RT 100 - REVIEWER (TSUBS) .pdf

RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY RULES AND REGULATIONS GOVERNING THE NEW CLASSIFICATION OF HOSPITALS AND OTHER HEALTH FACILITIES IN THE PHILIPPINES HOSPITA...

RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY RULES AND REGULATIONS GOVERNING THE NEW CLASSIFICATION OF HOSPITALS AND OTHER HEALTH FACILITIES IN THE PHILIPPINES HOSPITALS - an institution with sufficient accommodation and well-qualified personnel to provide medical services of the highest quality for people regardless of race, color, ethnicity, or economic status. GOVERNMENT GENERAL / GENERAL HOSPITAL PRIVATE SPECIALTY / SPECIAL HOSPITAL GOVERNMENT - created by law; may GENERAL - provide services for all be under the national government, kinds of illnesses, injuries, diseases, DOH, and more, namely: etc. Local Government Units (LGU); It shall be equipped with service Department of National capabilities, but not limited to: Defense (DND); CLINICAL SERVICES Philippine National Police - Family Medicine (PNP), and more. - Pediatrics - Internal Medicine PRIVATE - owned; created through - Obstetrics and Gynecology donations, investments, principals, - Surgery etc. These may be: EMERGENCY SERVICES SINGLE PROPRIETORSHIP; OUTPATIENT SERVICES PARTNERSHIP; ANCILLARY AND SUPPORT CORPORATION; SERVICES COOPERATIVE; - Clinical Laboratory FOUNDATION; - Pharmacies RELIGIOUS; - Imaging Facility NGO, and more. RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY SPECIALTY - focuses in a certain disease or condition or one type of patient. LEVEL 1 - Hospitals at level 1 shall They may be dedicated to have as minimum services, but not treating a particular type of limited to: illness. Qualified medical staff and EXAMPLE: administrative personnel on - National Center for Mental Health duty; - San Lazaro Hospital Bed spaces according to the DOH guidelines in the planning They may also treat patients and design of Hospitals suffering from particular organ Provide operating rooms with diseases. proper equipment and is also compliant with the DOH EXAMPLE: guidelines for planning and - National Kidney and Transplant designing operating rooms Institute and the guidelines on reusable - Lung Center of the Philippines medical materials. Post-operative recovery room They may also treat patients Maternity facilities such as that belong to a particular wards and delivery rooms; group, such as children, Isolation facilities; women, or the elderly. Dental sections; EXAMPLE: Provision for blood station(s); - Philippine Children’s Medical A DOH licensed secondary Center clinical lab with a consulting - National Children’s Hospital pathologist in service; A DOH licensed level 1 imaging facility with a RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY consulting radiologist in LEVEL 3 - Hospitals should have as service; minimum of all of Level 2, but not A DOH licensed Pharmacy. limtied to: Teaching hospitals with LEVEL 2 - Requires hospitals to have accredited residency training minimum capacities similar to Level programs in the four (4) 1, but not limited to: specialties, namely Medicine, Pediatrics, Obstetrics and Organized and competent Gynecology, and Surgery; personnel with the Chief of Provisions for physical Hospital/Medical Director, and medicine and rehabilitation certified Clinical Department units; Heads Provisions for ambulatory Be equipped with service surgical clinics; capabilities to cater to eligible Provisions of dialysis facilities; medical specialists rendering Provisions of blood banks; services in Medicine, A DOH-licensed tertiary Pediatrics, Obstetrics, etc; clinical laboratory with Providing general ICU for standard equipment/ supplies critically ill patients /etc; Providing NICU Lastly, Hospitals must also have Providing HRPU Trauma Capabilities, which Provision of respiratory therapy shall be assessed following the services guidelines enacted by the A DOH-licensed tertiary Philippine College of Surgeons clinical laboratory (PCS), namely A DOH-licensed level 2 - A Trauma-Capable Facility Imaging facility with mobile - Trauma-Receiving Facility, X-rays inside the hospital, etc. both licensed by DOH. RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY CLASSIFICATION OF OTHER HEALTH FACILITIES IN THE PHILIPPINES (DOH) - are first-contact healthcare - a health facility that provides facilities that offer basic services, long-term care, including basic such as services like food and shelter to patients with: Emergency Services Provision For Normal Deliveries Chronic or Mental Illness Substance Abuse 1. WITH IN-PATIENT BEDS - a short stay Rehabilitation facility where patients can stay for a People in need of Nursing short period (1-3 days in average). Care due to impairments Infimaries - Clinics 1. CUSTODIAL PSYCHIATRIC CARE Birthing Home - Provides FACILITY Maternity Services. 