1. Health Care Statistics -Census-

2. Sources of Data Medical Record Abstracts Ancillary reports
Admission, Transfer, Census and Discharge lists
Incident reports

3. Requestors of Data Administration and Governing Body Medical Staff
Outside agencies
Other organizations

4. Vital Statistics
State laws require that these vital events be registered with the state
Birth and death certificates

5. Census “an official, usually periodic enumeration of population”
A count of people
A count of a population or subgroup

6. Inpatient Census The number of inpatients present at any one time
Inpatients – formally admitted to the hospital and occupy a bed at least overnight
Outpatients – receive service on a more limited basis and are not assigned an inpatient hospital bed

7. Census Taking
Time of day: The most important factor is consistency. The hospital should establish a time and stick to it
Midnight is a common census taking time

8. Census Reporting
In most hospitals where there is computerization, census is automatically generated based on admission, discharge, and transfer data entered into the computer throughout the day
Manually: a form is completed

9. Transfer Data
Intrahospital transfers: The TRF-in data should always equal the TRF-out data
Discharge transfers: listed in the census as a discharge
A transfer is counted as a census patient only on the unit on which the patient is present at census-taking time

10. Example
March 1: Sally Smith was admitted to the medical unit. She then needed emergency surgery and she was taken to surgery and transferred to the surgery unit. Her condition worsened and she was transferred to ICU. She stabilized and was transferred back to the surgical unit. Where will Sally be counted at the end of the day at census taking time?

11. Answer Sally will be listed as: A TRF-out of the medical unit
TRF-in to the surgical unit
TRF-out of the surgical unit
TRF-in and TRF-out of the ICU
TRF-in on the surgical unit where she is counted as an inpatient for March 1

12. A&D Admitted and discharged the same day
Deaths, DC AMA, transfers, etc.
Inpatients because they occupied a inpatient bed
They need to be counted in certain census reports

13. Inpatient Census
Refers only to the patients present at census taking time

14. Daily Inpatient Census (DIPC)
Refers to the number of inpatients present at the census taking time each day plus any inpatients who were admitted and discharged the same day (A&D)
Synonymous with Inpatient Service Day (IPSD)

15. Calculating IPSD/DIPC
The census taken at census taking time
Plus admissions
Minus discharges
1 inpatient day must be added for any A&Ds
The total is most representative of service rendered in the 24-hour period

16. Deaths
Deaths are considered discharges unless the facility notes otherwise
Facility may specify “live” discharges

17. Exclusions
Fetal Death: a fetus that was not alive at the time of delivery was never a patient and is not included in inpatient statistics
DOA: Dead on arrival patient, never revived, was never an inpatient and is not included
OP Death: only inpatients are included in inpatient statistics

18. Census recording tips
Use plus and minus signs in front of data to indicate whether a number should be added or subtracted
Cross out data that are irrelevant

19. Example May 31 midnight census 43 June 1 admitted +8 discharged -2
TRF-in +1
TRF-out 0
A&D

20. What is the census for June 1?= 50

21. What is the Daily Inpatient Census or IPSD for June 1?
Hint: the DIPC/IPSD includes A&D’s

22. What is the Daily Inpatient Census or IPSD for June 1?52

23. Beds/Bassinets
Bed: hospital bed, includes all patients not born in the hospital
Bassinet: beds for newborns (NB)

24. Newborn (NB)
Any live infant born in the hospital is considered a newborn and is included in the bassinet count
Stillborn infants are not included in the newborn count. They are included in a fetal death count.
Babies born at home or en route to the hospital are not included in the newborn bassinet count. These babies are included in the bed count.

25. Average Daily Census Total inpatient service days for a period
Total number of days in the period
Example: = 113 7