ANNUAL REPORT ANNUAL REPORT CY 2010CY 2010

LUNG CENTER OF THE PHILIPPINES

SUMMARYAnnual Report

2010 saw the changing of the guards with the ascendancy of a new president, subsequently, the

appointment of the new officer in-charge of the Lung Center of the Philippines during the second half

of the year.

Most of the programs initiated during the past several years were completed. These are the following:

The purchase of the Radiotherapy equipment

The grant provided by the Korean International Agency which houses the

National Referral Center and Research Laboratory

The completion of the power line connecting the LCP main building to the

new Radiotherapy building

Other equipment includes: CCTV camera, computers and various medical

equipment.

Despite all efforts to fully computerize the center’s operations, finance and accounting still

needs to be finalized.

During the first quarter of the same period, the decision to outsource the Dietary Division was made,

in an effort to decrease the operational cost of maintaining the dietary services. This was awarded to

the lone bidder after three (3) successive failed bidding to Carte Blanche, operation started in the 2nd

half of 2010.

The development of the unused property of the Lung Center was coordinated with the

Department of Health with the signing of the USUFRUCT agreement between the Lung Center and

the Fabella Hospital and the Philippine Blood Center which started construction during the same

period. The private-public partnership conceptualized during the previous administration and

discussed in one of the Board of Trustees meeting materialized with the signing of project agreement

by Top Worth Resources which will put structures along the lot fronting Quezon Memorial Circle

(QMC) that would house the Multi-Purpose Medical Arts Building.

During the same period, the Lung Center of the Philippines admitted a total of 6,662

patients and treated a total of 63,162 out-patients. The bed capacity increased from 248 to 250.

The occupancy rate remained at 65% compared to the 2009 figures. The leading causes of Out-

patient consultation for outpatients is still Tuberculosis (PTB) followed by Community Acquired

Pneumonia (CAP), new growth, Chronic Obstructive Pulmonary Disease (COPD),

Bronchiectasis, etc.

The leading causes of admission: malignant neoplasm as the number 1 followed by Respiratory Tuberculosis (PTB), Bronchitis, Pneumonias, and other diseases of the respiratory system.

Surgical procedures done during this period includes: Endoscopy (Fiber optic Bronchoscopy) on the top of the list, followed by Thoracoscopy, Cervical Node Biopsy, Pleurodesis and Thoracotomy, etc. The total number of operations performed during the same period totaled 1,547 procedures of which 533 were major thoracic operations.

As far as the Department of Radiology is concerned, diagnostic radiology performed 28,280 out-patient procedures and 11,280 inpatient procedures. The income from these totaled Php26, 202,072.55 a decreased of about 8.65% compared to the 2009 figures of 28,468,990.70.

Pharmacy has increased its income by more than 22.M from 71,106,318.39 for 2009 to 93,401,563.65 for 2010 most of which are from consignment arrangement.Pathology reported an income of Php 71,392,968.47 an increased of 7,975,028.53 from 2009 figures.

The Section of Respiratory Services income decreased from Php 30,000,000.00 to 27,000,000.00.

The Central Supply has also decreased income of less than a million compared to the 2009 figures.

Phil. Health collection for the year 2010 totaled 44,575,292.77 a reduction from 2009 figures of 50,395,956.49. This was in contrast with the claims filed with the Philippine Health Insurance Corporation (PHIC) which increased by a small margin from 3,248 to 3,772. Some of which are still collectibles. Phil Health income amounted to only 12.5% of the total gross income for the year.

The total Operating budget for 2010 was Php 512,959,005.24 compared to 327,393,543.01 for 2009, an increase of Php185, 565,462.23 from the previous year. Net income for 2010 amounted to only Php562, 650.97 only as compared to 2009 of 47,540,888.35. This was due to the increased expenditures from Maintenance and Operating Expenses (MOOE) and Personnel Services (PS). All graphs made see next pages.

Fiscal Year 2008 2009 2010

Total Bed Capacity 234 248 250

Total Admissions 6,027 6,496 6,062

Total Discharges 6,048 6,459 6,048

Total Outpatients 58,229 66,769 63,162

Occupancy Rate 59% 65% 65%

Statistics: Admissions vs. Discharges

6,027

6,496

6,0626,048

6,459

6,048

5,700

5,800

5,900

6,000

6,100

6,200

6,300

6,400

6,500

6,600

2008 2009 2010

Total Admissions

Total Discharges

58,229

66,769

63,162

52,000

54,000

56,000

58,000

60,000

62,000

64,000

66,000

68,000

2008 2009 2010

Statistics: Total Number of Outpatient Consultations

(2008-2010 Comparative Report)

