Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX — E
A.O. No. 2012-0012
ANNUAL HOSPITAL STATISTICAL REPORT
YEAR 2017
Name of Hospital: LAS PINAS GENERAL HOSPITAL AND SATELLITE TRAUMA CENTER,
Street Address: Bernabe Compound, Pulang Lupa, Las Pifias City
Municipality: Las Pifias City Province: N/A
Contact No.: 873-0556
Region: NCR
Fax Number: 873-0557 Email Address: Ipghste@email.com
(PLEASE FILL OUT ALL ITEMS. PUT N/A IF NOT APPLICABLE.)
I. GENERAL INFORMATION
A. Classification
1. Service Capability
= Service capability: Capability of a hospitaVother health facility to render administrative, clinical, ancillary and other
services
General:
[. ] Level 1 Hospital
[x] Level 2 Hospital
[_ ] Level 3 Hospital (Teaching/ Training)
‘Trauma Capability: _[_ ] Trauma Capable
2. Nature of Ownership
Government:
[x] National DOH Retained/ Renationalized
[ ] Local (Specify):
{1 Province
[ 1City
[1 District
[1 Municipality
[ 1 DND/Dos
[J State Universit
ies and Colleges (SUCs)
[. ] Others (Specify.
Specialty: (Specify)
[_ ] Treats a particular disease (Specify)
[__ ] Treats a particular organ (Specify):
[__] Treats a particular class of patients (Specify):
[__ ] Others (Specify):
[x] Trauma Receiving
Private:
] Single Proprietorship/Partnership/Corp.
] Foundation
C
C
[ ] Civic Organization
C
[ ] Others (Specify)
8 Sa Repro |Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX -E
A.O. No, 2012-0012
B. Quality Management
Quality Management! Quality Assurance Program: Organized set of aetivities designed to demonstrate on-going
assessment of important aspects of patient care and services
[x] ISO Certified (Specify ISO Certifying Body and
area(s) of the hospital with Certification)
SOCOTEC Validity Period April 3, 2017-September 14, 2018
[. ]Intemational Accreditation Validity Period
[x ] PhilHealth Accreditation Validity Period: January 01- Dec. 31, 2018
[x] Basie Participation
[ ] Advanced Participation
[ ]PCAHO Validity Period
C. Bed Capacity/Oceupaney
1, Authorized Bed Capacity: 200
* Authorized bed: Approved number of beds issued by BHFS, the licensing agency of DOH.
2. Implementing Beds: 170 beds
+ Implementing beds: Actual beds used (based on hospitel management decision)
3. Bed Occupancy Rate (BOR) Based on Authorized Beds: 90%
(Cotal Inpatient service days for the period)** x 100 65,347 x 100_ = 6,534,700= 90%
(Total number of Authorized beds) x (Total days inthe period) 200x365 = 73,000
= Bed Occupancy Rate: The percentage of inpatient beds occupied over a period of time. It is a measure of the intensity
of hospital resources utilized by in-patients,
* Inpatient Service days: Unit of measure denoting the services received by one in-patient in one 24 hour period.
+ **inpatient Service days (Bed days) = [Inpatients remaining at midnight + Total admissions) — Total discharges/deaths)
+ (umber of admissions and discharges on the same day)].
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.
**Bed day: Bed used for a continuous 24 hours by an inpatient.
[ Hosssat pan ream |
isonsDepartment of Health
BUREAU OF HEALTH FACILITIES AND SERVICES.
E
ANNEX —
A.O. No. 2012-0012
Tnpatient Care Number
Total number of inpatients (admissions, including newborns) 12,681
(adm-10,082 + 2599 NB= 12,681)
Total Discharges (Alive) 9,266
‘Total patients admitted and discharged on the same day 192
Total number of inpatient bed days (service days) 65,387
Total number of inpatients transferred TO THIS FACILITY from another aa
facility for inpatient care
Total number of inpatients transferred FROM THIS FACILITY to 34
another facility for inpatient care
Total number of patients remaining in the hospital as of midnight last day of | 131
previous year
Discharges
Kindly accomplish the “Type of Se and Total Discharges According to Specialty” in the table below.
