© 2008 Delmar Cengage Learning. Chapter 10 Miscellaneous Rates

© 2008 Delmar Cengage Learning. 2 Infection Rates Nosocomial –Originates in a hospital –Includes postoperative infections

© 2008 Delmar Cengage Learning. 3 Infection Rates Formula –Numerator Total number of hospital acquired infections > 72 hours after admission –Denominator Total number of discharges –Including deaths

© 2008 Delmar Cengage Learning. 4 Infection Rates Community –Acquired Occurs in the community or less than 72 hours of admission

© 2008 Delmar Cengage Learning. 5 Infection Rates Community –Formula Numerator –Total number of community-acquired infections > 72 hours after admission Denominator –Total number of discharges –Including deaths

© 2008 Delmar Cengage Learning. 6 Infection Rates Postoperative infections –Nosocomial infection –Formula Numerator –Total number of postoperative infections in a clean surgical case Denominator –Total number of surgical operations

© 2008 Delmar Cengage Learning. 7 Infection Rates Total hospital infection rate –Formula Numerator: –Total number of infections (nosocomial, community, and postoperative) Denominator: –Total number of discharges (including deaths)

© 2008 Delmar Cengage Learning. 8 Consultation Rates Consultation –Formal review, recommendation, and opinion of one health care professional to another regarding the care of a patient

© 2008 Delmar Cengage Learning. 9 Consultation Rates Formula –Numerator Total number of patients receiving a consultation  100 –Denominator Total number of patient discharges Including deaths

© 2008 Delmar Cengage Learning. 10 Complication Rate Complication –Condition that occurs during the hospital stay that extends the length of stay by at least one day in 75 percent of the cases. –Additional disorder arising after admission and affects the course of illness and care Infection, adverse drug reaction, hemorrhage

© 2008 Delmar Cengage Learning. 11 Complication Rate Formula –Numerator Total number of complication for the period  100 –Denominator Total number of patient discharges (including deaths)

© 2008 Delmar Cengage Learning. 12 Comorbidity Rate Comorbidity –Pre-existing condition –Principal diagnosis will increase the length of stay at least one day in 75 percent of the cases Diabetes, hypertension, asthma

© 2008 Delmar Cengage Learning. 13 Comorbidity Rate Formula –Numerator Total number of comorbidities for the period x 100 –Denominator Total number of patient discharges Including deaths

© 2008 Delmar Cengage Learning. 14 Bed Turnover Rate Bed and bassinet turnover rate –Measure of hospital utilization –Number of times each bed/bassinet changes occupants –Bassinet turnover rate is calculated separate from adult and children

© 2008 Delmar Cengage Learning. 15 Bed Turnover Rate Direct bed turnover rate –Formula Numerator –Total number of discharges (including deaths) for the period Denominator –Average bed count for the period

© 2008 Delmar Cengage Learning. 16 Bed Turnover Rate Indirect bed turnover rate –Formula Numerator –Occupancy rate –In decimal format x number of days in the period Denominator –Average length of stay