2. SUBSTANCE/DRUG ABUSE 2. WITHOUT BEDS - a facility where TREATMENT AND REHABILITATION medicine, medical and/or dental CENTER examinations are given. 3. SANITARIUM/LEPOSARIUM Medical Out-Patient Clinic Medical Facility For Overseas 4. NURSING HOME Workers And Searfarers (OFW CLINICS) Dental Clinics RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY - a facility that examines the human - a facility with highly competent body or specimens in the human staff that performs specialized body for diagnosis or treatment of procedures on an out-patient basis. diseases. Hence, it must have: 1. DIALYSIS CLINIC 1. LABORATORY FACILITIY 2. AMBULATORY SURGICAL CLINIC- Clinical Laboratory any same-day medical procedure HIV Testing Laboratory performed in an outpatient setting. Blood Service Facility, etc. 3. IN-VITRO FERTILIZATION CENTER - 2. RADIOLOGIC FACILITY surrogacy clinic Ionizing Machines - X-ray, CT 4. STEM CELL FACILITY scan, Mammography, etc. 5. ONCOLOGY CHEMOTHERAPEUTIC Non-Ionizing Machines - MRI, CENTER Ultrasound, etc. 6. RADIATION ONCOLOGY FACILITY 3. NUCLEAR MEDICINE FACILITY - regulated by the Philippine Nuclear 7. PHYSICAL MEDICINE AND Research Institute (PNRI). It REHABILITATION CENTER embraces all applications of radioactive materials in diagnosis, treatment, or medical research. RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY CLASSIFICATION OF HOSPITALS - Hospitals can be classified as ACCORDING TO SIZE (BED CAPACITY) and ACCORDING TO TYPE OF CARE. PRIMARY CARE (LEVEL 1) SECONDARY CARE (LEVEL 2) - FIRST POINT OF CONTACT BETWEEN - FIRST LEVEL OF REFERRAL SERVICES PATIENTS AND HEALTH SYSTEMS - smaller, non-departmentalized, - Contains less than 100 beds. hospitals (e.g. emergency and regional hospitals) - Tasked with minimal health care and rehabilitation services, such as - Provide services to patients with immunization, maternal and child symptomatic stages of disease. services, curative care services, etc. - Preferred with a medium-sized city, GENERAL PRACTITIONERS country, or district. FAMILY PHYSICIANS - Contains more than 100 but less PHYSIOTHERAPIST than 500 beds. - Provide complete health services and medical education, as well as conduct research (regional basis). CARDIOLOGISTS UROLOGISTS DERMATOLOGISTS, etc. RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY EXAMPLES OF HOSPITALS ACCORDING TO SIZE AND TYPE OF TERTIARY CARE (LEVEL 3) CARE - SPECIALIZED HOSPITALS - Medical Centers and Large PRIMARY CARE Hospitals offer highly technological and sophisticated services. TEBOW CURE HOSPITAL DAVAO MEDIQUEST HOSPITAL, - Offered to patients with fatal INC. diseases. SECONDARY CARE - Are COMPREHENSIVE or GENERAL HOSPITALS of the city at the national DAVAO DOCTORS HOSPITAL or provincial level. DIGOS DOCTORS HOSPITAL - Bed capacity exceeds 500. TERTIARY CARE - Provide specialist health services PHILIPPINE GENERAL HOSPITAL and play a huge role in education PHILIPPINE HEALTH CENTER and scientific research. UNIVERSITY OF SANTO TOMAS HOSPITAL - Provide diagnostic support, ST. LUKE’S MEDICAL CENTER neurosurgery, cancer management, SOUTHERN PHILIPPINES etc. MEDICAL CENTER (SPMC) - Patients are admitted here on a referral from primary or secondary health professionals. RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY CLINICS AND MEDICAL OFFICES - CLINICS are healthcare facilities - are hospitals or wards in the that focus on the care of outpatients. treatment of serious mental disorders The definition of a clinic is “a facility such as: for diagnosis and treatment of Major Depressive Disorder outpatients.” Schizophrenia - Is run by one or more general Bipolar Disorder practitioners, and can be a - May be admitted because of specialist