‘ype of Accomodation Condon on Discharge
ctype | noor | rot
Tyo Tayo Tat
cette [t! | bet Phat mw be
x ayy vats | ae
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eal [Si | Tom
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mm |r Wear ear
9 Dee | at
earns aaa Trae | aT ao see | aL Oa LTE PR LOL aa Pa aa pa
ops Sate Tess oar awe [aoe fo saw wae ope es Tae
‘yaeenagy [259 2 spop pa
Fediatin | 28s7 [ae Pao asa eT ae IS seo ae ae ar
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c Bea ara eo rae op pe
Raat —| S| STO] | BLO] we | we] ao e | OP] pope] | ay ae] os
Sika
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a
Total [5
Nentorn [pass
“Pathog | 219 [5
Non-Patho | 2.380) I
* Rul— Recovered/improved T-Transferred __U-Unimproved
H-Home Against Medical Advice A—Absconded ‘Died (died upon admission)
OS Stat Rasen Ferm
Rewena
oimazoreI. TOTAL NUMBER OF PATIENT PER SERVICE
Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX - E.
A.O. No. 2012-0012
SERVICE TOTAL NO. OF PATIENTS
Medical 2,420
Obstetrics and Gynecology 3,735
Pediatrics 2,841
Surgery 1,122
Total 10,118
surgery
__ 1122 (11%)
[EB Medical
im Pediatrics
D.oB/6yne
surgery
oo
i OunaraneDepartment of Health
IL. TOTAL NUMBER OF DEATHS PER SERVICE
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX -
AO. No. 2012-0012
‘SERVICE DEATHS DEATH RATE
<8 >48 TOTAL | GROSS | NET
Medical 321 307 628 26% 15%
Obstetrics and Gynecology 2 7 9 0.35% 0.27%
Pediatrics 17 64 18 % 2%
Surgery 12 22. 34 3% 2%
Total 452 400) 852 8% M%
TOTAL DEATHS
Surgery, 34, 4%:
Pediatrics,
21%
Medical
i Pediatrics
|.0B/Gyne
surgery
al, 628, 74%
‘ovemnares
ten
age 24Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX - E.
A.O. No. 2012-0012
1, Average Length of Stay (ALOS) of Admitted Patients
Total length of stay of discharged patients (including Deaths) in the period = 53,720 = S days
‘Total discharges and deaths in the period 10,118
= Average length of stay: Average number of days each inpatient stays in the hospital for each episode of care.
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.
ee eee TA Number
DELIVERIES (CS/NSD) 2,554
2. PNEUMONIA 964
ABORTION 505
4. DHF 468
5. SEPSIS NEONATORUM 401
6. CEREBROVASCULAR DISEASE (CVD) 257
7, ACUTE GASTROENTERITIS (AGE) 222
8. SMALL FOR GESTATIONAL AGE (SGA) 197
9. AP 181
10. ACUTE UTERINE BLEEDING (AUB) 126
11, CALCULOUS CHOLECYSTITIS, 121
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yyeay 10 juoujedaqDepartment of Health
8. Total Number of Deliveries
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX -E
A.O. No. 2012-0012
For each category of delivery listed below, please report the total number of deliveries.
Deiiveries Number | 1CD-10 Code
Total number of in-facility deliveries 2.554 738.0
Total number of live-birth vaginal deliveries (normal) 1791 ‘080.9
Total number of live-birth C-section deliveries (Caesarian) 702 0829
Total number of other deliveries
= Breech 61 083.1
9. Outpatient Visits, including Emergency Care, Testing and Other Services
For cach category of visit of service listed below, please report the total number of patients receiving
the care.
