Republic of the Philippines Province of Isabela MILAGROS ALBANO DISTRICT HOSPITAL Ngarag, Cabagan, Isabela Telefax No
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Republic of the Philippines Province of Isabela MILAGROS ALBANO DISTRICT HOSPITAL Ngarag, Cabagan, Isabela Telefax No. (078)-325-2069/323-2815 PHILHEALTH ACCREDITED ACCOMPLISHMENT REPORT FOR THE MONTH OF JULY 2019 A. Brief Background The Milagros Albano District Hospital, Cabagan, Isabela (formerly the Northern Isabela Emergency Hospital – NIEH) was established in 1961 under the Hospital Financing Act of 1939. The hospital was then housed at the Cabagan Dispensary (now RHU). As there was a need to expand the hospital services and facilities when people from other neighboring towns come for consultation and admission, hence, a 25 bed capacity hospital building was constructed on a 1.1 hectares donated land located along the Maharlika Highway. (Note: Adjacent land was purchased, present lot area 13,157 sq. meters) In 1974, the hospital was converted into a 50 Bed Capacity General Hospital under R.A. 6566. In compliance to the Local Government Code, in 1993, the hospital was devolved to the Provincial Government of Isabela. A new hospital building was constructed along side of the old building and was inaugurated and became operational on December 8, 2004. To date, Milagros Albano District Hospital, located at Brgy. Ngarag, Cabagan, Isabela, along the Maharlika Highway, is a Level I hospital as granted by the DOH Licensing Department and Center of Safety by Philhealth Accreditation. As a Level I hospital with an authorized 50 – bed capacity, it is the referral hospital for the Isabela North ILHZ which is comprised of the municipalities of Cabagan, San Pablo, Tumauini, Sta. Maria, Delfin Albano, the coastal towns of Maconacon and Divilacan, and Sto. Tomas. For complicated cases which the facility cannot provide, referral to a tertiary hospital, (e.g. CVMC and GFNDY) is warranted. 1 For the month of July 2019, the Milagros Albano District Hospital have served: Grand MEMBERSHIP PAYROOM SERVICE Total INDIGENT 4 117 121 SPONSORED 1 63 64 SENIOR CITIZEN 10 43 53 LIFETIME MEMBER 1 2 3 GOVERNMENT 7 10 17 PRIVATE 3 19 22 INDIVIDUALLY PAYING 8 30 38 KASAMBAHAY 0 0 0 OFW 1 1 2 NON-PHILHEALTH 19 74 93 GRAND TOTAL 54 359 413 Animal Bite Treatment Center Total Number Patients Served 305 Newborn Screening Percentage Inborn 69 Outborn 2 Family Planning 46 mothers catered TB-DOTS 21 patients referred to RHU B. DEPARTMENT/SERVICES AVAILABLE The District Hospital provides the following services to the client: 1. Out – Patient Services 2. In-Patient Care 3. Emergency Room Services 4. Dental Services 5. Pharmacy 6. Laboratory 7. Radiology(X-ray) 8. Animal Bite Treatment Center 9. Immunization Services (Hepa B at birth and BCG) 10. Newborn Screening 11. Mother-Baby Friendly Hospital (Breastfeeding) 12. Orthopedics 13. BEMONC Provider 14. Family Planning 15. TB-DOTS(Referring Hospital) 2 C. HOSPITAL OPERATIONS a. AVERAGE ADMISSION PER MONTH 413 b. AVERAGE LENGTH OF STAY 3 days c. TEN(10) LEADING CAUSES OF ADMISSION 1. Dengue Fever 44 2. Acute Gastroenteritis 40 3. UTI 39 4. Pneumonia 25 5. Hypertensive Emergency/ Urgency 21 6. Gastritis 12 7. Chronic Lower Respiratory Diseases 12 8. PTB 8 9. BPPV 5 10. Febrile Convulsions 5 LEADING CAUSES OF MORTALITY 1 Pneumonia 4 2 CHF 1 D. PERSONNEL STAFFING As of July 2019, there are Seventy Two (72) Plantilla Positions, wherein fifty seven (57) personnel are with permanent positions. At present, there are 8 permanent physicians, 1 Dentist, 5 private Doctors with different specialties serving the hospital under Memorandum of Agreement with the Provincial Government of Isabela. In the Nursing Service, there are 9 permanent Nurses, 3 contractual Nurses, 8 permanent Nursing Attendants, 1 permanent Midwife and 18 contractual Nursing Attendants. In the Ancillary Services, 2 permanent Med. Tech., 4 contractual Med. Tech., 1 permanent Lab. Aide., 2 permanent Rad. Tech, 5 contractual Rad. Tech., 2 Permanent Pharmacists, 5 Contractual Pharmacists and 1 contractual Pharmacy Aide. In Administrative Services, 23 permanent employees and 30 contractual employees. 3 E. EXISTING PHYSICAL FACILITIES 1. WATER SOURCE - Deep Well - LWUA 2. ELECTRICITY - ISELCO II - Generator 3. COMMUNICATIONS - PLDT landline with Internet 4. AMBULANT SERVICES - KIA Conduction Sticker EF 4275 - FOTON SAA 4723 - HYUNDAI Starex Conduction Sticker MS 6443 4 PERFORMANCE REPORT OF JULY 2019 I. GENERAL INFORMATION Classification General Authorized Bed Capacity 50 Actual Implementing 50 Service Capability Level I as DOH License Accreditation Level I by PHIC Nature of Ownership Provincial Government of Isabela II. UTILIZATION OF HOSPITAL SERVICES Total in – patients Admission (excluding New Born) 344 New Born 69 Total Discharges (Alive) 401 PHIC 306 NON-PHIC 95 Bed Occupancy Rate (Standard 85%) 63.35% Consultation Rate 8.6% Admission-Consultation Ratio 1:8 Average Length of Stay 3 days TOTAL SURGICAL OPERATIONS Cesarean Section 0 Major Operation 18 Minor Operation 65 TOTAL NUMBER OF DELIVERIES Normal Spontaneous Delivery 69 TOTAL LABORATORY TEST PERFORMED Urinalysis 632 Fecalysis 114 Hematology 1,251 Clinical Chemistry 72 Blood Banking 3 New Born Screening (Standard 85%) 100% Total X – Ray Performed 183 TOTAL PRESCRIPTION FILLED (Standard 80%) 100% TOTAL REFERRALS Referred to other hospital 29 Received from RHU TOTAL DEATHS (In – patient including Neonatal Deaths) Dead on Arrival 4 ER Death 2 GROSS DEATH RATE 1.21% GROSS INFECTION RATE 0 MATERNAL MORTALITY RATE 0 NEONATAL MORTALITY RATE 0 INFANT MORTALITY RATE 0 STILLBIRTH 0 TOTAL NUMBER OF PATIENTS SERVED AT ER 1,849 TOTAL NUMBER OF PATIENTS SERVED AT OPD 1,641 TOTAL NUMBER OF ADMISSIONS 413 5 SPECIAL ACTIVITIES FOR THE MONTH OF JULY 2019 On July 9, 2019 – Nursing Service Meeting 6 On July 22, 2019 – Utility Workers Meeting On July 26, 2019 – MADH employees in action, Clean-up drive within the hospital premises (TODA DENGUE, TODO NA ‘TO, IKA-ANIM NA KAGAT) 7 8 9 . 10 ARLENE M. LAZARO, MD, MSPH, FPSMS PHOI-FHS & OIC-Chief of Hospital 11 .