Department of Health

BUREAU OF HEALTH FACILITIES AND SERVICES

ANNEX – E
A.O. No. 2012-0012

MONTHLY HOSPITAL STATISTICAL REPORT

MAY 2025

Name of Hospital: MISAMIS ORIENTAL PROVINCIAL HOSPITAL-MANTICAO Street Address: POBLACION

Municipality: MANTICAO Province MISAMIS ORIENTAL Region: 10___________________________

Contact No.: __________________________________ Fax Number:__________________________________

Email Address: [email protected]

(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 (Specify):_______________
[ ] Level 2 Hospital [ ] Treats a particular organ (Specify):________________
[ ] Level 3 Hospital (Teaching/ Training) [ ] Treats a particular class of patients (Specify):________
[ ] Others (Specify):____________

Trauma Capability: [ ] Trauma Capable [ ] Trauma Receiving

2. Nature of Ownership
Government: Private:
[ ] National –DOH Retained/ Renationalized [ ] Single Proprietorship/Partnership/Corp.
[/ ] Local (Specify): [ ] Religious
[ / ] Province [ ] Civic Organization
[ ] City [ ] Foundation
[ ] District [ ] Others (Specify):________________
[ ] Municipality
[ ] DND/ DOJ
[ ] State Universities and Colleges (SUCs)
[ ] Others (Specify):_________________

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B. Quality Management
 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

 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 1/1/2025-12/31/2025

[ / ] Basic Participation
[ ] Advanced Participation

[ ] PCAHO Validity Period ____________

C. Bed Capacity/Occupancy

1. Authorized Bed Capacity: 25 beds

 Authorized bed: Approved number of beds issued by BHFS, the licensing agency of DOH.

2. Implementing Beds: 35 beds

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

3. Bed Occupancy Rate (BOR) Based on Authorized Beds: 70.84 %

(Total Inpatient service days for the period)**
(Total number of Authorized beds) x (Total days in the period) X 100

 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) + (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 while under treatment.

*Bed day: Bed used for a continuous 24 hours by an inpatient.

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Inpatient Care Number

 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

Total number of inpatients (admissions, including newborns) 220

Total Discharges (Alive) 201

Total patients admitted and discharged on the same day 0

Total number of inpatient bed days ( service days) 549

Total number of inpatients transferred TO THIS FACILITY from another
facility for inpatient care 0
Total number of inpatients transferred FROM THIS FACILITY to
another facility for inpatient care 11
Total number of patients remaining in the hospital as of midnight last day of
previous month 18

B. Discharges
Kindly accomplish the “Type of Service and Total Discharges According to Specialty” in the table below.
Type of Accomodation Condition on Discharge
Type No of Total
of Pts Lengt H O R/ T H A U Total
Service h Non- Philhealth Philhealth M W I Dis-
O W Deaths charg
of
Stay/ A es
Total Pay Total < > 48 To
No. of Service Pay Service 48 hrs tal
Days Charity hr
Stay Mem Depe Total s
ber ndent

Medicine 50 168 0 7 7 0 40 3 43 0 0 45 4 1 0 0 0 0 0 50
Obstetrics 35 57 0 4 4 0 29 2 31 0 0 33 2 0 0 0 0 0 0 35
Gynecology 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pediatrics 77 236 0 14 14 0 0 63 63 0 0 69 6 1 0 0 1 0 1 77
Surgery:
Pedia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Adult 3 18 0 0 0 0 3 0 3 0 0 3 0 0 0 0 0 0 0 3
Others,
Specify /CS 2 10 0 0 0 0 2 0 2 0 0 2 0 0 0 0 0 0 0 2
TOTAL 167 489 0 25 25 0 74 68 142 0 0 152 12 2 0 0 1 0 1 167
Total
Newborn 35 60 0 11 11 0 0 24 24 0 0 35 0 0 0 0 0 0 0 35
-Non-Patho 0 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 0
* R/I – Recovered/Improved T- Transferred U - Unimproved
H- Home Against Medical Advice A – Absconded D – Died (died upon admission)
 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 = 3 days/pt
Total discharges and deaths in the period
 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.

