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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 | isons Department 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 ‘Stay! s eal [Si | Tom Noor | P | Servi | Total Service ‘Total brs [irs | 1 Days | | char y 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 Sara c Bea ara eo rae op pe Raat —| S| STO] | BLO] we | we] ao e | OP] pope] | ay ae] os Sika Specify 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 oimazore I. 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 Ounarane Department 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 24 Department 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 | waza it snnsixo1eu set 1a | on wz| ez si 6 | ot ww. 10 ust. cu | vv ia v0 | ust 39, siz | sz sos sos|_o 196, ser | oes si | we ‘uownua 2 st (asws9) SuOMPa" | lz omsasege ovo in es rans 0 os | soo | oss | soos | arse trop re0e ost atest pion 12m smuaned Jo wornquasig ay (aussjz9pun) “mopaq a1) ayp UY ,.xag pue aBy 0} SE payedasTaustg saseastg/ANpIqsOW Jo sasmeD Suipeay] ua.,, 3y} Ystautorse KpUr] 7400-2402 “ON “O'V 3-XSNNV. 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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 20124 Department 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-A19 Department 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 [vecoerneaeg | ‘eipai stag SresPeset ms sn wort seuou'Zu0d Syanvewasa-o1 SLO-U6 60 uw «x ae om w 1st aso svinaseansga13"Z oo 816 fed ou quownoua"t ast avinav, a0 Ww w ns age you og “yno jad “ronan « z squaed Jo wounquastE oy (Buspepun) wea goasnu, 100-2102 “ON “O'V SHOIAYAS GNV S3ILLITMIOVA HL1VSH JO NVaNNG YNeeH Jo Jueujedeq “Mopaq 914) aqp UT , xag pu aBy 0} se areBasBBesyq seUoC/ArTersoy Jo sosnE; Supeoy Uo, oy) Ys_duodde AypUTyL weaned cw Beso | GHD) ante fa fs def fe | fe fe fe fe fe fe fe fe : ! enparein Reet (ad0D)} ou ssn snes vee fe fe] fe | bt by de hb hb omen sin |(QADSVED @seasiq) oo i ey ete fui f ke keh] hl eb ble kh aan aime wa oe vele e fe kk be eee eI oT 1 lemme : as vecile [a fa fe h ret kkeeL ELIE v9 Sle a a je fe clr le |e u je |r fs ui 1 Pate west inwon's zi se “ue afer FC sos 3801 et ez fe |e ly Je Jo je fe je |e ie ie 1 1 1 sap) seat U6 SIN] - Aaupryt 40449 *¢| 690] * (GAD) 288981q] cis fo fe be le fe ele eb eb ee ese P hk peri La ‘eyuoumnaug * wails fee lek eb bb kh bbl eee] bk kk wounou vaao> | "4 (Bujks0pun) ‘am syrayeg yo uoynquysiqt oy precise enn: ‘TYOICAW “V ZL00-ZL0z “ON “O'V 3~XaNNV SADIANAS GNV SSILITMIOWS H11V3H 40 NVaNNE ules} Jo Juswyedeq Srogvesen ms son 30 ze fo Je ie 14680] axininyor 750 oe ermarenodn 6 cine feo uf fh 790 aN owI0 oT asesal’ |? FE 2 | rie qomonr Gr reowony -eoooo]® |? _|F e 329 0939 core ele t of] fe ft 381 SX9 9 0] ; eiwoumona's| -osseal®__|*_ | + 1 5] F Tsp saa svewv|* ee Ie spous onduact | = ao) ets |e Is le uv] fe fe fe | spnauconse9| 16 60¥| amay'¢ at —- Teo7FWOAN| cosa"! |F_ | se enxsudsy 2 ae0-e comes oer su Snamewasa 1 se] «f«fs{«|«t=|«[=[«[«lals}o[|«l=|a[e[[s}a[x|a[n|«[n| ala] o isco sow ese | vas | ase aes | vor | ewsr Loewe parse Dore | a es_[ [eon me 2 (Guten) squaped Jo wopnqunsi( ay swaq yo ssn SORLLVIGAd “a ZL00-ZL0z “ON ‘O'V 3 -XaNNV SADIANAS GNV SSLLIMIOV4 HL1V3H 30 NvaNNa yzeaH Jo jueujuedeg ip I TOIT Coors) snorag Saomidea | acuzeofe = fe fo ke qi scurvie — fe fo qi ke afefalwfalw[a[w[alw]alwlalwlalwfala lala] a [oe [a | ic fremmeraa ints wre @uspopun) raat squopeg Jo woRNGUySIC 93y speoq so a ee «Las [we [as | wo | os | re ADOTOIINAD UNV SORLLALSAO “D z100-2102 No 3 -X3NNW SAOIAUAS ONY SALLITMIOWS HLTW3H 4O nvauna ujeey Jo jueunsedeq SPAN TeIONAg) aampeid “OF souETEaUT ra 6 WwoRRASIO ang ayorduion *g Tava) euownae \ paatnboy| Syunwwos “1 THe MN 2100100 9 WORDRASIO png Anas ‘uloupakg ssaaISiC t Aaoysaudsoy anv punont Buyeon-won wo}STIUO weagan939 2 1 ' 1 z ' l sisdas "1 afwfafufapel afwlafwlatwl af afew afe[ ale sso vai] css | vera | eves | res | arsr | sro | arse | reo | os es _| [roe uspopun) swayed Jo wonnquysi(l oy yeaa yo asm AUAOUAS “a 2100-2102 ‘ON ‘O'V 3a-XaNNV SASIAYAS GNV SALLTOVA HLIV3H AO NVANNEG yyeaH Jo Juaujedaq Department 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 8 Department 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. Anesthesiologist Department 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 [ssi Department 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,035,368.70 Department 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 daatat Republic 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.

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