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Health Care Statistics -Census-

Health Care Statistics -Census-. Sources of Data. Medical Record Abstracts Ancillary reports Admission, Transfer, Census and Discharge lists Incident reports. Requestors of Data. Administration and Governing Body Medical Staff Outside agencies Other organizations. Vital Statistics.

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Health Care Statistics -Census-

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  1. Health Care Statistics-Census-

  2. Sources of Data • Medical Record • Abstracts • Ancillary reports • Admission, Transfer, Census and Discharge lists • Incident reports

  3. Requestors of Data • Administration and Governing Body • Medical Staff • Outside agencies • Other organizations

  4. Vital Statistics • State laws require that these vital events be registered with the state • Birth and death certificates

  5. Census • “an official, usually periodic enumeration of population” • A count of people • A count of a population or subgroup

  6. Inpatient Census • The number of inpatients present at any one time • Inpatients – formally admitted to the hospital and occupy a bed at least overnight • Outpatients – receive service on a more limited basis and are not assigned an inpatient hospital bed

  7. Census Taking • Time of day: The most important factor is consistency. The hospital should establish a time and stick to it • Midnight is a common census taking time

  8. Census Reporting • In most hospitals where there is computerization, census is automatically generated based on admission, discharge, and transfer data entered into the computer throughout the day • Manually: a form is completed

  9. Transfer Data • Intrahospital transfers: The TRF-in data should always equal the TRF-out data • Discharge transfers: listed in the census as a discharge • A transfer is counted as a census patient only on the unit on which the patient is present at census-taking time

  10. Example • March 1: Sally Smith was admitted to the medical unit. She then needed emergency surgery and she was taken to surgery and transferred to the surgery unit. Her condition worsened and she was transferred to ICU. She stabilized and was transferred back to the surgical unit. Where will Sally be counted at the end of the day at census taking time?

  11. Answer • Sally will be listed as: • A TRF-out of the medical unit • TRF-in to the surgical unit • TRF-out of the surgical unit • TRF-in and TRF-out of the ICU • TRF-in on the surgical unit where she is counted as an inpatient for March 1

  12. A&D • Admitted and discharged the same day • Deaths, DC AMA, transfers, etc. • Inpatients because they occupied a inpatient bed • They need to be counted in certain census reports

  13. Inpatient Census • Refers only to the patients present at census taking time

  14. Daily Inpatient Census (DIPC) • Refers to the number of inpatients present at the census taking time each day plus any inpatients who were admitted and discharged the same day (A&D) • Synonymous with Inpatient Service Day (IPSD)

  15. Calculating IPSD/DIPC • The census taken at census taking time • Plus admissions • Minus discharges • 1 inpatient day must be added for any A&Ds • The total is most representative of service rendered in the 24-hour period

  16. Deaths • Deaths are considered discharges unless the facility notes otherwise • Facility may specify “live” discharges

  17. Exclusions • Fetal Death: a fetus that was not alive at the time of delivery was never a patient and is not included in inpatient statistics • DOA: Dead on arrival patient, never revived, was never an inpatient and is not included • OP Death: only inpatients are included in inpatient statistics

  18. Census recording tips • Use plus and minus signs in front of data to indicate whether a number should be added or subtracted • Cross out data that are irrelevant

  19. Example • May 31 midnight census 43 • June 1 admitted +8 discharged -2 TRF-in +1 TRF-out 0 A&D 2

  20. What is the census for June 1? • 43+8-2+1= • 50

  21. What is the Daily Inpatient Census or IPSD for June 1? • Hint: the DIPC/IPSD includes A&D’s

  22. What is the Daily Inpatient Census or IPSD for June 1? • 52

  23. Beds/Bassinets • Bed: hospital bed, includes all patients not born in the hospital • Bassinet: beds for newborns (NB)

  24. Newborn (NB) • Any live infant born in the hospital is considered a newborn and is included in the bassinet count • Stillborn infants are not included in the newborn count. They are included in a fetal death count. • Babies born at home or en route to the hospital are not included in the newborn bassinet count. These babies are included in the bed count.

  25. Average Daily Census • Total inpatient service days for a period Total number of days in the period Example: 792 = 113 7

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