ANNEX D6: PERFORMANCE FACTOR COMPUTATION FORM

PERFORMANCE FACTOR COMPUTATION FORM

PERIOD COVERED: JULY TO FEBRUARY 26, 2024

NAME OF NETWORK: Quezon Provincial Hospital Network - Claro M. Recto

NETWORK ACCREDITATION NO: P41034034

ACCREDITATION
NO. FACILITY RESULTA
NO.
CONSULTATION (30%) DIAGNOSTIC (30%)
TARGET ACTUAL SCORE TARGET
1 QPHN - Claro M. Recto P41034034 1800 138 0.023 1800

TOTAL

THIS FORM SHALL BE COLLECTED PER QUARTER

Note: AS of February 19,2024
PREPARED BY:
Ed Lexter V. Romantico

NAME/DESIGNATION/DATE
N FORM

RESULTANT SCORE

DIAGNOSTIC (30%) ANTIBIOTIC (10%) NCD (30%)

ACTUAL SCORE TARGET ACTUAL SCORE TARGET ACTUAL SCORE
51 0.0085 1800 17 0.0009444 1800 138 0.023
PERFORMANCE FACTOR

0.0554444444444444
 Annex D.7: Summary List of Beneficiaries Needing/Providing K
Period Covered: JULY TO MARCH 2024

NAME OF NETWORK: Quezon Provincial Hospital Network - Claro M. Recto

Network Accreditation No.: P41034034

NEEDING KONSULTA SERVICES

No. Facility Accred. No. (Pls indicate the date determined)
Consultation Diagnostics NCD Antibiotics
1 QPHN - Claro M. Recto P41034034 1477 51 138 17

Total

This form shall be collected per quarter

Note: AS of February 19,2024

Prepared by:
Ed Lexter V. Romantico

Name/Designation/Date
ng/Providing Konsulta Services

PROVIDED WITH KONSULTA SERVICES STATUS OF SERVICES

(Pls indicate the date provided) (Percentage)
Consultation Diagnostics NCD Antibiotics Consultation Diagnostics NCD Antibiotics
138 51 138 17 0.02802979012 0.3 0.3 0.1
0.7280298