Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for the ‘RHIT’ Category

Autopsies

Posted by Laura on April 8, 2015

autopsies 001

Posted in RHIT, Statistics | Tagged: | Comments Off on Autopsies

Formulas on Death Rates

Posted by Laura on April 6, 2015

Death Rates

Posted in RHIT, Statistics | Tagged: , , | Comments Off on Formulas on Death Rates

Maternal Death and VS on Maternal Death Rates

Posted by Laura on April 2, 2015

Incidental (suicide or homicide) or accidental (MVA or Fall) causes are not included in the Maternal Death RateIt is the death of a woman from causes related to pregnancy or its management of. Direct and indirect OB deaths can be specific also. Direct OB involves the pregnancy such as a hemorrhage due to a c-section. Indirect OB death may be from a co-morbidity such as Diabetes.

Note: do not include non-maternal deaths (accidental or incidental).

Vital Statistics on Maternal Mortality Rates are used in public policies and health studies. They are usually states per 100,000. The WHO has great information on Vital Statistics on death rates.  Visit http://www.who.int/topics/mortality/en/

ref: Horton, Loretta and Margaret Theodorakis. Calculating and Reporting Healthcare Statistics, Fourth Edition. AHIMA Press.

Posted in Day-to-Day, Statistics | Tagged: , , , , | Comments Off on Maternal Death and VS on Maternal Death Rates

Cancer Mortality Rates

Posted by Laura on March 31, 2015

Calculating Cancer Mortality Rates for a population is collected by the National Center of Health Statistics. They are classified by age, cancer site, race and sex.

Improvement of treatment for cancer can come from these rates. Hospital registries on cancer collect information about cancer patients. Specific diagnosis of cancer can further break down the statistics on cancer mortality rates.

ref: Horton, Loretta and Margaret Theodorakis. Calculating and Reporting Healthcare Statistics, Fourth Edition. AHIMA Press.

Posted in RHIT, Statistics | Tagged: , , , , | Comments Off on Cancer Mortality Rates

Anesthesia Death Rates

Posted by Laura on March 29, 2015

Anesthesia Death Rates are from the ratio of deaths in a specific period which were caused by anesthetic agents, and the number of anesthetics administered.

Various Types of Anesthesia

  1. General
  2. Moderate
  3. Sedative
  4. Regional
  5. Local

ref: Horton, Loretta and Margaret Theodorakis. Calculating and Reporting Healthcare Statistics, Fourth Edition. AHIMA Press.

Posted in Day-to-Day, RHIT, Statistics | Tagged: , , | Comments Off on Anesthesia Death Rates

Newborn Mortality Rates

Posted by Laura on March 27, 2015

Definitions for Newborn Deaths/Newborn Mortality Rates

Infant deaths – any time in the first year

Neonatal deaths – liveborn death within the neonatal period. 28 days

Newborn deaths – death of a hospital liveborn infant who dies during the same admission.

Perinatal deaths –  Stillborn and neonatal deaths.

Post-neonatal deaths – After the 28th day of life through the end of the first year.

Vital Statistics for Neonatal & Infant Mortality Rates

Birth certificates are used frequently for this data. The rate is times by 100,000 for use in vital statistics in the US.

ref: Horton, Loretta and Margaret Theodorakis. Calculating and Reporting Healthcare Statistics, Fourth Edition. AHIMA Press.

Posted in Day-to-Day, RHIT, Statistics | Tagged: , , , , | Comments Off on Newborn Mortality Rates

Fetal Death Rates

Posted by Laura on March 25, 2015

Fetal Death Rates are calculated separately and not considered patient deaths. There are three classifications of fetal deaths:

  1. Early (< 20wks of gestation  and wt 500 gm or less)
  2. Intermediate (20-28 wks of gestation wt of 501-1000 gm.)
  3. Late (28+ and wt of 1,001 gms or more)

 

Posted in RHIT, Statistics | Tagged: , , , , | Comments Off on Fetal Death Rates

Net Death Rate & Post-Op Death Rate

Posted by Laura on March 23, 2015

Accrediting agencies may request the Net Death Rate. This rate became important because providers had a concern on deaths less than 48 hours after admission  – they may or may not have death due to the hospitalization. Because of this, Net Death Rates excludes deaths under 48 hours.

 

Postoperative Death Rates and Surgical Death Rates refer to the same thing. It is the number of deaths occurring after an operation. In this rate, deaths 10 days after surgery are included.

