Upstate Logo

Nursing Quality Measures

Staffing Data

What this means:
Number of Nursing Staff - Number of RN's, LPN's and HCT providing direct nursing care.

Percent of Nursing Staff - Number of RN's, LPN's and HCT providing direct nursing care / Total number of RN's, LPN's and HCT's providing direct nursing care.

Nursing hours per patient day (NHPPD) - Number of hours of direct care a patient can expect to receive from an RN, LPN, HCT, in a 24-hour period.

RN Hours Per Patient Day (RNHPPD) - Number of hours of direct care a patient can expect to receive from and RN in a 24-hour period.

Nurse : Patient Ratio - Number of patients cared for by one nurse; calculated as 24 / RN Hours Per Patient Day.

Click on a unit below to see its Staffing Actual

Unit Name Unit Type Campus
02N - REHABILITATION SPECIAL UNIT UH
04B - PSYCHIATRY SPECIAL UNIT UH
05A - GEN/ENT/GYN SURGERY MED/SURG UH
05B - GENSURG/TRAN/URO/PLA MED/SURG UH
06A - MED/PULM/ID/CRITCARE MED/SURG UH
06B - GENERAL MED/SURG MED/SURG UH
06E - BURN ICU ICU UH
06H - MEDICAL ICU ICU UH
06I - MEDICAL ICU ICU UH
06K - MED/SURG MED/SURG UH
07A - ORTHOPEDICS MED/SURG UH
07U - SECURED UNIT SPECIAL UNIT UH
08E - SURGICAL ICU ICU UH
08F - CARDIOPULMONARY ICU ICU UH
08G - CARDIOVASCULAR MED/SURG MED/SURG UH
09E - NEUROSCIENCES INTERMED MED/SURG UH
09F - NEUROSCIENCES ICU ICU UH
09G - NEUROSCIENCES M/S MED/SURG UH
10E - ONCOLOGY MED/SURG UH
10G - MEDICINE MED/SURG UH
10H - BONE MARROW TRP UNIT MED/SURG UH
11E - PEDIATRIC SURGERY PEDIATRICS UH
11G - PEDS HEM/ONC PEDIATRICS UH
12E - PEDIATRICS GENERAL PEDIATRICS UH
12F - PEDIATRIC ICU PEDIATRICS UH
ERMADULT - EMERGENCY DEPARTMENT EMERGENCY UH
ERMPED - PEDIATRIC EMERGENCY DEPARTMENT EMERGENCY UH
3W - 3 WEST MEDICAL CC MED/SURG CC
4E - 4 EAST PMR CC SPECIAL UNIT CC
4N - 4 NORTH MED/SURG CC MED/SURG CC
4W - 4 WEST MED/SURG CC MED/SURG CC
5E - 5 EAST TRANSITIONAL CARE CC SPECIAL UNIT CC
5W - 5 WEST PSYCHIATRY CC SPECIAL UNIT CC
6thFloor - 6 MED/SURG/ORTHO CC MED/SURG CC
ED - EMERGENCY DEPARTMENT CC EMERGENCY CC
EU - EPILEPSY MONITORING UNIT CC MED/SURG CC
IC - ICU CC ICU CC

Patient Falls with Injury


What this means:
All documented patient falls with an injury level of moderate or greater.

Moderate - resulted in suturing, application of steri-strips/skin glue, or splinting.

Falls with injury rate = # of falls w/ injury of moderate or greater severity / Patient Days * 1000

