ANNUAL HOSPITAL STATISTICAL REPORT

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Department of Health HEALTH FACILITIES AND SERVICES REGULATORY BUREAU ANNEX A.O. No. 2012-0012 - E ANNUAL HOSPITAL STATISTICAL REPORT YEAR 2019 Name of Hospital: Basilan General Hospital Street Address: Km.#2 Binuangan Brgy., Isabela City. Basilan Municipality: Contact No.: Fax Number: Email Address: (PLEASE FILL OUT ALL ITEMS. PUT N/A IF NOT APPLICABLE.) 1. GENERAL INFORMATION A. Classification l. Service Capability Service capability: Capability of a hospital/other health facility to render administrative, clinical, ancillary and other services General: Specialty: (Specify) [ / ] Level 1 Hospital [ ] Treats a particular disease (Specify): [ ] Level 2 Hospital [ ] Treats a particular organ (Specify): [ ] Level 3 Hospital (Teaching/ Training) ] Infirmary [ ] Treats a particular class of patients (Specify): [ ] Others (Specify): Trauma Capability: [ / ] Trauma Capable [ ] Trauma Receiving Trauma-Capable Facility - A DOH licensed hospital designated as a trauma center. (End referral hospital For trauma cases). Trauma-Receiving Facility - A DOH licensed hospital within the trauma service area which receives trauma patients for transport to the point of care or a trauma center. (Receives trauma cases brought to the ER then after stabilization or institution of emergency care, refer such cases to trauma center or trauma capable facility. ( A.O. No. 2012-0012 Rule V. B. 1. c. 3., p. 8).

Transcript of ANNUAL HOSPITAL STATISTICAL REPORT

Page 1: ANNUAL HOSPITAL STATISTICAL REPORT

Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY

BUREAU

ANNEX

A.O. No. 2012-0012

- E

ANNUAL HOSPITAL STATISTICAL REPORT

YEAR 2019

Name of Hospital: Basilan General Hospital Street Address: Km.#2 Binuangan Brgy., Isabela City. Basilan

Municipality:

Contact No.: Fax Number:

Email Address:

(PLEASE FILL OUT ALL ITEMS. PUT N/A IF NOT APPLICABLE.)

1. GENERAL INFORMATION

A. Classification

l. Service Capability Service capability: Capability of a hospital/other health facility to render administrative, clinical, ancillary and

other services

General: Specialty: (Specify)

[ / ] Level 1 Hospital [ ] Treats a particular disease (Specify):

[ ] Level 2 Hospital [ ] Treats a particular organ (Specify):

[ ] Level 3 Hospital (Teaching/ Training)

] Infirmary

[ ] Treats a particular class of patients (Specify):

[ ] Others (Specify):

Trauma Capability: [ / ] Trauma Capable [ ] Trauma Receiving

Trauma-Capable Facility - A DOH licensed hospital designated as a trauma center. (End referral hospital

For trauma cases).

Trauma-Receiving Facility - A DOH licensed hospital within the trauma service area which receives

trauma patients for transport to the point of care or a trauma center. (Receives

trauma cases brought to the ER then after stabilization or institution of

emergency care, refer such cases to trauma center or trauma capable facility.

( A.O. No. 2012-0012 Rule V. B. 1. c. 3., p. 8).

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY

BUREAU

ANNEX

A.O. No. 2012-0012

2. Nature of Ownership

Government: Private: [ ] National [ ] Local (Specify): [ ] Single Proprietorship

[ / 1 DOH Retained [ I Province [ ] Partnership

[ ] DILG - PNP [ ] City [ ] Corporation

[ IDND-AFP [ ] Municipality [ ] Religious

[ ] DOJ [ ] Civic Organization

[ J State Universities and Colleges (SUCs) [ ] Foundation

[ ] Others (Specify):

[ ] Cooperative ] Others

(Specify):

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B. Quality Management

Quality Management/ Quality Assurance Program: Organized set of activities designed to demonstrate on-going

assessment of important aspects of patient care and services.

