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41 Cards in this Set
- Front
- Back
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what is the Glossary of Health Care Terms definition of inpatient census?
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The number of inpatients present at any time.
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what are the two classifications of patients for census?
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Inpatients and outpatients (ambulatory) and they are kept separately
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what is an inpatient?
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IP, formally admitted to the hospital with continuous care, assigned a bed, and kept overnight.
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what is an outpatient?
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not assigned an inpatient bed- OP, done for lab tests, profiles, X-rays, physical therapy, and outpatient surgery.
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what is a hospital department?
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they provide a wide range of services to patients, including patient accounts, laboratory, radiology, physical medicine, rehabilitation and outpatient surgery
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when should census be taken?
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whenever it can consistently be done.
called (CTT) census taking time |
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what things should be counted in 24 hours periods?
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admitted, discharged, died, transferred in transferred in, and born in the facility.
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what is an example of in TRF-in and TRF-out?
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Mary is a patient on the medical floor, and taken to surgery at 8:00 AM. Following surgery, she is transferred to the surgical unit. She would be a TRF-out for med unit, and TRF-in on surgical.
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how do you balance TRF-in and TRF-out?
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a transfer is from one clinical unit to another clinical unit within a hospital, UNLESS they were discharged.
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what is an example of a patient transfer?
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sally was admitted to medical unit on march 1. She needed emergency surgery, and went from there to the surgical unit. She got worse and was transferred to ICU, then back to the surgical unit. Sally would be listed as a TRF-out on medical, TRF-in at surgical, TRF-in and TRF-out of ICU, and TRF-in on surgical on surgical, where she is an inpatient for March 1 at CTT.
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how many times do patients get counted on a unit?
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The will only be counted as present on one unit even though they may have been on other units at different times.
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what does A&D mean?
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patients who are admitted and discharged on the same day NOT TO BE CONFUSED WITH OP's
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what is DIPC?
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Daily Inpatient Census means the number of patients present at CTT, each day, PLUS any inpatients who were admitted and discharged (A&D) after CTT the previous day
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what is an example of DIPC?
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Mary admitted at 8:00 AM on March 2 and discharged at 10:00PM the same day. She will no longer be in the hospital census, but she did receive service on March 2, so the census total , march 2 is the census IP total plus A&D .
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what is an IPSD?
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inpatient service day as a unit of measure for one patient during one 24 hour period, from CTT to CTT. Also includes any patient present at CTT, and A&D the same day
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what is an IPSD total?
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all inpatients who received service on a specific date. EACH patient on EACH date is ONE inpatient service day
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Does DIPC Daily inpatient census mean the same as IPSD inpatient service day?
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yes
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what is the unit of measure in census taking?
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a DAY... DAYS represents a total of the individual units. Means an individual patient, is credited with an inpatient service day for a service in the hospital on a certain date. This includes a patient present at CTT as well as an A&D the same day.
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If each patient is one UNIT, and 150 patients received service on a specific date, how many inpatient service days?
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150 inpatient service days
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what is per period?
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It may be two days, two weeks, month, two months, etc., any multiple of a patient day
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are the daily inpatient census (DIPC) and the inpatient service days ( IPSD) identical?
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YES - they both mean the same thing
CTT + inpatients admitted and discharged |
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are census/inpatient census the same as Inpatient Service Day/Daily Inpatient census (IPSD/DIPC) ? Why?
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NO< NO< NO !!! Census only counts at CTT, and does not include A&D the same day. IPDS is ALL patients counted and any that were A&D that day
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what is total inpatient service days?
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the sum of all impatient services days for each of the days in the period under consideration.
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how do you start a census?
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it is the beginning census taken at CTT for the previous day. Then you add on patient day for EACH admission. Then, you subtract one patient day for each discharge. Add TRN-in, subtract TRN-out, then add A&Ds for the day
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what is an example of a DIPC?
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155 inpatients present at CTT on June 1. 15 patients admitted June 2. 5 transferred out of clinical unit, transferred to another clinical unit on June 2 before next CTT. Two patients were A&D the same day. SOLUTION: Write June 1 census 155; add admissions (15) subtract the discharges; add TRF-IN and subtract the TRF-outs (both should be equal and cancel out) then add the A&Ds (2) This is a total of 164 inpatients receiving service on June 2.
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how do you record a death?
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it is considered a discharge and recorded separately, unless LIVE discharged used, then deaths have to be included DISCHARGES means deaths and live discharges.
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DEATHS not included are?
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1. fetus not alive at delivery was never a patient
2. DOA dead on arrival, no signs of life if not a patient |
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what about an OP outpatient death?
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yes, they are included, but maintained separately, as the death would be part of the outpatient data. If patient was alive at admission, they are an inpatient and have an inpatient hospital bed.
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what about an OP outpatient death?
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yes, they are included, but maintained separately, as the death would be part of the outpatient data. If patient was alive at admission, they are an inpatient and have an inpatient hospital bed.
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what are some census calculation tips?
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Use a plus sign (+) or a minus (-) in front of numbers and draw a line through data that is not relevant to what you need.
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Do you include A&D in the census count?
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NO, only inpatients in bed at the time of counting.
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what is included in the census?
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bed count plus admitted, minus discharged plus or minus TRF. NO A&Ds!!!!
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how do you get the DIPC?
(remember the Inpatient Service Day figure is identical to the Daily Inpatient Census) |
add the A&Ds for day into the census
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what 2 categories are most hospital inpatients going to fall in to?
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1. Adults and Children ( A&C)
2. Newborn (NB) |
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what are hospital patients assigned to?
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1. bed - which is for all patients NOT born during the hospitalization, even if brought in born in parking lot
2. bassinet- only babies born IN hospital! only liveborn |
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how do get an average daily inpatient census (Average Daily Census)?
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it is the average number of inpatients present for a given period of time
TOTAL IMPATIENT SERV for # of days ---------------------------------------------------- TOTAL # of days in the period |
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are census data for Adults and Newborns averaged together?
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NO- since they are recorded separately, they are figured and averaged separately!!!!!
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how do you determine a leap year?
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if the year , divided by 4, is a whole number without a reminder it is a leap year.
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formula for A&C adults and children is what?
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TOTAL inpatient service days EXCLUDING NEWBORNS for a period
-------------------------------------------------- Total number of the period |
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what is the formula for NB newborns?
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Total newborn inpatient service days for a period
-------------------------------------------------- total number of days in the period |
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what is the formula for Average Daily Census for a clinical unit?
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total IP services days for a clinical care unit for a period
--------------------------------------------------- Total number of days in the period |
