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You are responsible for calculating and reporting average length of stay (ALOS) for your hospital each
month. This month, there were 92 discharges, and the total discharge days equal 875. One of the
patients discharged this month had a total of 428 discharge days, so the ALOS is distorted by this
unusually long stay. In this situation, you should report an ALOS of
A. 9.51 days— no further information is necessary.
B. 9.61 days and make a note that the one patient with an unusually long LOS was subtracted prior to
making the calculation.
C. 4.86 days and make a note that one unusually long LOS was subtracted prior to making the
calculation.
D. 4.91 days and make a note that the data on one patient with an unusually long LOS was subtracted
prior to making the calculation. - correct answer D. Only two answers, A and D, are
correctly calculated. Should you choose to include the unusually long LOS, you should make a note to
avoid confusing readers, which makes the answer "A" a poor choice. Should you choose to eliminate the
potentially confusing LOS, you must subtract both the patient from the total discharges and the
discharge days from the total discharge days.
Lake City Health Center has 200 beds and 20 bassinets. In a nonleap year, Styles Hospital admitted
16,437 adults and children; 16,570 adults and children were discharged. There were 1,764 live births
and 1,798 newborns discharged. The bed turnover rate for the year was
A. 82.2.
B. 82.7.
C. 82.9.
D. 93.5. - correct answer C. Use the direct method, bed turnover. 16,570 adult and peds
discharges/200 adult and peds beds = 82.85 = 82.9%
Ocean View Healthcare Center recorded six fetal deaths during the last year; details are listed below:
Fetal Death Information
, ID WEIGHT GESTATIONAL AGE
A 526 g 22 weeks
B 405 g 18 weeks
C 81 7 g 26 weeks
D 1,023 g 30 weeks
E 629 g 24 weeks
F 1,113 g 29 weeks
How should these deaths be counted in the hospital death rates?
A. All the deaths except B will be included in the gross death rate.
B. Deaths D and F will be included in the gross death rate.
C. Deaths C, D, and F will be included in the gross death rate.
D. None of these deaths will be included in the gross death rate. - correct answer D.
William Rumple was pronounced dead on arrival (DOA). The hospital pathologist performed an autopsy
on Mr. Rumple's body. This statistical event would be counted in the
A. net death rate.
B. gross death rate.
C. net autopsy rate.
D. hospital autopsy rate. - correct answer D.
The New Beginnings Maternity Center recorded the following statistics in December:
FETAL DEATHS
EARLY 240
INTERMEDIATE 40
LATE 32