PH Health Ref

This replaces 10-staffing-standards-2013

Phase I (CY 2022) Revised Organizational Structure and Staffing Standards for Level III General Government Hospitals

In this document:

  • •Organizational Charts
  • •Office of the Medical Center Chief
  • •Components
  • •Allied Health Professional Service

45 tables · ~12k words

Document Info

Category
staffing
Year
2022
Edition
Phase I
Status
current
Hospital Levels
L3
Issuing Body
Department of Health
Extracted
2026-04-23

Revised Organizational Structure and Staffing Standards for Level III General Government Hospitals

Phase I CY 2022 Edition

PREFACE

In 2013, the Revised Organizational Structure and Staffing Standards for Government Hospitals was published and implemented through Joint Circular No. 2013-1 of the Department of Budget and Management (DBM) and the Department of Health (DOH). This was used as the basis for staffing in Level 1 to Level 3 DOH hospitals, with bed capacities ranging from 25 beds to 500 beds, supporting the services provided by these facilities.

With time, more hospitals expanded their bed capacities beyond 500 beds, exceeding the coverage of the 2013 standards. More so, hospitals were mandated to expand services in the various clinical and auxiliary departments, making the aforementioned standards inadequate for the effective provision of safe and quality health care.

In recognition of the evolving and increasing scope of services expected from DOH hospitals, as well as their continuously expanding bed capacities, a review and revision of the 2013 standards was initiated in 2017. This was to ensure that the human resource complement in hospitals remain adequate and responsive to the needs of the people they serve.

Between 2017 to 2019, a series of meetings between DBM and DOH were conducted towards the development of the said staffing standards, focusing on standards for Level 3 hospitals with bed capacities ranging from 200 to 1,500. In 2020, the Coronavirus Disease 2019 (COVID-19) pandemic struck, health emergency response was prioritized.

The COVID-19 Pandemic likewise revealed a multitude of weaknesses in the Philippine hospital system. Among them were situations that could be addressed by appropriate staffing. Hence, in June 2021, the proposal was updated to respond to the conditions revealed by the pandemic situation. This was put to table and the discussions recommenced. In this version, the proposal utilized the ideal ratios for each cadre along with the ideal number of support staff.

In 2022, due to the limited fiscal space available for the expansion of the staffing complement of hospitals, the standards to be outlined in this document were agreed upon. In ideal staffing of government hospitals, the technical positions and frontline service providers were given utmost priority. The agreement is under the premise that the standards, in part or as a whole, shall be reviewed periodically and evaluated against the identified ideal ratios, actual needs of the hospitals, and available fiscal space at the time of review.

PART I - INTRODUCTION

In pursuit of Universal Health Care, the Department of Health (DOH) aims to ensure that the best health outcome for all Filipinos and to deliver healthcare through means that respect, value and empower clients and patients as they interact with the health systems.

Pursuant to Administrative Order No. 2012-0012 or the "Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines," every health facility shall have an adequate number of qualified, trained, and competent staff to ensure efficient and effective delivery of quality services. In line with this, the DOH found it imperative to review and revise the current Organizational Structure and Staffing Standards for Government Hospitals CY 2013 Edition to respond to the increasing demand for services especially in the tertiary hospitals.

The CY 2013 Edition was limited to the staffing standards applicable to Level 3 general hospitals with 200 to 500 beds. This revision will include the organizational structure and staffing standards covering the Government Hospitals classified as Level III General Hospitals with 200 to 1,500 beds. Furthermore, one of the objectives of the Revised Organizational Structure and Staffing Standards for Level 3 Government Hospitals with 200 to 1,500 beds CY 2022 Edition is to align the standard staffing with the expanded services of tertiary hospitals and to complement the human resource requirement for the implementation of the 24-hour operation of hospitals. The healthcare services of Level 3 hospitals include all of Level 1 and Level 2 services plus the following:

  • Teaching/training with at least any two (2) accredited residency training programs for physicians in any medical/surgical specialty and/or subspecialty
  • Physical Medicine and Rehabilitation Unit
  • Ambulatory Surgical Clinic
  • Dialysis Unit
  • Tertiary Clinical Laboratory with Histopathology
  • Blood Bank
  • 3rd Level X-Ray

The number of positions reflected in the matrix of the Phase 1 Revised Organizational Structure and Staffing Standards for Level 3 Government Hospitals with 200 to 1,500 beds CY 2022 Edition is based on the ratio of personnel of the different services and departments, relative to the 2013 Edition, in consideration of the fiscal space of the National Government. Likewise, the CY 2022 Edition included revisions to consider previously overlooked positions in the CY 2013 staffing standards which includes but are not limited to the Social Worker Officer (SWO) III, Pharmacist III, and Nutritionist-Dietitian III. Ultimately, the purpose of this initiative is to improve health outcomes for all Filipinos and to harness the power of strategic human resources for Health Development.

Lastly, as agreed upon by both the Department of Budget and Management (DBM) and the DOH, the Phase 1 of the revised standards shall include the organizational structure, position titles, and number of positions for the following services:

    1. Office of the Medical Center Chief
    1. Allied Health Professional Service
    1. Nursing Service
    1. Hospital Operations and Patient Support Service
      1. Finance Service

A separate issuance shall be provided to discuss the organizational structure, position titles, and number of positions for the Medical Service and Optional Units.

PART II - MODEL ORGANIZATIONAL STRUCTURE

A general hospital is defined as a type of hospital that provides services for all kinds of illnesses, diseases, injuries, or deformities. It shall provide medical and surgical care to the sick and injured, 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 Clinical Services (Family Medicine; Pediatrics; Internal Medicine; Obstetrics and Gynecology; Surgery), Emergency Services, Outpatient Services, Ancillary and Support Services such as clinical laboratory, imaging facility, and Pharmacy.¹ Hospitals are classified, based on ownership, as government and private. A government health facility may be under the national government, DOH, Local Government Unit (LGU), Department of National Defense (DND), Philippine National Police (PNP), Department of Justice (DOJ), State Universities and Colleges (SUCs), Government Owned and Controlled Corporations (GOCC) and others. Moreover, they are classified according to their functional capacity as Level 1, Level 2, and Level 3 (Teaching/Training). This revised staffing standard is applicable to Level 3 general hospitals and medical centers.

The revised staffing standards for Level 3 Government Hospitals shall have six (6) basic organizational services namely: 1) Office of the Medical Center Chief; 2) Medical Service; 3) Allied Health Professional Service; 4) Nursing Service;

  1. Hospital Operations and Patient Support Service; and 6) Finance Service.

This section includes the standard model of the organizational structure for tertiary hospitals with bed capacity ranging from 200 to 1,500 beds.

Organization Configuration

    1. The revised standards on organizational structure and staffing pattern of Level 3 government hospitals consider the following:
    • a. Minimum DOH Licensing Requirements (AO 2012-0012, 2012-0012A) and PhilHealth Accreditation Requirements
    • b. Specialty Society Training Accreditation Requirements and staffing ratio
    • c. Philippine Health Facility Development Plan 2020-2040
    • d. Index of Occupational Services, Occupational Groups, Classes and Salary Grades (IOS) CY 2018 Edition
    • e. Human Resource for Health Master Plan 2020-2040 (Health Human Resource Development Bureau)
    • f. Standard staffing ratios of the different services and departments based on: time and motion study on the ratio for pharmacist-to-bed capacity; AHIMA international standard for Health Information Management Department; licensing requirements for Department of Pathology; DOH-approved nurse-patient ratio; and Section 31 of RA No. 10862 for required staffing ratio in Nutrition and Dietetics

^1 Department of Health (DOH) Administrative Order no. 2019-0012, Guidelines on the Implementation of the National Health Facility Registry, Definition of Terms, December 20,2019.

  • g. Expanded services of the hospitals and health facility based programs required in licensing
  • h. Increase in the number of patients catered in tertiary hospitals
  • i. 24-hour operations of hospital services
  • i. People-centeredness of health facilities pursuant to the PHFDP
  • k. Enacted laws, policies, and implementing rules and regulations for the creation and establishment of various units and personnel, including but not limited to the following:
    • i. Republic Act No. 11463, Malasakit Centers Act
    • ii. RA No. 11332, Mandatory Reporting of Notifiable Diseases and Health Events of Public Health Concern Act
    • iii. DOH Administrative Order No. 2020-0019, Guidelines on the Service Delivery Design of Health Care Provider Networks (for Public Health Units)
    • iv. DOH Administrative Order No. 2012-0012, as amended, New Rules and Regulations Governing the Licensure and Regulation of Dialysis Facilities in the Philippines
    1. The general functions of the major organizational services are as follows:

a. Office of the 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, as well as high standards of clinical training for medical personnel; 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 hospitals.

Under the Medical service, Specialty and Subspecialty Units available in the hospitals shall be responsible for the provision of services intended for a particular type of illness or for a particular condition requiring a range of treatment of patients suffering from diseases of a particular organ or groups of organs, and treatment of patients belonging to a particular group such as children, women, elderly, and others.

c. Allied Health Professional Service

Shall be responsible for providing quality inpatient and outpatient care and high standards of clinical training for 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 hospitals.

d. Nursing Service

Shall be responsible for the overall provision of safe and quality nursing care among patients; implementation of various nursing programs and activities for total quality health care; and development, coordination, and implementation of relevant training programs for the nursing personnel.

e. Hospital Operations and Patient Support 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.

f. Finance Service

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

These services shall be allowed to have sub-units depending on the service capability, ancillary services, type and level of care and segregation of patients, and type and variety of support functions. The hospital administration is given the flexibility to structure or group its internal management support units in a manner deemed more efficient and effective for the hospital's organization and operation.

Organizational Charts

Level 3 Government Hospital with 200 to 1,500 Beds

Office of the Medical Center Chief

Allied Health Professional Service

Nursing Service

Hospital Operations and Patient Support Service

Finance Service

PART III - STANDARD STAFFING PATTERN AND RATIONALE

The Revised Organizational Structure and Staffing Standards for Level 3 Government Hospitals with 200 to 1,500 Beds is composed of departments and units that contribute to the overall efficiency of hospital operations and the effective implementation of its policies, plan, programs, and projects. The rationale and functions of these departments and units are provided hereunder.

Office of the Medical Center Chief

The Office of the Medical Center Chief sets the overall direction of the hospital towards the provision of high quality health services. The office guides operations of all other departments through the formulation of policies, plans, programs and strategies aligned with the goals of the health facility.

Functions

  • Oversees all managerial and administrative processes of the hospital
  • Formulates policies, plans, programs, and strategies for implementation of health standards
  • Supervises daily activities of functional units
  • Ensures quality healthcare is provided for patients
  • Ensures high standards in clinical training for medical and allied medical personnel

Components

The Office of the Medical Center Chief is composed of the following units:

A. Legal Unit

The Legal Unit is in charge of all legal documents, as well as other legal matters related to the delivery of healthcare services of the hospital. This unit plays a significant role in the operational aspect of the hospital concerning legal issues or cases filed under judicial and quasi-judicial bodies against the employees or the institution. It safeguards the legal interest of the hospital.

