Medical Record Section ,JPNATC-Audit 2013

1. Welcome

2. Medical Record Section
JPNATC- AIIMS
Calender Year
Audit Report
01/01/ 2013 to 31/12/2013

3. 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

4. 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

5. Year Year Year
2013 2012 2011
Total No. of Casualty Cases:58923 55698 49894
Avg Casualty / day Attd. : 161 152 137
Total No. of Follow-up OPD Case :31491 30900 26096
Avg. FOPD pts( per working day) : 106 104 88
Total No. of Admission : 5220 5221 4814
Avg. admission/day : 14 pts 14 13

6. 70000
60000
50000
40000
30000
20000
10000
0
2012 2013
Total No of Casualty Cases
Total No. of OPD Cases
Total No of Admission
Distribution of Patient Casualty, FOPD, Admission

7. Year Year Year
2013 2012 2011
Total 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

8. Year Year Year
2013 2012 2011
Total 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

9. Year Year Year
2013 2012 2011
Total 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

10. 2000
1800
1600
1400
1200
1000
800
600
400
200
0
2012 2013
Orthopedics
surgery
Neurosurgery
Em Medicine
Distribution of Patient Admission: Department Wise

11. Year Year Year
2013 2012 2011
Total 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 1827
Neuro-Surgery : 1336 1378 1270
Urology * : 60 34 -
( *)Started wef:1/7/12

12. 2500
2000
1500
1000
500
0
2012 2013
Orthopedics
surgery
Neurosurgery
Urology
Operations Performed : Department Wise

13. • 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)

14. • 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

15. 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 : 633 604 999
Deaths Under 48 Hours : 373 298 532
Deaths Over 48 Hours : 260 306 467

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

17. • Net Death Rate =
Deaths over 48hrs/Discharges- Deaths under
48hrs *100
• = 260/5077-373*100
• =5.5%
• =5%
• =5%
• NDR=5%

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

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

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

21. 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

22. • 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.

23. 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

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

25. • 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 81
Death Report To NDMC 886 922 999
LIC case Disposal 58 68 64
RTI Reply 45 37 40
X-Ray Issued 881 1844 1151
On-line information sent
to FRRO about foreign pts: 07 01 -
Disposal of Police/Public
Request for Medical Record. 254 278 262

26. 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.

27. 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

28. Suggestions contd……
• IPD Files for scanning are being issued from Ward to
CF & then it goes back to Ward, later on to MRS
Route 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.

29. THANK YOU