10 Leading causes of Outpatient Consultations

10 Leading causes of OPD consultations

1,172

810 763679

502 439349

207 206119

0

200

400

600

800

1,000

1,200

1,400

PTBCAP

New G

rowth

COPD

Bronc

hieta

sis

Pleur

al ef

fusio

n

Bronc

hial a

sthm

aM

DR

Pneum

ohyd

roth

orax

HPN

Statistics: 10 Leading Causes of Admission

10 Leading cause of Admissions

0200400600800

1,0001,2001,400

1.) Malignantneoplasm of

trachea,bronchus &

lungs

2.) RespiratoryTB

3.) Bronchitis,Empysema and

other COPD

4.) Penumonia 5.) Otherdiseasesa of the

respiratorysystem

6.) Asthma 7.) Malignantneoplasm of

breast

8.)Bronchiectasis

9.) Other in situ& benign

neoplasm &neoplasms of

uncertain

10.) Otherarthropod-borneviral fevers and

viralhaemorrhagic

fevers

2008 2009 2010

Top 10 Surgical Procedures

Top 10 Surgical Procedures

0

20

40

60

80

100

120

FOB

THO

RAC

OSCOPY

CNB/S

CNB

PLEURO

DESIS

THORAC

OTO

MY

CTT

EXCIS

SION B

IOPSY

TRAC

HEOSTO

MY

VATS

CHO

LECYSTEC

TOM

Y

EGD

Non-Member

PHIC

Statistics: Inpatient vs. Outpatient OR Procedures

347

182

309

264

176

20 11 9 4 6 01 3

66

127

7 7 4 0 1 2 10

50

100

150

200

250

300

350

400

Major

Tho

racic

Major

Gene

ral

Minor

Tho

racic

Minor

Gene

ral

Bronch

osco

py

Esopha

go-G

astro

scop

y

Colono

scop

y

Rigid B

ronc

hosco

py

Laryng

osco

py

Proto

scop

y

Endos

copic Sin

us

In-patient

Outpatient

Radiology: Total Number of Procedures2010 Inpatient vs. Outpatient

Total Number of Procedures

28,280

1,517 1,286

11,280

2,071 2,030

-

5,000

10,000

15,000

20,000

25,000

30,000

Diagnostic Ultrasound CT Scan

Outpatient

In-patient

Radiology: Comparative Report of Income

Radiology Comparative Income Report 2009-2010

0.00

2,000,000.00

4,000,000.00

6,000,000.00

8,000,000.00

10,000,000.00

12,000,000.00

14,000,000.00

2009 11,684,515.70 5,959,232.00 10,823,234.00

2010 12,196,498.90 4,290,456.65 9,713,107.00

Diagnostic Ultrasound CT Scan

Pedia-Pulmo: Total Number of Admissions

Pedia Pulmo Admissions

298

372

2052

0

50

100

150

200

250

300

350

400

2009 2010

Pay

Cha

Pedia Pulmo: Outpatient Consultations

Pedia Pulm oOutpatient Consultations

-

500

1,000

2009 872 87

2010 533 3

DOTS Outpatient

Pedia Pulmo: Income vs. Expenses

Pedia PulmoExpenses vs Income

0.00

500,000.00

1,000,000.00

1,500,000.00

2,000,000.00

2,500,000.00

3,000,000.00

3,500,000.00

2009 28,100.34 1,779,910.00

2010 28,100.34 3,013,114.25

Expenses Income

2010 PHARMACY REPORT Income vs. Expenses

0.00

10,000,000.00

20,000,000.00

30,000,000.00

40,000,000.00

50,000,000.00

60,000,000.00

70,000,000.00

80,000,000.00

90,000,000.00

100,000,000.00

Expenses 54,170,555.48 60,775,692.76

Income 71,106,318.39 93,401,563.65

2009 2010

SRS 2009-2010 Comparative Report

2009-2010 SRS Comparative Report

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

2009 104,381 1,986,091.71 30,320,274.34

2010 177,448 5,430,872.69 27,636,101.51

Procedures Expenses Income

Pathology: Total Number of Procedures

Pathology Number of Procedures

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

Pay

Service

QFS

Pay 110,719 122,794 148,421

Service 97,779 110,198 109,841

QFS 34,462 44,489 37,317

2008 2009 2010

Pathology Income: Comparative Report

Pathology Income

0.00

10,000,000.00

20,000,000.00

30,000,000.00

40,000,000.00

50,000,000.00

2008 30,088,206.06 22,284,061.36 7,829,975.58

2009 35,328,649.40 25,726,003.75 6,896,495.64

2010 44,008,777.61 25,020,904.07 2,363,286.79

Pay Service QFS

Stem Cell Research

Stem Cell Income and Expenses Report 2009-2010

0.00

1,000,000.00

2,000,000.00

3,000,000.00

4,000,000.00

5,000,000.00

2009 3,875,329.75 2,193,741.30 1,653,741.30

2010 3,706,472.72 2,460,244.54 1,500,244.54

Income Expenses Procedures

CSSR Comparative Report:Income vs. Expenses

2009-2010 CSSR Comparative Report

0.00

2,000,000.00

4,000,000.00

6,000,000.00

8,000,000.00

10,000,000.00

12,000,000.00