It shall have the following functions:

  • a. Monitors, handles and represents the hospital in all its internal and external legal affairs;

  • b. Drafts and/or reviews legal matters, contracts, agreements and monitors legal obligation and agreements to ensure compliance;

  • c. Advises on statutory compliance and recommends on appropriate actions or disciplinary measures;

  • d. Files administrative or criminal charges against erring officials;

  • e. Research, investigate and prepare legal opinions or recommendations and decisions on legal and administrative cases;

  • f. Provides legal advisories and counseling on official matters including but not limited to administrative matters, property management, building maintenance, budget preparation and payroll, personnel records keeping, central records keeping and procurement; and

  • g. Prepares demand letters for patients with outstanding financial obligations and for suppliers with default in delivery.

B. Public Health Unit

Pursuant to the RA No. 11223, all Hospitals shall establish a Public Health Unit to support the implementation of national public health programs, institutionalize a coordination mechanism with primary care provider networks, and provide a one-stop shop patient navigation support mechanism within the hospital^2. This unit shall focus in protecting health by preventing disease, illness and injury, and promoting health and wellbeing at a population or whole of community level including the implementation of the Hospital Surveillance System pursuant to RA No. 11332 or the Mandatory Reporting of Notifiable Disease and Health Events of Public Health Concern Act. A functional Public Health Unit will bridge the gap between public health and clinical care services in the hospital as well as between the hospital and external government and private sectors.

The unit shall have the following functions:

    1. Ensure that hospital policies are aligned with national public health programs^3,
    1. Assist the hospital management in ensuring surveillance and reporting of notifiable diseases through the disease surveillance officer or disease surveillance coordinator^5;
    1. Ensure proper referral and navigation of patients within the hospital and from the hospital to primary care facilities and other necessary facilities in the network^5; and
    1. Implement Health Education Programs.

C. Planning and Management Unit

The Planning and Management Unit shall aid in the strategic hospital planning projections and managerial decision making.

The Unit shall have the following functions:

    1. Collates Division/Department/Section/Unit Plans into a Hospital Plan;
    1. Conducts Strategic Planning and supervise the crafting of the Hospital Development Plan;
    1. Coordinates with the Heads of various Services/Sections/Units of the hospital for the implementation of Plans and Programs of the hospital. The Plan includes Work and Financial Plan, Operational Plan, Strategic Plan, Developmental Plan, etc.

^2 Section 17.4 Implementing Rules and Regulations of the Universal Health care Act (Republic Act no. 11223)

^3 DOH Administrative Order No. 2020-0019 Guidelines on the Service Delivery Design of Health care Provider Networks

    1. Ensure consistency of operations and programs with established objectives and goals, and whether or not such programs are being carried out as planned;
    1. Evaluates the quality of performance of groups/individuals in carrying out their assigned responsibilities; and
    1. Performs special assignments given by the head of the agency provided that they are not part of regular operating activities or in operation which are the primary responsibility of another unit in the organization.

D. Quality Improvement (QI), Infection Prevention and Control (IPC), and Patient Safety (PS) Unit

The Quality Improvement, Infection Prevention and Control, and Patient Safety Unit is responsible for the execution and performance of the Quality Improvement, Infection Prevention and Control, and Patient Safety programs and other related programs. It shall ensure that these cross-cutting programs based on international public service quality, patient safety, and infection prevention and control standards are implemented, monitored, and streamlined at the facility level.

Subsequently, the said unit shall be in charge of building a culture of patient safety, infection prevention, and continuous quality improvement in the organization. This is pursuant to Executive Order no. 605, S. 2007 or the "Institutionalizing the Structure, Mechanism and Standards to Implement the Government Quality Management Program, Amending for the Purpose Administrative Order No. 161, S. 2006"; DOH Administrative Order No. 2020-0034, also known as the Revised Guidelines on the Implementation of Continuous Quality Improvement (CQI) Program in Health Facilities in Support of Quality Access for Universal Health Care; DOH Administrative Order No. 2020-0007 or the National Policy on Patient Safety in Health Facilities; DOH Administrative Order No. 2016-0002, also known as the National Policy on Infection Prevention and Control in Healthcare Facilities; DOH-DOLE-CSC Joint Administrative Order No. 2017-0001 or the National Occupational Health and Safety; DOH AO no. 2017-0001 or the Policy Guidelines on the Standards of Care for Elder Persons in all Healthcare Settings; Blood Safety; Medication Safety; Clinical Pathways and Treatment Guidelines; Green and Safe Healthcare Facilities; and Healthcare Waste Management.

The Unit shall have the following functions:

    1. Ensures that processes needed for QI, IPC, and PS are implemented, maintained, and audited;
    1. Monitors and reports QI, IPC, and PS monitoring of the hospital; and
    1. Coordinates with the MCC/COH to develop and execute strategies aligned with the quality objectives.

E. Professional Education, Training, and Research Unit (PETRU)

The PETRU is a centralized training and research unit that provides lifelong learning to improve the performance, productivity, competency, and quality of work of all

hospital personnel. It operates under the direct supervision of the Medical Center Chief^4.

The PETRU shall be responsible for the conduct of Training Needs Assessment (TNA) to determine the need for any learning interventions outside hospital, using a needs-based approach or as mandated by the law. Training Officers must conscientiously apply a monitoring and evaluation system for all development programs conducted^5.

Allied Health Professional Service

Allied Health Professional Service is composed of professional departments that aim to prevent, diagnose, and treat a range of conditions and illnesses and often work within a multidisciplinary health team to provide the best patient care towards improved patient outcomes. The service is composed of a diverse group of health professionals with varying academic, clinical and non-clinical backgrounds, often requiring tertiary studies, extensive post-graduate training courses, and continuing professional development units.

Functions

  • Ensures continuous provision of quality services provided by each department including ancillary and allied health services
  • Implements clinical resource management system
  • Supervises daily activities undertaken by the service
  • Ensures high standards in training and competency of all allied medical personnel
  • Advises and assists the Medical Center Chief/Chief of Hospital in the formulation and implementation of policies, plans, and programs of the hospital

Components

The Allied Health Professional Service consists of the following four (4) departments:

A. Nutrition and Dietetics Department

The Nutrition and Dietetics Department plays an integral role in healthcare service delivery in hospitals, as nutrition is critical in supporting the overall health of patients. Nutritionist-Dietitians, together with physicians, nurses, and other healthcare professionals have a shared responsibility in providing quality patient care.

RA No. 10862 or the Nutrition and Dietetics Law of 2016, recognizes the important role of Registered Nutritionist-Dietitians (RNDs) in the overall health of patients, through the Nutrition Care Process. In this way, optimized medical nutrition therapy

^4 DOH Administrative Order no. 147 S., 2002, Revised Guidelines Governing the Management of Health Human Resource Training and Development in the Department of Health, September 2002

^5 DOH Department Memorandum No. 2012-0166 – Reiteration on the Implementation of Levels 1-4 Training Evaluations for Training Programs and Other Human Resource Related Activities

provided by the Nutrition and Dietetics Department is vital in disease prevention, treatment, and management. Particularly, the role of the department in meeting the nutritional requirements of in-patients, as well as the promotion of faster recovery and prevention of malnutrition among patients.

Functions and Services

Clinical Functions and Services

  • Ensures provision of medical nutrition therapy through the application of the Nutrition Care Process for purposes of disease prevention, treatment and management
  • o Ensures provision and promotion of high quality nutritional care, nutrition screening, diagnosis, intervention, monitoring and evaluation
  • o Interprets and implements diet prescription
  • o Provides individual and group nutrition counseling to patients
  • Monitors caloric and other nutrient intake of patients, either oral, in tube feeding, or parenteral nutrition
  • Ensures documentation of Nutrition Care Plan, patient's tolerance to prescribed diet, and Nutritional Status in patients' charts
  • Ensures functionality of a Nutrition Clinic
  • Provides specialized services such as emergency feeding, community outreach, and home care programs
  • o Promotes multi-disciplinary collaboration with other allied and support services in the hospital and in the community

Administrative Functions

  • Develops and establishes relevant policies and standards
  • o Implements procedures concerned with budget and financial control, relevant to the Nutrition and Dietetics Department
  • o Develops and plans menus
  • Manages purchasing, receiving, and proper storage of food
  • o Provides safe, sanitary, nutritious, and palatable food
  • o Ensures accurate and updated records and reports relevant to the department

Research, Learning, and Development Functions

  • Conducts Learning and Development Interventions, continuous in-service learning for nutrition and dietetics staff, student affiliates and other allied health professionals
  • Provides nutrition education to patients, hospital personnel, and other stakeholders
  • Ensures updates in knowledge and skills of personnel in food service management and nutrition and dietetics
  • o Provides opportunities for research and development in nutrition and dietetics

B. Pharmacy Department

Hospital pharmacists are essential in achieving patients' health and quality of life. As stated in the Republic Act No. 10918 or the Philippine Pharmacy Act, the vital role of pharmacists is to deliver quality health care services through the provision of safe, effective, and quality pharmaceutical products, pharmaceutical care, drug information,

patient medication counseling, and health promotion. Section 4 of RA No. 10918 specified the Scope of the Practice of Pharmacy which includes:

    1. Prepare, compound or manufacture, preserve, store, distribute, procure, sell, or dispense or both, any pharmaceutical product or raw materials; or
    1. Render services, such as clinical pharmacy services, drug information services, regulatory services, pharmaceutical marketing, medication management, or whenever the expertise or technical knowledge of the pharmacist is required; among others

It clearly disclosed that the traditional role of pharmacist in drug product preparation and dispensing broadened to the patient care approach. With this method, pharmacists as part of the Health Care Team, play an important role in reducing adverse drug events, medication errors, and improving patient safety.

Functions and Services

Clinical Functions and Services

  • o Ensures provision of the following services^6:
    • Dispensing refers to the sum of processes performed by a pharmacist from reading, validating and interpreting prescription; preparing; packaging; labeling; record keeping; dose calculations; and counseling or giving information, in relation to the sale, or transfer of pharmaceutical products, with or without a prescription or medication order. (RA 10918)
    • Clinical pharmacy service refers to any patient care provided by a pharmacist through pharmacologic and non-pharmacologic strategies that promote the appropriate selection and utilization of medication to optimize individual therapeutic outcomes, prevent diseases or achieve wellness.
    • Compounding refers to the sum of processes performed by a pharmacist in a drug preparation including the calculations, mixing assembling, packaging, or labeling of a drug, as the result of the prescription or drug order by a physician, dentist or veterinarian; or for the purpose of, or in relation to research, teaching or chemical

Administrative Functions

  • o Ensures compliance to regulatory requirements of the pharmacy
  • Conducts activities such as pharmaceutical cost planning, budgeting, procurement, inventory and storage management
  • o Prepares reports and maintains records relevant to the Pharmacy Department

Research and Training Functions

Ensures training of new personnel and the required continuing professional development for staff as indicated in RA 10912.

^6 Section 5. Scope of the Practice of Pharmacy. Implementing Rules and Regulation of Republic Act No. 10918, also known as, the Philippine Pharmacy Act.

