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Healthcare KPIs, Metrics, & Measures

Read about 100s of healthcare KPIs and metrics that fall into the following categories. Click on a category blue box to open it and get a select list of its measures. Clicking a second time on the category title collapses that box.

Your Area of Interest

Data Management

BI/Analytics

Measures

Deployment

Documentation

Hospital Operations KPIs

Inpatient Volumes
  • Total Admissions
  • IP Admissions
  • Acute Admissions
  • ED Admissions
  • Total Discharges
  • IP Discharges
  • Acute Discharges
  • Total Discharge Days
  • IP Discharge Days
  • Acute Discharge Days
  • Total Patient Days
  • Acute Patient Days
  • IP Surgical Cases
Inpatient Revenue
  • Inpatient Charges
  • Avg IP Charges Per Discharge
  • IP/OP Charge Ratio
Outpatient Ratios
  • ED Visits Admitted %
  • ED 48 Hour Return %
  • ED 72 Hour Return %
  • ED Average Time to Admission
  • ED Average Time to Departure
  • ED Median Time to Admission
  • ED Median Time to Departure
Outpatient Revenue
  • Outpatient Charges
  • Avg OP Charges per Visit
30 Day Readmits
  • HWR 30D Readmit Rate
  • HWR 30D Readmits
  • HWR 30D Index Population
  • AMI 30D Readmit Rate
  • AMI 30D Readmits
  • AMI 30D Index Population
  • COPD 30D Readmit Rate
  • COPD 30D Readmits
  • COPD 30D Index Population
  • HF 30D Readmit Rate
  • HF 30D Readmits
  • HF 30D Index Population
  • PN 30D Readmit Rate
  • PN 30D Readmits
  • PN 30D Index Population
  • STK 30D Readmit Rate
  • STK 30D Readmits
  • STK 30D Index Population
Avg Length of Stay
  • Overall ALOS
  • Acute ALOS
  • Normal Newborn ALOS
  • NICU Newborn ALOS
  • STK ALOS
  • HF ALOS
  • AMI ALOS
  • PN ALOS
  • COPD ALOS
Mortality
  • Overall Hospital Mortality Rate
  • Acute Mortality
  • Overall Hospital Mortality
  • Acute Mortality Rate
  • STK Mortality
  • STK Mortality Rate
  • HF Mortality
  • HF Mortality Rate
  • AMI Mortality
  • AMI Mortality Rate
  • PN Mortality
  • PN Mortality Rate
  • COPD Mortality
  • COPD Mortality Rate
Miscellaneous
  • Diagnoses
  • Procedures
  • Adjustments
  • Payments

Ambulatory Operations KPIs

Operations Volumes
  • Total Billable Office Visits
  • New Patient Visits
  • Established Patient Visits
  • Professional Visits
  • Transitional Care Visits
  • Hospital Visits
  • Sick Visits
  • Well Visits
  • Nursing Home Visits
  • Consultation Visits
  • Home Services Visits
  • Arrived Appointments
  • Attended Appointments
  • Cancelled Appointments
  • New Office Visit Appointments
  • Total Appointments
  • No Show Appointments
  • New Patient Appt Lead Time
  • Total RVU
  • Work RVU
  • Adj Work RVU
  • Malpractice RVU
  • Practice Expense RVU
  • Total Encounters
Operations Ratios
  • % Established Patient Visits
  • % New Patient Visits
  • % Chronic Population
  • % No Show Appts
  • % EM Level 1
  • % EM Level 2
  • % EM Level 3
  • % EM Level 4
  • % EM Level 5
  • Well/Sick Ratio
Revenue Volumes
  • Total Charges DOE ($K)
  • Total Payments ($K)
  • Patient Payments ($K)
  • Insurance Payments ($K)
  • POS Payments ($K)
  • Copay Receipts ($K)
  • Total Adjustments ($K)
  • Bad Debt Write Offs ($K)
Revenue Ratios
  • Charge/Work RVU
  • Charge/Adj Work RVU
  • Charge/Total RVU
  • Charge/Visit
  • Payment/Closed Visit
  • Payment/Visit
  • % Established Patient Visits
Financials Volumes
  • Total Charges DOE ($K)
  • Total Charges DOS ($K)
  • Total Payments ($K)
  • Patient Payments ($K)
  • Insurance Payments ($K)
  • POS Payments ($K)
  • Copay Receipts ($K)
  • Bad Debt Write Offs ($K)
  • Total Adjustments ($K)
  • Total Balance ($K)
  • Insurance Balance ($K)
  • Patient Balance
  • Total Balance 000 to 030
  • Total Balance 031 to 060
  • Total Balance 061 to 090
  • Total Balance 091 to 120
  • Total Balance 121+
Financial Ratios
  • % AR 000 to 030 Days
  • % AR 031 to 060 Days
  • % AR 061 to 090 Days
  • % AR 091 to 120 Days
  • % AR 121+ Days