clinic. (Types of Clinics) symptoms of self-harm, alcohol or MEDICAL CLINIC drug abuse, etc. SURGICAL CLINIC ORTHOPAEDIC CLINIC EYE CLINIC ENT CLINIC - provides rehabilitative, restorative, DENTAL CLINIC ETC. or nursing care to those in need of BASIC REQUIREMENTS OF CLINICS assistance with daily living activities. Reception NURSING HOMES Waiting Lobby REHABILITATION FACILITIES Consultation Rooms LONG-TERM CHRONIC CARE ECG-Electrocardiogram Room HOSPITALS, etc. Toilets RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY NURSING HOMES - a place for - a place where Adult foster care is people who don’t need to be in a given. hospital but can’t be cared for at ADULT FOSTER CARE - any care that is home. Most have nursing aids for 24 provided in a home-based hours a day. environment to an adult. DAVAO SERENITY SPRINGS (Retirement Village) PALLIATIVE CARE - aimed at anyone diagnosed with a life-threatening illness. HOSPICE CARE- aimed at patients with terminal illnesses. HOSPICE PALLIATIVE CARE PROGRAMS Focus on comfort care Focus on comfort care Does not include curative or Curative or life prolonging life-prolonging measures Life-limiting illness with 6 months or less No time restrictions Reliance on family visiting and nurse care Care teams help with care at home Bereavement Support Done in hospitals, care facilities, nursing homes Bereavement Support RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY - the same-day medical procedure - the provision of medical and performed in an outpatient setting. paraprofessional services and This refers to any medical service equipment to individuals and their that is not performed in a hospital or families in their residences. It caters facility that requires admission. to patients with: WELLNESS - prevention and medical - Total Joint Replacements care (e.g. Doctor’s Clinics and Fractures CVA/Stroke Progressive Counseling Centers). Neurological Conditions Fall Risk Dementia Chronic Pain DIAGNOSIS - X-rays, Laboratories, Incontinence Wounds COPD Blood Tests, MRI Heart Failure. TREATMENT - Same-day surgeries, TYPES OF HOME CARE Chemotherapies, etc. 1. PERSONAL CARE AND REHABILITATION - Post-operative COMPANIONSHIP therapies, Occupational and Assistance with self-care Physical Therapy Safety at home Assistance with meal planning 2.PRIVATE DUTY NURSING CARE SERVICES Ventilator Care Monitor Vital Signs Administer Medications 3. HOME HEALTH CARE SERVICES Short-term nursing services Physical Therapy Occupational Therapy RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY TYPES OF TELEMEDICINE REAL-TIME TELEMEDICINE - conduct JAY SANDERS, MD - Father of exams using video calls or phone. Telemedicine - Popular for primary care, urgent TELEMEDICINE - use of care, follow-up visits, etc. communications to deliver medical - Protect the privacy of patients. knowledge to patients from distant locations. - aims to deliver specialized medical REMOTE PATIENT MONITORING care and advice within reach of (telemonitoring) - track patients’ patients in distant places. health data using tools. CONSULTATIONS - This can be useful for DIABETICS, as DIAGNOSIS they can track their glucose levels SUPPORT FOR CLINICAL CASE and consult their doctor. MEDICAL EDUCATION These medical data are: STORE-AND-FORWARD TELEMEDICINE Radiological Images; (asynchronous telemedicine) - Sound and Patient Records; collect patient data and store it in Intranet, etc. the cloud where authorized users can access it. - popular for diagnoses and treatment in the fields of dermatology, radiology, and ophthalmology. RT100 - RADIOLOGIC TECHNOLOGY TSUBASAH, Y. DAVAO DOCTORS COLLEGE, INC. HARD COPY SUMMARY: PHILIPPINE HEALTH SYSTEM GOVERNMENT PRIVATE SECTOR HEALTH FACILITIES PRIMARY CARE FACILITY CUSTODIAL CARE FACILITY DIAGNOSTIC/THERAPEUTIC FACILITY SPECIALIZED CARE FACILITY LEVEL OF GOVERNMENT HEALTH SERVICES PREVENTIVE PROMOTIVE CURATIVE LEVELS OF CARE AND SERVICES PRIMARY CARE SERVICES (100 but 500) - outpatient, inpatient, hospital care, laboratory and special procedures, Acute and emergency care, etc. REHABILITATIVE SERVICES - acute inpatient rehabilitation, long-term care, programs for the elderly and disabled, and palliative care. CLINICS AND MEDICAL OFFICES NURSING HOME ADULT FOSTER HOME HOSPICE & PALLIATIVE CARE AMBULATORY CARE