  • Formulates and implements training activities for pharmacy interns
  • o. Provides opportunities for research in all aspects of pharmacy, including those involving pharmaceutical products and healthcare

C. Medical Social Work Department (MSWD)

The MSWD, as an integral part of the Health Facility, aims to provide comprehensive professional social work services responsive to the psychosocial needs of the patients and their families and make them participate in the realization of their optimal well-being. The DOH mandated the establishment of the MSWD in 1954, Bureau Circular No. 146, in the belief that these services will contribute to a more holistic approach to health interventions and well-being of the patients. Its functions are aligned with the Philippine Development Plan for 2017 to 2022 or the Ambisyon 2040, which envision "Every Filipino enjoys a matatag, maginhawa at panatag na buhay".

All hospitals classified as government-owned are mandated to reserve 90% of their beds for the poor. This alone justifies the proposed staffing for MSWs in government Hospitals.

Functions and Services

General Functions and Services

  • o Empowers patients and families with information about health facility situations, such as scope of services and policies, rules and regulations and rights and accountabilities.

  • o Develops a social care plan with patients and families addressing social problems that directly and indirectly affect their health conditions and rehabilitation.

  • Arranges, coordinates, and monitors multiple services from different providers to serve patient needs.

  • Engages in fund development, donor care and mobilization of resources to meet and sustain the patient's medical and non-medical needs.

  • Develops appropriate and relevant programs and services to meet the current health needs and concerns of the patient, their family and community.

  • Contributes to the progressive realization of Universal Health Care in the health facility through the Point of Service and Malasakit Center program, ensuring a systemic approach and clear delineation of roles of key agencies and stakeholders towards better performance in the health system.

  • Advocates for financial risk protection, equity and access to quality and affordable health care goods and services for the vulnerable population.

  • Promotes implementation of the Mental Health Act and National Integrated Cancer Control Act.

  • Conducts Social Work Case Management, including the conduct of psychosocial assessments and psychosocial interventions

  • Provision of managed care activities, including provision of pre-admission and discharge planning, eligibility assessment, resource mobilization, and utilization review, and donations management program.

  • Provision of social group work activities, such as Family Life Education, Group Therapy, and Family Therapy, Mutual Help/Peer Group, Patient and Community Education, Development of a Therapeutic Milieu, and Mental Health Psychosocial Support (MHPSS)

  • Conduct of community organization activities, including community-based patient navigation, establishment of advisory councils, partnership with neighborhood organizations, businesses, and civic organizations, online community and adopt a community program.

  • Provision of social action activities, such as feedback to management for patients needs outsidee the critera and propose policies addressing patients' issues

Administrative Functions

  • o Planning, programming, and policy formulation
  • o Budgeting and Financial planning
  • Staffing and volunteer management
  • o Workload and caseload management
  • Supervision of administrative and clinical functions
  • o Representation in Hospital Committees (11 Committees)
  • o Public human relations, conflict management, and resource mobilization
  • o Documentation, recording and reporting

Performance Monitoring, Research, and Technology Development

  • o Monthly/Annually Statistical Report
  • Monthly/Annually Narrative Report/ Best Practices
  • o Annual Psychosocial profile
  • Social Work research
  • Learning and Development Intervention

Components

The Medical Social Work Department in a tertiary or level 3 hospital is composed of three subunits and the Malasakit Center as described below:

  • Social Work Case Management provides services whereby a professional Social Worker collaboratively assesses the needs of the client and the client's family, when appropriate, and arranges, coordinates, monitors, evaluates, and advocates for a package of multiple services to meet the specific client's complex needs.
    • a. Outpatient operations that cover the 4 clinics of major departments; Medical, Surgery, OB-Gyn and Pediatrics, including sub specialty clinics since this is a tertiary hospital.
    • b. Inpatient wards consist of the major departments including their subspecialties.
    1. Eligibility and Navigation provides services 24/7, it is located near the Emergency Room Department and Admitting Unit. The unit provides psychological first aid, crisis intervention, trauma care and practical services to ER patients, it assesses the patients' eligibility for admission to basic accommodation, social care,

enrollment to Point of Service of Philhealth. This section likewise handles the referral to various funding and welfare programs, funding development to address other needs of the patient that the hospital and MC could not address and donor care.

    1. Performance Monitoring, Research, and Technology Development ensure compliance to the standard reports (Psychosocial Profiling, Statistical Report and Narrative Report). Monitors compliance to social care guidelines, develops programs, and policies for the continuous improvement of the Department. Tertiary hospitals are mandated to provide training to hospitals in their region and conduct research relevant to the department.
    1. Malasakit Center (MC) mandated by RA No. 11463, refers to a common site or location within the premises of the hospital, where the different participating agencies receive and process requests for medical and financial assistance for indigent and financially-incapacitated patients. The proponents of this program intended for MC to provide 24/7 services, however the participating agencies are unable to provide the required staffing, thus the MEDICAL SOCIAL WORK DEPARTMENT provides the services after the regular hours of MC.

Tertiary Hospitals have mandated Special Units by licensing, requiring full time MSWs:

  • Women and Children Protection Unit mandated by AO No. 2013-0011, Revised Policy on the Establishment of Women and their Children Protection Units in All Government Hospitals, RA No. 9262, RA No. 8353, and RA No. 8505. The MSWs are healthcare providers reporting 24/7 in the WCPU while other team members are on call, as shared with other sections of the hospital e.g medical staff from Emergency Department, Obstetrics and Gynecology Department, etc. The MSW in the WCPU functions as a case manager providing services including psychosocial assessment, home visitation, and coordinating with other agencies to ensure the safety of the patient.
  • Mental Health Units mandated by RA No. 11036, An Act Establishing a National Mental Health Policy for the Purpose of Enhancing the Delivery of Integrated Mental Health Services, Promoting and Protecting the Rights of Persons Utilizing Psychosocial Health Services, Appropriating Funds Therefor and Other Purposes. All tertiary hospitals have a mental health ward, services a Mental Health Psychosocial Support (MHPSS) Team or HIV Team. The MSW is an essential part of these teams as they diagnose the psychosocial functioning of the patient and family, and contribute to a holistic assessment of the medical team. Added to the MSW's role is patient and family reconciliation, strengthening of family affectional support, and patient's social rehabilitation.
  • Dialysis Unit, as prescribed by AO No. 2012-0012, Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines. Dialysis has a lot of psychosocial issues that need to be addressed. Families are exhausted, emotionally and physically developing caregiver burnout. Patients themselves are irritable and depressed because their daily activities are affected by their illness.

There are still other units of the hospital providing care to complex cases such as Heart Station, Stroke Unit, Burn Unit, Cancer Center, and Geriatric Unit that are required by licensing. These patients have multiple comorbidities affected greatly by the social determinants of health, thus MSWs play an integral role in these patients' and their families' well-being, as they go through their journey.

D. Health Information Management Department

The Health Information Management Department (HIMD) is responsible for enhancing patient care through the use of data contained in health records, whether digital or paper-based, collected individually or as a collective. The general function of the HIMD is to provide an organized system of measuring quality patient care and ensure that sufficient data on the sequence of events is documented to justify the diagnosis, warrant the treatment, and outcomes. The department is tasked to process, analyze, maintain, and safekeep all health records created and maintained in the health facility. The department plays a vital role in generating health statistics for evidence-based medical care and management practices.

In the new standard staffing for Level 3 General Hospitals, the ratio of 1 staff to 35 outpatient visits per day and 1:20 or one staff to 20 inpatient bed capacity were used as the basis to determine the standard staffing requirements for this department. This ratio is recognized as sufficient number of staff to ensure fulfillment of the mandate and functions of HIMD.

Functions and Services

The HIMD ensures quality of records kept and appropriate documentation is done for relevant processes. The department plays a vital role in ensuring records are maintained, accurate, and sufficient as revenue generation from insurance reimbursements are dependent on them.

Specifically, HIMD staff are expected to perform the following functions involving administrative to technical work as outlined in the following:

  • Maintain all health records following the principles and practices of efficient and effective health record management.
  • Review records for completeness and accuracy in coding of diseases, operations, and special therapies according to approved nomenclature and classification.
  • Maintain and safeguard the confidentiality of health records.
  • Collate and compile data and generate statistical reports required by respective health facility management.
  • Participate in approved research activities and study programs conducted by doctors and authorized researchers by providing data/information from patients' health records.

Nursing Service

The Nursing Service is a vital component of the hospital which constitutes the largest number of personnel in the healthcare facility. This Service is responsible for providing safe and quality nursing care to all clientele and supports the overall objectives of patient care, teaching, and research. Nurses and their contributions are essential components of any reliable health care organization striving for zero patient harm and utmost quality patient care. They are responsible for conducting nursing assessment, diagnosis, planning of care, implementation, and evaluation of the nursing care plan and its processes.

Nursing care is provided in all the major hospital services such as Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, specialty care services, and other related and miscellaneous services requiring nursing expertise. The goal of staffing for each nursing unit is to ensure patient safety in healthcare delivery. Nurses are provided with assignments and schedules along with their corresponding duties and responsibilities to provide quality and safe care in a therapeutic environment.

The Nursing Service ensures that all the clinical nursing units or wards and special care areas such as Critical Care Units, Obstetrics Complex, Operating Theaters, Emergency Department, Outpatient Department, and other areas are manned by qualified nursing staff. The efficient planning of these nursing units, including appropriate staffing, would ensure maximum care of patients.

Functions and Services

Clinical Functions

The Nursing Service utilizes the Nursing Process by which nurses deliver care to patients in the clinical settings, both in general wards and specialty areas, using a cyclical, ongoing, goal-oriented and client-centered approach to meet clients needs. In general, its purposes are as follows:

  • o Identify client's health status, actual or potential healthcare problems or needs
  • Establish plans to meet identified needs and gaps to deliver specific interventions to meet those needs
  • Provide a framework for critical thinking in which the practice of nursing and its complexities are based
  • Provide timely and appropriate care to patients
  • Deliver critical judgement about patient's clinical situation and individualizing approaches to care
  • o Organize, conduct, and reflect care in a systematic organized manner
  • Make inferences and validation about the meaning of a patient responses to health problems or generalize about his or her functional state of health
  • Provide goal-oriented and patient-centered care

The delivery of nursing care utilizing the Nursing Process uses the best available evidence as a blueprint on how to care for patients. A patient-centered care approach is holistic and essential when the following steps are applied:

  • Nursing Assessment involves the collection of information from the patient and their family or carers concerning their condition and perceived problems
  • Nursing Diagnosis the nurse's clinical judgment about the patient's response to actual potential health conditions or needs
  • Nursing Planning and Outcome Identification the interventions are identified to reduce, resolve or prevent the patient's problems while supporting the patient's strengths in an organized goal-directed way
  • Nursing Implementation includes carrying out the plan of care, continuing data collection and modifying the plan of care as needed, and documenting the care given
  • Nursing Evaluation determines if the care given achieved the desired results which occurs constantly as care is being implemented

• Administrative Functions

In addition to the clinical nursing functions, the Nursing Service Department performs a wide array of administrative functions that range from nursing administration and management to day-to-day activities necessary to ensure efficient delivery of nursing services. These activities include but not limited to the following:

