DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20194499

A study on hospital bed utilisation based on disease wise ICD-10 coding in surgery ward of a rural tertiary care hospital of Darjeeling district of West Bengal

Sumanta Chakraborty, Sunamika Banerjee

Abstract


Background: Hospital costs are the largest component of health expenditure and they have therefore been a key focus in the drive for increased efficiency in the health sector.1With the simultaneous menace of ever increasing price rise and population explosion there is dearth of the existing meagre resources and thereby it becomes necessary to allocate and utilise the available resources to the fullest with provisions for minimum wastage. The objective of this study is to find out the pattern of diseases with their ICD-10 codes and the hospital performance indicators in patients admitted at the surgery ward of North Bengal Medical College during the study period.

Methods: A descriptive epidemiological study with cross-sectional design was done by complete enumeration of all patients admitted in surgery ward of North Bengal Medical College and Hospital in Darjeeling district of West Bengal from July 2016 to September 2016.

Results: A total of 2227 patients were admitted during the study period with intra-cerebral haemorrhage (I61) being the most common cause of admission followed by abdominal injury (S36) and burn (T29). The bed occupancy rate was 144.21%, bed turn-over rate 14.26 and average length 9.1. Scatter plot indicates hospital utilisation at Region IV as per Pabon Lasso Model of Hospital Utilisation.

Conclusions: A high bed occupancy rate and low bed turn-over rate indicates scarcity of hospital beds, preponderance of severe and chronic cases and unnecessary stay in hospital. 


Keywords


Hospital bed utilisation, ICD-10 code, Pabon Lasso model, Darjeeling

Full Text:

PDF

References


Lewellyn L, Davies R, Macaulay HMC. Hospital Planning and Administration, WHO Monograph series No 54. Geneva, New Delhi: Jaypee Brothers; 1995: 35.

Available at: http://data.worldbank.org/indicator/ SH.MED.BEDS.ZS. Accessed on 19 May 2016.

Available at: https://data.gov.in/resources/stateut-wise-number-government-hospitals-and-beds-rural-and-urban-areas-including/download. Accessed on 19 May 2016.

Park K. Text Book of Preventive and Social Medicine. 23rd edition. Jabalpur: M/s. Banarasidas Bhanot; 2014: 616.

Borkar AM. Hospital utilization pattern at a tertiary care hospital in tribal area of Central India. Int J Community Med Public Health. 2016;3(2):551-4.

Background and reading material for training course of Diploma in Health Administration-Paper-III. Academy of Hospital Administration. New Delhi; 2000: 10-20.

Alonso M, Anto JM. The Appropriateness Evaluation Protocol Group of the Hospital Universitari del Mar using length of stay and inactive days in the hospital to assess appropriateness of utilization in Barcelona, Spain. J Epidemiol Community Health. 1996;50:196-201.

Anand TR. Hospital Services and Management Methods. Background and reading material for training course on Hospital Management. 1982:6.

Tripathi GD. Maximum utilization of Hospital beds. NIHAE Bull. 1997;3:315-21.

Saha JB, Mitra J, Mondal A. Length of stay of in-patients of a Gynecological ward in a sub-divisional hospital in West Bengal. Indian J Public Health. 1991;35: 71-4.

Cohan CF. Hospital expenses rise faster than overall CPI. Hospital. 1980;54:59-62.

Kiran ER, Vijaya K. Utilization of beds in a tertiary care hospital. 2003;15:7-12.

Quereshi W. A five year retrospective study of bed utilization trends in a tertiary care teaching institution. JK Science. 2014;16(3):119-21.

de Azevedo Ramos MC, da Cruz LP, Kishima VC, Pollara WM, de Lira ACO, Couttolenc BF. Performance evaluation of hospitals that provide care in the public health system, Brazil. Rev Saude Publica. 2015;49:43.

Haider S, Singh SB, Kashyap V, Lal PK. Hospital utilisation statistics as a measure of functioning of the facility at RIMS, Ranchi. Indian J Prev Soc Med. 2008;39(3):4.

Bastani P, Vatankhah S, Salehi M. Performance Ratio Analysis: A National Study on Iranian Hospitals Affiliated to Ministry of Health and Medical Education. Iran J Public Health. 2013;42(8):876-82.

Dutta S, Biswas R, Lahiri A. A Study on Bed Utilization in the Gynaecological Ward of a District Hospital in West Bengal. Indian J Public Health. 2005;49(4):263-4.

Mehrtak M, Yusefzadeh H, Jaafaripooyan E. Pabon Lasso and Data Envelopment Analysis: a complementary approach to hospital performance measurement. Glob J Health Sci. 2014;6(4):107-16.