] ISO Certified (Specify ISO Certifying Body and area(s) of the hospital

with Certification) Validity Period Others Validity

Period

[ ] International Accreditation Validity Period

[ / ] PhilHealth Accreditation Validity Period January 1- December 30, 2018

[ / ] Basic Participation [ ] Advanced Participation

[ ] PCAHO Validity Period

C. Bed Capacity/Occupancy

l. Authorized Bed Capacity:beds

Authorized bed: Approved number of beds issued by HFSRB/RO, the licensing offices of DOH.

2. Implementing Beds: beds Implementing beds: Actual beds used (based on hospital management decision. (This is not the basis for

computing Bed Occupancy Rate).

3. Bed Occupancy Rate (BOR) Based on Authorized Beds: 379.8% (Total Inpatient service

days for the period)**

x 100

(Total number of Authorized beds) x (Total days in the period)

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY

BUREAU

ANNEX

A.O. No. 2012-0012

Bed Occupancy Rate: The percentage of inpatient beds occupied over a given period of time. It is a measure of

the intensity of hospital resources utilized by in-patients.

Inpatient Service days (Inpatient bed days): Unit of measure denoting the services received by one in-patient in

one 24 hour period.

** Total Inpatient Service days or Inpatient Bed days =[(lnpatients remaining at midnight + Total admissions)

— Total discharges/deaths) + (number of admissions and discharges on the same day)].

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HOSPITAL OPERATIONS

A. Summary of Patients in the Hospital

For each category listed below, please report the total volume of services or procedures performed.

*Inpatient: A patient who stays in a health facility while under treatment for more than twenty-four ( 24) hours.

Inpatient Care Number

Total admissions (January l, 12:01 am to December 31, 12;00

midnight

7,689

Total Discharges (Alive) Include HAMA and Absconded

Total patients admitted and discharged on the same day 147

Total number of inpatient bed days (service days)

(Use attached form for your daily census to come up with total in

patient bed days.

30,142

Total number of inpatients transferred TO THIS FACILITY from another

facility for inpatient care

221

Total number of inpatients transferred FROM THIS FACILITY to

another facility for inpatient care

333

Total number of patients remaining in the hospital as of midnight last day of

previous year

225

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HEALTH FACILITIES AND SERVICES REGULATORY

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A.O. No. 2012-0012

B. Discharges

* R/I — Recovered/lmproved T- Transferred U - Unimproved H- Home Against Medical Advice A — Absconded D - Died

1. Average Length of Stay (ALOS) of Admitted Patients Total length of stay of discharged patients (including Deaths) in the period = 3.97 Total

discharges and deaths in the period

Average length of stay: Average number of days each inpatient stays in the hospital for each episode of care.

(Annual Census Period- January 1, 12:01 to December 31, 12:00)

E

Kindl accom lish the "T e of Service and Total Dischar es Accordin to S ecial in the table below. Type

of Service

No

of

Pts

Total

Length of stay/ Total

No. of Days Stay

Type of Accomodation

Condition on Discharge

Philhealth Non-Philhealth H M

o

w

R/

1

T H

Deaths

Total

charg es

Medicine 2913 9334 Obstetrics 1829 5172 118 1029 1147 41 351 392 1658 172 101 1838

Gynec010kY 29 97 101 791 892 30 35

Pediatrics 2873 14792 194 3807 4001 76 564 640 2406 84 170 2724

Surgery: 19

Pedia 65 265 96

Adult 126 394 20 151 171 2 57 59 242 39 27 195

Others,

Specify

TOTAL 7967 30054 10951 11576 176 1474 1650 6609 441 494 113 71 184 7475

Total Newborn

-Pathologic -Non-Patho

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2. Ten Leading causes of Morbidity based on final discharge diagnosis

For each category listed below, please report the total number of cases for the top 10 illnesses/injury.

Cause of Morbidity/lllness/lnjury

Do not include deliveries.

