CUYAPO

INFIRMARY

ANNUAL
ACCOMPLISHMENT
REPORT

CY 2023

BENDITHA D. BABAC, RN, MSN, EdD

Administrative Officer III

JOEL T. TOQUERO, MD, MHA

Chief of Hospital
BACKGROUND INFORMATION

Cuyapo Infirmary is an LGU-owned health facility and is categorized as an economic enterprise

which provides various quality patient services. The Local Government of Cuyapo, under the strong-
willed leadership of Mayor Florida Paguio Esteban, MD, has considered this mandate by giving
more priority to the health-related programs of the municipality. Thus, the Mayor with the
support of the Sanggunian Bayan Members passed a resolution supporting the construction and
development of a health facility- Cuyapo Infirmary, to ensure accessible and quality healthcare
services are offered to all Cuyapenyos.
Cuyapo infirmary is a 13-bed capacity Health Facility with Emergency Room (ER),
Outpatient Department (OPD), Delivery Room (DR), LABOR ROOM (LR), and WARDS
(Female, Male, and Pedia ). The initial DOH License to Operate was given to Cuyapo Infirmary
on September 2, 2022, and recently, just received the DOH License to Operate for 2023 with the
validity coverage from January 1, 2023, to December 31, 2023. The OPD operation of the
Infirmary was conducted initially on January 10, 2022. Services offered since day 1 of dry run
operation are as follows:
 Consultation
 Basic management for emergency cases with proper referral system
 Minor surgeries such as:
1. Circumcision
2. Removal/excision of mass
3. Incision and Drainage of skin abscess
4. Wound dressing, suturing and removal of suture
5. Intravenous Fluid Therapy with bedside care
The Working Staff composition is the chief of hospital, administrative officer III, Nurse
1, Nursing attendant, accounting Clerk/Billing Officer, and Cashier holding permanent positions.
There are Job Workers deviated in significant positions such as Staff Nurses and Midwives,
clerical job, utility for maintenance and Housekeeping.
Annual Physical Report of Operation
CY 2023

With this health facility’s priority, service to patients remains the first consideration.
No of Patients 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter TOTAL
OPD Patients 3110 3991 4131 4237 15469
Minor surgery 210 140 175 325 850
In-patient Days 210 226 231 230 897
Discharges 198 216 208 230 852
Bed occupancy 47.43% 59.99% 33.36% 79.03% 54.95%
rate
Average length 3 days 3 days 1 day 3 days 2.5 days
of stay of In-
patients
Table 1

