MRS audit 2016

1. Welcome

2. Medical Record Section
JPNATC- AIIMS
Calender Year
Annual Audit Report
01/01/ 2016 to 31/12/2016

3. JPN Apex Trauma Centre
ALL INDIA INSTITUTE OF MEDICAL SCIENCES –New Delhi
RAMESH KUMAR KAUL/(R.K.KAUL)
Position: Medical Record Officer (MRO)
Qualification: Masters in ECONOMICS, (with Statistics & Research Methodology)
Technical Qualification: CBHI-Trainings : ICD-10, MRT, MRO, HIS/HIM, DCA,
Special Skills: Administration, Planning , Development & Management of MRD, Development of EMR/EHR
system.
Email: rkkaulmrsjpnatc@gmail.com

4. Annual Audit Report of MRS- Year 2016
• Dr. Amit Gupta - Faculty In-charge
• Ramesh K.Kaul - M.R.O.
• Saurabh +9MRT - M.R.T-MRS.

5. JPNATC Data information for
Year Year Diff.
2015 2016
Total Bed Strength : 186 186 -
Total Functional Beds : 176 176 -
Ward beds : 144 144 -
ICU beds 2nd floor : 12 12 -
ICU beds 3rd floor : 20 20 -

6. Bed Distribution in JPNATC-AIIMS
Total Bed Strength=186
Functional Bed Distribution in JPNATC-AIIMS
• TC1- 24---------(Disaster ward Mix)
• TC2-14----------(ICU Neurosurgery)
• TC3-20----------(ICU Mix)
• TC4-30----------(Mix ward)
• TC5-28----------(Neurosurgery)
• TC6-30----------(Trauma Surgery &Critical Care)
• TC7-30-----------(Ortho)
• Total Functional Beds---------=176 (Bed)

7. Year Year Diff.
2015 2016
Total Regd.pt. in TC : 67044 69551 +2507
Daily Avg.Pt. attended : 184 190 +06
Total No. of Follow-up OPD Case : 36383 40594 +4211
Avg. FOPD pts( per working day) : 123 137 +14
Total No. of Admission : 5192 5373 +181

8. 0
10000
20000
30000
40000
50000
60000
70000
Total No of Casualty Cases
Total No. of OPD Cases
Total No of Admission
Distribution of Patient ED, FOPD, Admission

9. Jan JulyApril October
0
10000
20000
30000
40000
50000
60000
70000
80000
No.ofPatients
Year:2016 =
69551
Year:2015 = 67044

10. Year Year Diff.
2015 2016
Total No. of Regd. Pts. : 67044 69551 +2507
Daily Avg.Pt. attend in TC : 184 190 + 06
Detail : 69551
Green : 46998
Yellow: 15677
Red : 3929
Black: 287
OPD:2341
RD : 319

11. Distribution of patients in TC – 2016
Green
Yellow
Black
Red
OPD
RD
Green = 46998
Yellow = 15677
RD = 319
Black = 287
Red = 3929
OPD = 28341
Total No. of patient registered in TC

12. Year Year Diff.
2015 2016
Total No. of Pts. Regd. : 67044 69551 +2507
Male Cases: 49735 51273 +1538
Female Cases: 17308 18259 +951
Others: 01 019 +18
MLC : 30071 38706 +8635
NMLC : 36973 30845 -6128

13. Year Year
2015 2016
No. of PATIENTS ATTENDED IN ED * :67044 69551
Details : 66891 (*Except RD = 319 + OPD = 2341)
Green : 46998
Yellow: 15677
Red : 3929
Black: 287

14. Green Yellow Red Black
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
50000
0
46998
15677
3929
287
DISTRIBUTION OF PT: EDNO.OFPATIENT
NO. OF PATIENT ATTENDED IN ED
in year-2016

15. Year Year Diff.
2015 2016 -
Total No. of Follow-up
OPD Case: 36383 40594 +4211
New : 14745 16858 +2113
Old (Re-visit): 21638 23736 +2098
Male: 24989 27592 + 2603 Female:
7063 8327 +1264
M. Child 2961 3204 +0243
F. Child 1370 1471 +0101

16. Year Year Diff.
2015 2016
Total No. of Admissions : 5192 5373 +181
Specialty- wise break-up
Orthopedics : 1419 1417 -002
TS&CC : 1900 2097 +197
Neurosurgery : 1869 1851 -018
Em. Medicine : 04 0 -004
Anesthisia (Pain): 0 08 +008
Urology : 0 0 -

17. 1869
1419
1900
4
Admission Distribution
Year: 2015 - Green
NS
Ortho
TSCC
Anesthisia

