Adjusted hospital autopsy rate calculator

HEALTHCARE STATISTICS

Understanding Healthcare Statistics

1. You're trying to determine if Unit B can accommodate more patients based on the length of stay for that

unit. What information will probably be the most useful in making this determination?

A. Total inpatient service days

B. Bed turnover rate

C. Change in bed count

D. Complete master census

2. You're calculating statistics using the following formula:

Total autopsies on inpatient deaths for 2012 × 100

Total inpatient deaths for 2012

What rate are you trying to determine?

A. Net autopsy rate

B. Adjusted hospital autopsy rate

C. Gross autopsy rate

D. Fetal autopsy rate

3. During a consultation, a podiatrist notices that a patient has an infection from an IV tube that was

inserted into her arm just after gastric surgery. This infection would be included in which one of the

following rates?

A. Postoperative infection rate

B. Anesthesia rate

C. Consultation rate

D. Infection rate

4. You're looking at a census that shows the following information for September 15:

24 patients admitted

9 patients discharged

2 patients transferred

You're likely reviewing the _______ census.

A. daily inpatient

B. complete master

C. service days

D. inpatient

5. You're calculating the hospital's net death rate when you realize that two of the deaths occurred within

the first 12 and 36 hours of admission, respectively. How should these deaths be reflected in the net death

rate?

A. They should be subtracted from the total number of inpatient deaths.

B. They should be divided by 12 and then added to the net death rate.

C. They shouldn't be included in the calculation.

D. They should be added to the net death rate.

6. An infant dies three days after birth. This death is classified as a/an _______ death.

A. infant

B. perinatal

C. postneonatal

D. neonatal

7. You sit on a committee that's trying to determine whether or not the hospital is providing necessary

services in a cost-effective manner. Which one of the following statistics would be most useful to you?

A. Average length of stay

B. Occupancy rate

C. Bed occupancy ratio

D. Discharge days

8. What is the gross death rate for a hospital with 450 discharges, 4 inpatient deaths, and 3 newborn deaths

in a 30-day period?

A. 23.3%

B. 1.56%

C. 15%

D. 64.3%

9. A pregnant woman was hit by a car and died three days after admission to the hospital. Her death would

be included in which one of the following statistics?

A. Maternal death rate

B. Gross death rate

C. Obstetric death rate

D. Postoperative death rate

10. University Hospital has 244 staffed inpatient beds, 10 emergency room beds, and an additional 50 beds

that can be set up in an emergency. Today, 157 inpatient beds are occupied. What is the current bed count

for this hospital?

A. 304

B. 244

C. 157

D. 87

11. Review the following information for University Hospital:

March discharge days: 222

March discharges (including deaths): 44

March newborn discharges: 12

What is the average length of stay for March?

A. 4 days

B. 3 days

C. 5 days

D. 6 days

12. Which one of the following organizations collects cancer mortality statistics to provide national data?

A. AHRQ

B. AHIMA

C. NCHS

D. CDC

13. Which one of the following deaths should be included in the hospital autopsy rate?

A. An outpatient death following surgery

B. A fetal death at 20 weeks' gestation

C. An inpatient death following surgery

D. A patient death in an ambulance on the way to the emergency room

14. Your organization uses statistics to determine if it's providing the best care at the lowest cost. You

probably work for a/an

A. HH organization.

B. mental health facility.

C. MCO.

D. cancer registry.

15. You're asked to provide statistics on the top five procedures performed most often at your facility

during the last six months. You should probably use _______ statistics.

A. inferential

B. descriptive

C. proportional

D. vital

16. Megan took a doctor-approved leave of absence from the hospital on Monday and then came back two

nights later. How does her absence affect inpatient service days?

A. It's counted as 0.5 days.

End of exam

B. It isn't counted on inpatient service days.

C. It's counted as 1 day.

D. It's counted as 2 days.

17. There were 27 patients admitted and 34 patients discharged from Surgical ICU during the first week of

December. Of the 34 discharged, 4 were deaths and 7 had nosocomial infections. Which numbers should

be used in the calculation of the Surgical ICU's infection rate for the week of December 1?

A. 7, 7, 4

B. 7, 30

C. 7, 34

D. 7, 34, 27

18. Based on the following information, what is the maximum number of bed count days for October?

October 1-15: 50 inpatient beds

October 16-31: 65 inpatient beds

A. 975

B. 815

C. 1,725

D. 750

19. Peter was admitted on October 30 and discharged on November 4. What is his length of stay?

A. 4 days

B. 6 days

C. 7 days

D. 5 days

20. During March, a hospital had 135 deliveries: 122 were vaginal births and 13 were Cesarean sections.

Which one of the following formulas will determine the correct C-section rate for the month of March?

