Republic of the Philippines

Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEX - E
A.O. No. 2012-0012

ANNUAL HEALTH FACILITY STATISTICAL REPORT

YEAR 2022

Name of Hospital: CAGAYAN DE TAWI-TAWI DISTRICT HOSPITAL Street Address:

City / Municipality: MAPUN (CAGAYAN DE TAWI-TAWI) District / Province: TAWI-TAWI Region: AUTONOMOUS REGION IN MUSLIM MINDANAO (ARMM)

Contact Number: Fax Number:

Email Address: reaganabdurahmanabdul@gmail.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 hospital/other health facility to render administrative, clinical, ancillary and other services

  General: Specialty: (Specify)

[   ] Level 1 Hospital [   ] Treats a particular disease
[   ] Level 2 Hospital [   ] Treats a particular organ
[   ] Level 3 Hospital (Teaching/Training) [   ] Treats a particular class of patients
[   ] Others(Specify):
[ ✔ ] Infirmary

Trauma Capability:
[   ] Trauma Capable
 [   ] Trauma Receiving

  2. Nature of Ownership

Government:
[ ✔ ] National - DOH Retained/Renationalized
[   ] Local (Specify):
Private:
[   ] Province [   ] Single Proprietorship/Partnership/Corporation
[   ] City [   ] Religious
[   ] Municipality [   ] Civic Organization
 
[   ] Foundation
[   ] DILG - PNP [   ] Others(Specify):
[   ] DND - AFP 
[   ] DOJ
[   ] State Universities and Colleges (SUCs)
[   ] Others (Specify):

  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:

  [   ] International Accreditation Validity Period:

[ ✔ ] PhilHealth Accreditation
Validity Period:
  [ ✔ ] Basic Participation
 Jan 12, 2022 - Dec 31, 2022
[   ] Advanced Participation

  [  ] PCAHO Validity Period:

  C. Bed Capacity/Occupancy
 1. Authorized Bed Capacity: 20 beds

o Authorized bed: Approved number of beds issued by HFSRB/RO, the licensing offices of DOH

2. Implementing Beds: 20 beds

o Implementing beds: Actual beds used (based on hospital management decision)

3. Bed Occupancy Rate (BOR) Based on Authorized Beds: 69.36% beds

  [Total Inpatient service days for the period]** x 100

[Total number of Authorized beds] x [Total days in the period (365 0r 366 for leap year) ]

o 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.(given
period of time is January 1 to December 31each year for the annual statistics)

o Inpatient Service days (Inpatient bed days): Unit of measure denoting the services received by one in-patient in one 24 hour period.

o Total Inpatient Service days or Inpatient Bed days =[(Inpatients remaining at midnight + Total admissions) - Total discharges/deaths) + (number of admissions and discharges on
the same day)].

II. 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 licensed to admit patients, while under treatment

  

Inpatient Care Number

Total number of inpatients 1,537

Total Newborn (In facility deliveries) 108

Total Discharges (Alive) 1,500

 Total patients admitted and discharged on the same day 30

Total number of inpatient bed days (service days) 5,063

Total number of inpatients transferred TO THIS FACILITY from another facility for inpatient care 20

Total number of inpatients transferred FROM THIS FACILITY to another facility for inpatient care 22

Total number of patients remaining in the hospital as of midnight last day of previous year 14

  B. Discharges

Type of Accomodation Condition on Discharge

No. of Total Length of Stay/ Non-Philhealth Philhealth Deaths

Type of Service Remarks
Patients Total No. of Days Stay Total
HMO OWWA R/I T H A U
Service/ < 48 ≥ 48 Discharges
Pay Total Pay Service/Charity Total Total
Charity hrs hrs

Medicine 483 1,546 0 320 320 0 162 162 0 0 426 15 22 0 5 13 1 14 482

Obstetrics 169 441 0 132 132 0 37 37 0 0 124 5 3 0 36 1 0 1 169

 

Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pediatrics 872 3,076 0 638 638 0 234 234 0 0 831 3 13 0 16 8 1 9 872

Surgery

Pedia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Adult 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Total 1,524 5,063 0 1,090 1,090 0 433 433 0 0 1,381 23 38 0 57 22 2 24 1,523

Total Newborn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Pathologic 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Non-
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pathologic

*R/I - Recovered/Improved 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 - 4 Day(s)

Total Discharges and Deaths for the same period

o 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.

