systematic approach to hospital operations: the unique framework applicable to every department
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Systematic Approach to Hospital Operations: The Unique Framework Applicable To
Every Department
HA 202- ORGANIZATION and MANAGEMENT of the DIFFERENT DEPARTMENTS and SERVICES of the HOSPITAL
Reynaldo O. Joson, MD, MHA, MHPEd, MSc SurgFebruary 16, 2016
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
All hospitals are made up of so many different departments and services.• The number varies from one hospital to another.• The minimum number will be the one imposed by the
DOH licensing body – Level 1, 2, and 3 hospitals.• Level 1 – Basic departments and services• Level 2 – With medical specialties but without training
departments• Level 3 – With medical specialties and with training
departments
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Examples of hospital departments and services
• Medical Services Departments• Emergency Room or Department of Emergency Medicine• Outpatient Department• Inpatient Department
• Diagnostic Departments• Laboratory Medicine• Radiology• Nuclear Medicine
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Examples of hospital departments and services• Treatment Departments
• Operating Room Complex• OB-GYN Complex• Rehabilitation Medicine Department• Medical Specialty Departments
• Internal Medicine• Pediatrics• Surgery• OB-GYN• ENT• Ophtha• Orthopedic• Anesthesiology
• Nursing Services• Dietary Department
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Examples of hospital departments and services• Medical Support Departments
• Facility Management Department• Housekeeping Department • Security Services• Billing and Cashier Department
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Examples of hospital departments and services• Administrative Support Departments
• Quality and Patient Safety Department• Materials Management Department• Human Resource Development Department• Business Development Department• Finance and Accounting Department
Others:Created on the basis of needs as deemed by the Hospital Administration.
Roughly – minimum of 25 departments and servicesCould be more – up to 50 departments and services
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
As the Hospital Director / Chief of Hospital (to-be),
what is the best management strategy to adopt in the light of 25 -50 departments and services to manage?
Best management strategy So as to be efficient – effective yet with least resources (effort and time)?So as not to be burnt-out because of the continuous heavy load of 25 or more departments to manage 24/7?
Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you!
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
As the Hospital Director / Chief of Hospital (to-be),what is the best management strategy to adopt in the light of 25 -50 departments and services to manage?
Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you!
You should ensure that - • Each department is performing excellently.• All the departments are aligned to the vision and mission of the
hospital.• All the departments are collaborating with each other and
integrated to efficiently achieve the vision and mission of the hospital.
A hospital is made up of different departments.The number can be as many as 50.
If you are the Hospital Director / Chief of Hospital, what strategy
will you use to facilitate governance of the operations of the many different departments in your hospital?
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Assuming there are 50 departments.What strategy will you use to facilitate governance of the
operations of the 50 departments in your hospital?
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Option 1: Master the procedures and work instructions of all or each of the 50 departments and govern accordingly.Option 2: Master the principles and processes of all or each of the 50 departments and govern accordingly.Option 3: Option 1 and Option 2
Option 4: Look for commonality in procedures and work instructions across the 50 departments, master this commonality, and govern accordingly. Option 5: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. Option 6: Option 4 and Option 5.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Option 1: Master the procedures and work instructions of all or each of the 50 departments and govern accordingly.Option 2: Master the principles and processes of all or each of the 50 departments and govern accordingly.Option 3: Option 1 and Option 2
Option 4: Look for commonality in procedures and work instructions across the 50 departments, master this commonality, and govern accordingly. Option 5: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. Option 6: Option 4 and Option 5.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Option 1: Master the procedures and work instructions of all or each of the 50 departments and govern accordingly.Option 2: Master the principles and processes of all or each of the 50 departments and govern accordingly.Option 3: Option 1 and Option 2
Option 4: Look for commonality in procedures and work instructions across the 50 departments, master this commonality, and govern accordingly. Option 5: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly. Option 6: Option 4 and Option 5.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Assuming there are 50 departments.What strategy will you use to facilitate governance of the
operations of the 50 departments in your hospital?
Option 5: Look for commonality in principles and processes across the 50 departments, master this commonality, and govern accordingly.
A Systematic Approach to Hospital Operations: A Unique Framework Applicable to All Departments
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Objectives of Learning Session:
• Provide the class with a systematic approach in managing department operations.
