HIM professionals in long-term care facilities must

HIM professionals in long-term care facilities must be able to calculate various statistics for administrative staff of the facility. This statistical information can be used a variety of ways: assist with reimbursement projection which can be based on census and level of care; assist with decision- making in adding to services or eliminating services; identify areas of improvement for marketing, care, diagnoses, treatment, and so on. 1. Calculate the various rates in the four nursing home scenarios provided. Use any resources necessary to do this and show all of your work. Submit the answers (including calculations). 2 STATISTICS Directions: Using information on statistical formulas in your HIM text resources, complete the statistics on the following case scenarios. You must show all of your work to earn points. SCENARIO: #1 In Jacksonville, Florida, the Elderly Nifty Nest Nursing Home has 220 beds and serves residents from all 50 states. Currently the Home has 201 residents and does not have a waiting list. Last month (January) this facility had 13 discharges not including 4 deaths. Discharge days for the month were 2499. Please fill in the answers as indicated below: Current Census: ___________ Death rate: ___________ Average Length of Stay: ___________ SCENARIO #2 Whispering Pines is a 192-bed nursing home facility. In the month of November, they had a total of 5477 inpatient service days. At the beginning of the month, there was a total census of 187 residents. They had 9 admissions during the month, 6 discharges, and 4 deaths. Discharge days totaled 6670. Compute the following statistics for the month of November: End of month census: ___________ Average daily census: ___________ Percentage of occupancy: ___________ Average length of stay: ___________ Death rate: ___________ 3 SCENARIO #3 Shady Rest Nursing Home is a 230-bed facility. In December, total inpatient service days were 6882. On December 1, the census was 220. There were 13 admissions during the month, 8 discharges, and 3 deaths. Lengths of stay for discharges and deaths were as follows: 389, 15, 27, 1345, 867, 222, 151, 45, 87, 111 and 10. Compute the following statistics for the month of December: End of month census: __________ Average daily census: __________ Percentage of occupancy: __________ Total discharge days: __________ Average length of stay: __________ Death rate: __________ SCENARIO #4 Shady Pines Nursing Home is licensed for 191 skilled beds. On June 1, the census was 187. During the month, there were 17 admissions, 12 discharges, and 4 deaths. Total inpatient service days for the month was 5661. Lengths of stay for discharges and deaths were as follows: 33, 97, 166, 2450, 99, 45, 369, 12222, 489, 777, 123, 89, 1450, 46, 95, and 36. Of the 17 admissions, 4 were private pay, 5 were Medicare, and the remaining had Medical Assistance as the pay source. Of the residents remaining at the end of the month, 8 were at an ISN level of care, 134 were at a skilled level of care, 39 were at an ICF1 level of care, and 7 were at an ICF2 level of care. Compute the following statistics for the month of June: End of month census: _________________ Average daily census: _________________ Percentage of occupancy: _________________ Total discharge days: _________________ Average length of stay: _________________ Death rate: _________________ Scenario #4 Continued Of new admissions, percentage in each pay source: PP ____________ MC ___________ MA ___________ For the month, percentage at each level of care: ISN ___________ SNF ___________ ICF1 ___________ ICF2 ___________

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