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Medical Record Section JPNATC- AIIMS Calender Year

Audit Report01/01/ 2013 to 31/12/2013

Audit Report of MRS- Year 2013

• Dr. Adarsh Kumar - Faculty In-charge• Ramesh K.Kaul - Jr. M.R.O.• Saurabh & Aditya – M.R.T.• Rajinder & Tasvir - M.R.A.• Shailendra Jaiswal – Recpt- CRC• Kaku Jyoti - Receptionist - FOPD

JPNATC Data information for Year Year year 2013 2012 2011

Total Bed Strength : 186 186 186 Total Functional Beds : 176 176 176

Ward beds : 144 144 144 ICU beds 2nd floor : 12 12 12

ICU beds 3rd floor : 20 20 20

Year Year Year 2013 2012 2011Total No. of Casualty Cases:58923 55698 49894 Avg Casualty / day Attd. : 161 152 137 Total No. of Follow-up OPD Case :31491 30900 26096Avg. FOPD pts( per working day) : 106 104 88

Total No. of Admission : 5220 5221 4814Avg. admission/day : 14 pts 14 13

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Total No of Casualty CasesTotal No. of OPD CasesTotal No of Admission

Distribution of Patient Casualty, FOPD, Admission

Year Year Year

2013 2012 2011Total No. of Casualty Cases: 58923 55698 49894

Male Cases: 44329 42510 38212

Female Cases: 14594 13188 11682

MLC : 28153 – 24938- 21001 NMLC : 30770 -30760- 28293

Year Year Year 2013 2012 2011Total No. of Follow-up OPD Case: 31491 30900 26096 New : 12950 12405 11544

Old (Re-visit): 18541 18495 14552

Male: 24739 - 24218 - 20790 Female: 6752- 6682- 5306

Year Year Year 2013 2012 2011Total No. of Admissions : 5220 5221 4814

Specialty- wise break-up Orthopedics : 1530 1632 1365 Surgery : 1827 1889 1683

Neurosurgery : 1851 1695 1763 Em. Medicine : 08 5 3 Gyene : 01 0 0

Anasthesia : 03 0 0

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Orthopedics surgeryNeurosurgeryEm Medicine

Distribution of Patient Admission: Department Wise

Year Year Year 2013 2012 2011Total No. of Operations performed: 5448 5758 4805

Major : 5114 4856 4184 Minor : 334 902 621

Specialty- wise break-up Orthopedics : 2021 2189 1708

Surgery : 2031 2157 1827Neuro-Surgery : 1336 1378 1270

Urology * : 60 34 - ( *)Started wef:1/7/12

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Operations Performed : Department Wise

• Comparison chart- Admission Vs Operation YEAR -2013• Deptt Admission Operation Repeat opt Ortho : 1530 2021 (- 491)• Surg : 1827 2031 (-204)• N.Surg : 1851 1336 -• E.Med 08 - -• Gyene : 01 - -• Anas. : 03 - -• Uro: - 060 - • Total : 5220 5448 (695)

• Year Year Year• 2013 2012 2011• Total Discharges :5077 5071 4473• Total Functional Beds :176 176 176• Total No. of Days care to pts : 54456 55088 50078

Year Year Year 2013 2012 2011

Total Deaths at TC incldg. B/D: 886 976 999 Brought Dead at Causalty: -253 -372 NA

Total Deaths occurred : 633 604 999Deaths Under 48 Hours : 373 298 532 Deaths Over 48 Hours : 260 306 467

• Gross Death Rate = Deaths/Discharge*100• = 633/5077*100• = 12.46%• = 12%• G.D.R = 12%

• Net Death Rate = Deaths over 48hrs/Discharges- Deaths under 48hrs *100

• = 260/5077-373*100• =5.5%• =5%• =5%• NDR=5%

• Average Length of Stay • = Days of Care/Discharges• =54456/5077• = 10.72• = 11 days• ALOS = 11days

• Bed occupancy Rate• = Days of Care/Beds*days X100• = 54456/176*365 X100• = 54456/64240 X100• = 84.77%• B.o.R =85%

• Bed turnover Rate • = Discharges/Beds• = 5077/176• = 28.84• BTOR = 29 pts/bed.

JPNATC- STATISTICS AT A GLANCE

Year 2013

Gross Death Rate : 12%Net Death Rate : 05%

Bed occupancy Rate : 85% Average length of Stay : 11 days Bed Turnover Rate : 29 patients/bed

• Comparison of DATA Year 2013 Vs Year 2012

Indicator Year Year Year Diff. 2013 2012 2011 • GDR 12% (*)19% (12%) 22% 1%• NDR 05% (*)07% (6%) 10% 1%• BOR 85 % 86% 78% 1%• ALOS 11 days 11 days 11days -• BTOR 29 pts/bed29pts/bed 25pts/bed -• (*)computed on includg.Brought Dead pt. Data.

Disposal of Summons and Court Attendance

• Received 2013 2012 2011• Total 1521 1757 1413

• Within Delhi 1373 1616 1283• Outside Delhi 148 141 130• Attended by Drs. 1170 1528 1264• Attended by MRS staff 351 229 149

Medical Record Files issued For Research Purpose: 2013 2012 2011 3175 4899 2835

• Patient Name Correction, LIC Claim Form, Report To NDMC On-line, RTI Reply, Radiographs Issued to Police Post ,etc

• Year Year Year MRS Service 2013 2012 2011 Pt. Name Correction: 159 190 81Death Report To NDMC 886 922 999LIC case Disposal 58 68 64RTI Reply 45 37 40X-Ray Issued 881 1844 1151On-line information sentto FRRO about foreign pts: 07 01 -Disposal of Police/PublicRequest for Medical Record. 254 278 262

This study clearly indicates that with dedicated & devoted team work and with fullest endurance of other health care agencies, it has proven:• Delivery of Better treatment, right

decisions, fast and speedy treatment to most critical and trauma patients at this Centre.

Some Suggestions from MRS• MRS is facing extreme shortage of space for keeping

valued Medico legal documents, as per the legal and international norms:

Space problem is to be tackled on priority since the whole space is filled up. MRS shall be stopping taking over the patient records from wards/casualty soon.

• MRS is facing shortage of manpower also which seriously affects the functioning ( shortage of 8 staff)

Imm. DEOs( 5) & Sulabh staff( 3) may be provided.MRS requires Trained Regular manpower to handle Medical Records, disposal of summons, Court duties

Efforts at level of Administration for appointment of regular employees

Suggestions contd……• IPD Files for scanning are being issued from Ward to CF

& then it goes back to Ward, later on to MRSRoute Should be changed like: Ward to MRS to CF.

• MRS is custodian, regulator as well as final disposal authority of all Medical Records including eMR and related issues,

Computerization for same is only a facilitation process So, MRS must be consulted FIRST, prior to any change, updation and execution in H.I.S.

• Research Chamber should be created within MRS for facilitating various researchers in a better way.

THANK YOU