Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2015 Q3 Unit Type: Clinical Unit: Adult Critical Care ICCU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day ICCU Unit Score Mean 22.50 Total RN Hours Per Patient Day 16.88 LPN/LVN Hours Per Patient Day 0.01 Unlicensed Assistive Personnel Hours Per Patient Day 5.61 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 75.01 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.05 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 24.94 Patients Per RN 1.42 Total Patient Falls Per 1,000 Patient Days 1.14 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Unit Type: Clinical Unit: Adult Medical 16150 4th Floor Medical Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day 16150 4th Floor Medical Unit Score Mean 12.90 Total RN Hours Per Patient Day 8.40 LPN/LVN Hours Per Patient Day 0.01 Unlicensed Assistive Personnel Hours Per Patient Day 4.49 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 65.14 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.07 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 34.80 Patients Per RN 2.86 Total Patient Falls Per 1,000 Patient Days 1.93 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Clinical Unit: 16130 4th Floor Telemetry Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day 16130 4th Floor Telemetry Unit Score Mean 11.53 Total RN Hours Per Patient Day 8.09 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.44 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 70.16 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 29.84 Patients Per RN 2.97 Total Patient Falls Per 1,000 Patient Days 6.20 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 5.56 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2015 Q3 Unit Type: Clinical Unit: Adult Surgical SSSU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day SSSU Unit Score Mean 12.44 Total RN Hours Per Patient Day 8.83 LPN/LVN Hours Per Patient Day 0.01 Unlicensed Assistive Personnel Hours Per Patient Day 3.60 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 70.99 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.10 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 28.91 Patients Per RN 2.72 Total Patient Falls Per 1,000 Patient Days 3.32 Percent of Patient Falls that were of Moderate or Greater Injury Severity 25.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Unit Type: Clinical Unit: Adolescent Psychiatric Behavioral Services Adolescent Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Adolescent Unit Score Mean 8.22 Total RN Hours Per Patient Day 4.43 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.80 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 53.82 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 46.18 Patients Per RN 5.42 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: Clinical Unit: Adult Rehab PMRU Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day PMRU Unit Score Mean 13.58 Total RN Hours Per Patient Day 7.80 LPN/LVN Hours Per Patient Day 1.05 Unlicensed Assistive Personnel Hours Per Patient Day 4.73 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 57.44 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 7.74 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 34.82 Patients Per RN 3.08 Total Patient Falls Per 1,000 Patient Days 2.74 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2015 Q3 Unit Type: Adult Psychiatric Behavioral Services Adult Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adult Unit Score Mean 9.00 Total RN Hours Per Patient Day 5.68 LPN/LVN Hours Per Patient Day 0.12 Unlicensed Assistive Personnel Hours Per Patient Day 3.21 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 63.09 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 1.30 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 35.61 Patients Per RN 4.23 Total Patient Falls Per 1,000 Patient Days 3.46 Percent of Patient Falls that were of Moderate or Greater Injury Severity 40.00 Unit Type: Pediatric Med-Surg Combined MCH Pediatrics Clinical Unit: Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean 32.37 Total Nursing Hours Per Patient Day Total RN Hours Per Patient Day 32.35 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 0.03 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 99.92 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 0.08 Patients Per RN 0.74 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: Clinical Unit: LDRP MCH Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day MCH Unit Score Mean 13.36 Total RN Hours Per Patient Day 13.36 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 0.00 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 99.97 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 0.03 Patients Per RN 1.80 Total Patient Falls Per 1,000 Patient Days 0.00 *Source: National Data Base for Nursing Quality Indicators Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2015 Q4 Unit Type: Clinical Unit: Adult Critical Care ICCU Unit - Clinical Measure Metrics ICCU Unit Score Mean Total Nursing Hours Per Patient Day 25.69 Total RN Hours Per Patient Day 20.08 LPN/LVN Hours Per Patient Day 0.01 Unlicensed