A. (13 × 100)/122

B. (13 × 100)/135

C. (135 × 100)/13

D. (122 × 100)/13

Compiling and Presenting Healthcare Statistics

1. The coding supervisor at your facility hires a new full-time coder and pays her $15 per hour with 30%

benefits. What is the total annual compensation for the new coder?

A. $31,200

B. $93,600

C. $62,400

D. $40,560

2. Which one of the following data display tools should you use to present data that shows the length of

stay for patients discharged from a specific DRG over a one-year period?

A. Pie chart

B. Scatter diagram

C. Histogram

D. Frequency polygon

3. The null hypothesis states that the difference between two population means is

A. zero.

B. undeterminable.

C. variable.

D. a Type I error.

4. Which one of the following factors should be considered when validating the cost for release of

information?

A. The number of physicians who saw the patient

B. The cost for a first-time patient request

C. The amount of time it takes to find the record and make copies

D. The unit cost for transcribed reports

5. What is the best reason to review literature before you begin research on a topic?

A. To determine whether research has already been done

B. To formulate a null hypothesis

C. To break down potential problems into smaller subproblems

D. To draw conclusions about your topic

6. Which of the following items is included in a capital budget?

A. A ream of copier paper

B. A new telephone for the ROI department

C. Three new printers for the coding area

D. Earphones for transcription work

7. The HIM department would like to purchase three new laptops for the coders to use while coding

concurrently on each of the nursing units. The total cost of the laptops is $7,500, but in time and revenue

approximately $3,250 will be saved per year. What is the ROI?

A. 56.6%

B. 43.3%

C. 14.4%

D. 23.1%

8. You're interviewing HIM directors from other area hospitals to learn about their experiences with

noncertified coders. You're conducting _______ research.

A. experimental

B. conclusive

C. quantitative

D. qualitative

9. You're presenting data that shows a cause-and-effect relationship among several clustered points. Which

one of the following data presentation tools are you most likely using?

A. Scatter diagram

B. Histogram

C. Pictogram

D. Frequency polygon

10. You're reviewing the heights of the last 10 patients seen by a doctor. What type of data are you

reviewing?

A. Nominal data

B. Ratio data

C. Ordinal data

D. Continuous data

11. Which one of the following numbers represents the proper way to report a facility's case-mix index?

A. 2.11%

B. 211.49%

C. 21149

D. 2.1149

12. In the number line 10, 11, 12, 13, 14, 15, and 16, the number 13 represents the

A. mean and median.

B. median and range.

C. mean and mode.

D. mode and range.

13. You're presenting data to the management team in your facility. You want to show the percentage of

hospital admissions by each payer. This information is best displayed in a

A. bar graph.

B. pie chart.

C. line graph.

D. histogram.

14. You've determined that your inpatient coders should be coding an average of five records per hour.

You most likely determined this number by calculating

A. unit labor costs.

B. staffing levels.

C. productivity.

D. employee compensation costs.

15. Which one of the following rates is a measure of central tendency?

A. ROI

B. Discharges

C. ALOS

D. Admissions

16. Your monthly budget shows that the budgeted amount of $5,500 was different from the actual amount

spent, which was $7,235. What is the variance?

A. 13.6% over budget

B. 31.5% over budget

C. 24% over budget

D. 76% over budget

17. Which one of the following items can be calculated as a labor unit cost?

A. Time spent answering patient e-mail

B. Annual salary for a coding supervisor

C. Average length of stay for newborns in the ICU

D. Monthly consultations for a physician

18. You're trying to decide if you should outsource the release of information area of your department, and

you've come up with a list of pros and cons. Which step in the research process does this represent?

A. Collecting and analyzing data

B. Reviewing the literature

C. Drawing conclusions

D. Defining the problem

End of exam

19. Your statistics show that there were 127 new cases of congestive heart failure at University Hospital

over the past six months. This information is an example of _______ data.

A. discrete

B. interval

C. nominal

D. ordinal

20. Emily is about to receive her first annual review. She currently makes $20,435 per year and produces

1,250 lines each day. What is Emily's annual productivity?

A. 456,250 lines per year

B. 16,348 lines per year

C. 65,000 lines per year

D. 325,000 lines per year

HEALTHCARE STATISTICS

RESEARCH PROJECT

Background

Your research project for this course requires you to

calculate healthcare statistics based on a specific DRG clas-

sification. You’ll perform 10 calculations and submit all of

your work to the school for grading.

Procedure

You’re part of a hospital committee that has been asked to

study the following diagnosis-related group due to variations

in length of stay and total charges:

DRG 320, Kidney and Urinary Tract Infections,

age>17 with CC

As a result, you prepare the following profile for patients in