[DOCUMENT TITLE] [Document subtitle]

2 0 1 7

ANNUAL REPORT

Lung Center of the Philippines celebrated its 35th Founding Anniversary

January 23, 2017.

June 25, 2018

TABLE OF CONTENTS

Message from the Executive Director x

I. Organizational Profile 1

II. Organizational Structure 2

III. Health Services 3

IV. Human Resource Profile 5

V. Assets 6

VI. Healthcare Partners 8

VII. Medical Records Statistics 10

VIII. Management Highlights 17

IX. Awards and Recognitions 24

X. Service Utilization 27

XI. Financial Protection towards Health for all, All for Health 38

XII. Completed Projects 43

XIII. Statement of Financial Positions 49

MESSAGE FROM THE

EXECUTIVE DIRECTOR

The year 2017 has proven to be another memorable and

productive year for the Lung Center of the Philippines (LCP).

Many of the major events centered on organizational development and governance.

Top management was able to receive its official mandate from the national government,

with my appointment as Executive Director by President Rodrigo Roa Duterte. This was

followed by my appointment of Dr. Sullian Naval as Deputy Director for Medical Services

and designation of Dr. Victoria Idolor as Acting Deputy Director for Hospital Support

Services.

To crystallize a clear direction to the future for the Lung Center, a strategic

planning workshop was organized early during the year. It became clear during the process

that there was a need to strengthen the internal environment and processes of the

organization in order to fully pursue its mission and vision. Thus, LCP has committed to

strive for greater efficiency in its hospital operations, for the creation of a culture of

creativity and innovation, the improvement of its communication and information

management systems, the enhancement management skills of department managers and

division chiefs and broadening of linkages with private groups and government agencies.

These strategic objectives are in synchrony with objectives and goals of the national health

agenda, and help strengthen our compliance with the requirements of ISO 9001:2008

certification which LCP had accomplished in the preceding year.

This year was a banner year for the anti-smoking advocacy of the Lung Center, with

the launching in June 2017of the Quitline, a phone-based anti-smoking advocacy and

counseling facility for smokers who need help in quitting the tobacco habit. The event was

graced by the Health Secretary Dr. Pauline Jean Ubial and WHO representative Dr.

Gundo Weiler, as well as many advocates and partner groups in anti-smoking lobby. This

was also the year that the Lung Center finally received the Red Orchid Hall of Fame

award for three consecutive years of outstanding performance in the anti-smoking

campaign and strict compliance of the anti-smoking regulations. Other trailblazing

programs were introduced during the year. We conceptualized and launched the Healthy

Lung Program to provide the public essential knowledge on the common respiratory

conditions in the country and also to provide essential diagnostic services, and revitalized

the Lung Transplant Program, which we hoped to run full steam in the following year and

result in the first lung transplant in the country.

In terms of our medical services, we maintained throughout the year the very

satisfactory ratings from our clients, both in the in-patient and outpatient areas. We

continue to provide much-needed financial assistance for the medical needs of our patients

through the medical assistance programs of the DOH, the PCSO, DSWD and the DBM.

Nearly 90% of our clients during the year were PhilHealth members, which translated to

record benefit claims for our patients from the Medical Fund. We were able to renovate

and rehabilitate our hospital rooms, and improve our facilities which contributed to the

significant improvement throughout the year in the hospital occupancy rates.

We continued with the infrastructure program started by the previous Executive

Director. These include the planning and funding for the renovation of the Outpatient

Department, the construction of the Hemodialysis Unit, and the renovation of the Dietary

Division, the St. Therese Unit and the Sleep Laboratory. The efforts were facilitated by the

hiring of an in-house architect who has so far done a great job in providing advice to our

personnel in the technical aspects of the projects. We are hopeful that the preparations will

culminate in the start of actual construction in the next year.

I thank the managers, supervisors and staff of the Lung Center for their dedication

and cooperation to the new ideas and programs initiated by management. We have done

well so far. But there are still so many things to do to improve in our physical structure, and

the external and internal environment of the hospital, to strengthen our policies and

procedures in the delivery of medical services, and to further hone the administrative and

technical knowledge and skills of our staff. That is why we can expect a lot more

achievement in the next few years since we made the necessary preparations this year in

2017.

