Professional Documents
Culture Documents
Brig Gen DR Zulfiquer Ahmed Amin North South University (NSU)
Brig Gen DR Zulfiquer Ahmed Amin North South University (NSU)
Brig Gen DR Zulfiquer Ahmed Amin North South University (NSU)
M Phil, MPH, PGD (Health Economics), Advance Course HA (AIIMS, Delhi), MBBS
North South University (NSU)
● Data:
- Data is a set of values of qualitative or quantitative variables.
- Data is information in raw or unorganized form (such as
alphabets, numbers, or symbols) that refer to, or represent,
conditions, ideas, or objects.
● Information:
- Information is data that has been processed in such a way as
to be meaningful.
● Statistics:
- Statistics is a way to get information from data.
- The practice of statistics utilizes data from some population in
order to describe it meaningfully, to draw conclusions from it,
and make informed decisions.
Hospital Statistics
Definition
Information obtained from hospital indoor and outdoor facilities
regarding quality of care, utilization of services, quantity of services
delivered, workload, performance evaluation and other hospital
related administrative and logistic affairs is called ‘Hospital Statistics’.
Uses of Hospital Statistics
• Measure of health status of the community
• Measure of healthcare utilization
• Measure of evaluation of quality of care
• Guide for planning future development of the hospital
• Allocation of resources in different areas
• Identify deficiencies at various levels; ie. Input, process and
outcome of services
• Evaluate effectiveness and efficiency of the administration
• Re-orientation of health service delivery
• Efforts for improvement of hospital facilities
• Comparison of present and past performance of the hospital
• Appraisal of work performed by the medical, nursing and other
staff
• To conduct research
Tools of Measurements
In statistics, tools of measurements are rate, ratio and proportion.
Rate:
A rate refers to the frequency by which a certain event happens. eg,
Infant Mortality Rate (IMR).
If a wall is made up of twelve blocks, five white blocks and seven red
blocks. The ratio of white blocks to red block 2:5, is a ratio.
Types of Hospital Statistics
Admission Rate
Number of admission per 1000 population in a year.
Discharge
Discharge from the hospital is the point at which the patient
leaves the hospital and either returns home or is transferred to
another facility such as one for rehabilitation or to a nursing
home. Discharge involves the medical instructions that the
patient will need to fully recover.
Hospital Beds
Functional Bed
This is the actual functional status of beds in a hospital.
Vacancy rate is the ratio of beds not rented versus the total number
of beds in the hospital.
vacancy rate is:
For example, let's assume that CMH Ghatail has bed-capacity of 300
units. Of those units, 25 are not occupied. Using this information and
the formula above, we can calculate that vacancy rate of CMH
Ghatail is:
Vacancy rate = 25/300 = 8.33%
Bed : Population Ratio
The number of hospital beds available in public hospitals in Bangladesh amounted to 54,660, whereas the same figure
in private ones amounted to 91,537, bringing the total number of beds to 143,394 at the end of 2019.
Hospital Admission Rate
Significance:
-It indicated productivity of the hospital
-More bed vacant reflects bad reputation of the hospital
-It shows non-utilization of hospital beds.
Interpretation of TOI:
- Negative TOI indicates scarcity of beds and over-utilization.
- Long positive TOIs indicative of under-utilization because of
defective admission procedures or poor quality medical care.
- Short positive TOI is indicative of optimum utilization.
- TOI is ‘zero’ when Bed Occupancy Rate is 100%.
Length of stay is a term which is used to calculate a patient's day
of admission in the hospital till the day of discharge i.e. the
number of days a patient stayed in a hospital for treatment.
Given,
Number of patients = 4
Total Length of stay = 6 + 11 + 5 + 8
= 30 days
= Total length of stay / Total
Average Length of Stay
number of discharges
= 30 / 4
= 7.5 days
Salient of ALS
Importance of ALS
Hospital Functioning:
-Delay in special investigation
-Inadequate sanitation
-Improper disposal of Hospital Waste
-Quality of Central Sterile Supply Services
-Attendants controlling.
Bed Occupancy Rate (BOR)
It is the ratio between beds used and beds provided. The beds
occupancy rate is calculated based on the midnight bed census at
each hospital.
Autopsy Rate:
-Patients who are Dead on Arrival (DOA) at the hospital and Fetal
Deaths are excluded from both the numerator and the
denominator.
-Autopsy Rate more than 15-20% indicates enquiry type of medical
staff, progressive in outlook.
Net Death Rate:
A death rate, also known as the institutional death rate, that does
not include deaths, which occur within 48 hours of admission (24
hours of admission in some countries).
Inference:
- First zone have lower BOR and BTR compared to their mean.
- Number of hospital beds is more than what is demanded.
- Patients seemingly demanding hospitalization are either diverted
to other centers or rejected.
- Further increase of beds are not required.
- Physicians are mostly reluctant and de-motivated.
- Hospitals are inefficient due to poor management.
Zone-2
-The second zone is characterized by lower BOR and higher BTR than
the average.
-They have numerous unused beds as well as excessive and hasty
hospitalizations.
-Most of these beds might be used for patients with no need to
hospitalization or for their possible examination.
-Obstetrics hospitals and short-term inpatient centers usually fall in
this zone.
Zone-3