Health Planning and Clinical Management.

Student’s name:_________________________________________________GRADE:____

EFFICIENCY OF HOSPITAL CARE.-

A hospital “A”, has the data you see in the attached table. The pathologies are stroke, chronic
obstructive pulmonary disease (COPD), appendectomy without complications, and vaginal
delivery.
The manager of the Hospital wants to know their level of efficiency in relation to the referral
hospital. You have to give an answer.
1.-What is their adjusted length of stay?,
2.-And what is its case mix?
2.-What conditions would remove for a greater level of efficiency?
4.-What would be your final conclusion about the hospital?
5.-Is this information useful ?
HOSPITAL A REFERRAL HOSPITAL
Expected
Discharges Stays LoS refLoS stays
Stroke 250 2500 10 Stroke 10,5
COPD 500 5900 11,8 COPD 8,4
Appendectomy 100 330 3,3 Appendectomy 5
Vaginal delivery 50 150 3 Vaginal delivery 1,5
TOTAL 900 8880 9,9 TOTAL 4,2
refLoS: Referral length of stay, LoS: length of stay, LoSp: length of stay of pathology, aLoS:
Adjusted length of stay

 (Total discharges of pathologes X refLoS)

Hospital aLoS = ___________________________________________________________________________
=
Total discharges of Hospital A

Hospital aLoS
Case mix= __________________________________
=
Hospital refLoS

LoSp
Case mix by pathology = =
__________________________________

refLoS pathology

Fdo. Prof. José L Alfonso

Departamento de Medicina Preventiva y Salud Pública.