VINCENT M. BALANAG, JR., M.D.

Executive Director

I. Organizational Profile

MANDATE

The LUNG CENTER OF THE PHILIPPINES is a tertiary specialty, Government Owned and Controlled Corporation, established

trough on 16 January 1981. It has threefold objective of Service, Training and Research to provide the Filipino people state of the art specialized

care for lung and other chest diseases.

VISION

The premier institution for lung and other chest diseases, providing quality health care through excellent service, training and research.

MISSION

1. We provide quality health care through state-of-the-art facilities

and highly competent, compassionate staff for the improvement of

the Filipino people's quality of life.

2. We provide immediate attention to every individual in need regardless

of creed, color, sex, socio-economic status and political affiliation.

3. We endeavor to achieve financial stability and long term sustainability.

4. We are dedicated to lung health promotion and advocacy.

1 | P a g e

SHARED VALUES

We uphold our shared values of:

• concern and care for patients, employees and the institution • responsibility and discipline • commitment and dedication to excellence • respect for individual worth • integrity and honesty • unity and teamwork. • creativity and innovativeness

II. Organizational Structure

2 | P a g e

III. Healthcare Services

The Lung Center of the Philippines is the referral center for pulmonary and chest diseases. It operates on a 210 bed capacity,

providing 24-hours emergency and ambulance services. It has a

complete line of services from promotive/preventive to specialized

diagnostic, medical, surgical, and rehabilitative aspects of pulmonary

care for inpatients and outpatients.

As the science of medicine advances the Department of Pathology

also supports DOH Programs such that it caters the new functions of the

following designated Laboratories:

1. National Reference Laboratories (as per DOH- Department

Order 393-E s. 2000) i. NRL for Biochemistry (Clinical Chemistry) and

ii. NRL for Anatomic Pathology

with the following functions:

- Maintains Quality Assurance Program In Clinical

Laboratories (in coordination with DOH-Health facilities

and Services Bureau)

- Training Of Laboratory Personnel

- Evaluation Of Diagnostic Kits & Reagents (in coordination

with DOH-Food and Drug Administration)

- Referral, Confirmatory, Surveillance, Research

2. Sub-National Laboratory for Emerging and Re-Emerging

Infectious Diseases (EREID) (as per DOH- Department

Personnel Order No. 2009- 2441 and Department Memorandum

No. 2014-0365)

3 | P a g e

Specialized Services

1. Adult and Pediatric Pulmonary Care

2. Interventional Pulmonology

3. Ambulatory Oncology (Adult and Pediatric)

4. Radiation Oncology

5. Minimally Invasive Thoracic Surgery

6. Sleep Lab and Sleep Disorders Clinic

7. Pre – Flight Assessment

8. Molecular Diagnostics and Cellular Therapeutics Laboratory (MDCTL)

9. Hospice and Palliative Care

10. Hyperbaric and Wound Care Clinic

11. Pulmonary Rehabilitation

12. Pulmonary Health Programs – Healthy Lungs

Other Health Programs and Services

Asthma Club Directly Observed Treatment Short Course Regimen (DOTS)

Chronic Obstructive Pulmonary Disease (COPD)

Multi-Drug Resistant Tuberculosis (MDRTB)

Bronchiectasis Support Group Critical Airway Management and Training

Early Cancer Detection Program Drug Resistant Tuberculosis Support Group

Esophagus & Swallowing Center Smoking Cessation

Pain Management & Palliative Care Samahan Lusog Baga (SLBAI)

LCP Wellness Program End-Stage-Diseases (Lung Transplant)

Aviation Medicine and Travel Medicine Healthy Lungs Program

IV. Human Resource Profile

LCP workforce is a mix of three (3) generations: the Baby

Boomers, the Generation X, and the Generation Y or the Millennials. The challenge to the management is to effectively lead the

multigenerational and the aging workforce.