Outpatient visits Number
‘Number of outpatient visits, new patient 17110
| Number of outpatient visits, re-visit 61770
‘Number of outpatient visits, adult 38817
Number of outpatient visits, pediatric 20,063
‘Number of adult general medicine outpatient visits 17,722
‘Number of specialty (non-surgical) outpatient visits 9,050
‘Number of surgical outpatient visits 10,011
‘Number oF antenatal care visits 8481
‘Number of postnatal care visits 7335
f NS Sat hapa Fo a
Pape 20124Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX ~ E
‘AO. No, 2012-0012
‘Emergency visits Number
Total number of emergeney department visits 62,743
Total number of emergency department visits, adult : 35,628
“Total number of emergency department visits, pediatric IAS
‘Total number of patients transported FROM THIS FACILITY’S 1,359
EMERGENCY DEPARTMENT to another facility for inpatient care
Testing Namber
Total number of medical imaging tests (all types including x-rays, ultrasound, | 22,151
CT scans, etc.)
Total number of laboratory and diagnostic tests (all types, excluding medical 275 S17
imaging)
(Oihier Services and diseases seen Number
Total number of outreach or home visits 0
Total number of immunization doses administered to children 0-59 months at_| BCG — 2,568
this facility or during outreach or home visits. Include immunizations Hepa—2,554
administered during child health weeks
Total number of newly diagnosed cases of TB 195
‘Total number of confirmed cases of dengue 357
C. Deaths
For cach category of death listed below, please report the total number of deaths.
‘Types of deaths Number
Total deaths 852
Total number of inpatient deaths
* Total deaths < 48 hours 452
+ Total deaths > 48 hours 400
[hos Sar Rspet ram |Department of Health
1. Persons encountering health services in circumstances related to reproduction
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX ~E
A.O. No. 2012-0012
(regiaiiy, Abid) 7,085 230-239
2. Unspecified multiple injuries (Wounds, Fractures, Abrasions, Contusion) 5,825 ‘T00-T07
3, Other diseases of the urinary system (Urinary Tract Infection) 3,600] _N30-N39
4, Intestinal infectious diseases (Acute Gastroenteritis) 3,466 ‘A00-A09
5. Persons encountering health services for examination and investigation 2,115 200-213
6. Influenza and pneumonia (CAP, Pneumonia) 1,986 N0-318
7. Hypertensive diseases 1,639 no-115
8. Cerebrovascular diseases 1,540 160-169
9, Other viral diseases (Systemic Viral Infection) 1271 B25-B34
10. Tuberculosis 1,097 AIS-A19Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX ~ E
A.O. No. 2012-0012
Total number of emergency room deaths 78
Total number of cases declared ‘dead on arrival” 145
Total number of stillbirths 6
Total number of neonatal deaths ®
Total number of maternal deaths 9
1.
Gross Death Rate 8.42%
Gross Death Rate = Total Deaths (including newbom for a given period) x 100 $52x 100 = 8.47%
Total Discharges and Deaths for the same period 10,118
2. Net Death Rate 4.13%
‘Net Death Rate = Total Death (including newborn for a given period) — death <48 hours for the period
Total Discharges (including deaths and newborn) — death<48 hours for the period x 100
= 8524525100 = 400x199 = 38
io.t 18-453 3068
3. Ten Leading Causes of Mortality/Deaths and Total Number of Mortality/Deaths.
Mortality/Deaths: ‘Number ICD-10 Code
(individual)
1.Pneumonia 169 J18.9
2.Cerebrovascular Disease 1st 167.9
3.CKD 41 NI8.9
4.Sepsis 40 A419
5.PTB 38 Al6.9
6. Asthma 29 545.9
TAMIL 28 19
8.HASCVD 27 ng
9.COPD 26 S449 |
TO.Prematariiy 35 POTS
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yyeaH Jo JuaujedaqDepartment of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX ~ E
A.O. No. 2012-0012
Healtheare Associated Infections (HAT)
HAL are infections that patients acquire as a result of healthcare interventions. For purposes of Licensing, the four (4)
major HAI would suffice.
