Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
Proposed base As network of Level 3 General Single-Specialty Level 3 General Hospital Level 2 General Level 1 General Non-hospital
facility cancer-control Hospital Hospital Hospital Hospital with the
● Primary care
facilities, services, following as
infra and equipment possible satellite or facility: Rural
may be shared within partner facilities: Health Units/ Urban
the network infirmaries, nursing Health Units (with
homes, hospice satellite Barangay
Health Stations)
● Medical
outpatient clinics
Resource level Advanced, Advanced, Advanced, for Basic, comprehensive Enhanced Limited Basic
comprehensive comprehensive specific specialty
Catchment National National, Sub- National, Sub- Region Province-wide or District Municipality, Barangay
population national area national area city-wide health
care provider
network (HCPN)
Primary role A single Same as SCC plus: Offers specialized Same as CCU plus: Same as SCCPC Same as PCCPC 1. Prevention and
in the network administrative center (organ-specific or plus: plus: Screening
of DOH, with a type-specific) 1. Management of rare a) Primary
network of cancer cancer control high complex cases Can manage 1. Continuity of care prevention (i.e.
control facilities. services (with guidelines on common cases post cancer health education
The network will 1. Capable of when to refer to higher (specific cancers– treatment (in on early signs
include facilities that diagnosing and 1. Capable of level facility) lung, breast, partnership with and symptoms of
can provide clinical managing any diagnosing and 2. Receiving facility for colorectal-, Comprehensive cancer, smoking
services, research and type of cancer managing any referrals from HCPN gynecological, Cancer Centers- cessation,
development as well 2. Multidisciplinary sub-type of 3. Requires presence of thyroid) that can be Level 3 hospitals) counseling,
as human capital Team of cancer within cancer specialties and managed here and 2. Emergency care breast self exam
training and Specialty-Based its specialty MDTs specific 3. Low-complex and Hep B/ HPV

1
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
development. Standar Cancer Experts 2. Multidisciplinar *specific programs and interventions to be inpatient care (in vaccinations and
ds for facilities at with regular y Team of cases to be defined defined by CPGs) accordance with annual check-up)
each level of care meetings Specialty-Based (i.e. Lung, Breast, Gyne, CPGs) b) Secondary
will follow resource- Cancer Experts Colorectal, Hematologic, 1. Gynecologic 4. Strong supportive prevention (i.e.
stratified guidelines with regular Head and Neck) exam: services (for both annual check-up
developed by DOH. meetings colposcopy and inpatient and – clinical breast
Pap smear outpatient) exam, cervix
1. PCC is the core cervix cancer acetic acid wash,
hub of the network screening/ digital rectal
of all cancer diagnostic clinic exam, oral cavity
centers (ACCC, 2. Continuity of and dental check-
BCCC, SCC) to care post-cancer ups).
provide service, treatment (in 2.Cancer surveillance
training and partnership with and monitoring of
research oversight Comprehensive diagnosed cancer
2. Ultimate referral Cancer Centers) patients.
center for highly 3. Management 3.Community-based
specialized cancer requiring palliative care, home
treatment intensive care care, hospice care
procedures (referral facility (appropriate services
3. Management of for those within by trained
rare cancers the HCPN) personnel)
4. Hospital-based
Provision of palliative care
technical support to
DOH and National
Integrated Cancer
Control Council
Diagnostic Same as MCC plus: Same as SCC plus Same as BCCC Same as CCU plus: Same as SCCPC Same as Level 1 1. Screening (Cervix
Services plus: and to follow clinical laboratory Acetic Acid Wash,
1. Genetic 1) Nuclear medicine current standards of services of PCCPC pap smear
2
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
Confirmatory Diagnostics for Level 2 hospitals plus: specimen
Diagnostics the particular (equipment may be collection, eye
2. Genomics (in specialty, if any shared within the 1. Other lab screening)
partnership with network) plus: diagnostics for 2. Basic laboratory
Philippine high-risk diagnostics (e.g.,
Genome Center) 1. Biopsies (as per population: CBC, peripheral
surgery specialty Hepatitis profile, blood smear, blood
guidelines) HIV (may be typing, Fecal
2. Additional sourced out), Occult Blood test
pathology 2. Diagnostic (FOBT) or Fecal
services (in imaging: chest xray, Immunochemical
accordance with ultrasoundand test (FIT)
CPGs) access to 3. Referral to
3. Imaging - CT mammography appropriate facility
Scan for other screening
4. Endoscopy (in Selected biopsies in tests or definitive
accordance with accordance with diagnostic tests or
CPGs) CPGs treatment (in
5. Mammography partnership with
next level health
facilities