Generation Y "Millennials"

39%

Baby Boomers

11%

Generation X

50%

EMPLOYEE DISTRIBUTION

PROFILE

Employment Plantilla Job Order Outsourced

Status 568 283 152

20 to 39 years old

Age 60 years & Up 40 to 59 years (Generation Y)

(Baby Boomers) (Generation X) “Millennials”

64 286 218

Sex Male Female

246 322

Position Medical Nursing Allied Admin

(Plantilla) 75 248 79 166

5 | P a g e

V. Assets

LCP stands on a 12-hectare land, consisting of four (4) buildings: the

Main Building, Radiotherapy Building, National Center for Pulmonary Research Building, and one clinical unit – St. Therese

Unit.

LCP provides quality healthcare through its state-of-the-art facilities.

The only government hospital with two (2) Linear Accelerators, the second unit was installed this year.

It has successfully bided 2 Department of Health (DOH)-funded

equipment, one (1) 16-Slice Computed Tomography (CT) Scan and one

(1) 1.5 Tesla Magnetic Resonance Imaging (MRI) to provide support for

increasing number of procedures and referrals. Upgrade of RIS-PACS

was also initiated this year.

The Bronchoscopy Unit has acquired the Endo-Bronchial Ultrasound Machine (EBUS) which has increased the capability to diagnose lung

lesions and facilitate early staging of malignant tumors of the lungs.

The Sleep Laboratory and Sleep Disorder Clinic is equipped with the

latest polysomnography (Alice 6-2) which is a computerized sleep-

wake and physiological monitoring system. It allows complete

electroencephalograph (EEG) exams to investigate seizures, multiple

sleep latency tests (MSLT), as well as the usual diagnostic or titration

sleep studies.

The Section of Respiratory Services has a total of twenty eight

(28) units high-end mechanical ventilators, exclusively used in the critical units. There are nineteen (19) units mechanical ventilators from outsourced providers or rented by patients.

6 | P a g e

Latest Acquired State-of-the-Art Equipment

LIST OF EQUIPMENT 2017

Date Description/Particulars Memorandum

Amount Receipt

1/9/2017 VATS System 1-lot Operating Room 19,998,000.00

Esophageal

Manometry+PH

10/20/2017 Monitoring Manoscan

Operating Room 7,000,000.00 HRM/CLT WS, Dell W7

Given Imaging,

Manoscan 120 Module

6/9/2017 Ultrasonic Instrument

Operating Room 1,489,999.50 Cleaner

3/24/2017 Wet Chemistry Analyzer Pathology - NRL 3,900,000.00

Dry Chemistry Analyzer

4/12/2017 Analytical System: Pathology - NRL 6,000,000.00

Microslide/Dry

4/20/2017 Polysomnograph Machine SRS Sleep

3,400,000.00 Digital Specifications for Laboratory

Routine SG Recording

2/21/2017 Pathology - Stem

3,000,000.00 PCR Machine, Real Time Cell

Magnetic Resonance

Imaging (MRI) Scanner,

Radiology

11/28/2017 1,5 Tesla, Super 69,988,000.00 Department

Conducting, W/ RF &

Magnetic Shielding

Mechanical Ventilator Respiratory

11/16/2017 Puritan Bennett 840 1,980,000.00 Services ventilator

High Definition

10/20/2017 Videoendoscopy, EBUS Bronchoscopy 22,999,998.88

(Olympus) OEV-262

12/18/2017 Linear Accelerator Varian

Radiotherapy 198,995,899.00 CX

12/22/2017 Patient Monitor Vista 120 PACU/SICU 16,989,899.00

10/12/2017 Mobile X-ray Van Isuzu

GSD-Motorpool 3,998,000.00 NQR Motor

11/28/2017 Fire Pump GSD - Power

3,789,900.00 Center

7 | P a g e

VI. Healthcare Partners

LCP has government and private partner agencies to ensure that

patients receive the utmost comprehensive care. These are: Philippine

Health Insurance Corporation (PHIC), Department of Health (DOH), Department of Social Work and Development (DSWD), Philippine

Charity Sweepstakes Office (PCSO), Local Government Units, and

several Health Maintenance Organizations (HMO).

