Mandate: Republic Act No. 4226, “Hospital Licensure Act” (1965)
The law requires that: (1) no hospital whether government or private shall be constructed or renovated unless plans have been approved and a construction permit has been issued by the Bureau of Medical Services (BMS); (2) any person, association, partnership, corporation or government entity desiring to construct, remodel, or repair a hospital building shall acquire the permit to construct; (3) no hospital whether public or private may operate without a license to operate (LTO); (4) all hospitals must meet certain prescribed technical standards in personnel, equipment, and physical facilities depending on the type of facility to assure patient safety.
With an Administrative Order issued by the Department of Health (DOH) in 1995, the One-Stop-Shop concept was introduced to the Bureau of Licensing and Regulation (BLR), formerly BMS, as the implementing office.
Pursuant to Executive Order No. 102s. 1998, “Redirecting the Functions and Operations of the Department of Health”, the DOH Central Office changed its organizational structure and the BLR has now become the Bureau of Health Facilities and Services. Under Administrative Order No. 2007-0021, “Harmonization and Streamlining of the Licensure System”, the licensing process of hospitals through the one-stop-shop licensure system was decentralized to DOH regional offices known as Centers for Health Development.
What is One-Stop-Shop Licensing System or the so-called OSS?
It is a strategy of the DOH to harmonize the licensure of hospitals, their ancillary and other facilities including, but not limited to the clinical laboratory, HIV testing, drinking water analysis and drug testing, blood banks, blood collection units and blood stations, dialysis clinics, ambulatory surgical clinics, pharmacies, and medical x-ray facilities, but excluding hospital-based medical facility for overseas workers and seafarers, hospital-based drug abuse treatment and rehabilitation center, facility using radioactive material that are currently regulated by PNRI and performance of kidney transplantation.
Features of OSS:
What are the steps in securing a license?
FOR INITIAL APPLICATIONS:
Step 1. Submit application for Certificate of Need (CON) to CHD (for new hospital and reclassification of hospital from special to general)
Step 2. Secure CHD Approval
Step 3. Submit application for Permit to Construct (PTC) to CHD
Step 4. Secure approved PTC
Step 5. Submit application for LTO to CHD
Step 6. Inspection by the licensing team
Step 7. Issuance of LTO by the CHD
FOR RENEWAL APPLICATIONS:
Step 1. Submission of application for LTO to CHD
Step 2. Automatic renewal of LTO (Hospital should be continuously compliant with licensing standards and requirements, any deficiency shall be dealt accordingly.)
If renewal of LTO is filed on October 01 to November 30 of the current year, a ten percent (10%) discount on the renewal fee shall be granted.
REQUIREMENTS IN SECURING A LICENSE:
How long is the process?
What is the validity period of the license?
The License to Operate (LTO) is valid for 365 days or a year.
What are the advantages and benefits of having a license?
Administrative Order No. 147 s. 2004: Amending Administrative Order No. 70-A, series 2002 re: Revised Rules and Regulations Governing the Registration, Licensure and Operation of Hospitals and Other Health Facilities in the Philippines
Administrative Order No. 2005-0029: Amendment to Administrative Order No. 147 s. 2004: Amending Administrative Order No. 70-A series 2002 re: Revised Rules and Regulations Governing the Registration, Licensure and Operation of Hospitals and Other Health Facilities in the Philippines
Administrative Order No. 2005-0029-A: Addendum to Administrative Order No. 2005-0029 entitled Amendment to Administrative Order No. 147 s. 2004: Amending Administrative Order No. 70-A s. 2002 re: Revised Rules and Regulations Governing the Registration and Operation of Hospitals and Other Health Facilities in the Philippines
Administrative Order No. 2006-0004: Guidelines for the Issuance of Certificate of Need to Establish a New Hospital
Administrative Order No. 2006-0004-A: Amendment to Administrative Order No. 2006-0004: Guidelines for the Issuance of Certificate of Need to Establish a New Hospital
Administrative Order No. 2007-0021: Harmonization and Streamlining of the Licensure System for Hospitals
Administrative Order No. 2007-0022: Violations under the One-Stop Shop Licensure System for Hospitals
Administrative Order No. 2007-0023: Schedule of Fees for the One-Stop Shop Licensure System for Hospitals
Administrative Order No. 2007-0024: Guidelines for the Licensure of Department of Health Hospitals
Administrative Order No. 2007-0041: Guidelines on the Mandatory Allocation of a Certain Percentage of the Authorized Bed Capacity as Charity Beds in Private Hospitals
Administrative Order No. 2008-0001: Implementing Rules and Regulations of Republic Act No. 9439, Otherwise Known as "An Act Prohibiting the Detention of Patients in Hospitals and Medical Clinics on Grounds of Non-Payment of Hospital Bills or Medical Expenses"
Department Memorandum No. 2008-0020: Reiterating the Provision of Newborn Screening Services as a Mandatory Licensing Requirement for All Hospitals
Administrative Order No. 2008-0026: Addendum to the Rules and Regulations Implementing Republic Act No. 9288, Otherwise Known as the "Newborn Screening Act of 2004"
Department Memorandum No. 2008-0123: Newborn Screening Coverage
Department Memorandum No. 2008-0253: Reiterating the Posting of Schedule of Fees for Laboratory and Other Diagnostic Services of Hospitals and Other Regulated Health Facilities as a Mandatory Requirement for Licensing or Accreditation
Administrative Order No. 2008-0002: Posting of Schedule of Fees for Laboratory and Other Diagnostic Services of Hospitals and Other Health Facilities
Department Memorandum No. 2007-0099: Permits Issued by Other National Government Agencies and by Local Government Units
Department Memorandum No. 2009-0042: Level 1 Hospitals and Other Health Facilities That Do Not Have a Pharmacy
4. Licensing Requirements
7. Checklist for Review of Floor Plans
11. Asessment Tool (for Facility Owners)
12. Inspection Tool (for Regulatory Officers)
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