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 ?
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.
She also endorses the union push to change the midnight census time, which is used to determine nursing-hours-per-patient for the coming day.
In order to address this matter, the Department is requiring that Morton Hospital provide with its plan the daily midnight census of the pediatric unit from January 1, 2010 through April 20, 2013, and clarify for the Department whether this count includes just children admitted to the hospital or both children admitted to the hospital and those held in the hospital for observation.
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.
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.