18. 1869
1419
1900
4
Admission Distribution
Year:2016 - Red
NS
Ortho
TSCC
Anesthisia

19. Year Year Diff.
2015 2016
Total No. of Operations performed: 5383 5437 +54
Major : 5143 5216 +73
Minor : 240 221 -19
Specialty- wise break-up
Orthopedics : 1826 1745 -81
TS&CC : 2146 2325 +179
Neurosurgery : 1334 1358 +24
Urology (Procd): 77 09 -68

20. • Comparison chart- Admission Vs Operation
YEAR -2016
Deptt Admission Operation Diff.
Ortho : 1417 1745 328(+Ops)
• TS&CC : 2097 2325 228 (+Ops)
• NSurg : 1851 1358 493(-Ads)
• Uro: 0 09 - 09 )Proc.
• Anesthia(Pain) 08 -
• Total : 5373 5437 +64

21. • Year Year Diff.
• 2015 2016
• Total Discharges : 4979 5018 +39
• Total Functional Beds : 176 176 -
• Total No. of Days care to pts: 53357 53695 +338

22. Year Year Diff.
2015 2016
Total Deaths incldg. B/D: 809 756 -53
Brought Dead at Casualty: -277 -287 +10
Total Deaths occurred : 532 469 -63
Deaths Under 48 Hours : 227 198 -79
Deaths Over 48 Hours : 305 271 -34

23. • Gross Death Rate = Deaths/Discharge*100
• = 469/5018*100=09.34
• = 09.34%
• G.D.R = 09.34%
• Round Fig. = 09%

24. • Net Death Rate =
Deaths over 48hrs/Discharges- Deaths under
48hrs *100
• = 271/5018-198*100
• =5.62%
• =5.62%
• NDR=5.6%
• Round Fig. =5%

25. • Average Length of Stay
• = Days of Care/Discharges
• =53695/5018
• = 10.72
• = 10.7 days
• ALOS = 10.7days
• Round Fig.=10 Days

26. • Bed occupancy Rate
• = Days of Care/Beds*days X100
• = 53695/176*366 X100
• = 53695/64416 X100
• B.O.R = 83.35%
• B.O.R =83%

27. • Bed turnover Rate
• = Discharges/Beds
• = 5018/176
• = 28.51
• BTOR = 28.51 pts/bed.
• Round Fig.= 28pts/bed.

28.
JPNATC- STATISTICS AT A GLANCE
Year
2016
Gross Death Rate : 09%
Net Death Rate : 05%
Bed occupancy Rate : 83%
Average length of Stay : 10 days
Bed Turnover Rate : 28 patients/bed

29. • Comparison of DATA Year 2016 Vs Year 2015
Indicator Year Year Diff.
2015 2016
• GDR 11% 09% -02%
• NDR 06% 05% -01%
• BOR 83 % 83% -
• ALOS 11 10 days - 01Day
• BTOR 28 28 -

30. Jan March May July September November
Year -
2016
9 % GDR
11% GDR
05 % NDR 06 % NDR
30%
25%
20%
15%
10%
5%
%Change

31. Disposal of Summons and
Court Attendance
• Received 2015 2016 Diff.
• Total 2187 1999 -188
• Within Delhi 2019 1662 -357
• Outside Delhi 168 337 +169
• Attended by Drs.+Staff 1949 1670 -279
• Attended by MRS staff 238 329 +91

32. Storage of MRD Physical file with Outsource Agency during-2016
Total No. of File Boxes= 1069
File Box Retrieved=115
Medical Record Files issued For Research Purpose:
2015 2016 Diff.
1520 1769 +249

33. Sl
N
o
Deptt. No of
Files
Issued
Title of Research Study Project
Investigator
Faculty
I/C
01 TS&
CC
812 Chest Trauma(Our
Experience)
Dr. Madhur
Uniyal
Dr.
K.D.Soni
02 N.S 262 Research Analysis Dr. Dinesh
Dhahiya
Dr.
deepak
Gupta
03 Anest-
hsia
240 Indicators of clinical
Outcome in patients of
diffuse axonal injury
Dr. Sakshi Dr. Chhavi
Swahney
04
05
TS&
CC
N.Anest
hesiolo
gy
220
235
Research on Mortality
Factors Affecting
Outcome of Traumatic
DAI
Dr. Amulya
Rattan
Dr. Barkha
Bindu
Dr.
Subodh
Kr.
Dr.G.P.Sin
gh

