Guidelines in the Planning

and Design of a Hospital

and other Health
Facilities

Department of Health (2014)

HOSPITAL
CLASSIFICATION
Guidelines in the Planning and Design of a Hospital and other Health Facilities
Department of Health (2014)

In order to meet the goals and objectives on designing a hospital, guidelines and standards
should be considered and followed.

Environment

A hospital and other health facilities shall be so located that it is

readily accessible to the community and reasonably free from undue
noise, smoke, dust, foul odor, flood, and shall not be located
adjacent to railroads, freight yards, children's playgrounds, airports,
industrial plants, disposal plants
Occupancy

According to DOH’s guideline, a building designed for other purpose

shall not be converted into a hospital.
Safety
A hospital and other health facilities shall provide and maintain
a safe environment for patients, personnel and public. The building
shall be of such construction so that no hazards to the life and
safety of patients, personnel and public exist. It shall be capable of
withstanding weight and elements to which they may be subjected.

Security
A hospital and other health facilities shall ensure the security of
person and property within the facility.

Patient Movement
Spaces shall be wide enough for free movement of patients,
whether they are on beds, stretchers, or wheelchairs. Circulation
routes for transferring patients from one area to another shall be
available and free at all times.
Lighting
All areas in a hospital and other health facilities shall be
provided with sufficient illumination to promote comfort, healing and
recovery of patients and to enable personnel in the performance of
work.

Ventilation
Adequate ventilation shall be provided to ensure comfort of
patients, personnel and public.

Auditory and Visual Privacy

A hospital and other health facilities shall observe acceptable
sound level and adequate visual seclusion to achieve the acoustical
and privacy requirements in designated areas allowing the
unhampered conduct of activities.
Waste Disposal
Liquid waste shall be discharged into an approved public
sewerage system whenever available, and solid waste shall be
collected, treated and disposed of in accordance with applicable
codes, laws or ordinances).

Sanitation
Utilities for the maintenance of sanitary system, including
approved water supply and sewerage system, shall be provided
through the buildings and premises to ensure a clean and healthy
environment.

Maintenance
There shall be an effective building maintenance program in
place. The buildings and equipment shall be kept in a state of good
repair. Proper maintenance shall be provided to prevent untimely
breakdown of buildings and equipment.
Material Specification

Floors, walls and ceilings shall be of sturdy materials that shall allow
durability, ease of cleaning and fire resistance.

Segregation

Wards shall observe segregation of sexes. Separate toilet shall be

maintained for patients and personnel, male and female, with a ratio
of one (1) toilet for every eight (8) patients or personnel.

Fire Protection

There shall be measures for detecting fire such as fire alarms in

walls, peepholes in doors or smoke detectors in ceilings. There shall
be devices for quenching fire such as fire extinguishers or fire hoses
that are easily visible and accessible in strategic areas.

Parking

A hospital and other health facilities shall provide a minimum of one

(1) parking space for every twenty-five (25) beds.
Function
The different areas of a hospital shall be functionally related with each other.

•The emergency service shall be located in the ground floor to ensure immediate access.
A separate entrance to the emergency room shall be provided.
•The administrative service, particularly admitting office and business office, shall be
located near the main entrance of the hospital. Offices for hospital management can be
located in private areas.
•The surgical service shall be located and arranged to prevent non-related traffic. The
operating room shall be as remote as practicable from the entrance to provide asepsis.
The dressing room shall be located to avoid exposure to dirty areas after changing to
surgical garments. The nurse station shall be located to permit visual observation of
patient movement.
•The delivery service shall be located and arranged to prevent non-related traffic. The
delivery room shall be as remote as practicable from the entrance to provide asepsis.
The dressing room shall be located to avoid exposure to dirty areas after changing to
surgical garments. The nurse station shall be located to permit visual observation of
patient movement. The nursery shall be separate but immediately accessible from the
delivery room.
•The nursing service shall be segregated from public areas. The nurse station shall be
located to permit visual observation of patients. Nurse stations shall be provided in all
inpatient units of the hospital with a ratio of at least one (1) nurse station for every thirty-
five (35) beds. Rooms and wards shall be of sufficient size to allow for work flow and
patient movement. Toilets shall be immediately accessible from rooms and wards.
•The dietary service shall be away from morgue with at least 25-meter distance.
• Zoning
• Outer Zone – areas that are immediately accessible to the public:
emergency service, outpatient service, and administrative service. They
shall be located near the entrance of the hospital.
• Second Zone – areas that receive workload from the outer zone:
laboratory, pharmacy, and radiology. They shall be located near the
outer zone.
• Inner Zone – areas that provide nursing care and management of
patients: nursing service. They shall be located in private areas but
accessible to guests.
• Deep Zone – areas that require asepsis to perform the prescribed
services: surgical service, delivery service, nursery, and intensive care.
They shall be segregated from the public areas but accessible to the
outer, second and inner zones.
• Service Zone – areas that provide support to hospital activities: dietary
service, housekeeping service, maintenance and motorpool service, and
mortuary. They shall be located in areas away from normal traffic.
Standard Plans
and Technical
Requirements of
a 100-Bed
Hospital (Level 2)
Associate Hospital Planning and design to how
our organs were put up together to function well.
• Zoning
• Outer Zone – areas that are
immediately accessible to the public:
emergency service, outpatient service,
and administrative service. They shall
be located near the entrance of the
hospital.
• Second Zone – areas that receive
workload from the outer zone:
laboratory, pharmacy, and radiology.
They shall be located near the outer
zone.
• Inner Zone – areas that provide nursing
care and management of patients:
nursing service. They shall be located in
private areas but accessible to guests.
• Deep Zone – areas that require asepsis
to perform the prescribed services:
surgical service, delivery service,
nursery, and intensive care. They shall
be segregated from the public areas but
accessible to the outer, second and
inner zones.
• Service Zone – areas that provide support
to hospital activities: dietary service,
housekeeping service, maintenance and
motorpool service, and mortuary. They
shall be located in areas away from normal
traffic.
OUTER ZONE
ADMINISTRATIVE SERVICES
OUTER ZONE
EMERGENCY DEPARTMENT

OUTPATIENT SERVICES
SECOND ZONE
ANCILLIARY SERVICES
INNER ZONE

CLINICAL SERVICE
DEEP ZONE

OPERATING ROOM SERVICES

DEEP ZONE

DELIVERY AND NURSERY ROOM SERVICE

SERVICE ZONE
NUTRITION AND DIETETICS SERVICE

ENGINEERING, MAINTENANCE AND HOUSEKEEPING

SERVICE ZONE
SUPPORT SERVICE
MINOR PLATE 01: INTENSIVE CARE UNIT