Hospital statistics

Hospital Statistics Formulas: BOR, ALOS, Census, Turnover and Death Rates

The core hospital statistics formulas in one place, each with a worked example: bed occupancy rate, average length of stay, average daily census, bed turnover, gross and net death rate, ARPOB and OPD to IPD conversion. Use the calculators to work them out for your hospital, or print the page as a PDF.

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Formulas

Hospital statistics formulas with examples.

Always use the same period for the numerator and the denominator, and count occupied bed days from the daily midnight census.

Bed occupancy rate (BOR)

Occupied bed days ÷ Available bed days × 100

Available bed days = available beds × days in the period. Example: 3,150 occupied bed days ÷ (140 beds × 30 days = 4,200) × 100 = 75%. BOR calculator

Average length of stay (ALOS)

Total inpatient days ÷ Total discharges (including deaths)

Example: 2,400 inpatient days ÷ 600 discharges = 4.0 days. ALOS calculator

Average daily census (ADC)

Total inpatient service days ÷ Number of days in the period

Example: 2,700 inpatient service days ÷ 30 days = 90 patients per day. ADC calculator

Bed turnover rate

Total discharges ÷ Average available beds

Example: 420 discharges ÷ 100 beds = 4.2 patients per bed in the period. Bed turnover calculator

Bed turnover interval

(Available bed days − Occupied bed days) ÷ Total discharges

The average number of days a bed stays empty between patients. Example: (3,000 − 2,400) ÷ 400 = 1.5 days. Bed turnover calculator

ARPOB

Net IPD revenue ÷ Occupied bed days

Use net revenue after discounts, refunds, cancellations and insurer deductions. Example: ₹2.9 crore ÷ 1,950 occupied bed days ≈ ₹14,900 per day. ARPOB calculator

Gross death rate

Total inpatient deaths ÷ Total discharges (including deaths) × 100

Example: 12 deaths ÷ 800 discharges × 100 = 1.5%.

Net death rate

(Inpatient deaths − Deaths within 48 hours of admission) ÷ (Discharges including deaths − Deaths within 48 hours) × 100

Excludes early deaths to reflect care after admission. Example: (12 − 4) ÷ (800 − 4) × 100 ≈ 1.0%.

OPD to IPD conversion ratio

IPD admissions from OPD ÷ OPD patients advised admission × 100

Measures how many patients advised admission are actually admitted. Conversion guide

Using the numbers

Read the formulas together, not one at a time.

Occupancy and ALOS

High occupancy with rising ALOS can mean slow discharges rather than more patients.

Occupancy and ARPOB

Full beds are not enough if each occupied bed earns less than it should.

Turnover and interval

A low turnover interval means beds are reused quickly; a high one means empty beds between patients.

Death rates

Compare net death rates over time and by department, and review definitions before comparing hospitals.

Frequently asked questions

Hospital statistics formulas: common questions

What is the formula for bed occupancy rate in a hospital?

Bed occupancy rate = occupied bed days ÷ available bed days × 100, where available bed days = available beds × days in the period.

What is the ALOS formula?

ALOS = total inpatient days ÷ total discharges, including deaths, for the same period.

What is the average daily census formula?

Average daily census = total inpatient service days ÷ number of days in the period.

What is the formula for bed turnover rate?

Bed turnover rate = total discharges ÷ average available beds for the period.

What is the difference between gross and net death rate?

Gross death rate counts all inpatient deaths against all discharges. Net death rate excludes deaths within 48 hours of admission from both the deaths and the discharges, to reflect care after admission.

Can I download these hospital statistics formulas as a PDF?

Yes. Use the Print or Save as PDF button on this page and choose Save as PDF in your browser's print dialog.

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