PCPAccFrm E-4B1F1 Rev2014

E
H

Hospital: Southern Isabela Medical Center

Admissions: ICU Census

Case-load (case census per year) and results of care Enter the Month
and Year

Month/Year: June 2019

Enter Total IM
Admisssions (Patient
Total IM Admissions: person count) for the Ma
Month nu
dis
% of Total yo
% of
Admissions an
# of Mortality
CARDIOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)
Yellow
1 #DIV/0! #DIV/0! autom
comp
2 #DIV/0! #DIV/0! enter
3 #DIV/0! #DIV/0! boxes
4 #DIV/0! #DIV/0! ANYT
YELLO
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
26 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
INFECTIOUS DISEASES ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
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7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
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10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
We attest to the truthfulness of the above documentation: Page 1 of 23
Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 2 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
PULMONARY MEDICINE ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
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7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
GASTROENTEROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
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13 #DIV/0! #DIV/0!
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17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 3 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
NEPHROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
ENDOCRINOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 4 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
HEMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
NEUROLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 5 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
ONCOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
DERMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 6 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of Mortality
RHEUMATOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of Mortality
ALLERGOLOGY & IMMUNOLOGY ICD 10 Cases
(# of cases/ # of Mortality
(# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 7 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

Hospital: Southern Isabela Medical Center

Admissions: ICU Census

Enter the Month
Case-load (case census per year) and results of care and Year

Month/Year: November 2019 Enter Total IM

Admisssions
(Patient person
Total IM Admissions: count) for the
Month
% of Total
% of
Admissions
# of # of Mortality
CARDIOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! 1 #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
Ty
7 #DIV/0! #DIV/0! D
8 #DIV/0! #DIV/0! ne
9 #DIV/0! #DIV/0! ju
10 #DIV/0! #DIV/0! th
11 #DIV/0! #DIV/0! m
fo
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 1 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
INFECTIOUS DISEASES ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
We attest to the truthfulness of the above documentation: Page 8 of 23
Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 9 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
PULMONARY MEDICINE ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
GASTROENTEROLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 10 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
NEPHROLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
ENDOCRINOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 11 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
HEMATOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
NEUROLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 12 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
ONCOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
DERMATOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 13 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4B1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
RHEUMATOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
ALLERGOLOGY & IMMUNOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 #DIV/0! #DIV/0!
2 #DIV/0! #DIV/0!
3 #DIV/0! #DIV/0!
4 #DIV/0! #DIV/0!
5 #DIV/0! #DIV/0!
6 #DIV/0! #DIV/0!
7 #DIV/0! #DIV/0!
8 #DIV/0! #DIV/0!
9 #DIV/0! #DIV/0!
10 #DIV/0! #DIV/0!
11 #DIV/0! #DIV/0!
12 #DIV/0! #DIV/0!
13 #DIV/0! #DIV/0!
14 #DIV/0! #DIV/0!
15 #DIV/0! #DIV/0!
16 #DIV/0! #DIV/0!
17 #DIV/0! #DIV/0!
18 #DIV/0! #DIV/0!
19 #DIV/0! #DIV/0!
20 #DIV/0! #DIV/0!
21 #DIV/0! #DIV/0!
22 #DIV/0! #DIV/0!
23 #DIV/0! #DIV/0!
24 #DIV/0! #DIV/0!
25 #DIV/0! #DIV/0!
TOTAL 0 #DIV/0! 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 14 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

Hospital: Southern Isabela Medical Center

Admissions: ICU Census

Case-load (case census per year) and results of care Enter the Month and
Year

Month/Year: June 2019

Enter Total IM
Admisssions (Patient
Total IM Admissions: 26 person count) for the
M
n
Month d
% of Total y
% of a
Admissions
# of # of Mortality
CARDIOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)
Y
1 Acute Coronary Syndrome I124.9 1 3.85% 1 100.00% a
2 Fatal Arrhythmia I49.9 1 3.85% 1 100.00% f
s
3 Supraventricular Tachycardia I47.1 1 3.85% 0.00% W
4 Cardiogenic Shock R57.0 1 3.85% 1 100.00% T
5 ST-Elevation Myocardial Infarction I21.3 1 3.85% 0.00%
6 NonST-Elevation Myocardial Infarction I21.4 1 3.85% 0.00%
7 0.00% #DIV/0! Ty
8 0.00% #DIV/0! D
9 0.00% #DIV/0! ne
ju
10 0.00% #DIV/0!
th
11 0.00% #DIV/0! m
12 0.00% #DIV/0! fo
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 6 23.08% 3 50.00%

