Hsr Year 2007

Republic of the Philippines Department of Health Manila HOSPITAL STATISTICAL REPORT For the Year: 2007 Stat form 3 Name of Hospital: REDOBLE MEDICAL CLINIC

Complete Address: Poblacion, Buug Zamboanga Sibugay

Region: IX Catchment Population: ___ Contact No: 09185969657 Fax No: ___ E-mail Address: [email protected] (PLEASE FILL UP ALL ITEMS, N/A IF NOT APPLICABLE) 1.

Classification:

1.1

Service Capability: 1.2 [ / ] Level 1/Infirmary [ ] Level 2/Primary Care [ ] Level 3/Secondary Care (Non-Teaching and Non-Training) [ ] Level 4/ Tertiary Care (Teaching and Training)

1.3

Nature of Ownership: Government: [ ] National – DOH Retained/Renationalized [ ] Local [ ] Other Government Agency, specify ____________

2.

3

[ ] General [ ] Special, Specify ___________

Private: [ / ] Single Proprietorship/Partnership/Corp. [ ] Religious [ ] Foundation

Quality Management: [ ] Certified ISO, Specify _________ Validity Period _________________ [ ] PCAHO Validity Period _________________ [ ] Other Certifying Body, Specify ________________ Validity Period _________________ Bed Capacity/Occupancy: 3.1 Authorized Bed Capacity _____8__ beds 3.2 Actual/ Implementing Beds ___8_ beds 3.3 Bed Occupancy Rate ( BOR) Based on Authorized Beds _______1.38%______ % Total In-patient service days for the period* (Total no. of authorized beds) x (Total days in the period) x 100 3.4 Bed count: Number of beds per Service based on actual Bed Capacity No. of Beds No. of Beds per Classification: Pay _________________ Service _________________ No. of Beds per Service: Medicine _______6________ Obstetrics _________________ Gynecology _________________ Pediatrics _______2_________ Surgery _________________ Pedia _________________ Adult ________________ Others: Specify _______ _________________ TOTAL ________8________

* In- Patient Service Days (Bed Days) = [(In patients remaining at midnight…+ Total Admission) (Total Discharges/deaths) + (Admitted and Discharge on the same day)] 4 Staffing Pattern Actual No. of Personnel PERSONEL Permanent Contractual TOTAL Medical Specialist/Consultant Surgeon Physician Chief Nurse Supervising Nurse Staff Nurse

2 1 1

Staff Nurse-CCU Nursing Attendant Midwife

1

Dentist Physical Therapist Pharmacist

1

MedTech Radiologist Medical records Officer Medical Social Worker Engineer Others, Specify

5. Committees EXISTING YES NO 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 5.3 Quality Assurance Medical records Committee 5.4 Others, Please Specify

REMARKS

6. Other Facility/Service available FACILITY

EXISTING Yes No

a. Blood Bank b. Blood Collection Unit/Blood station c.Dialysis Clinic d. Drug Testing Laboratory e. HIV Testing Laboratory f. MedTech Intern Training Laboratory g.Rehabilitation Center h.Water testing laboratory i.Newborn Screening Center j.Kidney Transplant Facility k.Ambulatory Surgical Clinic l.Others Please Specify

7. 7.1 7.2 7.3

Financial Status Total Budget Total Income Total Expenditure

200,000.00 200,000.00 185,000.00

REMARKS

2.3Ten (10) Leading Causes of Discharges (Morbidity) Discharge Diagnosis (Primary) No Abbreviation 1. Acute gastroenteritis 2. Acute gastritis 3. Typhoid Fever 4. U T I 5. Amoebic dysentery 6. Influenza 7. Pneumonia 8. Acute Bronchitis 9. Ferial Convulsion 10. Asthmatic Bronchitis

Age Distribution of Patients Under 1 M F

1-4 M

F

15

18

16

1 1

1

5

10

1

5-9

1

1 2

2 1 4

1 2 2

10-14

15-19

20-44

45-64

=>65

TOTAL

M

F

M

F

M

F

M

F

M

F

M

F

2 1

2 1

1 2 1 2

1

1

9 4 4 2

2

1

3

6 2 5 3 2

2

1

1 1 1

4

2

3 2

1 2

3

1

3

2

1 1 3 1

1

1 1

1

M

F

T

ICD-10 CODE/ TABULATION LIST

2 1 1

1

1

2.4 Total No. of Deliveries 2.4.1 Normal ___________ 2.4.2 Caesarian _________ 2.4.3 Others ____________ 3. DEATHS 3.1 Types of Death: 3.1.1 No. Fetal Death-Less than 22 completed weeks or <500g.birth weight ________________ 3.1.2 No. Fetal Death- 22 or more completed weeks or 500g.or more birth weight ___________ 3.1.3 No. Neonatal Death ____________ 3.1.4 No. Infant Death _______________ 3.1.5 No. Material Death _____________ 3.1.6 No. E R Death ________________ 3.1.7 No. Dead on Arrival ___________ 3.2 Gross Death Rate _______________% Gross Death Rate = Total Deaths (including newborn for a given period) Total Discharges and Deaths for the same period x 100 3.3 Net Death rate _________________ % Net Death Rate = Total Deaths (including newborn fro a given period) – Deaths < 48 hours for the period Total Discharges (including deaths and newborn) – deaths < 48 hours for the period x 100 3.4 Ten ( 10 ) Leading Causes of Deaths ( Mortality )

