ICP1: Ethics in Research and Healthcare Statistics P A GE 1 Task 1 Formulas Measurement Formula Example Average length of stay (ALOS) of discharged patients The average number of days that inpatients (exclusive of newborns) remained in the hospital. Total length of stay of discharged patients for given period Total number of discharges and deaths in the same period In June a hospital discharged 2,086 patients (including deaths, but excluding newborns). Their combined length of stay was 13,654 days. Using the above formula, the average length of stay of these patients is as follows: 13654 2086 = 6.54 or 6.5 days Average Daily Census (Average Daily Bed Occupancy) The average number of inpatients present each day for a given time period. This figure is derived by dividing the sum of patient days for a period by the number of days in the same period. Total number of patient days for a period (except newborn) Total number of days in the same period In May a hospital rendered 4,280 patient days (excluding newborn babies). May has 31 days. Using the above formula, the average daily census is calculated as follows: 4280 31 = 138.06 or 138.1 This would be rounded to give the average daily inpatient census during May of 138 patients. Hospital Death Rate A ratio of all inpatient deaths for a given period to the total number of discharges and deaths in the same period. Total number of deaths of inpatients in a given period x 100 Total number of discharges and deaths in the same period A hospital had a total of 15 deaths during the month of June. A total of 540 patients were discharged (including the 15 deaths) during the month. The hospital death rate according to the above formula is as follows: 15 × 100 540 = 2.77 or 2.8% ICP1: Ethics in Research and Healthcare Statistics Felder Post-Implementation Assessment Felder Post-Implementation Assessment EHR Release of Information Log Records are requested in the department using a form or by logging on to the patient portal. All records are sent via encrypted email, automatically faxed, or prepared for patient pick up. Release of Information Log- Electronic Health Record Release of Information Approvals Request Date: (Insert date) Approval: (Approved/Pending) Date Filled: (Insert Date) Approver ID: (Insert staff ID) Patient Name: (insert patient name) Status: (Insert Status) Request Date Date Filled Item Type Patient Name Approver Status Completion Method Actions/Notes 3/24/17 History & Physical Moore, Mary Ellen HIM Mgr. Pending 4/2/17 4/4/17 Complete Record Henry, Mark Aaron HIM Supv. Completed Fax No further action required 4/8/17 Complete Record Jones, Sue Ann ROI Mgr. Pending Incomplete record 4/9/17 4/9/17 Operative Report Parker, Lottie Mae HI ...

1. ICP1: Ethics in Research and Healthcare Statistics
P A GE 1
Task 1 Formulas
Measurement Formula Example
Average length of stay
(ALOS) of discharged
patients
The average number of days
that inpatients (exclusive of
newborns) remained in the
hospital.
Total length of stay of
discharged patients for given
period
Total number of discharges
and deaths in the same
period
In June a hospital

2. discharged 2,086 patients
(including deaths, but
excluding newborns). Their
combined length of stay
was 13,654 days.
Using the above formula,
the average length of stay
of these patients is as
follows:
13654
2086 = 6.54 or 6.5 days
Average Daily Census
(Average Daily Bed
Occupancy)
The average number of
inpatients present each day
for a given time period. This
figure is derived by dividing
the sum of patient days for a
period by the number of days
in the same period.
Total number of patient days
for a period (except
newborn)
Total number of days in the
same period

3. In May a hospital rendered
4,280 patient days
(excluding newborn
babies). May has 31 days.
Using the above formula,
the average daily census is
calculated as follows:
4280
31 = 138.06 or 138.1
This would be rounded to
give the average daily
inpatient census during
May of 138 patients.
Hospital Death Rate
A ratio of all inpatient deaths
for a given period to the total
number of discharges and
deaths in the same period.
Total number of deaths of
inpatients in a given period x
100
Total number of discharges
and deaths in the same
period
A hospital had a total of 15
deaths during the month

4. of June.
A total of 540 patients
were discharged (including
the 15 deaths) during the
month.
The hospital death rate
according to the above
formula is as follows:
15 × 100
540 = 2.77 or 2.8%
ICP1: Ethics in Research and Healthcare Statistics
Felder Post-Implementation Assessment
Felder Post-Implementation Assessment
EHR Release of Information Log
Records are requested in the department using a form or by
logging on to the patient portal. All records are sent via
encrypted email,
automatically faxed, or prepared for patient pick up.

