Setting Targets of Inpatient Admissions Per Clinical Medical Department – February 17, 2012 Refined Version

Setting Targets of Inpatient Admissions Per Clinical Medical Department

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

February 15, 2012; February 17, 2012

 

On February 12, 2012,  I wrote “Hospital Inpatient Admissions Statistics: Why the Need to Gather and Track, What Data and How.”

 

A reader asked:  How do you set the targets for inpatient admissions per department?

 

Before setting the targets for inpatient admissions per department, set the target for the entire hospital first.  After this, set the targets for inpatient admissions per clinical medical department.   This should be done on the assumption that all clinical medical departments should contribute to the achievement of target set for the entire hospital.  I will show illustrations on the approaches and procedures.

 

Assuming the total bed capacity of a hospital is 300 beds.

 

The target for the total inpatient admission per year for the entire hospital can be computed as follows:

 

Main formula to use:

[Bed capacity x days per year / average length of hospital stay per patient admitted] x target bed occupancy rate

 

Examples:

 

A.      [300 beds x 365 days per year/4 days per patient admitted] x 80% = 21,900 admissions

B.      [300 beds x 365 days per year/5 days per patient admitted] x 80% = 17,520 admissions

C.      [300 beds x 365 days per year/4 days per patient admitted] x 75% = 20,471 admissions

D.      [300 beds x 365 days per year/5 days per patient admitted] x 75% = 16,425 admissions

 

After the target for the total inpatient admission per year for the entire hospital has been computed and decided upon, one can now set the targets per clinical medical departments.

 

How to do this will depend primarily on whether the hospital has inpatient bed assignment for each clinical medical department or not.  See illustrations and samples below.

 

Situation 1: Hospital has inpatient bed assignment for each clinical medical department.

 

Sample Illustrations:

 

Assuming hospital has a total of 300 beds and the annual target set is 17,520 admissions (see computations above).

Department Assigned Beds Computations

Using formula above at different Ave. Length of Stay

Target Annual Admissions
Internal Medicine 70 [70 x 365 /6] x 80% 3406
Pediatrics 70 [70 x 365 /6] x 80% 3406
Surgery 60 [60 x 365 /4] x 80% 4380
OB-GYN 60 [60 x 365 /5] x 80% 3504
Otorhinolargyngology – Ophthalmology 40 [40 x 365 /4] x 80% 2920
      17,616* vs computed annual target hospital wide = 17, 520

*The summative contributions of inpatient admissions of each department should approximate the set annual target of the hospital.

 

 

Situation 2: Hospital has NO inpatient bed assignment for each clinical medical department and the beds are used on a first come first serve basis.

 

At the start of the year, each department should set a target of inpatient admissions so that the summative contributions of all the departments will approximate the set annual target of the hospital.  Track records of inpatient admissions of the departments,  increased departmental capability, current health situations in the catchment communities and benchmarkings with other hospitals can be used to decide on the set target of each department.

 

Sample illustrations:

 

Assuming hospital has a total of 300 beds and the annual target set is 17,520 admissions (see computations above).

Department Track Records (Previous Year and Past 3 years) – Examples: Target Annual Admissions**  Examples:
Internal Medicine

6400

6800
Pediatrics

3200

3600
Surgery

3200

3500
OB-GYN

2400

2700
Otorhinolargyngology – Ophthalmology

800

1000
  16,000 vs computed annual target hospital wide = 17, 520 [All the departments should collaborate on how to reach the hospital’s target through a pledge and consensus on contribution sharing.  See 3rd column.] 17,600 (approximating the annual target of 17,520)

 

**Each department should work in achieving its target.

 

 

Another computational approach using percentages, which is easier.

 

Assuming hospital has a total of 300 beds and the annual target set is 17,520 admissions (see computations above).

Department Track Records (Previous Year and Past 3 years) – Examples: Target Annual Admissions**  Examples:
Internal Medicine 6400 / 16000 (40%)

40% (17,520) = 7008

Pediatrics 3200 / 16000 (20%)

20% (17, 520) = 3504

Surgery 3200 / 16000 (20%)

20% (17,520) = 3504

OB-GYN 2400 / 16000 (15%)

15% (17,520) = 2628

Otorhinolargyngology – Ophthalmology 800 / 16000 (5%)

5% (17,520) =  876

  16000

17,520

**Each department should work in achieving its target.

 

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One Response to Setting Targets of Inpatient Admissions Per Clinical Medical Department – February 17, 2012 Refined Version

  1. Merie M.Penalber says:

    Sir,

    Thank you so much we need this information for guidance. This strategy is very significant and useful for hospital managers. It will guide us in planning and setting targets for partient admissions. It guides us in making new initiative in our hospital. Thank you Sir.

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