Dashboard Analysis and Nursing Plan

Dashboard Analysis and Nursing PlanData from the NDNQI is used to improve nursing practices and support the strategic outcomes of an organization. This data is also used to create theDashboard. The Dashboard, then, is used to create an action plan. Correctly interpreting information presented on the Dashboard provides nurses witha better understanding of the goals of the action plan. This week, use the Dashboard, linked here and posted in Doc Sharing, to interpret the dataand 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 FY10Description Mean Target^ Actual Var Mean Target^ Actual Var Mean Target^ Actual Var Mean Target^ Actual VarNDNQI DataNHPPD^^ 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 0.04RN 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 -39.13TOTFALLS 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 7.38Nurse-Sensitive Serviceline/Unit -Specific IndicatorsFIM: Bowel 1.00 1.3 0.30 1.00 1.4 0.40 1.00 1.1 0.10 1.00 1.00 0.00FIM: Bladder 1.40 1.1 -0.30 1.40 1.3 -0.10 1.40 1.2 -0.20 1.40 1.50 0.10Nurse-Sensitive General IndicatorsLOS* 11.80 8.78 -3.02 11.80 9.00 -2.80 11.80 8.99 -2.81 9.80 8.28 -1.52Mislabeled Sp 0 0 0 0 2 2 0 1 1 1 0 1Nurse-Sensitive Patient Satisfaction Survey IndicatorsRN Courtesy 88.85 92.70 3.85 88.85 91.40 2.55 88.85 94.6 5.75 88.85 91.2 2.35Promptness 85.75 84.40 -1.35 85.75 84.10 -1.65 85.75 88.2 2.45 85.75 81.6 -4.15Attn Spc Needs 87.75 84.70 -3.05 87.75 86.20 -1.55 87.75 90.7 2.95 87.75 84.1 -3.65Response Pain 88.15 80.00 -8.15 88.15 86.20 -1.95 88.15 89.8 1.65 88.15 85.5 -2.65Instruct Home 88.55 89.70 1.15 88.55 87.80 -0.75 88.55 91.4 2.85 88.55 86.4 -2.15Care 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 assessmentTOTFALLS = 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 NHPPDFIM=Functional Independence MeasureLOS= length of stayNHPPD= Nursing Hours Per Patient Day

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