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  1. 0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0.0. Welcome

  2. Medical Record Section JPNATC- AIIMS Calender Year Annual Audit Report01/01/ 2018 to 31/12/2018

  3. Annual Audit Report of MRS- Year 2018 • Dr. TejPrakashSinha • & • Dr. N. Choudhary - Faculty In-charge • RameshK.Kaul - M.R.O. • Saurabh +9MRT - M.R.T-MRS.

  4. JPNATC Data information for Year YearDiff. 2017 2018 Total Bed Strength : 186 278 + 092 Total Functional Beds : 176 248 +072 Ward beds : 144 194 +050 ICU beds 2nd floor : 12 12 - ICU beds 3rdfloor : 20 20 -

  5. Bed Distribution in JPNATC-AIIMSTotal Bed Strength=278 Functional Bed Distribution in JPNATC-AIIMS • TC1- 24-----(Disaster ward Mix) • TC2- 12----------(ICU Neurosurgery) • TC3- 20----------(ICU Mix) • TC4- 30----------(Mix ward) • TC4(A) 28-----------(Mix Ward) • TC5- 28----------(Neurosurgery) • TC5 (A) 24----------(Mix ward) • TC6- 30----------(Trauma Surgery &Critical Care) • TC6(A) 11----------(Pvt.Bed) • TC7- 30-----------(Ortho) • TC7(A) 11----------(Pvt. Bed) • ED Triage 30--------(ED) • Total Functional Beds---------=248 (Bed)

  6. Year YearDiff. 2017 2018 Total Regd.pt. in TC : 72819 78524 +5705Daily Avg.Pt. attended : 200 215 + 15 Total No. of Follow-up OPD Case : 47859 51651+3792 Avg. FOPD pts( per working day) : 137 174 +37 Total No. of Admission : 6572 7464 + 892 Avg. admission/day : 18 20 + 02

  7. Year YearDiff. 2017 2018 Total No. of Regd. Pts. : 7281978524 +5705 Daily Avg.Pt. attend in TC : 200 215 + 15 Detail : 78524 Green : 51099 Yellow: 18229 Red : 05502 Black: 00 117 OPD: 03541 RD : 00036

  8. Year YearDiff. 2017 2018 Total No. of Pts. Regd. : 72819 78524+5705 Male Cases: 5336357547+4184 Female Cases: 19448 20961 +1513 Others: 00800016+0008 MLC : 39083 44175+5092 NMLC : 33736 34349 +0613

  9. Year Year 2017 2018 No. of PATIENTS ATTENDED IN ED * : 72819 78524 Details : 74947 (*Except RD : 36 + OPD :3541 =3577) Green : 51099 Yellow: 18229 Red : 5502 Black: 117

  10. Year YearDiff. 2017 2018- Total No. of Follow-up OPD Case: 47859 51651 +3792 New : 18974 20192 +1218 Old (Re-visit): 28885 31459 +2574 Male: 32199 35085 +2886 Female: 9847 10807+0960 M. Child :3864 3839 - 0025 F. Child : 1949 1920 - 0029

  11. Year YearDiff. 2017 2018 Total No. of Admissions: 6572 7464 +0892 Specialty- wise break-up Orthopedics : 1936 2516+0580 TS&CC : 2060 2224+0164 Neurosurgery : 1750 1748-0002 Em. Medicine : 0 0 0 Anesthisia (Pain): 04 0 -0004 PRS : 0822 952+0130 ENT+ PEAD. : 0 24 +0024

  12. Year YearDiff. 2017 2018 Total No. of Operations performed: 7458 8709 +1251 Major : 7200 8428+1228 Minor : 258 0281 +0023 Specialty- wise break-up Orthopedics : 3374 4473 +1099 TS&CC : 2243 1971-1371 Neurosurgery : 1300 1248-0052 Urology (Procd): 0036 0012 -0024 PRS: 505 1005 +0500

  13. Comparison chart- Admission Vs Operation YEAR -2018 Deptt Admission Operation Diff. Ortho : 2516 4473 1957(+Ops) • TS&CC : 2224 1971 0253(-Adm) • NSurg : 1748 1248 500(-Adm) • Pain cl: 0000 0 0 • PRS : 0952 1005 053 (+) • Uro/Ent/Pead:24 12 -12 (-) • Total : 7464 8709 + 1245 (ops)

  14. Year YearDiff. • 2017 2018 • Total Discharges : 6195 6972 +777 • Total Functional Beds : 176 248+072 • Total No. of Days care to pts: 5365866347 +12689

  15. Year YearDiff. 2017 2018 Total Deaths incldg. B/D: 834 886 +052Brought Dead at Casualty: -148 -117 -031 Total Deaths occurred : 686 769+083 Deaths Under 48 Hours : 346 413 -067 Deaths Over 48 Hours : 340 356+016

  16. Gross Death Rate = Deaths/Discharge*100 • = 769/6972*100=11.02 • = 11.02% • G.D.R = 11.00% • Round Fig. = 11%

  17. Net Death Rate = Deaths over 48hrs/Discharges- Deaths under 48hrs *100 • = 356/6972-413*100 • =5.42% • NDR=05.0% • Round Fig. =05%