Hospitals may evaluate the relationship of deaths in specific operations instead of using the postoperative death rate to evaluate the effectiveness of a hospital’s care.

ref: Horton, Loretta and Margaret Theodorakis. Calculating and Reporting Healthcare Statistics, Fourth Edition. AHIMA Press.

Posted in RHIT, Statistics | Tagged: , , , , | Comments Off on Net Death Rate & Post-Op Death Rate

Mortality / Death Rates

Posted by Laura on March 21, 2015

Statistics on Death Rates is important to help public health agencies plan services where may be needed. One way this has been used is the call or need for new medical specialties. Have you heard of a doctor being a intensive care expert? The idea is intensivists can have a direct affect on death rates. There are many organizations who use this information befside hospitals and the CMS.

  • The Automobile Industry
  • Handgun Advocates
  • American Heart Association
  • American Cancer Association

To compute hospital death rates, formulas for calculating include the number of patient deaths divided by number of patient discharges (including deaths).

Note: DOA are not included, because they were not admitted to hospital.

Note: Fetal deaths,ER, and out-patients, are not included.

ref: Horton, Loretta and Margaret Theodorakis. Calculating and Reporting Healthcare Statistics, Fourth Edition. AHIMA Press.

Posted in RHIT, Statistics | Tagged: | Comments Off on Mortality / Death Rates

Review for Exam

Posted by Laura on March 16, 2015

Some simple math calculations for review. Much like math for nursing, healthcare statistics has some basic concepts that progress in complexity. Knowing the exactly where the information is coming from, how to get the statistics, and what the results represent is the most important. But, for now, I’m just going to post some simple calculations and will comprise all in an excel document for future use.

Fraction to Percent – Fraction to Percent Calculator

Percent to Decimal – Percent to Decimal Calculator

How to get the Ratio – Ratio Calculator

Average (mean) – Average Calculator (Mean)

Sum of all values / Number of all the values involved

Census

Definitions

Census- calculate census, – Total number of patients treated during a 24 hour period.

Inpatient Service Days – Services received by one inpatient in 24 hour period.

Total Inpatient Service Days – Sum of all inpatient service days for each of the days in the period.

Purpose – planning, budgeting and staffing.

FORMULA – Average Daily Census:

Total inpatient service days (excluding newborns) / Total number of days in the period.

for a Unit:

Total inpatient service days for the unit for the period / Total number of days in the period

 – for NB :

Total newborn inpatient service days for a period / Total number of days in the period

Occupancy

Definitions

Inpatient bed count – Number of available hospital beds, both occupied and vacant, on any given day.

Inpatient Bed count day – Counts the presence of one inpatient bed (occupied or vacant)that is set up and staffed for use in one 24 hour period.

Total inpatient bed count day – Sum of inpatient bed count days for each of the days in a period.

FORMULA – Percentage of occupancy – Total number of inpatient service days for a period (x 100) / total inpatient bed count days in the period (Bed count x Number of days in the period)

FORMULA – Percent of occupancy FOR Newborn Bassinet Occupancy Ration – Total newborn inpatient service days for a period x 100 / Total newborn bassinet count x Number of days in the period.

FORMULA – Bed Turnover Rate (direct)- total number of discharges for a period / average bed count for the same period.

FORMULA – Bed Turnover Rate (indirect)- Occupancy rate x Number of days in a period / average length of stay. Note: Used when the bed count changes during the period in question.

Length of Stay

Definitions

Length of Stay – Number of calendar days from admission to discharge.

Total length of stay – Sum of the days stay of any group of inpatients discharged during specific period of time.

Purpose – Utilization management to evaluate the facilities efficiency in provideing services cost-effectively, while evaluating level of care, example – Financial reporting

FORMULA – Length of Stay- calculate using discharge days (no Newborns) – Total length of stay of discharged patients for a given period / total number of discharges and deaths in the same period

Average Length of Stay  – Toatl length of stay (discharge days) / Total discharges (including deaths)

FORMULA – Average Newborn Length of Stay – Total newborn discharge days / total newborn discharges (including deaths)

Posted in Day-to-Day, RHIT, Statistics | Tagged: , | Comments Off on Review for Exam

Healthcare Statistics

Posted by Laura on February 26, 2015

Formulas of Occupancy

BED OCCUPANCY PERCENTAGE – Total number of inpatient days for a given period x 100, divided by, Available beds x Number of days in the period

BASSINET OCCUPANCY PERCENTAGE – Daily NB census (IP service days), divided by, NB Bassinet Count for that day (x100)

