Dashboard Analysis and Nursing Plan

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Dashboard Analysis and Nursing Plan

Data from the NDNQI is used to improve nursing practices and support the strategic outcomes of an organization. This data is also used to create the

Dashboard. The Dashboard, then, is used to create an action plan. Correctly interpreting information presented on the Dashboard provides nurses with

a better understanding of the goals of the action plan. This week, use the Dashboard, linked here and posted in Doc Sharing, to interpret the data

and frame a nursing plan based on best practices.

Nurse-Sensitive Quality Indicator Dashboard – Adams 5 (Inpatient Rehab Unit)

Time Period Q2FY09 Q3 FY09 Q4 FY09 Q1 FY10

Description Mean Target^ Actual Var Mean Target^ Actual Var Mean Target^ Actual Var Mean Target^ Actual Var

NDNQI Data
NHPPD^^ 8.15 6.69 6.56 -0.13 7.95 6.69 6.59 -0.10 8.18 6.69 6.23 -0.46 8.27 7.19 7.23 0.04
RN Care Hrs 54.86 61.86 58.71 -3.15 55.49 61.86 55.90 -5.96 54.93 61.86 56.59 -5.27 54.81 61.86 54.07 -7.79
%AGNCYHR 1.99 0.00 0.84 0.84 2.32 0.00 0.84 0.84 2.12 0.00 0.08 0.08 2.8 0.00 0.00 0.00
%PRSSULC 16.47 2.84 20.00 17.16 14.15 2.84 10.53 7.69 13.37 2.84 0.00 -2.84 12.41 2.84 8.70 5.86
%AQPRULC 7.73 0.00 0.00 0.00 6.58 0.00 5.26 5.26 6.58 0.00 0.00 0.00 6.15 0.00 4.35 4.35
%PRSRSKA 67.77 100.00 100.00 0.00 65.2 100.00 100.00 0.00 68.51 100.00 100.00 0.00 68.79 100.00 60.87 -39.13
TOTFALLS 7.46 3.14 6.96 3.82 7.68 3.14 0.00 -3.14 7.31 3.14 5.97 2.83 7.38 3.14 9.19 6.05
%RSK&PROT 88.18 100.00 100.00 0.00 78.86 100.00 100.00 0.00 81.58 100.00 80.00 -20.00 91.09 100.00 100.00 0.00
%BSN 33.42 45.20 46.67 1.47 32.07 45.20 47.00 1.80 33.36 45.20 53.33 8.13 33.19 45.20 62.50 17.30
% CERT 15.3 23.87 20.00 -3.87 14.88 23.87 20.00 -3.87 14.65 23.87 20.00 -3.87 14.86 23.87 31.25 7.38

Nurse-Sensitive Serviceline/Unit -Specific Indicators

FIM: Bowel 1.00 1.3 0.30 1.00 1.4 0.40 1.00 1.1 0.10 1.00 1.00 0.00
FIM: Bladder 1.40 1.1 -0.30 1.40 1.3 -0.10 1.40 1.2 -0.20 1.40 1.50 0.10

Nurse-Sensitive General Indicators

LOS* 11.80 8.78 -3.02 11.80 9.00 -2.80 11.80 8.99 -2.81 9.80 8.28 -1.52
Mislabeled Sp 0 0 0 0 2 2 0 1 1 1 0 1

Nurse-Sensitive Patient Satisfaction Survey Indicators

RN Courtesy 88.85 92.70 3.85 88.85 91.40 2.55 88.85 94.6 5.75 88.85 91.2 2.35
Promptness 85.75 84.40 -1.35 85.75 84.10 -1.65 85.75 88.2 2.45 85.75 81.6 -4.15
Attn Spc Needs 87.75 84.70 -3.05 87.75 86.20 -1.55 87.75 90.7 2.95 87.75 84.1 -3.65
Response Pain 88.15 80.00 -8.15 88.15 86.20 -1.95 88.15 89.8 1.65 88.15 85.5 -2.65
Instruct Home 88.55 89.70 1.15 88.55 87.80 -0.75 88.55 91.4 2.85 88.55 86.4 -2.15
Care Well Coord 89.35 88.30 -1.05 89.35 86.50 -2.85 89.35 90.6 1.25 89.35 89.2 -0.15

* Estimated
%PRSSULC = % Patients with pressure ulcers

%AQPRULC = % Patients with acquired pressure ulcers

%PUPRSRSKA = % Patients who were assessed for pressure ulcers within 24 hours of point-prevalance assessment

TOTFALLS = Total falls/1000 days

%RSK&PROT = % At risk and on fall protocol

^ With the exception of NHPPD, the target reflects the best quartile performers per NDNQI

^^ NHPPD mean is the NDNQI mean and the target is the Sinai budgeted NHPPD

FIM=Functional Independence Measure

LOS= length of stay
NHPPD= Nursing Hours Per Patient Day

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