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

(Individual)
1. Acute Gastroenteritis 39 A09.9
2. Urinary Tract Infection 30 N39.9
3. Amoebiais 26 A06.9
4. Pneumonia 23 J18.9
5. Hypertentsion 12 I10.9
6. Diabetes Mellitus II 11 E14
7. Acute Gastritis 10 K29.1
8. Dengue Fever 9 A97.0
9. Upper Respiratory Tract Infection 5 J06.9
PTB 5 A16.2
10. Bronchial Asthma In Acute Exacerbation 4 J45.9
Anemia 4 D64.9

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012
ICD-10
Cause of Age Distribution of Patients CODE/
Morbidity (Underlying) TABULAR
Under 1 1–4 5–9 10 -14 15 –19 20 – 24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 & over Subtotal LIST
Total
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
5 3 15 9 1 1 1 1 1 2 23 16
1. Acute Gastroenteritis 39 A09.9
2 1 6 5 2 1 2 1 2 2 1 1 1 1 2 14 16
2. Urinary Tract Infection 30 N39.9
2 1 4 1 1 3 2 1 1 1 1 2 1 2 1 1 1 15 11
3. Amoebiasis 26 A06.9
2 1 7 5 2 1 1 2 2 9 14
4. Pneumonia 23 J18.9
1 1 2 2 1 1 4 5 7
5. Hypertension 12 I10.9
1 1 1 2 1 2 1 1 1 3 8
6. Diabetes Mellitus II 11 E14
3 3 2 1 1 5 5
7. Acute Gastritis 10 K29.1
1 2 3 1 1 1 4 5
8. Dengue Fever 9 A97.0
2 1 1 1 4 1
9. Upper Respiratory Tract 5 J06.9
Infection
1 1 1 2 2 3
Pulmonary Tuberculosis 5
2 1 1 2 2
10. Bronchial Asthma in 4 J45.9
Acute Exacerbation
1 1 1 1 3 1
Anemia 4 D64.9

Kindly accomplish the “Ten Leading Causes of Morbidity/Diseases Dis-aggregated as to Age and Sex” in the table below.

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 36

Total number of live-birth vaginal deliveries (normal) 35

 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

Total number of live-birth C-section deliveries (Caesarean) 1

Total number of other deliveries 2

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 508

Number of outpatient visits, re-visit 1,624

Number of outpatient visits, adult 1,405

Number of outpatient visits, pediatric 727

Number of adult general medicine outpatient visits 1,829

Number of specialty (non-surgical) outpatient visits 0

Number of surgical outpatient visits 235

Number of antenatal care visits 50

Number of postnatal care visits 18

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

Emergency visits Number

Total number of emergency department visits 839

Total number of emergency department visits, adult 544

Total number of emergency department visits, pediatric 295

Total number of patients transported FROM THIS FACILITY’S 83

EMERGENCY DEPARTMENT to another facility for inpatient care
Testing Number
Total number of medical imaging tests (all types including x-rays, ultrasound,
CT scans, etc.)
X-RAY 731
ULTRASOUND
69
Total number of laboratory and diagnostic tests (all types, excluding medical 3,390
imaging)
URINALYSIS
FECALYSIS 593
HEMATOLOGY (CBC,CT,Hema) 188
CLINICAL CHEMISTRY 766
IMMUNOLOGY/SEROLOGY/HIV(BT,Typhidot,Hepa,Crossmatching) 1,435
NEWBORN SCREENING
HEMOGLUCOTEST 34
144
Other 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 0

this facility or during outreach or home visits. Include immunizations
administered during child health weeks.

Total number of newly diagnosed cases of TB 5

 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

Total number of confirmed cases of dengue 9

C. Deaths

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

Total deaths 1

Total number of inpatient deaths

 Total deaths < 48 hours 1

 Total deaths > 48 hours 0

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Total number of emergency room deaths 5

Total number of cases declared ‘dead on arrival 12

Total number of stillbirths 0

Total number of neonatal deaths 0

Total number of maternal deaths 0

1. Gross Death Rate: 0.53%

Gross Death Rate = Total Deaths (including newborn for a given period)
Total Discharges and Deaths for the same period x 100
 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

2. Net Death Rate: 0.0%

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

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

Mortality/Deaths Number ICD-10 Code

(Individual)
REPIRATORY FAILURE SEC TO PNEUMONIA, SEVERE 1 J96.0,J18.90,E43,A16.9
MALNUTRITION, PRIMARY KOCH’S INFECTION

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

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

Cause of ICD-10
Age Distribution of Patients CODE/
Death (Underlying) Total TABULA
Under 1–4 5–9 10 -14 15 –19 20 – 24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 & Sub-
1 over R LIST
total

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

Respiratory Failure Sec to Pneumonia, 1 1 J96.0

Severe Malnutrition, Primary Koch’s J18.90
Infection E43
A16.9

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

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 (Levels 1, 2, 3 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