Discharge Diagnosis (Underlying) No Abbreviation 1. Amoebic Dysentery 2. Acute Gastroenteritis 3.C V A 4. Acute Renal Failure 5. 6. 7. 8. 9.

10.

Age Distribution of Patients Under 1 M F

1-4 M

5-9 F

M

F

10-14

15-19

20-44

45-64

=>65

M

M

M

M

M

F

F

F

F

1 1 1 1

TOTAL F

M

F

T 1 1 1 1

ICD-10 CODE/ TABULATION LIST A06.0 A09 I67.9 N17

4

HOSPITAL INFECTION RATE ( NOSCOMICAL INFECTION) 4.1 Gross Infection Rate ____________ % Total no. of infection in the hospital (ward) for the period x 100 Total discharges and deaths from the hospital (ward) for the same period 4.2 Net Infection Rate ____________ % Total no. of infection debited against the hospital (ward) for the period x 100 Total discharges and deaths from the hospital (ward) for the same period

5

SURGICAL OPERATIONS Types of operations

Major Operation (excl.CS) Caesarian Operation Minor Operation (In-Pt) Minor Operation (Out-Pt)

6

=<19 y.o. MALE FEMALE

=> 20 y.o. MALE FEMALE

xxxxxx

xxxxxx

MALE

ALL AGES FEMALE

TOTAL

xxxxxx

E R SERVICES ( N/A if not applicable) 6.1 Total No. of Patients Attended: _______51______ 6.2 Average No. of E R patients per day ____13.13%_ 6.3 Ten (10) Leading Causes of Emergency cases in the E R Department

Causes 1. Lacerated Wounds 2. CVA 3. 4. 5.

No. of Consultation 47 4

Causes 6. 7. 8. 9 10.

7. OUT –PATIENTS SERVICES 7.1 Total No. of Patients attended: New: 1059 Re-visit: 208 7.2 Average Number of Out –patient per day: 3.47 % 7.3 Ten (10) Leading Causes of Consultations at OPD Causes 1. Cough 2. Cough & Fever 3. Fever 4. Headache 5. LBM

No. of Consultation

No. of Consultation 189 181 147 47 40

Total: 1267

Causes 6. Epigastric Pain 7. Dizziness 8. Abdominal Pain 9 Vomiting 10.Body Malaise

No. of Consultation 39 29 28 7 7

III. OTHER HOSPITAL SERVICES I. DIETARY SERVICE 1.1 No. of Meals Served: Routine Diets _____________ Therapeutics Diets _____________ TOTAL___________ 1.2 No. of Patients Given Diet Counseling: __________

2. RADIOLOGICAL/LABORATORY SERVICES No. In patients

No. Out Patients

TOTAL

2.1 RADIOLOGICAL PROCEDURE 2.1.1 X-RAY 2.1.2 ULTRSOUND 2.1.3 CT-SCAN 2.1.4 M R I 2.1.5 MAMMOGRAPHY 2.1.6 ANGIOGRAPHY 2.1.7 LINEAR ACCELERATOR 2.1.8 DENTAL X-RAY 2.1.9 OTHER, Specify 2.2 LABORATORY SERVICE 2.2.1 CLINICAL LABORATORY URINALYSIS FECALYSIS HEMATOLOGY CLINICAL CHEMISTRY IMMUNOLOGY/SEROLOGY/HIV MICROBIOLOGY( Smears/culture & Sensitivity) 2.2.2 ANATOMIC PATHOLOGY SURGICAL PATHOLOGY AUTOPSY CYTOLOGY 2.2.3 BLOOD BANK BLOOD COLLECTED Voluntary Donor Replacement Donor BLOOD TRANSFUSED 3. OTHER ACTIVITIES PERFORMED: (N/A if not applicable) 3.1 Ambulance calls/conduction _______ 3.2 No. Autopsies performed _________ 3.3 No. Medico-legal Cases _____ (exclude ER and DOA pt.)

Prepared by

: Rhodora Rallos Jore

Designation/Section/Dept.: Staff

Midwife

APPROVED & CERTIFIED BY: ROSENDO C. REDOBLE, M.D Chief of Hospital/Medical Director C:f/forms.statform3_hosp_406.doc

Date: January 19, 2008 Date: January 19, 20008