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HIM 350 Module Five Worksheet

This worksheet consists of 12 questions, worth 5 points each.

1. In Module Three, you created a data dictionary of standardized terms and definitions for your institution based on the information in a patient medical record. Two weeks after being discharged, the patient scheduled a follow-up appointment with a specialist to assess how well his wounds have healed. The specialist provider would like a summary of the patient’s interaction at the hospital and would also like to know how the institution is defining certain data elements such as length of stay, inpatient days, and so on. Briefly describe two methods you could use to extract data from the data dictionary database to be sent to the specialist provider.

2. What formula did you use to derive length of stay? Did you include the time in the emergency room in your calculation? Why or why not? What is the patient’s length of stay according to your calculation?

3. If the number of inpatient service days at the hospital for the month of December is 5,387, what is the average daily census?

4. Why is it important that the specialist provider knows how the terms are defined and used at the institution?

5. How does the use of vocabulary standards support data integrity and quality in healthcare?

Use the resources below to identify the formulas needed to calculate the scenarios in questions 6–12. Also refer to the Sample Problem Document as a reference.

Hospital Statistical Formulas for the RHIT Exam

Calculation of Infection Rates

6. Calculate the average daily census from the following data:

Holly Hospital Inpatient Service Days for Year

Type of Service

Number of Patients

Adult

75,800

Newborn

6,100

Pediatric

11,800

What was the average daily census of adults and children for the year?

What was the average daily census of newborns for the year?

7. Using the following data, calculate the average length of stay:

Holly Hospital has 500 beds and 50 bassinets. You are preparing a report for the month of February (non-leap year).

Inpatient Service Days:

Adult and pediatric

12,000

Newborn

500

Discharges:

Adult and pediatric

1,300

Newborn

90

Discharge Days:

Adult and pediatric

9,000

Newborn

231

What is February’s average length of stay for adults and children?

What is February’s average length of stay for newborns?

8. Using the following data, calculate the consultation rate:

25,000 discharges

136,000 discharge days

3,500 consultations performed

9. Using the following data, calculate the cesarean-section rate:

600 deliveries

350 vaginal deliveries

250 cesarean deliveries

10. Using the data below, calculate the following rates:

February 2017

Discharges (including deaths)

Adults

1,100

Pediatrics

125

Newborn

85

Deaths

Adults

9

Pediatrics

1

Newborn

1

A. Gross Death Rate:

B. Newborn Death Rate:

11. Using the data below, calculate the fetal death rate:

February 2017

Early fetal deaths

22

Intermediate fetal deaths

7

Late

1

Live births

322

Newborn discharges

89

12. Using the data below, calculate the following rates:

February 2017

Deaths (adults and children)

12 (including 1 coroner’s case)

Discharges (adults and children)

1,125

Autopsies

3

A. Gross Autopsy Rate:

B. Net Autopsy Rate:

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