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 x 1000

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

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

10 Leading Major Operations (excluding Caesarian Number

Sections)
HEMORRHOIDECTOMY 1

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

10 Leading Minor Operations Number

1. Excision 5
2. Dilatation & Curettage 4
3. Dorsal Slit Repair 3
4. Repeat Debridement 1
5. Incision & Drainage 1
6. Completion Curettage 1

III. STAFFING PATTERN (Total Staff Complement)

Total staff working full time Total staff working part time Active Out-
Profession/ Position/ (at least 40 hours/week) (at least 20 hours/week) Rotating or sourced
Designation Visiting/
Affiliate
(For Private
Facilities)
Number of Number of Number Number of Number of Number
permanent contractual of permanent contractual of
staff staff volunteer staff staff volunteer
staff staff
A. Medical
1. Consultants
(indicate One-Peso
consultant)
1.1. Internal Medicine
a. Generalist
b. Cardiologist
c. Endocrinologist
d. Gastro-
Enterologist
e. Pulmonologist
f. Nephrologist
g. Neurologist
h. Others (Specify)
1.2. Obstetrics/
Gynecology (and
subspecialty)
1.3. Pediatrics (and
subspecialty)
1.4. Surgery (and
subspecialty)
1.5. Anesthesiologist

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

1.6. Radiologist
1.7. Pathologist
2. Post-Graduate
Fellows
(Indicate specialty/
subspecialty)
3. Residents
3.1. Internal Medicine 3
3.2. Obstetricts- 1
Gynecology
3.3. Pediatrics 2
3.4. Surgery 1
3.5. Others (Specify) 3

B. Allied Medical
1. Nurses 6 27
2. Midwives
3. Nursing Aides 8 3
4. Nutritionist 1
5. Physical Therapist
6. Pharmacists 1
7. Medical 5
Technologist
8. Others (Specify)

C. Non-Medical
1. Social Workers 1
2. Medical Records 2 1
Officer/ Hospital
Health
Information
Officer with
formal training in
medical records
management
3. Laboratory
Technicians
4. X-Ray 2 1
Technicians
5. Administrative 1
Officer
6. Accounting/ 2
Finance Officer

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 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

7. General Support 5 11
Staff
(maintenance,
janitorial,
secretarial) –
indicate if
outsourced
8. Others
(Specify)
Driver/ 2 1
Security Guard 2 3

IV. EXPENSES
Report all money spent by the facility on each category.

Expenses Amount in
Pesos
Amount spent on personnel salaries and wages

Amount spent on benefits for employees (benefits are in addition to wages/salaries.

Benefits include for example: social security contributions, health insurance)

Allowances provided to employees at this facility (Allowances are in addition to

wages/salaries. Allowances include for 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)

Total amount spent on medicines funded by the Revolving Fund

Total amount spent on medicines funded by the Government of the Philippines (from
any level of government, including the central, provincial and municipal
governments)

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

Total amount spent on utilities

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

TOTAL amount spent on maintenance and other operating expenditures

(MOOE)

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

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

TOTAL amount spent on capital outlay (CO)

 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

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V. REVENUES
Please report the total revenue this facility collected last year. This includes all monetary resources
acquired by this facility from all sources, and for all purposes.

Revenues Amount in
Pesos
Total amount of money received from the Department of Health
Total amount of money received from the local government

Total amount of money received from donor agencies (for example JICA, USAID,
and others)

Total amount of money received from private organizations (donations from

businesses, NGOs, etc.)

Total amount of money received from Phil Health

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

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

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

TOTAL Revenue

Report Prepared by : ROBERT B. FLORES, RN, MN-NAS Date: 06/10/2025

Designation/Section/Department : Chief Nurse /Nursing Service

Report Approved and Certified by : VINAFLOR B. REALISTA, MD. Date: 06/10/2025

Chief of Hospital
__________________________________________________________________________________________________________
 Department of Health
BUREAU OF HEALTH FACILITIES AND SERVICES
ANNEX – E
A.O. No. 2012-0012

Ten Leading OPD Consultations

MAY 2025

Number
1. HYPERTENSION 176
2. ACUTE GASTROENTERITIS 175
3. PNEUMONIA 163
4. URINARY TRACT INFECTION 156
5. WOUNDS OF ALL TYPES 151
6. UPPERE RESPIRATORY TRACT INFECTION 135
7. DIABETES MELLITUS II 90
8. GASTRITIS 71
9. PREGNACY UTERINE FULL TERM IN LABOR 45
10. PULMONARY TUBERCULOSIS 32

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