HMO/CO-SPONSORED

COLLECTION CY 2012 – 2017

YEAR COLLECTION

2012 15,527,007.29

2013 20,605,013.49

2014 28,539,733.81 HMO/CO-SPONSORED

2015 27,060,588.60 50,000,000.00

2016 29,385,869.00

45,000,000.00

2017 46,979,615.59

40,000,000.00

GRAND 168,097,827.78

TOTAL 35,000,000.00

2012

30,000,000.00 2013

25,000,000.00

2014

20,000,000.00

2015

2016

15,000,000.00

2017 10,000,000.00

5,000,000.00

-

2012 2013 2014 2015 2016 2017

8 | P a g e

PHILHEALTH COLLECTION

CY 2012 – 2017

NO. OF

YEAR CLAIMS COLLECTION

2012 3,783 56,634,635.34 2013 9,784 69,931,183.03 2014 20,070 88,967,372.67 2015 16,290 75,311,790.61 2016 22,271 101,603,530.43 2017 20,040 96,590,506.95

GRAND

489,039,019.03 TOTAL

PHIC Collection 120,000,000.00

100,000,000.00

80,000,000.00

60,000,000.00

40,000,000.00

20,000,000.00

-

2012 2013 2014 2015 2016 2017

Average of P8.04 monthly collection derived from PHIC for the year 2017.

PCSO COLLECTION PCSO COLLECTION

CY 2012 – 2017

70,000,000.00

YEAR COLLECTION 60,000,000.00

2012 29,657,377.25 50,000,000.00

2013 51,822,072.30

2014 55,717,250.28

40,000,000.00

2015 63,590,037.65

2016 55,049,721.40 30,000,000.00

2017 50,163,728.30

GRAND 306,000,187.18

20,000,000.00

TOTAL 10,000,000.00

-

2012 2013 2014 2015 2016 2017

9| P a g e

VII. Medical Records Statistics

10 | P a g e

Medical Records Statistics

Catchment Areas

Catchment Areas showed consistency prior years. Patients served, mostly comes from

the National Capital Region (NCR) followed by Region 4-A

11 | P a g e

Healthcare Associated Infection

Authorized Bed Capacity/Occupancy Rate

12 | P a g e

2013-2017 Medical Record Statistics Authorized Actual Authorized Actual Average Average

Year Bed Operating

Occupancy Occupancy Admissions Discharges Mortality number of length of

Bed Rate in-patients hospitaliz

Capacity Capacity Rate Rate per day ation

2013 210 258 66% 56% 6,596 6,580 8% 139 8 days

2014 210 258 68% 74% 6,839 6,839 9% 144 8 days

2015 210 240 66% 71% 6,414 6,399 10% 138 8 days

2016 210 235 67% 73% 6,246 6,272 9% 141 8 days

2017 210 235 74% 73% 6,498 6,450 11% 155 9 days

10 Major Leading Operating Room Procedures

RIGID BRONCHOSCOPY

IJ CATHETER INSERTION

THORACOTOMY

EXCISION/ INCISION BIOPSY

TRACHEOSTOMY

CNB/ SCNB

THORACOSCOPY

FOB

VATS

CTT

0 50 100 150 200 250

PHIC NON MEMBER

13 | P a g e

Top 10 Causes of Admissions and Discharges

2015-2017

1,400

1,200

1,000

800

600

400

200

0

Malignant neoplasm of trachea, bronchus and lung

Pneumonia

Respiratory tuberculosis

Other diseases of the respiratory system

Bronchitis, emphysema and other chronic obstructive pulmonary diseases Malignant neoplasm of breast

Other diseases of the nervous system

Asthma

Other in situ and benign neoplasms

and neoplasms of uncertain and unknown behaviour Hodgkin's disease

2015 2016 2017

Percentage of Patients Discharged as Improved/Recovered

Patients Admitted & Discharged at the Lung Center of the

Philippines 2017

600

500

400

300

200

100

0

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Admissions 532 469 542 503 587 554 546 588 497 570 561 549