• Give and explain the unique diagram I created in 2010 to achieve the goals of learning, planning, and administration.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
ROJoson’s Department Design and Development Framework / Administrative Design and Development Program
Officially developed in 2010
Facilitate Learning, Planning, and Administration!
Whole Hospital
Concepts and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure
(Location, space)Human
Resource Program
Equipment / Material Program
Data / Documents
Records Program
Business Development
Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
22 elementsEssential
Interdependent Interfacing
22 elements –must beAligned
Integrated
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Applicable to any department, clinical and
non-clinical!
SurgeryOR-RR
EROthers
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whatever be the department,there must be a competent
HEAD!
Competencies expected of a head:
Unit Technical Requirements Competency (The Specialty)
Hospital Teamship (CAI)Managership (PIE)
Leadership (People)
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whatever be the department,in its administrative design and development program, the managers should consider, be aligned, respect, coordinate, collaborate and integrate with the whole hospital ‘s…………… and interfacing units’ ………….!
Must have a SYSTEMS PERSPECTIVE or SYSTEMS THINKING!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
• Serve as compass or guide;
• Describe roles and responsibilities of unit in context of whole hospital;
• Give unit authority to do what it should be doing;
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
• Serve as guide in determining what are needed in unit to function properly and adequately such as in terms of structure, staffing, policies and procedures, programs, and resources;
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
• Serve as guide in determining what programs, projects, tasks, and activities the head and staff can do to accomplish their unit’s functions, both on long term and short term basis;
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
• Serve as basis for evaluating unit’s performance at the very least, whether it is accomplishing its expected functions on a daily basis and annually; and
• Serve as basis for the name of the unit.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
There must be a document stating authorized functions of unit.
It must be complete and clear with general and specific functions and it must be authorized by a higher office.
Examples of Authorized Functions
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
General Function:
To provide medical services to all patients with surgical diseases who seek consultation and treatment in the hospital.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Anesthesia Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
General Function:
To provide anesthesiology services to all patients needed such services in the hospital.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
General Function:
To provide operating room services to all patients needed such services in the hospital.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
General Function:
To provide recovery room services to all patients needed such services in the hospital.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of ER Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
General Function:
To provide emergency room services to all patients needed such services in the hospital.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Specific Functions:1. To examine all patients with a
possible surgical diseases and afterwhich, to make a rational and accurate diagnosis.
2. To provide treatment to all patients with surgical diseases.
3. To provide training in surgery.4 To promote research in surgery.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Specific Functions:
1. To provide quality health promotion and disease prevention program in the field of surgery to clients in need of such service.
2. To provide quality and safe diagnostic and therapeutic procedures to all patients with surgical problems.
3. To provide quality and safe pre-operative, intra-operative, and post-operative surgical care to all patients in need of such health care service.
4. To provide quality rehabilitative health programs in the field of surgery to all clients in need of such service.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Specific Functions:
• To provide quality operating room services to medical staff needing such services for their patients.
• To provide quality operating room and perioperative nursing services to patients with potential and evident surgical disorders.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Specific Functions:
• To provide quality post-anesthesia recovery room services to medical staff needing such services for their patients.
• To provide quality nursing services to patients admitted in the post-anesthesia recovery room.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of ER Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Specific Functions:
• To provide immediate resuscitative measures to patients with life-threatening conditions who are brought to the ER.
• To examine all patients who seek help in the ER and to make a rational and accurate diagnosis of their medical problems.
• To provide all immediate treatment that can possibly be rendered within the limits of the ER set-up and facilities.
• To refer patients to appropriate physicians for follow-up or definitive management after being served at the ER.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Formulated “functions” determine the “services” to be offered to clients – physicians and patients.
“Services” offered and “functions” authorized must be congruent with each other.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
External determinants:• Statutory and regulatory requirements
(Laws, DOH, local gov’t, PRC, PMA, Specialty Societies and Boards, etc.)
• Quality and performance standards (such as PhilHealth Benchbook, Joint Commission International, Accreditation Canada International, IiP, PQA, ISO, etc.)
• Community expectations
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Internal determinants:
• Top management desires and decision (such as vision-mission and taking resources into consideration)
• Coordination and integration system with other units in the hospital
Examples of Services
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Based on authorized functions -
Services to offer:• Health promotion and disease
prevention program• Diagnostic program • Therapeutic program • Pre-operative, intra-operative,
and post-operative surgical care program
• Rehabilitative health program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Based on authorized functions -
Services to offer:• Operating room services • Perioperative nursing care
services
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Based on authorized functions -
Services to offer:• Recovery room services • Perioperative nursing care
services
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of ER Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Example:
Based on authorized functions -
Services to offer:• Emergency room services • Emergency room nursing care
services
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Ultimate goals:
Value created and appreciated by patient- and physician-clients for
services rendered
Good health care delivery outcomes (good results)Quality and safe services
Reasonable costs and expenses
Financial viability and sustainability!
