Applied Sciences

Chapter 18 – Application Exercises
1. For the month of August, Community Hospital, a 350-bed hospital, provided 9,978 days of service to hospital inpatients. Calculate the average daily census and the inpatient bed occupancy rate for the month.

9978/31 = 321.87 patients average daily census.

321.87/350 = 0.9196 occupancy rate = 91.96%

1. For the month of August, Community Hospital provided 750 days of service to newborns. There are 25 bassinets in the newborn nursery. Calculate the average daily census for newborns and the inpatient bed occupancy rate for newborns for the month.

750/31= 241.19 patients average daily census

241.19/25= 9.6476 occupancy rate 9.6%

1. For the month of March, Community Hospital experienced 12 deaths, nine of which occurred within 48 hours of admission. It also experienced 404 discharges. Calculate the gross death rate and the net death rate for the month.

12/404= 0.0297 gross death rate

12-9= 3×100= 300

300/404-9= 0.7594 net death rate

1. For the month of March, Community Hospital experiences 93 deliveries, 8 of which were Cesarean sections. Calculate the C-section rate.

8/93=0.0860×100

8.6% c- section rate

1. Beginning January 1, 20XX, Community Hospital had 125 inpatient beds. On June 15, the bed count was increased to 150. There were 45,907 inpatient service days provided to hospital inpatients and 46,113 days of services provided to discharged patients. The hospital experienced 7,205 admissions and 7,318 discharges. Calculate the average daily census for the year. Also calculate the ALOS and the bed occupancy rate for the year.

1. During 20XX, Community Hospital experiences 28 late and intermediate fetal deaths and 1,016 live births. Calculate the fetal death rate.

1. Table 18.IM1 shows a comparative report for Community Hospital for June 20XX and June 20YY. Calculate the following statistics for June 20XX and June 20YY.

· Average daily inpatient census: total, A&C and NB

· ALOS: total, A&C and NB

· Inpatient bed occupancy rate: total, A&C and NB

· Gross death rate

· Net death rate

· Newborn death rate

· Fetal death rate

Table 18.IM1. Comparative report for Community Hospital for June 20XX & June 20YY

Hospital Statistic

June 20XX

June 20YY

Average daily census total

8,754 / 30 = 291.8 = 292

8,832 / 30 = 294.4 = 294

Adults and children

7,847 / 30 = 261.56 = 252

7,944 / 30 = 264.8 = 265

Newborn

907 / 30 = 30.2 = 30

888 / 30 = 29.6 = 30

Average length of stay total

4,739 / 752 = 6.3

5,487 / 742 = 7.39 = 7.4

Adults and children

4,385 / 636 = 6.89 = 6.9

5,132 / 610 = 8.4

Newborn

347 / 116 = 2.99 = 3.0

355 / 132 = 2.68 = 2.7

Bed occupancy rate total

(8,754 × 100) / (300 × 30) = 875,400/9,000 = 97.26 = 97.3%

(8,832 × 100) / (300 × 30) = 883,200 / 9,000 = 98.13 = 98.1%

Adults and children

(7,847 × 100) / (265 × 30) = 784,700 / 7,950 = 98.7%

(7,944 × 100) / (265 × 30) = 794,400 / 7,950 = 99.9%

Newborn

(907 × 100) / (35 × 30) = 90,700 / 1,050 = 86.38 =86.4%

(888 × 100) / (35 × 30) = 88,800 / 1,050 = 84.57 = 84.6%

Gross death rate

(20 × 100) / 752 = 2.65 = 2.7%

(16 × 100) / 742 = 2.16 = 2.2%

Net death rate

[(20 – 12) × 100) / (752 – 12)] = 800 / 740 = 1.08 = 1.1%

[(16 – 9) × 100) / (742 – 9) = 700 / 733 = 0.95%

Newborn death rate

(2 × 100) / 117 = 1.72%/

(3 × 100) / 132 = 2.27%

Fetal death rate

(2 × 100) / (348 + 2) = 0.57%

(4 × 100) / (357 + 4) = 1.1%

1. There were 7,092 deaths in your county in 20XX out of a population of 350,379. Calculate the crude death rate per 1,000 population for your county in 20XX.

1. In 20XX, 75,119 people died from diabetes mellitus in the United States. The total number of deaths from all causes was 2,448,017 and the total population was 293,638,158. Calculate the cause-specific death rate for diabetes mellitus per 10,000 population.

1. In 2005, 559,312 people died from malignant neoplasms in the United States. The total number of deaths from all causes was 2,448,017 and the total population was 293,638,158. Calculate the proportionate mortality ratio for malignant neoplasms.

1. Using Table 18-IM2 below, prepare a bar graph and a pie chart of the selected

causes of death, total, for 20XX. Use MS EXCEL

Table 18.IM2

Deaths by Age and Selected Causes of Death, United States, 20XX

Age Group

Heart Disease

Influenza and Pneumonia

Malignant Neoplasm

HIV

Diabetes Mellitus

All Other

Total

<1 year

358

265

75

2

1

27739

28,440

1-4 years

151

110

377

2

2

4,114

4,756

5–14 years

252

106

1,000

13

38

5,193

6,602

15–24 years

1,119

172

1,717

159

205

30,865

34,234

25–34 years

3,249

354

3,601

1,318

617

32,786

41,925

35–44 years

12,688

934

14,566

4,363

2,045

50,189

84,785

45–54 years

38,103

2,183

50,405

4,516

5,691

82,632

183,530

55–64 years

65,208

3,422

99,240

1,612

11,301

94,518

275,301

65–74 years

96,729

6,623

138,446

438

16,183

139,936

398,355

75–84 years

190,693

18,563

166,421

104

23,136

287,748

686,665

85+

243,504

30,267

83,455

15

15,903

330,025

703,169

Unknown

37

2

9

1

0

206

255

Total

652,091

63,001

559,312

12,543

75,119

1,085,951

2,448,017

Total population: 293,638,158

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