(Do not include deliveries)

Cause of Morbidity/Illness/Injury Number ICD-10 Code

1. Intestinal infectious diseases 386 A00-A09

2. Influenza and pneumonia 191 J10-J18

3. Acute upper respiratory infections 130 J00-J06

4. Other diseases of the urinary system 123 N30-N39

 5. Arthropod-borne viral fevers and viral hemorrhagic fevers 65 A90-A99

6. Diseases of esophagus, stomach and duodenum 59 K20-K31

7. Hypertensive diseases 39 I10-I15

8. Chronic lower respiratory diseases 34 J40-J47

9. Unspecified multiple injuries 25 T00-T07

10. Infections specific to the perinatal period 14 P35-P39

3.
  Kindly accomplish the "Ten Leading Causes of Morbidity/Diseases Disaggregated as to Age and Sex" in the table below.

Age Distribution of Patients

Cause of Morbidity/Illness/Injury
Under 10 - 15 - 20 - 25 - 30 - 35 - 40 - 45 - 50 - 55 - 60 - 65 - 70 & Sub ICD-10 CODE /
1-4 5-9 Total
1 14 19 24 29 34 39 44 49 54 59 64 69 over total TABULAR LIST

Spell out. Do not abbreviate. M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F

1. Intestinal infectious diseases 23 23 70 67 38 23 12 14 7 10 7 8 9 9 6 4 4 6 3 3 4 10 2 3 3 2 2 3 0 2 6 3 196 190 386 A00-A09

2. Influenza and pneumonia 22 17 32 36 6 7 9 2 4 3 1 2 2 1 0 0 3 1 4 4 2 3 1 1 2 0 2 3 7 2 5 7 102 89 191 J10-J18

3. Acute upper respiratory infections 6 4 19 25 22 14 6 5 1 7 2 1 2 2 0 0 2 1 1 2 0 0 1 0 0 2 0 0 1 3 1 0 64 66 130 J00-J06

4. Other diseases of the urinary

0 0 3 3 13 12 4 8 2 14 3 7 3 5 1 3 0 5 2 2 7 1 3 3 2 4 2 1 4 2 2 2 51 72 123 N30-N39
system

5. Arthropod-borne viral fevers and 0 0 7 10 12 1 2 2 2 21 1 0 3 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 31 34 65 A90-A99

 viral hemorrhagic fevers

6. Diseases of esophagus, stomach

0 0 0 0 1 3 0 2 0 13 1 3 0 2 1 3 1 3 3 2 2 0 4 4 3 2 1 1 0 0 3 1 20 39 59 K20-K31
and duodenum

7. Hypertensive diseases 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 2 2 0 3 1 5 4 1 6 1 5 3 3 17 22 39 I10-I15

8. Chronic lower respiratory diseases 3 1 6 2 5 1 2 1 1 1 0 2 0 1 0 2 0 2 0 0 0 0 0 1 0 0 0 1 1 1 0 0 18 16 34 J40-J47

9. Unspecified multiple injuries 0 0 0 0 1 0 2 0 5 2 4 0 1 1 2 1 0 2 0 0 1 0 2 0 1 0 0 0 0 0 0 0 19 6 25 T00-T07

10. Infections specific to the perinatal

7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 14 P35-P39
period

3. Total Number of Deliveries

For each category of delivery listed below, please report the total number of deliveries.

Deliveries Number

Total number of in-facility deliveries 108

Total number of live-birth vaginal deliveries (normal) 104

Total number of live-birth C-section deliveries (Caesarians) 0

 
Total number of other deliveries 0

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 Number

Number of outpatient visits, new patient 4,568

Number of outpatient visits, re-visit 1,037

 Number of outpatient visits, adult
2,851
(Age 19 years old and above)

Number of outpatient visits, pediatric

2,754
( Age 0 to 18 yrs old; before 19th birthday)

Number of adult general medicine outpatient visits 2,354

Number of specialty (non-surgical) outpatient visits 2,909

Number of surgical outpatient visits 42

Number of antenatal care visits 203

Number of postnatal care visits 122

5.