  • o Formulate nursing policies for the improvement of patient care
  • Prepare the Nursing Service budget proposal
  • o Prepare, review, and submit nursing service reports as required
  • o Participate in the hospital's continuous quality improvement activities
  • Ensure that the environment, people, materials, equipment, and resources are adequately provided for efficient operations
  • Coordinate with other departments or sections of the hospital

Training, Education, and Research Functions

To ensure that the nursing staff are competent and updated with the current trends in the provision of quality nursing care, the Nursing Service Department shall perform the following functions:

  • Identify or assess the training needs of the Nursing Service personnel
  • Design training programs based on training needs assessment and determine resources needed
  • Develop, plan, implement, and evaluate the outcome of learning and development interventions conducted
  • Organize and implement affiliation and training programs
  • Conduct and facilitate nursing research and quality improvement activities for the nursing service

Review and analyze data in the prepared required reports as well as nursing researches from external sources

Components

The Nursing Service provides staffing to various hospital departments or units to ensure delivery of safe and quality care. The Nursing Staff provide services to the following:

    1. Clinical Nursing Units or Wards are areas of the hospital where in-patient care services are provided. In each ward, there is a nursing unit to take care of patients for 24 hours.
    1. Emergency Department is a medical treatment facility specializing in emergency medicine or acute care of patients. The 24-hour daily operations of the ED focuses on assessment and management of patients requiring emergency care. Mostly, the nurses cater to serious injuries and illness or those in need of emergency treatment.
  • Critical Care Unit this unit treats patients who require the highest acuity of care\nin a very structured and controlled setting. Critical care nurses use their specialized skills and extensive knowledge on disease pathology to provide life-sustaining\ninterventions.
    1. Outpatient Department is the part of the hospital providing care for patients with health problems but at the time do not require hospital confinement. OPD Nurses provide services for various specialties and health programs such as Internal Medicine, Surgery, Obstetrics and Gynecology, TB-DOTS, Animal Bite, Expanded Program in Immunization, Women and Children Protection Unit, among others
  • 5. Operating Room is the area in the hospital where surgical procedures are performed. Nurses in this area must be trained in operative cases and shall act as scrub or circulating nurse.
  • 6. Obstetrics Complex is composed of the Labor Room, Delivery Room, OB Operating Room, and Recovery Room or PACU. The nurses and midwives in this area are trained in maternal and child care.
    1. Dialysis Unit provides hemodialysis and continuous ambulatory peritoneal dialysis (CAPD) treatment to clients who have chronic kidney failure.
    1. Central Supply and Sterilization centralizes the storage, issuance and preparation of nursing supplies and equipment used in care and treatment of patients in order to save time, money and equipment and provide a more effective supply service. It is responsible for requisitioning, storing, issuing, sterilizing and manufacturing such equipment and material as required for the care of patients. The section stocks thousands of items which are issued upon written request to various hospital and nursing units. The nursing staff of this department receives supply deliveries, verifies contents, notes and resolves any discrepancies, and ensures proper documentation.

Hospital Operations and Patient Support Service

Each level of hospital requires different administrative support services to be able to respond to the basic services for effective and efficient hospital operation. The Hospital Operations Support Service (HOPSS) plays an equally important role in the delivery of healthcare services through the provision of necessary and timely logistic support services with the different departments and offices of the hospital in achieving quality health services.

The HOPSS is committed to continuously support the implementation of hospital policies, programs on education, training and staff skills development; and be an active partner in the pursuit of quality health services through systems and procedures improvement. The procedures include technical and skilled works and other requirements necessary for the effective and efficient delivery of quality health care services.

Functions

  • Renders support services to healthcare providers, clients, other government and non-government agencies, professional groups and others requiring assistance and providing internal administrative management, patient support and general services.
  • Perform hiring, selection, and promotion and determines placement of staff based on competencies required of the job;
  • Facilitates staff skills development and competencies
  • Provide facilities maintenance services

Components

The HOPSS is composed of the sections: Human Resource Management, Procurement, Materials Management, and Engineering and Facilities Management.

A. Human Resource Management Section (HRMS)

The Human Resource Management Section is responsible for the development and administration of a comprehensive Human Resource Management Plan for the hospital. The office contributes to the development and ensures implementation of policies relevant to recruitment, selection, promotion, separation, welfare, and benefits of the hospital employees.

Functions and Services

Develop and implement personnel policies and job descriptions, staff skills development, training and other personnel actions and transactions consistent with DOH standards, procedures and Civil Service Law and Rules.

  • Determine staff /employment/deployment based on competencies required of the hospital services, and DOH competencies shall be on top of its criteria in hiring of the right person for the right position.
  • Categorize of work conditions in nine groups such as employment, remuneration and incentives, leave privileges, staff benefits, personal conduct safety and property, education and training, health and staff relations.
  • Prepare processing requisitions for hospital staff, writing and placing advertisements for staff, interviews, recording applicant's personal appearance, and other health examinations, introducing new staff to hospital employment and reviewing staff work performance appraisals with department or section heads.

B. Procurement Section

The Procurement Section is responsible for the development and administration of a comprehensive Procurement Plan for systematic procurement and acquisition of supplies, materials, healthcare equipment, vehicles, services, infrastructure, works and and other logistics for the effective and efficient delivery of quality services. This section shall ensure that all processes are in accordance with RA No. 9184 known as Government Procurement Reform Act and its Implementing Rules and Regulations and shall ensure that all procurements are in accordance with the approved Agency Procurement Plan (APP).

Functions and Services

  • Monitor procurement activities and milestones for proper reporting to relevant agencies and maintain a depository of all procurement related information.
  • Serve as Bids and Awards Committee (BAC) Secretariat to prepare Bid Documents and other procurement requirements.
  • Facilitate the conduct of public bidding and awarding of projects to winning bidders and shall organize and make all necessary arrangements for BAC and Technical Working Group (TWG) meetings and processing of BAC documents.

C. Materials Management Section

The Materials Management Section is responsible for the development and administration of a comprehensive plan for the receipt, storage, issuance and inventory of hospital supplies, materials and equipment, and disposal of unserviceable hospital properties.

Functions and Services

  • Responsible for the receiving and inspection of deliveries based on Purchase Orders.

  • Plan and direct the systematic distribution of requirements and ensures that all properties are covered by insurance.

  • Participate in the conduct of physical inventory of properties and recommends disposal of unserviceable and/or no longer needed equipment.

  • Maintain supplies and materials stock and equipment ledger cards; prepares/update Acknowledgement Receipt of Equipment and Inventory Custodian Slip for items with amount falling in the ceiling set by Commission on Audit (COA).

  • Responsible for inventory taking and custodianship of supplies and equipment; and prepares Stock Cards.

  • Conduct inventory of property accountabilities of employees requesting for clearance from property and accountability and issuance of Clearance from Property Accountability to employees requesting the same.

D. Engineering and Facilities Management Section

The Engineering Facilities Management Section (EFMS) is responsible for the development and implementation of a comprehensive program on preventive, corrective, and rehabilitative maintenance for the biomedical, electronic and communication equipment, electrical, mechanical, structural, civil works, physical plant, motor vehicles, and other healthcare equipment and devices.

The EFM is composed of subunits such as Maintenance, Biomedical, Motorpool, Transport, Electrical services, the General Services, a cluster of Housekeeping, Linen and Laundry Section, and Security Services.

Functions and Services

  • Develop and implement a comprehensive program on preventive, corrective, and rehabilitative maintenance for healthcare equipment, devices, and other utilities within the hospital as described above.
  • Ensure adherence to the local, national and international codes, standards and regulations on the construction, operation and maintenance of facilities, utilities, healthcare equipment/devices and motor vehicles.
      1. Maintenance, Biomedical, Motorpool, Transport, Electrical, and General Services Staffing

The biomedical equipment, electrical, electrical works, air-conditioning units, water supply and plumbing works of the hospital are clustered under the Maintenance Section. The transport services such as ambulances and other service vehicles of the hospital, electrical works, air-conditioning units, other hospital equipment, water supply and plumbing works are clustered under the Motorpool Section. It maintains and keeps all hospital ambulances and service vehicles in good running condition as well as evaluates and recommends outside repair for vehicles beyond in-house repair.

Staffing competencies include Biomedical engineers, Civil Engineers, Electrical Engineers, Architects/ medical equipment technicians, electricians, air-con technicians, plumbers, auto-mechanics, and drivers. The Architect position shall be responsible for the design preparation/inspection/validation and estimate of infrastructure projects of the hospital.

2. Housekeeping, Linen, and Laundry

The Housekeeping, Linen and Laundry are clustered as one Section under the Engineering and Facilities Management.

Whether in-house or outsourced janitorial services and laundry services, the EFM shall closely supervise the quality of performance. It shall monitor the implementation of continuing quality improvement of the Section for patient safety.

a. Housekeeping

The Housekeeping Section provides and maintains a clean, safe, and sanitary environment for hospital personnel, patients, and clients. It implements policies on healthcare waste management programs, and strictly implements proper cleaning methods, infection control standards and supplies/equipment/tools management. It is responsible for the cleanliness and sanitation of the hospital and implements the standard housekeeping procedures and ensures continuing quality improvement and patient safety.

Staffing for the Housekeeping should be equipped with the knowledge and skills in the process of cleaning and maintaining health facilities in accordance with the standards for Infection Prevention and Control and Health Care Waste Management

b. Linen and Laundry

The Linen and Laundry Section may be a separate unit or a unit of the Housekeeping Section in charge of providing laundry services and ensures adequate supply of clean linen including bed sheets, pillow cases, surgical gowns, and large towels for patients and other hospital units. A hospital-operated laundry service ensures the timely return of the soiled linens while ensuring that the appropriate cleaning and disinfection process for contaminated linen is carried out, in accordance with standards.

Staffing of the Linen and Laundry Section should be equipped with the knowledge and skills in proper segregation and dilution of disinfectants to infectious and normally soiled linens.

E. Integrated Management Information System Section (IMISS)

Pursuant to RA 11223, or the UHC Act, particularly in the implementation of the Health Information System, Health Facilities are expected to implement and maintain an integrated health information system that conforms and complies with the standards set by the DOH and PHIC in coordination with the Department of Information and

Communications Technology (DICT) and National Privacy Commission (NPC)^7 including the transition to use of electronic medical records as stipulated in the latest guidelines on the licensing of hospitals^8.

In order to support these directions, a dedicated section is strengthened to maintain the multiple databases and information systems that are necessary to support the public health programs of the Department of Health. These databases and information systems includes but are not limited to:

  • Philippine Health Statistics
  • Field Health Service Information System
  • Integrated Chronic Non-communicable Disease Registry System
  • Integrated Leprosy Information System
  • Integrated Tuberculosis Information System
  • Maternal, Neonatal, and Infant Death Reporting System
  • National Rabies Information System (NARIS)
  • One Hospital Statistical Reporting System (OHSRS)
  • One National Electronic Injury Surveillance System (ONEISS)
  • Philippine Health Information Exchange (PHIE)
  • Universal Health Care Information System (IHOMIS Plus)
  • PMT Claims (e-Claims)
  • My PhilHealth Portal
  • e-Konsulta
  • DOH Data Collect Hub (DDC)

The IMISS shall likewise oversee the implementation of both manual standards and the hospital information system, regardless of service provider. The section shall be composed of a program manager who will oversee the streamlining of these information system with their hospital information system, computer programmers that will maintain the software component of the information system, and computer maintenance technologist shall maintain the hardware component of the system and who shall provide timely troubleshooting and technical assistance.

