Medical Record Section ,JPNATC-Audit 2013
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Transcript of Medical Record Section ,JPNATC-Audit 2013
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Welcome
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Medical Record Section JPNATC- AIIMS Calender Year
Audit Report01/01/ 2013 to 31/12/2013
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Audit Report of MRS- Year 2013
• Dr. Adarsh Kumar - Faculty In-charge• Ramesh K.Kaul - Jr. M.R.O.• Saurabh & Aditya – M.R.T.• Rajinder & Tasvir - M.R.A.• Shailendra Jaiswal – Recpt- CRC• Kaku Jyoti - Receptionist - FOPD
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JPNATC Data information for Year Year year 2013 2012 2011
Total Bed Strength : 186 186 186 Total Functional Beds : 176 176 176
Ward beds : 144 144 144 ICU beds 2nd floor : 12 12 12
ICU beds 3rd floor : 20 20 20
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Year Year Year 2013 2012 2011Total No. of Casualty Cases:58923 55698 49894 Avg Casualty / day Attd. : 161 152 137 Total No. of Follow-up OPD Case :31491 30900 26096Avg. FOPD pts( per working day) : 106 104 88
Total No. of Admission : 5220 5221 4814Avg. admission/day : 14 pts 14 13
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2012 20130
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20000
30000
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50000
60000
70000
Total No of Casualty CasesTotal No. of OPD CasesTotal No of Admission
Distribution of Patient Casualty, FOPD, Admission
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Year Year Year
2013 2012 2011Total No. of Casualty Cases: 58923 55698 49894
Male Cases: 44329 42510 38212
Female Cases: 14594 13188 11682
MLC : 28153 – 24938- 21001 NMLC : 30770 -30760- 28293
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Year Year Year 2013 2012 2011Total No. of Follow-up OPD Case: 31491 30900 26096 New : 12950 12405 11544
Old (Re-visit): 18541 18495 14552
Male: 24739 - 24218 - 20790 Female: 6752- 6682- 5306
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Year Year Year 2013 2012 2011Total No. of Admissions : 5220 5221 4814
Specialty- wise break-up Orthopedics : 1530 1632 1365 Surgery : 1827 1889 1683
Neurosurgery : 1851 1695 1763 Em. Medicine : 08 5 3 Gyene : 01 0 0
Anasthesia : 03 0 0
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2012 20130
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Orthopedics surgeryNeurosurgeryEm Medicine
Distribution of Patient Admission: Department Wise
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Year Year Year 2013 2012 2011Total No. of Operations performed: 5448 5758 4805
Major : 5114 4856 4184 Minor : 334 902 621
Specialty- wise break-up Orthopedics : 2021 2189 1708
Surgery : 2031 2157 1827Neuro-Surgery : 1336 1378 1270
Urology * : 60 34 - ( *)Started wef:1/7/12
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2012 20130
500
1000
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Orthopedics surgeryNeurosurgeryUrology
Operations Performed : Department Wise
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• Comparison chart- Admission Vs Operation YEAR -2013• Deptt Admission Operation Repeat opt Ortho : 1530 2021 (- 491)• Surg : 1827 2031 (-204)• N.Surg : 1851 1336 -• E.Med 08 - -• Gyene : 01 - -• Anas. : 03 - -• Uro: - 060 - • Total : 5220 5448 (695)
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• Year Year Year• 2013 2012 2011• Total Discharges :5077 5071 4473• Total Functional Beds :176 176 176• Total No. of Days care to pts : 54456 55088 50078
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Year Year Year 2013 2012 2011
Total Deaths at TC incldg. B/D: 886 976 999 Brought Dead at Causalty: -253 -372 NA
Total Deaths occurred : 633 604 999Deaths Under 48 Hours : 373 298 532 Deaths Over 48 Hours : 260 306 467
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• Gross Death Rate = Deaths/Discharge*100• = 633/5077*100• = 12.46%• = 12%• G.D.R = 12%
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• Net Death Rate = Deaths over 48hrs/Discharges- Deaths under 48hrs *100
• = 260/5077-373*100• =5.5%• =5%• =5%• NDR=5%
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• Average Length of Stay • = Days of Care/Discharges• =54456/5077• = 10.72• = 11 days• ALOS = 11days
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• Bed occupancy Rate• = Days of Care/Beds*days X100• = 54456/176*365 X100• = 54456/64240 X100• = 84.77%• B.o.R =85%
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• Bed turnover Rate • = Discharges/Beds• = 5077/176• = 28.84• BTOR = 29 pts/bed.
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JPNATC- STATISTICS AT A GLANCE
Year 2013
Gross Death Rate : 12%Net Death Rate : 05%
Bed occupancy Rate : 85% Average length of Stay : 11 days Bed Turnover Rate : 29 patients/bed
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• Comparison of DATA Year 2013 Vs Year 2012
Indicator Year Year Year Diff. 2013 2012 2011 • GDR 12% (*)19% (12%) 22% 1%• NDR 05% (*)07% (6%) 10% 1%• BOR 85 % 86% 78% 1%• ALOS 11 days 11 days 11days -• BTOR 29 pts/bed29pts/bed 25pts/bed -• (*)computed on includg.Brought Dead pt. Data.
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Disposal of Summons and Court Attendance
• Received 2013 2012 2011• Total 1521 1757 1413
• Within Delhi 1373 1616 1283• Outside Delhi 148 141 130• Attended by Drs. 1170 1528 1264• Attended by MRS staff 351 229 149
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Medical Record Files issued For Research Purpose: 2013 2012 2011 3175 4899 2835
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• Patient Name Correction, LIC Claim Form, Report To NDMC On-line, RTI Reply, Radiographs Issued to Police Post ,etc
• Year Year Year MRS Service 2013 2012 2011 Pt. Name Correction: 159 190 81Death Report To NDMC 886 922 999LIC case Disposal 58 68 64RTI Reply 45 37 40X-Ray Issued 881 1844 1151On-line information sentto FRRO about foreign pts: 07 01 -Disposal of Police/PublicRequest for Medical Record. 254 278 262
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This study clearly indicates that with dedicated & devoted team work and with fullest endurance of other health care agencies, it has proven:• Delivery of Better treatment, right
decisions, fast and speedy treatment to most critical and trauma patients at this Centre.
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Some Suggestions from MRS• MRS is facing extreme shortage of space for keeping
valued Medico legal documents, as per the legal and international norms:
Space problem is to be tackled on priority since the whole space is filled up. MRS shall be stopping taking over the patient records from wards/casualty soon.
• MRS is facing shortage of manpower also which seriously affects the functioning ( shortage of 8 staff)
Imm. DEOs( 5) & Sulabh staff( 3) may be provided.MRS requires Trained Regular manpower to handle Medical Records, disposal of summons, Court duties
Efforts at level of Administration for appointment of regular employees
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Suggestions contd……• IPD Files for scanning are being issued from Ward to CF
& then it goes back to Ward, later on to MRSRoute Should be changed like: Ward to MRS to CF.
• MRS is custodian, regulator as well as final disposal authority of all Medical Records including eMR and related issues,
Computerization for same is only a facilitation process So, MRS must be consulted FIRST, prior to any change, updation and execution in H.I.S.
• Research Chamber should be created within MRS for facilitating various researchers in a better way.
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THANK YOU