Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q2 Unit Type: Adult Critical Care Clinical Unit: ICCU 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 agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 22.77 (employee and Patients Per RNagency) 1.25 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 and Above 0.00 Unit Type: 0.12 Adult Medical Clinical Unit: 16150 4th Floor Medical 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 agency) Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 36.55 0.04 (employee and Patients Per RNagency) 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 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 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 agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 34.56 (employee and Patients Per RNagency) 2.81 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 and Above 0.00 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q2 Unit Type: Adult Surgical Clinical Unit: SSSU 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 agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 28.39 (employee and Patients Per RNagency) 4.42 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 and Above 0.00 Unit Type: 0.00 Adolescent Psychiatric Clinical Unit: Behavioral Services Adolescent 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 agency) Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 43.27 (employee and Patients Per RNagency) 3.50 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: 0.00 Adult Rehab Clinical Unit: PMRU Measure Unit - Clinical 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 agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 34.55 (employee and Patients Per RNagency) 4.08 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 and Above 0.00 6.85 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q2 Unit Type: Adult Psychiatric Clinical Unit: Behavioral Services Adult 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 agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 39.43 (employee and Patients Per RNagency) 4.46 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: 0.82 Pediatric Med-Surg Combined Clinical Unit: MCH Pediatrics 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 agency) Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel 0.00 (employee and Patients Per RNagency) 0.78 Total Patient Falls Per 1,000 Patient Days 0.00 Unit Type: 6.17 LDRP Clinical Unit: MCH Measure Unit - Clinical 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 agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 20.09 (employee and Patients Per RNagency) 2.07 Total Patient Falls Per 1,000 Patient Days 0.00 4.33 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q2 Unit Type: ED Clinical Unit: ED Measure Unit - Clinical Metrics Total Nursing Hours Per Visit ED Unit Score Mean 3.50 Total RN Hours Per Patient Day 2.70 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 0.80 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 78.00 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) of Total Nursing Hours Supplied by Unlicensed Assistive Personnel Percent 22.00 (employee and agency) 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q3 Unit Type: Clinical Unit: Adult Critical Care ICCU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day ICCU Unit Score Mean 23.04 Total RN Hours Per Patient Day 18.02 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 5.02 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 78.20 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) 21.80 Patients Per RN 1.33 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 10.60 Total RN Hours Per Patient Day 6.97 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.62 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 65.80 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) 34.20 Patients Per RN 3.44 Total Patient Falls Per 1,000 Patient Days 6.13 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 11.45 Total RN Hours Per Patient Day 7.64 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) 66.75 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) 33.23 Patients Per RN 3.14 Total Patient Falls Per 1,000 Patient Days 4.92 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 Q3 Unit Type: Clinical Unit: Adult Surgical SSSU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day SSSU Unit Score Mean 11.85 Total RN Hours Per Patient Day 8.53 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.32 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 71.99 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) 28.01 Patients Per RN 2.81 Total Patient Falls Per 1,000 Patient Days 1.90 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: Adolescent Psychiatric Behavioral Services Adolescent Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adolescent Unit Score Mean 14.53 Total RN Hours Per Patient Day 7.71 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 6.83 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 53.03 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) 46.97 Patients Per RN 3.11 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 11.87 Total RN Hours Per Patient Day 7.24 LPN/LVN Hours Per Patient Day 0.56 Unlicensed Assistive Personnel Hours Per Patient Day 4.07 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 60.98 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 4.76 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 34.26 Patients Per RN 3.32 Total Patient Falls Per 1,000 Patient Days 0.00 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 Q3 Unit Type: Adult Psychiatric Clinical Unit: Behavioral Services Adult Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adult Unit Score Mean 7.27 Total RN Hours Per Patient Day 4.38 LPN/LVN Hours Per Patient Day 0.05 Unlicensed Assistive Personnel Hours Per Patient Day 2.85 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 60.18 