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level: Reporting

Questions and Answers List

level questions: Reporting

Question	Answer
Patient bills for services that have already been provided that legally are due to a facility.	Accounts Receivable
The percent of autopsies performed on patients who die in the hospital; reasons for not performing an autopsy in the hospital may include legal inquiry or family preference.	Autopsy Rates
The total number of patient days in a period divided by the number of patients.	Average Length Of Stay (ALOS)
Goals or metrics a facility wants to meet	Benchmarks
a division of the federal Department of Health and Human Services that collects data on patient and healthcare worker safety, and promotes safety practices to protect patients and workers.	Centers for Disease Control and Prevention (CDC)
Leader of a facility who reports to the Board of Directors	Chief Executive Officer (CEO)
Leader who oversees all financial and fiscal decisions and issues for a facility; generally reports to the CEO.	Chief Financial Officer (CFO)
Private, non-government insurers; these are often the insurance options available through employers.	Commercial Insurers
Disease that exists at the same time as a primary disease that a patient is being treated for at that time; for example, a patient who has cancer is receiving cancer-specific treatment and is also diabetic-diabetes mellitus would be considered the comorbid condition	Comorbidity
Money the patient must pay toward the bill as contracted between the insurer and provider.	Copayment
The count of how many patients are in beds by patient care unit for an inpatient facility.	Daily Census
principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves.	Department of Health and Human Services (HHS)
Non-governmental, independent, and nonprofit organization that provides unbiased, expert advice to governmental and private decision-makers, as well as the public.	Institute of Medicine (IOM)
Refers to ill health (disease) in an individual and the levels of ill health in a population or group.	Morbidity
The percentage of all discharged patients who are discharged due to death within a prescribed period	Mortality (death) Rate
Collects data on ambulatory medical care provided in the U.S.; the data is collected from visits to office-based providers who provide direct patient care.	National Ambulatory Medical Care Survey (NAMCS)
Nation's primary statistics organization; it works to compile, analyze, and disseminate information on the nation's health to influence and guide health policy and practice in a manner that best serves the population.	National Center for Health Statistics (NCHS)
A set of specific data that hospitals must collect and report to CMS and the Joint Commission to document quality patient care.	National Hospital Inpatient Quality Measures
The percentage of licensed beds in a hospital that have a patient assigned to them, and thus are generating revenue	Occupancy Rate
For the purpose of census data, it has a defined number of beds and is staff assigned; also called floors, units, or wards.	Patient Care Unit (PCU)
System initially implemented by Medicare in the early 1980's that replaced fee-for-service payments for the provision of health services with predetermined payments based on the principal diagnosis of the patient.	Prospective Payment System (PPS)
Groups of patient services by specialty; hospitals define these individually, and they vary by facility with some similarities, some facilities choose to combine similar or related lines, they are useful for compiling financial, compliance, and other in-house reports.	Service lines
The number of inpatients receiving care each day summed for the days in the period under study	Total Inpatient Service Days