Examples of Specific Goals
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Ultimate goals:
Value created and appreciated by patient- and physician-clients for
services rendered
Good health care delivery outcomes (good results) – Optimal
surgical mortality and morbidity rates; success treatment rates
Quality and safe servicesReasonable costs and expenses
Financial viability and sustainability!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OB-GYN Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Ultimate goals:
Value created for and appreciated by patients served and for services rendered
Good health care delivery outcomes (good results) – Optimal OB-GYN mortality and morbidity rates; success treatment rates;
CS ratesQuality and safe services
Reasonable costs and expenses
Financial viability and sustainability!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
22 elementsEssential
Interdependent Interfacing
22 elements –must beAligned
Integrated
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
DOH Licensing RequirementsDOH Guidelines in the Planning and Design of a
Hospital And Other Health Facilities – 2004Safe Hospital Initiative – structural, non-structural,
and functional indicatorsBuilding Code
Fire CodeLocal government requirements
Others
FOR THE DEPARTMENT AND RELEVANT SERVICE AREAS OF THE DEPARTMENT!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Physical structure of a unit refers to a geographical space or area in the hospital, constructed to receive patient- and physician-clients requesting for services and to house the staff who will perform the functions of the unit.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Determinants:
Statutory and regulatory requirementsDOH Licensing Requirements
DOH Guidelines in the Planning and Design of a Hospital And Other Health Facilities – 2004
Safe Hospital Initiative – structural, non-structural, and functional indicators / Building Code / Fire Code
Local government requirements / SPECIALTY requirementsBusiness development program
Quality StandardsCommunity expectations
EfficiencyCase load
Owners’ wants
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Indicators:• Compliant with DOH and other
requirements– particularly on location and size
• Accessibility – with clear signage• Adequate size (not cramped for
staff and client movement) • Adequate lighting• Adequate ventilation• Aesthetics – attractive, with a
welcoming, friendly and therapeutic environment
• Provision for privacy as needed • Comfortable waiting areas
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
People Experienced in Hospitals Needed!
MHAMHSA (MDA)(not just MDs)
Architects
Engineers
Examples – Physical Structural Requirements
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Structural or physical requirements based on service functions
1. Operating rooms1.1 For ambulatory surgeries1.2 For inpatient surgeries2. Surgical patient beds, wards, and
rooms3. Consultation rooms in3.1 Outpatient department3.2 Emergency room
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Structural or physical requirements based on governance, training,
ande research functions
Chairman’s office Conference room
LibraryComputer system, IT, with
Internet access
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR-RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of ER Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
In consideration of the key functions and services of the unit, statutory and regulatory
requirements, and other objectives like business
development, risk management, and IT-enabled
system ,
identify equipment and materials needed to facilitate
an effective and efficient functioning of the unit.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Equipment should have preventive maintenance and calibration at planned intervals to ensure accuracy and safety in their use and longer life span.
Examples of Equipments and Supplies
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR –RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operative Surgical supplies – gauze, drains, plasters, etc.Surgical instruments – knives, clamps, needles holders, etc.Surgical equipment – suction machines, lights, electrocautery machines, etc.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR-RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Non-operative supplies, instruments, equipment, drugs, intravenous fluids, thermometers, nebulizers, etc.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of ER Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Based on objectives, minimum general essential equipment and material include the following: -for cardiopulmonary resuscitation - those needed to resuscitate and stabilize patients with life-threatening conditions before a more definitive treatment within the hospital proper can be done.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Adequate in
number
and in
competency!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Number of staff needed dependent on :• Department of Health
hospital licensure requirements;
• workload / caseload; • Department of Labor and
Employment requirements;
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Number of staff needed dependent on :• wishes of the owners for
cost-efficiency at the same time promoting customer delight.