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.67 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 39.16 Patients Per RN 5.48 Total Patient Falls Per 1,000 Patient Days 8.90 Percent of Patient Falls that were of Moderate or Greater Injury Severity 7.69 Unit Type: Pediatric Med-Surg Combined Clinical Unit: MCH Pediatrics Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean 30.14 Total Nursing Hours Per Patient Day Total RN Hours Per Patient Day 26.68 LPN/LVN Hours Per Patient Day 0.57 Unlicensed Assistive Personnel Hours Per Patient Day 2.88 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 88.54 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 1.90 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 9.56 Patients Per RN 0.90 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 15.22 Total RN Hours Per Patient Day 11.63 LPN/LVN Hours Per Patient Day 0.62 Unlicensed Assistive Personnel Hours Per Patient Day 2.98 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 76.36 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 4.06 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 19.57 Patients Per RN 2.06 Total Patient Falls Per 1,000 Patient Days 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q3 Unit Type: Clinical Unit: ED ED Measure Unit - Clinical Metrics Total Nursing Hours Per Visit ED Unit Score Mean 4.00 Total RN Hours Per Patient Day 3.30 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 0.70 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 81.00 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) 18.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q4 Unit Type: Clinical Unit: Adult Critical Care ICCU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day ICCU Unit Score Mean 21.77 Total RN Hours Per Patient Day 16.80 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 4.96 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 77.21 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) 22.79 Patients Per RN 1.43 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 10.51 Total RN Hours Per Patient Day 7.14 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.37 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 67.94 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) 32.06 Patients Per RN 3.36 Total Patient Falls Per 1,000 Patient Days 3.77 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 13.43 Total RN Hours Per Patient Day 9.59 LPN/LVN Hours Per Patient Day 0.01 Unlicensed Assistive Personnel Hours Per Patient Day 3.83 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 71.43 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.04 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 28.53 Patients Per RN 2.50 Total Patient Falls Per 1,000 Patient Days 5.56 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 and Above 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q4 Unit Type: Clinical Unit: Adult Surgical SSSU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day SSSU Unit Score Mean 11.50 Total RN Hours Per Patient Day 8.17 LPN/LVN Hours Per Patient Day 0.02 Unlicensed Assistive Personnel Hours Per Patient Day 3.32 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 71.02 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.14 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 28.84 Patients Per RN 2.94 Total Patient Falls Per 1,000 Patient Days 2.68 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: Adolescent Psychiatric Behavioral Services Adolescent Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adolescent Unit Score Mean 11.61 Total RN Hours Per Patient Day 6.06 LPN/LVN Hours Per Patient Day 0.10 Unlicensed Assistive Personnel Hours Per Patient Day 5.46 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 52.15 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 0.83 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 47.02 Patients Per RN 3.96 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 12.20 Total RN Hours Per Patient Day 6.28 LPN/LVN Hours Per Patient Day 1.23 Unlicensed Assistive Personnel Hours Per Patient Day 4.69 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 51.45 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 10.09 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 38.46 Patients Per RN 3.82 Total Patient Falls Per 1,000 Patient Days 17.86 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 Q4 Unit Type: Adult Psychiatric Clinical Unit: Behavioral Services Adult Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adult Unit Score Mean 8.24 Total RN Hours Per Patient Day 4.39 LPN/LVN Hours Per Patient Day 0.28 Unlicensed Assistive Personnel Hours Per Patient Day 3.57 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 53.26 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 3.45 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 43.29 Patients Per RN 5.47 Total Patient Falls Per 1,000 Patient Days 2.13 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Unit Type: Pediatric Med-Surg Combined Clinical Unit: MCH Pediatrics Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean 30.52 Total Nursing Hours Per Patient Day Total RN Hours Per Patient Day 25.30 LPN/LVN Hours Per Patient Day 1.86 Unlicensed Assistive Personnel Hours Per Patient Day 3.35 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 82.92 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 6.11 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 10.98 Patients Per RN 0.95 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 15.20 Total RN Hours Per Patient Day 11.72 LPN/LVN Hours Per Patient Day 0.69 Unlicensed Assistive Personnel Hours Per Patient Day 2.79 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 77.11 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 4.52 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 18.37 Patients Per RN 2.05 Total Patient Falls Per 1,000 Patient Days 0.89 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2016 Q4 Unit Type: Clinical Unit: ED ED Measure Unit - Clinical Metrics Total Nursing Hours Per Visit ED Unit Score Mean 5.00 Total RN Hours Per Patient Day 4.30 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 0.80 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 84.00 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) 16.