6. Ten Leading Causes of OPD Consultation

Ten Leading OPD Consultations Number ICD-10 Code

1. Acute upper respiratory infections 1,765 J00-J06

2. Hypertensive diseases 492 I10-I15

3. Other diseases of the urinary system 463 N30-N39

4. Influenza and pneumonia 443 J10-J18

5. Intestinal infectious diseases 393 A00-A09

6. Diseases of esophagus, stomach and duodenum 262 K20-K31

 7. Diabetes mellitus 90 E09-E14

7.

8. Ten Leading Causes of ER Consultation

Ten Leading ER Consultations Number ICD-10 Code

1. Acute upper respiratory infections 362 J00-J06

2. Hypertensive diseases 102 I10-I15

3. Diseases of esophagus, stomach and duodenum 56 K20-K31

4. Symptoms and signs involving cognition, perception, emotional state and behavior 49 R40-R46

5. Influenza and pneumonia 48 J10-J18

6. Pediculosis, acariasis and other infestations 28 B85-B89

7. Intestinal infectious diseases 23 A00-A09

8. Episodic and paroxysmal disorders 17 G40-G47

9. Arthropod-borne viral fevers and viral hemorrhagic fevers 14 A90-A99

9.

10. TESTING

Total number of medical imaging tests (all types including x-rays, ultrasound, CT scans, etc.) Number

X-Ray 0

Ultrasound 0
 CT-Scan 0

MRI 0

Mammography 0

Angiography 0

Linear Accelerator 0

Dental X-Ray 0

Other 0

Total number of laboratory and diagnostic tests (all types, excluding medical imaging)

Urinalysis 1,086

Fecalysis 0

Hematology 2,239

Clinical chemistry 0

Immunology/Serology/HIV 1,629

Microbiology (Smears/Culture & Sensitivity) 0

Surgical Pathology 0

Autopsy 0

Cytology 0
 Blood Service Facilities

Number of Blood units Transfused 0

11.

12. EMERGENCY VISITS

Emergency visits Number

Total number of emergency department visits 858

Total number of emergency department visits, adult 365

Total number of emergency department visits, pediatric 493

Total number of patients transported FROM THIS FACILITY’S EMERGENCY DEPARTMENT to another facility for
0
inpatient care

Total number of patients transported TO THIS FACILITY’S EMERGENCY DEPARTMENT from other health facilities
0
i.e. RHU, Medical Clinic, Infirmary, other hospital)

13.
  C. Deaths

   For each category of death listed below, please report the total number of deaths.

Types of deaths Number

Total deaths 46

Total number of inpatient deaths 24

o Total deaths < 48 hours 22

 o Total deaths ≥ 48 hours 2

Total number of emergency room deaths 22

Total number of cases declared 'dead on arrival' 0

Total number of stillbirths 4

Total number of neonatal deaths 0

Total number of maternal deaths 0

1. Gross Death Rate 1.58%

Gross Death Rate = Total Deaths (including newborn for a given period) x 100

Total Discharges and Deaths for the same period

2.

1.58% = 24 x 100 (User defined / EMR generated)

1,523

3. Net Death Rate 0.13%

 
Net Death Rate = Total Deaths (including newborn for a given period) - death < 48 hours for the period x 100

Total Discharges (including deaths and newborn) - death < 48 hours for the period

4.

0.13% = 2 x 100 (User defined / EMR generated)

1,521

5. Ten Leading Causes of Mortality/Deaths and Total Number of Mortality/Deaths.

 (Do not include Cardio-respiratory arrest, put underlying cause instead)

Mortality/Deaths Number ICD-10 Code

1. Other bacterial diseases 8 A30-A49

2. Cerebrovascular diseases 6 I60-I69

3. Diseases of arteries, arterioles and capillaries 1 I70-I79

4. Influenza and pneumonia 1 J10-J18

5. Unspecified multiple injuries 1 T00-T07

6. Polyneuropathies and other disorders of the peripheral nervous system 1 G60-G64

7. Provisional assignment of new diseases of uncertain etiology or emergency use (COVID-19) 1 U00-U49

8. Ischemic heart diseases 1 I20-I25

9. Other forms of heart disease 1 I30-I52

  Kindly accomplish the "Ten Leading Causes of Mortality/Deaths Disaggregated as to Age and Sex" in the table below.

