Hospital Statistical Report

Online Hospital Statistical

Reporting System
(OHSRS)
Department of Health
Health Facilities and Services Regulatory
Bureau (HFSRB)
and
Information Management System (IMS)
 OBJECTIVE

To train stakeholders on the

system operations of the OHSRS
as part of the minimum
requirements prior to issuance of
License to Operate (LTO) of
hospital facilities.
 LEGAL BASIS
MANDATE
• Hospital Licensure Act (R.A. No. 4226)
• Administrative Order (A.O.) No. 2012 – 0012 Rules
and Regulations Governing the New Classification of
Hospitals and Other Health Facilities in the Philippines
• Annex-E of A.O. No. 2012-0012: Annual Hospital
Statistical Report
• Department Memorandum (D.M.) No. 2014-0015:
New Hospital Statistical Report Form
• Administrative Order
No. 2012 – 0012

“New Classification of Hospitals and Other

Health Facilities”
“ All hospitals and other health facilities, shall submit
reports to HFSRB/RHO on a regular basis in accordance
with the following statistical report format posted at DOH
website”
• For purpose of research
• Standard Setting
• Improving access to quality hearth services and others
7 January 2014
DEPARTMENT MEMORANDUM
NO. 2014-0015

• SUBJECT :“Submission of
Annual Hospital Statistical
Reports Using the New Form
(Annex E of A. O. N0.2012-
0012-New Classification of
Hospitals and Other Health
Facilities”
Department Circular 2015-
0236
“Subject : Online Submission of the Annual
Hospital Statistical Report”
• All hospitals (Private and Government) are
hereby directed to submit hospital statistical
report annually.
• Development of the Online Hospital
Statistical Report System.
www.ohsrs.doh.gov.ph
When are reports expected to
be submitted?
• March 31 of the next year.
 Some Causes of Delay
submission

• Fast turnover of employees

• Late consolidation of the required data
(example: Revenues)
• Forget password
• Misconception/ Miscommunication
Familiarization with Hospital Statistical Form
Authorized Bed Capacity
• Authorized bed Capacity (ABC):
Approved number of beds indicated in the
license of the hospital issued by HFSRB,
the licensing agency of DOH.
Bed Occupancy Rate (BOR) Based on Authorized
Beds: ______%
(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.
Daily census (In-patient service days)

• Inpatients remaining in the hospital at

midnight plus (+) admissions up to the
next census hour (midnight of next day)
minus (-) Discharges and death between
census taking hours (from midnight to
midnight).
 ______________________________________
NAME OF HOSPITAL

HOSPITAL DAILY CENSUS REPORT

Service__________________ Floor/Section:_______________

For the 24-hour ending midnight of: Date_______________

ADMISSIONS DISCHARGES(Alive)
Hospital Room Patient’s Name Time Hospital Room Patient’s Name Time
Number Number Number Number

Transfer IN from other floor Transfer out to other floor

DEATHS

CENSUS SUMMARY FOR THE DAY

1. Remaining from yesterday’s midnight report……………………………………______________
2. Admissions…………………………………………………………………………………………______________
3. Transfers IN from other floors……………………………………………………………______________
4. Total of 1, 2 and 3………………………………………………………………………………._____________
5. Discharges (Alive) this census day………………………………………………………______________
6. Transfers out to other floors………………………………………………………………______________
7. Deaths………………………………………………………………………………………………______________
8. Total of 5, 6 and 7………………………………………………………………………………………………______________
9. Remaining at 12:00 midnight(4) minus (8)…………………………………………………………______________
10. Total inpatient service days……………………………………………………………………………….______________

Prepared by:______________________
Date____________________________
• Average Daily Census – average number of inpatients per
day for a given period.

(Total service days for a

period)
Average daily census = _________________________
(Total days in the same
period)

(Total service days is compiled on the daily Census Report).

The different wards submit daily census report using the
same formula.
Bed Occupancy Rate (BOR) Based on Authorized
Beds: ______%

(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 Care Number
Total number admissions
Total Newborn
Total Discharges (Alive)

Total patients admitted and discharged on the same day

Total number of inpatient bed days (service days)
Total number of inpatients transferred TO THIS
FACILITY from another facility for inpatient care
Total number of inpatients transferred FROM THIS
FACILITY to another facility for inpatient care
Total number of patients remaining in the hospital as of
midnight last day of previous year
• Average Length of Stay (ALOS) of Admitted Patients
It is the average number of days each inpatient stay in the
hospital for each episode of care.

Total length of stay of discharged patients including deaths in

the period = _______
Total discharges and death in the same period
 •Discharges
Kindly accomplish the “Type of Service and Total Discharges According to Specialty” in the table below.

