1. Organizational configuration

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

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

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

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

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

3. Medical Service

Shall be responsible for providing quality inpatient and outpatient care and high standards of clinical training for medical and allied medical personnel; provision of ancillary and allied health services to patients; promotion of research activities; implementation of clinical resource management system; and advising and assisting the chief of hospital in the formulation and implementation of policies, plans and programs of the hospital.

4. Nurse Servise

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

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

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

6. Finance and Supporting Service

Shall be responsible for the provision of financial services relating to budgeting, accounting, cash operations, billing and claims. Below these offices/services, sub-units are allowed depending on service capability, ancillary services, kind and level of care and segregation of patients, and kind and variety of support functions. The hospital administration is given the flexibility to structure/group its internal management support units in a manner deemed more efficient and effective for the hospital’s organization and operation.