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0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0 .0. Welcome. Medical Record Section JPNATC- AIIMS Calender Year Annual Audit Report 01/01/ 2017 to 31/12/2017. Annual Audit Report of MRS- Year 2017 Dr. Adarsh Kumar - Faculty In-charge Ramesh K.Kaul - M.R.O.

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  1. 0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0. Welcome

  2. Medical Record Section JPNATC- AIIMS Calender Year Annual Audit Report01/01/ 2017 to 31/12/2017

  3. Annual Audit Report of MRS- Year 2017 • Dr. Adarsh Kumar - Faculty In-charge • RameshK.Kaul - M.R.O. • Saurabh +9MRT - M.R.T-MRS.

  4. JPNATC Data information for Year YearDiff. 2016 2017 Total Bed Strength : 186 186 - Total Functional Beds : 176 176 - Ward beds : 144 144 - ICU beds 2nd floor : 12 12 - ICU beds 3rdfloor : 20 20 -

  5. Bed Distribution in JPNATC-AIIMSTotal Bed Strength=186 Functional Bed Distribution in JPNATC-AIIMS • TC1- 24---------(Disaster ward Mix) • TC2-14----------(ICU Neurosurgery) • TC3-20----------(ICU Mix) • TC4-30----------(Mix ward) • TC5-28----------(Neurosurgery) • TC6-30----------(Trauma Surgery &Critical Care) • TC7-30-----------(Ortho) • Total Functional Beds---------=176 (Bed)

  6. Year YearDiff. 2016 2017 Total Regd.pt. in TC : 69551 72819 +3268Daily Avg.Pt. attended : 190 200 + 10 Total No. of Follow-up OPD Case : 40594 47859+7265 Avg. FOPD pts( per working day) : 137 161 +24 Total No. of Admission : 5373 6572 +1199 Avg. admission/day : 15 18 +03

  7. Year YearDiff. 2016 2017 Total No. of Regd. Pts. : 69551 72819 +3268 Daily Avg.Pt. attend in TC : 190 200 + 10 Detail : 72819 Green : 48231 Yellow: 16353 Red : 5036 Black: 148 OPD:2999 RD : 52

  8. Year YearDiff. 2016 2017 Total No. of Pts. Regd. : 69551 72819+3268 Male Cases: 5127353363+2090 Female Cases: 18259 19448 +1189 Others: 01900008 -0011 MLC : 38706 39083+377 NMLC : 30845 33736 +2891

  9. Year Year 2016 2017 No. of PATIENTS ATTENDED IN ED * : 69551 72819 Details : 69768 (*Except RD : 52 + OPD :2999 =3051) Green : 48231 Yellow: 16353 Red : 5036 Black: 148

  10. Year YearDiff. 2016 2017- Total No. of Follow-up OPD Case: 40594 47859 +7265 New : 16858 18974 +2116 Old (Re-visit): 23736 28885+5149 Male: 27592 32199 +4607 Female: 8327 9847+1520 M. Child :3204 3864 +0660 F. Child : 1471 1949 +0478

  11. Year YearDiff. 2016 2017 Total No. of Admissions: 5373 6572 +1199 Specialty- wise break-up Orthopedics : 1417 1936+519 TS&CC : 2097 2060-037 Neurosurgery : 1851 1750-101 Em. Medicine : 0 0 0 Anesthisia (Pain): 08 04 -004 PRS : 0 822+822

  12. Year YearDiff. 2016 2017 Total No. of Operations performed: 5437 7458 +2021 Major : 5216 7200+1984 Minor : 221 258 +0037 Specialty- wise break-up Orthopedics : 1745 3374 +1629 TS&CC : 2325 2243-0082 Neurosurgery : 1358 1300-0058 Urology (Procd): 09 36+0027 PRS: - 505 +0505

  13. Comparison chart- Admission Vs Operation YEAR -2017 Deptt Admission Operation Diff. Ortho : 1936 3374 1438(+Ops) • TS&CC : 2060 2243 183(+Ops) • NSurg : 1750 1300 450(-Adm) • Pain cl: 004 09 + 05 • PRS : 822 505 -317 • Uro: - 036 +036 • Total : 6572 7458 +886 (ops)

  14. Year YearDiff. • 2016 2017 • Total Discharges : 5018 6195 +1177 • Total Functional Beds : 176 176 - • Total No. of Days care to pts: 5369553658 -037

  15. Year YearDiff. 2016 2017 Total Deaths incldg. B/D: 756 834 +078Brought Dead at Casualty: -287 -148 -139 Total Deaths occurred : 469 686+217 Deaths Under 48 Hours : 198 346 +148 Deaths Over 48 Hours : 271 340+069

  16. Gross Death Rate = Deaths/Discharge*100 • = 686/6195*100=11.07 • = 11.07% • G.D.R = 11.00% • Round Fig. = 11%

  17. Net Death Rate = Deaths over 48hrs/Discharges- Deaths under 48hrs *100 • = 340/695-346*100 • =5.81% • NDR=6.0% • Round Fig. =6%