Table 1 shows the total number of Outpatients served in the Outpatient Department since January
to December, 2023. OPD patients from the first quarter to 4th quarter fifteen thousand four hundred sixty
nine (15469). Minor surgeries as seen above, there were eight hundred fifty (850) patients who underwent
minor surgeries. The table shows that there were eight ninety seven in- patients. Most of the in-patients
stayed for 2.5 days.
Table 2
Out-Patients’ Cases for 1st CY 2023
Case 1ST 2nd 3rd 4th
Quarter Quarter Quarter Quarter
Asthenia 5 10 15
3
Acute Gastro-enteritis 80 159 160
93
AGE with some signs of DHN 44 33 64
54
Age with no signs of DHN 133 123 144
90
AGE with moderate signs of DHN 10 20 30
15
AGE with mild signs of DHN 19 26 46
20
AGE with severe signs of DHN 30 32 40
45
Allergy 8 10 22
15
Eczema 0 0 3
2
Impetigo 0 0 0
0
Rashes 10 12 16
13
Hypersensitivity Reaction 5 8 5
6
Rubella 0 0 0
1
Shigellosis 0 0 0
0
Folliculitis 0 0 3
5
Viral Exanthem 5 0 2
3
Acute Hypersensitivity Reaction 5 3 1
5
Varicella 0 0 1
3
Herpes Zoster 0 0 0
0
Herpes Simplex 2 1 1
1
Leprosy 0 0 0
0
Arthitis 20 20 18
10
Gouty Arthritis 10 8 9
6
Juvenile Arthritis 0 3 0
2
Degenerative Arhtritis 22 20 20
15
Infected Tophi 0 0 0
0
Degenerative Osteoarthritis 0 0 0
2
Abrasion 24 45 26
33
Hematoma 23 15 20
31
Contusion Hematoma 10 15 20
10
Soft Tissue Contusion 29 19 23
17
Abscess 25 38 42
22
infected wound 30 34 16
22
Punctured Wound 26 15 10
24
Non-healing Wound 10 20 16
18
Healing Wound 8 11 20
8
Lacerated Wound 5 15 10
9
Infected Nail Bed 2 0 2
5
Burn 2 2 5
3
Cellulitis 10 16 10
15
Fracture 3 5 6
4
Acute Febrile Illness 10 25 29
16
Febrile Illness 15 15 30
25
Systemic Viral Illness 15 15 15
23
Acute Tonsilo-Pharyngitis 20 45 58
39
Pharyngitis 7 15 10
9
Acute pharyngitis 7 8 9
19
Parotitis 0 0 2
2
Mumps 0 0 0
0
Tooth Decay 10 18 20
5
Gingivitis 20 10 6
8
Anemia 25 16 25
25
Iron deficiency anemia 2 6 4
4
Blood dyscrasisa 0 0 0
0
Well Baby 55 33 43
65
Abdominal colic 5 10 18
2
Infected Umbilical 0 0 0
0
Oral Thrush 2 5 10
2
Oral Candidiasis 0 0 2
2
Otitis Media 5 10 2
5
Impacted Cerumen 0 3 0
2
Imperforated Anus 0 0 0
0
Intestinal Parasititism 15 20 28
25
Malnutrition 10 15 10
10
Bronchitis 25 38 40
29
Acute Bronchitis 90 189 137
130
Bronchial Asthma 15 22 36
20
Asthma 50 50 85
60
Acute Rhinitis 55 35 55
45
Allergic Rhinitis 32 33 48
35
Rhinitis 32 26 38
15
Allergic Cough 24 39 33
28
BAIAE 20 38 33
28
Sinusitis 20 30 25
15
Pneumonia 5 10 15
10
Bronchopneumonia 8 10 10
9
COPD 5 4 10
5
PTB 10 12 10
5
URTI 135 70 98
88
Acute URTI 23 36 35
24
CAP 8 10 9
10
Cor-Pulmonale 0 0 0
0
Hydro Pneumothorax 0 0 0
0
Pleural Effusion 0 0 0 0
Primary Complex 2 8 5
5
Emphysema 5 3 8
5
BPV 3 8 5
5
Migraine 20 10 8
10
Conjunctivitis 5 12 2
15
Hordeolum 1 0 0
1
Neuropathy 2 10 5
5
Cataract 30 10 15
15
Error Optic Refraction 0 0 0
0
Gastritis 70 138 98
86
Acute Gastritis 156 105 90
148
GERD 20 35 50
40
PUD 0 0 0
0
Epistaxis 5 10 15
10
Typhoid Fever 1 1 0
1
Dengue Fever 26 25 25
15
Functional Constipation 5 5 10
10
Hemorrhoids 20 15 16
10
UTI 233 238 240
232
Cystitis 0 2 2
0
AGN 1 3 1
2
Acute Renal Injury 0 1 1
1
Urolithiasis 2 2 1
2
Nephrolithiasis 4 0 1
1
CKD 8 5 2
3
Gallstone 5 8 3
5
Colon Cancer 0 0 0
1
Bell's Palsy 0 0 0
0
HPN 155 159 153
188
Hypotension 11 20 25
15
CHF 5 5 5
6
Atherosclerosis 0 0 2
5
CVA 10 7 5
5
Cardiac Dysrythmia 4 5 2
8
Costochondritis 2 1 0
1
Acute Infarct 1 2 1
2
Stroke 5 15 15
10
Chronic Myocardial Infarction 1 2 2
0
IHD 0 0 0
0
Hyperurecemia 0 0 0
0
Dyslipidemia 0 1 1
2
Hypokalemia 5 8 5
5
DM II 40 40 30
35
DM-Foot 5 8 10
2
Hypoglycemia 2 5 5
2
Hepatitis-B 0 0 0
0
ADHD 0 0 0
0
Anxiety 0 1 1
0
Acute Anxiety Disorder 0 0 0
0
Acute Depression 0 0 0
0
self inflicted Injury 0 0 0
0
insomia 2 5 3
5
Seizure disorder 2 1 2
1
Sciatica 0 0 0
0
Lumbo-sacral Strain 10 5 3
5
Musculo-skeletal strain 10 17 10
15
Shoulder sprain/strain/frozen 3 5 2
3
Cranial Strain 0 0 0
0
Basal Skull Pain 0 0 0
0
Muscle spasm/strain 5 6 5
5
Cervical strain 0 0 0
0
Clavicular strain 0 1 0
0
Knee Sprain 5 6 5
5
Mastitis 0 1 0
1
Mass 10 10 5
15
Sebacious Cyst 10 8 10
5
Lymphadenopathy 10 13 12
8
Lymphadenitis 6 8 5
5
Goiter 1 2 1
1
Colloidal Goiter 0 0 0
0
Non-toxic Goiter 2 3 2
1
Hypothyroidism 1 0 2
0
Inguinal Hernia 1 2 2
1
Hernia 2 0 1
1
Redundant Prepuce 0 0 0
0
Orchitis 0 0 0
0
Minimal Hydrocele- bilateral 0 0 0
0
Animal bite 5 5 5
4
Ectopic Pregnancy 0 0 0
0
Incomplete Abortion 1 0 0
1
Uterine Prolapse 0 0 0
0
Dysfunctional Uterine Bleeding 0 1 3
0
Menstrual Syndrome 15 6 10
12
Pelvic Inflammatory Disease 0 0 0
0
Dysmenorrhea 80 78 55
46
PCOS 0 0 0
0
Gonorrheal Infection 1 0 1
1
Vaginosis Infection 0 0 0
0
TOTAL 2447 2529 2775 2873

