Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX
A.O. No. 2012-0012
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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).
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)
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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Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX
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
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX
A.O. No. 2012-0012
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
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
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU
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
Department of Health
HEALTH FACILITIES AND SERVICES
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
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
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
Department of Health
HEALTH FACILITIES AND SERVICES
REGULATORY BUREAU
ANNEX
A.O. No. 2012-0012
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E
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
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX -E
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
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
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
Department of Health
Types of deaths Number
Total deaths 184
Total number of inpatient deaths
Total deaths < 48 hours 113
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU
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
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
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
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU
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
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)
;
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)
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU
ANNEX - E
A.O. No. 2012-0012
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX
A.O. No. 2012-0012
-E
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)
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX
A.O. No. 2012-0012
Administrative
l . Chief
Administrative
Officer
SAO
- E
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.
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
BUREAU
ANNEX
A.O. No. 2012-0012
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
;
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY
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
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