Medical Same as MCC plus: Same as SCC plus Same as BCCC Same as CCU plus: Same as SCCPC Same as PCCPC Continuity of Care
Therapeutic plus: plus: plus: Clinic (in partnership
Services 1. Immunotherapy, with Cancer Unit or
Innovative and Complex procedures Specialized targeted therapy, and 1. Inpatient or 1. Post-cancer Comprehensive Cancer
Experimental (i.e (i.e. Hyperthermic procedures for the new drugs for stand-alone treatment (in Center) - symptomatic
Specific gene Intraperitoneal particular cancer inpatient and chemotherapy partnership with care in transition to
mutation targeted Chemotherapy – specialty, if any outpatient infusion centers - Comprehensive referral-back to partner
treatment) HIPEC, (i.e. bone marrow 2. Nuclear Medicine - must have a main Cancer Centers Cancer Unit or Center
Hematopoietic stem transplant, liver facility or a partner - Level 3
3
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
cell transplant, etc) transplant, etc) systemic radiotherapy Comprehensive hospitals) *in accordance with
(i.e. radioactive Cancer Center to 2. Management of CPGs
iodine, etc) ensure medical and emergency
pediatric oncology complication,
oversight for adult symptomatic
and pediatric cancer care, acute care
patients, (in transit to
respectively higher health
facility referral)
2. Palliative care
and pain
management
including hospice
or end-of-life care
Surgical Same as MCC plus: Same as SCC plus Same as BCCC 1. Services for specific Surgery for specific Surgical None
services plus: types of surgery types of surgery interventions
1. Tele-surgery 1. Esophagogastric deemed manageable deemed deemed appropriate
2. Organ Transplant surgery Surgical services in this level, manageable in this in this level (in
2. Breast to manage the according to level, (in accordance with
conservation particular cancer CPGs (in accordance accordance with CPGs; only if with
surgery (BCS) specialty, if any with CPGs; only if CPGs) surgeons)
with sentinel with surgeons)
lymph node - Pediatric Ambulatory care
dissection surgery *specific programs and (i.e. day surgery)
(SLND) - Neurosurgery cases to be defined
Reconstruction - Orthopedic (i.e. Lung, Breast, Gyne,
3. Orthopedic onco surgery Colorectal, Hematologic,
– pelvic sarcoma - Thoracic and Head and Neck)
surgeries Cardiovascul
4. CRS with HIPEC ar Surgery 2. Interventional
& PIPAC for - Urologic Radiology (i.e.
4
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
carcinomatosis surgery microwave
2nd to CLR & - Head and ablation, etc)
Ovarian mets etc Neck Surgery 3. Radiation Oncology -
5. Advanced - Gynecologic external beam
Colorectal surgery radiotherapy (linear
surgery including - Breast accelerator–LINAC:
TME, transanal Surgery 2D, three-dimensional
procedures - Colorectal conformal and
6. Multi-organ surgery intensity-modulated
resections RT) and 2D
7. Minimal access 2. Highly brachytherapy
surgery specialized
8. Fluorescence- radiotherapeutic
guided surgery procedures (i.e.
9. Modern LINAC stereotactic
with image- radiosurgery–SRS
guided (IGRT) for brain tumor,
capability (i.e. stereotactic body
onboard cone radiation therapy–
beam computed SBRT for
tomography– extracranial sites,
CBCT) and image-guided
10.Irreversible brachytherapy–
Electroporation IGBT)
(IRE),
Pressurized
Intraperitoneal
Aerosol
Chemotherapy(
PIPEC),
Advanced Liver,
5
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
Biliary &
Pancreatic
surgeries,
Hepatic Artery
Infusion (HAI)
11.Liver & Biliary
Surgery - Portal
Vein
Embolization
(PVE), Liver
venous
deprivation,
Associating
Liver Partition
And Portal Vein
Ligation For
Staged
Hepatectomy
(ALPPS),
Transjugular
Intrahepatic
Portosystemic
Shunt (TIPS)
12.Complex
Pancreatic
Resections -
Pylorus
Preserving
Pancreaticoduo