• others
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Recommended processes for computation:•Always have key determinants of number of staff needed in mind.•Aim for cost-efficiency at the same time promoting customer delight.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Recommended processes for computation:•Contingency plans for surge of clients •Time for business and staff development and engagement activities
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Recommended processes for computation:•Have the rationalized proposal for number of staff of unit approved by Top Management through Human Resource Unit.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Recommended processes for computation:•Have continual review (at least once a year) of approved plantilla and make necessary adjustments (which must be approved again by Top Management through Human Resource Unit).
Examples on Human Resource
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of Surgery Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Staff requirements
Surgical specialists Anesthesiologists (needed
for a painless operation)Nurses and nursing
attendants
adequate in number and in competency!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of OR-RR Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Staff requirements
• Surgeons• Anesthesiologists• Nurses• Nursing Aides
adequate in number and in competency!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
Department of ER Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Staff requirements
• ER Physicians• Nurses• Nursing Aides
adequate in number and in competency!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Focus on excellent accomplishment of
the authorized functions and
services!
With alignment and integration of all the elements in the DDD
framework or program!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operations Manual (PP)
to provide order;to promote
standardization;to facilitate
communication;
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operations Manual (PP)
to promote effectiveness and efficiency; and
to provide a guide to present and future staff, among other things!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operations Manual (PP)
must be aligned with those (PP) of the hospital!
should be reviewed and revised periodically!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operations Manual (PP)
A requirement for licensing by DOH, accreditation by PhilHealth and other accrediting bodies like ISO and JCI /ACI.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operations Manual
Policies and procedures in these elemental areas:
Governance
Service (Patient - / MD- Client Management)• Clinical
practice guidelines
• Clinical pathways
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Operations Manual
Policies and procedures in these elemental areas:
Training
Research
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Clinical practice guidelines
Clinical pathways
In patient management,
clinical practice guidelines and clinical pathways are useful in standardization of procedures as well as in the promotion of efficiency.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Clinical practice guidelines
– systematically developed statements, built on synthesis of evidence, which provide formal recommendations about appropriate and necessary care, intended to assist practitioner and patient to make decisions about appropriate health care for specific clinical circumstances.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Clinical pathway
– an interdisciplinary plan of care that outlines the optimal sequencing and timing of interventions and expected outcomes for patients with a particular diagnosis, procedure or symptom.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Useful references in making policies and procedures:
• PhilHealth Benchbook, Joint Commission International, ACI, and Investors in People Standards
• Established clinical practice guidelines of the recognized societies in the Philippines
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
In consideration of the key functions and services of the unit,
statutory and regulatory requirements, and other objectives like business
development, risk management, and IT-enabled system ,
identify the data, documents, and records needed to
facilitate an effective and efficient functioning of the
unit.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Presence of a structured and comprehensive program that
will develop the business of unit to make it viable and
sustainable!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
The objective of program is to attract new patient-clients and maintaining previous patient-
client base.
Another objective of program is to attract new physician-clients
and maintaining previous physician-client base.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Strategies:
MarketingPublic Relations
Reputation Enhancement
Attractive to patient-clients and physician-clients to utilize
services of unit!
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Risk management program is a planned and systematic process / program to reduce and/or eliminate the probability of a “risk” that usually results in injuries, losses, and legal suits.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
It consists of three distinct, yet interrelated areas: •risk identification and loss prevention; •loss reduction;•risk financing.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Risk IdentificationTypes / Categories of Risks in a Hospital / Unit•Risk for natural disasters (earthquake, flood, tsunamis, fire, etc.)•Risk for man-made disasters (fire, felony, bomb threat, terrorism, etc.)•Risk for medico-legal suits (arising from patient care)•Risk for non-medico-legal suits (not arising from patient care)•Risk for tarnished reputation
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Objectives:
•To project future income and expenses of the unit which are reflected in a document (budget).
•To use projected future income and expenses of the unit (budget) as guide for day-to-day performance and financial evaluation at planned intervals.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Expected Outputs:
•Achievement of financial targets•Effective and efficient utilization of resources•Controlled expenses
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Processes / Procedures:
•Formulate a structured business plan for the forthcoming year inclusive of new and existing programs / projects /activities, staff requirements, equipment and materials, renovation, etc. •Quantitate / project income (if any) and expenses in pesos
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Processes / Procedures:
•Prepare document that contains the two abovementioned processes which is designated as “budget” of the unit•Have the budget approved by an office in charge of hospital budget
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Use of computing technology, such as hardware, software, networking, and Internet
•to promote efficiency in performance of functions and accomplishment of services ;•to manage information of unit – getting, storing, protecting, processing, transmitting as necessary, and later retrieving as necessary;
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Use of computing technology, such as hardware, software, networking, and Internet
•to create interconnection with other units in hospital for timely communication, coordination and collaboration in accomplishment of services of unit;•to communicate with the patient- and physician-clients both in and out of hospital.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Appraising extent of accomplishment of the unit in its authorized functions and business plans at planned intervals (quarterly, biannually, and annual).
