This document contains quality indicator metrics for Kunal Hospital in Nagpur for the month of September 2017. It provides data on metrics such as total admissions, discharges, medical legal cases, deaths, average length of stay, time for initial patient assessments, percentages of missing records, illegible records, records without signatures or consent forms, mortality rate, and records missing other components like discharge summaries, initial assessments, and daily progress updates for areas like nutrition, physiotherapy, and nursing. The records show that most metrics were within standards for the month except for time of initial assessment for indoor patients based on green sheets and percentage of records missing doctor signatures, dates and times.

1. Medical Record Department
Kunal Hospital, Nagpur

2. Total Admission 206
Total Discharge 212
Total MLC 22
Total Death 07
MRD Quality Indicator
Kunal Hospital, Nagpur

3. Total Discharge 212
Total Files Received - 112
Total Not Received Files - 100
MRD Quality Indicator
Kunal Hospital, Nagpur

4. Average Length of Stay
(STANDARD : - BETWEEN 4 - 7%)
7.56 DAYS
MRD Quality Indicator
Formula:-
On of the inpatient days in a given month
On of Discharge and Deaths in that month
Solution:-
1604
212
6
6.5
7
7.5
8
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17
Average Length of Stay

5. MRD Quality Indicator
Time for Initial Assessment for IPD
26.71 MIN
Formula:-
SUM OF TIME TAKEN FOR THE ASSESSMENT
TOTAL NUMBERS OF PATIENTS IN INDOOR
Solution:-
2404
90
0
5
10
15
20
25
30
35
40
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17
GREEN SHEET

6. MRD Quality Indicator
Time for Initial Assessment for IPD
4 MIN
Formula:-
SUM OF TIME TAKEN FOR THE ASSESSMENT
TOTAL NUMBERS OF PATIENTS IN INDOOR
Solution:-
12
03
0
5
10
15
20
25
30
35
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17
PINK SHEET

7. % of IPD Missing Records
0%
MRD Quality Indicator
Formula:-
Number of Missing Records
x 100
Number of Records
Solution:-
0 x 100
212
0
0.2
0.4
0.6
0.8
1
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

8. MRD Quality Indicator
% of IPD records without Sign, Stamp, Date and Time of
Doctors
58.92%
Formula:-
No of inpatient case record wherein care plan with
desired outcomes has been documented
x 100
Total number of Records
Solution:-
66
x 100
112
0
10
20
30
40
50
60
70
80
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

9. MRD Quality Indicator
% of IPD records without consent
form or without sign
0 %
Formula:-
No of records without consent form
x 100
Number of Records
Solution:-
0 x 100
112
0
1
2
3
4
5
6
7
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

10. MRD Quality Indicator
% of Illegible records
0%
Formula:-
Number Illegible Records
x 100
Number of Records
Solution:-
0 x 100
112
0
0.2
0.4
0.6
0.8
1
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

11. MRD Quality Indicator
% of Records without Discharge
summary
0%
Formula:-
On of medical records not having Discharge
Summary
x 100
Number of Discharge
Solution:-
0 x 100
112
0
0.2
0.4
0.6
0.8
1
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

12. MRD Quality Indicator
% of Mortality Rate
3.30%
Formula:-
Number of Deaths
x 100
Number of Discharges and Deaths
Solution:-
07 x 100
212
0
1
2
3
4
5
6
7
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

13. MRD Quality Indicator
% of records without Initial
Assessment and Care plan
0%
Formula:-
No of records without Initial Assessment
x 100
Number of Records
Solution:-
0 x 100
112
0
5
10
15
20
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

14. MRD Quality Indicator
% of Records without Nutritional
Assessment and Daily progress
3.57%
Formula:-
Numbers of inpatient case records wherein the
Nutritional Assessment has been documented
x 100
Total Number of patients
Solution:-
3 x 100
112
0
2
4
6
8
10
12
14
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

15. MRD Quality Indicator
% of Records without Physiotherapy
assessment and Daily progress
0%
Formula:-
Numbers of inpatient case records wherein the
Physiotherapy Assessment has been documented
x 100
Number of patients
Solution:-
0
x 100
112
0
0.5
1
1.5
2
2.5
3
3.5
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

16. MRD Quality Indicator
% of Records without Nursing
assessment and Nursing Care plan
0 %
Formula:-
Numbers of inpatient case records wherein the
Nursing care plan has been documented
x 100
Total number of patients
Solution:-
0
x 100
112
0
1
2
3
4
5
6
Apr/17 May/17 Jun/17 Jul/17 Aug/17 Sep/17 Oct/17

17. MRD Quality Indicator
MRD - Master Sheet
Sr. No Name of indicator Standard SEPT. 2017 TOTAL
Hospital Utilization
1 Average Length of Stay
Between
4-7%
7.56 1604 / 212
2 Time for Initial assessment for IPD Green Sheet 30 Min. 26.71 2404 / 90
3 Time for Initial assessment for IPD Pink Sheet 30 Min. 4 12 / 3
4 % of IPD Missing Records 0 0 0
5 % of IPD records without Sign, Stamp, Date and Time of Doctors 0 52.92 % 66 / 112
6 % of IPD records without Consent Form or without Sign 0 0 0
7 % of Incomplete, Illegible Records 0 0 0
8 % of Records without Discharge Summary 0 0 0
9 % of Mortality Rate 0 3.30 7 DEATHS
10 % of records without Initial Assessment and Care Plan 0 0 0
11 % of Records without Nutritional Assessment and Daily Progress 0 3.57 3
12 % of Records without Physiotherapy Assessment and Daily Progress 0 0 0
13 % of Records without Nursing Assessment and Nursing Care Plan 0 0 0

18. THANK YOU
Kunal Hospital, Nagpur