Transcript
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Institutional PharmacyPractice
Chapter 1
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Institutional Pharmacy Practice
• Provision of distributional and clinical pharmacy services at a broad institutional settings including hospitals, long-term care, hospice, corfacilities and others
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Integrated Health Systems
• Integrate all care under the umbrella of a central organization
• Often include:
• inpatient/acute care
•primary care/outpatient care
• long term care
• home care
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Hospitals
• Traditionally focused on providing care to acutely ill patients that reqconstant care by a team of highly skilled professionals
• Biggest component of institutional practice
•
Differentiated by these factors:• Location
• Size
• Specialization
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Types of Hospitals
• COMMUNITY HOSPITAL
• Most common type
• Deal with an assortment of diseases and injury
• Treat a broad group of medical conditions
• SPECIALIZED HOSPITAL
• Particular disease
• Specific organ
• Type of patient
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Types of Hospitals
• TEACHING HOSPITAL
• Training future health-care professionals
• PROFIT HOSPITAL
•
Owned by corporation or private investors
• NON-PROFIT HOSPITAL
• do not seek a return on investment for owners
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Types of Hospitals
• GOVERNMENT HOSPITAL
• Owned or heavily supported by federal , state, country or other governmenta
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Evolution of Hospital Nomenclatu
AO no. 68-A s.1989
AO no. 70-A s.2002
AO no. 147 s.2004
AO no. 2005-0029
A.O.
Primary Infirmary Infirmary Level 1 Othefa
Secondary 1st level ReferralHospital
Primary CareHospital
Level 2 Le
Tertiary (Non-Teaching)
2nd levelReferral Hospital
SecondaryCare Hospital
Level 3 Le
Tertiary(Teaching)
3rd level ReferralHospital
Tertiary CareHospital
Level 4 Le
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Legal Basis for Defining Hospital
(R.A. 4226)• Beds/cribs for 24 hours use or longer (sec 2)
• Must have Minimum Standards and Construction of a Hospital (sec
Bed space OPD
Laboratory DR
OR Isolation
X-ray Morgue
Pharmacy
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Legal Basis for Defining Hospital
(R.A. 4226)• “Classify” hospitals as to: (sec. 16)
• General or Special
• Service capacity
• Size or bed capacity
• Training or not
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“NEW Classification of Hospitals and ot
Facilities”
A.O. no. 2012 – 0012DOH Bureau of Health Facilities and Servic
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CLASSIFICATION OF HOSPITA
• According to Ownership:
• A. Government
• Created by law
•
Maybe under DOH, DND, DOJ, PNP, LGU, SUCs, GOCC and others• B. Private
• Single proprietorship, Partnership, Corporation, Cooperative, Foundation, ReNGO
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CLASSIFICATION OF HOSPITA
• According to Functional ca pacity:
• A. General Hospital
• Clinical services
• Emergency services
• Outpatient services
• Ancillary and Support services
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CLASSIFICATION OF HOSPITA
• According to Functional ca pacity:
• B. Specialty Hospital
Particular disease – e.g. National Orthopedic Hospital, NationaCenter for Mental Health, San Lazaro Hospital
Particular organ(s) –
Lung Center, Phil. Heart Center, NKTI Particular Group of Patients – PCMC, NCH, DJFMH
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CLASSIFICATION OF HOSPITA
• According to Trauma Capability
• A. Trauma – Capable Facility
DOH licensed hospital designated as a trauma center
• B. Trauma –
Receiving Facility
Receives trauma patients for transport to trauma center
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New Classification of General Hospi
C L I N I C A
L S E R V I C E S A N D
F A C I L I T I E S F O R
I N - P A T I E N T S
LEVEL 1 LEVEL 2 LEVEL 3
Medicine
PediatricsOB-GYNESurgery
Level 1 plus all: Level 2 plus all:
Departmentalized ClinicalServices
Teaching/training with
Accredited residencyprogram in the 4 majorclinical services
Emergency and OPD Respiratory Unit Physical Medicine andRehabilitation unit
Isolation Facilities General ICU Ambulatory Surgical Clinic
Surgical/ MaternityFacilities
High Risk Pregnancy Unit Dialysis Clinic
Dental Clinic NICU Tertiary lab withhistopathology
A N C I L L A R Y
S E R V I C E S
Secondary ClinicalLaboratory
Tertiary Clinical Laboratory Blood bank
Blood Station Blood station 3rd level X-ray
1 st level X-ray 2nd level X-ray with mobileunit
Pharmacy
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New Classification of other Health FacA B C D
Primary Care Facility Custodial Care Facility Diagnostic/ Therapeutic
Facility
Specialized Out-Pa
FacilityWith In-patient Beds:
Infirmary
Birthing Home
Psychiatry Care Facility Laboratories:
Clinical Lab/HIV
Blood service
facilities
Drug Test lab
NBS
Water lab
Dialysis Clinic
Ambulatory Surgical
Without Beds:
Medical Out-patient
clinics
OFW clinics
Dental clinics
Drug Abuse Treatment
and Rehabilitation Center
(DATRC)
Ionizing machines:
X-ray, CT scan,
Mammography, etc
In-Vitro Fertilization
Centers
Sanitarium/ Leprosarium Non-Ionizing machines:
Ultrasound, MRI and
others
Radiation Oncology
Facility
Nursing Home Nuclear medicine Oncology center/ cl
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