PatientCareLink NQF Nursing-Sensitive Measure Hospital Reporting History

(Go to end of document for KEY to definitions) Data Periods by Quarter JAN-MAR 2015 APR-JUN 2015 JUL-SEPT 2015 OCT-DEC 2015 Pressure Pressure Pressure Pressure Falls with Ulcer Falls with Falls with Ulcer Falls with Hospital Name Ulcer Patient Falls Patient Falls Ulcer Patient Falls Patient Falls Injury Prevalence Injury Injury Prevalence Injury Prevalence Prevalence (optional) (optional) Anna Jaques Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Athol Memorial Hospital * Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Baystate Franklin Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete - Complete Complete Baystate Mary Lane Hospital Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Baystate Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Baystate Noble Hospital Complete Complete Complete Complete Complete Complete * Complete Complete Complete Complete Complete Baystate Wing Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Berkshire Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Beth Israel Deaconess Hospital - Milton Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Beth Israel Deaconess Hospital - Needham Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Beth Israel Deaconess Hospital - Plymouth Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Beth Israel Deaconess Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Boston Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete - Complete Complete Braintree Rehabilitation Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Brigham and Women's - Faulkner Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Brigham and Women's Hospital Complete Complete Complete - Complete Complete Complete Complete Complete Complete Complete Complete Cambridge Health Alliance - The Cambridge Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Cambridge Health Alliance - Whidden Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Cape Cod Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Carney Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Clinton Hospital * Complete Complete Complete Complete Complete Complete * * Complete * * Cooley Dickinson Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Emerson Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Fairlawn Rehabilitation Hospital Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Fairview Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Falmouth Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Good Samaritan Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Hallmark Health System - Lawrence Memorial Hospital Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Hallmark Health System - Melrose Wakefield Hospital Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Harrington Memorial Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete HealthAlliance (UMASS Memorial HealthAlliance) - Leominster Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete HEALTHSOUTH Rehabilitation Hospital of Western MA Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Hebrew Rehabilitation Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Heywood Hospital Complete Complete Complete - Complete Complete Complete Complete Complete Complete Complete Complete Holy Family at Merrimack Valley Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Holy Family Hospital and Medical Center Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Holyoke Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Kindred Hospital Northeast - Stoughton Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Lahey Hospital and Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Lawrence General Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Lowell General Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Marlborough Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Massachusetts Eye & Ear Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Massachusetts General Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Mercy Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete MetroWest Medical Center - Framingham Campus Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete MetroWest Medical Center - Leonard Morse Campus Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Milford Regional Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete

April 2016 Massachusetts Hospital Association Page 1 of 2 PatientCareLink NQF Nursing-Sensitive Measure Hospital Reporting History

(Go to end of document for KEY to definitions) Data Periods by Quarter JAN-MAR 2015 APR-JUN 2015 JUL-SEPT 2015 OCT-DEC 2015 Pressure Pressure Pressure Pressure Falls with Ulcer Falls with Falls with Ulcer Falls with Hospital Name Ulcer Patient Falls Patient Falls Ulcer Patient Falls Patient Falls Injury Prevalence Injury Injury Prevalence Injury Prevalence Prevalence (optional) (optional) Morton Hospital and Medical Center Incomplete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Mount Auburn Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Nashoba Valley Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete New England Baptist Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete New England Rehabilitation Hospital Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete New England Sinai Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete - Complete Complete Newton-Wellesley Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete North Shore Medical Center - Salem Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete North Shore Medical Center - Union Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Northeast Health System - Addison Gilbert Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Northeast Health System - Beverly Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Norwood Hospital Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Saint Anne's Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete - Complete Complete Saint Vincent Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Signature Healthcare Brockton Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete South Shore Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Southcoast Hospitals Group - Charlton Memorial Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Southcoast Hospitals Group - St. Luke's Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Southcoast Hospitals Group -Tobey Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Spaulding Hospital for Continuing Medical Care Cambridge Complete Complete Complete - Complete Complete Complete Complete Complete - Complete Complete Spaulding Rehabilitation Hospital Boston Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Spaulding Rehabilitation Hospital Cape Cod Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete St. Elizabeth's Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Sturdy Memorial Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Tewksbury Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Tufts Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete UMass Memorial Medical Center Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Winchester Hospital Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete Complete KEY: NA Measure not applicable to this hospital - Hospital did not report optional data. * Hospital did not report any required data. Complete Hospital reported all expected data. Incomplete Hospital did not report all data they were expected to report

April 2016 Massachusetts Hospital Association Page 2 of 2