14,000,000.00

16,000,000.00

18,000,000.00

2009 10,231,299.57 15,520,878.49

2010 11,141,152.96 15,017,219.02

Expenses Income

Phil Health: 2008-2010 Income vs Collection

0.00

10,000,000.00

20,000,000.00

30,000,000.00

40,000,000.00

50,000,000.00

60,000,000.00

2008 26,729,856.13 11,126,375.20 36,616,017.53 15,603,480.93

2009 38,451,329.70 14,330,178.49 50,395,956.49 24,121,151.21

2010 43,920,628.75 14,475,970.52 44,515,292.77 29,444,658.23

Income Pay Income Cha Collection Balance

PhilHealth : Total Number of Claims filed

Total Num ber of Claim s Filed

2,4772,609

3,038

780639 734

-

500

1,000

1,500

2,000

2,500

3,000

3,500

2008 2009 2010

PAY

CHARITY

Total Operating Budget, Total ExpensesGovernment Subsidy, Net Income

OperatingBudget

TotalExpenses

GovernmentSubsidy

Net Income

2008 20

09 2010

0

100,000,000

200,000,000

300,000,000

400,000,000

500,000,000

600,000,000

Summary of Accredited Physicians

Visiting 184Referral 75Plantilla 49Active non-salaries staff 2Fellows in-training 30 .

340

National Referral Center & Research Laboratory

(Grant from KOICA)

Radiotherapy Building Acquisition/Installation of the Radiotherapy Machines

The second and third floor houses the Stem Cell Research Lab and the Thoracic Oncology Services respectively.

Services:Projects, Preventive Promotive Programs (PPP):

OUT PATIENT DEPARTMENT Emergency Room Services General OPD Clinics

Health and Fitness Assessment Program

Pre-flight Assessment Program

Asthma Clinic COPD Support Group Smoking Cessation

Specialty Clinics TB Lakas Baga Club Asthma Club COPD Outpatient Thoracic Surgery Pain Clinic Lung Transplant Program

Ambulance Services

New Services

Public Health and Domiciliary Unit Cancer Support Group Directly Observed Therapy for TB (DOTS) Samahan ng Lusog Baga (Support Group) Lung Cancer Early Detection Program TB in Children MDRTB Control Program TB Control Program A (H1N1) Swineflu Infectious Diseases Awareness Program Avian/Birdflu

RADIOLOGY DEPARTMENT• Diagnostic

CT Scan Interventional Radiograpy (Biopsy, Aspiration,

etc.) C-Arm Fluoroscopy Ultrasonography, 2-D echocradiography and

Doppler Studies Digital Radiography

• Therapeutic (Radiotherapy) Linear Accelerator Brachytherapy Simulator

Radiation Oncology Services

PULMONARY MEDICINE DEPARTMENT Section of Respiratory Services

Aerosol Therapy Arterial Blood Gas (ABG) Electrocardiography (ECG) Fiberoptic Bronchoscopy (FOB) Mechanical Ventilation Oxygen Therapy Polysomnography (Sleeplab) Pulmonary Function Test (PFT) Pulse Oximetry Stress Test (Treadmill) Sputum Induction Respicartory Care Insitute (RCI)

Bronchoscopy Intensive Care Unit Intermediate Care Unit Isolations Units Intensive Care Unit Cardiology Services Thoracic Oncology

Services Section of Physical Therapy

& Rehabilitation

Pulmonary Rehabilitatio (PT) Musculo-Skeletal Pain

Management Pre and Post-Operative

Rehabiliation Orthopedic

Rehabiliation Cardiac Rehabilitation Geriatric Rehabilitation Chest Physiotherapy Electrical Muscle

Stimulation Hot and Cold Pack

Modalities

Infrared Diathermy Manual Therapy

Muscle and Gait Retraining

Paraffin Wax Bath Transcutaneous

Electrical Nerve Stimulation (ENS

Therapeutic Exercises Ultrasound Diatherm Weight Reduction

Exercises

PATHOLOGY/LABORATORY DEPARTMENT Blood Banking Clinical Chemistry Clinical Microscopy Cytology Hematology Immunology Immunopathology Microbiology Surgical Pathology Cytology Immunohistochemistry

Special Stains Tuberculosis (TB) Laboratory National Reference Laboratory (NRL) Stem Cell Research Program (A new dimension in replacing diseased

cells with new and healthy cells) Regenerative Section Malignant Section Infectious Disease Section

THORACIC SURGERY & ANESTHESIA DEPARTMENT Ambulatory/Outpatient Surgery Services Esophageal Service Thoracic Endoscopy Thoracic Surgical Oncology End-stage Diseases

Lung Transplantation Operating Room Theater Pain Management Clinic Recovery Rooms Surgical Intersive Care Units Post Anesthesia Care Unit