Note from the Publisher The contents of this publication are based on the 2019 Annual Hospital Statistical Reports and available data as of October 30, 2020, as validated by the DOH hospitals through the Health Facility Development Units, except when updated before the actual printing date. Produced by: Department of Health - Health Facility Development Bureau Production Team Research and Performance Management Division Editorial and Data Integrity Team Roderick M. Napulan- Team Leader Dianne Melody A. De Roxas- Assistant Team Leader Ramon Rafael D. Tonato- Member Andy Geo A. Reyes - Member Cover Design and Layout Camille Anne C. Ople Glenn A. Cruz Advisers Usec. Lilibeth C. David, MD, MPH, MPM, CESO I Director Ma. Theresa G. Vera, MD, MSc, MHA, CESO III Executive Summary The Department of Health directly supervises and controls the management and operations of 66 hospitals. All administrative regions in the country have DOH hospitals, 38 of which are located in Luzon, 12 in Visayas, and 16 in Mindanao. Majority of these facilities are Level 3 Hospitals (56%). In 2020, the total licensed beds of these hospitals amount to 22,773 while implementing beds amount to 27,019. In 2019, the DOH hospitals recorded a total of 1,115,064 inpatient days, 3,100,503 emergency room visits and 8,408,166 outpatient visits. Daily, the DOH Hospitals admits 30,309 patients and discharges a tenth of its total daily inpatients. The overall bed occupancy rate of all hospitals is beyond the total licensed beds at 131%. Three out of four hospitals have bed occupancy rate beyond its licensed authorized bed capacity. In addition, there are four specialty hospitals attached to the DOH operating as Government-Owned and -Controlled Corporations (GOCC) namely, National Kidney and Transplant Institute, Philippine Heart Center, Philippine Children’s Medical Center and Lung Center of the Philippines. Moreover, there are two extension hospitals, one hospital is currently operating as a Program Management Office (Philippine Cancer Center), and four hospitals that are transitioning operations from their respective local governments to the DOH. All of these DOH hospitals are complementing other government and private health facilities in delivering affordable and accessible quality health services for the achievement of Universal Health Care. iii Table of contents Section 1: Operational Definition of terms 1-8 Section 2: Summary tables, charts, and graphs of DOH hospital statistics 9-20 Section 3: DOH hospital profiles and maps 21-237 National Capital Region 22-57 Region I 58-67 Cordillera Administrative Region 68-79 Region II 80-91 Region III 92-105 Region IV-A 106-111 Region IV-B 112-119 Region V 120-129 Region VI 130-141 Region VII 142-157 Region VIII 158-165 Region IX 166-183 Region X 184-193 Region XI 194-201 Region XII 202-209 Region XIII 210-217 GOCC Hospitals 218-227 Renationalized, Extension, and Newly-created Hospitals 229-236 List of DOH hospitals 237 v Section 1 Operational Definition of Terms 1 Classification of Hospital (According to scope of Services)¹: General: a hospital that provides services for all kinds of illnesses, diseases, injuries or deformities. A general hospital shall provide medical and surgical care to the sick and uninjured, maternity, newborn and child care. It shall be equipped with the service capabilities needed to support board certified/eligible medical specialists and other licensed physicians rendering services in, but not limited to, the following: a. Clinical Services (Family Medicine, Pediatrics, Internal Medicine, Obstetrics and Gynecology, Surgery) b. Emergency Services c. Outpatient Services d. Ancillary and Support Services such as, clinical laboratory, imaging facility and pharmacy Specialty: a hospital that specializes in a particular disease or condition or in one type of patient. A specialized hospital may be devoted to treatment of any of the following: a. Treatment of a particular type of illness or for a particular condition requiring a range of treatment. b. Treatment of patients suffering from diseases of a particular organ or group of organs ¹AO 2012-0012 Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines, including amendments 3 Level of Hospital: Defined as the service capabilities of hospitals reflected in the 2020 license to operate. These service capabilities can be classified into the following categories.