HOSPITAL PHARMACY

Lecture \ FIRST SEMESTER

INTRODUCTION TO HOSPITAL PHARMACY

HOSPITAL HEALTH SYSTEM / HEALTHCARE SYSTEM
• Integrates all care under the umbrella of a central organization, and
often includes inpatient/acute care, primary care/outpatient care,
OUTLINE long-term care, and homecare
I. Hospital
CLASSIFICATION OF HOSPITAL
A. Types of Services
B. Supportive Services
C. Health System/Healthcare System
DEPARTMENT OF HEALTH (DOH)
• Principal health agency in the Philippines
II. Classification of Hospital
A. Ownership OWNERSHIP
i. Government • Government
ii. Private Hospital • Private
B. Scope of Services
i. General GOVERNMENT
ii. Specialty • Created by law
C. Functional Capacity o Presidential decree especially if National Hospital
i. General • May be under
o National government
ii. Specialty
o DOH, LGU (a specific town, municipality, or city can also
iii. Trauma Capability
govern a National Hospital), DND (Veterans Memorial Medical
Center), PNP (Villamor Airbase Hospital), DOJ, State
III. Practice of Pharmacy Universities and Colleges (SUCs, ex: UP-PGH), Government-
Owned and Controlled Corporations (GOCCs)
• In 1907, the Philippine Commission passed Act No. 1688 which
• A place devoted primarily to the maintenance and operation of appropriated the sum of P780,000.00 for the construction of the
health facilities for the: Philippine General Hospital (PGH)
o Diagnosis • The Lung Center of the Philippines was established through
o Treatment and care of individuals suffering from illness, Presidential Decree No. 1823 on January 16, 1981 to provide the
disease, injury, or deformity Filipino people state-of-the-art specialized care for lung and other
o In need of obstetrical chest diseases.
o Other surgical, medical, and nursing care
• It shall also be constructed as any institution, building, or place THE NATIONAL UNIVERSITY HOSPITAL
where there are installed beds, cribs or bassinets for twenty-four PHILIPPINE GENERAL HOSPITAL
hour use or longer by patients in the treatment of diseases.
• In 1947, by virtue of Executive Order No. 94, Philippine President
Manuel Roxas transferred PGH to the University of the Philippines;
TYPES OF SERVICES this officially designated PGH as UP’s teaching hospital.
• Emergency Services • Under Executive Order 391, effective January 1, 1951, the PGH
• Outpatient Services was reorganized but continued under the supervision and control of
• Inpatient Services the University of the Philippines.
• ICU • Offers excellent facilities for the delivery of comprehensive care for
• Operation Theatre both healthy and sick Filipinos, especially the poor and
marginalized.
SUPPORTIVE SERVICES o Minimal fee, no professional fee paid by patient
• Central Sterile Supply Dept (CSSD)
o Supplies all sterile materials needed by hospitals (masks, EXMPLES OF GOVERNMENT OWNED HOSPITALS
gauzes) • National Kidney and Transplant Institute (NKTI)
• Diet Management Services • Ospital ng Makati/Maynila
o Provide food for the patient
• Philippine Children’s Medical Center (PCMC)
• Pharmacy Services
• Philippine Heart Center, East Avenue Medical Center
• Drug Distribution
• Laundry
PRIVATE HOSPITALS
o Provides new and clean linens for hospital beds
• Owned, established and operated with funds through donation,
• Laboratory and Radiology
principal, investment or other means
o Laboratory: for diagnosis (CBC, lipid profiles, urinalysis, stool
• Single proprietorship, partnership, corporation (family-owned),
analysis)
cooperative, foundation, religious, NGO, and others
o Radiology: X-ray, CT scan, MRI
• Nursing Service
o Nursing care THE MEDICAL CITY (TMC)
• Auxiliary Services • Owned and operated by Professional Services Inc. (PSI), has
distilled 50 years of experience in hospital operation and
administration in the establishment of its world-class healthcare