To determine areas of improvement and to act on them.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
At the start, must have performance measures, performance indicators, and targets, which must be measurable and realistic.
Use of “balanced scorecard” – financial, customer, process, and learning and growth perspectives
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Always and forever looking for ways to improve something in the system, with details on what work is to be done, by whom, when, and what means or resources will be used.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
As a commitment to excellence.
Minimum of one new structured continual improvement project per year.
Can have a duration of 1-3 years for total completion and institutionalization. A 2- to 3-year project should be broken down into annual milestones.
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Categories Common Problems Suggested Strategies
• Man• System and
Method• Machine /
Equipment• Money / Other
Resources• Trends
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Categories Common Problems Suggested Strategies
MANConsultantsResidentsColleagues in other unitsChief of Hospital / bosses
Competencies
Quantity
Integration, coordination, collaboration
Personality
Leadership and managershipInvestor in People StandardsManaging your boss Use of a multisectoral / multi-professional committee memberships
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Categories Common Problems Suggested Strategies
SYSTEM AND METHOD
Lack of systematizationLack of standardized procedures
Use DOH requirementsUse quality standards (PhilHealth Benchbook, JCI, ACI) Policies and proceduresClinical practice guidelinesClinical pathways
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Categories Common Problems Suggested Strategies
MACHINE / EQUIPMENT
Lack of management system Lack of calibrationLack of preventive maintenance
Policies and procedures
MONEYOther resources
Limited Leadership Innovativeness
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Categories Common Problems
Suggested Strategies
TRENDS Rapid changes - difficulty in coping
Knowledge management system (constant tracking and continual education)
Benchmarking
Innovativeness
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Clinical Medical Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
Whole HospitalConcept
and Design
Whole Hospital
GovernancePolicies
Procedures
Whole Hospital
OperationsPolicies
Procedures
Interfacing Units
OperationsPolicies
Procedures
A Department Design and Development Framework
Regular Performance Evaluation and Continual Improvement Program
Administrative Design and Development Program
Architectural Design / Engineering / Construction
Services
Cost-efficient/ value-based
Determinants of Functions / services
requirements
Functions(authorized)
Services(authorized)
Leadership
IT-enabled System
DOH Licensing
& Structural Requirements
Policies & Procedures /
Clinical Practice
Guidelines/Clinical
Pathways
Risk Management
Program
Physical Structure(Location,
space)Human
Resource Program
Equipment / Material ProgramData /
DocumentsRecords ProgramBusiness
Development Program
Budget Program
22 elementsEssential
Interdependent Interfacing
22 elements –must beAligned
Integrated
Objectives of Learning Session:
• Provide the class with a systematic approach in managing department operations.
• Give and explain the unique diagram I created in 2010 to achieve the goals of learning, planning, and administration.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
As the Hospital Director / Chief of Hospital (to-be),
what is the best management strategy to adopt in the light of 25 -50 departments and services to manage?
Best management strategy So as to be efficient – effective yet with least resources (effort and time)?So as not to be burnt-out because of the continuous heavy load of 25 or more departments to manage 24/7?
Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you!
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
As the Hospital Director / Chief of Hospital (to-be),what is the best management strategy to adopt in the light of 25 -50 departments and services to manage?
Premise: You should always be on top of the situation / whole hospital operations even if you have 25 or more department heads to help you!
You should ensure that - • Each department is performing excellently.• All the departments are aligned to the vision and mission of the
hospital.• All the departments are collaborating with each other and
integrated to efficiently achieve the vision and mission of the hospital.
Objectives of Learning Session:
• Provide the class with a systematic approach in managing department operations.
• Give and explain the unique diagram I created in 2010 to achieve the goals of learning, planning, and administration.
Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department
Thank you for your kind attention.For query:
rjoson2001@yahoo.com0918-804-0304
For writings of ROJoson:Google ROJoson (topic)
https://sites.google.com/site/rojlecturesupcph/home
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