Data for the period between Q2022_1 and Q2022_4



Unit Name Campus Q2022_1 Q2022_2 Q2022_3 Q2022_4 Total
02N - REHABILITATION UH 0.00 0.00 0.00 0.00 0.00
04B - PSYCHIATRY UH 0.00 0.00 0.00 0.00 0.00
05A - GEN/ENT/GYN SURGERY UH 0.00 0.00 0.00 0.00 0.00
05B - GENSURG/TRAN/URO/PLA UH 0.00 0.00 0.52 0.45 0.26
06A - MED/PULM/ID/CRITCARE UH 0.00 0.00 0.00 0.00 0.00
06B - GENERAL MED/SURG UH 0.00 0.00 0.53 0.00 0.14
06E - BURN ICU UH 0.00 0.00 0.00 0.00 0.00
06H - MEDICAL ICU UH 0.00 0.00 0.00 0.00 0.00
06I - MEDICAL ICU UH 0.00 0.00 0.00 0.00 0.00
06K - MED/SURG UH 0.00 0.71 0.00 0.00 0.18
07A - ORTHOPEDICS UH 0.00 0.47 0.00 0.00 0.12
07U - SECURED UNIT UH         0.00
08E - SURGICAL ICU UH 0.00 0.00 0.00 0.00 0.00
08F - CARDIOPULMONARY ICU UH 0.00 0.00 0.00 0.00 0.00
08G - CARDIOVASCULAR MED/SURG UH 0.00 0.00 0.00 0.00 0.00
09E - NEUROSCIENCES INTERMED UH 0.00 0.00 0.00 1.13 0.30
09F - NEUROSCIENCES ICU UH 0.00 0.00 0.93 0.00 0.23
09G - NEUROSCIENCES M/S UH 0.00 0.59 0.00 0.00 0.15
10E - ONCOLOGY UH 0.00 0.00 0.41 0.00 0.10
10G - MEDICINE UH 0.00 0.00 0.00 0.00 0.00
10H - BONE MARROW TRP UNIT UH 0.00 0.00 0.00 0.00 0.00
11E - PEDIATRIC SURGERY UH 0.00 0.00 0.00 0.00 0.00
11G - PEDS HEM/ONC UH 1.10 0.00 0.00 0.00 0.27
12E - PEDIATRICS GENERAL UH 0.00 0.00 0.00 0.00 0.00
12F - PEDIATRIC ICU UH 0.00 0.00 0.00 0.00 0.00
2 - 2 POSTPARTUM GYN CC CC         0.00
2L - LABOR AND DELIVERY CC CC         0.00
3W - 3 WEST MEDICAL CC CC 0.00 0.00 0.00 0.00 0.00
4E - 4 EAST PMR CC CC         0.00
4N - 4 NORTH MED/SURG CC CC 0.00 0.00 0.00 0.00 0.00
4W - 4 WEST MED/SURG CC CC 0.00 0.00 0.58 0.00 0.15
5W - 5 WEST PSYCHIATRY CC CC 0.00 0.69 0.64 0.00 0.31
6thFloor - 6 MED/SURG/ORTHO CC CC 0.00 0.00 0.41 0.00 0.11
EU - EPILEPSY MONITORING UNIT CC CC 0.00 0.00 0.00 0.00 0.00
IC - ICU CC CC 0.00 0.00 0.00 0.00 0.00

Central Line Infections


What this means:
The rate of CLABSI for ICU Locations. Central line associated blood stream infection (CLABSI) as defined as a bloodstream infection thought to have been caused by the presence of a central line.

Central line associated blood stream infections (CLABSI) in ICU patients = # of CLABSI's / # of central line days * 1000

Data for the period between Q2022_1 and Q2022_4



Unit Name Campus Q2022_1 Q2022_2 Q2022_3 Q2022_4 Total
02N - REHABILITATION UH 0.00 0.00 0.00 0.00 0.00
05A - GEN/ENT/GYN SURGERY UH 2.00 0.00 0.00 0.00 0.47
05B - GENSURG/TRAN/URO/PLA UH 0.00 1.63 0.00 0.00 0.42
06A - MED/PULM/ID/CRITCARE UH 0.00 0.00 0.00 2.74 0.81
06B - GENERAL MED/SURG UH 2.00 0.00 0.00 0.00 0.44
06E - BURN ICU UH 0.00 0.00 0.00 3.45 0.88
06H - MEDICAL ICU UH 0.00 0.00 1.23 0.00 0.28
06I - MEDICAL ICU UH 0.00 0.00 1.15 0.00 0.28
06K - MED/SURG UH 0.00 0.00 0.00 0.00 0.00
07A - ORTHOPEDICS UH 0.00 0.00 0.00 0.00 0.00
07U - SECURED UNIT UH         0.00
08E - SURGICAL ICU UH 0.00 0.00 0.00 0.00 0.00
08F - CARDIOPULMONARY ICU UH 0.00 0.00 0.00 0.00 0.00
08G - CARDIOVASCULAR MED/SURG UH 2.39 0.00 0.00 0.00 0.55
09E - NEUROSCIENCES INTERMED UH 0.00 0.00 0.00 0.00 0.00
09F - NEUROSCIENCES ICU UH 0.00 0.00 1.37 0.00 0.36
09G - NEUROSCIENCES M/S UH 0.00 0.00 0.00 1.94 0.53
10E - ONCOLOGY UH 0.66 2.12 0.00 1.20 0.99
10G - MEDICINE UH 0.00   0.00 0.00 0.00
10H - BONE MARROW TRP UNIT UH 2.14 0.00 1.97 7.09 2.68
11E - PEDIATRIC SURGERY UH 0.00 3.31 0.00 0.00 1.28
11G - PEDS HEM/ONC UH 0.00 0.00 0.00 0.00 0.00
12E - PEDIATRICS GENERAL UH 0.00 0.00 0.00 0.00 0.00
12F - PEDIATRIC ICU UH 0.00 0.00 0.00 0.00 0.00
3W - 3 WEST MEDICAL CC CC 0.00 0.00 0.00 0.00 0.00
4E - 4 EAST PMR CC CC         0.00
4N - 4 NORTH MED/SURG CC CC 0.00 0.00 0.00 0.00 0.00
4W - 4 WEST MED/SURG CC CC 0.00 0.00 0.00 0.00 0.00
5W - 5 WEST PSYCHIATRY CC CC     0.00 0.00 0.00
6thFloor - 6 MED/SURG/ORTHO CC CC 0.00 0.00 0.00 2.03 0.67
IC - ICU CC CC 0.00 0.00 0.00 0.00 0.00