M.E.T, J.D.L, S.J.C, J.A.J, D.C.D | 3F-PH 1

 HOSPITAL PHARMACY
Lecture \ FIRST SEMESTER

INTRODUCTION TO HOSPITAL PHARMACY

organization that serves some 50,000 inpatients and 500,000 delivery service, especially, for the poor suffering from
outpatients a year infectious diseases
• National Center for Mental Health
EXAMPLES OF PRIVATE HOSPITALS o Dedicated to delivering preventive, curative, and rehabilitative
• UST Hospital mental health care services
o It has an authorized bed capacity of 4,200 inpatients and
• Makati Med
served an average of 56,000 outpatients per year
• St. Luke’s
▪ One of the largest hospitals in the Philippines
• Chinese General Hospital o Catering to illnesses regarding mental health.
o Caters patients with mental health issues
SCOPE OF SERVICES o Located at Mandaluyong
• General • Philippine Orthopedic Center
• Specialty o Provide health care delivery to patients with musculoskeletal
disorder and related conditions
GENERAL HOSPITALS o Designed to serve as a center for trauma and orthopedics in
• Provides services for all kinds of illnesses, diseases, the country
• Injuries or deformities ▪ In short, it is a trauma center.
• Provide medical and surgical care to the sick and injured. o Located at Banaue, Quezon City
• Maternity, newborn, and child care
• All types of diseases or populations TREATMENT OF PATIENTS SUFFERING FROM DISEASES
• Clinical Services OF A PARTICULAR ORGAN OR GROUP OF ORGANS
o Family Medicines; • Lung Center of the Philippines
o Pediatrics; o State-of-the-art specialized care for lung and other chest
o Internal Medicine; diseases
o Obstetrics and Gynecology; o Providing effective pulmonary care to patients, posting
o Surgery; impressive gains in virtually all services being rendered
• Emergency Services; o Located near or at the side of Quezon City circle
• Outpatient Services; • National Kidney and Transplant Institute
• Ancillary and Support Services such as clinical laboratory, imaging o Operates the busiest transplantation program in the country
facility and pharmacy including kidney, liver, pancreas, stem cell, and bone marrow
o Double Transplant - kidney and pancreas (first in Asia, March
UNIVERSITY OF SANTO TOMAS HOSPITAL 1988); Kidney-Liver transplant (first in Asia, September 1990);
• One of the oldest hospital in the Philippines (in Intramuros back Bone Marrow Transplant (first in the Philippines, August 1990)
then) o Located around the Quezon City memorial circle
o Together with San Lazaro Hospital and San Juan de Dios o NKTI is now specializing in transplants. Initially, it is know as
Hospital (Pasay, formerly in Intramuros) National Kidney Institute (NKI)
• Has two divisions, a clinical teaching hospital that offers • Philippine Heart Center
inexpensive medical care for indigent patients and a private hospital o The chief authority of cardiac care for the Filipino people
for patients with financial means, which is partially used to subsidize o Conducts cardiac surgeries on a regular basis including
the clinical division Angioplasty, Pacemaker, intra-aortic balloon, peripheral
o Indigent patients- patients that cannot provide for their vascular bypass, and many more
healthcare
TREATMENT OF PATIENTS BELONGING TO A
EXAMPLES OF GENERAL HOSPITALS PARTICULAR GROUP SUCH AS CHILDREN, WOMEN,
• Chinese General Hospital ELDERLY, AND OTHERS
• PGH • Philippine Children’s Medical Center
• Manila Doctors (in UN, private hospital that caters to all) o Provides pediatric care
• St. Mary’s General Hospital (in Sta. Cruz) o General and subspecialty services in pediatrics, surgery, and
• Asian Hospital and Medical Center (in Muntinlupa) allied medicine
• Infant Jesus o Near Agham Road
• UERM o National Children’s Hospital (NCH) - along E. Rodriguez
Avenue
SPECIALTY HOSPITALS • Dr. Jose Fabella Memorial Hospital
o A national special hospital for obstetrics, gynecology and
• Specializes in a particular disease or condition or in one type of
pediatric cases
patient.
▪ A national hospital that caters for women (both pregnant
and nonpregnant)
TREATMENT OF A PARTICULAR TYPE OF ILLNESS OR ▪ Pambansang panganakan ng Pilipinas
FOR A PARTICULAR CONDITION REQUIRING A RANGE OF o A 700-bed capacity level III (specialty and end-referral)
TREATMENT teaching and training hospital for obstetrics, gynecology,
• San Lazaro Hospital anesthesiology, newborn medicine, and pediatrics
o is a specialized national hospital medical center for infectious ▪ A medium-sized (3rd level) teaching and training hospital.
diseases with a 500 bed capacity. It is involved in health care

