JPNATC AUDIT OF MRD- 2012

2. Medical Record Section
JPNATC- AIIMS
Calender Year Performance
Report
01/01/ 2012 to 31/12/20012

3. 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

4. JPNATC Data information for
Year Year
2012 2011
Total Bed Strength : 186 186
Ward beds : 120 120
ICU beds 2nd floor : 16 16
ICU beds 3rd floor : 20 20
Triage : 30 30

5. Year Year
2012 2011
TOTAL FUNCTIONAL BEDS : 176 176
WARD BEDS : 144 144
ICU BEDS 2ND FLOOR : 20 20
ICU BEDS 3RD FLOOR : 12 12

6. Year Year
2012 2011
Total No. of Casualty Cases : 55698 49894
Avg Casualty / day Attd. : 152 pts 137
Total No. of Follow-up OPD Case: 30900 26096
Avg. FOPD pts( per working day) :104 pts 88
Total No. of Admissions : 5221 4814
Avg. admission/day :14 pts 13

7. 0
10000
20000
30000
40000
50000
60000
2011 2012
Total No of Casualty Cases
Total No. of OPD Cases
Total No of Admission

8. Year Year
2012 2011
Total No. of Casualty Cases : 55698 49894
Male Cases : 42510 38212
Female Cases : 13188 11682
MLC :24938 - 21001
NMLC :30760 -28893

9. Year Year
2012 2011
Total No. of Follow-up OPD Case: 30900 26096
New : 12405 11544
Old (Re-visit): 18495 14552
Male: 24218 - 20790
Female: 6682- 5306

10. Year Year
2012 2011
Total No. of Admissions : 5221 4814
Specialty- wise break-up
Orthopedics : 1632 1365
Surgery : 1889 1683
Neurosurgery : 1695 1763
Em. Medicine : 5 3

11. 0
200
400
600
800
1000
1200
1400
1600
1800
2000
2011 2012
Orthopedics
surgery
Neurosurgery
Em Medicine

12. Year Year
2012 2011
Total No. of Operations performed : 5758 4805
Major : 4856 4184
Minor : 902 621
Specialty- wise break-up
Orthopedics : 2189 1708
Surgery : 2157 1827
Neuro- Surgery : 1378 1270
Urology * : 34 -
Started wef:1/7/12

13. 0
500
1000
1500
2000
2500
2011 2012
Orthopedics
surgery
Neurosurgery
Urology

14. • 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)

15. • Year Year
• 2012 2011
• Total Discharges :5071 4473
• Total Functional Beds :176 176
• Total No. of Days care to pts : 55088 50078

16. Year Year
2012 2011
Total Deaths : 976 999
Deaths Under 48 Hours : 670 532
Deaths Over 48 Hours : 306 467

17. • Gross Death Rate = Deaths/Discharge*100
• = 976/5071*100
• = 19.24%
• = 19%
• G.D.R = 19%

18. • Net Death Rate =
Deaths over 48hrs/Discharges- Deaths under
48hrs *100
• = 603/5071-670*100
• =603/4401*100
• =6.95%
• =7%
• NDR=7%

19. • Average Length of Stay
• = Days of Care/Discharges
• =55088/5071
• = 10.86
• = 11 days
• ALOS = 11days

20. • Bed occupancy Rate
• = Days of Care/Beds*days X100
• = 55088/176*365 X100
• = 55088/64240 X100
• = 85.75%
• B.o.R =86%

21. • Bed turnover Rate
• = Discharges/Beds
• = 5071/176
• = 28.8
• BTOR = 29 pts/bed.

22. JPNATC- STATISTICS AT A GLANCE
Year
2012
Gross Death Rate : 19%
Net Death Rate : 07%
Bed occupancy Rate : 86%
Average length of Stay : 11 days
Bed Turnover Rate : 29 patients/bed

23. • Comparison DATA Year 2012 Vs Year 2011
Indicator Year Year Difference
2012 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

24. This study clearly indicates that with
dedicated and devoted team work
and with fullest endurance of other
health agencies, it has proven:
• Delivery of Better treatment, right
decision, fast and speedy treatment
to most critical and trauma patients
at this Trauma Centre.

25. Disposal of Summons and
Court 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

26. Medical Record Files issued For
Research Purposes:
Year Year
2012 2011
4899 2835

27. • Patient Name Correction, LIC Claim
Form, Report To NDMC On-line, RTI
Reply, Radiographs Issued to Police Post ,etc
• Year Year
MRS Service 2012 2011
Pt. Name Correction: 190 81
Death Report To NDMC 922 988
LIC case Disposal 68 64
RTI Reply 37 40
X-Ray Issued 1844 1151

28. Some Suggestions from MRS
• MRS is facing shortage of adequate space for
keeping valued Medico legal documents, as per the
legal norms-
Space problem is to be tackled on urgent basis.
• MRS is facing shortage of Trained Regular
manpower to handle Medical Record, disposal of
summons ,Court attendance, etc. at zenith.
• IPD Files for scanning are being issued from Ward
to CF & then it goes back to Ward, later on to MRS
Route Should be changed like: Ward to MRS to CF.

29. Suggestions contd……
• MRS is custodian, regulator as well as final disposal
authority of all Medical Record including EMR and
related issues,
Computerization for same is only a facilitation process
So, MRS must be consulted FIRST, prior to any
change, updetion and execution in HIS.
• Research Chamber should be created within MRS
for facilitating various researchers in a better way.
• MRS is the integral part of various programmes so
for effective implementation of policy decisions of
TC, MRS must be given due weightage.

30. THANK YOU