1. Robyn Korn, MBA, RHIA, CPHQ

2. Course Questions Check for any new posts and answers Discussion Board Enter first post by Saturday and a total of 3 posts by Tuesday

3. Assignments Make sure your name is on the assignment attachments when they are submitted Quiz Take the quiz before Tuesday to avoid any technical problems

4. Late work will not be accepted unless there are clear and compelling extenuating circumstances.

5.  Deaths  Inpatient Death-expires while an inpatient  Outpatient Death-patient who expires during outpatient care; not included in hospital death rate Deaths Excluded from inpatient death rates ER Death DOA Home care or hospice death unless the death occurred as an inpatient Hospital fetal death (stillborn/abortion)

6.  Deaths  Newborn Death-occurs only in those infants who have shown signs of life at the time of birth  Hospital Fetal Death (Abortion/Stillborn infants)- hospital fetal death is death prior to the complete expulsion or extraction from mother  Net vs. Gross-gross is amount before anything is subtracted; net rate is when something needs to be subtracted; Gross minus something = net

7.  Include only inpatient deaths-exclude OPs, DOAs, and fetal deaths  Should be low  Should be carried to two or three decimal places

8.  Computed by dividing the number of deaths by the number that were discharged  Net death rates exclude deaths that occur less than 48 hours after admission  Anesthesia death rates should be extremely low and are generally determined only on a yearly basis

9.  A hospital autopsy is performed by a physician who is designated by the hospital  Patients included/excluded  Hospital IP deaths included in all autopsy rates  Hospital-related OP deaths and deaths of former patients included only in hospital autopsy rate  Fetal death autopsies are only included in a fetal autopsy rate, never in the gross, net, or hospital autopsy rate.

10.  Outpatient autopsies are included only in the hospital autopsy rate *  Adult, children, and newborn are combined and included together in most autopsy rates

11.  Coroner’s cases (medical examiner’s cases) include those bodies that need to be investigated further to rule out foul play; involve violence or death suspicious in nature (e.g., drownings, poisonings, burns, abortions)  If autopsy performed by the hospital pathologist, included as a hospital autopsy

12.  Numerator in all autopsy rates is the total number of autopsies related to the specific autopsy rate  Hospital autopsy rate: IP and OP autopsies divided by deaths of hospital patients whose bodies are available for hospital autopsy (# of hospital autopsies for the period/# of deaths of hospital patients whose bodies are available for hospital autopsy for that period X 100)

13.  Newborn autopsy rate: NB autopsies divided by NB deaths (autopsies performed on NB for a period/Total NB deaths for a period X 100)  Fetal autopsy rate: Intermediate and late fetal autopsies divided by the intermediate and late fetal deaths  Gross autopsy rate: IP autopsies divide by IP deaths (Total autopsies performed on IP deaths for a period/Total IP deaths X 100)

14.  Net autopsy rate: IP autopsies divided by IP deaths minus the unautopsied coroner's cases (Total IP autopsies for a given period / Total IP deaths-unautopsied coroner’s cases X 100)

15. Snowmass Hospital (June): Autopsies DeathsYes (HP)No Coroner IP395322 OP22 Calculate: A. Gross Autopsy Rate B. Net Autopsy Rate C. Hospital Autopsy Rate

16. Gross Autopsy Rate Total autopsies performed on all IP deaths for a period Total IP deaths (deaths include NB as well as A&C)

17. Gross Autopsy Rate Total autopsies performed on all IP deaths for a period Total IP deaths (deaths include NB as well as A&C) 5 39.1282 X 100 12.82%

18. Net Autopsy Rate Total IP autopsies for a given period Total IP deaths minus unautopsied coroners cases

19. Net Autopsy Rate Total IP autopsies for a given period Total IP deaths minus unautopsied coroners cases 5 37.1351 X 100 13.51%

20. Hospital Autopsy Rate Number of hospital autopsies for period Number of hospital patients whose bodies are available for hospital autopsy for that period

21. Hospital Autopsy Rate Number of hospital autopsies for period Number of hospital patients whose bodies are available for hospital autopsy for that period 7 39 (total of 41 possible, minus 2 coroner cases).1795 X 100 17.95%

22.  133 questions  All multiple choice, short answer or true/false  Some from 1 st section (Green/Bowie text)  Some from Stats

23.  A patient is seen in the emergency room with glass in their eye. The attending emergency room physician feels it is necessary for the patient to be seen by a specialist. The specialist that would most likely see the patient would be from??  _______________________________

24.  A patient is seen in the emergency room with glass in their eye. The attending emergency room physician feels it is necessary for the patient to be seen by a specialist. The specialist that would most likely see the patient would be from??  Ophthalmology

25.  Benjamin Franklin founded ____________, the first United States hospital.

26.  Benjamin Franklin founded The Pennsylvania Hospital, the first United States hospital.

27.  Round to two decimal places  40.699

28.  Round to two decimal places  40.70

29.  Convert to a decimal, correct to two decimal places  2/15

30.  Convert to a decimal, correct to two decimal places  0.13

31.  When must a census be taken?

32.  At the same time each day

33.  How do you calculate percent of occupancy?

34.  Generally, it is census/service days for the period/bed count X the number of days in that period  Daily = daily IP census/IP bed count for that day  Weekly = Total IP service days for that week/Total IP bed count X 7 (# of days in a week)

35.  What is the length of stay for this patient?  Admitted 8/03 – Discharged 8/04

36.  What is the length of stay for this patient?  Admitted 8/03 – Discharged 8/04  1 day

37.  What is the length of stay for this patient?  Admitted 3/24 – Discharged 4/04

38.  What is the length of stay for this patient?  Admitted 3/24 – Discharged 4/04  11 days

39.  Which inpatient deaths are excluded in the gross death rate for a hospital?

40.  None – all are included

41.  Which death rate is also called an institutional death rate?

42.  Net death rate

43.  Other areas you want to go over??

44. Please contact me if you need any further assistance between now and the time of your exam. I’m happy to go over additional questions, or work with you on difficult areas!!! Go back through the summaries in each of the chapters we’ve covered – that’ll be a great review for you! All of the material on the test comes from the chapters we’ve covered in weeks 1 – 9 in the text books