M.E.T, J.D.L, S.J.C, J.A.J, D.C.D | 3F-PH 2

 HOSPITAL PHARMACY
Lecture \ FIRST SEMESTER

INTRODUCTION TO HOSPITAL PHARMACY

FUNCTIONAL CAPACITY NEW CLASSIFICATION
• General
• Specialty New Classification
• Trauma Capability Hospitals Other Health Facilities
General A. Primary Care Facility
GENERAL HOSPITALS o Level 1 B. Custodial Care Facility
o Level 2 C. Diagnostic/Therapeutic
General Hospitals o Level 3 Facility
Hospital Level 1 Level 2 Level 3 (Teaching/Training)
Service Specialty D. Specialized Out-Patient
s Facility
Clinical Consulting All of Level 1 All of Level 1
Service specialists in, but plus, the and Level 2 New Classification of Other Health Facilities
s for In- not be limited to: following: plus, the A B C D
Patients Medicine following: Primary Care Custodial Diagnostic/Th Specialized
Pediatrics Departmentalize Teaching/trainin Facility Care Facility erapeutic Out-Patient
Ob-Gyne d Clinical g with at least Facility Facility
Surgery Services any two (2) With In-patient Psychiatric Laboratories: Dialysis Clinic
accredited beds: Care Facility • Clinical (DC)
residency • Infirmary/ Lab/HIV Ambulatory
training program Dispensa • Blood Surgical Clinic
for physician in ry Service
any • Birthing Facilities
medical/surgical Home • Drug
specialty and/or Test Lab
subspecialty
• Water
Emergency and Respiratory Unit Physical Lab
Out-patient Medicine and
Without Beds: Drug Abuse Ionizing In-Vitro
services Rehabilitation
• Medical Treatment and Machines as Fertilization
Unit
Out- Rehabilitation X-Ray, CT (IFV) Centers
Isolation General ICU Ambulatory Center scan,
patient
Facilities Surgical Clinic (DATRC) mammograph
Clinics
Surgical/Maternit High Risk Dialysis Clinic
• OFW y, and others
y Facilities Pregnancy Unit
Clinics
NICU
• Dental
Dental Clinic
Clinics
Ancillar Secondary Tertiary Clinical Tertiary Clinical Sanitarium/Le Non-ionizing Radiation
y Clinical Laboratory Lab with prosarium Machines as Oncology
Service Laboratory Histopathology
ultrasound, Facility
s MRI, and
Blood Station Blood Station Blood Bank others
1st Level X-Ray 2nd Level X-Ray 3rd Level X-Ray Nursing Home Nuclear Oncology
with Mobile Unit Medicine Center/Clinic
Pharmacy
Notes:
EVOLUTION OF HOSPITAL NOMENCLATURE • Birthing Homes cannot admit patients
• Medical out-patient clinics can be located at the Medical Arts
Evolution Of Hospital Nomenclature Building of hospitals
AO No. 68-A AO No. 70-A AO No. 147 AO No. • Custodial care facilities are long term hospitals.
s. 1989 s. 2002 s. 2004 2005-0029 o In Drug Abuse Treatment and Rehabilitation Center (DATRC),
Primary Infirmary Infirmary Level 1 patients are admitted for a minimum of 3-6 months.
Secondary First Level Primary Care Level 2 o Sanitarium / Leprosarium are isolation facilities as patients
Referral Hospital have communicable diseases.
Hospital o Nursing homes are for the aged / elders and there are also
Tertiary Second Level Secondary Level 3 nursing homes for people with walking disability and
(Non- Referral Care Hospital abandoned babies.
Teaching) Hospital • Diagnostic/Therapeutic Facilities are not hospitals but
Tertiary Third Level Tertiary Care Level 4 laboratories. Most common is Hi-Precision which are found in the
(Teaching) Referral Hospital mall and establishments. They help offer different diagnostics.
Hospital o COVID-19 testing facilities are the newest edition of diagnostic
facilities.
• Some health facilities have mixed services. However, they may be
in the same location but they provide different offers.