6
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
denectomy
(PPPD) w/
Superior
Mesenteric
Vein/Portal
Vein Resection
(SMVPVR);
Appleby,
Radical
Antegrade
Modular
Pancreatosplene
ctomy (RAMPS)
etc.
13.Complex
UroGyne
14.Pelvic
Exenteration
15.Advanced
radiotherapeutic
technologies (i.e.
proton therapy,
MRI-guided
LINAC)
Fixed assets Same as MCC plus: Same as SCC plus: Same as BCCC Same as CCU and to Same as SCCPC To follow current Standard RHU/ UHU/
(medical) plus: follow current standards of and to follow standards of Level 1 BHS equipment
Level 3 hospitals plus: current standards of hospitals:
1. Equipment for 1. PET-CT Scan Assets for the Level 2 Hospitals
highly specialized 2. Gamma probe particular cancer ● Fluoroscopy plus:

7
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
surgical and 3. Liquid Nitrogen specialty, if any ● MRI – (may be
radiotherapeutic 4. Indocyanine shared within the 1. ICU equipment 1. X-ray
procedures green (ICG) / network) 2. CT Scan 2. Ultrasound
2. Main server of the 99mTc- 3. Digital 3. Mammography –
National Cancer Mebrofenin liver mammography if with access
Registry and function test and sonography (Imaging may be
National 4. Access to MRI sent out to
Screening within the radiologist shared
Program Database network by the network or
3. Tumor Bank 5. Endoscopy (in shared via DICOM
accordance with standards
CPGs)
6. Oncology drug
administration
facility - if
available must
have the ff:
chemotherapy
infusion set,
drug and IV
paraphernalia
storage, drug
compounding
unit with
laminar flow
hood, drug
administration
chairs/beds,
patient toilet and
sink facility,
drug storage and

8
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
disposal
requirements
(*to be aligned
with DOH
ODAC
guidelines)

Surgical Same as MCC plus Same as SCC and to Same as BCCC Same as CCU plus: To follow current To follow current None
infrastructure equipment for highly follow current plus: standards of Level standards of Level 1
and equipment specialized RT and standards of Level 3 1. Microwave and 2 hospitals; To add hospitals
Surgery procedures, hospitals plus: Assets for the Radiofrequency depending on
in accordance with particular cancer Ablation ablation services deemed (To add depending
CPGs specialty, if any 2. ICG- enabled surgical appropriate in this on additional cancer
equipment level according to care services
1. Virtual reality 1. Stereotactic 3. IOUS CPGs deemed appropriate
(VR) capabilities biopsy 4. ERAS enabled in this level,
2. Tele-surgery set 2. Hybrid OR 5. Radiotherapy according to CPGs
up 3. 4K 3D surgical equipment: linear
3. Transplant monitor and accelerator (LINAC)
Capability medical video and brachytherapy
recorder for machines with dedicated
robotic surgery or shared CT simulator
4. Hyperthermic
intraperitoneal
chemotherapy
(HIPEC) &
Pressurized
intraperitoneal
aerosol
chemotherapy
(PIPAC)
9
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
machines
5. Cavitronic
ultrasonic
surgical aspirator
(CUSA)
6. Laparascopic
tower
7. Intraoperative
ultrasound
8. Liquid nitrogen
9. Laser and argon
beam
10. LINAC (with
IGRT
11. Microwave and
RadiofrequencyA
blation

