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RNSMNS01 - IS-H: Midnight Census Statistics

RNSMNS01 - IS-H: Midnight Census Statistics

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Description

The RNSMNS01 program creates occupancy statistics ("midnight census statistics") for any organizational units of an institution.

Requirements

In the IS-H System, every movement has both a departmental and a nursing assignment to an organizational unit. You can specify which departmental or nursing organizational units are to be evaluated on the selection screen. The following entries are possible here:

  1. Neither a departmental organizational unit nor a nursing organizational unit to be evaluated is entered.
The entire institution is evaluated, and the figures are output in a single (totals) row.
  1. Only departmental organizational units are entered.
All movements that have a departmental assignment to these organizational units are evaluated.
  1. Only nursing organizational units are entered.
Only movements that have a nursing assignment to these organizational units are evaluated.
  1. Departmental and nursing organizational units are entered.
In this case, all movements with the selected combination of departmental and nursing organizational units are evaluated.

Note that there is a difference depending on whether you make no entry or enter an asterisk (*) in the departmental or nursing organizational unit fields. If you enter an asterisk, the program displays the figures for each organizational unit and creates a totals row at the bottom of the evaluation report. If you do not make any specification, only the totals row is output.

You can control the view of the evaluation by means of the Departmental and Nursing options. If you select Departmental, the statistics are created from the perspective of the organizational units with a departmental assignment to a movement, and the totals rows are written for the departmental organizational units. If you select Nursing, the statistics are created from the perspective of the organizational units with a nursing assignment to a movement, and the totals rows are written for the nursing organizational units.

You can stipulate whether the billing days of the patients are calculated according to the old or new Federal Regulation for Hospitals (Bundespflegesatzverordnung (BPflV)). The old Federal Regulation for Hospitals is the default setting here. If you want to calculate billing days according to BPflV 19995, select Billing days BPflV 1995.
Attention: Billing days according to BPflV 1995 are calculated on the basis of movements and not on the basis of services, as is the case in the L1 and L3 statistics. For this reason it is perfectly possible that the figures of the midnight census statistics do not match those of the L1 and L3 statistics.

Absent patients are counted in the statistics in the Initial count, Final count and the Patients treated columns. This is justified by the fact that a bed had to be reserved for an absent patient and cannot be occupied by someone else. In the case of long-term patients (e.g. dialysis patients) who are represented using absences, this is, however, not correct. If a considerable number of the absences in your institution can be attributed to long-term patients, you can run the evaluation such that absent patient are not included in the statistics. To do this, deselect Include absent pat. in count.

If you want to see the figures for the organizational units located below the specified organizational unit in the organizational hierarchy, you simply need to select Lower-level OUs.

The OU short text option enables you to control whether the short text or the unique key of the organizational unit is displayed.

Output

Companions and newborns

Two totals rows are always output:
The first one is the simple total of the figures above it.
The second total - known as the 'adjusted total' - is a total for which internal activities within the organizational units above it are not taken into account.

Example

The internal transfers between two care units of the same department are added together in the first total, but not in the second. The same applies to the number of cases treated. (A case which was on two care units of the same department is counted for both care units but only once for the department).

The following data is output for each combination of departmental and nursing organizational units:

  • The start count for cases
  • The number of arrivals within the hospital (this number should always be zero on institution level, otherwise cases exist whose movements are interrupted)
  • The number of arrivals from outside of the hospital, including
  • The number of arrivals from external transfers
  • The total number of departures, further classified by
  • Departures within the hospital (this number should always be zero on institution level, otherwise cases exist whose movements are interrupted)
  • Departures outside of the hospital, including
  • Normal discharges

  • External transfers

  • Deceased patients

  • The end count for cases
  • The number of cases treated (a case is regarded as treated if at least one movement of the case was assigned to the combination of departmental and nursing organizational units to be evaluated; each case is only counted once for each organizational unit)
  • The number of patient days (patient days are counted according to midnight patient censuses; if the movement of a case is ended at exactly midnight (24:00) one patient day is calculated; however, no patient day is calculated for movements which start at exactly midnight (24:00), because a patient day was already assigned to the previous movement which was ended at exactly midnight (24:00). The start of the movement is then set to 00:00 on the following day.).
  • The number of billing days (
  • The number of discharged cases lasting less than 24 hours and not transferred to an external facility with patient day
  • The number of discharged cases lasting less than 24 hours and not transferred externally without patient day
  • The number of cases lasting less than 24 hours and transferred to an external facility with patient day
  • The number of cases lasting less than 24 hours and transferred to an external facility without patient day

Note

The row version of the RNSMNS01 program also outputs the total number of arrivals and the case figures. With regard to the number of cases, you should note that the number of cases for the complete hospital are output when you run the evaluation in relation to an institution, and the number of cases for the departments or care units when you run the program in relation to departments or care units. The totaled departmental and care unit cases is usually higher than the number of cases calculated for the hospital evaluation.






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