1. School of Health Sciences Week 8! Health Care Statistics Fundamentals of Health Information HI 140 Instructor: Alisa Hayes, MSA, RHIA, CCRC

2. Class Reminders Contact Information AIM:AlisaCHayes Email: ahayes@kaplan.edu Office Hours By Appointment Chat conversations during class Please keep conversations focused on class. Type “pause” to comment and “?” to ask a question School of Health Science

3. Chapter 8 Obstetric Related Rate Important Pregnancy Terms Delivery Not delivered Partum Antepartum Termination Induced termination School of Health Science

4. Chapter 8 Obstetric Related Rate School of Health Science Maternal and Cesearan Terms Maternal/obstetrical death Direct maternal death Indirect maternal death Cesarean section rate Vaginal birth after cesarean section (VBAC) rate

5. Chapter 8 Obstetric Related Rate Formulas VBAC Total vaginal deliveries in those with previous C- section Divided by total number of previously delivered via C-section C-Section Total number of C-sections performed for the period Divided by total number of deliveries for the period School of Health Science

6. Chapter 8 Obstetric Related Rate More Terms: Newborn–show signs of life at birth Fetal death (abortion, aborted fetus, stillborn)–no signs of life at birth Neonate Infant Perinatal Postnatal Hospital fetal death School of Health Science

7. Chapter 8 Obstetric Related Rate OB Mortality Rate Formula: Total direct OB deaths for the period  100 divided by total OB discharges for the period (including deaths) NB death rate: Formula: Numerator Total number of NB deaths for the period  100 Denominator Total number of NB discharges for the period (including deaths) School of Health Science

8. Chapter 8 Obstetric Related Rate Formula: Infant death rate (up to one year): Numerator Total number of Infant deaths for the period  100 Denominator Total number of Infant discharges for the period (including deaths) Formula: Neonate death rate (up to 28 days of age): Numerator Total number of neonatal deaths for the period  100 Denominator Total number of neonatal discharges for the period (including deaths) School of Health Science

9. Chapter 8 Obstetric Related Rate Fetal Death Rates Includes intermediate and late fetal deaths Exclude fetus Less than 20 weeks gestation 500 grams or less Formula: Fetal Death Rate Numerator Total number of intermediate and late fetal deaths for the period  100 Denominator Total number of births for the period Including live births intermediate and late fetal deaths School of Health Science

10. Chapter 8 Obstetric Related Rate Problems to solve – Pg 154, # 8 NB:Births (live) 86 Discharges 75 Deaths 2 Fetal Deaths 10 (15, 18, 16, 28, 31, 25, 22, 14, 27, 20) Calculate: A)Newborn Death Rate B)Fetal Death Rate School of Health Science

11. Chapter 10 Miscellaneous Rates Infection Rates Nosocomial Community Postoperative infections Total hospital infection rate School of Health Science

12. Chapter 10 Miscellaneous Rates Consultation Formal review, recommendation, and opinion of one health care professional to another regarding the care of a patient 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 School of Health Science

13. Chapter 10 Miscellaneous Rates 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 Formula Numerator Total number of comorbidities for the period x 100 Denominator Total number of patient discharges Including deaths School of Health Science

14. Chapter 10 Miscellaneous Rates Bed and bassinet turnover rate Direct bed turnover rate Formula Numerator Total number of discharges (including deaths) for the period Denominator Average bed count for the period Indirect bed turnover rate Formula Numerator Occupancy rate In decimal format x number of days in the period Denominator Average length of stay School of Health Science

15. Chapter 10 Miscellaneous Rates Page 191 #8 Calculate: A)Overall surgical consultation rate B)Postoperative infection rate C)Surgical service with this highest death rate School of Health Science

16. Chapter 10 Miscellaneous Rates #8, A Answer – 23.48% Numerator Total number of patients receiving a consultation  100 Denominator Total number of patient discharges Including deaths School of Health Science

17. Chapter 10 Miscellaneous Rates #8-B Answer – 2.13% Numerator Total number of postoperative infections in a clean surgical case Denominator Total number of surgical operations School of Health Science

18. Chapter 10 Miscellaneous Rates #8-C Answer – CV = 10% Numerator: Total number of inpatient deaths, including NB, for the period Denominator: Total number of inpatient discharges, including deaths, (NB, adults, children) for the period School of Health Science

19. Current Week 4/20/11-4/26/11 Read Chapters 8 & 10 in statistics textbook Participate in Discussion Participate in Seminar Complete practice tests Take Unit 8 Quiz School of Health Science

20. Next Week 4/27/11-5/3/11 Read Chapters 7 & 9 in statistics textbook Participate in Discussion Participate in Seminar Complete practice tests Take Unit 9 Quiz School of Health Science