Number ICD-IO

Code

(Tabular)

1. Acute Gastroenteritis 1310 A09

2. Pneumonia 1195 J18.9

3. Urinary Tract Infection 649 N29.1

4. Hypertension 186 110.9

5. Gastritis 181 K29.7

6. Acute Gastritis 78 1<29.1

7. Dengue Fever 68 A90

8. Acute Bronchitis 62 J20.9

9. Pulmonary Tuberculosis 54 A16.2

10. Neonatal Sepsis A41.9

Do not include deliveries

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX

A.O. No. 2012-0012

Kindly accomplish the "Ten Leading Causes of Morbidity/Diseases Disaggregated as to Age and Sex" in the table below.

Cause of

Morbidity

(DO NOT INCLUDE

DELIVERIES)

Age Distribution of Patients

Total

ICD-IO

CODE/ TABULAR

LIST

Under 1

10-14

19 24

over total

1. Acute Gastroenteritis

129 118 218 226 55 39 17 13 20 29

23

46

26

49 21 22

16 33 14 25 13 14 8 22 13 14

18 603 707 1310 A09

2. Pneumonia

176 128 204 162 39 51

11 13 27 23 34 13 20 10 12 11 17

19 12 15 15 m 20 12 18 18 20 26 37 598 597

1195 J18.9

3. Urinary Tract

Infection 15 10 52 40 25 39 17 23

19

49 33 56 20 34 20

25 8 17

18

18 14 16

15 11 10

10 4 23 234 415 649 N29.1

4. Hypertension 10

15 13 21

12

18 80 106

186 110.9

5. Gastritis

10 16

10

11

11

181 K29.7

6. Acute Gastritis

7. Dengue Fever 2 37 31

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ANNEX

A.O. No. 2012-0012

8. Acute Bronchitis

1 32 30

62 J20.9

9. Pulmonary

Tuberculosis

10. Neonatal

Sepsis 19 14

21 21

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REGULATORY BUREAU

ANNEX

A.O. No. 2012-0012

3. Total Number of Deliveries

For each category of delivery listed below, please report the total number of deliveries.

Deliveries Number LCD-IO Code

Total number of in-facility deliveries 1,366

Total number of vaginal deliveries (normal spontaneous) 1,235 080;Z37.o

Total number of live-birth C-section deliveries (Caesarians) 158 082.9

Total number of other deliveries (forceps delivery, vacuum

extraction)

13

4. Outpatient Visits, including Emergency Care, Testing and Other Services For each

category of visit of service listed below, please report the total number of patients

receiving the care.

Outpatient visits

Count visits not atients

Number

Number of outpatient visits, new patient

New atient-a atient seekin consult in our facili for the first time

15,600

Number of outpatient visits, re-visit 3,321

Number of outpatient visits, adult

(Age 19 years old and above)

14,954

Number of outpatient visits, pediatrics

A e 0 to 18 rs old; before 19th birthda

4,748

Number of adult general medicine outpatient visits 12,978

Number of specialty (non-surgical) outpatient visits

Ex. ENT, hthalmolo , Urolog , Oncology, etc.

1,866

Number of surgical outpatient visits 2,160

Number of antenatal/prenatal care visits 986

Number of postnatal care visits

Until the 42nd da ost artum/ ost delive

210

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Department of Health

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ANNEX -E

A.O. No. 2012-0012

TESTING

Total number of medical imaging tests (all types including x-

rays, ultrasound, CT scans, etc., whether ER, OPD or Inpatient.

(DO NOT INCLUDE PROCEDURES DONE OR REFERRED

OUTSIDE

Number

-X-Ra 4,331

-Ultrasound 399

-CT-Scan

-Mammo a h

-An •o a h

-Linear Accelerator

-Dental X-Ra

-Others ECG 137

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REGULATORY BUREAU

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Ten Leading OPD Consultations Number ICD-IO Code