Finance Service

Financial management in a hospital setting is the process of seeking the optimal financing, allocation, and control of all resources of the health care organization. It is through the accumulation of financial data and its results, the month-end and year-end accounting and statistical reports are prepared. Financial reports and statements are useful in planning, organizing, directing and controlling the activities of any organization.

This Service is responsible for financial transactions of the hospital such as: accounting, budgeting, billing and claims, and cash management.

^7 Section 36. Health Information System. Implementing Rules and Regulation of Republic Act No. 11223, also known as, the Universal Health Care Act.

BOOH Department Circular 2018-0131, "Revised Licensing Assessment Tool for Hospitals"

Functions

  • Financial Accounting Provides summary accounts to top management, external\nusers and regulatory bodies. It involves the recording of all monetary transactions and the production of summary financial statements that reflect the performance and financial status of the organization. The Accounting Department is primarily responsible for Financial Accounting.
  • Cost Accounting Provides data for effective budget planning and projection of short, medium and long term plans. It involves detailed analysis on suitable cost drivers and evaluation of costs incurred in relations to activities conducted. It also involves the defining of costs as direct materials, direct labor, fixed overhead, variable overhead and period costs. It entails the setting of equitable rates for all the services provided in the hospital.
  • Management Accounting Provides financial information internally to top management for an effective and efficient decision making and strategic planning to achieve the set goals and objectives. This includes budgets and plans, costing and financial appraisal of programs and activities.
  • Financial Resources Management Ensures the organization has adequate funds and resources to meet all of its current obligations and financially support future plans and programs. It includes the sourcing of funds to meet the organization's needs. It shall also involve planning for long-term capital requirements – such as, new facilities and equipment – and deciding on capital investments and how they should be financed.
  • Risk Management Identifies related risks that arise from operation and clinical activities. Internal controls are used to analyze, manage and mitigate risk.

Components

The Finance Service is composed of the following sections:

A. Budget Section

The Budget Section directs and coordinates with the persons concerned in the consolidation and preparation of Budget Proposal, Work and Financial/Operational Plans including its implementation and monitoring and is headed by a Supervising Administrative Officer.

B. Accounting Section

The Accounting Section directs and coordinates the systematic recording of all financial transactions, preparation of financial statements and relevant reports and maintenance and safekeeping of Books of Accounts. This Section is headed by an Accountant IV.9

^9 Manual of Standards for Management of Hospital Finance Service, 1st Edition

C. Billing and Claims Section

The Billing and Claims Section is a separate Unit from Accounting Service. It shall be responsible for the control of all hospital billing (patient/non-patient) charges, Philhealth computation and reimbursement, Statement of Account, Summary of Bills, Report of Total Hospital Bills and is also headed by a Supervising Administrative Officer.

Furthermore, this section implements a proper charging system, by recording of all hospital procedures, services, medical supplies, drugs and medicines incurred to patients regardless of patient's classification including claims, fees and use of facilities and other non-patient services.^13

D. Cash Operations

The Cash Management Section directs and controls and ensures the proper disbursement and collection transactions of the hospital and is also headed by a Supervising Administrative Officer. ^13 The said Section has satellite stations within the hospital and shall operate 24/7 as well.

PART IV - IMPLEMENTATION GUIDELINES

The implementation of the Phase 1 of the Revised Organizational Structure and Standard Staffing Pattern for Level 3 Government Hospitals with 200 to 1500 Beds shall be guided by the following:

    1. The DOH–DBM staffing standard shall be followed in filling-up the positions, in addition to the published qualification standard competencies for each position to ensure provision of quality services in all levels of government hospitals.
    1. The requesting party shall provide the list of the hospital's filled and unfilled positions prior to the requisition of any additional positions. The request will then be evaluated accordingly based on the needs and demands of the hospital, and in comparison with the already existing and available positions.
    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 herein prescribed. However, teh hospital management has the option to adopt a leaner organizational structure and staffing pattern by merging the prescribed organizational units or using lower-level positions. If the authorized bed capacity of a hospitals falls between two of the specified bed capacities in teh 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 under other national government agencies such as Department of National Defense (DND), Philippine National Police (PNP), Department of Justice (DOJ), State Universities and Colleges (SUCs) and Department of Local and Interior Government (DILG) shall adhere to this staffing standard.
    1. The Local Government Unit (LGU) owned and/or managed hospitals are encouraged to implement the revised staffing standards.
    1. In case an existing position was not included in this revised Staffing Standards, the hospital shall honor the position, security of tenure and other rights of the incumbent health worker until such time that the existing position is declared coterminous with the incumbent, to be abolished once vacated.
    1. These standards shall be subject to a periodic review to ensure that the standards remain responsive to the needs of the health facilities. The staffing standards may be reviewed or revised in portion or as a whole.

Staffing Standards for 200-900 Beds Level III Government Hospital

Position TitleSG200300400500600700800900
Office of the Medical Center Chief
Medical Center Chief II2711111111
Administrative Officer IV1511111111
Administrative Assistant III91111111
Subtotal33333333
Legal Unit-
Attorney IV231111111
Legal Assistant II120000111
Legal Assistant I101111111
-Subtotal2222333
Public Health Unit--
Medical Officer IV231111111
Health Education and Promotion Officer III181111111
Nurse III171111111
Health Education and Promotion Officer II142222222
Health Education and Promotion Officer I100000111
Subtotal5555666
Planning and Management Unit
Planning Officer III1811111111
Administrative Officer IV151111111
Administrative Officer III141111111
Administrative Officer II111111222
Planning Officer I111111222
-Subtotal5555777
Position TitleSG200300400500600700800900
Quality Improvement, Infection Prevention and Control, and Patient Safety Unit
Medical Officer IV2311111111
Nurse V2022222222
Nurse III1723456789
Administrative Officer IV1511111111
Administrative Officer II1111111111
Administrative Assistant II822223333
Subtotal910111214151617
Professional Education, Training and Research Unit
Medical Specialist IV2511111111
Training Specialist IV2211111111
Training Specialist II1511111111
Statistician I1111111111
Training Assistant822222222
Subtotal66666666
Subtotal for Office of the MedicaI Center Chief3031323339404142
B. Allied Health Professional Service
Office of the Chief of the Allied Health Services
Chief Health Program Officer2411111111
Administrative Assistant I711111111
Subtotal22222222
Nutrition and Dietetics Department
Nutritionist-Dietitian V2211111111
Nutritionist-Dietitian IV2011111111
Nutritionist-Dietitian III1833333333
Nutritionist-Dietitian II1523566677
Nutritionist-Dietitian I1111111122
Administrative Assistant II811111111
Cook II569121518181818
Position TitleSG200300400500600700800900
Administrative Aide IV41212161616161616
Subtotal2731404447474949
Pharmacy Department
Pharmacist V2211111111
Pharmacist IV2011222222
Pharmacist III184681012141618
Pharmacist II15610131720242731
Pharmacist I114681012141618
Administrative Assistant II84681012121212
Subtotal2030405059677482
Medical Social Work Department-
Social Welfare Officer IV2211111111
Social Welfare Officer III1822222222
Social Welfare Officer II1548101212151515
Social Welfare Officer I1179111618202224
Social Welfare Assistant84681012141414
Subtotal18263241455256
Health Information Management Department
Supervising Administrative Officer (Records Officer I11111111
Administrative Officer V1811111111
Statistician III1811111111
Statistician II1511112222
Administrative Officer III (Records Officer II)1467810101010
Administrative Officer I (Records Officer I)1011152022242424
Administrative Assistant II81222333
Administrative Assistant I745566666
Subtotal2633394448484848
Subtotal for the Allied Health Profession93122153181201216227237
Position TitleSG200300400500600700800900
C. Nursing Service
Office of Nursing Chief
Nurse VII2411111111
Nurse VI2233331 331 3
Nurse V2022222223 2
Administrative Assistant I711111111
Subtotal77777777
Clinical Nursing Units
Nurse V2055555555
Nurse IV1944444444
Nurse III1733446666
Nurse II161012151720222427
Nurse I155887117146175204233263
Nursing Attendant II63044597387102116131
Ward Assistant777777777
Subtotal117162211256304350395443
Operating Room-
Nurse V2011111111
Nurse IV1944444444
Nurse III1742848484105105105105
Nurse II16714141418181818
Ward Assistant777777777
Nursing Attendant II61414141414181818
Subtotal75124124124149153153153
Special Care Areas
Nurse V2011111111
Nurse IV1933337777
Nurse III174681012121216
Nurse II1623354758708293105
Nursing Attendant II6579121416192
Subtotal365268841041181321
Obstetrics Complex
Nurse V201111111
Nurse IV193333777
Nurse III172222444
Midwife IV151111111
Midwife III132222444
Midwife II115810121414141
Ward Assistant72344444
Subtotal162023253535353
Labor Room
Nurse II1614141414191919
Midwife II117779999
Subtotal212121232828282
Delivery Room--
Nurse II167777999
Midwife II114444555
Midwife I97777999
Subtotal181818182323232
Obstetrical OR/CS OR-
Nurse II1621212121282828
Midwife I95555777
Subtotal262626263535353
Ligation Room-
Midwife II112233444
Subtotal2233444
Recovery Room (PACU)
Position TitleSG200300400500600700800900
Nursing Attendant II633335555
Subtotal666610101010
Emergency Room
Nurse V2011111111
Nurse IV191 33333333
Nurse III17711141821252832
Nurse II162335475870829310
Nursing Attendant II61010101010151515
Subtotal4460759010512614015
Out-Patient Department
Nurse IV1911111111
Nurse III1711111111
Nurse II161111111111111111
Nurse I152222222233333333
Nursing Attendant II634567779
Subtotal3839404153535355
Central Supply and Sterilization
Nurse IV1900111111
Nurse III1711111111
Nursing Attendant II633337777
Nursing Attendant I433337777
Subtotal778816161610
Dialysis Unit
Hemodialysis Unit
Nurse III1744444444
Nurse II16Dependent on the Number of Machines – 1 Nurse II per 3 machines per shift (3 shifts a day)
Medical Equipment Technician II8Dependent on the Number of Machines – 1 Medical Equipment Technician II per 6 machines
Subtotal--------
Position TitleSG200300400500600700800900
CAPD Unit-
Nurse III1744444444
Nurse II16Dependent on the Number of Patients – 1 Nurse II per 3 patients per shift (3 shifts a day)
Subtotal-------
Subtotal for Nursing Service (excludingDialysis Unit)4135446307118739581,0311,115
D. Hospital Operations and Patient Support Service
Office of the Chief Administrative Officer
Chief Administrative Officer2411111111
Administrative Officer II1111111111
Administrative Assistant I711111111
Subtotal33333333
Human Resource Management Section
Supervising Administrative Officer2211111111
Administrative Officer V1811111111
Administrative Officer IV1511111111
Administrative Officer III1411111111
Administrative Officer II1133355555
Administrative Assistant II833455555
Subtotal1010111414141414
Procurement Section
Supervising Administrative Officer2211111111
Administrative Officer V1811111111
Administrative Officer III1411122222
Administrative Assistant III911222222
Administrative Assistant I723444444
Subtotal6791010101010
Position TitleSG200300400500600700800900
Materials Management Section
Supervising Administrative Officer2211111111
Administrative Officer V1811111111
Administrative Officer III1411111111
Warehouseman III1112222222
Administrative Assistant I723333333
Subtotal68888888
Engineering and Facilities Management Secction
Engineer IV2211111111
Engineer III1922222222
Architect II1611111111
Engineer II1611111111
Medical Equipment Technician IV1311111111
Medical Equipment Technician III1122233333
Administrative Assistant III922233333
Medical Equipment Technician II823444444
Medical Equipment Technician I623555555
Administrative Aide VI669121515151515
Administrative Aide V523444444
Subtotal2228354040404040
Housekeeping, Linen, and Laundry Unitt
Hospital Housekeeper823444444
Laundry Worker II323455555
Seamstress211122222
Subtotal5791111111111
Integrated Management Information Systeem Section
Supervising Health Program Officer2211111111
Information Systems Analyst III1911111111
Computer Maintenance Technologist III1711111111
Information Systems Analyst II1623444444
Position TitleSG200300400500600700800900
Computer Maintenance Technologist II1522222222
Information Systems Analyst I1211122222
Subtotal89101111111111
Subtotal for Hospital Operations and Patient Support Service6072859797979797
E. Finance Service
Office of the Chief Administrative Officer
Chief Administrative Officer2411111111
Administrative Assistant I711111111
Subtotal22222222
Budget Section
Supervising Administrative Officer2211111111
Administrative Officer V1811111111
Administrative Officer IV1511111111
Administrative Assistant II811122222
Subtotal44455555
Accounting Section
Accountant IV2211111111
Accountant III1911111111
Accountant II1611111111
Administrative Officer IV1500011111
Accountant I1211111111
Administrative Officer I1000111111
Administrative Assistant III911222222
Administrative Assistant II845555555
Subtotal910121313131313
Billing and Claims Section
Supervising Administrative Officer2211111111
Subtotal11111111
Position TitleSG200300400500600700800900
Billing Unit
Administrative Officer V1811111111
Administrative Officer IV1511111111
Administrative Officer II1111111111
Administrative Assistant III988121214141414
Subtotal1111151517171717
Claims Unit
Administrative Officer V1811111111
Administrative Officer IV1511111111
Administrative Officer II1111111111
Administrative Assistant III988121214141414
Subtotal1111151517171717
Cash Operations Section
Supervising Administrative Officer2211111111
Administrative Officer III1411112222
Administrative Officer I1069121515151515
Administrative Assistant I755566666
Subtotal1316192324242424
Subtotal for Finaance Service5155687479797979
Grant Total for the Five(5) Service6478249681,0961,2891,3901,4751,570