Inventory KPIs

Inventory
  • Inventory
    • Carrying Cost
    • Carry Cost % of Inventory
    • Total Inventory Cost
  • Inventory
    • Average Inventory
    • Beginning Inventory
    • Cases On Order
    • Ending Inventory
    • Inventory % of Avg
    • Physical Count Inventory Value
  • Shrinkage
    • Shrinkage
    • Shrinkage % of Inventory
    • Shrinkage % of Sales
  • Dead Stock
    • Dead Stock
    • Dead Stock % of Inventory
  • Active Sku Count
    • Average Cost Per Unit
    • Order Fill Capability
Inventory & Sales
  • Inventory & Sales
    • Gross Margin
    • GMROI
    • GMROI % of Goal
    • Gross Profit
    • Gross Profit %
    • COGS
  • Out of Stocks
    • Out Orders
    • Out of Stock Order Rate
    • Out of Stock % of Goal
  • Order Cycle Time
    • Average Order Cycle Time
    • Average Order Cycle Time % of Goal
    • Order Cycle Time
  • Supply
    • Days of Supply
    • Days of Supply % of Goal
  • Sell Through Rate
    • Sell Through Rate
    • Sell Through Rate % of Goal
  • Inventory Turns
    • Inventory Turns – COGS
    • Inventory Turns – Sale Amt
  • Days of Supply
    • Days of Supply
    • Days of Supply % of Goal
    • Average Inventory
  • Days to Sell Inventory
    • Average DSI
    • Average DSI Goal
  • Returns & Perfect Order Rate
    • Returns
    • Rate of Return
    • Perfect Order Rate
  • Inventory To Sales
    • Inventory to Sales Ratio
    • Inventory to Sales Ratio % of Goal
  • Lost Sales
    • Total Inventory Cost
    • Invoice Cases
Inventory & People
  • Units Counted
    • Employees Counting
    • Average Units Counted Employees
    • Average Units Counted Employees % of Goal
    • Hours Counting
    • Average Units Counted Hours
    • Average Units Counted Hours % of Goal
  • Units Picked
    • Employees Picked
    • Average Units Picked Employees
    • Average Units Picked Employees % of Goal
    • Hours Picked
    • Average Units Picked Hours
    • Average Units Picked Hours % of Goal
  • Units Put Away
    • Employees Put Away
    • Average Units Put Away Employees
    • Average Units Put Away Employees % of Goal
    • Hours Put Away
    • Average Units Put Away Hours
    • Average Units Put Away Hours % of Goal

Population Health KPIs

Utilization
  • Total Admissions
  • Total Discharges
  • Total Discharge Days
  • Acute Discharges
  • Acute Discharge Days
  • Acute ALOS
  • IP Admissions
  • IP Discharges
  • ED Visits
  • Physician Office Visits
Diabetes Measures
  • Total Population
  • Diabetes Registry Population
  • Diabetes Registry Population %
  • Diabetic Patients
  • Diabetic Patients %
  • Diabetic Patients Age 18-75
  • Diagnosed Diabetes Patients
  • Diagnosed Diabetes %
  • Diagnosed Diabetes with CMs Patients
  • Diagnosed Diabetes with CMs %
  • Potentially Undiagnosed Diabetes Patients
  • Potentially Undiagnosed Diabetes %
  • Pre-Diabetes Patients
  • Pre-Diabetes %
Lab Orders / Results
  • Patients with Borderline High A1c (5.7%-6.5%)
  • Percent Patients with Borderline High A1c (5.7%-6.5%)
  • Percent Patients with High A1c (>=6.5%)
  • Patients with High A1c (>=6.5%)
  • Patients with Valid A1c Result
  • Patients with Valid Glucose Result
  • Patients with Glucose>150
  • Percent Patients with High Glucose
  • Patients with Valid BMI Result
  • Patients with BMI>25
  • Percent Patients with High BMI
  • Patients with Valid LDL Result
  • Patients with LDL>100
  • Percent Patients with LDL>100
  • Patients with Valid Creatinine Result
  • Patients with High Creatinine (>1.21)
  • Percent Patients with High Creatinine (>1.21)

