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--- userdocs:intro:concepts [2017/08/16 16:58] – jhammond
+++ userdocs:intro:concepts [2017/09/28 21:02] (current) – sslattery
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-======Concepts and Definitions======
+=====Concepts and Definitions=====
 ====Hospital====
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 ====Caseload====
 **Visit** Caseload\\
-Visit Caseload (also known as Discharge Caseload) is the primary measurement of hospital and clinical activity.  Patients are typically admitted, treated, and then discharged.  When this occurs, we refer to it as one Visit.  If the patient returns after being discharged, that is considered a separte visit.  The number of Visits over a period is referred to as Visit Caseload.  Visit Caseload can be reported for the Hospital as a whole, per Large or Small Animal Hospital, per clinician, or per Clinical Service.  Since more than one Clinical Service or Clinician may participate in the care of a patient during the visit, we credit the discharging service and clinician with the Visit when reporting by Visit Caseload by Clinical Service or Clinician.
+Visit Caseload (also known as Discharge Caseload) is the primary measurement of hospital and clinical activity.  Patients are typically admitted, treated, and then discharged.  When this occurs, we refer to it as one Visit.  If the patient returns after being discharged, that is considered a separte visit.  The number of Visits over a period is referred to as Visit Caseload.  Visit Caseload can be reported for the Hospital as a whole, per Large or Small Animal Hospital, per clinician, or per Clinical Service.  Since more than one Clinical Service or Clinician may participate in the care of a patient during the visit, we credit the discharging service and clinician with the Visit when reporting by Visit Caseload by Clinical Service or Clinician.  Since Visit Caseload is based on the discharging service orclinician, the total Visits for all services or clinicians will equal the total Visit Caseload for the Hospital.
 **Accession** Caseload\\
+Visit Caseload alone is not always adequate to measure a Clinical Service's activity.  If a service such as Emergency admits and stabilizes a patient, and then transfers the patient to another service, the admitting service would not be credited for the Visit, even though it may have been a major participant.  Also, Responsibility Centers such as Radiology and Clinical Pathology do not discharge patients and would not be credited with any Visit Caseload. Accession Caseload is intended to credit each service that participated in the care of a patient's visit. If an RC or service adds one or more charges to the patient's invoice, that service/RC gets credit for on Accession.  Since multiple services and RC's get credit for the same visit, the total service accessions would not equal the total Hospital Visit Caseload.
 **Animals Treated** Caseload
+Visit Caseload and Accession Caseload are based on the admission/discharge process.  Herds, mare/foal pairs, and litters are often admitted as a single "patient" for record-keeping simplicity.  The number of animals in the herd/pair/litter are recorded with the admission, but are not counted in Visit and Accession Caseload.  Animals Treated Caseload takes the herd/pair/litter size into account.  This measure of clinical activity is well-suited for ambulatory services.
 ====Census====
+The Census is a list of all patients that are currently admitted (and not discharged).  Patients that appear on the Census reports should be physically in the hospital, under the care of Hospital faculty and staff.
 ====Fee Schedule====
+The Fee Schedule is a list of fees and prices.  Every line item that appears on an invoice comes from either the fee schedule or the pharmacy product list.  Since there is a large number of fees and products, and each Responsibility Center typically charges a small subset of those fees, the Fee Schedule is organized into a number of Charge Forms - usually corresponding to Responsibility Centers.  A Charge Form is simply a subset of the Fee Schedule, used by Responsibility Centers to locate and organize the fees they charge.  The Charge Form also determines which Responsibility Center will get credit for the revenue that is charged from it.