DIRECT BED TURNOVER RATE – Total number of discharges for a period, divided by, Average bed count for the same period

INDIRECT BED TURNOVER RATE – Percentage of occupancy x Days in the period x100, divided by, Average length of stay

Posted in Day-to-Day, RHIT | Comments Off on Healthcare Statistics

Healthcare Statistics

Posted by Laura on February 24, 2015

Terms of Percentage of Occupancy

INPATIENT BED COUNT – The number of available hospital inpatient beds both occupied and vacant on any given day

BED COMPLEMENT = BED COUNT = BED CAPACITY

TOTAL BED COUNT DAYS – Sum of inpatient bed count days for each of the days in a period

NEWBORN BASSINET COUNT – The number of available newborn bassinets, both occupied and vacant on any given day

BED COUNT DAYS – Counts the presence of one inpatient bed (occupied or vacant) that is set up and staffed for use in one 24-hour period

NEWBORN BASSINET COUNT DAYS – Is the number of available hospital bassinets both occupied and vacant, on any given day

INPATIENT BED COUNT DAY – One inpatient bed set up and staffed for use and either occupied or vacant, during one 24 hour period

Posted in RHIT | Comments Off on Healthcare Statistics

Patient Census

Posted by Laura on February 15, 2015

Patient Census are important for budgeting resources, but there is a difference in terms. 

Census Taking

  • Daily inpatient census: The number of inpatients present at the census-taking time. Add any inpatients who were both admitted after the previous census-taking time and discharged before the next census-taking time
  • Inpatient census: The number of inpatients present in a healthcare facility at one consistant given time

Service Days

  • Inpatient service day: A unit of measure equivalent to the services received by one patient during one 24-hour period. Does not matter if they weren’t there for the full 24 hrs.
  • Total inpatient service days: The sum of all inpatient service days for each of the days during a specified period of time, such as for the month.

 

Upcoming Math

Calculation of Inpatient Service Days

Calculation of Transfers

Recapitulation of Census Data

Average Daily Inpatient Census

Average Daily Newborn Census

Average Daily Inpatient Census for a Patient Care Unit

 

Posted in Day-to-Day, RHIT | Comments Off on Patient Census

CONSENT AND AUTHORIZATION USED TO BE INTERCHANGEABLE

Posted by Laura on February 11, 2015

 

Current use under the AHIMA now states:

Consent is permission for treatment, payment, or healthcare operations

vs

Authorization is permission granted by the patient or the patient’s representative to release information for reasons other than treatment, payment, or healthcare operations

Another,

Authorization to disclose information – allows healthcare facility to verbally disclose or send health information to other organizations (the patient or legal rep has signed the authorization).

 

Sayles, N. (2013). Health Information Management Technology: An Applied Approach. Current edition. Chicago, IL. American Health Information Management Association.

 

Posted in Day-to-Day, RHIT | Comments Off on CONSENT AND AUTHORIZATION USED TO BE INTERCHANGEABLE

Federally Funded CARE, Federally Funded AID

Posted by Laura on February 9, 2015

medicare medicaid

 

info retrieved from: Healthcare.gov

http://www.hhs.gov/answers/medicare-Medicaid/medicare-medicaid/difference-medicare-medicaid.html

Posted in Professional Practice, RHIT | Comments Off on Federally Funded CARE, Federally Funded AID

Basic Concepts in Healthcare Information Management

Posted by Laura on February 7, 2015

SPC

Posted in Day-to-Day, RHIT | Comments Off on Basic Concepts in Healthcare Information Management

Registered Health Information Technician

Posted by Laura on January 17, 2015

One of my goals when I started the nursing field was to obtain my RHIT. I took one year of Health Informatics Technology, through a Health Workforce Training Program. This program is one of the ways the US government is trying to assist hospitals and physicians get trained individuals who understand the “meaningful use.” I learned a lot from this program, and am excited about the RHIT. I’ve already done some classes, some are excused because I am a nurse, and some are to come. So I will be putting a bunch of my school work on this site also. It helps me learn by regurgitating the information : ) Community colleges where given the short-term certificate programs  for HIT workers I talked about. I was even part of grant, so I received my tuition back. Very nice. You can find more about it here. I’ll have upcoming links and categories under RHIT. For now, AHIMA or the American Health Information Management Association is the credentialing organization for “effective management of health data and medical records needed to deliver quality healthcare to the public.”

RN       RHIT      BSN       RHIA      MSN   

  NP (no problem)

Posted in RHIT | Tagged: , | Comments Off on Registered Health Information Technician