Annual Performance

Review FY 2071/72…Rumjatar…………… Hospital

………

Infrastructure Hospital owned land: 10 Ropani…..-.

0…-0 ….. (Ropani/Bigaha)

Building:› Hospital Room: Adequate › Doctor quarter: Inadequate› Staff quarter: Inadequate› Other:

Ambulance : Non Functioning Major Medical Equipments:

› _______________ … Functioning …. Non Functioning› _______________ … Functioning …. Non Functioning› _______________ … Functioning …. Non Functioning› _______________ … Functioning …. Non Functioning› _______________ … Functioning …. Non Functioning

Outline of Presentation Human resource Infrastructure Financial Situation Major Hospital Services Service Statistics Hospital's own new initiation Hospital Strength Major Challenges Recommendations

SN POSTS

GOVERNMENT CURRENTLY AVAILABLE

Sanctioned post

(in number)

Fulfilled(in

number)

Among government

sanction (in number)

Local and other resources

(in number)

Technical Staffs 25 38

Administrative (Non-Technical)

Total

Human resource

Hospital Bed No of Sanctioned Bed: No of available bed:

› General:› Emergency:› Cabin:

Finical resourceBudget Budget

Allocated Budget

ReleasedBudget

Expenditure

Irregularities (BERUJU)Amount Clearance

s%

Clearances

Capital

Recurrent

Total

Source Budget Allocated

Budget Released

Budget Expenditure

% Expenditure

GovernmentEDPsTotal

Budget Expenditure by source

Financial resource Locally Managed

Source Budget Allocated

Budget Released

Budget Expenditure

% Expenditure

Name of EDP Types of Support (specify)Technical Logistics Financial

EDP Support

Major Hospital Services

Preventative

Promotive

Curative

Rehabilitative

Hospital Services FY 2071/72Outpatient Services Emergency Services

Age Group

New Clients Served Total Clients ServedTotal

Total Clients ServedTotal

Female Male Female Male Female Male

0 - 9 Years

10 - 19 Years

20 - 59 Years

≥ 60 Years

Total

Hospital Services FY 2071/72 Free Health Services and Social Security Programme

Patients atUltra Poor/ Poor

Helpless/ Destitute Disabled

Sr. Citizens

> 60 Years

FCHVGender Based

ViolenceOthers Total

Outpatients

Inpatients

Emergency

Referral In

Referred Out

S. No Indicators 2069/70 2070/71 2071/7

2Trend

( - or + )1 Total Number of OPD Cases2 Total Number of Emergency

Cases3 Total Number of Inpatients

admission4 Total Number of Inpatients

Discharged5 Total Number of Preventative

Services Provided6 Total Number of Lab Services

Provided7 Total Number of Hospital

Services Provided

Hospital Services

S. No Indicators 2069/70 2070/71 2071/72

Trend( - or + )

8.1 No of Normal spontaneous Delivery

8.2 No of Forceps/Vacuum Delivery

8.3 No of C/S Delivery9 Number of major surgical

cases performed10 Number of hospital

acquired infection cases among the major surgical cases

11 Referral Cases (In) Total

Hospital Services

S. No Indicators 2069/70 2070/71 2071/72

Trend( - or + )

12 Referral Cases (Out) Total13 Total Maternal Deaths14 Total Neo-natal Deaths15 Total Hospital Deaths16 Number of Hospital

Development Committee Meetings Held

Hospital Services

SN

Indicators Achievement(FY----)

1 Total number of women receiving safe abortion service

2 Proportion of women receiving service by age

20 or below

Above 20

3 Proportion of post abortion contraception

Short term contraception

Long term contraception

Safe abortion indicator

SN Indicators2069/70 2070/71 2071/7

2Trend

( - or+ )

1 % of Emergency Visits Among Total hospital Visits

2 Bed Occupancy Rate3 Proportion of Non-communicable Disease

among Inpatients4 Number of CAC Services Provided5 Death Rate among Surgery (%)6 Death Rate among In-patients7 Total Surgery Cases8 % of Major Surgery among Total Surgery

Cases9 Doctor: In-patient Ratio

10 Doctor: Out patient Ratio11 Nurse: In-patient Ratio

Hospital Indicators

FY

Health Laboratory Services (Number)

Haematology

Immunology

Biochemistry

Bacteriology

Virology Parasitology

Hermones/Endocrinology

Other Tests

Total

2069/70

2070/71

2071/72

Lab Services

SN Indicators Unit Number1 X-ray no.2 Ultrasonogram (USG) no.3 Echocardiogram(Echo) no.4 Electro Encephalo Gram(EEG) no.5 Electrocardiogram (ECG) no.6 Trademail no.7 Computed Tomographic(CT) Scan no.8 Magnetic Resonance Imaging (MRI) no.9 Endoscopy Person

10 Colonoscopy Person

11 Nuclear Medicine Person

Diagnostic Services in the Hospital 2071/2072

Morbidity FY 2070 / 71 Mortality FY 2070 / 71Top Ten Diseases among

inpatientsTop Ten causes of Mortality

among inpatients1. 1.

2. 2.3. 3.4. 4.5. 5.

6. 6.7. 7.

8. 8.

9. 9.

10. 10.

Top 10 Morbidity and Mortality among Inpatients FY 2071/72

Death Information Female Male

Hospital

Death

Early Neonatal Late Neonatal Maternal (All) Post-operative

Other Brought Dead

Postmortem Done

Hospital Deaths FY 2071/72

Top 10 Emergency Surgical Interventions Top 10 Elective Surgeries

Cases No. Cases No.

1. 1.2. 2.3. 3.4. 4.5. 5.6. 6.7. 7.8. 8.9. 9.10. 10

Top 10 Emergency Surgical and Elective Number of Surgery

a) Number of Free Surgical Treatment

a) Number of Free Indoor Medical Treatment

a) Total NRs. Exempted for Treatment

Hospital Service

Indicators 2069/70 2070/71 2071/72

1. New OPD visits by targeted groups as % of total OPD visits

2. Inpatients by targeted groups as % of total inpatients

3. Emergency visits by targeted groups as % of total Emergency case

4. laboratory services to targeted groups as % of total Lab services

Free Health Service

Total Number of Patients receiving Free Services

Total Amount Exempted for Free Treatment Services (in

Rs)Male Female Total

Free Health Service

Total Income (Amount in Rs.) Expenditure Balance

Income, Expenditure & Balance on Free Health Programme: FY 2071/72

Impoverished citizen (Bipanna Nagarik) Treatment fund activities

Diseases (Treated Numbers)Female Male Total

Heart      Kidney      Cancer      Spinal InjuryHead InjuryParkinsonismAlzheimer's disease      Sickle cell anemiaTotal

Requirement of Hospital equipment(for New and upgraded Hospital only)

Equipment list Available Functional

New RequirementQuantity

Not commissioned

equipments

GAP ANALYSISMajor

AchievementPerformance

GapsCauses/Reasons

Recommended Actions for improvements

STRENGTH/OPPORTUNITY Mention in bullets

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