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Math - Calculate Inpatient Days

by pat
(ga)











































Sunshine Hospital had 250 patients in the hospital at midnight on October 15. They admitted 30 patients on October 16 (12 to ICU, 5 to PACU, 8 to surgery, and 5 to OB) and discharged 40 patients (including deaths). Two patients were both admitted and discharged on October 16. What was the total number of inpatient service days for October 16?

Comments for Math - Calculate Inpatient Days

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Mar 06, 2011
Math - Calculate Inpatient Days
by: Staff

The question:

by Pat
(GA)

Sunshine Hospital had 250 patients in the hospital at midnight on October 15. They admitted 30 patients on October 16 (12 to ICU, 5 to PACU, 8 to surgery, and 5 to OB) and discharged 40 patients (including deaths). Two patients were both admitted and discharged on October 16. What was the total number of inpatient service days for October 16?



The answer:


Definition of inpatient service days:

The total number of patient days for an inpatient episode.

The duration of an inpatient's hospitalization is considered to be one day if he is admitted and discharged on the same day and also if he is admitted on one day and discharged the next day. The day of admission should be counted but not the day of discharge.

Source:
HEALTHCARE STATISTICS, http://www.scribd.com/doc/48701627/Healthcare-Statistics



(Assuming the 2 patients admitted and discharged on 10/16 are already included in the +30 admissions and -40 patients discharged.)


250 . . . 10/15 - midnight
+30 . . . 10/16 - admitted
-40 . . . 10/16 - discharged (including deaths)
-----
240 . . . 10/16


Note: inpatient service days for 10/16 = beginning count + additions - discharges (where the patients discharged were admitted on a prior day) + patients admitted & discharged the same day

since the 2 patients admitted and discharged the same day, I added them back into the total


Inpatient service days for 10/16 = 250 + 30 - 40 + 2 = 242



Thanks for writing.


Staff
www.solving-math-problems.com



May 26, 2011
inpatient service days
by: Anonymous

The hospital daily census reports show that the inpatient census at midnight was 67. Two patients were admitted yesterday morning. One patient admitted died 2 hours later; the second patient was discharged and transferred to another facility yesterday afternoon. What would be the inpatient service days for yesterday?

May 27, 2011
Inpatient Service Days
by: Staff


The question:



May 26, 2011



inpatient service days NEW
by: Anonymous

The hospital daily census reports show that the inpatient census at midnight was 67. Two patients were admitted yesterday morning. One patient admitted died 2 hours later; the second patient was discharged and transferred to another facility yesterday afternoon. What would be the inpatient service days for yesterday?

The answer:


Definition of inpatient service days:

The total number of patient days for an inpatient episode.

The duration of an inpatient's hospitalization is considered to be one day if he is admitted and discharged on the same day and also if he is admitted on one day and discharged the next day. The day of admission should be counted but not the day of discharge.

Source:
HEALTHCARE STATISTICS, http://www.scribd.com/doc/48701627/Healthcare-Statistics


(2 patients were admitted and discharged (transferred or died) yesterday.)


67 . . . xx/xx – midnight yesterday (beginning of the day, yesterday)

+2 . . . xx/xx - admitted yesterday morning
-1 . . . xx/xx – died yesterday (only in hospital 2 hours)
-1 . . . xx/xx – transferred out yesterday (afternoon)
-----
0 net change in patients for yesterday

67 . . . yy/yy – midnight today (beginning of the day, today)


inpatient service days for yesterday = 67 + 2 = 69




Thanks for writing.


Staff
www.solving-math-problems.com


Feb 22, 2012
Inpatient headcount at midnight
by: Anonymous

What should be the answer if we want to know about inpatient headcount at midnight on 16?

Feb 22, 2012
Inpatient headcount at midnight
by: Staff

The answer on 2/22/2012:

Sunshine Hospital had 250 patients in the hospital at midnight on October 15. They admitted 30 patients on October 16 (12 to ICU, 5 to PACU, 8 to surgery, and 5 to OB) and discharged 40 patients (including deaths). Two patients were both admitted and discharged on October 16.



The inpatient head count at midnight on Oct 16 is: 240



Inpatient census (midnight, Oct 15)        250

+ Patients Admitted on Oct 16              + 30

- Patients Discharged/died on Oct 16      - 40
                                                         -------
Inpatient census (midnight, Oct 16)        240



The two patients admitted and discharged on Oct 16th do not show up in the midnight census.

However, the two patients admitted and discharged on Oct 16th are included in the Daily Inpatient Census for Oct 16th.