For All Hospitals (Levels 1, 2,3 General and Specialty)
INFECTION RATE = Number of Healtheare Associated Infectionsx100 = 8:100 = 0.078%
‘Number of Discharges 10.1%
a, Device Related Infections
or Acquired Pneumonia (VAP) = Number of Patients with VAP. x 1000
Total Number of Ventilator Days
12.24%
1. Ve
2. Blood Stream Infection (BSI) = Number of Patients with BSI x 1000
Total Number of Central Line
3. Urinary Tract Infection (UTI) = Number of Patients with UTI x1000
‘Total Number of Catheter Days
b. Non-Device Related Infections
Surgical Site Infections (SSI) = Number of Surgical Site Infections x 100
Total number of Procedures
=3x100 12%
2,501
E. Surgical Operations
1. Major Operation refers to surgical procedures requiring anesthesia’ spinal anesthesia to be performed in an operating,
theatre. (The definition of a major operation shall be based on the definitions ofthe different cuting specialties)
2. Minor Operation refers to surgical procedures requiring only local anesthesia/ no OR needed, example suturing.
10 Leading Major Operations (excluding Caesarian Sections) Number
1. Appendectomy 180
2. Explore Laparotomy 146
3. Cholecystectomy 145
4, Herniormhaphy Ss
5. TAHBSO. 43
6. Vaginal Hysterectomy. 12
7. Partial Hip Arthroplasty iW
8. Thyroidectomy 10
9. Below Knee Amputation 9
10.Bilateral Partial Salpinggeectomy 8Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES.
ANNEX ~ E
A.O. No. 2012-0012
1. Dental Extraction 67
2. Internal Jugular Catheter Insertion 15
3. Endometrial Biops} 75
4. Circumcision 39
5. Incision & Drainage ST
6. Excision Biops; SL
7. Arteriovenous Fistula Creation 46
'8. Chest Tube Thoracostomy Insertion 3
‘9. Endometrial Curettage a,
10.Sebaceous Cyst 4
IIL, STAFFING PATTERN (Total Staff Complement)
Profession/ Position/
Designation
Total staff working full
(at least 40 hours/week)
Total staff working part time
(at least 20 hours/week)
‘Aative ‘Our
Rotating or | sourced
Visiting
Affiliate
(For Private
Facilities)
Nanber af | Namber of
permancnt | contracual
Number of
elanteer
Ranber of
permancat
| sat!
amber of
‘contractual
sft
‘Number
volunteer
‘A. Medical
‘Consultants (indicate
‘One-Peso consultant)
Internal Medicine
Generalist
Cardiologist
Endocrinologist
Gastro-Enterologist
Pulmonologist
‘Nephrologist
‘Neurologist
PEP PPP rere
Others:
hh.1Fam Medicine,
Physiatris,
Dermatologist
T2Geriatric
fh 3Oncologist
h.dHlematologist
h.Sinfectious [sease
h.dUrologist
T2, Obstetrics!
Gynecology (and
TA Surgery (and
subspecialty
15. AnesthesiologistDepartment of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX —E
A.O. No. 2012-0012
1.6. Radiologist
7. Pathologist
Dentist
2. Post-Graduate
Fellows
(Indicate specialty?
subspecialty)
3._Residents
3.1. Internal Medicine
3.2. Obstetricts-
Gynecology
3.3. Pediatrics
3.4.Surgery
3.5. Others (Family
‘Medicine and
Physiatrist)
Allied Medical
‘Nurses
126
Midwives
‘Nursing Attendant
‘Nutritionist
Physical Therapist
Pharmacists
>lye ales |i
Medical
‘Technologist
‘Others (Red Tech)
A)
‘Non-Medical
Sovial Workers
Medical Records
Officer! Hospital
Health
Information.
Officer with
formal taining in
medical records
management
3. Laboratory
Technicians
a. X-Ray
Technicians
3, Administrative
Officer
2
6. Accounting?
Finance Officer
[ssiDepartment of Health
BUREAU OF HEALTH FACILITIES AND SERVICES.