% of Total
% of
Admissions
# of # of Mortality
INFECTIOUS DISEASES ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 Hospital Acquired Pneumonia J18.9 2 7.69% 0.00%

2 Septic Shock R65.21 4 15.38% 2 50.00%
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
We attest to the truthfulness of the above documentation: Page 15 of 23
Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 6 23.08% 2 33.33%

We attest to the truthfulness of the above documentation: Page 16 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
PULMONARY MEDICINE ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 Pulmonary Edema J81.0 1 3.85% 1 100.00%

2 Chronic Obstructive Pulmonary Disease J44.9 1 3.85% 0.00%
3 Acute Respiratory Failure J96.00 2 7.69% 1 50.00%
4 Cor Pulmonale I27.81 1 3.85% 1 100.00%
5 Acute Pulmonary Congestion J81.0 1 3.85% 0.00%
6 Pulmonary Mass R91.8 1 3.85% 1 100.00%
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 7 26.92% 4 57.14%

% of Total
% of
Admissions
# of # of Mortality
GASTROENTEROLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 0.00% #DIV/0!
2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 17 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
NEPHROLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 Uremia R39.2 1 3.85% 1 100.00%

2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 1 3.85% 1 100.00%

% of Total
% of
Admissions
# of # of Mortality
ENDOCRINOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 Hyperglycemic Crisis E11.0 1 3.85% 1 100.00%

2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 1 3.85% 1 100.00%

We attest to the truthfulness of the above documentation: Page 18 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
HEMATOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 0.00% #DIV/0!
2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
NEUROLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 Cerebrovascular Hemorrhage I67.9 2 7.69% 0.00%

2 Acute Subdural Hematoma S06.5X0A 1 3.85% 0.00%
3 Brain Hernation Syndrome G93.5 2 7.69% 2 100.00%
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 5 19.23% 2 40.00%

We attest to the truthfulness of the above documentation: Page 19 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
ONCOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 0.00% #DIV/0!
2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
DERMATOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 0.00% #DIV/0!
2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 20 of 23

Chairman, Dept. of Medicine
 PCPAccFrm E-4A1F1 Rev2014

% of Total
% of
Admissions
# of # of Mortality
RHEUMATOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 0.00% #DIV/0!
2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

% of Total
% of
Admissions
# of # of Mortality
ALLERGOLOGY & IMMUNOLOGY ICD 10 Cases
(# of cases/
Mortality (# of deaths/
Total IM
# of Cases)
admissions)

1 0.00% #DIV/0!
2 0.00% #DIV/0!
3 0.00% #DIV/0!
4 0.00% #DIV/0!
5 0.00% #DIV/0!
6 0.00% #DIV/0!
7 0.00% #DIV/0!
8 0.00% #DIV/0!
9 0.00% #DIV/0!
10 0.00% #DIV/0!
11 0.00% #DIV/0!
12 0.00% #DIV/0!
13 0.00% #DIV/0!
14 0.00% #DIV/0!
15 0.00% #DIV/0!
16 0.00% #DIV/0!
17 0.00% #DIV/0!
18 0.00% #DIV/0!
19 0.00% #DIV/0!
20 0.00% #DIV/0!
21 0.00% #DIV/0!
22 0.00% #DIV/0!
23 0.00% #DIV/0!
24 0.00% #DIV/0!
25 0.00% #DIV/0!
TOTAL 0 0.00% 0 #DIV/0!

We attest to the truthfulness of the above documentation: Page 21 of 23

Chairman, Dept. of Medicine
 Philippine College of Physicians
PCPAccFrm E-4B1F2 Rev2014

SUMMARY OF CENSUS ICU Census

HOSPITAL Southern Isabela Medical Center

Month/Year
% of Total Admissions % Mortality
June 2019 (# of cases/total IM (# of deaths/ #
# of Cases Cases) # of Mortality of cases)

Cardiology 0 #DIV/0! 0 #DIV/0!