² Hospital Level 1 Level 2 Level 3 Services Consulting specialists in, but not All of Level 1 plus, the following: All of Level 1 and Level 2 plus, the be limited to Medicine, Pediatrics, following: Ob-Gyne, Surgery Departmentalized Clinical Services Teaching/training with at least any two Emergency and Outpatient Respiratory Unit (2) accredited residency program for Clinical Services General ICU physicians in any medical/surgical Services for Isolation Facilities High Risk Pregnancy Unit specialty and/or subspecialty Inpatients Surgical/ Maternity Facilities NICU Dental Clinic Physical Medicine and Rehabilitation Unit Ambulatory Surgical Clinic Dialysis Clinic Secondary Clinical Laboratory Tertiary Clinical Laboratory Tertiary Clinical Lab with Histopathology Ancillary Blood Station Blood Station Blood Bank Services 1st Level X-ray 2nd Level X-ray 3rd Level X-ray Pharmacy Authorized Bed Capacity (ABC) by license to operate (LTO): Approved number of beds issued by the Health Facilities and Services Regulatory Bureau (HFSRB)/Regional Office - Regulation Licensing and Enforcement Division (RO-RLED), which are the licensing offices of the Department of Health. This is based on the Licensed to Operate (LTO) 2020 submitted by the hospitals. 4 ²AO 2012-0012-A Amendment to AO 2012-0012 entitled Rules and Regulations Governing the New Classification of Hospitals and Other Health Facilities in the Philippines Authorized Bed Capacity (ABC) by law: Mandated number of beds prescribed by laws. Implementing Bed Capacity (IBC): Number of beds implemented by hospital, based on hospital management decision as reflected in the 2019 Annual Hospital Statistical Report. This is not the basis for computing Bed Occupancy Rate. Bed Occupancy Rate (BOR): The percentage of inpatient beds occupied over a given period of time as reflected in the 2019 Annual Hospital Statistical Report. It is a measure of the intensity of hospital resources utilized by inpatients. BOR = 5 Inpatient Service day (Daily Inpatients Served): Unit of measure denoting the services received by one in-patient over a 24-hour period. This also refers to the average number of inpatients admitted in the hospital. = Inpatient Bed days (annual inpatient service days): Computed as the sum of the inpatient service days as reflected in the 2019 Annual Hospital Statistical Report. = Average Daily Discharges: This refers to the average number of inpatients discharged in the hospital over a given period as reflected in the 2019 Annual Hospital Statistical Report. = Total annual inpatient discharges in 2019 / 365 days 6 Outpatient Department (OPD) Visits: Total number of outpatient visits as reflected in the 2019 Annual Hospital Statistical Report, computed as the sum of daily patients catered in the OPD over a given period, regardless if the patient is new or for follow-up visits. Emergency Room (ER) Visits: Total number of patients consulted the ER as reflected in the 2019 Annual Hospital Statistical Report, computed as the sum of daily ER patient census over a given period. 7 Hospital Scorecard Rating: Hospital Scorecard refers to the tool integrated as the core indicators of the hospital OPCR and used to track and measure the performance of DOH hospitals towards efficient, effective and timely provision of quality healthcare service. It is rated using the following scale below: Numerical Adjectival Rating Description Rating Performance exceeded the targets set by 30% and above of the 5 Outstanding (O) planned targets Performance exceeded the targets set by 15% to 29% of the planned 4-4.99 Very Satisfactory (VS) targets 3-3.99 Satisfactory (S) Performance met 10% to 114% of the planned targets 2-2.99 Unsatisfactory (US) Performance of 51% to 99% of the planned targets 0-1 Poor (P) Performance failing to meet the planned targets by 50% or below 8 Section 2 Summary of DOH hospital statistics (excluding GOCCs, extension, newly-created and renationalized hospitals) 9 Distribution of DOH hospitals (excluding GOCCs, extension, newly created and renationalized hospitals) 11 National Profile of DOH hospitals Service capability and capacity 38 DOH hospitals 12 DOH hospitals 22,773 (2020) 16 DOH hospitals Total Authorized Bed Capacity (by LTO) 27,019 (2019) 66 Total Implementing Bed Capacity Number of DOH Hospitals 12 National Profile of DOH hospitals Utilization 10,915,480 (2019) 30,309 (2019) Total Inpatient Bed Days Total Daily Inpatients Served 8,408,166 (2019) 3,100,503 (2019) Total Outpatient Visits Total Emergency Room (ER) Visits 1,115,064 (2019) 3,055 (2019) Total Inpatient Discharges Average Daily Discharges 13 Distribution of DOH hospitals’ Service Capability by Region 14 Authorized Bed Capacity (ABC) and Implementing Bed Capacity (IBC) of DOH hospitals 15 Total Inpatient Bed Days of DOH Hospitals by Region 10,915,480 (2019) Total Inpatient Bed Days 16 Bed Occupancy Rate (BOR) of DOH hospitals by Region* Bed Occupancy Rate Distribution of DOH Hospitals *Based on the total number of inpatient days and authorized bed capacity of all the hospitals in the region 17 Total Emergency Room (ER) Visits (2019) by Region 3,100,503