Catheter associated UTI


What this means:
The rate of Catheter associated UTIs for ICU Locations. Catheter associated urinary tract infection (CAUTI) as defined as a urinary tract infection thought to have been caused by an indwelling urinary catheter.

Catheter associated urinary tract infections (CAUTI) in ICU patients = # of CAUTI's / # of foley catheter days * 1000

Data for the period between Q2022_1 and Q2022_4



Unit Name Campus Q2022_1 Q2022_2 Q2022_3 Q2022_4 Total
02N - REHABILITATION UH 0.00 11.76 0.00 0.00 2.22
05A - GEN/ENT/GYN SURGERY UH 3.85 0.00 0.00 0.00 0.88
05B - GENSURG/TRAN/URO/PLA UH 3.44 0.00 0.00 2.51 1.59
06A - MED/PULM/ID/CRITCARE UH 0.00 0.00 0.00 0.00 0.00
06B - GENERAL MED/SURG UH 0.00 0.00 0.00 0.00 0.00
06E - BURN ICU UH 0.00 6.90 0.00 7.75 4.17
06H - MEDICAL ICU UH 0.00 1.63 0.00 0.00 0.39
06I - MEDICAL ICU UH 1.36 0.00 0.00 2.60 1.08
06K - MED/SURG UH 0.00 0.00 0.00 4.93 1.17
07A - ORTHOPEDICS UH 0.00 2.60 0.00 0.00 0.72
07U - SECURED UNIT UH         0.00
08E - SURGICAL ICU UH 0.00 0.00 4.20 2.66 1.95
08F - CARDIOPULMONARY ICU UH 4.40 0.00 2.35 0.00 1.57
08G - CARDIOVASCULAR MED/SURG UH 0.00 0.00 7.52 0.00 2.47
09E - NEUROSCIENCES INTERMED UH 0.00 0.00 4.50 0.00 1.20
09F - NEUROSCIENCES ICU UH 2.03 2.02 0.00 0.00 0.99
09G - NEUROSCIENCES M/S UH 0.00 0.00 4.39 0.00 1.14
10E - ONCOLOGY UH 0.00 0.00 0.00 3.04 0.75
10G - MEDICINE UH 0.00   0.00 0.00 0.00
10H - BONE MARROW TRP UNIT UH 0.00 0.00 0.00 0.00 0.00
11E - PEDIATRIC SURGERY UH 0.00 0.00 0.00 0.00 0.00
11G - PEDS HEM/ONC UH 0.00 0.00 0.00 0.00 0.00
12E - PEDIATRICS GENERAL UH 0.00 0.00 0.00 0.00 0.00
12F - PEDIATRIC ICU UH 0.00 7.25 0.00 0.00 2.14
3W - 3 WEST MEDICAL CC CC 0.00 0.00 5.41 0.00 1.21
4E - 4 EAST PMR CC CC         0.00
4N - 4 NORTH MED/SURG CC CC 0.00 0.00 0.00 0.00 0.00
4W - 4 WEST MED/SURG CC CC 0.00 0.00 4.81 4.15 2.41
6thFloor - 6 MED/SURG/ORTHO CC CC 3.60 0.00 0.00 0.00 0.81
IC - ICU CC CC 0.00 0.00 0.00 0.00 0.00
Top