  18. Average Length of Stay • = Days of Care/Discharges • =53658/6195 • = 08.66 • = 09.0 days • ALOS = 09 days • Round Fig.=09 Days

  19. Bed occupancy Rate • = Days of Care/Beds*days X100 • = 53658/176*365 X100 • = 53658/64240 X100 • B.O.R = 83.52% • B.O.R =84%

  20. Bed turnover Rate • = Discharges/Beds • = 6195/176 • = 35.19 • BTOR = 35.19 pts/bed. • Round Fig.= 35pts/bed.

  21. JPNATC- STATISTICS AT A GLANCE Year 2017 Gross Death Rate : 11% Net Death Rate : 06% Bed occupancy Rate : 84% Average length of Stay : 09 days Bed Turnover Rate : 35 patients/bed

  22. Comparison of DATA Year 2017 Vs Year 2016 Indicator Year YearDiff. 2016 2017 • GDR 09% 11% +02% • NDR 05% 06% +01% • BOR 83 % 84% +01% • ALOS 10 09days - 01Day • BTOR 28 35 +07 pt/bed

  23. Disposal of Summons and Court Attendance • Received 2016 2017 Diff. • Total 1999 1761 -238 • Within Delhi 1662 1413 -249 • Outside Delhi 337 348 +011 • Attended by Drs.+Staff 1670 1407 - 263 • Attended by MRS staff 329 354 +025

  24. Storage of MRD Physical file with Outsource Agency during-2016Total No. of File Boxes= 1069File Box Retrieved=115Medical Record Files issued For Research Purpose:2016 2017 Diff.1769 2313 +544

  25. Patient Name Correction, LIC Claim Form, Report To NDMC On-line, RTI Reply, Radiographs Issued to Police Post ,etc • Year YearDiff. MRS Service 2016 2017 - Pt. Name Correction: 425 560 +135 Death Report To NDMC: 761 834 +73 LIC case Disposal : 36 29 _07 RTI Reply : 55 62 +07 X-Ray Issued : 941 1102 +161

  26. Year Year 2015 2016 Resident Doctors joining : 174 209 Resident Doctors relieved : 157 168 On-line information sent to FRRO about foreign pts: 02 0 Disposal of Police/Public Request of Medical Record. 350 504 On behalf of NDMC Death Certificate issued at TC: 06 - - Reply to applicant requests ( in Hindi version) 105 306

  27. 2016

  28. Detail of Meeting & Short Training attended -2016

  29. MRS-TC Conducted Workshops/CME & Short Period Trainings

  30. Visit of Other M.R. Professionals in JPN Apex Trauma Centre, MRS -2016 • Mr.M.K.Dhar, HOD-MRD of SGRH&RC • Mr. Ab.Rehman, Chief MRO, AIIA- New Delhi • Mr. A.Kumar, Chief MRO , Apollo Hospital-New Delhi • Mr.K.S.Rana, Chief MRO, RGCH&RC-New Delhi • Mr. A.Kaushik, Chief MRO, ISCIC- New Delhi • Mr.BKKachroo, Chief MRO, Fortis Noida-UP • Mr.VKHarnal, Ex,Chief MRO, SJH- New Delhi • Smt. Satya Devi, MRO, O/c MRD&TC, VMMC&SJH-ND • Mr. R. Yadav, MRO, RML Hospital, New Delhi • Mr. S.Arora, MRO, DDU Hospital, New Delhi • Mr. Kalleshwar IT, MRO, AIIMS- Raipur, CG. • Mrs. RichaPurohit, MRO, LMT Hospital- NCT Delhi

  31. Visit of Govt. officers’ in MRS • Dr. MadhuRaikar, Director CBHI- MOH&FW, GOI • Mr. Umed Singh , Consultant, CBHI-MOH& FW, GOI • Mr. ArvindKuryal, Sr. Statistical Officer, CBHI- • Smt. SatyaVeeri , MRO, MRD& TC, VMMC& SJH. • Dr. YogeshDube, Member, NCCP, GOI

  32. Conclusion: • This study clearly indicates that with dedicated & devoted team work and with fullest endurance of other healthcare agencies, it has proven: • Delivery of Better treatment, right decisions, fast and speedy treatment, Compassionate care to most critical & trauma patients at this Centre.

  33. Past few Suggestions from MRS had met this year-2016 • MRS was constantly requesting to Competent Authority, kindly allow us to conduct Research , Education & Training Programmes for MRD staff and others within AIIMS, for enriching working environment and promoting Health Record Science & informatics more efficiently. • Hon’bleEx.Chief had accepted above request.

  34. Research Chamber should be created within MRS for facilitating various Medical researchers in a better way. In Year-2016 02 Research Cabins and 09 MRD staff Wok Stations were prepared in the MRS Annex for better Delivery of Health Record Services in Trauma Centre

  35. Space for Keeping Physical Record of Patients (Hard Copy) at MRS. • For this Offshore Storage of Record • (OSR) facility had been created with CRC. • Full Digitalization in all clinical, procedure, and treatment Documents of patients in this Centre. So, as to demonstrate MODEL Centre for entire country. • The necessary Work is in Progress in TC.

  36. THANK YOU from MRS-TEAM

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