+ Number of Patients both Admitted
and discharged/died on Oct 16              + 2
                                                        -------
Daily Inpatient Census for Oct 16          242




Dec 06, 2012
Annual Inpatient service days
by: Anonymous

How do you calculate inpatient service days annually?

Dec 08, 2012
Annual Inpatient service days
by: Staff

To calculate the inpatient service days for any time period (weekly, monthly, quarterly, annually, etc.), add all of the daily inpatient service days for that time period.

If you already know the total inpatient service days by month, add the monthly figures together to arrive at an annual figure.

If you already know the total inpatient service days by quarter, add the quarterly totals to compute the annual figure.

Why can you add the totals for different time periods?

Inpatient service days are calculated on a daily basis.

The methodology used for these daily calculations is designed to ensure that double counting does not occur and that nothing is left out.

For example, the census-taking time is always the same time each day (usually midnight); when a patient is admitted, the day of admission is counted as an inpatient service day, but the day of discharge is not counted; etc.

Do not need to be concerned that, somehow, you must take all these idiosyncrasies into account all over again.

Just add the daily inpatient service days together.

Feb 04, 2013
ICU unit inpatient service days
by: Anonymous

How do you calculate inpatient service days for just a particular unit such as ICU?

Feb 07, 2013
ICU unit inpatient service days
by: Staff

Each PCU will routinely report the number of patients admitted to that PCU, discharged from that PCU, and/or transferred in or out that day.

As far as I know, the calculation of inpatient service days for a particular unit such as ICU or surgery is the same as the hospital as a whole.

inpatient service days = beginning count + additions - discharges (where the patients discharged were admitted on a prior day) + patients admitted & discharged the same day + transfers in - transfers out.

The real issue is identifying intra-hospital transfers. Patients sent to surgery from another patient care unit will probably be transferred back (out of surgery) the same day.

A transfer out of a particular PCU will be recorded as a transfer into the receiving PCU.

Intra-hospital patient transfers from one PCU to another will zero out for the hospital as a whole.

Feb 13, 2013
Inpatient Service days and daily census
by: Anonymous

by this calculation; you meant daily inpatient census equals inpatient service days, right?

Feb 14, 2013
Census Vs Service Days
by: Staff




NO! The inpatient census does not equal inpatient service days.

The inpatient census is a physical count of the number of patients present at a particular point in time (usually midnight).

Inpatient service days (also called the Patient Day, Inpatient Day, Bed Occupancy Day, Census Day) are the number of days of service received by patients.

You can think about the difference between an inpatient census and the inpatient service days using this example: A patient can be admitted, receive service, and then be discharged on the same day. This patient will not be present when the midnight census is tabulated. However, this patient did receive 1 day of services (not a fraction of a day). 1 day of service will be included in the calculation of the inpatient service days.

Inpatient service days are usually calculated for every 24 hour period. This is the length of time between successive census counts (which usually occur every midnight). The inpatient service days for 24 hour periods can be added together to determine the inpatient service days for a week, a month, a quarter, etc.

What about all the complications, such as babies being born, patients who die, intra-facility transfers, etc.? (Intra-facility transfers will be zero for the medical facility as a whole.)

Calculations for the 24 hour period beginning at midnight (yesterday), and ending at midnight today.

inpatient census - calculation of what the physical count should be at midnight today

=

beginning midnight count
+ patients admitted today
+ new births today
- discharges/deaths today (where the patients discharged/died were admitted/born on a prior day)
- leave of absence today
------------------
Midnight census today (This is a calculation. The Total Calculated must be equal to the number patients physically counted at midnight today).


inpatient service days

=

beginning midnight count
+ patients admitted today
+ new births today
- discharges/deaths today (where the patients discharged/died were admitted/born on a prior day)
+ patients admitted/born & discharged the same day (I&O)
- leave of absence
------------------
Total (this number will be higher than the inpatient census)




Thanks for writing.


Staff
www.solving-math-problems.com



Jul 16, 2016
POINTS TO REMEMBER NEW
by: DR B GHATAK

1) DAY WILL START FROM, AS FOR EXAMPLE 01.01.2016 7-00 AM T0 NEXT DAY ie. 06-59.59 AM.
2)EASIEST WAY OF CALCULATION IS NUMBER OF PATIENT OCCUPYING THE BED AT 06-59.59 AM.PLUS NUMBER OF PATIENTS SEPARTED SINCE 7-00 AM OF 0I.0I.2016.TO 06-59.59 AM OF 06-59.59 AM by way of discharge,death, refer, dorb, or absconding etc.

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