Santa Clara Valley Medical Center (SCVMC) reviews the organization’s net revenue per adjusted patient day to monitor operational efficiency. Net revenue per adjusted patient days is a financial measure that normalizes the revenue collected across the health system for both inpatient and outpatient settings. It is calculated by net revenue divided by the adjusted patient days. Adjusted patient days are calculated as inpatient days plus an adjusted factor for outpatient days (inpatient days multiplied by the outpatient revenue divided by inpatient revenue). The use of an adjustment factor shows the amount of payments SCVMC recognizes for patient and non-patient services across all settings.