Memorial Hospital is a member of a multihospital health care system.

This hospital has these features:

• 410 licensed beds for general acute care, but only 370 operating (staffed) beds
• Annual admissions of about 30,000
• An emergency department with approximately 90,000 annual visits
• A case mix index of about 1.15
• Both inpatient and outpatient rehabilitative (physical therapy, occupational therapy, and speech language pathology) services
• Behavioral health services
• A neonatal intensive care unit
• All other ancillary and support services expected of such a hospital

For Inpatient Acute Care Falls per 1,000 days (data attached on excel spreadsheet), do the following:

• Identify and define the respective numerator, denominator and rate/ratio.
• Review and interpret the trended data. What do the data, and their trends, tell you about this particular aspect of the hospital?
• Suggest a likely type of database or data source for this metric
• Suggest actions that management could take to improve outcomes associated with this metric.

West Central Hospital--Key Operating Indicators Category Measure Inpatient Mortality FY 2007 FY 2008 Current Hospital's CCG Ranking Top Quartile within own for FY09 CCG FY 2009 2.2 0.4 1.6 2.67 93 2.3 0.5 2.3 2.81 95 2.2 0.7 1.5 2.8 90 1.8 0.3 1.3 2.3 98 b b b b b 23% 23% 28% 21% b 63.0% 67.0% 75.0% 59.0% 71.0% 72.0% 60.0% 75.0% 71.0% 60.0% 64.0% 71.0% b b b 80.0% 78.0% 79.0% 78.0% b 1.05 39.72 0.96 44.94 0.81 36.85 1.44 41.98 2% 5% 45.11 2.88 8.58 48.4 5.14 12.76 40.81 4.28 8.4 42.46 1.19 0.24 22% 59% 80% 262.4 47,377 179,056 3.78 463.45 52,917 191,762 3.62 395.28 53,614 190,225 3.55 -7.89 32,307 147,951 4.30 69% b 75% b Hospital CMI Adjusted Total Length Of Stay Hospital CMI 4.33 1.15 4.27 1.18 4.18 1.18 5.5 1.26 0% 14% Worked Hours Total Worked Hours per CMI Weighted Adjusted Patient Day Total Worked Hours per CMI Weighted Adjusted Discharge 25.2 23.9 24.1 17.4 91% Expenses per Adjusted Discharge Ratios Total Expense, Area Wage Index Adjusted, per CMI Weighted Adjusted Discharge Total Labor Expense, Area Wage Index Adjusted, per CMI Weighted Adjusted Discharge Total Non-Labor Expense per CMI Weighted Adjusted Discharge Total Supply Expense per CMI Weighted Adjusted Discharge Quality Outcomes Number of hospital-acquired Pressure Ulcers per 1,000 Inpatient Discharges Central Line-associated Blood Stream Infections per 1,000 Catheter Days in Adult ICU Patients Inpatient Acute Care Falls per 1,000 Patient Days Percent of Core Measure Indicators Achieving 90% or Higher Patient Satisfaction % of patients transferred to hospital during a Home Care episode Overall Rating of the Hospital Likelihood to Recommend the Hospital Communication with Nurses Liquidity Communication with Doctors Current Ratio Net Days in Patient Accounts Receivable Profitability Gross Days in Patient Accounts Receivable Operating Margin Percent Return On Total Assets % Capacity, Utilization, and Other Statistical Data Net Profit (Loss) per Adjusted Discharge CMI Weighted Adjusted Discharges CMI Weighted Adjusted Patient Days Average Length of Stay - Total Total Expense, Area Wage Index Adjusted, per CMI Weighted Adjusted Patient Day Expenses per Adjusted Patient Total Labor Expense, AWI Adjusted, per CMI Weighted Adjusted Patient day Day Ratios Total Non-Labor Expense per CMI Weighted Adjusted Patient Day Total Supply Expense per CMI Weighted Adjusted Patient Day 95.2 86.5 85.4 82.8 38% $7,135 $3,489 $3,646 $6,698 $3,255 $3,443 $6,954 $3,322 $3,632 $6,578 $3,021 $3,572 33% 48% 27% $1,399 $1,283 $1,363 $1,146 53% $1,888 $923 $965 $1,848 $898 $950 $1,960 $936 $1,024 $1,445 $651 $775 84% 97% 69% $370 $354 $384 $254 94% Expenses as % of Total Operating Expenses Total Labor Expense as % of Total Operating Expense Total Non Labor Expense as % of Total Operating Expense Total Supply Expense as % of Total Operating Expense 52.6% 47.4% 52.6% 47.4% 51.9% 48.1% 45.1% 47.3% 68% 32% 18.2% 17.7% 18.1% 14.7% 64% Expenses as % of Total Operating Revenue Total Labor Expense as % of Net Operating Revenue Total Non Labor Expense as % of Net Operating Revenue Total Supply Expense as % of Net Operating Revenue 51.1% 46.0% 49.9% 44.9% 49.7% 46.1% 43.1% 45.4% 67% 30% 17.7% 16.7% 17.3% 14.4% 57% b = Unable to compute Hospital's ranking to its Compare Group. CCG = Custom Compare Group (Note: "Hospital's CCG Top Quartile" data is based on a peer group of hospitals with several similar organizational and operational characteristics to those listed above)