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Unit 8 Live Seminar

Unit 8 Live Seminar. Health Care Delivery and Information Management. Part A: Census and Percentage of Occupancy. Definition of census Categories of hospital patients: IPs and OPs Hospital departments Hospital units and services Census taking Counting patients — IPs and OPs

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Unit 8 Live Seminar

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  1. Unit 8 Live Seminar Health Care Delivery and Information Management

  2. Part A: Census and Percentage of Occupancy • Definition of census • Categories of hospital patients: IPs and OPs • Hospital departments • Hospital units and services • Census taking • Counting patients — IPs and OPs • Consistency critical! • Collection of data • Data transfer

  3. A&D CTT DIPC IPSD TRF-ins TRF-outs Discharges DOA A&C NB Census Collection and Terms

  4. Calculating Census • Use plus and minus signs in front of data • Cross out or draw a line through data not relevant May 5: A&C census =125 May 6: Adult admissions = 4 Children admissions = 3 A&C discharges = 5 A&C admissions = 2 Calculate A&C census for May 6

  5. Practice Exercise: Calculating Census • Hospital census on May 3 is 456. • On May 4: Admissions 58, discharges 45, A&D 6, DOA 3 • Calculate: • Census for May 4 • Daily inpatient census (DIPC) for May 4 • Inpatient service day (IBSD) figure for May 4 469 475 475

  6. Calculating Average Census • Formula for figuring average daily census: • Formula for figuring average daily inpatient census excluding newborns: Total inpatient service days for a period Total number of days in the period Total inpatient service days (excluding NBs) for a period Total number of days in the period

  7. Calculating Average Census (cont.) • Calculating average daily newborn inpatient census: • Calculating average daily census for a clinical unit: Total newborn inpatient service days for a period Total number of days in the period Total IP service days for the CCU for a period Total number of days in the period

  8. Practice Exercise: Calculating Census • A 250-bed hospital with 20 newborn bassinets records the following inpatient service days for the month of March: A&C: 7380 NB: 558 • Calculate: • Average daily adults and children census • Average daily newborn census 238.06 18

  9. Census Count Terms • Inpatient bed count or bed complement • Newborn bassinet count • Unit vs. totals • Excluded beds • Disaster beds • Inpatient bed or bassinet count day • Inpatient bed count days (total)

  10. Rate Formula The number of times something happens The number of times it could happen

  11. Daily IP census (IP service days) Inpatient bed count for that day Daily NP census (IP service days) NP bassinet count for that day Occupancy Ratio/Percentage • Formula: Daily inpatient bed occupancy percentage • Formula: Daily newborn bassinet occupancy percentage × 100 × 100

  12. Practice Exercise: Compute the Answers to One Decimal Place • On May 5, a hospital with 85 beds has an inpatient service day total of 60 patients. What is the percentage of bed occupancy for May 5? 70.6% • A 300-bed hospital has 185 of its beds occupied on February 20. What is the percentage of bed occupancy for February 20? 61.7%

  13. Total inpatient service days for a period Total IP bed count × number of days in period Total NP IP service days for a period Total NP bassinet count × number of days in period Occupancy Percentage for a Period • Formula: Inpatient bed occupancy percentage for a period • Formula: Newborn bassinet occupancy percentage for a period × 100 × 100

  14. Total IP service days for a clinical unit for a period IP bed count total for that unit ×number of days in period Change in Bed Count during a Period • Formula: Clinical unit occupancy percentage for a period × 100

  15. Practice Exercise: Carry Answers Correctly to Two Decimal Places • A clinical unit with a bed count of 18 beds reports the following figures for December: • 12/1–12/10 IP Service Days: 165 • 12/11–12/20 IP Service Days: 162 • 12/21–12/31 IP Service Days: 180 Calculate: Period with the highest bed occupancy % Inpatient bed occupancy % for the month of December 12/1–12/10 90.86%

  16. Practice Exercise • St. John’s Hospital • Jan.–Feb.: ISPD–2500 BC–50 • March–May: ISPD–4518 BC–55 • June–August: ISBD–5225 BC–60 • Sept.–Dec.: ISBD–4857 BC–45 • Average daily inpatient census for the year • Percentage of occupancy for Sept.–Dec. • Percentage of occupancy for the year • Period with the best % of occupancy 46.85 88.47% 89.91% June–August

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