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OCCUPANCY RATES and MORTATLITY RATES
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Percentage of Occupancy
Provides a hospital with a ratio or percentage of the equipped and staffed hospital beds that are occupied for a specified period of time
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Bed Count The number of available hospital inpatient beds, both occupies and vacant, on any given day Excluded beds: temporary beds (for examination), disaster beds, ER beds A hospital is licensed for a certain number of beds Adding/decreasing: Beds, or units, can be “closed” and re-opened as necessary So bed count can change
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Bassinet Count The number of available hospital newborn bassinets, both occupied and vacant, on a given day
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The number of times something happens
Rate Formula General Rule The number of times something happens The number of times it could happen
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Inpatient Bed Occupancy Rate
The proportion of inpatient beds occupied as compared to how many could have been occupied Daily IP census Inpatient bed count for that day X 100
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Example On July 1, the bed count was The IPSD total for the day was 160 160/200 x 100 = 80% Occupancy rate
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Temporary beds If there is full occupancy plus disaster beds need to be used, the occupancy rate can actually be MORE than 100% The temporary beds are NOT added to the bed count but the patients occupying them ARE added to the census
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Bassinet Occupancy Rate
Daily NB census NB bassinet count for that day x 100
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MORTALITY RATES Mortality = Death
A patient who dies at home or en route to the hospital or during an outpatient procedure is not included in inpatient mortality rates Newborns ARE included in this rate
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Death as Discharge A death is considered a discharge but is reported separately than live discharges
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Newborn Death Only counted in those infants who have shown signs of life at the time of birth Included in hospital death rates, but the hospital may also want to calculate them separately If there was no sign of life, counted as a fetal death and not included in death rate
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Total number of deaths for a period
Death Rates Based on discharge data, a list is prepared of all patients who died during their hospital stay Calculating the rate Total number of deaths for a period Total number of discharges for the period x 100
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Death Rate Should be low A “net” death rate may be calculated
Does not include deaths occurring under 48 hours of admission Out of date today, because of shorter stays
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Total patients operated on X 100
Surgical Death Rates Postoperative death rate Total surgical deaths Total patients operated on X 100
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Total deaths caused by anesthetic agents
Surgical Death Rates Anesthesia Death Rate Total deaths caused by anesthetic agents Total number of anesthetics administered X 100
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Other Rates Obstetrical related rates Autopsy rates
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Length of Stay LOS The number of calendar days from admission to discharge Average LOS: the average hospitalization length of a group of inpatients discharged during a period
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Length of Stay Each day counts as a day except the day of discharge
Example: A patient is admitted on June 3 and discharged June 10. LOS is 7 days.
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Length of Stay A&D: LOS is ONE day regardless of time
The total LOS for all patients during a specified period is commonly referred to as discharge days
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Total length of stay (discharge days) Total discharges x100
Average LOS Example: Total discharges in March is 700, total discharge days is 3500 = 5 day average LOS Total length of stay (discharge days) Total discharges x100
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