As shown in the above table, there were common cases of patients who had consultations and
underwent simple procedures and minor surgeries. The cases that show significantly high results accumulated
within a year were 943 patients diagnosed having urinary tract infections followed by AGE cases and patients
with hypertension. Some of the minor surgeries were derived from cases such as abscesses and varied kinds of
wounds as seen in the table.
Table 2
In-Patients’ Cases for 1st CY 2023
Diagnosis NHIP NON-NHIP
Hypertension Type II 15 2
CAP 42 10
Hypertension Urgency 41 7
Urinary Tract Infection 111 43
BAIAE 56 23
AGE with moderate dehydration 129 49
AGE without dehydration
Dengue without warning signs 38 11
Dengue with warning signs 35 11
Acute gastritis 70 26
Acute gastritis with moderate signs of dehydration 4 2
Typhoid fever 4 0
Amoebiasis with moderate signs of dehydration 6 3
PTB 9 3
Acute bronchitis 15 12
DM type II 19 4
Electrolyte imbalance 3 1
URTI 5 0
NSD 61 7
Newborn 61 7

The table shows that the census of In-patients is classified according to membership of an Insurance
Program. National Health Program (NHIP) is organized by Philippine Health Insurance Corporation (PhilHealth)
which all members are entitled to free healthcare. As seen in table there are patients who are beneficiaries of
NHIP and Non-NHIP. The cases that show significantly high results accumulated within a year were 178
patients diagnosed having AGE with moderate dehydration cases followed by 154 patients suffering from having
urinary tract infections. A remarkable result is also seen in the table with a promising number of OB cases who
have given birth normally in this health facility.
Table 3
Other Services 1st 2nd 3rd Quarter 4th Quarter TOTAL
Quarter Quarter
No. of
Diagnostic 3856 3970 450 483 17161
Test 5 0
(outsourced)

The Cuyapo Infirmary has no facility for diagnostic tests. Therefore, these other services are
outsourced to Rural Health Unit supported by a Memorandum of Agreement. As seen in the table, the
total number of outpatients and in-patients who have undergone diagnostic examination in 2023 is
seventeen thousand one hundred sixty one (17161). Diagnostic tests are necessary and also a significant
part of the Physical assessment of every patient for detection and confirmation of a disease.
Table 4
Hospital Satisfaction Rating 2023
% of patients with needs attended at a very
97.00%
satisfactory rate.
% of clients that rate the hospital services as very 94.00%
satisfactory to excellent

The Cuyapo Infirmary provides quality services as shown in the patients’ satisfaction rating resulting in 97.00
%. The percentage of patients with needs attended within a short period showed a satisfactory rate.