Assistive Personnel Hours Per Patient Day 5.60 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 78.17 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.03 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 21.80 Patients Per RN 1.19 Total Patient Falls Per 1,000 Patient Days 1.29 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Unit Type: Clinical Unit: Adult Medical 16150 4th Floor Medical Unit - Clinical Measure Metrics 16150 4th Floor Medical Unit Score Mean Total Nursing Hours Per Patient Day 11.10 Total RN Hours Per Patient Day 6.90 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 4.20 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 62.13 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.02 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 37.85 Patients Per RN 3.48 Total Patient Falls Per 1,000 Patient Days 6.49 Percent of Patient Falls that were of Moderate or Greater Injury Severity Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above Clinical Unit: 0.00 No data provided 16130 4th Floor Telemetry Measure Unit - Clinical Metrics 16130 4th Floor Telemetry Unit Score Mean Total Nursing Hours Per Patient Day 11.54 Total RN Hours Per Patient Day 7.50 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 4.04 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 64.96 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 35.04 Patients Per RN 3.20 Total Patient Falls Per 1,000 Patient Days 6.20 Percent of Patient Falls that were of Moderate or Greater Injury Severity 20.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 4.76 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2015 Q4 Unit Type: Clinical Unit: Adult Surgical SSSU Unit - Clinical Measure Metrics SSSU Unit Score Mean Total Nursing Hours Per Patient Day 10.48 Total RN Hours Per Patient Day 8.44 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 2.04 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 80.46 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.03 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 19.50 Patients Per RN 2.85 Total Patient Falls Per 1,000 Patient Days 3.69 Percent of Patient Falls that were of Moderate or Greater Injury Severity Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above Unit Type: Clinical Unit: 0.00 No data provided Adolescent Psychiatric Behavioral Services Adolescent Unit - Clinical Measure Metrics Behavioral Services Adolescent Unit Score Mean Total Nursing Hours Per Patient Day 10.67 Total RN Hours Per Patient Day 4.87 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 5.81 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 45.59 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 54.41 Patients Per RN 4.93 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: Clinical Unit: Adult Rehab PMRU Measure Unit - Clinical Metrics PMRU Unit Score Mean Total Nursing Hours Per Patient Day 11.93 Total RN Hours Per Patient Day 6.69 LPN/LVN Hours Per Patient Day 0.82 Unlicensed Assistive Personnel Hours Per Patient Day 4.41 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 56.11 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 6.89 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 37.00 Patients Per RN 3.59 Total Patient Falls Per 1,000 Patient Days 5.84 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 10.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2015 Q4 Unit Type: Adult Psychiatric Behavioral Services Adult Clinical Unit: Unit - Clinical Measure Metrics Behavioral Services Adult Unit Score Mean Total Nursing Hours Per Patient Day 8.74 Total RN Hours Per Patient Day 5.88 LPN/LVN Hours Per Patient Day 0.09 Unlicensed Assistive Personnel Hours Per Patient Day 2.76 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 67.29 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 1.08 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 31.63 Patients Per RN 4.08 Total Patient Falls Per 1,000 Patient Days 3.65 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Unit Type: Pediatric Med-Surg Combined MCH Pediatrics Clinical Unit: Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean Total Nursing Hours Per Patient Day 27.47 Total RN Hours Per Patient Day 25.59 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 1.88 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 93.16 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 6.84 Patients Per RN 0.94 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: Clinical Unit: LDRP MCH Measure Unit - Clinical Metrics MCH Unit Score Mean Total Nursing Hours Per Patient Day 17.70 Total RN Hours Per Patient Day 13.22 LPN/LVN Hours Per Patient Day 0.38 Unlicensed Assistive Personnel Hours Per Patient Day 4.10 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 74.70 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 2.16 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 23.14 Patients Per RN 1.82 Total Patient Falls Per 1,000 Patient Days 0.00 *Source: National Data Base for Nursing Quality Indicators Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2016 Q1 Unit Type: Clinical Unit: Adult Critical Care ICCU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day