Infectious Diseases 0 #DIV/0! 0 #DIV/0!
Pulmonary Medicine 0 #DIV/0! 0 #DIV/0!
Gastroenterology 0 #DIV/0! 0 #DIV/0!
Nephrology 0 #DIV/0! 0 #DIV/0!
Endocrinology 0 #DIV/0! 0 #DIV/0!
Hematology 0 #DIV/0! 0 #DIV/0!
Neurology 0 #DIV/0! 0 #DIV/0!
Oncology 0 #DIV/0! 0 #DIV/0!
Dermatology 0 #DIV/0! 0 #DIV/0!
Rheumatology 0 #DIV/0! 0 #DIV/0!
Allergology & Immunology 0 #DIV/0! 0 #DIV/0!

Total IM Cases 0 Total Mortality 0

Total IM Admissions 0 Total Mortality/Total Admissions #DIV/0!

SUMMARY OF CENSUS ICU Census

HOSPITAL Southern Isabela Medical Center

Month/Year
% of Total Admissions % Mortality
November 2019 (# of cases/total IM (# of deaths/ #
# of Cases Cases) # of Mortality of cases)

Cardiology 0 #DIV/0! 1 #DIV/0!

Infectious Diseases 0 #DIV/0! 0 #DIV/0!
Pulmonary Medicine 0 #DIV/0! 0 #DIV/0!
Gastroenterology 0 #DIV/0! 0 #DIV/0!
Nephrology 0 #DIV/0! 0 #DIV/0!
Endocrinology 0 #DIV/0! 0 #DIV/0!
Hematology 0 #DIV/0! 0 #DIV/0!
Neurology 0 #DIV/0! 0 #DIV/0!
Oncology 0 #DIV/0! 0 #DIV/0!
Dermatology 0 #DIV/0! 0 #DIV/0!
Rheumatology 0 #DIV/0! 0 #DIV/0!
Allergology & Immunology 0 #DIV/0! 0 #DIV/0!

Total IM Cases 0 Total Mortality 1

Total IM Admissions 0 Total Mortality/Total Admissions #DIV/0!
 Philippine College of Physicians
PCPAccFrm E-4B1F2 Rev2014

SUMMARY OF CENSUS ICU Census

HOSPITAL Southern Isabela Medical Center

Month/Year
% of Total Admissions % Mortality
June 2019 (# of cases/total IM (# of deaths/ #
# of Cases Cases) # of Mortality of cases)

Cardiology 6 #DIV/0! 3 50.00%

Infectious Diseases 6 #DIV/0! 2 33.33%
Pulmonary Medicine 7 #DIV/0! 4 57.14%
Gastroenterology 0 #DIV/0! 0 #DIV/0!
Nephrology 1 #DIV/0! 1 100.00%
Endocrinology 1 #DIV/0! 1 100.00%
Hematology 0 #DIV/0! 0 #DIV/0!
Neurology 5 #DIV/0! 2 40.00%
Oncology 0 #DIV/0! 0 #DIV/0!
Dermatology 0 #DIV/0! 0 #DIV/0!
Rheumatology 0 #DIV/0! 0 #DIV/0!
Allergology & Immunology 0 #DIV/0! 0 #DIV/0!

Total IM Cases 26 Total Mortality 13

Total IM Admissions 26 Total Mortality/Total Admissions 50.00%

SUMMARY OF CENSUS ICU Census

HOSPITAL Southern Isabela Medical Center

Months/Year
June 2019
# of Cases % of Total Admissions # of Mortality % Mortality
November 2019 (# of cases/total IM (# of deaths/ #
June 2019 Cases) of cases)

Cardiology 6 23.08% 4 66.67%

Infectious Diseases 6 23.08% 2 33.33%
Pulmonary Medicine 7 26.92% 4 57.14%
Gastroenterology 0 0.00% 0 #DIV/0!
Nephrology 1 3.85% 1 100.00%
Endocrinology 1 3.85% 1 100.00%
Hematology 0 0.00% 0 #DIV/0!
Neurology 5 19.23% 2 40.00%
Oncology 0 0.00% 0 #DIV/0!
Dermatology 0 0.00% 0 #DIV/0!
Rheumatology 0 0.00% 0 #DIV/0!
Allergology & Immunology 0 0.00% 0 #DIV/0!

Total IM Cases 26 Total Mortality 14

Total IM Admissions 26 Total Mortality/Total Admissions 53.85%