	8	2	3	4	4
Physical Therapy Technician I	6	4	5	7	8
Nursing Attendant II	6	46	66	87	106
Medical Equipment Technician I	6	2	3	4	5
Nursing Attendant I	4	7	9	12	14
Laboratory Aide II	4	3	5	6	7
Dental Aide	4	2	2	3	3
Sub total		449	670	877	1,077
General Administrative Positions
Financial and Management Officer II	24	1	1	1	1

Position Title		Number of Positions
	Salary Grade	200 Beds	300 Beds	400 Beds	500 Beds
Chief Administrative Officer	24	1	1	1	1
Attorney IV	23	1	1	1	1
Training Specialist IV	22	1	1	1	1
Supervising Administrative Officer	22	6	6	6	6
Engineer IV	22	1	1	1	1
Accountant IV	22	1	1	1	1
Engineer III	19	1	2	2	2
Accountant III	19	1	1	1	1
Statistician III	18	1	1	1	1
Chemist III	18	1	1	1	1
Administrative Officer V	18	1	1	1	1
Computer Maintenance Technologist III	17	1	1	1	1
Statistician II	15	1	1	1	1
Computer Maintenance Technologist II	15	2	3	4	4
Administrative Officer IV	15	5	5	5	5
Administrative Officer III	14	8	9	10	11
Warehouseman III	11	1	2	2	2
Social Welfare Officer I	11	4	5	7	8
Administrative Officer II	11	7	10	13	14
Administrative Officer I	10	10	15	20	25
Administrative Assistant III	9	15	18	23	26
Training Assistant	8	2	2	2	2
Hospital Housekeeper	8	2	3	4	4
Administrative Assistant II	8	24	35	45	54
Administrative Assistant I	7	30	34	40	42
Administrative Aide VI	6	8	11	14	16
Cook II	5	6	8	10	12
Administrative Aide V	5	2	3	4	4
Laundry Worker II	3	2	3	4	5
Administrative Aide III	3	12	12	16	16

		Number of Positions
Position Title	Salary Grade	200 Beds	300 Beds	400 Beds	500 Beds
Seamstress	2	1	1	2	2
Sub total		160	199	245	272
Grand Total		609	869	1,122	1,349

Percentage Distribution

Particulars	Number of Positions
	200 Beds	300 Beds	400 Beds	500 Beds
Medical and Allied Medical Positions	73.7%	77.1%	78.2%	79.8%
General Administrative Positions	26.3%	22.9%	21.8%	20.2%

Revised Organizational Structure and Staffing Standards for Government Hospitals, CY 2013 Edition

Document Info

Revised Organizational Structure and Staffing Standards for Government Hospitals

TABLE OF CONTENTS

PART I

INTRODUCTION: CLASSIFICATION OF HOSPITALS

A. Classification of Hospitals

1. Classification According to Ownership

2. Classification According to Scope of Services

B. Categories of General Hospitals According to Functional Capacity

1. Level 1 Hospital

2. Level 2

3. Level 3

PART II

MODEL ORGANIZATIONAL STRUCTURE

A. ORGANIZATIONAL CONFIGURATION

a. Office of the Chief of Hospital/ Medical Center Chief

b. Medical Service

c. Nursing Service

d. Hospital Operations and Patient Support Service (formerly Administrative Service)

e. Finance Service

**Level 1 Hospital **

Model Organizational Structure for a Level 1 Hospital (25 to 75 Bed Capacity)

Organizational Chart Level 1 Hospital 25, 50, 75 Bed Capacity

**Level 2 Hospital **

Model Organizational Structure for a Level 2 Hospital (100 to 200 Bed Capacity)

Organizational Chart Level 2 Hospital 100, 150 and 200 Bed Capacity

Basic Structure

Medical Service

Nursing Service

Hospital Operations and Patient Support Service

**Level 3 Hospital **

Model Organizational Structure for a Level 3 Hospital (200 to 500 Bed Capacity)

F. Specialty and Sub-specialty Services (Optional)

Organizational Chart Level 3 Hospital

Basic Organizational Structure

Medical Service

Nursing Service

Hospital Operations and Patient Support Service

Finance Service

PART III

STANDARD STAFFING PATTERN

A. Medical Staff

1. Medical Staff Positions

b. Computation of the Required Number of Medical Officers

2. Computation of Additional Medical Staff for Teaching and Training Hospital

B. Nursing Staff

1. Factors in Determining Nursing Staffing Needs

2. Required Staff to Patient/Bed Ratio

C. Other Hospital Professional Personnel in Indirect Patient Care Services

D. Supplemental Guidelines

Level 1 Hospital

Staffing Pattern for a 25 Bed Capacity Hospital

Level 1: 25 Beds

Level 1: 25 Beds

Level 1: 25 Beds

Staffing Pattern for a 50 Bed Capacity Hospital

Staffing Pattern for a 75 Bed Capacity Hospital

Level 1: 75 Beds

Level 1: 75 Beds

Level 1: 75 Beds

Level 1: 75 Beds

D.

Level 2 Hospital

Staffing Pattern for a 100 Bed Capacity Hospital

Staffing Pattern for a 150 Bed Capacity Hospital

Level 2: 150 Beds

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

2. Integrated Hospital Operations and Management Program

B. Medical Service

1. Office of the Chief of Medical Professional Staff

2. Outpatient Department

Staffing Pattern for a 200 Bed Capacity Hospital

Level 2: 200 Beds

A. Office of the Medical Center Chief

1. Office of the Medical Center Chief

2. Integrated Hospital Operations and Management Program

B. Medical Service

1. Office of the Chief of Medical Professional Staff

Level 1 Hospital

Level 2 Hospital

Level 3 Hospital