ICCU Unit Score Mean 25.82 Total RN Hours Per Patient Day 20.11 LPN/LVN Hours Per Patient Day 0.02 Unlicensed Assistive Personnel Hours Per Patient Day 5.68 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 77.90 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.09 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 22.01 Patients Per RN 1.19 Total Patient Falls Per 1,000 Patient Days 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Unit Type: Clinical Unit: Adult Medical 16150 4th Floor Medical Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day 16150 4th Floor Medical Unit Score Mean 18.62 Total RN Hours Per Patient Day 11.80 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 6.81 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 63.39 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.02 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 36.59 Patients Per RN 2.03 Total Patient Falls Per 1,000 Patient Days 11.42 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Clinical Unit: 16130 4th Floor Telemetry Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day 16130 4th Floor Telemetry Unit Score Mean 12.69 Total RN Hours Per Patient Day 8.05 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 4.64 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 63.45 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 36.55 Patients Per RN 2.98 Total Patient Falls Per 1,000 Patient Days 3.51 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2016 Q1 Unit Type: Clinical Unit: Adult Surgical SSSU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day SSSU Unit Score Mean 8.04 Total RN Hours Per Patient Day 5.52 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 2.52 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 68.64 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 31.36 Patients Per RN 4.35 Total Patient Falls Per 1,000 Patient Days 1.83 Percent of Patient Falls that were of Moderate or Greater Injury Severity Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above Unit Type: Clinical Unit: 0.00 No data provided Adolescent Psychiatric Behavioral Services Adolescent Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adolescent Unit Score Mean 9.99 Total RN Hours Per Patient Day 4.81 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 5.18 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 48.17 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.00 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 51.83 Patients Per RN 4.99 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: Clinical Unit: Adult Rehab PMRU Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day PMRU Unit Score Mean 13.59 Total RN Hours Per Patient Day 7.32 LPN/LVN Hours Per Patient Day 0.80 Unlicensed Assistive Personnel Hours Per Patient Day 5.48 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 53.84 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 5.85 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 40.31 Patients Per RN 3.28 Total Patient Falls Per 1,000 Patient Days 2.70 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II and Above 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2016 Q1 Unit Type: Adult Psychiatric Behavioral Services Adult Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adult Unit Score Mean 10.13 Total RN Hours Per Patient Day 6.38 LPN/LVN Hours Per Patient Day 0.12 Unlicensed Assistive Personnel Hours Per Patient Day 3.63 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 63.04 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 1.16 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 35.81 Patients Per RN 3.76 Total Patient Falls Per 1,000 Patient Days 2.35 Percent of Patient Falls that were of Moderate or Greater Injury Severity 33.33 Unit Type: Pediatric Med-Surg Combined MCH Pediatrics Clinical Unit: Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean 26.33 Total Nursing Hours Per Patient Day Total RN Hours Per Patient Day 24.10 LPN/LVN Hours Per Patient Day 0.31 Unlicensed Assistive Personnel Hours Per Patient Day 1.92 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 91.55 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 1.16 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 7.29 Patients Per RN 1.00 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: Clinical Unit: LDRP MCH Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day MCH Unit Score Mean 16.50 Total RN Hours Per Patient Day 11.97 LPN/LVN Hours Per Patient Day 0.76 Unlicensed Assistive Personnel Hours Per Patient Day 3.76 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 72.57 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 4.63 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 22.80 Patients Per RN 2.00 Total Patient Falls Per 1,000 Patient Days 0.00 *Source: National Data Base for Nursing Quality Indicators Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2016 Q2 Unit Type: Adult Critical Care ICCU Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day ICCU Unit Score Mean 24.92 Total RN Hours Per Patient Day 19.22 LPN/LVN Hours Per Patient Day 0.03 Unlicensed Assistive Personnel Hours Per Patient Day 