Robyn Korn, MBA, RHIA, CPHQ

Course Questions


Check for any new posts and answers
Discussion Board

Enter first post by Saturday and a total of 3
posts by Tuesday

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
Late work will not be accepted unless
there are clear and compelling
extenuating circumstances.
 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)
 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
 Include
only inpatient deaths-exclude OPs,
DOAs, and fetal deaths
 Should
be low
 Should
be carried to two or three decimal
places
 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
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.
 Outpatient
autopsies are included only in the
hospital autopsy rate *
 Adult,
children, and newborn are combined
and included together in most autopsy rates
 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
 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)
 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)
 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)
Snowmass Hospital (June):
Autopsies
IP
OP
Deaths
Yes (HP)
No
39
2
5
2
32
Calculate:
A.
B.
C.
Gross Autopsy Rate
Net Autopsy Rate
Hospital Autopsy Rate
Coroner
2
Gross Autopsy Rate
Total autopsies performed on all IP deaths for a
period
Total IP deaths
(deaths include NB as well as A&C)
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%
Net Autopsy Rate
Total IP autopsies for a given period
Total IP deaths minus unautopsied coroners cases
Net Autopsy Rate
Total IP autopsies for a given period
Total IP deaths minus unautopsied coroners cases
5
37
.1351 X 100
13.51%
Hospital Autopsy Rate
Number of hospital autopsies for period
Number of hospital patients whose bodies are
available for hospital autopsy for that period
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%
 133
questions
 All
multiple choice, short answer or
true/false
 Some
from 1st section (Green/Bowie text)
 Some
from Stats
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??
 _______________________________
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
 Benjamin
Franklin founded ____________,
the first United States hospital.
 Benjamin
Franklin founded The Pennsylvania
Hospital, the first United States hospital.
 Round
 40.699
to two decimal places
 Round
 40.70
to two decimal places
 Convert
places
 2/15
to a decimal, correct to two decimal
 Convert
places
 0.13
to a decimal, correct to two decimal
 When
must a census be taken?
 When
 At
must a census be taken?
the same time each day
 How
do you calculate percent of occupancy?
 How
do you calculate percent of occupancy?
 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)
 What
is the length of stay for this patient?
 Admitted
8/03 – Discharged 8/04
 What
is the length of stay for this patient?
 Admitted
1
day
8/03 – Discharged 8/04
 What
is the length of stay for this patient?
 Admitted
3/24 – Discharged 4/04
 What
is the length of stay for this patient?
 Admitted
 11
days
3/24 – Discharged 4/04
 Which
inpatient deaths are excluded in the
gross death rate for a hospital?
 Which
inpatient deaths are excluded in the
gross death rate for a hospital?
 None
– all are included
 Which
death rate is also called an
institutional death rate?
 Which
death rate is also called an
institutional death rate?
 Net
death rate
 Other
areas you want to go over??
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