Republic of the Philippines Department of Health Manila. HOSPITAL/OTHER HEALTH FACILITIES STATISTICAL REPORT For the Year

Transcription

1 Republic of the Philippines Department of Health Manila HOSPITAL/OTHER HEALTH FACILITIES STATISTICAL REPORT For the Year Name of Health Facility: Complete Address: Region: Contact No. Fax No. Address ( PLEASE FILL-UP ALL ITEMS, N/A IF NOT APPLICABLE ) I. GENERAL INFORMATION 1. Classification: 1.a. Service Capability: 1.b. [ ] Birthing Home [ ] General [ ] Infirmary [ ] Special, Specify [ ] Acute-Chronic Psychiatric Care Facility [ ] Custodial Psychiatric Care Facility [ ] First Level Referral Hospital/Primary Care [ ] Second Level Referral Hospital/Secondary Care [ ] Third Level Referral Hospital/Tertiary Care 1.c. Nature of Ownership: Government : Private: [ ] National DOH Retained/Renationalized [ ] Single Proprietorship/Partnership/Corp. [ ] Local [ ] Religious [ ] Other Government Agency, specify [ ] Civic Organization [ ] Foundation 2. Others: Quality Management: [ ] Certified ISO, Specify Validity Period [ ] PCAHO Validity Period [ ] Other Certifying Body, Specify Validity Period 3. Bed Capacity/Occupancy: 3.1 Authorized Bed Capacity beds 3.2 Actual/Implementing Beds beds 3.3 Additional Bed Used beds [ Actual/Implementing Beds (less) Authorized Beds] 1

2 Type of Service 3.4 Distribution of Beds Allocated No. of Beds (Authorized) Pay Service Actual Bed Utilized Non- PhilHealth PhilHealth/OWWA/ HMO Pay Service Pay Service Pay Service In- Patient Service Days 1. Medicine 2. Obstetrics 3. Gynecology 4. Pediatrics 5. Surgery Pedia Adult 6. Others, Specify In-Patient Service Days (Bed Days) = [ ( In-patients remaining at midnight + Admission) - ( discharges/deaths) + (Admitted and discharge on the same day)] 3.5 Bed Occupancy Rate (BOR) Based on Authorized Beds % In-patient service days for the period ( no. of authorized beds) x ( days in the period) x Based on Actual/Implementing Beds % In-patient service days for the period ( no. of actual/implementing bed) x ( days in the period) x 100 Bed Occup. Rate (ABC) 4. Staffing Pattern Actual No. of Personnel PERSONNEL/SERVICE Permanent Contractual Required No. of Personnel CLINICAL Medical Specialist/Consultant Surgeon Physician Psychiatrist Psychologist Therapist, Specify NURSING Chief Nurse Supervising Nurse Staff Nurse Nursing Aide Midwife ADMINISTRATIVE Admin. Officer/Administrator Medical Records Officer Social Welfare Officer Statistician 2

3 Actual No. of Personnel PERSONNEL/SERVICE Permanent Contractual Clerk Engineer Dietitian/Nutritionist Institutional Worker Others, specify ANCILLARY Pharmacist Pharmacy Aide Pathologist Radiologist Dentist MedTech Med.Lab. Tech. X-ray Technician Others: (Specify) Required No. of Personnel 5. Committees 5.1 Technical Medical Audit Infection Control Committee Pharmaceutical/Therapeutic Committee Tissue Committee Waste Management Committee Blood Transfusion Safety Committee 5.2 Administrative Bidding and Awards Committee Records Management Improvement Committee Finance Committee Medical Library Committee 5.3 Quality Assurance Medical Records Committee 5.4 Others, Specify EXISTING YES NO REMARKS 6. Other Service/s Available EXISTING FACILITY YES NO REMARKS A. CLINICAL LABORATORY B. BLOOD BANK C. HIV TESTING LABORATORY D. MEDTECH INTERN TRAINING LAB. E. WATER TESTING LABORATORY F. DRUG TESTING LABORATORY G. REHABILITATION CENTER H. DIALYSIS CLINIC I. PHARMACY 3