10
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
Human Staffing for: Same as SCC and to Same as BCCC Same as CCU plus: Same as SCCPC Same as PCCPC 1. Primary Care
Resource follow current plus: and to follow plus: Providers (i.e.
Assets standards of Level 3 1. Integrated current standards of general medical
1. PCC hospitals plus: multidisciplinary and Level 2 hospitals 1. Specialists (IM, practitioner, family
● Human
Coordinating interdisciplinary cancer plus: Pedia, Ob-Gyn, medicine) with
office 1. Surgical resources for care among health care Surgery, Fam specific training
2. Staff of Advanced oncology the particular workers and allied 1. Minimum Med) or general 2. Allied health
Comprehensive subspecialists – cancer health care professionals number of health physicians (who professionals with
Cancer Centers neurosurgery, specialty, if including radiotherapy* care workers have completed a specific training
(ACCC) pediatric, head any and palliative care teams with advanced minimum level of (Special training:
and neck, training in training in Acute Care,
Functions: thoracic ● Radiation cancer care as partnership with Continuity of care/
cardiovascular, oncologist follows: oncologists) follow-up care,
1. Oversight of all hepatobiliary, ● Medical physicist 2. Anesthesiologists, Primary palliative
health care colorectal, urolog ● Radiation therapy ● Medical Radiologists, care and hospice,
professionals y, gynecology, technologist oncologist Pathologists (May Clinical Nutritionist,
providing cancer etc ● Biomedical ● Pediatric be shared within Pharmacologist,
care; 2. Geneticist/ engineer or oncologist network) Child life specialist
2. Ensures adequate Genetic technician ● Surgical 3. Allied health care
availability and Counselors oncologist professionals who
distribution of (*to be aligned with DOH ● Cancer have completed a
human resources FDA CDRRHR surgeon minimum level of
for increased guidelines) ● Palliative care training to
access to care provider perform
including 2. Other specialized ● Pathologist interventions as
ensuring available oncology professionals CT/MRI deemed
staffing in cancer address the psychosocial Radiologist appropriate in this
centers and rehabilitation needs level. Services
3. With centralized of cancer patients, 2. Adequate mix of deemed
planning system persons living with allied health care appropriate for
for personnel to cancer, and survivors professionals Level 1 in
consider current (i.e. rehabilitation who have accordance with
11
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
Training ● Provides At least 1 May provide ● Has
leadership in subspecialty training program for residency training
cancer care program (i.e. specific oncology programs (i.e. internal
training all colorectal surgery subspecialty medicine, surgery,
facilities across fellowship training, pediatrics, obstetrics,
the cancer care radiotherapy and gynecology,
network residency training, radiology)
● Provides training etc.) ● With linkage with
program for pathology residency
oncology Subspecialty training
subspecialties as Fellowship training
well as program*:
leadership in - Surgical
training of fellowship
lower-level - Medical oncology
cancer care - Pediatric
facilities oncology
- Radiation
oncology
- Palliative
medicine

1. Hospital-Based Optional: Community-

Research Same as MCC plus: Same as CCU plus: Same as SCCPC Cancer Registry based research in
Same as SCC plus: Same as BCCC plus: 2. Optional: partnership with other
1. Management and plus: 1. DOST-funded cancer General cancer institutions
Leadership in
analysis of scientific cancer Leadership in research 1. In-house and research,
National Cancer research in the scientific cancer 2. Clinical trials inter-institution Operations
Registry and country for the research in the general cancer research, Clinical
National prevalent cancers country for the research research (in
Screening 2. General cancer partnership with
12
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
Program Database particular cancer research, other
2. With in-house specialty (basic Operations institutions)
training programs sciences, clinical, research, Clinical
and training for genetics, research,
partner facilities epidemiology, epidemiology,
providing lower- public health, etc.) etc. (in
level cancer care 1. Hospital-based partnership with
and other Cancer other
subspecialty Registry institutions)
programs 2. General cancer
3. Leads training of research,
lower-level Operations
cancer care research,
facilities Clinical
4. With more in- research
depth, extensive, 3. DOST-funded
highly- cancer research
sophisticated 4. Clinical trials
research (i.e. cell
research –
storage, banking,
culture, extraction
of genetic
material, etc.)
5. With multi-
disciplinary or
multi-center
research –
partnerships with
other research and
academic

