1.The Medical Record Committee has established a performance indicator threshold of 98% for monitoring ongoing compliance with meeting the operative report and H&P JC standards when measured against the average monthly operations and average monthly discharges respectively. Operative reports and H&Ps are delinquent as follows:

Month	Discharges	Operations	Delinq H&P	Delinq Ops	Total Delinquent Records*
Jan	1805	399	37	11	954
Feb	1511	346	28	12	759
Mar	1801	344	40	9	902
Apr	1891	415	39	8	701
May	2012	419	36	7	963
June	1853	345	34	8	942
July	1773	368	36	8	910
Aug	1748	301	32	7	859
Sept	1650	383	31	9	880
Oct	1722	392	35	8	808
Nov	1801	386	37	11	815
Dec	1833	408	44	8	965

*includes signatures, discharge summaries, etc., in addition to delinq H&Ps and Ops

Assignment:

1. Calculate the allowable delinquent record number - obtain the average monthly discharges for the year (add up and divide by 12). Based on the JC standard of 50% of average monthly discharges, compare this figure with each month's delinquency figure given in the table to determine which are out of compliance? Do not calculate month to month - you must calculate the average monthly discharges (X50%) and compare that figure to each month to determine which months are out of compliance. Show all your calculations in table format.
2. Calculate the allowable number of delinquent operative reports and H&Ps based on the requirement of 98% completion. As in #2, use average monthly discharges for H&P calculation keeping in mind that your threshold for acceptance is only 2%. For the operative report calculations, use average monthly operations. Compare the H&P acceptable amount with the H&P column and the operative reports to the operative report column to determine which are out of compliance. Show all your calculations in table format.