4 7. Programs EXISTING Health Promotion and Disease Prevention YES NO REMARKS A. Breastfeeding B. Family Planning C. Immunization D. Newborn Screening (fully implemented by year 2006) 8. Manpower Development Number Staff Trained Within Facility Outside Facility REMARKS Students Training/Affiliates Resident Intern MD Post Graduate Intern MD Clerkship Nurses Midwives Dietitian Other Staff, Specify 9. Financial Status 9.1 Budget 9.2 Income 9.3 Expenditure 4

5 10. LABORATORY SERVICES ACTIVITIES Note: Specify only applicable laboratory services IN- PT. OUT- PT. ER PT. REMARKS I. RADIOLOGY - No. of General Radiography Done (Specify) - No. of Special Radiological Procedures Done - Ultrasound - CT Scan - Mammography - Angiography - Linear Accelerator - Dental X-ray - MRI - Others, specify II. No. of Examination Done in : A. CLINICAL LABORATORY a.1. Hematology 2.. Clinical Microscopy 3. Clinical Chemistry 4.. Immunology/Serology 5. Microbiology B. ANATOMIC PATHOLOGY b. 1. Surgical Pathology 2. Frozen Section 3. Cytology 4. Autopsy III. BLOOD BANK a. Blood Collected - Voluntary Donor - Replacement Donor b. Blood Transfused - No. of units/bags transfused - No. of units/bags discarded IV. HIV TESTING LAB. - No. of HIV test Done IV. WATER TESTING LAB. - No. of facilities submitted samples - Frequency of samples collected per facility V. MEDTECH. INTERN TRAINING LABORATORY - No. of Medtech Interns trained VI. OTHERS, Specify - Hemodialysis - Rehab. 5

6 II. HOSPITAL /HEALTH FACILITY OPERATIONS 1. Summary of Patients in the Hospital/Health Facility: 1.1 Patients remaining in the hospital as of midnight last day of previous month/year 1.2 Admission excluding Newborn Newborn 1.3 Discharges (alive ) 1.4 In-patients deaths 1.5 Patients last day of the month/year 1.6 Average Daily Census of Admitted Patients in-patient service days for the period days in the period 1.7 Referrals (In-patient) from RHU from other hospitals/centers to other health facilities 2. DISCHARGES 2.1 Services rendered and patients attended Type of Service Medicine Obstetrics Gynecology Pediatrics Surgery Pedia Adult No of Pts. Length of Stay/ No. of Days Stay Pay Non-PhilHealth Service Charity Pay Type of Accommodation Member/ Dep PhilHealth Service Indig. H M O O W W A R/ I Condition on Discharge * T H A U Died <48 hrs. Died => 48 hrs. Others, Specify Newborn (born alive) rooming-in * R/I Recovered/Improved T- Transferred U - Unimproved H- Home Against Medical Advice A Absconded D Died (died upon admission) 2.2 Average Length of Stay (ALOS) of Admitted Patients Length of stay of discharged patients (incl. Deaths) in the period discharges and deaths in the period 6

7 DISCHARGES Leading Causes of Discharges (Morbidity ) Discharge Age Distribution of Patients Diagnosis Under =>65 (Primary ) M F M F M F M F M F M F M F M F M F T ICD-10 CODE 4. No. of Deliveries Type Condition on Discharge of Deliveries R/I T H A U Died <48 hrs. 1. N S D 2. Forceps 3. Breech Extraction 4.Ceasarian Section 5. Others, specify Died =>48 hrs. 5. DEATHS 5.1 Types of Deaths Number Rate Foetal Death < 22 completed weeks or < 500g. birth weight or more completed weeks or 500g or more bw Born in the Hosp. Born outside the Hosp Neonatal Death Early Neonatal Death Late Neonatal Death Infant Death Maternal Death Post Operative Death ER Death Dead on Arrival ( DOA ) 7

8 6. 10 Leading Causes of Deaths (Mortality ) Cause of Age Distribution of Patients Death Under =>65 (Underlying) M F M F M F M F M F M F M F M F M F T ICD-10 CODE 7. Surgical Type of Non-PhilHealth Pay Service/ Charity Pay Member/ = < 19 years old PhilHealth Service HMO OWWA Depndent Indigent M F M F M F M F M F M F M F M F M F Major (excl. CS) CS xx xx xx xx xx xx xx xx xx Minor (in-patients) Minor (out-patients) Minor (ER) Type of Non-PhilHealth Pay Service/ Charity Pay Member/ => 20 years old PhilHealth Service HMO OWWA Depndent Indigent M F M F M F M F M F M F M F M F M F Major (excl. CS) CS xx xx xx xx xx xx xx xx xx Minor (in-patients) Minor (out-patients) Minor (ER) 8