Staffing Standards for 1000-1500 Beds Level III Government Hospital

Position TitleSG100011001200130014001500
A. Office of the Medical Center Chief
Office of the Medical Center Chief
Medical Center Chief II27111111
Administrative Officer IV15111111
Administrative Assistant III9111111
Subtotal333333
Legal Unit-
Attorney IV23111111
Legal Assistant II12111111
Legal Assistant I10111111
Subtotal333333
Public Health Unit
Medical Officer IV23111111
Health Education and Promotion Officer III18111111
Nurse III17111111
Health Education and Promotion Officer II14222222
Health Education and Promotion Officer I10111111
Subtotal666666
Planning and Management Unit
Planning Officer III18111111
Administrative Officer IV15111111
Administrative Officer III14111111
Administrative Officer II11222222
Planning Officer I11222222
-Subtotal777777
Position TitleSG100011001200130014001500
Quality Improvement, Infection Prevention and Control, and Patient Safety Unit
Medical Officer IV23111111
Nurse V20222222
Nurse III17101112131415
Administrative Officer IV15111111
Administrative Officer II11111111
Administrative Assistant II-8333333
Subtotal181920212223
Professional Education, Training and Research Unit
Medical Specialist IV25111111
Training Specialist IV22111111
Training Specialist II15111111
Statistician I11111111
Training Assistant8333333
Suıbtotal777777
Subtotal for Office of the Meddical Center Chief444546474849
B. Allied Health Professional Service
Office of the Chief of the Allied HealthServices
Chief Health Program Officer24111111
Administrative Assistant I7111111
Sııbtotal222222
Nutrition and Dietetics Department
Nutritionist-Dietitian V22111111
Nutritionist-Dietitian IV20111111
Nutritionist-Dietitian III18333333
Nutritionist-Dietitian II15888899
Nutritionist-Dietitian I11444466
Administrative Assistant II8111111
Cook II5212121212121
Position TitleSG100011001200130014001500
Administrative Aide IV4181818202020
Subtotal575757596262
Pharmacy Department
Pharmacist V22111111
Pharmacist IV20222222
Pharmacist III18202224262830
Pharmacist II15343841454852
Pharmacist I11202224262830
Administrative Assistant II8141414141616
Subtotal9199106114123131
Medical Social Work Department
Social Welfare Officer IV22111111
Social Welfare Officer III18222222
Social Welfare Officer II15171717181820
Social Welfare Officer I11262830323436
Social Welfare Assistant8161616161818
Subtotal626466697377
Health Information Management Department-
Supervising Administrative Officer (Records Officer I(V) 22111111
Administrative Officer V18222222
Statistician III18111111
Statistician II15333444
Administrative Officer III (Records Officer II)14121212131313
Administrative Officer I (Records Officer I)10282830323436
Administrative Assistant II8444555
Administrative Assistant I7777777
Subtotal585860656769
Subtotal for the Allied Health Professional Service270280291309327341
Position TitleSG100011001200130014001500
C. Nursing Service
Office of Nursing Chief
Nurse VII24111111
Nurse VI22333333
Nurse V20222222
Administrative Assistant I7111111
Subtotal777777
Clinical Nursing Units
Nurse V20555555
Nurse IV19444444
Nurse III1768881010
Nurse II16293234373942
Nurse I15292321350379408438
Nursing Attendant II6146160175190204219
Ward Assistant7101010101014
Subtotal492540586633680732
Operating Room
Nurse V20111111
Nurse IV19444444
Nurse III17140140140140140175
Nurse II16212121212329
Ward Assistant7101010101014
Nursing Attendant II6182121212125
Subtotal194197197197199248
Special Care Areas
Nurse V20111111
Nurse IV1971010101014
Nurse III17161618182020
Nurse II16117128140152163175
Position TitleSG100011001200130014001500
Nursing Attendant II6232628303335
-Subtotal164181197211227245
Obstetrics Complex
Nurse V20111111
Nurse IV1971010101014
Nurse III17466666
Midwife IV15111111
Midwife III13466666
Midwife II11161618182020
Ward Assistant7488888
Subtotal374850505256
Labor Room
Nurse II16192323232323
Midwife II1191212121212
Subtotal283535353535
Delivery Room
Nurse II1691414141414
Midwife II11577777
Midwife I991414141414
Subtotal233535353535
Obstetrical OR/CS OR
Nurse II16284242424242
Midwife I9101010101010
Subtotal385252525252
Ligation Room
Midwife II11455555
Subtotal455555
Recovery Room (PACU)
Nurse II16577777
Position TitleSG100011001200130014001500
Nursing Attendant II6577777
Subtotal101414141414
Emergency Room
Nurse V20111111
Nurse IV19333333
Nurse III17353942464953
Nurse II16117128140152163175
Nursing Attendant II6171717171717
Subtotal173188203219233249
Out-Patient Department
Nurse IV19111111
Nurse III17111111
Nurse II16111111111111
Nurse I15334444444444
Nursing Attendant II69911111313
Subtotal556668687070
Central Supply and Sterilization
Nurse IV19111111
Nurse III17111111
Nursing Attendant II671111111111
Nursing Attendant I471111111111
Subtotal162424242424
Dialysis Unit-
Hemodialysis Unit
Nurse III17444444
Nurse II16Dependent on the Number of Machines – 1 Nurse II per 3 machines per shift (3 shifts a day)
Medical Equipment Technician II8Dependent on the Number of Machines – 1 Medical Equipment Technician II per 6 machines
Subtotal------
Position TitleSG100011001200130014001500
CAPD Unit
Nurse III17444444
Nurse II16Dependent on the Number of Patients – 1 Nurse II per 3 patients per shift (3 shifts a day)
Subtotal------
Subtotal for Nursing Service (excluding Dialysis Unit)1,2411,3921,4731,5501,6331,772
D. Hospital Operations and Patient Support Service
Office of the Chief Administrative Officer
Chief Administrative Officer24111111
Administrative Officer II11111111
Administrative Assistant I7111111
Siubtotal333333
Human Resource Management Section
Supervising Administrative Officer22111111
Administrative Officer V18111111
Administrative Officer IV15111111
Administrative Officer III14111111
Administrative Officer II11777999
Administrative Assistant II8777999
Subtotal181818222222
Procurement Section
Supervising Administrative Officer22111111
Administrative Officer V18111111
Administrative Officer III14333444
Administrative Assistant III9333444
Administrative Assistant I7555555
Subtotal131313151515
Position TitleSG100011001200130014001500
Materials Management Section
Supervising Administrative Officer22111111
Administrative Officer V18111111
Administrative Officer III14111111
Warehouseman III11222222
Administrative Assistant I7333333
Subtotal888888
Engineering and Facilities Management Section
Engineer IV22111111
Engineer III19222222
Architect II16111111
Engineer II16111111
Medical Equipment Technician IV13111111
Medical Equipment Technician III11333444
Administrative Assistant III9333444
Medical Equipment Technician II8444555
Medical Equipment Technician I6556666
Administrative Aide VI6181818212121
Administrative Aide V5555666
Subtotal444445525252
Housekeeping, Linen, and Laundry Unit
Hospital Housekeeper8555666
Laundry Worker II3666777
Seamstress2222333
Subtotal131313161616
Integrated Management Information Systemn Section
Supervising Health Program Officer22111111
Information Systems Analyst III19111111
Computer Maintenance Technologist III17111111
Information Systems Analyst II16444444
Position TitleSG100011001200130014001500
Computer Maintenance Technologist II15222444
Information Systems Analyst I12222444
Subtotal111111151515
Subtotal for Hospital Operations and Patient Suppoort Service110110111131131131
E. Finance Service
Office of the Chief Administrative Officer
Chief Administrative Officer24111111
Administrative Assistant I7111111
Subtotal222222
Budget Section
Supervising Administrative Officer22111111
Administrative Officer V18111111
Administrative Officer IV15111111
Administrative Assistant II8333333
Subtotal666666
Accounting Section
Accountant IV22111111
Accountant III19111111
Accountant II16111111
Administrative Officer IV15111111
Accountant I12111111
Administrative Officer I10111111
Administrative Assistant III9333333
Administrative Assistant II8666777
Subtotal151515161616
Billing and Claims Section
Supervising Administrative Officer22111111
Subtotal111111
Position TitleSG100011001200130014001500
Billing Unit
Administrative Officer V18111111
Administrative Officer IV15111111
Administrative Officer II11111111
Administrative Assistant III9181818182020
Subtotal212121212323
Claims Unit
Administrative Officer V18111111
Administrative Officer IV15111111
Administrative Officer II11111111
Administrative Assistant III9181818182020
, SSubtotal212121212323
Cash Operations Section
Supervising Administrative Officer22111111
Administrative Officer III14222333
Administrative Officer I10181818212121
Administrative Assistant I7777888
Subtotal282828333333
Subtotal for FinanceService949494100104104
Grant Total foor the Five (5)Service1,7591,9212,0152,1372,2432,397

