OO - Organizational Overview

OO23: Nursing-sensitive indicator data related to patient outcomes for a 2-year period. If available, include the levels of statistical significance as compared to the benchmark. Data at the unit level by measure must be submitted on patient falls, nosocomial pressure ulcer incidence and/or prevalence, along with two (2) (the same data sets as used in response to EP37EO) of the following:

  • Blood stream infections
  • Urinary tract infections
  • Ventilator-associated pneumonia
  • Restraint use
  • Pediatric IV infiltrations
  • Other specialty-specific nationally benchmarked indicators

Include a graphic display of the data that clearly identifies benchmarks. List all external databases used to benchmark your performance. (EP32)

Jersey CityMedicalCenter uses the National Database of Nursing and Quality Indicators (NDNQI) to evaluate nursing care at the unit level. Using this database, JCMC monitors indicators such as fall rates, nosocomial pressure ulcer prevalence, restraint prevalence, pediatric IV infiltrations, and nosocomial infections such as catheter associated urinary tract infection (CAUTI), central line associated blood stream infection (CLABSI) and ventilator associated pneumonia (VAP). The National Healthcare Safety Network (NHSN) is also used to benchmark CAUTI, VAP and CLABSI. A summary based table providing a list of indicators, participating units, and bench marks can be found in OO3 Graphical descriptions of unit based nurse sensitive indicators and comparing to the national benchmarks using NDNQI are provided for the following indicators:

  • Pressure Ulcers Prevalence Rates for all patient care units
  • Patient Fall rates per 1000 patient days for all patient care units
  • Ventilator-associated pneumonia (VAP) rates for critical care units
  • Central Line Associated Blood Stream Infection (CLABSI) rates for critical care units