Hospital Pharmacy: Functions and Prevention

Study Notes

It is an organized structure pooling health professionals, diagnostic and therapeutic facilities, equipment, supplies, and physical facilities for coordinated health care delivery.
Accredited by Philhealth (AO 2011-0020).
Minimum of 6 beds.

Patient Care: Diagnosis, treatment, rehabilitation, prevention, convalescent care.
Wellness/Public Health: Reduces illness incidence and improves general health.
Education: Provides patient and professional training, including internships.
Research: Advances medical knowledge against diseases and includes drug utilization review.

Primordial prevention avoids risk factors through socioeconomic measures.
Primary prevention manages risk factors using prophylaxis.
Secondary prevention prevents disease progression via early detection.
Tertiary prevention reduces complications through rehabilitation and other measures.

Hospitals are classified by ownership (government vs. private), scope of services (general vs. specialty), and functional capacity, including trauma capability.
Government hospitals are created by law.
Private hospitals are owned, established, and operated with private funds.
General hospitals handle all kinds of illnesses, diseases, injuries, or deformities.
Specialty hospitals focus on a particular disease, condition, or patient type.

Level 1 hospitals offer basic clinical services: pediatrics, OB-GYNE, medicine, surgery, and dental.
Level 2 hospitals include Level 1 services plus teaching/training and departmentalized clinical services.
Level 3 hospitals offer Level 2 services plus accredited residency training programs in major clinical services and physical medicine and rehabilitation.

Primary Care Facilities: Short-term care with or without beds (infirmary, birthing home, clinics).
Custodial Care Facilities: Long-term care for mental disorders (psychiatric facilities, drug abuse centers, sanitariums, nursing homes).
Diagnostic/Therapeutic Facilities: Laboratories, imaging centers, dialysis clinics.
Specialized Out-Patient Facilities: Dialysis clinics, ambulatory surgical centers, in-vitro fertilization centers, oncology centers.

Provides comprehensive health services to enrolled individuals on a per capita prepayment basis, differentiating it from insurance companies, for example, Philcare, Insularcare, Medicard, Maxicare.

Nursing, dietary, central supply, medical record, medical social, blood bank, pathology, radiology, anesthesia.

The organizational structure includes a board of directors, medical director, CEO, COO, CFO, department heads, director of nursing, and medical staff.

Recognized as the first representative of the pharmaceutical profession in a hospital.
Encompasses procurement, storage, compounding, dispensing, and monitoring medications for both hospitalized and ambulatory patients.

Includes practice management, policy development, drug procurement, medication delivery, and monitoring medication use.

Administrative Services: Planning, policy development, personnel scheduling, and supervision.
Education & Training: Programs for pharmacy students and hospital staff.
Pharmaceutical Research: Formulating new drugs and improving existing ones.
In-patient Services: Providing medications and inspecting drug storage.
Out-patient Services: Dispensing prescriptions and providing drug information.
Drug Information Services: Providing drug information to healthcare providers.
Departmental Services: Controlling IV fluids and controlled substances.
Purchasing & Inventory Control: Maintaining drug inventory and purchasing drugs.
Central Supply Services: Distributing medical supplies.
Assay & Quality Control: Analyzing manufactured and purchased products.
Manufacturing & Packaging: Manufacturing and packaging drugs.
Sterile Products: Producing sterile solutions and injections.
Radiopharmaceutical Services: Managing radioisotopes for clinical use.
IV Admixture: Preparing IV solutions and reviewing incompatibilities.

Managed through selection, procurement, distribution, use, and support, within a policy and legal framework.

Includes no poverty, zero hunger, good health and well-being, quality education, gender equality, clean water and sanitation, affordable and clean energy, decent work and economic growth, industry innovation infrastructure, reduced inequalities, peace justice and strong institutions and lastly partnership for the goals.