Revenue Cycle Management KPIs

Claims Management
  • Days Gross Revenue Held in Credit Balances
  • Days Gross Revenue in Unbilled Status
  • Final Billed Not Submitted to Payer (FBNS)
  • Clean Claim Submission Rate
  • Overall A/R Days
  • Net A/R Days > 30
  • Net A/R Days > 60
  • Net A/R Days > 90
  • Net A/R Days > 120
Charges Capture
  • Total Charges by Service Date
  • Total Charges by Posting Date
  • Charge Lag Days
  • Late Charges
  • Late Charges as % of Total Charges
Other Management
  • Bad Debt
  • Bad Debt Write-offs as % of Gross Revenue
  • Charity Care Write-offs as % of Gross Revenue
  • Case Mix Index
Reimbursement
  • Denial Rate
  • Initial Zero Paid Denial Rate
  • Total Denial Write-Off as a % of Net Revenue
  • Overturned Denial Rate (appeal success rate)
Lab Orders / Results
  • Gross Revenue
  • Net Revenue
  • Gross Revenue in Discharged Not Final Billed (DNFB)
  • Days Gross Revenue in Discharged Not Final Billed (DNFB)
  • Discharged Not Submitted to Payer (DNSP)
  • Average Daily Gross Revenue

Accounting KPIs

Revenue
  • Patient Revenue
    • Routine Revenue
    • Ancillary Revenue
    • Inpatient Revenue
    • Outpatient Revenue
    • Total Patient Revenue
    • Deductions
  • Other Revenue
    • Other Operating Revenue
    • Total Operating Revenue
Expenses
  • Salaries
    • Total Salary Expense
  • Benefits
    • Paid Time Off
    • Other Benefits
  • Total Benefits
    • Total Salaries & Benefits
  • Supplies
    • Operating Supplies
    • Med/Surg Supplies
    • Drugs
  • Total Supplies
  • Other Expense
    • Professional Fees
    • Repairs/Svc Contracts
    • Insurance
    • Utilities
    • Purchased Services
    • Taxes
    • Travel/Dues
    • Interest
    • Other
    • Bad Debt
    • Depreciation
  • Total Other Expense
    • Total Expenses
    • Gross Operating Margin
    • Non Operating Revenue
    • Non Operating Income/Loss
    • Total Gross Margin After Non Operating
Man hours
  • Manhours-Regular
  • Orientation
  • Manhours-Overtime
  • Contract/Temporary Labor
  • Paid Time Off-Taken
  • Total Manhours
FTEs
  • Regular FTEs
  • Orientation FTEs
  • Overtime FTEs
  • Contract/Temp FTEs
  • PTO FTEs
  • Total Paid FTEs
  • Paid Sal Exp/Hour
Units
  • Primary Units of Service (UOS)
  • Gross Revenue/ UOS
  • Salary Expense/ UOS
  • Benefit Expense/ UOS
  • Supply Expense/ UOS
  • Other Expense/ UOS
  • Total Expense/UOS

Surgery KPIs

Volume
  • Total Cases
  • Inpatient Cases
  • Outpatient Cases
  • Total Procedures
  • Inpatient Procedures
  • Outpatient Procedures
  • Add-on Cases
  • Add-on Cases %
  • Saturday Add-on Minutes
  • Sunday Add-on Minutes
  • After Hour Cases
  • Cancelled Cases
  • Cancelled Cases %
  • First Cases
  • Late Cases
  • Late Cases %
  • Late First Cases
  • Late First Cases %
  • On-Time Cases
  • On-Time Cases %
  • Scheduled Cases
  • Subsequent Cases On-time
  • Subsequent Cases On-time %
  • Total PACU Boarded Cases
  • Total PACU Phase I Stays
  • Total PACU Phase II Stays
  • Accurate Case Duration Estimates
  • Accurate Case Duration Estimates %
Financial
  • Total Charges for Surgical Accounts
  • Total Charges for Surgical IP Accounts
  • Total Charges for Surgical OP Accounts
  • Avg Charges per Surgical Account
  • Total Direct Costs for Surgical Accounts
  • Avg Direct Costs per Surgical Account
  • Total CVOR Account Charges
  • Avg CVOR Account Charges
  • Total Direct CVOR Account Costs
  • Avg Direct CVOR Account Costs
  • Total Supply Cost
  • Avg Supply Cost
  • Supply Cost %
  • Total Implant Cost
  • Avg Implant Cost
  • Implant Cost %
  • Total Waste Cost
  • Avg Waste Cost
  • Waste Cost %
Utilization
  • In Block Minutes %
  • Block Utilization %
  • Total Block Minutes Available
  • Total Out of Block Minutes
  • Total In Block Minutes
  • Facility Utilization %
  • Facility Minutes Used
  • Facility Unit Capacity Minutes
  • Avg Room TAT Minutes
  • Avg Surgeon TAT Minutes
  • Avg Surgery TAT Minutes
  • OR Utilization %
Throughput
  • Average Case Minutes
  • Average Procedure Minutes
  • Average Surgery Minutes
  • Average PAT Minutes
  • Avg PACU Phase I Minutes
  • Avg PACU Phase II Minutes
  • Total PACU Boarded Minutes
  • Avg PACU Boarded Minutes
  • Avg Patient In to Surgery Start Minutes
  • Avg Surgery Complete to Patient Out Minutes
  • Avg Pre-Op Minutes
  • Avg Room TAT Minutes
  • Avg Surgery TAT Minutes
  • Avg Surgeon TAT Minutes
Procedures
  • CVOR Cases
  • CVOR Procedures