9 8. Surgical Procedures Leading Major Procedures No. of Patients Leading Minor Procedures No. of Patients E R SERVICES 9.1 No. of patients attended: New Re-visit 9.2 Average No. of E R patients per day 9.3 Ten (10) Leading Causes of Emergency Cases in the E R Department E R Diagnosis Age Distribution of Patients Under => M F M F M F M F M F M F M F M F M F T 9

10 III. OUT-PATIENT SERVICES 10.1 No. of Patients attended : New Re-visit 10.2 Average Number of Out-patient per day: 10.3 Services Rendered in the Out-Patient Department: Medical Surgical Obstetrics Gynecology Pediatrics Others (Specify) EENT Dental Family planning Rehabilitation Physical Exam. TYPE OF SERVICE NO. OF PATIENTS ATTENDED % OF 10.4 Ten (10) Leading Causes of Consultations at OPD Causes of Consultation (Primary ) Age Distribution of Patients Under =>65 M F M F M F M F M F M F M F M F M F T ICD-10 CODE 10

11 IV. OTHER HOSPITAL/HEALTH FACILITY SERVICES 1. DIETARY SERVICE 1.1 No. of Meals Served: Routine Diets Therapeutic Diets 1.2 No. of Patients Given Diet Counseling: 2. MEDICAL SOCIAL SERVICE Patients Served CLASS A B C D Veteran Sr. Citizen Bgy. Offcl Intensive Case Work No. of Abandoned Patients Pedia Adult No. of Abused Women No. of Abused Men No. of Abused Children 3. OTHER ACTIVITIES PERFORMED: 3.1 Ambulance calls/conduction 3.2 Autopsies performed 3.3 Medico-legal cases (exclude ER and DOA pt.) Prepared by : Designation/Section or Dept. : Date: APPROVED & CERTIFIED BY: Date: Chief of Hospital/Medical Director/Head of Facility c:f/forms/ hospstatrev_oct04.doc 11

12 DEFINITION OF TERMS : 1. Service Capability - Capability of the hospital/other health facility to render administrative, clinical, ancillary and other services 2. Quality Management/Quality Assurance Program - Organized set of activities designed to demonstrate on-going assessment of important aspects of patient care and services. 3. Hospital bed - Bed which is maintained for continuous (24 hours) use by an in-patient 4. Bed Occupancy Rate - The percentage of in-patients beds occupied over a period of time. It is a measure of the intensity of hospital resources utilized by in-patients. 5. Authorized bed - Approved number of beds as per issued license to operate in the hospital and other health facilities. 6. Implementing beds - Actual beds use (based on hospital/facility management decision) 7. In-Patient Service days- Unit of measure denoting the services received by one in-patient in one 24 hours period. 8. Average Number of In-patients per day - Average no. of in-patients present each day for a given period of time. 9. Length of Stay -( for one In-patient)- The number of calendar days from admission to discharge. 10. Average Length of Stay- Average no. of days each in-patient stays in the hospital for each episode of care. 11. Spontaneous Abortion - without intervention 12. Induced Abortion - with intervention 13. Septic - with infection 14. Non-Septic - without infection 15. Major Operation - Surgical procedures requiring anesthesia/spinal anesthesia to be performed in an operating theatre 16. Minor operations - Surgical procedures requiring only local anesthesia/no OR needed example suturing. 17. ICD-10 Code - an International Classification of Diseases version 10. Administrative Order No. 47s., 2000 dated May 5, 2000, DOH stated that ICD-10 coding shall be fully implemented in all government and private hospitals starting January 2001 to improve the quality of morbidity and mortality statistics. 18. NON-PHILHEALTH - A type of accommodation that pertains to patients without PhilHealth Insurance. This is further subdivided to pay and Service or Charity. 19. PHILHEALTH - A type of accommodation that pertains to patients with PhilHealth Insurance. This is further subdivided into pay and service or charity. PAY - Patients confined in the pay wards or private rooms Service- Patients confined in the service wards which used to be called Charity ward Member- The policyholder of PhilHealth Insurance who was confined in the service ward. Dependent- Indigent- Refers to dependents of PhilHealth Insurance member confined in the service ward. The beneficiaries of the Indigent Program of PhilHealth which used to be called Medicare para sa Masa Program. Their premiums were either solely paid by the Local government or with support from the national government. They are issued Identification Cards which are called GMA Cards. NOTE: The principle behind identifying these three last groupings is to have a clearer picture of who is responsible for the treatment cost of the patients. 20. OWWA - acronym for Overseas Workers Welfare Administration, which provides health/ hospitalization insurance of the overseas workers and their dependents. 12