Discharges 476 450 539 503 563 566 557 590 501 587 548 570

14 | P a g e

Percentage of Patients Discharged as Improved/Recovered

In-Patients Treated at the Lung Center of the Philippines 2017

587

588

570 561

Jan

554

600 532 542 546 549

503

497

Feb

469

500

Mar

Apr

400

May

300 Jun

Jul

200 Aug

Sep

100

Oct

Nov

0

Admissions

Dec

Average Number of In-Patients Treated at LCP

2017

150. 65

156.96

156.32 155.26

169. 13

164.52

168. 66

162.35

157.46

149. 19

138.89

128. 45

Jun

Feb

Dec Nov Oct Sep Aug Jul May Apr Mar Jan 0 20 40 60 80 100 120 140 160 180

15 | P a g e

140

120

100

80

60

40

20

0

Top 10 Causes of Discharges

2017 Top 10 Causes of Discharges Malignant neoplasm of trachea, bronchus and

lung

Pneumonia

Respiratory tuberculosis

Other diseases of the respiratory system

Bronchitis, emphysema and other chronic obstructive pulmonary diseases Malignant neoplasm of breast

Other diseases of the nervous system

Asthma

Other in situ and benign neoplasms and neoplasms of uncertain and unknown behaviour Hodgkin's disease

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Chronic lower TOP 5 CAUSES OF DEATH

respiratory diseases

Remainder of , 44, 9%

diseases of the

respiratory system Malignant

, 54, 11% neoplasm of trachea, bronchus and lung , 192, 40%

Respiratory Tuberculosis, 84,

18%

Pneumonia, 104,

22%

16 | P a g e

VIII. MANAGEMENT HIGHLIGHTS

Appointment of the New Executive Officer

Dr. Vincent Balanag, Jr. formally assumed the position of

Executive Director of LCP in 2017 with the reception of written

appointment from the President of the Philippines dated Dec.19,

2016. Oath-taking ceremony took place on Feb. 2, 2017 with former

Secretary Paulyn Jean Ubial at the Department of Health (DOH) and later in Malacanan Palace before Pres. Rodrigo Roa-Duterte March

30, 2017 together with other new appointees in the government.

17 | P a g e

Changes in Top Management:

o Dr. Sullian Naval, previously appointed in 2016 as OIC-

Deputy Director for Hospital Support Services, formally

assumed the position of Deputy Director for Medical

Services on Sept 1, 2017, taking over from Dr. Dina V.

Diaz.

o Dr. Victoria Idolor was appointed OIC-Deputy Director

for Hospital Support Services to replace Dr. Naval.

Restructuring Plan: The DOH planned to re-organize the 4

specialty hospitals to accommodate future expansions in their bed

capacity. LCP held several meetings with the different departments

to discuss their proposed staff complement for the planned

expansion of its bed capacity to 500 beds. This was followed by

series of meeting with the Department of Budget and Management

(DBM) to finalize the organizational structure and the number of

staffing for each department, division and section of the hospital.

As of the end of 2017, the DBM has not come out with the

approved plan for LCP.

18 | P a g e

Proposed Organizational Chart

19 | P a g e

Transition from ISO 9001:2008 to 9001:2015 Version

ISO: shift from 2008 to 2015

Full course Awareness - on QMS version 2015 was done December 7-8

after the Management Review held December 13, 2017 at the PJ Tablan, Audio Visual Room.

Calendar of Activities Timeline

1 3rd Management Review Mar. 1-2, 2017

2 4th

Management Review Dec. 13, 2017

3 External Audit – 1st Surveillance Jun 14, 2017

4 Training on ISO 9001:2015- Full Dec 7-8, 2017

Course Awareness

20 | P a g e

Strategic Planning

Preparation Stage: April 27 to May 16, 2017 with former DOH

Asec. Dr. V. Belizario in action, Dr. Gloanne Adolor, Dr. Raffy Marfori as facilitators and the LCP officials.

Planning: Actual conduction on June 23 -24, 2017, Crowne Plaza,

Manila Galeria, Ortigas, Pasig City.

