Introduction

Hospital Information System (HIS) is dependent upon the well-established reporting system of medical record department. The reports are required for the following purposes: 

1. For evaluating the quality of medical care

2. For identification of deficiency in care

3. Increase the effectiveness of hospital administration.

4. Prevention and control of disease

5. Surveillance of diseases by the public health authorities as hospital serves as sentinel surveillance centres for many diseases

6. Collection, recording and reporting of vital statistics

7. Provide morbidity, mortality data to public health authorities

8. Assess the utilization of hospital facilities

9. Planning of hospital, and health care delivery systems to the community

10. Prioritization of health problems

11. Monitoring and evaluation of health care

 

Reports

Following types of reports are prepared by the medical records department: 

Reports relating to work load:

1. Total number of out patient

2. Total no. of new cases

3. Total no. of follow up cases statistics

4. Total no. of operations

5. Total X-rays done

6. Total investigations done

7. Department-wise work load breakup

 

Report relating to hospital care:

1. Postoperative Infection rate

2. Postoperative complication rate

3. Caesarean section rate

4. Consultation rate

5. Autopsy rate

6. Rate of normal tissue removed

7. Rate of disagreement between final diagnosis and pathological diagnosis

8. Result of treatment

 

Report relating to Admission of patient:

1. Daily admission

2. Unit wise daily admission 

3. Total admission during the period 

4. Distribution of patients by Age, Sex, race, geographical area 

 

Report relating to Hospital beds: 

1. Daily census of hospital 

2. Maximum patient on any day 

3. Minimum patients on any day 

4. Average daily attendance

5. Bed Occupancy Rate (BOR)

6. Total patients days care

7. Bed turn over interval

 

Reports relating to discharges:

1. Daily discharges

2. Total patients discharged over a period

3. Days of care to patient discharged

4. Average Length of Stay (ALS)

 

Reports relating to Deaths: 

1. Daily number of death 

2. Total deaths over a period 

3. Total deaths under 48 hours 

4. Total death over 48 hours 

5. Net death rate

6. Gross death rate

7. Faetal death rate

8. Maternal death rate

9. Infant death rate

10. Postoperative death rate

11. Anaesthesia death rate