13 21. HMO - acronym for Health Maintenance Organization which provides medical/hospitalization insurance to Policyholders 22. Categorization of Patients : ( for availment of social services in hospitals)- Department Order No.435 s., 1990 a. Class A Pay Patients shall pay in full the hospital services in suites, private or semi-private rooms. PhilHealth patients/other health insurance shall pay the excess of their privelege in full. b. Class B Pay Ward ( 3 beds and above) Patients shall pay the hospital services on the ward level. PhilHealth patients/other health insurance shall pay the excess of their privelege in full. c. Class C Service PhilHealth; partial sharing:donation Patients with PhilHealth benefits/other health insurance but cannot pay the excess in full. Patient s share of the balance after health insurance shall be in accordance with C1, C2, or C3 sub-classification, as affected by modifiers. C1 - patients whose aggregate monthly family income is equal to or above the NSCB subsistence threshold. C2 - patients whose aggregate monthly family income is more than 50% of the NSCB subsistence threshold. C3 - patients whose aggregate monthly family income is less than 50% but more than 20% of the NSCB subsistence threshold. d. Class D - Complete social service/indigent Patients below class C3. Patients with no visible income or means of support. Patients who are covered by special laws. (see also Administrative Order No. 171 s., 2004 dated October 1, 2004 Policies and Guidelines to Implement the Relevant Provisions of RA 9257 Expanded Senior citizens Act of 2003 DOHwebsite: 13

14 BED OCCUPANCY RATE - Based on Authorized Bed In-patient service days for a period ( no. of authorized beds) x ( days in the same period) x 100 AVERAGE NO. OF IN-PATIENT PER DAY- in-patient service days for a period days in the same period AVERAGE LENGTH OF STAY (ALOS) - Length of stay of discharged patients (incl. Deaths) for a period discharges and deaths in the period GROSS DEATH RATE Deaths (including newborn) for a given period Discharges (including deaths) for the same period x 100 NET DEATH RATE - [{ Deaths (incl. Newborn)} {those under 48 hrs. for the period}] [{ No. of Discharges (including deaths and newborn)} - {death under48 hours for the period}] x 100 CEASAREAN SECTION RATE - ceasarean sections in a given period OB Discharges x 100 FETAL DEATH RATE - Death of an offspring to its complete expulsion or extraction from the womb regardless of duration of pregnancy No. of intermediate and/or late fetal deaths for the period No. of livebirths ( incl. Intermediate and late fetal deaths) for the period x 100 Early fetal deaths - < 22 completed weeks of gestation or 500g. birthweight Late fetal deaths - 22 or more completed weeks of gestation or 500g. or more birthweight NEONATAL DEATH RATE - Death of child whose heart beat after complete expulsion of mother died within 28 days of birth No. of newborn deaths for the period No. of newborn discharges (including deaths) for the same period x 100 Early neonatal deaths - < 24 hours of birth INFANT DEATH RATE - MATERNAL DEATH RATE - Measures the risk of dying during the 1 st year of life No. of deaths under 1 year of age for the period x 100 No. of infant discharges (including deaths) for the same period Death of any woman, from any cause while pregnant or within 42 days of termination of pregnancy No. of direct maternal deaths for the period No. of maternal (OB) discharges (including deaths) for the period x 100 POST-OPERATIVE DEATH One occurring within 10 days of the operation and was due to, or connected with, the surgery performed 14