1. As a health information management (HIM) manager of a small county hospital,
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Question
1. As a health information management (HIM) manager of a small county hospital, you oversee the statis- tical reporting. You are in the process of cross-training a back-up HI clerk II. You are showing her how to calculate the inpatient service days. The hospital daily census reports show that the inpatient census at midnight was 67. Two patients were admitted yesterday morning. One of these patients died 2 hours later; the second patient was discharged and transferred to another facility yesterday afternoon.
What would the inpatient service days for yesterday be?
2. You have been given an external report from Navaho Hospital administration requesting completion of a couple of statistical fields. Navaho Hospital has 275 adult beds, 30 pediatric beds, and 40 bassinets. Last year’s (a non-leap year) inpatient service days were as shown in
Table: Inpatient service days for the year
typer of service Number of patient
Adult 75,860
newborn 7,100
pediatric 11,800
1. What was the average daily census of adults and children for the year? (Round to a whole number.)
2. What was the average daily census of newborns for the year? (Round to a whole number.)
Explanation / Answer
Definition of inpatient service days:
The total number of patient days for an inpatient episode.
The duration of an inpatient's hospitalization is considered to be one day if he is admitted and discharged on the same day and also if he is admitted on one day and discharged the next day. The day of admission should be counted but not the day of discharge.
(2 patients were admitted and discharged (transferred or died) yesterday.)
67 . . . xx/xx – midnight yesterday (beginning of the day, yesterday)
+2 . . . xx/xx - admitted yesterday morning
-1 . . . xx/xx – died yesterday (only in hospital 2 hours)
-1 . . . xx/xx – transferred out yesterday (afternoon)
-----
0 net change in patients for yesterday
67 . . . yy/yy – midnight today (beginning of the day, today)
inpatient service days for yesterday = 67 + 2 = 69
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