Annexes

Annex A

Tally of Positions Per Office/Service

A. Office of the Medical Center Chief

Position TitleSalaryNumber of Positions
Grade (SG)200300400500600
Medical and Allied Medical Positions
Medical Center Chief II2711111
Medical Specialist IV25111111
Medical Officer IV2322222
Nurse V2022222
Health Education and Promotion Officer III1811111
Nurse III173 24567
Health Education and Promotion Officer II1422222
Health Education and Promotion Officer I1000001
Subtotal1213141517
Administrative and Support Positions
Attorney IV2311111
Training Specialist IV221111111
Planning Officer III1811111
Administrative Officer IV1533333
Training Specialist II15111111
Administrative Officer III14111111
Legal Assistant II1200001
Administrative Officer II1122223
Planning Officer I111111112
Statistician I1111111111
Legal Assistant I101111111
Administrative Assistant III91111111
Administrative Assistant II822223
Training Assistant822222
Subtotal1818181822
Total3031323339
SalaryNumber of Positions
Position TitleGrade (SG)70080090010001100
Medical and Allied Medical Positions
Medical Center Chief II2711111
Medical Specialist IV2511111
Medical Officer IV2322222
Nurse V2022222
Health Education and Promotion Officer III1811111
Nurse III1789101112
Health Education and Promotion Officer II1422222
Health Education and Promotion Officer I1011111
Subtotal1819202122
Administrative and Support Positions.
Attorney IV23111111
Training Specialist IV2211111
Planning Officer III18111111
Administrative Officer IV1533333
Training Specialist II1511111
Administrative Officer III141111111
Legal Assistant II121111111
Administrative Officer II1133333
Planning Officer I1122222
Statistician I11111111
Legal Assistant I10111111
Administrative Assistant III9111111
Administrative Assistant II833333
Training Assistant822233
Subtotal2222222323
Total4041424445
-SalaryNNumber of Positions
Position TitleGrade (SG)1200130014001500
Medical and Allied Medical Positions
Medical Center Chief II2711111
Medical Specialist IV251111
Medical Officer IV232222
Nurse V202222
Health Education and Promotion Officer III181111
Nurse III1713141516
Health Education and Promotion Officer II142222
Health Education and Promotion Officer I101111
Subtotal23242526
Administrative and Support Positions
Attorney IV231111
Training Specialist IV221111
Planning Officer III181111
Administrative Officer IV153333
Training Specialist II151111
Administrative Officer III141111
Legal Assistant II1211111
Administrative Officer II113333
Planning Officer I112222
Statistician I111111
Legal Assistant I101111
Administrative Assistant III911111
Administrative Assistant II83333
Training Assistant83333
Subtotal23232323
Total46474849

B. Allied Health Professional Service

SalaryNumber of Positions
Position TitleGrade (SG)200300400500600
Medical and Allied Medical Positions
Chief Health Program Officer2411111
Nutritionist-Dietitian V221 _1111
Pharmacist V2211111
Social Welfare Officer IV22111111
Nutritionist-Dietitian IV2011111
Pharmacist IV2011222
Nutritionist-Dietitian III1833333
Pharmacist III184681012
Social Welfare Officer III1822222
Nutritionist-Dietitian II1523566
Pharmacist II15610131720
Social Welfare Officer II1548101212
Nutritionist-Dietitian I1111111
Pharmacist I114681012
Social Welfare Officer I1179111618
Social Welfare Assistant84681012
Subtotal43607694105
Administrative and Support Positions
Supervising Administrative Officer2211111
Administrative Officer V1811111
Statistician III1811111
Statistician II1511112
Administrative Officer III146781010
Administrative Officer I101115202224
Administrative Assistant II869111316
Administrative Assistant I756677
Cook II569121518
Administrative Aide IV41212161616
Subtotal5062778796
Total93112153181201
Position TitleSalaryNumber of Positions
Grade (SG)70080090010001100
Medical and Allied Medical Posittions
Chief Health Program Officer2411111
Nutritionist-Dietitian V22111111
Pharmacist V22111111
Social Welfare Officer IV22111111
Nutritionist-Dietitian IV2011111
Pharmacist IV2022222
Nutritionist-Dietitian III1833333
Pharmacist III181416182022
Social Welfare Officer III1822222
Nutritionist-Dietitian II1567788
Pharmacist II152427313438
Social Welfare Officer II151515151717
Nutritionist-Dietitian I1112244
Pharmacist I111416182022
Social Welfare Officer I112022242628
Social Welfare Assistant81414141616
Subtotal120131141157167
Administrative and Support Positions
Supervising Administrative Officer2211111
Administrative Officer V18111122
Statistician III1811111
Statistician II1522233
Administrative Officer III141010101212
Administrative Officer I102424242828
Administrative Assistant II81616161919
Administrative Assistant I777788
Cook II51818182121
Administrative Aide IV41616161818
Subtotal969696113113
Total216227237270280
SalaryNumber of Positions
Position TitleGrade (SG)1200130014001500
Medical and Allied Medical Positions
Chief Health Program Officer241111
Nutritionist-Dietitian V22111111
Pharmacist V22111111
Social Welfare Officer IV2211111
Nutritionist-Dietitian IV201111
Pharmacist IV202222
Nutritionist-Dietitian III183333
Pharmacist III1824262830
Social Welfare Officer III182222
Nutritionist-Dietitian II158899
Pharmacist II1541454852
Social Welfare Officer II1517181820
Nutritionist-Dietitian I114466
Pharmacist I1124262830
Social Welfare Officer I1130323436
Social Welfare Assistant816161818
Subtotal176187201213
Administrative and Support Positionssitions
Supervising Administrative Officer22111111
Administrative Officer V182222
Statistician III181111
Statistician II153444
Administrative Officer III1412131313
Administrative Officer I1030323436
Administrative Assistant II819202222
Administrative Assistant I78888
Cook II521212121
Administrative Aide IV418202020
Subtotal115122126128
Total291309327341

c. Nursing Service

SalaryNumber of Positions
Position TitleGrade (SG)200300400500600
Medical and Allied Medical Positions
Nurse VII2411111
Nurse VI2233333
Nurse V201111111111
Nurse IV191818191927
Nurse III1760108114120150
Nurse II16119152179203250
Nurse I1580109139168208
Midwife IV1511111
Midwife III1322224
Midwife II111821242832
Midwife I91212121216
Ward Assistant71617181818
Nursing Attendant II66885103121144
Nursing Attendant I433337
Subtotal (excluding IDialysis Unit)412543629710872
Administrative and Support P
Administrative Assistant I711111
Subtotal11111
Total413544630711873
SalaryNumber of Positions
Position TitleGrade (SG)70080090010001100
Medical and Allied Medical Positions
Nurse VII2411111111
Nurse VI2233333
Nurse V201111111111
Nurse IV192727272733
Nurse III17154157165203211
Nurse II16276300327356406
Nurse I15237266296325365
Midwife IV1511111
Midwife III1344446
Midwife II113232323440
Midwife I91616161924
Ward Assistant71818182428
Nursing Attendant II6170187206225251
Nursing Attendant I4777711
Subtotal (excluding Diaalysis Unit)9571,0301,1141,2401,391
Position TitleSalaryNumber of Positions
Grade (SG)70080090010001100
Administrative and SupportPositions
Administrative Assistant I711111
Subtotal11111
Total9581,0311,1151,2411,392
Salary Grade (SG)Number of Positions
Position Title1200130014001500
Medical and Allied Medical Positions
Nurse VII241111
Nurse VI223333
Nurse V2011111111
Nurse IV1933333341
Nurse III17216220227266
Nurse II16432459485518
Nurse I15394423452482
Midwife IV151111
Midwife III136666
Midwife II1142424444
Midwife I924242424
Ward Assistant728282836
Nursing Attendant II6270287306327
Nursing Attendant I411111111
Subtotal (excluding Dialysis Unit)1,4721,5491,6321,771
Administrative and Support Positions
Administrative Assistant I711111
Subtotal1111
Total1,4731,5501,6331,772

D. Hospital Operations and Patient Support Service

Position TitleSalary Grade (SG)Number of Positions
200300400500600
Administrative and Support P
Chief Administrative Officer2411111
Engineer IV22111111
Supervising Administrative Officer2233333
Supervising Health Program Officer2211111
Engineer III1922222
Information Systems Analyst III1911111
Administrative Officer V1833333
Computer Maintenance Technologist III1711111
Architect II1611111
Engineer II1611111
Information Systems Analyst II1623444
Administrative Officer IV1511111
Computer Maintenance Technologist II1522222
Administrative Officer III1433344
Medical Equipment Technician IV1311111
Information Systems Analyst I1211122
Administrative Officer II1144466
Medical Equipment Technician III1122233
Warehouseman III1112222
Administrative Assistant III933455
Administrative Assistant II833455
Hospital Housekeeper823444
Medical Equipment Technician II823444
Administrative Assistant I757888
Administrative Assistant I669121515
Medical Equipment Technician I623555
Administrative Aide V523444
Laundry Worker II323455
Seamstress211122
Total6072859797
Position TitleSalary Grade (SG)Number of Positions
70080090010001100
Administrative and Support P
Chief Administrative Officer2411111
Engineer IV2211111
Supervising Administrative Officer2233333
Supervising Health Program Officer2211111
Engineer III1922222
Information Systems Analyst III1911111
Administrative Officer V1833333
Computer Maintenance Technologist III1711111
Architect II1611111
Engineer II1611111
Information Systems Analyst II1644444
Administrative Officer IV1511111
Computer Maintenance Technologist II1522222
Administrative Officer III1444455
Medical Equipment Technician IV1311111
Information Systems Analyst I1222222
Administrative Officer II1166688
Medical Equipment Technician III1133333
Warehouseman III1122222
Administrative Assistant III955566
Administrative Assistant II855577
Hospital Housekeeper844455
Medical Equipment Technician II844444
Administrative Assistant I788899
Administrative Aide VI61515151818
Medical Equipment Technician I655555
Administrative Aide V544455
Laundry Worker II355566
Seamstress222222
Total979797110110
Salary Grade (SG)Number of Positions
Position Title1200130014001500
Administrative and Support Positions
Chief Administrative Officer241111
Engineer IV221111
Supervising Administrative Officer223333
Supervising Health Program Officer221111
Engineer III192222
Information Systems Analyst III191111
Administrative Officer V183333
Computer Maintenance Technologist III171111
Architect II161111
Engineer II161111
Information Systems Analyst II164444
Administrative Officer IV151111
Computer Maintenance Technologist II152444
Administrative Officer III145666
Medical Equipment Technician IV131111
Information Systems Analyst I122444
Administrative Officer II118101010
Medical Equipment Technician III113444
Warehouseman III112222
Administrative Assistant III96888
Administrative Assistant II87999
Hospital Housekeeper85666
Medical Equipment Technician II84555
Administrative Assistant I79999
Administrative Aide VI618212121
Medical Equipment Technician I66666
Administrative Aide V55666
Laundry Worker II36777
Seamstress22333
Total111131131131