21 | P a g e

The Strategy Map:

Revenue Productivity

Customer Satisfaction Operational Efficiency

Financial Reduce % Establish links

Increase increase in with NGOs &

Admissions operating other Gov’t

expenses agencies expenses

Decrease Increased Create venue for

customer Customer communicating events of the

complaint Referral day from patients to staff to

Customer managers

Communicate key

processes to

patients

Internal Improve Communication and Information Management System

Business

Process Develop a system

Create a checklist of

for Process Flows day-to-day operations

Build a culture of Enhance Management

Learning

creativity and

Skills

innovativeness and

Conduct training

Growth Update and craft new

needs analysis for

Standard Operating

department managers

Procedures

22 | P a g e

Performance Governance System

o ISA Initiation Phase Together with the Philippine Heart Center, Philippine Children’s Medical Center and the National Kidney and Transplant Institute, the Lung Center of the Philippines joined the Performance

Governance System (PGS) On March 7-8, 2017 at the Dr. Avelino P. Aventura Hall MAB in its initiation phase with didactic and workshops.

23 | P a g e

Awards and Recognition

During the 4th National Staff Meeting with the Theme: Paving the

way towards Responsive and Quality Hospital Systems,” on October 26-27, 2017 at the Amigo Terrace Hotel in Iloilo City, the Lung Center of the Philippines was awarded the “HALL OF FAME” recognition for consistently the champion in the Red Orchid Award.

Quitline

The Quitline Program of the Department of Health in coordination with the LCP Smoking Cessation Program was launched last June 19, 2017 at the Lung Center of the Philippines, EMG Auditorium, which office is housed at the

4th

Floor of the Main

Building.

24 | P a g e

Lung Center received the Proficiency Certificate from RITM last September

15, 2017

LCP was recognized supporting the Service Delivery Network for People living with HIV by

Quezon City government, 6th

of December 2017.

LCP was also recognized for its HEMS great endeavors on health emergency

crises, awarded during the ASEAN Summit November 13-14, 2017 in Manila, Philippines.

25 | P a g e

26 | P a g e

The annual Scientific Meeting at the

Lung Center of the Philippines,

January 21, 2017 themed: Advanced Pulmonary Experience (APEX)

Events from the MDRTB DOTS with Dr. Vincent Balanag, Jr. and some PHDU staff.

August 2018-Lung Month Event

Re-accreditation to Level III of the Institutional Ethics Review Board (IERB) on July 17, 2017.

The visit of the relics of St. Therese of Lieux. on Sept 8, 2017, (St. Therese is LCP’s patroness.)

27 | P a g e

IX. Service Utilization

Outpatient and Emergency Room Census

Outpatient visits Number

Number of outpatient visits, new patient 5,076

Number of outpatient visits, re-visit 18,955

Number of outpatient visits, adult 24,031

Number of outpatient visits, pediatric 819

Number of adult general medicine outpatient visits 24,031

Number of specialty (non-surgical) outpatient visits 4,812

Number of surgical outpatient visits 2,542

Number of antenatal care visits ---

Number of postnatal care visits ---

2017 OPD-ER PATIENT DISTRIBUTION

OUTPATIENT, 23,979,

EMERGENCY ROOM, 65%

10,632, 29%

HEALTH & FITNESS, 2,133, 6%

EXECUTIVE CHECK- UP, 30, 0%

SMOKING CESSATION, 124, 0%

28 | P a g e

Emergency Room Census

Emergency visits

Number

Total number of emergency department visits 11,284

Total number of emergency department visits, adult 10,632

Total number of emergency department visits, pediatric 652

Total number of patients transported FROM THIS

FACILITY’S EMERGENCY DEPARTMENT to 433

another facility for inpatient care

Testing Number

Total number of medical imaging tests (all types including 61,814

x-rays, ultrasound, CT scans, etc.)

Total number of laboratory and diagnostic tests (all types, 220,994

excluding medical imaging)

Other services and diseases seen Number

Total number of outreach or home visits 25

Total number of immunization doses administered to

children 0-59 months at this facility or during outreach or None

home visits. Include immunizations administered during

child health weeks.

Total number of newly diagnosed cases of TB 1,330

Total number of confirmed cases of dengue 54

29 | P a g e

Section of Respiratory Services (SRS)

No. of Procedures and 2016

2017

% Diff.

