# 1. For the month of August, Community Hospital, a 350-bed hospital, provided 9,978 days of service to hospital inpatients. Calculate the average daily census and the inpatient bed occupancy rate for the month.

## Chapter 18 – Application Exercises

1. For the month of August, Community Hospital, a 350-bed hospital, provided 9,978 days of service to hospital inpatients. Calculate the average daily census and the inpatient bed occupancy rate for the month.

9978/31 = 321.87 patients average daily census.

321.87/350 = 0.9196 occupancy rate = 91.96%

1. For the month of August, Community Hospital provided 750 days of service to newborns. There are 25 bassinets in the newborn nursery. Calculate the average daily census for newborns and the inpatient bed occupancy rate for newborns for the month.

750/31= 241.19 patients average daily census

241.19/25= 9.6476 occupancy rate 9.6%

1. For the month of March, Community Hospital experienced 12 deaths, nine of which occurred within 48 hours of admission. It also experienced 404 discharges. Calculate the gross death rate and the net death rate for the month.

12/404= 0.0297 gross death rate

12-9= 3×100= 300

300/404-9= 0.7594 net death rate

1. For the month of March, Community Hospital experiences 93 deliveries, 8 of which were Cesarean sections. Calculate the C-section rate.

8/93=0.0860×100

8.6% c- section rate

1. Beginning January 1, 20XX, Community Hospital had 125 inpatient beds. On June 15, the bed count was increased to 150. There were 45,907 inpatient service days provided to hospital inpatients and 46,113 days of services provided to discharged patients. The hospital experienced 7,205 admissions and 7,318 discharges. Calculate the average daily census for the year. Also calculate the ALOS and the bed occupancy rate for the year.

1. During 20XX, Community Hospital experiences 28 late and intermediate fetal deaths and 1,016 live births. Calculate the fetal death rate.

1. Table 18.IM1 shows a comparative report for Community Hospital for June 20XX and June 20YY. Calculate the following statistics for June 20XX and June 20YY.

· Average daily inpatient census: total, A&C and NB

· ALOS: total, A&C and NB

· Inpatient bed occupancy rate: total, A&C and NB

· Gross death rate

· Net death rate

· Newborn death rate

· Fetal death rate

Table 18.IM1. Comparative report for Community Hospital for June 20XX & June 20YY

 Hospital Statistic June 20XX June 20YY Average daily census total 8,754 / 30 = 291.8 = 292 8,832 / 30 = 294.4 = 294 Adults and children 7,847 / 30 = 261.56 = 252 7,944 / 30 = 264.8 = 265 Newborn 907 / 30 = 30.2 = 30 888 / 30 = 29.6 = 30 Average length of stay total 4,739 / 752 = 6.3 5,487 / 742 = 7.39 = 7.4 Adults and children 4,385 / 636 = 6.89 = 6.9 5,132 / 610 = 8.4 Newborn 347 / 116 = 2.99 = 3.0 355 / 132 = 2.68 = 2.7 Bed occupancy rate total (8,754 × 100) / (300 × 30) = 875,400/9,000 = 97.26 = 97.3% (8,832 × 100) / (300 × 30) = 883,200 / 9,000 = 98.13 = 98.1% Adults and children (7,847 × 100) / (265 × 30) = 784,700 / 7,950 = 98.7% (7,944 × 100) / (265 × 30) = 794,400 / 7,950 = 99.9% Newborn (907 × 100) / (35 × 30) = 90,700 / 1,050 = 86.38 =86.4% (888 × 100) / (35 × 30) = 88,800 / 1,050 = 84.57 = 84.6% Gross death rate (20 × 100) / 752 = 2.65 = 2.7% (16 × 100) / 742 = 2.16 = 2.2% Net death rate [(20 – 12) × 100) / (752 – 12)] = 800 / 740 = 1.08 = 1.1% [(16 – 9) × 100) / (742 – 9) = 700 / 733 = 0.95% Newborn death rate (2 × 100) / 117 = 1.72%/ (3 × 100) / 132 = 2.27% Fetal death rate (2 × 100) / (348 + 2) = 0.57% (4 × 100) / (357 + 4) = 1.1%

1. There were 7,092 deaths in your county in 20XX out of a population of 350,379. Calculate the crude death rate per 1,000 population for your county in 20XX.

1. In 20XX, 75,119 people died from diabetes mellitus in the United States. The total number of deaths from all causes was 2,448,017 and the total population was 293,638,158. Calculate the cause-specific death rate for diabetes mellitus per 10,000 population.

1. In 2005, 559,312 people died from malignant neoplasms in the United States. The total number of deaths from all causes was 2,448,017 and the total population was 293,638,158. Calculate the proportionate mortality ratio for malignant neoplasms.

1. Using Table 18-IM2 below, prepare a bar graph and a pie chart of the selected

causes of death, total, for 20XX. Use MS EXCEL

Table 18.IM2

 Deaths by Age and Selected Causes of Death, United States, 20XX Age Group Heart Disease Influenza and Pneumonia Malignant Neoplasm HIV Diabetes Mellitus All Other Total <1 year 358 265 75 2 1 27739 28,440 1-4 years 151 110 377 2 2 4,114 4,756 5–14 years 252 106 1,000 13 38 5,193 6,602 15–24 years 1,119 172 1,717 159 205 30,865 34,234 25–34 years 3,249 354 3,601 1,318 617 32,786 41,925 35–44 years 12,688 934 14,566 4,363 2,045 50,189 84,785 45–54 years 38,103 2,183 50,405 4,516 5,691 82,632 183,530 55–64 years 65,208 3,422 99,240 1,612 11,301 94,518 275,301 65–74 years 96,729 6,623 138,446 438 16,183 139,936 398,355 75–84 years 190,693 18,563 166,421 104 23,136 287,748 686,665 85+ 243,504 30,267 83,455 15 15,903 330,025 703,169 Unknown 37 2 9 1 0 206 255 Total 652,091 63,001 559,312 12,543 75,119 1,085,951 2,448,017

Total population: 293,638,158