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# Calculating Reporting Healthcare Statistics - PowerPoint PPT Presentation

Calculating & Reporting Healthcare Statistics. Second Edition Chapter 8 Morbidity and Other Miscellaneous Rates. Infections. Morbidity State of being diseased or the number of sick persons or cases of disease in relation to a specific population May be infectious or have other causes

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### Calculating & Reporting Healthcare Statistics

Second Edition

Chapter 8

Morbidity and Other Miscellaneous Rates

• Morbidity

• State of being diseased or the number of sick persons or cases of disease in relation to a specific population

• May be infectious or have other causes

• For example, the presence of concomitant (taking place at the same time) chronic (of long duration) conditions may constitute comorbidity

• Moreover, morbidity may be

• preexisting (prior to admission to the hospital) or

• iatrogenic, or occurring because of the patient’s treatment

• Nosocomial Infections

• Acquired in the hospital

• Can be attributable to

• Specific patient care units (PCUs)

• Specific operations

• Patients with specified disease

• Medical staff units

• Individual physicians

• Hospital employees

• Nosocomial Infection Rate Formula

• Total number of nosocomial infections for a period X 100 / Total number of discharges, including deaths, for the same period

• May be calculated separately for specific infections such as

• Surgical wound infections

• Puerperal infections, which occur immediately after childbirth

• Infections of the respiratory tract, urinary tract, bloodstream, and so on

• Complications that may results from an infection

• Other types of complications that require special attention by medical staff and administration include

• Wound disruptions

• Decubitus ulcers

• Postoperative hemorrhages

• Ratio of all infections to the number of discharges including deaths

• Formula

• Total number of infections x 100/ Total number of discharges (including deaths) for the period

• May be difficult to determine as it is not always evident if the patient entered the hospital with an infection or acquired one because of the surgical techniques used

• The medical staff should provided guidance to the HIM practitioner and the infection control committee on what constitutes a clean surgical case and which infection should be considered a postoperative infection

• Two terms need to be considered

• A surgical procedure

• Any single, separate, systematic process upon or within the body that can be complete in itself

• Normally is performed by a physician, dentist, or other licensed practitioner

• Can be performed with or without instruments

• Performed to restore disunited or deficient parts, remove diseased or injured tissues, extract foreign matter, assist in obstetrical delivery, or aid in diagnosis

• A surgical operation

• One or more surgical procedures performed at one time for one patient via a common approach or for a common purpose

• Ratio of all infections in clean surgical cases to the number of surgical operations

• Clean surgical case is one in which no infection existed prior to surgery

• Formula

• Number of infections in clean surgical cases for a period x 100/Number of surgical operations for the period

• Most hospitals determine the percentage of deliveries that are performed by Cesarean Section (commonly called C-section) as compared to spontaneous or vaginal deliveries

• There has been much attention given to high C-section rates by specific physicians, hospitals and areas of the country because of concerns about adverse effects to the mother and child

• Additionally, it may be necessary to report C-section rates to accrediting agencies or the AMA for such reasons as residency programs

• Delivery

• The process of delivering a liveborn infant or dead fetus (and placenta) by manual, instrumental, or surgical means

• A pregnant mother who delivers has one delivery, however, she may have multiple births

• For example, a woman who delivers a liveborn infant is counted as one delivery and one live birth

• A woman who delivers liveborn twins is counted as one delivery and two live births

• A woman who delivers a stillbirth is counted as one delivery and one fetal death

• Delivery

• A woman may be admitted to the hospital for a condition of her pregnancy, however, she may not deliver her infant during that hospitalization

• For example, a patient who is admitted in labor but later discovered that this is an instance of false labor would be classified as an obstetrics patient, not delivered

• Formula

• Total number of C-sections performed in a period x 100.

Total number of deliveries in the period (including C-sections)

• The response by one healthcare professional to another healthcare professional’s request to provide recommendations and/or opinions regarding the care of a particular patient/resident

• A patient’s attending physician may occasionally request a consultant (another physician or health care practitioner) to examine a patient and give an opinion as to his/her condition

• A consultant will should also review the medical record and then prepare a consultation report that includes the findings of the examination and recommendations for treating the patient

• Formula

• Total number of patients receiving a consultation x 100/Total number of patients discharged

• These are reported according to individual healthcare facility needs

• May be reported for external agencies

• The best rule of thumb is to use the “other rates” formula