2014

TABLE 1: DEMOGRAPHIC PROFILE OF IN-PATIENTS, LPGH&STC, 2013 & 2014

          As a Regional DOH Retained hospital we cater to population in the South of Metro Manila, this include Las Pinas, Paranaque, Muntinlupa & Pasay. But since this is a national hospital it also serve other cities and municipalities especially the adjacent areas of Bacoor, Imus, Kawit, Rosario and other Region 4 areas.

            In 2014, 42% (N=3573) of In-patients were residents of Las Pinas, followed by Bacoor with 29% (N=2425) then Paranaque with 13% (N=1143).   

A. HOSPITAL QUALITY INDICATORS

TABLE 2: COMPARATIVE DATA ON HOSPITAL QUALITY INDICATOR, 
LPGH & STC, 2010 - 2014
 

              Several quality indicators are considered in the performance of the hospital services. Data from 2010-2014 is presented to show comparative data within 5 years of accomplishment of the hospital having 150 authorized bed capacity. The hospital was licensed with 150 ABC from 2008 till present. Performance is measured by percentage of patients served and given quality care.

    As shown in the above table (Table 1) on Hospital Quality Indicators, the Bed Occupancy Rate in 2014 is 99%, this is higher by 8% compared with 2013. Average length of stay of 4 days is still within the standard acceptable level (4-5 days). Recovery rate is 86% which is 1% higher compared with 2013. Of the total patient discharged 38% (N=3184) are PhilHealth patients.

            On mortality rate indicator, the hospital Gross Death Rate in 2014 is much higher at 11% compared with the standard acceptable level of < 3% , same with the Net Death Rate in 2014, which is also higher at 5% compared with the standard acceptable level of 0.5%-2.5%. Maternal Mortality Rate on the other hand decreased at 0.23% in 2014 and is within the standard acceptable level of 2.5%.

B.  CLINICAL SERVICES

TABLE 3:  COMPARATIVE DATA ON NUMBER OF IN-PATIENTS SERVED 
PER CLINICAL AREA, LPGH & STC, 2010 & 2014

Among the Clinical Services only Medicine increased in the number of admissions &discharges (Table 3) in 2013 compared with 2012. Obstetric has the highest percentage of discharges, 39% in 2013, while Surgery has the lowest, 5% but with the highest percentage of decreased in 2013 compared with 2012.

       TABLE 4:  COMPARATIVE DATA ON THE TYPES OF DELIVERIES, 
LPGH & STC, 2010 & 2014
 

            Among the total number of deliveries handled and admitted, 86% delivered by NSD and 14% by Caesarean Section. Of all those delivered through NSD, 52% (N=1358) were with High Risk conditions. High risk condition was based on the WHO High Risk coding for pregnant women.  

            CS rate is 14%, this is higher than the acceptable level of 3-4% based on Western Standards, as per FOGS indicator their acceptable level is 15%.

TABLE 5: COMPARATIVE DATA ON SURGICAL OPERATIONS DONE,  
LPGH & STC, 2010 - 2014  

          Surgeries were categorized as major and minor. Major operations are done in the Operating Room of the hospital while Minors are performed either in OR, Minor OR of OPD and Emergency Room. Among the total surgical cases done 14% (N=797) were Major and 86% (N=4764) were Minor.

            Of the 86% minor cases, 41% (N=1980) were In-Patients, 9% were Out-Patient & 49% were patients from ER.

 TABLE 6:  COMPARATIVE DATA ON LEADING CAUSES OF MAJOR SURGICAL OPERATION,  LPGH & STC, 2013 & 2014

TABLE 7:  THE LEADING CAUSES OF DISCHARGES,  LPGH & STC, 2013 & 2014

             Compared with the 2013 leading causes of discharges the case mix is almost the same. AT the top five are the same diseases with that of 2013, DHF and Abortion just change their position, Abortion is at No. 3 & DHF is at No. 4 in 2014. 

TABLE 8:  LEADING CAUSES OF MORTALITY,  LPGH & STC, 2013 & 2014

            Causes of mortality are based on the ICD 10 coding. Pneumonia is still the no. 1 cause of death among deaths, followed by non-communicable illness like Heart, Kidney Disease & Diabetes. PTB is still on the top 10 leading cause.