5. Release of Information Log- Electronic Health Record
Release of Information Approvals
Request Date: (Insert date) Approval: (Approved/Pending) Date
Filled: (Insert Date) Approver ID: (Insert staff ID)
Patient Name: (insert patient name) Status: (Insert Status)
Request Date Date
Filled
Item Type Patient Name Approver Status Completion
Method
Actions/Notes
3/24/17 History & Physical Moore, Mary Ellen HIM Mgr.
Pending
4/2/17 4/4/17 Complete Record Henry, Mark Aaron HIM Supv.
Completed Fax No further action required
4/8/17 Complete Record Jones, Sue Ann ROI Mgr. Pending
Incomplete record
4/9/17 4/9/17 Operative Report Parker, Lottie Mae HIM Mgr.
Completed Email No further action required
4/20/17 5/18/17 Complete Record Douglas, Henry Allen HIM
Supv. Completed Print/Pickup No further action required

6. ICP1: Ethics in Research and Healthcare Statistics
Felder Post-Implementation Assessment
Release of Information
Manual Release of Information Log
Records are requested in the department using a form. All
records are copied and mailed, faxed, or prepared for patient
pick up. Hospital time
frame is within 30 days of request
Felder Community Hospital
Release of Information Request Log
Patient Name Date of
Birth
Social Security
Number
Medical
Record
Number
Date
Requested

7. Date Filled Method
Mary Ellen Smith 2/16/45 xxx-xx-1453 365874 9/22/16 10/1/16
Mailed
James Quincy Robert 1/8/65 xxx-xx-5623 523845 1/4/17
2/12/17 Faxed
Carl Tyrone Biggs 7/12/75 xxx-xx-9696 745854 1/6/17 1/20/17
Mailed
Janice Elaine Moore 6/19/57 xxx-xx-6587 125487 2/1/17
3/20/17 Mailed
Crystal Lynn Mayfair 1/4/82 xxx-xx-6258 458256 2/12/17
2/14/17 Mailed
Cynthia Marie Jones 6/4/76 xxx-xx-5241 749652 3/1/17 3/17/17
Faxed
John Earl Wright 4/4/84 xxx-xx-9874 635241 3/1/17 4/2/17 Pt.
Pick Up
Henry Allen Moore 8/12/46 xxx-xx-1489 748741 3/6/17
Connie Ann Lee 7/4/76 xxx-xx-4151 366587 4/1/17 4/6/17
Mailed
ICP1: Ethics in Research and Healthcare Statistics
Felder Post-Implementation Assessment

8. Coding Life Cycle: Paper Records
The patient is discharged from the unit. The chart goes to chart
completion. Flags are placed in the chart and doctors are
notified of their
deficiencies. Once the chart is completed, the flags are removed
from completed charts and the charts are added to the red
coding cart.
These charts are ready for coding. Coders pick up charts for
manual completion starting with the oldest. Coders begin
working on charts.
There is a 72-hour turnaround time for charts with no
deficiencies. Charts with queries are placed in the yellow query
cart. Completed charts
are placed in the green completed coding cart with the coding
abstract form attached. They are ready to be filed.
Coding Life Cycle: Electronic Health Records
The patient is discharged from the unit. The record is made
available in the Electronic Health Record. The chart goes to the
Deficiency
Analysis work queue. Charts with missing documentation used
for coding are flagged electronically and sent to the physician.
Charts that
have no deficiencies are then added to the coding work queue

9. and made available for coders. There is a 48-hour turnaround
time on
electronic charts. Coders complete coding using the integrated
encoder. Once all codes are added, they click “submit” and the
chart is
completed.