Emergency Department KPIs

ED Level
  • ED Level 1
  • ED Level 2
  • ED Level 3
  • ED Level 4
  • ED Level 5
  • Average ED Level
  • Average ED Level Charge
Holding
  • ED Holds
  • Hold Time for Holding Patients
  • Pct ED Visits Holding
Imaging Turnaround Time
  • Median Minutes Door to Results X-ray
  • Median Minutes Door to Results CT Head
  • Median Minutes Door to Results CT Chest-PE
  • Median Minutes Door to Results CT Abd-Pelv IV
  • Median Minutes Door to Results CT Abd-Pelv
Imaging Utilization
  • % ED Visits with X-ray Order
  • % ED Visits with CT Head Order
  • % ED Visits with Chest PE Order
  • % ED Visits with Abd-Pelv IV Order
  • % ED Visits with Abd-Pelv Order
IP ED Quality
  • ED1 – Median LOS Admitted Patients
  • ED2 – Median Decision to Depart
Lab Utilization
  • % ED Visits with PT INR Orders
  • % ED Visits with Lactate Order
  • % ED Visits with Troponin Order
  • % ED Visits with Glucose Order
  • % ED Visits with CBC Order
  • % ED Visits with CMP Order
OP ED Quality
  • OP18 – ED Median LOS OP
  • OP20 – Median Time Door to Doc OP
  • OP21 – Proxy – Cases with long bone fracture
  • OP22 – LWBS %
  • OP23 – Proxy – Arrival to CT Results for STK
Ratios
  • ED Visits Departed Rate
  • Pct ED Visits Admitted
  • ED to Observation Rate
  • ED Treat and Release Rate
  • Pct ED Visits AMA
  • Pct ED Visits LWBS
  • ED Transfer to Psych Rate
  • Pct ED Visits Transfer Acute
Throughput
  • Median Elapsed Time Door to Doc
  • Median Elapsed Time Door to Triage
  • Median Elapsed Time Triage to Doc
  • Median Elapsed Time Triage to Room
  • Median Minutes LOS Admitted Patients
  • Median Minutes LOS Departed Patients
  • Median Minutes LOS Observation Patients
  • Median Minutes LOS All ED Patients
Volumes
  • ED Visits
  • ED Visits Admitted
  • ED Visits Departed
  • ED Visits DC Obs
  • ED Treat and Release Visits
  • Billable ED Visits
  • LWBS
  • AMA

