Healthcare Stats ch 3 4 5

A baby is born at home and later admitted into the hospital. After admission how is the bed/bassinet counted?
Bed count, bassinet counts are only for babies born in the hospital
Are ER beds added to bed counts
No, ER patients are OP
Adult & Child=includes any inpatient admitted other than a NB in the hospital.
Admitted One Day and Discharged the Next Day:
A patient who is admitted one day and discharged the following day is also credited with a length of stay of ONE day.
A&D Admitted & Discharged the Same Day
Admitted and discharge (patient admitted and discharged on the same day LOS = 1
Adult and children
Anestheisa Death Rates p80
Total number of deaths caused by an anesthetic agent x 100, divided by, Total number of anesthetics administered
Average Length of Stay (ALOS)
Formula :
Total length of stay (discharge days) / Total discharges (including deaths)
Beds excluded from bed count
Some hospital beds are considered temporary beds in that the patient only occupies the bed while being examined or treated in another area of the hospital, while the patient is still assigned an inpatient bed on a clinical nursing unit.
(Bed Count) Inpatient Bed Count p.-45
Number of available hospital beds, both occupied and vacant, on any given day that is set up and staffed for use in one 24-hour period;Number of available
Bed/bassinet count day
A unit of measure denoting the presence of one inpatient bed (either occupied or vacant) set up and staffed for use in one 24-hour period.
(Bed Turnover Rate) Indirect Formula: p 52
Percentage of occupancy x Days in the period x100, divided by, Average length of stay
NOTE: The indirect formula must be used in cases where then bed count chages during the period in question
Calculate the IPSD
Beginning census + admits – discharges -deaths + A&Ds
Calculating Length of Stay:
Each day counts as a discharge day EXCEPT the day of discharge. In general, the patient’s day of admission is counted as one day, as are all intervening days between admission and discharge, but NOT the day of discharge.
Calculate the bassinet occupancy percentage for the unit on a certain day
Beginning census + births – discharges – deaths / bassinet count
Census/Inpatient Census p 26
the term hospital census or inpatient hospital census, it refers only to the patients present at CTT, excluding any additional patients who have received service on that unit during the day, but who are no longer present at CTT.
Counting Transfers
A transfer is counted as a census patient only on the unit on which the patient is present at CTT.
Daily Recording- The rcording of DIPC & IPSD p 26
The beginning census is taken at CTT the day before.
To this # one patient day is added or subtracted for each admission or discharge.
TRF-in are added and TRF-out are subtracted
Disaster beds
Occasionally, at the time of disaster, or during periods of epidemics, all the regular hospital beds are occupied.
These beds are NOT a part of the IP bed count
*Not “licensed” and only time hospital occupancy can be greater than 100%.
Daily Inpatient Census (DIPC)p 24
The number of inpatients present at CTT each day plus any inpatients who were admitted and discharged (A&D) after CTT the previous day.
Discharge Days (DD):
Same as the length of stay or total length of stay.
Discharge Days (DD):
When the stay extends beyond one or more months, days must be added to calculate the LOSFor example, for a patient admitted on January 30th and discharged on February 4th subtract January 30 from January 31 and add the 4 days in February (31 – 30 = 1 + 4 days in February = 5 days)
Discharge Days
The LOS for one patient is determined by subtracting the date of admission from the date of discharge when t(DD) are important because they serve as a means of managing utilization of hospital resources.he patient is admitted and discharged within the same month,
Discharge Transfer
The transfer of an inpatient to another healthcare institution at the time of discharge
Do you count A&Ds in bed occupancy percentages
Formula for the daily percentage
IPSD/ bed or bassinet count
Formula: Average LOS p64
Total length of stay (discharge days), divided by,
Total number of discharges
Gross Hospital Death Rate p 72 74
Total number of inpatient death (including newborns) x 100, divided by, Total number of discharges(including deaths and newborns)
Inpatient bed occupancy ratio(%)
IPSD(DIPC)/IP bed count for that day X 100
Inpatient bed count days total
The sum of IP bed count days during a period under consideration
Inpatient Service Day 29-32
Service received by one inpatient in one 24- hour period
Inpatient Service Days- Formula: p 29-32
Total inpatient service days for a period(excluding newborns, divided by, Total number of days in the period
Intrahospital Transfer
a transfer within a health care facility from one clinical to another clinical unit. (TRF-in, TRF-out: patients stays admitted to hospital.) *From Labor & Delivery (3200) to Mother Baby (3800).
Leave of Absence days are EXCLUDED in determining or computing the following statistics: p. 27,65
1.) Inpatient Service Days: No service is being rendered to the patient during the patient’s absence from the hospital.
2.) Inpatient Census: The patient is not included in the census at CTT.
3.) Bed Occupancy Percentage: Since IPSD are used to determine the percentage of bed occupancy, the patient is not included as a patient who is occupying a bed while he or she is on leave of absence.
Length of Stay(LOS) p 58-60
# of calender days patient stays in the hospital; from admission to discharge, not counting the discharge day (unless A and D during the same day, then LOS is 1)
List beds excluded in the bed count
ED beds
recovery room beds
observation beds
23 hour hold beds
PT beds
OP surgery beds
Name a list that is compiled daily in a hospital
Admission, discharge, transfers, death
Name three indexes maintained in a hospital
MPI, disease. procedure/operation, physician, number
NB bassinet count
A unit of measure denoting the presence of one inpatient bed (either occupied or vacant) set up and staffed for use in one 24-hour period.Only babies born in the hospital are included in the category
referred to as “Newborns” (NB).
Occupancy percentages
State the percentage of the available beds/bassinets occupied on a specific day or designated period of time

Occupancy ratio = % of occupancy & occupancy %

Percentage of Occupancy ratio/percent
Formula: page 46

Total number of inpatient service day for a period x 100,/ divided by, Total inpatient bed count days x number of days in the period
Ratio occupancy is synonymous with
% of occupancy & occupancy %
Synonymous Figures
The value for the Daily Inpatient Census (DIPC) &
Inpatient Service Days (IPSD) are identical.
Total Inpatient Service Days
The sum of all inpatient service days for each of the days in the period under consideration.
Total Length of Stay
Sum of the days stay of any group of inpatientes discharged during a specific period
When additional beds are added due to 100% occupancy and a disaster occures, what is counted and what is not counted
Disaster beds are not counted
Patients are counted making bed occupancy %>100%
When you have a change in bed count how do you calculate the percentage
Add denominators and numerators from each period.
divide numerator by denominator and multiply by 100
When is census taking time generally taken
midnight but if another time is selected ir should be adhered to everyday and on all nursing units. (Consistency!!!)
Length of Stay:
Number of calendar days from admission to discharge for an individual patient.
Leave of Absence Day:
A “leave of absence day” is a day occurring after the admission and prior to the discharge of a hospital inpatient, when the patient is not present at the census-taking time (CTT) because he or she is on leave of absence from the hospital. *Leave of discharge days differ from discharge and readmission. A leave is a segment of uninterrupted hospitalization, whereas in the latter instance, the patient may be discharged one day and readmitted for the same or a different diagnosis the next day.

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