(Do not include cardio-respiratory Arrest and maternal deaths)

Age Distribution of Patients

Cause of Mortality (Underlying) ICD-10

Under 10 - 15 - 20 - 25 - 30 - 35 - 40 - 45 - 50 - 55 - 60 - 65 - 70 & Sub Tota
1-4 5-9 CODE /
1 14 19 24 29 34 39 44 49 54 59 64 69 over total l
TABULAR LIST

Spell out. Do not abbreviate. M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F

1. Other bacterial diseases 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 5 3 8 A30-A49

 2. Cerebrovascular diseases 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 1 5 1 6 I60-I69

3. Diseases of arteries, arterioles

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 I70-I79
and capillaries

4. Influenza and pneumonia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 J10-J18

5. Unspecified multiple injuries 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 T00-T07

6. Polyneuropathies and other

disorders of the peripheral nervous 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 G60-G64
system

7. Provisional assignment of new

diseases of uncertain etiology or 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 U00-U49
emergency use (COVID-19)

8. Ischemic heart diseases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 I20-I25

9. Other forms of heart disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 I30-I52

  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.

 For All Hospitals (General and Specialty)

INFECTION RATE = Number of Healthcare Associated Infections x 100

  Number of Discharges

a. Device Related Infections

1. Ventilator Acquired Pneumonia (VAP) = Number of Patients with VAP x 1000

 Total Number of Ventilator Days

 (Not to be filled up by Level 1 with no ICU facilities)

2. Blood Stream Infection (BSI) = Number of Patients with BSI x 1000

Total Number of Central Line (peripheral lines not included)

3. Urinary Tract Infection (UTI) = Number of Patients (with catheter) with UTI x 1000

Total Number of Catheter Days

b. Non-Device Related Infections

Surgical Site Infections (SSI) = Number of Surgical Site Infections(Clean Cases) x 100

Total number of Clean Procedures done

  Percentage (%)

INFECTION RATE 0.00

Device Related Infections

Ventilator Acquired Pneumonia (VAP) 0.00

Blood Stream Infection (BSI) 0.00

Urinary Tract Infection (UTI) 0.00

Non-Device Related Infections

Surgical Site Infections (SSI) 0.00


  E. Surgical Operations

1. Major Operation refers to surgical procedures requiring anesthesia/ spinal anesthesia to be performed in an operating theatre. ( Refer to different cutting specialties.)

2. Minor Operation refers to surgical procedures requiring only local anesthesia/ no OR needed, example suturing.
(Refer to different cutting specialties)

10 Leading Major Operations (excluding Caesarian Sections) Number

Not Applicable 0

3.

10 Leading Minor Operations Number

  1 LACERATED WOUND 118

2 Punctured wounds 73

3 MULTIPLE ABRASION 57

4 DOGBITE 23

5 INFECTED WOUND 19

6 Burn 1

7 Animal bite 1

4.
III. STAFFING PATTERN (Total Staff Complement)

  

Profession/Position/Designation Specialty Total staff working full time (at Total staff working part time Active Outsourced
Board least 40 hours/week) (at least 20 hours/week) Rotating or
Certified Visiting/
Number of Number of Number of Number of Affiliate
permanent contractual permanent contractual
 full time staff full time staff part time staff part time staff

A. Medical

1. Consultants 0 0 0 0 0 0 0

1.1 Internal Medicine 0 0 0 0 0 0

a. Generalist 0 0 0 0 0 0

b. Cardiologist 0 0 0 0 0 0

c. Endocrinologist 0 0 0 0 0 0

d. Gastro-Enterologist 0 0 0 0 0 0

e. Pulmonologist 0 0 0 0 0 0

f. Nephrologist 0 0 0 0 0 0

g. Neurologist 0 0 0 0 0 0

Others, specify

medical officer V 1 1 0 0 0 0 0

RURAL HEALTH PHYSICIAIN 1 0 1 0 0 0 0

1.2. Obstetrics/ Gynecology (and

0 0 0 0 0 0
sub-specialty)