ANNEX ~ E
A.O. No, 2012-0012
General Support
Staff :
43 u
89 9
E 3M
7.4 Security 32
‘TOTAL 446 37 37 66
IV.EXPENSES
Report all money spent by the facility on each category.
Expenses
‘Amount in Pesos
‘Amount spent on personnel salaries and wages
PhP140,778,521.88
“Amount spent on benefits for employees (benefits are in addition to wages/salaries.
Benefits include for example: social security contributions, health insurance)
19,477,221.32
‘Allowances provided to employees at this facility (Allowances are in addition to
wages/salaties. Allowances include for example: clothing allowance, PERA, vehicle
maintenance allowance and hazard pay.)
99,823,948.16
TOTAL amount spent on all personnel including wages, salaries, benefits and
allowances for last year (PS)
PhP260,079,691.36
Total amount spent on medicines funded by the Revolving Fund
40,515,026.90
“Total amount spent on medicines funded by the Government of the Philippines (from
any level of government, including the central, provincial and municipal
governments)
0.00
Total amount spent on medical supplies (Ie. syringe, gauze, ete; exclude
pharmaceuticals)
23,102,991.64
Total amount spent on utilities
13,006,569.68
Total amount spent on non-medical services (For example: security, food service,
laundry, waste management)
36,791,439.13,
(Supplies, repairs and maintenance & other MOOE) 40,887,209.61
TOTAL amount spent on maintenance and other operating expen PRPIS4,303,236.96
(Moor)
‘Amount sent on infrastructure (Le., new hospital wing, installation of ramps) 14,551,543.53
‘Amount spent on equipment (ie. x-ray machine, CT scan)
80,483,825.17
TOTAL amount spent on capital outlay (CO)
‘PhP9S,035,368.70Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX —~E
A.O. No. 2012-0012
V. REVENUES
Please report the total revenue this facility collected last year. This includes all monetary resources
acquired dy this facility from all sources, and forall purposes
‘Revenues “Amount in Pesos
Total amount of money received from the Department of Health PhP156,025,789.68
Total amount of money received from the local government 155,700.00
Total amount of money received from donor agencies (for example JICA, USAID, PRPO.OO
and others)
Total amount of money received from private organizations (donations from PhPO.00
businesses, NGOs, etc.)
Total auiount of money received from Phil Health 144,362, 880.00
Tolal amount of money received from direct patient/out-of- pocket charges/fees 38,276,551.20 |
‘Total amount of money received from reimbursement from private 0.00 ]
insurance/HMOs
Total amount of money received irom other sources (MHCAP, PCSO, ete.) 3,667,600.00
TOTAL Revenue PhP344,488,520,88
Report Prepared by . WAAY, MBA
Designation/Section/Department fo. Mgt. Section Date: 12 Feb, 2018
vial 12 Feb, 2018
Report Approved and Certified by
Medial Center Chief It
PREPARED BY:
STANDARDS DEVELOPMENT DIVISION (SDD)
BUREAU OF HEALTH FACILITIES AND SERVICES (BHFS)
DEPARTMENT OF HEALTH (DOH)
APPROVED BY:
ATTY. NICOLAS B. LUTERO III, CESO IT Sea
ASSISTANT SECRETARY ese
DOH pape daatatRepublic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
Annex D.
A0 2016-
ANNUAL STATISTICAL REPORT FOR AMBULANCE SERVICE PROVIDERS
Name of Ambulance Provider: Las Pifias General Hospital and Satellite Trauma Center
License Number: _ 13-281-18-200-H2-1 Validity: 01/01/2018 to _ 12/31/2018
Number of Ambulance/s Licensed by the DOH: 2
A. Total Ambulance Conduction (Per Vehicle)
Total number of Conductions 7
‘Total Hospital to Hospital
Conduction sal
Hospital Conduction
Hospital to Home Conduction
Home to Hospital Conduction
Hospital to Other Routes (ie.
hospital to airport) or vice versa 1
B. Reasons for Referral or Transport
Support services to transport patients from one health facility to another.