Treatments

ABG 10,861 12,384 0.14

CPET 44 50 0.14

Nebulization 74,481 82,964 0.11

PFT Adult 1,244 1,650 0.33

PFT Pedia 9 81 8

Pre Flight or HCT 3 15 4

Pulse Oximetry 15 6 -0.6

Spontaneous breathing parameters 289 252 -0.13

Sputum Induction 4,910 6,086 0.24

Cardiac Stress Test 21 21 0

2D-Echocardiography 1,475 1,614 0.09

12-Lead Electrocardiography 7,179 8,360 0.16

Mech/ Ventilator usage (LCP) 2,321 4,041 0.73

Mech/Ventilator usage (Outsourced) 4,990 3,400 -0.32

BIPAP usage LCP 1,221 563 -0.54

BIPAP usage (outsourced) 487 816 0.68 There was an 11% increased in the overall number of procedures from 2016 to 2017.

Physical Therapy and Rehabilitation

Number of Patient Served

5899

6000 4806

4382 4701

3639

5000

4000

3000

2000

1000

0 2013 2014 2015 2016 2017

The number of patients for the past 5 years with 2017 marked with 25.48% as the highest number of patients compared to 2016.

30 | P a g e

Bronchoscopy and EBUS

CY 2017

Classification

Outpatient

Inpatient

Total

January

Pay 2 1 3

Service

6

3

9

February

Pay 3 8 11

Service

6

1

7

March

Pay 1 5 6

Service

5

5

10

April

Pay 1 7 8

Service

9

6

15

May

Pay 3 8 11

Service

15

7

22

June

Pay 0 6 6

Service

15

5

20

July

Pay 0 2 2

Service

4

4

8

August

Pay 3 5 8

Service

6

8

14

September

Pay 2 7 9

Service

0

6

6

October

Pay 1 6 7

Service

6

6

12

November

Pay 1 1 2

Service

4

7

11

December

Pay

5

8

13

Service

0

3

3

TOTAL 98 125 223

Inpatient EBUS Procedures October -December 2017

9 8 7 6 5 4 3 2 1 0

October November December

In-patient Pay In-patient Service

Monthly Distribution of Patients who underwent EBUS which started operations in October 2017.

31 | P a g e

Ambulatory Oncology

Monthly distribution of Service Patients 2016-2017

Ambulatory Oncology Service Patient

Census 2016-2017

42 4 35 37

29 30 29 31 33 31 29 9 30

26 27 26 26 28 26 23

19 19

12

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Service 2016 Service 2017

Monthly distribution of Pay Patients 2016-2017

Ambulatory Oncology Pay Patient

2016-2017 Census

193 195 183 179 175

164 159

148 142

149

161

13328 140

136

126

116

105

116 113 98 97 101

100

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Pay 2016 Pay 2017

For year 2017 showed an increase in both Pay and Service patient.

32 | P a g e

Summary of Patients Served 2016-2017

2500

2000

1500

1000

500

0 2016 2017

Service Pay

Ambulatory Oncology Procedures-Service & Pay

2000 1,915

1800

1600

1400

1200

1000

800

600

400 274

200 18

28

24 5 1 15 0 0

0

Chemotherapy Bone Marrow Biopsy IM/SQ Injection

Service Pay

Number of procedures done for pay and service cases marking chemotherapy administration to be the most common procedure performed in the AMOU.

33 | P a g e

Critical Care Units

Distribution of Patients Admissions, Transfers, Discharged

Sleep Medicine

Sleep Study and EEG Patients Served for 2015 to 2017

SLEEP & EEG COMPARATIVE REPORT

350

300

250

200

150

100

50

0 SLEEP EEG

2015 2016 2017

Sleep Study marked an increased for the CY 2017.

34 | P a g e

Radiology & Radiotherapy

35 | P a g e

OTHER MAJOR PROJECTS/ACHIEVEMENTS:

The Department of Radiology initiated the upgrading of the

Radiology Information System (RIS-PACS) of the Lung Center of the Philippines during the last quarter of FY 2017 with a budgetary cost amounting to P7,500,000.00.

It also successfully bided two (2) machines funded by the

Department of Health through the Health Facility Enhanced Equipment Program (DOH-HFEP): (1) 16-Slice CT Scan and

(1) 1.5 Tesla Magnetic Resonance Imaging (MRI) costing P26.8M and P70.M respectively during the last quarter of 2017.

