school of health sciences week 8! health care statistics fundamentals of health information hi 140...
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School of Health Sciences
Week 8!Week 8!
Health Care StatisticsHealth Care Statistics
Fundamentals of Health Information HI 140
Instructor: Alisa Hayes, MSA, RHIA, CCRC
Class RemindersContact Information
AIM:AlisaCHayesEmail: [email protected]
Office HoursBy Appointment
Chat conversations during classPlease keep conversations focused on class. Type “pause” to comment and “?” to ask a question
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Chapter 8Obstetric Related Rate
Important Pregnancy TermsDelivery Not deliveredPartum AntepartumTermination Induced termination
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Chapter 8Obstetric Related Rate
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Maternal and Cesearan TermsMaternal/obstetrical deathDirect maternal death Indirect maternal death Cesarean section rate Vaginal birth after cesarean section (VBAC) rate
Chapter 8Obstetric Related Rate
FormulasVBAC
Total vaginal deliveries in those with previous C-section
Divided by total number of previously delivered via C-section
C-Section Total number of C-sections performed for the period Divided by total number of deliveries for the period
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Chapter 8Obstetric Related Rate
• More Terms:Newborn–show signs of life at birthFetal death (abortion, aborted fetus, stillborn)–no signs
of life at birthNeonate Infant PerinatalPostnatalHospital fetal death
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Chapter 8Obstetric Related Rate
• OB Mortality RateFormula:
Total direct OB deaths for the period 100 divided by total OB discharges for the period (including deaths)
NB death rate: Formula:
Numerator Total number of NB deaths for the period 100
Denominator Total number of NB discharges for the period (including deaths)
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Chapter 8Obstetric Related Rate
Formula: Infant death rate (up to one year): Numerator
Total number of Infant deaths for the period 100Denominator
Total number of Infant discharges for the period (including deaths)Formula: Neonate death rate (up to 28 days of age):
Numerator Total number of neonatal deaths for the period 100
Denominator Total number of neonatal discharges for the period (including
deaths)
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Chapter 8Obstetric Related Rate
Fetal Death Rates Includes intermediate and late fetal deaths
Exclude fetus Less than 20 weeks gestation 500 grams or less
Formula: Fetal Death RateNumerator
Total number of intermediate and late fetal deaths for the period 100
Denominator Total number of births for the period
Including live births intermediate and late fetal deaths
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Chapter 8Obstetric Related Rate
Problems to solve – Pg 154, # 8
NB: Births (live) 86
Discharges 75
Deaths 2
Fetal Deaths 10 (15, 18, 16, 28, 31, 25,
22, 14, 27, 20)
Calculate:A) Newborn Death RateB) Fetal Death Rate
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Chapter 10Miscellaneous Rates
Infection RatesNosocomialCommunity Postoperative infectionsTotal hospital infection rate
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Chapter 10Miscellaneous Rates
Consultation Formal review, recommendation, and opinion of one
health care professional to another regarding the care of a patient
ComplicationCondition 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
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Chapter 10Miscellaneous Rates
ComorbidityPre-existing conditionPrincipal diagnosis will increase the length of stay at
least one day in 75 percent of the casesDiabetes, hypertension, asthma
FormulaNumerator
Total number of comorbidities for the period x 100Denominator
Total number of patient discharges Including deaths
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Chapter 10Miscellaneous Rates
Bed and bassinet turnover rate Direct bed turnover rate
Formula Numerator
Total number of discharges (including deaths) for the period Denominator
Average bed count for the period Indirect bed turnover rate
Formula Numerator
Occupancy rate In decimal format x number of days in the period
Denominator Average length of stay
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Chapter 10Miscellaneous Rates
Page 191 #8
Calculate:A) Overall surgical consultation rateB) Postoperative infection rateC) Surgical service with this highest death
rate
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Chapter 10Miscellaneous Rates
#8, AAnswer – 23.48%Numerator
Total number of patients receiving a consultation 100
Denominator Total number of patient discharges Including deaths
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Chapter 10Miscellaneous Rates
#8-BAnswer – 2.13%
NumeratorTotal number of postoperative infections in a clean
surgical caseDenominator
Total number of surgical operations
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Chapter 10Miscellaneous Rates
#8-CAnswer – CV = 10%
Numerator:Total number of inpatient deaths, including NB, for
the period Denominator:
Total number of inpatient discharges, including deaths, (NB, adults, children) for the period
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Current Week4/20/11-4/26/11Read Chapters 8 & 10 in statistics textbookParticipate in DiscussionParticipate in SeminarComplete practice testsTake Unit 8 Quiz
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Next Week4/27/11-5/3/11Read Chapters 7 & 9 in statistics textbookParticipate in DiscussionParticipate in SeminarComplete practice testsTake Unit 9 Quiz
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