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classification of healthcare establishments

what is meant by "clinic"?
Clinics’ means – a medical facility run by a single or group of physicians or health practitioners smaller than a hospital. Clinics generally provide only outpatient services and can have an observation bed for short stay.

what is meant by Day care Facility ?
Day care Facility (Medical/Surgical) – day care facility as part of an existing hospital. Here it is in the form of service offered by any hospital on its own premises or as extension outside its premises. Responsibility of the Day centre will be of parent organization/institution/hospital. Day care facility specific to a specialty e.g. Ophthalmic Services. ENT services etc. These centers should have referral mechanisms in place i.e. in case of need the patient can be shifted to a link hospital already identified. These referral mechanisms should be displayed prominently.

what is meant by "hospital"?
‘Hospital’ (WHO) means - Health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week.
                       categories of hospital as per central govt wide...CE act....
division depends on type of care -primary care / medical specialty care/ surgical specialty care

Hospital Level 1 (A) – General Medical services with indoor admission facility provided by recognized allopathic medical graduate(s) and may also include general dentistry services provided by recognized BDS graduates. Example: PHC, Government and Private Hospitals and Nursing Homes run by MBBS Doctors etc.

Hospital Level 1 (B) – This level of hospital shall include all the general medical services provided at level 1(A) above and specialist medical services provided by Doctors from one or more basic specialties namely General Medicine, General Surgery, Paediatrics, Obstetrics & Gynaecology and Dentistry, providing indoor and OPD services.

Note:Level 1(A) and Level 1(B) Hospitals shall also include support systems required for the respective services like Pharmacy, Laboratory, etc.

Hospital Level 2 (Non-Teaching) This level may include all the services provided at level 1(A) and 1(B) and services through other medical &surgical specialties given as under, in addition to basic medical specialty given under 1 (B) like:-
a. Orthopaedics b. ENT c. Ophthalmology d. Dental e. Emergency with or without ICU f. Anaesthesia g. Psychiatry h. Skin Pulmonary Medicine i. Rehabilitation, etc. And support systems required for the above services like Pharmacy, Laboratory, Imaging facilities, Operation Theatre etc.
 Example: District Hospital, Corporate Hospitals, Referral Hospital, Regional/State Hospital, Nursing Home and Private Hospital of similar scope etc.

level 3 are corporate hospitals and level4 are teaching institutions.

                         classification basing on size of the health care establishment:
Clinics (outpatient) - The Clinics shall be categorized as follows:  Single practitioner (Consultation services only/with diagnostic services/with short stay)  Poly clinic (Consultation services only/with diagnostic services/with short stay) Dispensing  Health Checkup Centre.

Day Care facility  Medical/Surgical  Medical SPA  Wellness centers (where qualified medical professionals are available to supervise the services.

The Hospitals including Nursing Homes should be categorized based on the following criteria.  General Practice  Single specialty  Multi specialty (including Palliative care Centre, Trauma Centre, Maternity Home)  Super specialty

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