34. • Patient Name Correction, LIC Claim Form, Report To NDMC On-line, RTI Reply,
Radiographs Issued to Police Post ,etc
• Year Year Diff.
MRS Service 2015 2016 -
Pt. Name Correction: 149 425 +276
Death Report To NDMC: 815 761 -54
LIC case Disposal : 28 36 +10
RTI Reply : 76 55 -21
X-Ray Issued : 1004 941 -151

35. Year Year
2015 2016
Resident Doctors joining : 174 209
Resident Doctors relieved : 157 168
On-line information sent
to FRRO about foreign pts: 02 0
Disposal of Police/Public
Request of Medical Record. 350 504
On behalf of NDMC Death Certificate issued at TC: 06 - -
Reply to applicant requests ( in Hindi version) 105 306

36. 2016
Month Particulars Scientific Paper Presentation
Feb. By: RKKaul, MRO, JPN Apex Trauma
Centre, AIIMS
12-13 Med recon-2016
Indore-MP
Role of MRD in Trauma care Patients
Aug. By: R.K.Kaul, MRO, JPN Apex Trauma
Centre, AIIMS
18-20 WTC- 2016
New Delhi
MRD Poster Presentation + Scientific Paper
Publication in NMJ
Sept. By: R.K.Kaul, MRO, JPN Apex Trauma
Centre, AIIMS
16-17 CEUTEH- 2016
AIIMS-New Delhi
MRD Poster Presentation
Oct. By: R.K.Kaul, MRO, JPN Apex Trauma
Centre, AIIMS
12-14 IFHIMA- 2016
Tokyo (JAPAN)
EMR Status in AIIMS- New Delhi

37. Detail of Meeting & Short Training
attended -2016
S.
No.
Date
&Month
Particulars of Meeting/Training
01 23 Feb. RGI-Meeting: Reg Training to MRO/ Staff about providing
ICD-10 Coding pattern to Mortality Diseases.
02 2 -4 Mar. CMET- Training: Reg: RTI, PwD,FR/SR rules for
Disseminating Govt. Services in AIIMS.
03 4-7 May NDMC-Meeting+ Training: Reg: Aadhaar No,
Implementation in JPNATC-AIIMS. + Short Traing on MCCD
04 14 May Annual Audit- 2015 of MRS presented.
05 23 May Annual Hindi Audit-2015 presented
06 21 June Observed Yoga Day at MRS
07 01 July Filling of APAR-2015-16 ( Imparted In–house Instructions to
MRS - staff)
08
09
18 July
28,Dec.
Digital India Mission- Meeting attended at AIIMS,
conducted by e-governance Deptt. GOI
Meeting with Chief MRO –SGRH&RC: reg: Bsc HRS&IT CC.

38. MRS-TC Conducted Workshops/CME & Short Period
Trainings under
Prof.S.K.Bhoi
S.N
O.
Date &
MONTH
IN-HOUSE
WORKSHOP/SEMINAR/CME
PROGRAME Period
01 01,May Create &Developed Webpage
under
JPNATC.org/conference /MRS
MRS information
for Public & Govt.
etc.
01
Month
02 25,May WHO Compiled ICD-10 Training Program
for MRT/Jr.MRO
03
Months
03 5th
Dec.
Workshop cum CME EMR Status
in AIIMS-2016 Update
EMR status in
AIIMS
01 Day

39. Visit of Other M.R. Professionals in
JPN Apex Trauma Centre, MRS -2016
• 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.BK Kachroo, Chief MRO, Fortis Noida-UP
• Mr.VK Harnal, 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. Richa Purohit, MRO, LMT Hospital- NCT Delhi

40. Visit of Govt. officers’ in MRS
• Dr. Madhu Raikar, Director CBHI- MOH&FW, GOI
• Mr. Umed Singh , Consultant, CBHI-MOH& FW, GOI
• Mr. Arvind Kuryal, Sr. Statistical Officer, CBHI-
• Smt. Satya Veeri , MRO, MRD& TC, VMMC& SJH.
• Dr. Yogesh Dube, Member, NCCP, GOI

41. 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.

42. Past few Suggestions from MRS
had met this year-2016
• MRS was constantly requesting to Competent
Authority, kindly allow 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 Ex.Chief had accepted above request.

43. Research Chamber should be created within MRS for
facilitating various Medical researchers in a better way.
● In Year-2016
● 02 Research Cabins and 09
MRD staff Work Stations were
prepared in the MRS Annexes
for better Delivery of Health
Record Services in Trauma
Centre

44. • Space for Keeping Physical Record of Patients
(Hard Copy) at MRS.
• For this Offshore Storage of Record
• (OSR) facility had been created with C.R.C.
• 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 this regard
in TC.

45. THANK YOU
from
MRS-TEAM