Tabular

1. Acute Bronchitis 1,416 J20.9

2. Urinary Tract Infection 968 N39.O

3. Wound of all Type T14.1

4. Upper Respiratory Tract Infection 943 J06.9

5. Pediatric Community Acquired Pneumonia 880 J18.9

6. Animal Bites 813 T14.1

7. Acute Gastroenteritis 570 A09

8. Hypertension 544 110

9. Pneumoma 379 n 8.9

10. Acute Gastritis 208 K29.1

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Department of Health

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A.O. No. 2012-0012

Total number of laboratory and diagnostic tests (all types, excluding medical

imaging whether ER, OPD or Inpatient. ( DO NOT INCLUDE TESTS DONE

OR REFERRED OUTSIDE

-Urinal sis 8,741

Emergency visits

(NON-EMERGENCY CASES SEEN IN ER SHALL BE INCLUDED IN

OPD REPORT)

Number

Total number of emergency department visits 3,168

Total number of emergency department visits, adult 1,912

Total number of emergency department visits, pediatric 1,256

Total number of patients transported TO THIS FACILITY'S

EMERGENCY DEPARTMENT from other health facilities i.e. RHU,

Medical Clinic, Infirmary, other hospital)

220

Total number ofpatients transported FROM THIS FACILITY'S

EMERGENCY DEPARTMENT to another facility for inpatient care

199

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Department of Health

HEALTH FACILITIES AND SERVICES

REGULATORY BUREAU

ANNEX

A.O. No. 2012-0012

-Fecal sis 2,899

-Hematolo 37,737

-Clinical chemis 15,404

-Immunolo /Serolo /HIV 3,456

-Microbiolo Smears/Culture & Sensitivit 1 ,456

-Sur ical Patholo

-Auto s

-c 010

-Number of Blood units Transfused 540

-Others

Occult Blood Pregnancy Test

Dengue Test

AFB

PTB

31

894

312

98

246

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX -E

A.O. No. 2012-0012

Ten Leading ER Consultations

DO NOT INCLUDE NON-EMERGENCY CASES Number LCD-IO Code

Tabular

1. Wound of Different Types 672 T14.1

2. Soft Tissue Injury 225 T14.9

3. Benign Prostatic Hypertrophy 161 N39.O

4. Animal Bite 129 T14.1

5. Acute Gastritis 109 109.1

6. Systemic Viral Infection 86 B34.9

7. Acute Gastroenteritis with no signs of Dehydration 59 A09

8. Benign Prostatic Hypertrophy 45 N40

9. Acute Bronchitis 45 J20.9

10. CAP - Low Risk 42 J18.9

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Department of Health

Types of deaths Number

Total deaths 184

Total number of inpatient deaths

Total deaths < 48 hours 113

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ANNEX -E

A.O. No. 2012-0012

C. Deaths

For each category of death listed below, please report the total number of deaths.

Total number of emergency room deaths

(Arrived at ER Still with signs of life and died at the ER before patient

is admitted) Do not include deaths of admitted patients staying in ER

awaitin available room or bed.

7

Total number of cases declared 'dead on arrival'

Arrived at the ER with no si ns of life even after resuscitation

25

Total number of stillbirths

Newborn delivered with no si ns of life even after resuscitation.

24

Total number of neonatal deaths (deatrhs among infants, 0-28 days) 6

Total number of maternal deaths

Death related to re nanc or delive until 42nd da ost artum .

6

1. Gross Death Rate = 2.46% Gross Death Rate Total Deaths (including newborn for a given period) x 100

Total Discharges and Deaths for the same period

Net Death Rate Total Death (including newborn for a given period) — death <48 hours for the periodx 100

Total Discharges (including deaths and newborn) — death<48 hours for the period

3. Ten Leading Causes of Mortality/Deaths and Total Number of Mortality/l)eaths.

Mortality/l)eaths (Underlying cause of death)

(DO NOT INCLUDE CARDIO RESPIRATORY

ARREST)

Number ICD-IO Code

(Tabular)

1. Sepsis 9 A41.9

2. Severe Pneumonia 4 J18.9

Total deaths > 48 hours 71

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Department of Health

3. Cardiopulmonary Arrest 4 146.9

4. Pulmonary Tuberculosis 3 Al 6.2

5. Sepsis 3 A41.9

6. Neonatal Sepsis 3 P36.9

7. Pneumonia, Very Severe Malnutrition 2 J18.9, E43

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU ANNEX -E A.O.

