Republic of the Philippines Department of Health HEALTH FACILITIES AND SERVICES REGULATORY BUREAU ANNEX F A.O. No. 20120012ANNUAL STATISTICAL REPORT FOR BIRTHING HOMES For the year Name of Health.

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How to fill out the Annual Statistical Report For Birthing Homes online

Completing the Annual Statistical Report For Birthing Homes is essential for documenting the services provided by your facility. This guide offers straightforward steps to assist you in filling out the report accurately and efficiently.

Follow the steps to successfully complete the report online.

  1. Press the ‘Get Form’ button to access the report and open it in your preferred online editor.
  2. Fill out the general information section, which includes the name, complete address, region, and contact details of your birthing home. Ensure that all fields are completed and use 'N/A' for items that do not apply.
  3. In the bed capacity section, input the authorized bed capacity and calculate the bed occupancy rate using the formula provided. Ensure accuracy in your calculations.
  4. Complete the staffing pattern section by detailing the number of personnel across different positions. Indicate whether employees are full-time, part-time, or contractual.
  5. Document the operations of your birthing home, including a summary of inpatient care, the number of deliveries, and outpatient visits. Make sure to categorize the data accurately.
  6. In the deaths section, report the total number of deaths, differentiating between fetal, neonatal, and maternal deaths, while referencing the relevant ICD-10 codes.
  7. Provide details about any adverse or sentinel events that occurred, specifying the numbers and types of incidents.
  8. Fill out the expenses section by reporting all costs incurred by your facility, categorizing each expense accurately.
  9. Complete the revenues section by documenting all financial resources your facility received, ensuring to cover all sources.
  10. After thoroughly reviewing the information, save your changes. You may download, print, or share the completed form as needed.

Begin completing your Annual Statistical Report For Birthing Homes online today!

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