midnight census

midnight census

An accounting of the number of residents living in a care facility at night. This number is the one used in the U.S. by the Centers for Medicare Services to determine how much reimbursement the facility will receive for the care of its residents. It may differ from the daytime census in that during the day residents may travel to or occupy more than one facility so that they can receive specialized care services.
References in periodicals archive ?
Once we solve midnight census, nursing care hours per patient day should be next
We are determined to illustrate that nurse staffing is more than staffing ratios, midnight census, and the bottom line.
Because it receives direct feeds from ADT (Admission, discharge and transfer) systems, the software can easily determine the average contact census for each shift so that staff schedules are built to handle the total patient workload, not just a midnight census snapshot.
The claim also seeks to replace the midnight census for nursing hours calculations with a system that accurately reflects patient numbers and provides patient "specialling" in addition to mandated nursing hours or ratios.
Under these conditions, the system of budgeting nursing services by midnight census evolved.
Hospitals with fewer than 150 beds had higher operating margins than larger facilities -- Average median daily census - the number of occupied beds in a hospital at midnight census - increased 25 percent over 1997 levels Findings in the Health of our Nation's Hospitals report were derived from Solucient's ACTION O-I(tm) operational improvement database, representing 900 hospitals across the United States.
Midnight census may be an outdated way of tracking work load as so many patients have early evening d/c and midnight census does not reflect work between 7 am-7 pm when most patients come and go.
Microsoft Excel's graphing and charting tool was used to develop a graph for tracking daily midnight census variations throughout the pay period (see chart at right center of Figure 3).
Since staffing decisions are made on a per-shift basis, calculating HPPD based upon midnight census provided little decision-making support about variable staffing needs over a 24-hour period.
The problem of the midnight census as the only count of patient utilization was exposed here.