No. 2012-0012

8. Pediatric Community Acquired Pneumonia 2 J18.9

9. Massive Blood Loss 2 R58

10. Myocardial Infarction 2 121.9

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX -E

A.O. No. 2012-0012

Kindly accomplish the "Ten Leading Causes of Mortality/Deaths Disaggregated as to Age and Sex" in the table below.

Cause of Death (Underlying) (Do not include

cardio-respiratory Arrest)

Age Distribution of Patients Total ICD-10 CODE/ TABULAR LIST

Und er 1

9 14 15-19 20 24 25-29 30-34 3539 40-44 45-49 5054 55-59 60-64 65-69 70 &

over Su btotal

1. Sepsis 1 2

2

1 1 1 1 4 5 9 A41.9

2. Severe Pneumonia 3 1 4 0 4 J18.9

3. Cardiopulmonary 1 1 1 1 3 1 4 146.9

4. Pulmonary Tuberculosis

1 1 1

5. Neonatal Sepsis 1 2 1 2 3 P36.9

6. Pneumonia 1 1 1 1 2 Jl 8.9

7. Pneumonia, Very Severe Malnutrition

1 1 2 o 2 J18.9,

E43

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Department of Health

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ANNEX -E

A.O. No. 2012-0012

8. Pediatric Community Acquired Pneumonia

2 2 o 2 J18.9

9. Massive Blood Loss 1 1 1 1 2 R58

10. Myocardial Infarction

2 2 o 2 121.9

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX - E

A.O. No. 2012-0012

D. Healthcare Associated Infections (HAI)

HAI are infections that patients acquire as a result of healthcare interventions. For purposes of Licensing, the four (4)

major HAI would suffice.

a. Device Related Infections

1. Ventilator Acquired Pneumonia (VAP) Number of Patients with VAP

x 1000

Total Number of Ventilator Days

(Ventilator days are the total days patients are intubated and hooked to ventilators

not the total in patient days of these patients.

(Not to be filled up by Level 1 without ICU)

2. Blood Stream Infection (BSI) Number of Patients with BSI

x 1000

Total Number of Central Line

( Do not include peripheral lines such as IVs)

3. Urinary Tract Infection (UTI) Number of Patients (with catheter) with UTI

x 1000

Total Number of Catheter Day

(Catheter days- total days these patients are with catheters not the total length of

stay of these patients).

b. Non-Device Related Infections

Surgical Site Infections (SSI) Number of Surgical Site Infections(C1ean Cases) x 100

Total number of Procedures done

Infection rates shall be provided by the Infection Prevention and Control Committee

E. Surgical Operations

1. Major Operation refers to surgical procedures requiring anesthesia/ spinal anesthesia to be performed in an

operating theatre.

(When in doubt, OR nurses shall refer to different cutting specialties when in doubt as to major when local

anesthesia is used or minor when general or spinal anesthesia is used .)

2. Minor Operation refers to surgical procedures requiring only local anesthesia/ no OR needed, example

suturing.

(Refer to different cutting specialties)

;

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX - E

A.O. No. 2012-0012

10 Leading Major Operations

(EXCLUDING CAESARIAN SECTIONS)

Number

1. Cheiloplasty 26

2. Palatoplasty 17

3. Low Transverse Caesarean Section 11

4. Low Transverse Caesarean Section with BTL 3

5. Pfannensteil Caesarean Section 2

6. Unilateral Salphingo Oophorectomy 1

7. Classical Caesarean Section with BTL 1

8. Hysterectomy 1

9. Wound Debridement 1

10. Repair of palatal fistula

10 Leading Minor Operations Number

1. Circumcision 48

2. Excision of Cyst 31

3. Incision and Drainage 16

4. Excision 14

5. Excision of sebaceous cyst 10

6. Cheiloplasty 6

7. Inguectomy 2

8.Di1ation and curettage 2

9. Hydrocelectomy right 1

10. Removal of foreign body 1

Include post partum Bilateral Tubal Ligation (BTL) as Minor Case.

Episiotomy is not included ; it is part of delivery.

