1. Health Care Delivery and Information Management
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. Census Collection and Terms
A&D
CTT
DIPC
IPSD
TRF-ins
TRF-outs
Discharges
DOA
A&C NB

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. Occupancy Ratio/Percentage
Formula: Daily inpatient bed occupancy percentage
Formula: Daily newborn bassinet occupancy percentage
Daily IP census (IP service days)
Inpatient bed count for that day
× 100
Daily NP census (IP service days)
NP bassinet count for that day
× 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. Occupancy Percentage for a Period
Formula: Inpatient bed occupancy percentage for a period
Formula: Newborn bassinet occupancy percentage for a period
Total inpatient service days for a period
Total IP bed count × number of days in period
× 100
Total NP IP service days for a period
Total NP bassinet count × number of days in period
× 100

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