1.3. Pediatrics (and sub-

0 0 0 0 0 0
specialty)
 1.4. Surgery (and sub-specialty) 0 0 0 0 0 0

1.5. Anesthesiologist 0 0 0 0 0 0

1.6. Radiologist 0 0 0 0 0 0 0

1.7. Pathologist 0 0 0 0 0 0 0

2. Post-Graduate Fellows
0 0 0 0 0 0 0
(Indicate specialty/subspecialty)

3. Residents 0 0 0

3.1. Internal Medicine 0 0 0

3.2. Obstetricts-Gynecology 0 0 0

3.3. Pediatrics 0 0 0

3.4. Surgery 0 0 0

Others, specify

POST GRADUATE NONE LICENCE

1 0 1 0 0 0 0
MEDICINE

B. Allied Medical

1. Nurses 4 7

2. Midwives 2 1

3. Nursing Aides 2 6
 4. Nutritionist 2 0

5. Physical Therapist 0 0

6. Pharmacists 2 0

7. Medical Technologist 2 0

8. Laboratory Technician 0 0

9. X-Ray Technologist/X-Ray
0 0
Technician

10. Medical Equipment Technician 0 0

11. Social Worker 0 0

12. Medical Records Officer/

0 0
Hospital Health Information Officer

Others, specify

LABORATORY AIDE 1 0 1 0 0 0 0

PHARMACY AIDE 0 0 4 0 0 0 0

PHARMACIST NON LICENCE 1 0 1 0 0 0 0

C. Non-Medical

1. Chief Administrative Officer 1 0

2. Accountant 0 0
 3. Budget officer 0 0

4. Cashier 0 0

5. Clerk 0 0

6. Engineer 0 0

7. Driver 1 1

Others, specify

MEDICAL RECORD WITH OUT

1 1 0 0 0 0 0
TRAINING

9. General Support Staff 0 0 0 0 0 0

- Janitorial 0 0 0 0 0 0

- Maintenance 0 8 0 0 0 0

- Security 0 0 0 0 0 0

Others, specify

COOK 2 1 1 0 0 0 0

IV. EXPENSES

   Report all money spent by the facility on each category.

Expenses Amount in Pesos

Amount spent on personnel salaries and wages 11,025,486.88

 Amount spent on benefits for employees (benefits are in addition to wages/salaries. Benefits include for example: social
3,776,014.43
security contributions, health insurance)

Allowances provided to employees at this facility (Allowances are in addition to wages/salaries. Allowances include for
8,654,193.25
example: clothing allowance, PERA, vehicle maintenance allowance and hazard pay.)

TOTAL amount spent on all personnel including wages, salaries, benefits and allowances for last year (PS) 23,455,694.56

Total amount spent on medicines 0.00

Total amount spent on medical supplies (i.e. syringe, gauze, etc.; exclude pharmaceuticals) 2,043,397.08

Total amount spent on utilities 666,256.59

Total amount spent on non-medical services (For example: security, food service, laundry, waste management) 11,219,594.01

TOTAL amount spent on maintenance and other operating expenditures (MOOE) 13,371,450.21

Amount spent on infrastructure (i.e., new hospital wing, installation of ramps) 0.00

Amount spent on equipment (i.e. x-ray machine, CT scan) 0.00

TOTAL amount spent on capital outlay (CO) 0.00

GRAND TOTAL 36,827,144.77

V. REVENUES

   Please report the total revenue this facility collected last year. This includes all monetary resources acquired by this facility from all sources including donations.

Revenues Amount in Pesos

Total amount of money received from the Department of Health 40,769,824.97

Total amount of money received from the local government 0.00

Total amount of money received from donor agencies (for example JICA, USAID, and others) 0.00
 Total amount of money received from private organizations (donations from businesses, NGOs, etc.) 0.00

Total amount of money received from Phil Health 0.00

Total amount of money received from direct patient/out-of-pocket charges/fees 0.00

Total amount of money received from reimbursement from private insurance/HMOs 0.00

Total amount of money received from other sources (PAGCOR, PCSO, etc.) 0.00

GRAND TOTAL 40,769,824.97

 If donation is in kind, please put equivalent amount in peso

Report Prepared by:

Designation/Section/Department:  / /    Date:

Report Approved and Certified by  :    Date: _______

Chief of Hospital/Medical Director