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Quarter: 2017 Q1 Unit Type: Clinical Unit: Adult Critical Care ICCU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day ICCU Unit Score Mean 19.40 Total RN Hours Per Patient Day 15.41 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.99 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 79.40 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) 20.60 Patients Per RN 1.56 Total Patient Falls Per 1,000 Patient Days 3.82 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Injuries Stage 2 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 9.91 Total RN Hours Per Patient Day 6.49 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.42 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 65.50 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) 34.50 Patients Per RN 3.70 Total Patient Falls Per 1,000 Patient Days 6.15 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Injuries Stage 2 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 11.34 Total RN Hours Per Patient Day 7.67 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.66 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 67.70 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) 34.50 Patients Per RN 3.70 Total Patient Falls Per 1,000 Patient Days 4.91 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Injuries Stage 2 and Above 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Unit Type: Clinical Unit: Adult Surgical SSSU Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day SSSU Unit Score Mean 11.37 Total RN Hours Per Patient Day 7.88 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 3.45 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 69.30 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) 30.40 Patients Per RN 3.05 Total Patient Falls Per 1,000 Patient Days 8.70 Percent of Patient Falls that were of Moderate or Greater Injury Severity 10.00 Percent of Surveyed Patients with Hospital Acquired Pressure Injuries Stage 2 and Above 0.00 Unit Type: Clinical Unit: Adolescent Psychiatric Behavioral Services Adolescent Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adolescent Unit Score Mean 9.62 Total RN Hours Per Patient Day 4.55 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 5.07 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 47.30 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) 52.70 Patients Per RN 5.28 Total Patient Falls Per 1,000 Patient Days 3.80 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Unit Type: Clinical Unit: Adult Rehab PMRU Measure Unit - Clinical Metrics Total Nursing Hours Per Patient Day PMRU Unit Score Mean 11.87 Total RN Hours Per Patient Day 6.63 LPN/LVN Hours Per Patient Day 1.25 Unlicensed Assistive Personnel Hours Per Patient Day 3.99 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 55.90 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 10.50 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 33.60 Patients Per RN 3.62 Total Patient Falls Per 1,000 Patient Days 10.00 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Percent of Surveyed Patients with Hospital Acquired Pressure Injuries Stage 2 and Above 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Unit Type: Adult Psychiatric Clinical Unit: Behavioral Services Adult Unit - Clinical Measure Metrics Total Nursing Hours Per Patient Day Behavioral Services Adult Unit Score Mean 7.51 Total RN Hours Per Patient Day 4.31 LPN/LVN Hours Per Patient Day 0.42 Unlicensed Assistive Personnel Hours Per Patient Day 2.79 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 57.30 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 5.50 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 37.10 Patients Per RN 5.57 Total Patient Falls Per 1,000 Patient Days 1.93 Percent of Patient Falls that were of Moderate or Greater Injury Severity 0.00 Unit Type: Pediatric Med-Surg Combined Clinical Unit: MCH Pediatrics Measure Unit - Clinical MCH Pediatrics Metrics Unit Score Mean 33.65 Total Nursing Hours Per Patient Day Total RN Hours Per Patient Day 24.68 LPN/LVN Hours Per Patient Day 2.19 Unlicensed Assistive Personnel Hours Per Patient Day 6.78 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 73.30 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 6.50 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 20.10 Patients Per RN 0.97 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 14.49 Total RN Hours Per Patient Day 11.52 LPN/LVN Hours Per Patient Day 0.59 Unlicensed Assistive Personnel Hours Per Patient Day 2.38 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 79.50 Percent of Total Nursing Hours Supplied by LPNs/LVNs (employee and agency) 4.10 Percent of Total Nursing Hours Supplied by Unlicensed Assistive Personnel (employee and agency) 16.40 Patients Per RN 2.08 Total Patient Falls Per 1,000 Patient Days 0.00 Cayuga Medical Center at Ithaca Nurse Staffing and Nurse Sensitive Indicators Unit Type: Clinical Unit: ED ED Measure Unit - Clinical Metrics Total Nursing Hours Per Visit ED Unit Score Mean 4.00 Total RN Hours Per Patient Day 3.20 LPN/LVN Hours Per Patient Day 0.00 Unlicensed Assistive Personnel Hours Per Patient Day 0.70 Percent of Total Nursing Hours Supplied by RNs (employee and agency) 81.00 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) 19.00 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 Q2 2016 Q3 2016 Q4 2016 Q1 2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.93 0.00 0.00 5.08 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 2.68 2.05 5.07 0.00 5.84 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 0.00 0.00 0.00 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