Table 5
HEALTH Insurance/Assistance Grants Beneficiaries Amount
PHILHEALTH Claims 720 patients P 2,076,291.1
DOH Medical Assistance for Indigent Patients 79 patients P 249, 165.50
Pantawid Pamilyang Pilipino Program 36 admitted patients
Libreng Tuli Program 108 patients

As seen in the table, there are Health Insurance and Medical Assistance Grants provided to indigent in-patients
and out-patients of this health facility. For 2023 beneficiaries, it is seen that the majority of the in-patients (720)
are beneficiaries/members of PhilHealth Insurance and were able to claim benefits based on their medical
diagnosis. Some patients were allowed to be included in the MAIP Program provided by the Department of
Health. In support of providing free medical services to 4 P’s beneficiaries, this health facility is also
implementing a Libreng Tuli Program with 108 beneficiaries for this year 2023.
HIGHLIGHTS OF ACCOMPLISHMENTS/ACTIVITIES

FREE CATARACT SCREENING AND EYE GLASSES was FREE TB SCREENING AND MOBILE X-RAY
conducted in this health facility for five times in this
current year.

Libreng Tuli Program is regularly conducted for

indigent individuals

This year 2023, there are 2 employees were selected and hired as regular employees in this health facility, one
(1) Registered Nurse for a position of Nurse 1 and 1 midwife for a position of Nursing Attendant.

GROWTH AND DEVELOPMENT OF SELECETED STAFF

Selected staff attended seminars and trainings in the various areas of concerns for the enhancement of
knowledge and skills of the staff for providing quality services to all clients and patients of this health facility.

1. Disaster Risk Reduction and Management in Health Planning Guide (April, 2023)
2. International Classification of Diseases 10th Revision ( July 24-28, 2023)
3. Updates Health Protocols following lifting of COVID-19 Public Health Emergency (July 23, 2023)
4. Updates on selected Infectious diseases (August 4, 2023)
5. Surveillance Updates and Re-orientation on Leptospirosis (September 5, 2023)
Issues and Concerns:

1. Equipment
i. Trainings of manpower to maintain our machines
and other equipment especially those equipment
ii. The preventive maintenance of machine is
outsourced secured by Memorandum of
Agreement (MOA) and it cost much to maintain
the efficiency and effectiveness of the machines.

2. Hospital X-RAY Room and Machine

i. Needs to establish this significant area in this facility to
diagnose ailment and illness, monitor medical and possible
surgical treatment for more effective and efficient patient
outcomes.
3. Trainings
i. There is a need for all the nursing staff to attend
specialized trainings. There is a lack of adequate
funds to support this area for growth and
development of every staff.

4. Plantilla
i. This facility is headed by a Chief of
Hospital, and maintained by an administrative
officer and medical and medical and nursing
services delivered by four (4) medical officers,
Ten (10) registered nurses, three (3) midwives
who are presently working as Job Order
Employees.

Table 4
The table below shows the Department of Health (DOH) recommended number of
healthcare providers working in an Infirmary Hospital.

POSITION NUMBER RATIO

Based on
the DOH Physician 1:20 beds at any standards
time (shall not go
of infirmary
on duty for more
personnel, than 48 hours) and with
the current number of
health care Nurse Supervisor 1 provider in
this facility,
there is a Head Nurse 1:15 need to
create Staff Nurse 1:12 Beds at any plantilla
positions time (1 reliever for since all
personnel every 3 RNs) are in job
order Nursing Attendant (NA) there 1:24 Beds at any positions
and shall be a reliever for every 3 time (1 reliever for additional
health Nursing Attendant every 3 NAs providers
should be Delivery Room Nurse; number 1/DR/shift considered
may increase depending on the
for better and
number of cases
effective Emergency Room Nurse/OPD; 1/shift health care
delivery. may increase depending on the
number of patients