E. Finance Service

Position TitleSalaryNumber of Positions
Grade (SG)200300400500600
Administrative and Support Positions
Chief Administrative Officer2411111
Accountant IV2211111
Supervising Administrative Officer2233333
Accountant III1911111
Administrative Officer V1833333
Accountant II1611111
Administrative Officer IV1533344
Administrative Officer III1411112
Accountant I1211111
Administrative Officer II1122222
Administrative Officer I1069131616
Administrative Assistant III91717262630
Administrative Assistant II856677
Administrative Assistant I766677
Total5155687479
Position TitleSalary Grade (SG)Number of Positions
70080090010001100
Administrative and Support Positions
Chief Administrative Officer24111111
Accountant IV22111111
Supervising Administrative Officer2233333
Accountant III19111111
Administrative Officer V1833333
Accountant II1611111
Administrative Officer IV1544444
Administrative Officer III1422222
Accountant I1211111
Administrative Officer II1122222
Administrative Officer I101616161919
Administrative Assistant III93030303939
Administrative Assistant II877799
Administrative Assistant I777788
Total7979799494
SalaryNumber of Positions
Position TitleGrade (SG)1200130014001500
Administrative and Support Positions
Chief Administrative Officer2411111
Accountant IV221111
Supervising Administrative Officer223333
Accountant III1911111
Administrative Officer V183333
Accountant II161111
Administrative Officer IV154444
Administrative Officer III142333
Accountant I121111
Administrative Officer II112222
Administrative Officer I1019222222
Administrative Assistant III939394343
Administrative Assistant II89101010
Administrative Assistant I78999
Total94100104104

Annex B

Tally of Positions per Bed Capacity

Position TitleSalaryNumber of Positions
Grade (SG)200300400500600
Medical and Allied Medical Po
Medical Center Chief II2711111
Medical Specialist IV2511111
Chief Health Program Officer2411111
Nurse VII2411111
Medical Officer IV2322222
Nurse VI2233333
Nutritionist-Dietitian V2211111
Pharmacist V22111111
Social Welfare Officer III2211111
Nutritionist-Dietitian IV2011111
Nurse V201313131313
Pharmacist IV2011222
Nurse IV191818191927
Health Education and Promotion Officer III1811111
Nutritionist-Dietitian III1833333
Pharmacist III184681012
Social Welfare Officer III1822222
Nurse III1763112119126157
Nurse II16119152179203250
Nurse I1580109139168208
Midwife IV1511111
Nutritionist-Dietitian II1523566
Pharmacist II15610131720
Social Welfare Officer II1548101212
Health Education and Promotion1422222
Officer II
Midwife III1322224
Midwife II111821242832
Nutritionist-Dietitian I1111111
Pharmacist I114681012
Social Welfare Officer I1179111618
Health Education and Promotion1000001
Officer I
Midwife I91212121216
Social Welfare Assistant84681012
Ward Assistant71617181818
Nursing Attendant II66885103121144
Position TitleSalaryNumber of Positions
Grade (SG)200300400500600
Nursing Attendant I433337
Subtotal467616719819994
Administrative and Support Positions
Chief Administrative Officer2422222
Attorney IV2311111
Accountant IV2211111
Engineer IV2211111
Supervising Administrative Officer2277777
Supervising Health Program Officer2211111
Training Specialist IV22111111
Accountant III1911111
Engineer III1922222
Information Systems Analyst III1911111
Administrative Officer V1877777
Planning Officer III1811111
Statistician III1811111
Computer Maintenance Technologist III1711111
Accountant II1611111
Architect II16111111
Engineer II1611111
Information Systems Analyst II1623444
Administrative Officer IV1577788
Computer Maintenance Technologist II1522222
Statistician II1511112
Training Specialist II1511111
Administrative Officer III141112131617
Medical Equipment Technician IV1311111
Accountant I1211111
Information Systems Analyst I1211122
Legal Assistant II1200001
Administrative Officer II118881011
Medical Equipment Technician III1122233
Planning Officer I1111112
Statistician I1111111
Warehouseman III1112222
Administrative Officer I101724333840
Legal Assistant I1011111
Administrative Assistant III92121313236
Position TitleSalary Grade (SG)Number of Positions
200300400500600
Administrative Assistant II81620232731
Hospital Housekeeper823444
Medical Equipment Technician II823444
Training Assistant822222
Administrative Assistant I71720212323
Administrative Aide VI669121515
Medical Equipment Technician I623555
Administrative Aide V523444
Cook II569121518
Administrative Aide IV41212161616
Laundry Worker II323455
Seamstress111122
Subtotal180208249277295
Total6478249681,0961,289
Position TitleSalaryNumber of Positions
Grade (SG)70080090010001100
Medical and Allied Medical Po
Medical Center Chief II2711111
Medical Specialist IV2511111
Chief Health Program Officer2411111
Nurse VII241111 11
Medical Officer IV2322222
Nurse VI2233333
Nutritionist-Dietitian V22111111
Pharmacist V2211111
Social Welfare Officer IV2211111
Nurse V201313131313
Nutritionist-Dietitian IV2011111
Pharmacist IV2022222
Nurse IV192727272733
Health Education and Promotion Officer III1811111
Nutritionist-Dietitian III1833333
Pharmacist III181416182022
Social Welfare Officer III1822222
Nurse III17162166175214223
Nurse II16276300327356406
Midwife IV1511111
Nurse I15237266296325365
Nutritionist-Dietitian II1567788
Pharmacist II152427313438
Social Welfare Officer II151515151717
Health Education and Promotion Officer II1422222
Midwife III1344446
Midwife II113232323440
Nutritionist-Dietitian I1112244
Pharmacist I111416182022
Social Welfare Officer I112022242628
Health Education and Promotion Officer I1011111
Midwife I91616161924
Social Welfare Assistant81414141616
Ward Assistant71818182428
Nursing Attendant II6170187206225251
Nursing Attendant I4777711
Subtotal1,0951,1801,2751,4181,580
Administrative and Support Positions
Chief Administrative Officer2422222
Attorney IV2311111
Accountant IV Engineer IV Supervising Administrative Officer Supervising Health Program22 22 22 22 22700 1 1 7800 1 1 7900 1 110001100
Engineer IV Supervising Administrative Officer22 22 22 227114
Supervising Administrative Officer227111
Supervising Administrative Officer22711
Supervising Health Program4777
Officer11111
Training Specialist IV2211111
Accountant III1911111
Engineer III1922222
Information Systems Analyst III1911111
Administrative Officer V1877788
Planning Officer III1811111
Statistician III1811111
Computer Maintenance Technologist III1711111
Accountant II1611111
Architect II1611111
Engineer II1611111
Information Systems Analyst II1644444
Administrative Officer IV1588888
Statistician II1522233
Computer Maintenance Technologist II1522222
Training Specialist II15111111
Administrative Officer III141717172020
Medical Equipment Technician IV1311111
Accountant I12111111
Information Systems Analyst I1222222
Legal Assistant II1211111
Administrative Officer II111111111313
Medical Equipment Technician III1133333
Planning Officer I1122222
Statistician I1111111
Warehouseman III1122222
Administrative Officer I104040404747
Legal Assistant I1011111
Administrative Assistant III93636364646
Administrative Assistant II83131313838
Hospital Housekeeper844455
Medical Equipment Technician II844444
Training Assistant822233
Position TitleSalary Grade (SG)Number of Positions
70080090010001100
Administrative Assistant I72323232626
Administrative Aide VI61515151818
Medical Equipment Technician I655555
Administrative Aide V544455
Cook II51818182121
Administrative Aide IV41616161818
Laundry Worker II355566
Seamstress122222
Subtotal295295295341341
Total1,3901,4751,5701,7591,921
Position TitleSalary Grade (SG)Number of Positions
1200130014001500
Medical and Allied Medical Pos
Medical Center Chief II271111
Medical Specialist IV251111
Chief Health Program Officer241111
Nurse VII241111
Medical Officer IV232222
Nurse VI223333
Nutrition-Dietitian V221111
Pharmacist V221111
Social Welfare Officer IV2211111
Nurse V2013131313
Nutritionist-Dietitian IV201111
Pharmacist IV202222
Nurse IV1933333341
Health Education and Promotion Officer III181111
Nutritionist-Dietitian III183333
Pharmacist III1824262830
Social Welfare Officer III182222
Nurse III17229234242282
Nurse II16432459485518
Midwife IV151111
Nurse I15394423452482
Nutritionist-Dietitian II158899
Pharmacist II1541454852
Social Welfare Officer II1517181820
Health Education and Promotion Officer II142222
Midwife III136666
Midwife II1142424444
Nutritionist-Dietitian I114466
Pharmacist I1124262830
Social Welfare Officer I1130323436
Health Education and Promotion Officer I101111
Midwife I924242424
Social Welfare Assistant816161818
Ward Assistant728282836
Nursing Attendant II6270287306327
Nursing Attendant I411111111
Subtotal1,6711,7601,8582,010
Administrative and Support Po
Chief Administrative Officer242222
Attorney IV231111
Position TitleSalary Grade (SG)Number of Positions
1200130014001500
Accountant IV221111
Engineer IV221111
Supervising Administrative Officer227777
Supervising Health Program221111
Officer
Training Specialist IV2211111
Accountant III191111
Engineer III192222
Information Systems Analyst III191111
Administrative Officer V188888
Planning Officer III18111111
Statistician III181111
Computer Maintenance171111
Technologist III
Accountant II161111
Architect II1611111
Engineer II161111
Information Systems Analyst II164444
Administrative Officer IV158888
Computer Maintenance152444
Technologist II
Statistician II153444
Training Specialist II151111
Administrative Officer III1420232323
Medical Equipment Technician IV1311111
Accountant I121111
Information Systems Analyst I122444
Legal Assistant II121111
Administrative Officer II1113151515
Medical Equipment Technician III113444
Planning Officer I112222
Statistician I111111
Warehouseman III112222
Administrative Officer I1049545658
Legal Assistant I101111
Administrative Assistant III946485252
Administrative Assistant II838424444
Hospital Housekeeper85666
Medical Equipment Technician II84555
Training Assistant83333
Administrative Assistant I726272727
Administrative Aide VI618212121
Medical Equipment Technician I66666
Administrative Aide V55666
Position TitleSalaryNumber of Positions
Grade (SG)1200130014001500
Cook II521212121
Administrative Aide IV418202020
Laundry Worker II36777
Seamstress12333
Subtotal344377385387
Total2,0152,1372,2432,397

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