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Compendium of 51 Most Useful KPIs for the Healthcare Sector


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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