Type No Total Type of Accomodation Condition on Discharge

of of Length
Service Pts of
HM O R T H A U Total Dis-charges
Stay/
Total Non- Philhealth Philhealth O W /
Deaths
No. of W I
Days A
Total < > Total
Stay Service/
Pay Total Pay 48 48
Charity Service/ hrs hrs
Charity

Medicine

Obstetrics

Gynecology

Pediatrics

Surgery:

Pedia

Adult

Others,
Specify

TOTAL

Total
Newborn

-Pathologic

-Non-Patho
•Average Length of Stay (ALOS) of Admitted Patients

Total length of stay of discharged patients (including Deaths) in the period =ALOS
Total discharges and deaths in the period

•Average length of stay = Average number of days each inpatients (excluding

newborn) stayed in the hospital for each episode of care.
.
 • 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 (Final Diagnosis) Number ICD-10 Code

( Exclude deliveries) (Tabular)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
 Kindly accomplish the “Ten Leading Causes of Morbidity/Diseases Disaggregated as
to Age and Sex” in the table below.

Cause of ICD-10
Age Distribution of Patients CODE/
Morbidity (Underlying) Total
TABULAR LIST
Spell out. Do not
Under 1–4 5–9 10 - 15 –19 20 – 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 & Subtotal
abbreviate)
1 14 24 over

. M F M F M F F F M F F M F F M F M F M F M F M F M F M F M F
M M M M

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
HOS-Stat Report Form
Revision:02
01/22/2014
Page 5 of 14
 Kindly accomplish the “Ten Leading Causes of Morbidity/Diseases Disaggregated as to Age
and Sex” in the table below.

Cause of ICD-10
Age Distribution of Patients CODE/
Morbidity (Underlying) Total
TABULAR LIST
Spell out. Do not abbreviate.
Under 1 1–4 5–9 10 -14 15 – 20 – 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70 & Subtotal
19 24 over

M F M F M F F F M F F M F F M F M F M F M F M F M F M F M F
M M M M

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

HOS-Stat Report Form

Revision:02
01/22/2014
Page 5 of 14
 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

Total number of live-birth vaginal deliveries (normal)

Total number of live-birth C-section deliveries

(Caesarians)

Total number of other deliveries

 • 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

Number of outpatient visits, re-visit

Number of outpatient visits, adult
Number of outpatient visits, pediatric (0 to 18 years
old)
Number of adult general medicine outpatient visits

Number of specialty (non-surgical) outpatient visits

Number of surgical outpatient visits

Number of antenatal care visits
Number of postnatal care visits
Emergency visits Number

Total number of emergency department visits

Total number of emergency department visits, adult

Total number of emergency department visits,

pediatric (0 to 18 years old)
Total number of patients transferred to this facility

Total number of patients transferred FROM THIS

FACILITY’S 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.)

Total MRI

Total CT Scan

Total x-ray

Total Ultrasound

Total number of laboratory and diagnostic tests (all types,

excluding medical imaging)
•Deaths
For each category of death listed below, please
report the total number of deaths.
Types of deaths Number
Total deaths
Total number of inpatient deaths
 Total deaths < 48 hours
 Total deaths > 48 hours

Total number of emergency room deaths

Total number of cases declared ‘dead on
arrival’
Total number of stillbirths
Total number of neonatal deaths
Total number of maternal deaths
• Gross Death Rate ____________%
Gross Death Rate = Total Deaths (including newborn for a given period)
Total Discharges and Deaths for the same period x 100

•Net Death Rate ____________%

Net Death Rate = Total Death (including newborn for a given period) – death <48 hours for the period

Total Discharges and Deaths for the same period – X 100

death <48 hours for the period
 •Ten Leading Causes of Mortality/Deaths and Total Number of Mortality/Deaths.

Ten Leading Causes of Mortality/Deaths and Total

Number of Mortality/Deaths
Mortality/Deaths (Underlying cause of death) Exclude Number ICD-10 Code
Cardio-respiratory arrest. (Tabular)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
 Kindly accomplish the “Ten Leading Causes of Mortality/Deaths
Disaggregated as to Age and Sex” in the table below.

Cause of Age Distribution of Patients ICD-10

Death To CODE/
Und 1 – 4 5 – 10 15 20 25- 30- 35- 40- 45- 50- 55- 60- 65- 70 Subto
(Underlying) tal TABU
er 1 9 -14 –19 – 24 29 34 39 44 49 54 59 64 69 & tal LAR
over LIST

Spell out. Do M F M F M F F F M F F M F F M F MF M F M F M F M F M F M F
not M M M M
abbreviate.

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
For All Hospitals (Levels 1, 2, 3 General and Specialty)

INFECTION RATE = Number of Healthcare Associated Infections x 100

Number of Discharges
•Device Related Infections
•Ventilator Acquired Pneumonia (VAP) = Number of Patients with VAP x 1000
Total Number of Ventilator Days

•Blood Stream Infection (BSI) = Number of Patients with BSI x 1000

Total Number of Central Line

•Urinary Tract Infection (UTI) = Number of Patients with UTI x 1000

Total Number of Catheter Days
•Non-Device Related Infections
Surgical Site Infections (SSI) = Number of Surgical Site Infections x 100
 10 Leading Major Operations (excluding Caesarian Sections) Number

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
 10 Leading Minor Operations Number

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
 •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)
Grand Total
•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