Calculating & Reporting Healthcare Statistics

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# Calculating & Reporting Healthcare Statistics - PowerPoint PPT Presentation

Calculating &amp; 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

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
• 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

Infections
• 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

Infections
• Nosocomial Infection Rate Formula
• Total number of nosocomial infections for a period X 100 / Total number of discharges, including deaths, for the same period

Infection Rate
• 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

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

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

Postoperative Infections
• 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

Postoperative Infections
• 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

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

Postoperative Infection Rate
• 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

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

Cesarean Section
• 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

Cesarean Section
• 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

Cesarean Section
• 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

Cesarean Section Rate
• Formula
• Total number of C-sections performed in a period x 100.

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

Consultations
• 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

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