13
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
institutions
locally and
internationally
6. Research for
policy
Other services Same as MSCC plus: Same as BCCC plus: Same as BCCC Same as CCU Same as SCCPC Same as PCCPC 1. Referral and
plus: plus: plus: adequate patient
Main, central Capacity to host navigation (within
repository of conventions or large Services for the Blood bank with 1. Referral and primary care
National Cancer conferences particular cancer blood transfusion adequate patient provider network)
Registry and specialty, if any facility navigation (to 2. Interoperable EMR
National Screening higher level (within and across
Program Database facility and back the primary care
to home or provider network)
community-
based facilities)
2. Interoperable
EMR (within and
across Cancer
Control Units to
Comprehensive
Cancer Control
Facilities)
3. Telehealth
4. Blood station
with blood
transfusion
Common Highest level of Higher level of Higher level of Higher level of support High level of Same as PCCPC 1. Patient navigation,
services support services support services support services to services support services as plus: Social Service,
- Post-treatment specific cancer. - multi-disciplinary in SSCPC Family Support,

14
 Resource Stratified Framework for Cancer Centers

CATEGORY /
SPECIALTY INTERMEDIATE PRIMARY
CRITERIA
National Specialty Advanced Comprehensive Cancer Primary Cancer
Facility Cancer Center Centers (ACCC) Secondary Cancer Control and Clinic
Nomenclature (NSCC)-Philippine Basic Comprehensive Cancer Control (PCCPC)
Multispecialty Control Clinic
Cancer Center Specialty Cancer Cancer Center (BCCC) Unit (CCU)
(SCCC)
Cancer Center
(PCC) Center (SCC)
(MCC)
- Genetic surveillance care Patient - Oncology - Cancer Accommodation,
counseling (PET-CT) navigation nursing Awareness Practical Support
care Program 2. Wellness, Nutrition,
- Cancer - Cancer Pain Management,
registry survivorship Psychosocial
program Support, Psychiatric
Services, Palliative
Care, Community-
based Hospice Care

Ambulatory Oncology Drug

Level of Care AMBULATORY RADIOTHERAPY FACILITY
Administration Facility
Proposed base facility Stand-alone or within hospital Stand-alone or within hospital
Resource level Limited Limited
Catchment population Province-wide or city-wide health care provider network Province-wide or city-wide health care provider network
Primary role in the 1. Administration of oncology drug to cancer patients 1. Administration of radiotherapy to cancer patients
network 2. Able to prevent and manage acute oncology drug toxicities 2. Able to prevent and manage radiation toxicities
3. Should have a partner or main L2 hospital (at minimum) 3. Should have a main facility or a partner Comprehensive Cancer Center;
4. Requires Plan of Treatment considering surgery, RT, palliative 4. Requires Plan of Treatment considering med/pedia onco, RT, palliative care
care specialties; specialties

15
 Resource Stratified Framework for Cancer Centers

5. With CPG and guidelines on when to refer to higher level facility 5. With CPG and guidelines on when to refer to higher level facility
Diagnostic Services None None
Medical therapeutic Support, cytotoxic, hormonal, Immunotherapy, targeted therapy (that Radiation therapy (at least LINAC IMRT, Brachytherapy) that can be given on
services can be given no longer than 4 hours administration time) outpatient basis, in accordance with CPGs
2) CT Scan for simulation and treatment planning
Surgical services Care for vascular access - flushing of portacath None
1. Chemotherapy-infusion sets and Chairs 1. LINAC machine with at least IMRT capability
Fixed assets (medical) 2. Drug and IV paraphernalia storage 2. LDR or HDR Brachytherapy machine
3. Drug compounding unit with laminar flow hood 3. CT Scan (wide bore)
4. Drug administration chairs/ beds
5. Patient toilet and sink facility
6. Drug storage and disposal requirements

*Align with DOH ODAC guidelines

Surgical None None Radiotherapy bunker
Infrastructure and
equipment
Human Resource 1. Medical/ Pediatric/ Hematology oncologists 1. Medical physicist
Assets 2. Oncology nurses - trained in primary palliative care, trained in 2. Radiation oncologists
oncology drug administrative and supportive care 3. Radiation therapy technologists
3. Clinical pharmacist 4. Oncology nurses - trained in oncology nursing and supportive care, primary
palliative care
Research Cancer registry Cancer registry
Other services Optional: Blood station with blood transfusion facility

16