Guide in Understanding and Using Hospital Statistics

Hospital Statistics as Indicators of Management Hospital Performance as Service Outputs Hospital Managerial Efficiency Hospital Service Utilization Indicators Used for Planning Effectiveness and Quality of Clinical Services Methods of Analysing Hospital Statistics

Hospital Performance as Service Outputs Volume of clinical work. Outpatient attendance Operations Admissions. Deliveries Discharges Autopsies Daily Inpatient Census Volume of support services Laboratory Laundry Radiology Central Sterile Supply Pharmacy Ambulance ECG Etc.

Hospital Managerial Efficiency Outputs per unit of input OR Inputs per unit of output Inputs Money (cost) Time People Capital Outputs Hospitalization stay X-ray Exam Outpatient attendance Meal Operation etc Laboratory Exam

Hospital Service Utilization Number of patient-days rendered Service Utilization Statistics Average length of stay Average inpatient per day Bed occupancy (or occupancy rate) Bed turn-over rate Ratio of outpatient consultation to admission Average number of consultations per patient. OPD performance indices. Ave. duration per OPD attendance Performance of one clinic hour Average frequency of specific measures per patient

Indicators Used for Planning Bed/population ratio Admission or discharge rate Hospitalization rate Emergency room visit rate Outpatient consultation rate

Effectiveness and Quality of Clinical Services Mortality Gross death rate Net death rate Deaths within 48 hours of admission Anesthesia death rate Post-operative death rate Maternal death rate Infant death rate Fetal death rate Abortion rate

Effectiveness and Quality of Clinical Services (cont) Morbidity Gross morbidity or infection rate Net morbidity or infection rate Post-operation infection rate Specific intervention Caesarean Section Rate D and C rate Appendectomy rate Blood transfusion reaction rate

Methods of Analysing Hospital Statistics Leading causes Statistical trends Information for guidance in clinical management Autopsies Gross autopsies rate Net autopsies rate