Intensive Care Unit (ICU) KPIs

Volumes
  • Adm w ICU Episode
  • ICU Arrivals
  • ICU Episodes
  • ICU Departures
  • DC w ICU Episode
  • ICU Surgical Discharges
  • ICU Arrivals From ED
Key Indicators
  • ICU Episode Avg LOS Hours
  • ICU ALOS Observed
  • Overall ICU Hosp ALOS
  • ICU Ventilated Accounts
  • ICU Lab-Blood Transfusion Charges
  • Avg ICU Ventilator Days
  • Overall ICU All Payor CMI
  • Avg Apache II Score
Quality
  • ICU Return-48 Hrs
  • ICU Return Rate-48 Hrs
  • ICU Returns
  • CLABSI Infections
  • Central Line Days
  • CLABSIs per 1000 CL Days
  • Catheter Days
  • CAUTIs per 1000 Cath Days
  • ICU Mortality Observed
  • ICU Mortality Index
Utilization
  • Total ICU Charges
  • Total ICU Costs
  • ICU Charge Days
  • ICU Avg Charge Days
  • ICU Direct Costs/ICU Day
  • ICU Chg/ICU Day
  • Overall Costs per ICU Discharge
  • Overall Charges per ICU Discharge
  • ICU Interim Dir Cost per Disch
  • ICU Charges per Discharge
  • ICU Pharmacy Charges
  • ICU Pharmacy Direct Costs
  • ICU Imaging Charges
  • ICU Imaging Direct Costs
Pharmacy (per day charge)
  • Antiarrythmic Agents
  • Anticoagulant Agents
  • Antihypertensive Agents
  • Anticonvulsant Agents
  • Antimicrobial Agents
  • Diuretics
  • Gastric Acid Suppression
  • Sedatives
  • Vasopressors/Inotropes
  • Pharmacy All Other
Imaging (per day charge)
  • Total Imaging
  • Chest X-ray
  • Radiology All Other
  • CT Chest
  • CTA Chest
  • CT Abd and Pelvis
  • CT All Other
  • Ultrasound Abdomen
  • Ultrasound All Other
  • MRI Brain
  • MRI All Other
Lab (per day charge)
  • Blood Transfusion
  • Microbiology – Cultures
  • Select Chemistry Tests
  • Chemistry – Cardiac Markers
  • Hematology – CBC
  • Hematology – Coag
  • Lab All Other
Respiratory Therapy
  • Total Respiratory Therapy
  • Respiratory Therapy-ABG
  • Respiratory Therapy All Other
Miscellaneous
  • 1st Day+Interim Chrgs/Disch
  • 1st Day+Interim Chrgs/ICU Day
  • 1st Day+Interim Costs/ICU Day
  • ICU Laboratory Direct Costs
  • ICU Mortality Observed Net
  • ICU Mortality Rate Expected %
  • ICU Mortality Rate Observed %
  • ICU Predicted Encounters
  • ICU Ventilator Days
  • Interim Charges/Disch
  • Pct ICU Predicated Accounts
  • Pct Ventilated-ICU Accounts
  • Total Lab Cost per ICU Charge Day
  • Ventilated Accounts
  • Ventilator Days

Provider KPIs

Provider Inpatient Ratios
  • Acute All Payer Case Mix
  • Acute ALOS
  • Acute Discharge Days
  • Acute Discharges
  • Avg IP Charges Per Discharge
  • Avg OP Charges per Visit
  • HWR 30D Index Population
  • HWR 30D Indexes with Readmit
  • HWR 30D Readmit Rate
  • HWR 30D Readmits
  • HWR Index-Total Readmits
  • Inpatient Encounters
  • IP Surgical Cases
  • Overall All Payer Case Mix
  • Overall ALOS
  • Overall Hospital Mortality
  • Overall Hospital Mortality Rate
  • Total Charges
  • Total Discharge Days
  • Total Encounters
  • Total Surgical Cases
Provider Inpatient Volumes
  • Total Admissions
  • IP Admissions
  • Total Discharges
  • IP Discharges
Provider Outpatient Volumes
  • ED 72 Hour Index w/ Return
  • ED 72 Hour Return %
  • ED 72 Hour Returns w/ Admit
  • ED Average Length Of Stay Hour
  • ED Average Time to Departure
  • ED Return Index Pop
  • ED Visits
  • Observation Hours
  • Observation Visits
  • OP Surgical Cases
Provider Patient Satisfaction
  • HCAHPS Survey
  • HCAHPS_Q5_Courtesy & Respect
  • HCAHPS_Q6_Listen Carefully
  • HCAHPS_Q7_Explain Clearly
Provider Practice
  • Average Patient Age
Provider Procedures
  • Inpatient Procedure
  • Outpatient Procedure
Provider Quality (AHRQ)
  • IQI21-Cesarean Delivery Rate
  • IQI22-Vaginal Birth After Cesarean (VBAC) Rate
  • IQI23-Laparoscopic Cholecystectomy Rate
  • IQI24-Incidental Appendectomy In The Elderly Rate
  • IQI33-Primary Cesarean Delivery Rate
  • IQI34-Vaginal Birth After Cesarean (VBAC) Rate
  • NQI01-Iatrogenic Pneumothorax In Neonates
  • NQI02-Neonatal Mortality Neonatal Mortality
  • NQI03-Blood Stream Infections In Neonates
  • PDI12-Central Line-Associated Bloodstream Infection
  • PDI13-Transfusion Reaction
  • PSI02-Death In Low Mortality Drgs
  • PSI03-Pressure ulcer
  • PSI06-Iatrogenic Pneumothorax
  • PSI07-Central Venous Catheter-Related Bloodstream Infection
  • PSI08-Postoperative Hip Fracture
  • PSI09-Postop Hemorrhage Or Hematoma
  • PSI12-Postoperative PE Or DVT
  • PSI13-Postoperative Sepsis
  • PSI14-Postoperative Wound Dehiscence
  • PSI15-Accidental Puncture/Laceration
  • PSI16-Transfusion Reaction

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