Download The 10 Most Common Encounters Seen at

Personnel
A. Total position & Vacancies
1. Doctors 19
Local 10
2. Nurses 80 Local -71
3. Health Assistance 27
4. Lab 7
1 JICA Volunteer
5. Physical Therapy 3
6. X-Ray 5
7. Pharmacy 4
8. Records 6 and 2 Cashiers
9. Supply 4
10.Maintenance 5
11.Dental -22
12.Primary Health Care –84
Expat 9
Expat 9
Vacancies 4
CHALLENGES:
1. Short staff in all areas
2. Recruitment of Physicians very difficult – 6months or
more
3. Salaries of Specialist are low compare with our
neighboring countries
4. Philippines Oversea Employment Agency for
recruitment
PLAN:
1. Fill all vacancies by the end of fiscal year 2008
2. Update position description for all employees
FACILITY
1. The main Hospital is 30 years old with 90 beds
capacity
2. Renovation of the Wards about 60% completed
3. The warehouse partially renovated
4. 10 Dispensaries
outer island (5) proper (5)
5. Most of the Dispensaries need renovation
6. Public Health Building need immediate Renovation
PENDING PROJETS
1. New Primary Health Facility
2. Dental Annex
3. Second Story for the Community Health Center
EQUIPMENTS
1. Available now
AU 400 – Chemistry Analyzer
Sysmax Hematology Analyzer
Skin Craft Machine – Courtesy
Government
2. Purchasing
Oxygen Generator
Mini Vitas - LEFM
3. Needed
Power Drill/Saw
C-Arm X-Ray Machine
of
Australian
Cause of Death
2002
2003
2004
2005
2006
9
8
19
11
27
Essential Hypertension
22
27
9
13
25
Septicemia
27
17
14
11
20
10
12
12
19
Diabetes Mellitus
Cardiovascular Disease
Cancer (all type)
35
28
18
20
16
Acute Myocardial Infarction
26
21
24
18
14
Congestive Heart Failure
17
21
9
7
9
Chronic Obstructve Pulmonary Disease
17
13
8
14
9
End Stage Renal Disease
1
8
4
7
8
Hepatic Failure
6
2
7
4
7
Note**
Majority of these diseases are life-style related diseases..
Source: Pohnpei State Medical Records Database
40
35
Diabetes Mellitus
Essential Hypertension
Number of Diagnosed
Cases
30
Septicemia
25
Cardiovascular Disease
Cancer (all type)
20
Acute Myocardial Infarction
15
Congestive Heart Failure
10
Chronic Obstructve Pulmonary
Disease
End Stage Renal Disease
5
Hepatic Failure
0
2002
2003
2004
Year
2005
2006
The 10 most common diseases cause of Admission for the past
5 years.
Diseases
2004 2005 2006 2007 2008
Diabetes Mellitus
348
371
243
224
262
Diarrhea and gastroenteritis of presumed infectious origin
239
177
190
194
262
Chronic obstructive pulmonary disease unspecified
215
192
175
225
253
Urinary tract infection site not specified
215
198
175
176
85
Essential (primary) hypertension
183
232
265
186
91
Anemia unspecified
150
121
106
110
186
Congestive heart failure
147
96
98
99
45
Local infection of skin and subcutaneous tissue unspecified
127
81
92
48
15
Other acute gastritis
114
82
71
62
156
Lobar pneumonia unspecified
106
83
39
73
183
Source: Pohnpei State Medical Records Database
400
The 10 Most Common Cause of Admission for the past 5
years.
350
Diabetes Mellitus
300
Diarrhea and gastroenteritis of
presumed infectious origin
Chronic obstructive pulmonary
disease unspecified
250
Urinary tract infection site not
specified
Essential (primary) hypertension
200
Anemia unspecified
150
Congestive heart failure
Local infection of skin and
subcutaneous tissue unspecified
100
Other acute gastritis
Lobar pneumonia unspecified
50
0
2004
2005
2006
2007
2008
The 10 Most Common Encounters Seen as Outpatients
Diseases
2004
2005
2006
2007
Disorder of skin and subcutaneous tissue unspecified
5267
5311
5312
2105
Influenza with other respiratory manifestations virus not
identified
4358
3849
3626
2626
Soft tissue disorder unspecified
2792
3261
3436
2065
Bronchitis not specified as acute or chronic
2463
2706
2753
1269
Diabetes Mellitus
1432
2039
2056
911
Cardiomyopathy unspecified
1018
1723
1789
550
902
1637
1710
1642
Chronic obstructive pulmonary disease unspecified
1076
1373
1273
1291
Diarrhea and gastroenteritis of presumed infectious origin
1693
1230
1433
2048
Disorder of urinary system unspecified
1120
1228
1247
1039
Essential (primary) hypertension
Source: Pohnpei State Medical Records Database
The 10 Most Common Encounters Seen at
Outpatient
6000
Disorder of skin and
subcutaneous tissue unspecified
5000
Influenza with other respiratory
manifestations virus not
identified
Cases
4000
Soft tissue disorder unspecified
3000
Bronchitis not specified as acute
or chronic
2000
Diabetes Mellitus
Cardiomyopathy unspecified
1000
Essential (primary) hypertension
0
2004
2005
2006
2007
2008
2004-2008, 5 Most Common Diagnosis of
Referral
Diseases
2004
2005
2006
2007
94
51
17
18
18
31
8
6
16
17
5
3
29
19
13
18
17
11
15
11
Coronary Artery Disease
Cervical Rediculopathy
Acute MI
Cancer
Renal Failure
MEDICAL REFERRAL
100
90
80
no. of cases
70
2004
60
2005
50
2006
2007
40
2008
30
20
10
0
Coronary Artery
Cervical
Disease
Radiculopathy
Acute MI
Cancer
Renal Failure
3 Levels of Care Model
Tertiary
Tertiary
Secondary
Primary
Secondary
Primary