  18. Average Length of Stay • = Days of Care/Discharges • =66347/6972 • = 09.516 • = 10.0 days • ALOS = 10 days • Round Fig.=10 Days

  19. Bed occupancy Rate • = Days of Care/Beds*days X100 • = 66347/248*365 X100 • = 66347/90520 X100 • B.O.R = 73.29% • B.O.R =73%

  20. Bed turnover Rate • = Discharges/Beds • = 6972/248 • = 28.11 • BTOR = 28.11 pts/bed. • Round Fig.= 28pts/bed.

  21. JPNATC- STATISTICS AT A GLANCE Year 2018 Gross Death Rate : 11% Net Death Rate : 05% Bed occupancy Rate : 73% Average length of Stay : 10 days Bed Turnover Rate : 28 patients/bed

  22. Comparison of DATA Year 2018 Vs Year 2017 Indicator Year YearDiff. 2017 2018 • GDR 11% 11% 00% • NDR 06% 05% -01% • BOR 84 % 73% -10% • ALOS 09 10days + 01Day • BTOR 35 28 -07 pt/bed

  23. Disposal of Summons and Court Attendance • Received 2017 2018 Diff. • Total 1761 2021 +260 • Within Delhi 1413 1732 +319 • Outside Delhi 0348 0289 -059 • Attended by Drs.+Staff 1407 1660 + 253 • Attended by MRS staff 0354 0361 +007

  24. Storage of MRD IN-PATTIENT files with Outsource Agency upto-2018Total No. of File Boxes= 2900File Box Retrieved =1059Medical Record Files issued For Research Purpose:2017 2018 Diff.2313 2479 +166

  25. Patient Name Correction, LIC Claim Form, Report To NDMC On-line, RTI Reply, Radiographs Issued to Police Post ,etc • Year YearDiff. MRS Service 2017 2018 - Pt. Name Correction: 560 723 +163 Death Report To NDMC: 834 886 +052 LIC case Disposal : 29 47 +018 RTI Reply : 62 56 -006 X-Ray Issued : 1102 884 -218

  26. Year Year 2017 2018 Resident Doctors joining : 209 201 Resident Doctors relieved : 168 178 On-line information sent to FRRO about foreign pts: 00 0 Disposal of Police/Public Request of Medical Record. 504 532 On behalf of NDMC Death Certificate issued at TC: 00 00 - Reply to applicant requests ( in Hindi version) 306 170

  27. MRS-TC Conducted Workshops/CME / Participated ,Short Period Trainings

  28. Visit of Other M.R. Professionals in JPN Apex Trauma Centre, MRS –2016-18 • Mr.M.K.Dhar, HOD-MRD of SGRH&RC • Mr. Ab.Rehman, Chief MRO, AIIA- New Delhi • Mr. A.Kumar, Chief MRO , Apollo Hospital-New Delhi • Mr.K.S.Rana, Chief MRO, RGCH&RC-New Delhi • Mr. A.Kaushik, Chief MRO, ISCIC- New Delhi • Mr.BKKachroo, Chief MRO, Fortis Noida-UP • Mr.VKHarnal, Ex,Chief MRO, SJH- New Delhi • Smt. Satya Devi, MRO, O/c MRD&TC, VMMC&SJH-ND • Mr. R. Yadav, MRO, RML Hospital, New Delhi • Mr. S.Arora, MRO, DDU Hospital, New Delhi • Mr. Kalleshwar IT, MRO, AIIMS- Raipur, CG. • Mrs. RichaPurohit, MRO, LMT Hospital- NCT Delhi

  29. Visit of Govt. officers’ in MRS • Dr. MadhuRaikar, Director CBHI- MOH&FW, GOI • Mr. Umed Singh , Consultant, CBHI-MOH& FW, GOI • Mr. ArvindKuryal, Sr. Statistical Officer, CBHI- • Smt. SatyaVeeri , MRO, MRD& TC, VMMC& SJH. • Dr. YogeshDube, Member, NCCP, GOI

  30. Conclusion: • This study clearly indicates that with dedicated & devoted team work and with fullest endurance of other healthcare agencies, it has proven: • Delivery of Better treatment, right decisions, fast and speedy treatment, Compassionate care to most critical & trauma patients at this Centre.

  31. Past few Suggestions from MRS had met this year-2018 • MRS was constantly requesting to Competent Authority, kindly allowing us to conduct Research , Education & Training Programmes for MRD staff and others within AIIMS, for enriching working environment and promoting Health Record Science & informatics more efficiently. • Hon’ble Chief had accepted above request.

  32. Research Chamber should be created within MRS for facilitating various Medical researchers in a better way. In Year-2018 02 Research Cabins and 09 MRD staff Wok Stations were prepared in the MRS Annex for better Delivery of Health Record Services in Trauma Centre

  33. Space for Keeping Physical Record of Patients (Hard Copy) at MRS. • For this Offshore Storage of Record • (OSR) facility had been created with CRC. • Full Digitalization in all clinical, procedure, and treatment Documents of patients in this Centre. So, as to demonstrate MODEL Centre for entire country. • The necessary Work is in Progress in TC.

  34. THANK YOU from MRS-TEAM