medical record department

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JPNATC AUDIT OF MRD- 2012

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medical record department

  1. 1. Medical Record SectionJPNATC- AIIMSCalender Year PerformanceReport01/01/ 2012 to 31/12/20012
  2. 2. Audit Report of MRS- Year 2012• Dr. Adarsh Kumar - Faculty In-charge• Ramesh K.Kaul - Jr. M.R.Officer• Saurabh & Aditya – M.R.T• Rajinder & Tasvir - M.R.A• Shailendra Jaiswal – Recpt- CRC• Kaku Jyoti - Receptionist - FOPD
  3. 3. JPNATC Data information forYear Year2012 2011Total Bed Strength : 186 186Ward beds : 120 120ICU beds 2nd floor : 16 16ICU beds 3rd floor : 20 20Triage : 30 30
  4. 4. Year Year2012 2011TOTAL FUNCTIONAL BEDS : 176 176WARD BEDS : 144 144ICU BEDS 2ND FLOOR : 20 20ICU BEDS 3RD FLOOR : 12 12
  5. 5. Year Year2012 2011Total No. of Casualty Cases : 55698 49894Avg Casualty / day Attd. : 152 pts 137Total No. of Follow-up OPD Case: 30900 26096Avg. FOPD pts( per working day) :104 pts 88Total No. of Admissions : 5221 4814Avg. admission/day :14 pts 13
  6. 6. 01000020000300004000050000600002011 2012Total No of Casualty CasesTotal No. of OPD CasesTotal No of Admission
  7. 7. Year Year2012 2011Total No. of Casualty Cases : 55698 49894Male Cases : 42510 38212Female Cases : 13188 11682MLC :24938 - 21001NMLC :30760 -28893
  8. 8. Year Year2012 2011Total No. of Follow-up OPD Case: 30900 26096New : 12405 11544Old (Re-visit): 18495 14552Male: 24218 - 20790Female: 6682- 5306
  9. 9. Year Year2012 2011Total No. of Admissions : 5221 4814Specialty- wise break-upOrthopedics : 1632 1365Surgery : 1889 1683Neurosurgery : 1695 1763Em. Medicine : 5 3
  10. 10. 02004006008001000120014001600180020002011 2012OrthopedicssurgeryNeurosurgeryEm Medicine
  11. 11. Year Year2012 2011Total No. of Operations performed : 5758 4805Major : 4856 4184Minor : 902 621Specialty- wise break-upOrthopedics : 2189 1708Surgery : 2157 1827Neuro- Surgery : 1378 1270Urology * : 34 -Started wef:1/7/12
  12. 12. 050010001500200025002011 2012OrthopedicssurgeryNeurosurgeryUrology
  13. 13. • Comparison chart- Admission Vs Operation• Deptt Admission Operation Repeat opt.Ortho : 1632 2189 (- 557)• Surg : 1889 2157 (-268)• N.Surg : 1695 1378 -• E.Med 05 - -• Uro: - 034 -• Total : 5221 5758 (825)
  14. 14. • Year Year• 2012 2011• Total Discharges :5071 4473• Total Functional Beds :176 176• Total No. of Days care to pts : 55088 50078
  15. 15. Year Year2012 2011Total Deaths : 976 999Deaths Under 48 Hours : 670 532Deaths Over 48 Hours : 306 467
  16. 16. • Gross Death Rate = Deaths/Discharge*100• = 976/5071*100• = 19.24%• = 19%• G.D.R = 19%
  17. 17. • Net Death Rate =Deaths over 48hrs/Discharges- Deaths under48hrs *100• = 603/5071-670*100• =603/4401*100• =6.95%• =7%• NDR=7%
  18. 18. • Average Length of Stay• = Days of Care/Discharges• =55088/5071• = 10.86• = 11 days• ALOS = 11days
  19. 19. • Bed occupancy Rate• = Days of Care/Beds*days X100• = 55088/176*365 X100• = 55088/64240 X100• = 85.75%• B.o.R =86%
  20. 20. • Bed turnover Rate• = Discharges/Beds• = 5071/176• = 28.8• BTOR = 29 pts/bed.
  21. 21. JPNATC- STATISTICS AT A GLANCEYear2012Gross Death Rate : 19%Net Death Rate : 07%Bed occupancy Rate : 86%Average length of Stay : 11 daysBed Turnover Rate : 29 patients/bed
  22. 22. • Comparison DATA Year 2012 Vs Year 2011Indicator Year Year Difference2012 2011• GDR 19% 22% 3%• NDR 07% 10% 3%• BOR 86 % 78% 8%• ALOS 11 days 11 days -• BTOR 29 pts/bed 25pts/bed 4pt/b
  23. 23. This study clearly indicates that withdedicated and devoted team workand with fullest endurance of otherhealth agencies, it has proven:• Delivery of Better treatment, rightdecision, fast and speedy treatmentto most critical and trauma patientsat this Trauma Centre.
  24. 24. Disposal of Summons andCourt Attendance• Received 2012 2011• Total 1757 1413• Within Delhi 1616 1283• Outside Delhi 141 130• Attended by Drs 1528 1264• Attended by MRS staff 229 149
  25. 25. Medical Record Files issued ForResearch Purposes:Year Year2012 20114899 2835
  26. 26. • Patient Name Correction, LIC ClaimForm, Report To NDMC On-line, RTIReply, Radiographs Issued to Police Post ,etc• Year YearMRS Service 2012 2011Pt. Name Correction: 190 81Death Report To NDMC 922 988LIC case Disposal 68 64RTI Reply 37 40X-Ray Issued 1844 1151
  27. 27. Some Suggestions from MRS• MRS is facing shortage of adequate space forkeeping valued Medico legal documents, as per thelegal norms-Space problem is to be tackled on urgent basis.• MRS is facing shortage of Trained Regularmanpower to handle Medical Record, disposal ofsummons ,Court attendance, etc. at zenith.• IPD Files for scanning are being issued from Wardto CF & then it goes back to Ward, later on to MRSRoute Should be changed like: Ward to MRS to CF.
  28. 28. Suggestions contd……• MRS is custodian, regulator as well as final disposalauthority of all Medical Record including EMR andrelated issues,Computerization for same is only a facilitation processSo, MRS must be consulted FIRST, prior to anychange, updetion and execution in HIS.• Research Chamber should be created within MRSfor facilitating various researchers in a better way.• MRS is the integral part of various programmes sofor effective implementation of policy decisions ofTC, MRS must be given due weightage.
  29. 29. THANK YOU

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