5.67 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 77.11 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 22.77 ( l Per RN d Patients 1.25 ) 0.12 Total Patient Falls Per 1,000 Patient Days 4.42 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II 0.00 Unit Type: Adult Medical 16150 4th Floor Medical Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day 16150 4th Floor Medical Unit Score Mean 18.07 Total RN Hours Per Patient Day 11.46 LPN/LVN Hours Per Patient Day 0.01 Unlicensed Assistive Personnel Hours Per Patient Day 6.61 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 63.40 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 36.55 (Patients l Per RN d ) 0.04 2.09 Total Patient Falls Per 1,000 Patient Days 13.50 Percent of Patient Falls that were of Moderate or Greater Injury Severity 14.29 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II d Ab 0.00 16130 4th Floor Telemetry Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day 16130 4th Floor Telemetry Unit Score Mean 13.07 Total RN Hours Per Patient Day 8.55 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 4.52 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 65.44 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 34.56 ( l Per RN d Patients 2.81 ) 0.00 Total Patient Falls Per 1,000 Patient Days 4.38 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2016 Q2 Unit Type: Adult Surgical SSSU Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day SSSU Unit Score Mean 7.58 Total RN Hours Per Patient Day 5.43 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 2.15 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 71.61 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 28.39 ( l Per RN d Patients 4.42 ) 0.00 Total Patient Falls Per 1,000 Patient Days 1.23 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II 0.00 Unit Type: Adolescent Psychiatric Behavioral Services Adolescent Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adolescent Unit Score Mean 12.09 Total RN Hours Per Patient Day 6.86 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 5.23 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 56.73 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 43.27 (Patients l Per RN d 3.50 ) Total Patient Falls Per 1,000 Patient Days Unit Type: 0.00 0.00 Adult Rehab PMRU Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day PMRU Unit Score Mean 10.03 Total RN Hours Per Patient Day 5.88 LPN/LVN Hours Per Patient Day 0.69 Unlicensed Assistive Personnel Hours Per Patient Day 3.47 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 58.60 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 34.55 ( l Per RN d Patients 4.08 ) 6.85 Total Patient Falls Per 1,000 Patient Days 3.56 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Ulcers Stage II 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators* Quarter: 2016 Q2 Unit Type: Adult Psychiatric Behavioral Services Adult Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adult Unit Score Mean 9.01 Total RN Hours Per Patient Day 5.38 LPN/LVN Hours Per Patient Day 0.07 Unlicensed Assistive Personnel Hours Per Patient Day 3.55 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 59.75 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 39.43 ( l Per RN d Patients 4.46 ) 0.82 Total Patient Falls Per 1,000 Patient Days 1.63 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Unit Type: Pediatric Med-Surg Combined MCH Pediatrics Clinical Unit: Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean 32.81 Total Nursing Hours Per Patient Day Total RN Hours Per Patient Day 30.79 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 2.02 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 93.83 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 0.00 (Patients Per RN 0.78 ) Total Patient Falls Per 1,000 Patient Days Unit Type: 6.17 0.00 LDRP MCH Clinical Unit: Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day MCH Unit Score Mean 15.34 Total RN Hours Per Patient Day 11.60 LPN/LVN Hours Per Patient Day 0.66 Unlicensed Assistive Personnel Hours Per Patient Day 3.08 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 75.58 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and Percent) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 20.09 ( l Per RN d Patients 2.07 ) Total Patient Falls Per 1,000 Patient Days *Source: National Data Base for Nursing Quality Indicators 4.33 0.00 Cayuga Medical Center at Ithaca Hospital Acquired Infections* Ventilator Associated Pneumonia (infections/1000 ventilator days) - Overall (ICU only) Central Line Associated Blood Stream Infections (infections/1000 line days) - Overall ICCU SSSU 4th Floor Medical 4th Floor Telemetry Pediatrics PMRU Q3 2015 Q4 2015 Q1 2016 Q2 2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.30 4.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.79 0.00 0.00 5.46 0.00 0.00 0.00 0.87 2.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.68 2.05 5.07 0.00 5.84 0.00 0.00 Catheter Associated Urinary Tract Infections (infections/1000 catheter days) ICCU SSSU 4th Floor Medical 4th Floor Telemetry Pediatrics PMRU *Source: CDC's National Healthcare Safety Network