11. STAFFING PATTERN (Total Staff Complement)

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX - E

A.O. No. 2012-0012

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Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY

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3. Resident

Physician/

Ph sician on du

3.1. Internal Medicine

3.2. ObstetrictsG

ecology

.02

- 3.3 .Pediatrics

3.4Surgery

4. General

Practitioner

13

Others, please

specify.

Allied Medical

1. Nurses 73

2. Midwives 4

3. Nursing Aides 23

4. Nutritionist 2

5. Physical

Thera ist

6. Pharmacists 4

7. Medical

Technolo ist

7

8. Laborato Aide 4

9. X-Ray

Technologist/XRa

Technician

4

10. Medical

Equipment

Technician

1

11. Social Workers 2

12. Medical

Records Officer/

Hospital Health

Information

Officer/Staff

1

9

13. Others (Specify)

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Administrative

l . Chief

Administrative

Officer

SAO

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2. Accountin 1

3.

4. Budget Officer 1

5. Cashier 1

6. Sup I Officer 1

7. Clerk/s

8. Engineer

Engineer Ill

Engineer Il

1 1

General Support Staff (indicate if outsourced

8.1 Security 9

8.2Janitorial/housek

ee In

2

8.3Maintenance

8.4Laundry 1

9. specify 1

(Positions with blocked portions are required to be full time permanent or contractual; include Those

under Job Order in the column for Contractual)

111. EXPENSES

Re ort all mone s entb the facilit on each cate o

Expenses Amount in

Pesos

Amount spent on personnel salaries and wages 73 488,644.87

Amount spent on benefits for employees (benefits are in addition to wages/salaries.

Benefits include for example: social security contributions, health insurance)

Allowances provided to employees at this facility (Allowances are in addition to

wages/salaries. Allowances include for example: clothing allowance, PERA,

vehicle maintenance allowance and hazard pay.)

TOTAL amount spent on all personnel including wages, salaries, benefits and

allowances for last ear PS

Total amount s ent on medicines 8,132,370.01

Total amount spent on medical supplies (i.e. syringe, gauze, etc.; exclude

harmaceuticals

Total amount s ent on utilities water, electrici , communication, etc.

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Department of Health

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ANNEX

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Total amount spent on non-medical services (For example: security, food service,

laund , waste management

12,767,715.56

TOTAL amount spent on maintenance and other operating expenditures

(MOOE)

35,468,383.6

Amount s ent on infrastructure i.e., new hos ital win , installation of ram s 16,366,792.95

Amount spent on equipment (i.e. x-ray machine, CT scan) 22,294,244.03

TOTAL amount spent on capital outlay (CO) 37,427,477.7

GRAND TOTAL 406,514,042.34

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IV. REVENUES

Please report the total revenue this facility collected last year. This includes all monetary resources ac

uiredb this facili from all sources, and for all u oses.

Revenues Amount in

Pesos

Total amount of money received from the Department of Health 159,915,041

Total amount of money received from the local government

Total amount of money received from donor agencies (for example JICA, USAID,

and others)

Total amount of money received from private organizations (donations from

businesses, NGOs, etc.)

Total amount of money received from Phil Health 47,785,232.88

Total amount of money received from direct patient/out-of-pocket charges/fees 2,841,320.75

Total amount of money received from reimbursement from private

insurance/HMOs

Total amount of money received from other sources (PAGCOR, PCSO, etc.)

TOTAL Revenue 210,541,594.63

If donation is in kind, please put equivalent amount in peso.

Report Prepared by • CIRILA S.T. MPA A

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Department of Health

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BUREAU

ANNEX

A.O. No. 2012-0012

Designation Section/Department • Date: January 15. 2020

Report Approved and Certified by

DOH PREPARED BY:

STANDARDS DEVELOPMENT DIVISION (SDI))

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU (HFSRB) DEPARTMENT

OF HEALTH (DOH)

APPROVED BY:

ATTY. NICOLAS B. LUTERO 111, CESO 111

Director IV — Health Facilities and Services Regulatory Bureau

Administrat e O Ice V

Medical Center Chief - I