Exercises 8.1 - 8.15

Exercise 8.1 1. Infection rate for newborns: 1.57% 2. Infection rate for adults & children: 0.82% 3. Total infection rate: 0.86% 4. Gross mortality rate: 0.60% Exercise 8.2 University Hospital Semiannual Statistics July-December 20XX Service No. of Discharges (Includes Deaths) No. of Deaths No. of Nosocomial Infections Gross Mortality Rate HAI Rate Medicine 2469 201 52 8.14% 2.11% Surgery 2890 144 56 4.98% 1.94% Obstetrics 785 2 6 0.25% 0.76% Psychiatry 786 1 4 0.13% 0.51% Rehabilitatio n 847 18 27 2.13% 3.19% Pediatrics 945 3 3 0.32% 0.32% Newborn 791 1 1 0.13% 0.13% Total 9513 370 149 3.89% 1.57% Exercise 8.3 1. Postoperative infection rate: 0.64% 2. Postoperative mortality rate: 0.37% Exercise 8.4 Community Hospital Semiannual Report January-Jun 20XX Deaths Infections No. of Patients Operated On No. Of Surgical Operations Month Live Discharges Postop Other Postop Nosocomial Jan 540 2 10 2 4 478 479 Feb 660 3 12 3 5 642 648 Mar 680 3 8 1 4 660 663 Apr 669 2 12 4 3 650 653 May 701 5 15 4 2 690 690 Jun 693 3 11 5 2 685 685 Total 3943 18 68 19 20 3805 3818

1. Month with the lowest SSI rate: March (0.15%) 2. SSI rate for the semiannual period: 0.50% 3. Month with the highest post-op mortality rate: May (0.72%) 4. Post-op death rate for the semiannual period: 0.47% 5. Gross mortality rate: 0.45% Exercise 8.5 Community Hospital IPC Report on Infections Jan.-March 20XX 389 Discharges Type of Infection No. of Infections Infection Rate Central line-associated bloodstream infections 8 2.06% Catheter-associated urinary tract infections 12 3.08% Ventilator-associated pneumonia 4 1.03% Surgical-site infections 6 1.54% Cardiovascular system infections 2 0.51% Gastrointestinal tract infections 3 0.77% Skin and soft-tissue infections 1 0.26% Ears, nose, and throat infections 9 2.31% Central nervous system infections 7 1.80% Systematic infections 5 1.29% Exercise 8.6 University Hospital Statistics January-March 20XX Service Discharges and Deaths Complication s Complication Rate Medicine 2742 197 7.18% Surgery 2075 208 10.02% Obstetrics 492 7 1.42% Newborn 490 3 0.61% Total 5799 415 7.16%

Including Deaths n Rate Mortality Rate January 602 18 119 19.77% 2.99% February 675 12 107 15.85% 1.78% March 598 11 92 15.38% 1.84% April 555 14 74 13.33% 2.52% May 630 10 105 16.67% 1.59% June 592 6 96 16.22% 1.01% July 581 9 85 14.63% 1.55% August 593 7 72 12.14% 1.18% Septembe r 621 5 89 14.33% 0.81% October 610 12 56 9.18% 1.97% November 601 10 95 15.81% 1.66% December 581 14 82 14.11% 2.41% Total 7239 128 1072 14.81% 1.77% Exercise 8.12 Community Hospital Consultation Rate by Physician Jan-June 20XX Physician No. No. of Discharges and Deaths No. of Consultations Consultation Rate 102 298 12 4.03% 237 247 3 1.21% 391 110 7 6.36% 518 144 8 5.56% 637 206 5 2.43% 802 82 12 14.63% 900 100 10 10.00% Total 1187 57 4.80% Exercise 8.13 Community Hospital Semiannual Statistics 20XX Readmission by Selected MS-DRGs MS- DRG Title No. Live Disch. No. Readmissions within 30 Days of Previous Disch. Readmission Rate 190 COPD with MCC 12 2 16.67% 191 COPD with CC 14 5 35.71% 192 COPD without CC/MCC 42 11 26.19%

193 Simple pneumonia & pleurisy with MCC 8 1 12.50% 194 Simple pneumonia & pleurisy with CC 15 4 26.67% 195 Simple pneumonia & pleurisy without CC/MCC 97 8 8.25% 280 Acute myocardial infarction discharged alive, with MCC 10 3 30.00% 281 Acute myocardial infarction discharged alive, with CC 8 2 25.00% 282 Acute myocardial infarction discharged alive, without CC/MCC 180 10 5.56% 291 Heart failure & shock with MCC 3 1 33.33% 292 Heart failure & shock with CC 6 1 16.67% 293 Heart failure & shock without CC/MCC 63 2 3.17% 469 Major joint replacement or reattachment, lower extremity with MCC 15 2 13.33% 470 Major joint replacement or reattachment, lower extremity without MCC 49 4 8.16% Exercise 8.14 Community Hospital Semiannual Statistics, 20XX Readmissions by Physicians Physician No. of Live Discharges No. of Readmissions within 30 Days of Previous Discharge Readmissio n Rate 102 298 8 2.68% 237 247 4 1.62% 391 110 3 2.73% 518 144 2 1.39% 637 206 12 5.83% 802 82 6 7.32%