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Compendium of 51 Most Useful KPIs for the Healthcare Sector

Writer: Dr. MarvilanoDr. Marvilano

These KPIs provide insights into various aspects of healthcare performance, efficiency, patient satisfaction, and financial health.

 

1.      Average Length of Stay: The average number of days a patient spends in a healthcare facility.

 

2.      Average Patient Wait Time: The mean time a patient has to wait before receiving care or being attended to.

 

3.      Average Revenue per Inpatient Day: The average revenue generated by a healthcare facility for each inpatient day.

 

4.      Bed Occupancy Rate (BOR): The percentage of available beds that are occupied in a healthcare facility.

 

5.      Case Mix Index (CMI): A measure reflecting the complexity of patient cases treated at a healthcare facility.

 

6.      Claim Denial Rate: The percentage of insurance claims denied by payers.

 

7.      Clinical Staff Turnover Rate: The rate at which clinical staff, such as doctors and nurses, leave the healthcare organization.

 

8.      Clinical Trial Enrollment Rate: The percentage of eligible patients who enroll in clinical trials.

 

9.      Days in Accounts Receivable (DAR): The average number of days it takes for a healthcare facility to collect payments after providing services.

 

10.  Diagnostic Imaging Efficiency: The effectiveness and efficiency of diagnostic imaging services.

 

11.  Drug Approval Success Rate: The percentage of pharmaceutical drugs that successfully receive regulatory approval.

 

12.  Drug Development Cycle Time: The average time taken to bring a new drug from discovery to market.

 

13.  Drug Sales by Therapeutic Category: The distribution of pharmaceutical sales across different therapeutic categories.

 

14.  Emergency Department (ED) Throughput: The efficiency of patient flow and care delivery in the emergency department.

 

15.  Equipment Utilization Rate: The percentage of time medical equipment is used effectively.

 

16.  First Pass Claim Acceptance Rate: The percentage of insurance claims accepted without the need for resubmission.

 

17.  Health Technology Adoption Rate: The rate at which healthcare organizations adopt new technologies.

 

18.  Healthcare-Associated Infections (HAIs) Rate: The rate of infections acquired by patients during their stay in a healthcare facility.

 

19.  Home Health Care Recertification Rate: The percentage of patients receiving home health care services who are recertified.

 

20.  Medical Cost Ratio (MCR) or Medical Loss Ratio (MLR): The ratio of medical costs to total revenue, used to assess the efficiency of healthcare spending.

 

21.  Mortality Rate: The percentage of patients who die within a specified period or due to a particular condition.

 

22.  Net Patient Revenue (NPR) per Adjusted Patient Day: The net revenue generated by a healthcare facility for each adjusted patient day.

 

23.  Number of Clinical Trials in Progress: The total count of clinical trials currently underway.

 

24.  Number of New Patients: The count of new patients admitted or registered during a specific period.

 

25.  Number of Procedures Performed: The total count of medical procedures conducted within a specified timeframe.

 

26.  Operating Room Utilization Rate: The percentage of time operating rooms are in use for surgeries.

 

27.  Out-of-Pocket Expenditure as Percentage of Total Revenue: The percentage of total healthcare revenue coming from patients' out-of-pocket expenses.

 

28.  Patient Acquisition Cost: The cost associated with acquiring a new patient.

 

29.  Patient Engagement Rate: The level of patient involvement and interaction with healthcare services.

 

30.  Patient No-Show Rate: The percentage of patients who do not show up for scheduled appointments.

 

31.  Patient Satisfaction Score: A measure of patient contentment with the healthcare services received.

 

32.  Payer Mix: The distribution of patients based on different types of payers (e.g., insurance providers).

 

33.  Percentage of Appointments Scheduled Online: The proportion of appointments booked through online channels.

 

34.  Percentage of Claims Denied: The percentage of insurance claims rejected or denied by payers.

 

35.  Percentage of Emergency Admissions: The proportion of patients admitted to healthcare facilities through emergency departments.

 

36.  Percentage of Outpatient Surgeries: The percentage of surgeries performed on an outpatient basis.

 

37.  Percentage of Services Billed vs Collected: The percentage of healthcare services billed to patients or insurers that are successfully collected.

 

38.  Pharmaceutical R&D as a Percentage of Sales: The proportion of a pharmaceutical company's sales revenue allocated to research and development.

 

39.  Pharmacy Cost per Prescription: The average cost incurred by a healthcare facility for each prescription filled.

 

40.  Prescription Renewal Rates: The percentage of prescriptions that are renewed by patients.

 

41.  Preventable Hospitalization Rate: The rate at which hospitalizations occur for conditions that could have been prevented with appropriate care.

 

42.  Rate of Hospital-Acquired Conditions (HACs): The frequency of adverse events or conditions acquired by patients during their hospital stay.

 

43.  Rate of Patient Falls: The frequency of patients falling in a healthcare facility.

 

44.  Readmission Rate: The percentage of patients readmitted to a hospital within a specific period after a previous discharge.

 

45.  Revenue Cycle Time: The average time taken to complete the entire revenue cycle, from patient registration to payment collection.

 

46.  Revenue per Physician: The average revenue generated by each physician in a healthcare organization.

 

47.  Staff-to-Patient Ratio: The ratio of healthcare staff to the number of patients being cared for.

 

48.  Telemedicine Utilization Rate: The percentage of healthcare services delivered remotely through telemedicine.

 

49.  Therapeutic Success Rate: The success rate of therapeutic interventions or treatments.

 

50.  Time to Treatment: The average time taken to initiate treatment for a patient.

 

51.  Value-Based Purchasing (VBP) Score: A measure of a healthcare provider's performance in delivering high-quality, cost-effective care.

 




 

 

 

 

 

 
 

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