Sustained 100% year round radiologic equipment calibration.

36 | P a g e

Pathology/Laboratory

Comparative Annual Workload

200,000 180,682 182,458

150,000

110,023

96,106

100,000 58,293 50,422

50,000

- 2016 2017

Pay Service QFS

Comparative Annual Income 100,000,000.00 91,993,435.61

90,000,000.00

80,000,000.00

70,000,000.00

60,000,000.00

61,947,230.44

50,000,000.00

39,924,721.58

40,000,000.00

30,000,000.00 30,990,423.57 20,000,000.00

3,067,158.34 10,000,000.00

2,900,657.35

-

Pay Service

QFS

2016 2017

Year 2017 showed a growth of 67% in income versus 2016.

National Reference Laboratory (NRL)

37 | P a g e

Pharmacy

2016-2017 SALE OF DRUGS & MEDICINES

Php12,000,000.00

Php10,000,000.00

Php8,000,000.00

Php6,000,000.00

Php4,000,000.00

Php2,000,000.00

Php0.00

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2016 2017

Mean increase in gross income of P2.M for 2017 versus 2016.

Central Sterilization and Supply Income 2017

Central Supply Income Report 2017

1,600,000.00

1,400,000.00

1,200,000.00

1,000,000.00

800,000.00

600,000.00

400,000.00

200,000.00

0.00

OUT PATIENT IN PATIENT

JANUARY FEBRUARY MARCH APRIL MAY JUNE

JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER

There was a 1.5% decrease income for outpatient during the last quarter while 2% growth for in-patient for the last quarter of 2017.

38 | P a g e

X. Financial Protection towards Health for All and All for Health

Medical Social Service Report

PHIC Membership

148, 9%

1483, 91%

w/PHIC

w/PHIC but not updated

91% of Lung Center’s patients are covered by PHIC.

AGE

900

800 777

700

600

480

500

400

290

300

200

98

100

0

18- Below 19-35 36-55 56-Above

AGE

This shows that lung diseases are more prevalent during prime years since most number of patients are ages 56 and above.

39 | P a g e

331, 20%

217, 13%

1104, 67%

Employed

Unemployed

Self- employed

Majority of the patients showing 67% are unemployed.

941, 58%

393, 24%

214, 13%

40, 3%

30, 2% 1, 0%

3, 0%

C SR C1 C2 C3 C3-D D

Most patients are classified C3-D who shared voluntarily at least any amount from the total hospital bill.

40 | P a g e

1097, 66%

378, 23%

115, 7%

55, 3% 16, 1%

Surgical

Medical Pedia/ PICU IMCU/ RICU

Isolation Unit

Most of the admitted patients are medical cases.

Admitted patient are mostly afflicted with Community Acquired Pneumonia (CAP).

41 | P a g e

Gender Female

691 42%

Male 962 58%

Male Female

58% of the population is comprised by male patients.

FINANCIAL REPORT

43%

57%

Amount Paid

QFS

Quantified Free Service (QFS) has the higher percentage utilization versus patient’s counterpart.

42 | P a g e

Patients classified by MSS who have the highest percentage of amount being deducted from patients' hospital bill.

43 | P a g e

XI. Completed Projects

Major Repairs & Renovations

44 | P a g e

45 | P a g e

46 | P a g e

47 | P a g e

48 | P a g e

49 | P a g e

XII. Statement of Financial Position

50 | P a g e

FINANCIAL STATEMENT 2017

51 | P a g e

INCOME AND EXPENSES STATEMENT 2017

2017

COLLECTION

HMO/CO- SPONSORED

24% PROMISORY

NOTES 3%

PCSO 25%

PHILHEALTH 48%

Receipt of ₱ 199,721,091.66 from accounts receivables, 48.56% of which represents collection from PHIC as key source.

52 | P a g e

PERSONAL SERVICES 2017

53 | P a g e

MAINTENANCE AND OTHER OPERATING

EXPENSES (MOOE) 2017

54 | P a g e

AGENCY PERFORMANCE TARGETS

(Accomplishment)

FY 2017

55 | P a g e