M.E.T, J.D.L, S.J.C, J.A.J, D.C.D | 3F-PH 3

 HOSPITAL PHARMACY
Lecture \ FIRST SEMESTER

INTRODUCTION TO HOSPITAL PHARMACY

SPECIALTY HOSPITALS ANTONIO LUNA
• Refer to previous discussion • Worked at the Institut Pasteur (Paris) where he did research in
histology and bacteriology and to Belgium where he trained in
TRAUMA CAPABILITY medical chemistry
• Assessed by the Philippine College of Surgeons (PCS) to know • He contributed to the leading Pharmacy scientific journals of the
if the hospital is capable of treating trauma or not. day; his doctoral thesis on malaria, El Hermatozoario del
• Trauma-Capable Hospital Paludismo, was published in 1893 and was well received by
o DOH licensed hospital designated as Trauma Center medical scientists and physicians
• Trauma-Receiving Hospital
o Receives trauma patients and shall be transferred to a trauma FILOMENA FRANCISCO
center as soon as possible
• Topped the Pharmacy Board examination in 1908
• First Filipino woman pharmacist
AMERICAN HOSPITAL ASSOCIATION
• Somehow related to Don Leon Maria Guerrero
• National organization that represents and serves all types of
hospitals and health care networks

CLASSIFICATION OF HOSPITALS
• General
REFERENCES
o Providing services for a variety of medical and patient types
• Special -PHA 6129 Recorded Synchronous Lecture
o Providing services for patients with a specified medical
condition such as cardiac, oncology, or orthopedic maladies or
for specific populations such as pediatrics or geriatrics
• Rehabilitation and Chronic Disease
o Providing care to individuals who require restorative or
adjustive services
o Rehabs patients who lose their capability of walking and for
soldiers who have amputated legs, arms and hands
o Chronic Hospital: they cater to cancer, tb, and any chronic
disease
• Psychiatric
o Providing services to patients who have a psychiatric related
disease

1. Large Hospital – bed capacity 1000 and above

o National Center for Mental Health has 4.200 bed capacity
o St. Luke’s BGC
2. Medium Hospital – bed capacity between 500-1000
o UST Hospital
o Fabella
3. Small Hospital – bed capacity between 100-500
4. Very Small Hospital – bed less then 100

PRACTICE OF PHARAMACY

FIRST PHARMACY SCHOOL

• University of Santo Tomas Faculty of Pharmacy 1871 which was
first located at Intramuros.
• In 1927, UST faculty of pharmacy which is housed at the main
building has transferred from Intramuros to Espana

LEON MARIA GUERRERO

• Father of Philippine Pharmacy
• Pharmacist at Zamboanga (1881), Cavite (1882) (military
pharmacist) and Botica de Minonda (1883-96);
• Professor of Plant Histology at University of Santo Tomas, 1887-
1935;
• 1916-33 Botanist (1926-33) Chief of the Bureau of Science, Manila
• 6 students in the class. 5 Spaniards and 1 Filipino which is mr.
Guerrero.

M.E.T, J.D.L, S.J.C, J.A.J, D.C.D | 3F-PH 4