Download Miscellaneous Rates

Chapter 10
Miscellaneous Rates
© 2008 Delmar Cengage Learning.
Infection Rates
• Nosocomial
– Originates in a hospital
– Includes postoperative infections
2
© 2008 Delmar Cengage Learning.
Infection Rates
• Formula
– Numerator
• Total number of hospital acquired infections > 72
hours after admission
– Denominator
• Total number of discharges
– Including deaths
3
© 2008 Delmar Cengage Learning.
Infection Rates
• Community
– Acquired
• Occurs in the community or less than 72 hours of
admission
4
© 2008 Delmar Cengage Learning.
Infection Rates
• Community
– Formula
• Numerator
– Total number of community-acquired infections > 72
hours after admission
• Denominator
– Total number of discharges
– Including deaths
5
© 2008 Delmar Cengage Learning.
Infection Rates
• Postoperative infections
– Nosocomial infection
– Formula
• Numerator
– Total number of postoperative infections in a clean
surgical case
• Denominator
– Total number of surgical operations
6
© 2008 Delmar Cengage Learning.
Infection Rates
• Total hospital infection rate
– Formula
• Numerator:
– Total number of infections (nosocomial, community, and
postoperative)
• Denominator:
– Total number of discharges (including deaths)
7
© 2008 Delmar Cengage Learning.
Consultation Rates
• Consultation
– Formal review, recommendation, and opinion
of one health care professional to another
regarding the care of a patient
8
© 2008 Delmar Cengage Learning.
Consultation Rates
• Formula
– Numerator
• Total number of patients receiving a consultation 
100
– Denominator
• Total number of patient discharges
• Including deaths
9
© 2008 Delmar Cengage Learning.
Complication Rate
• Complication
– Condition 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
10
© 2008 Delmar Cengage Learning.
Complication Rate
• Formula
– Numerator
• Total number of complication for the period  100
– Denominator
• Total number of patient discharges (including
deaths)
11
© 2008 Delmar Cengage Learning.
Comorbidity Rate
• Comorbidity
– Pre-existing condition
– Principal diagnosis will increase the length of
stay at least one day in 75 percent of the
cases
• Diabetes, hypertension, asthma
12
© 2008 Delmar Cengage Learning.
Comorbidity Rate
• Formula
– Numerator
• Total number of comorbidities for the period x 100
– Denominator
• Total number of patient discharges
• Including deaths
13
© 2008 Delmar Cengage Learning.
Bed Turnover Rate
• Bed and bassinet turnover rate
– Measure of hospital utilization
– Number of times each bed/bassinet changes
occupants
– Bassinet turnover rate is calculated separate
from adult and children
14
© 2008 Delmar Cengage Learning.
Bed Turnover Rate
• Direct bed turnover rate
– Formula
• Numerator
– Total number of discharges (including deaths) for the
period
• Denominator
– Average bed count for the period
15
© 2008 Delmar Cengage Learning.
Bed Turnover Rate
• Indirect bed turnover rate
– Formula
• Numerator
– Occupancy rate
– In decimal format x number of days in the period
• Denominator
– Average length of stay
16
© 2008 Delmar Cengage Learning.