MHA/ONL PatientCareLink
Nursing-Sensitive Measure Report
Statistical Appendix
January 2020
January 2020
Statistical Appendix Contents
Analysis of the Statistical Significance of Hospital Measure Rates
Acute Care Hospitals Bed-size Group Category Listing
Post-Acute Care Hospital Listing
Acute Care Hospitals
o NSC-2 Pressure Ulcer Prevalence . Acute Care Hospital Bed-size Group Measure Data Graphs o NSC-3 Patient Falls . Acute Care Hospital Bed-size Group Measure Data Graphs o NSC-4 Falls with Injury . Acute Care Hospital Bed-size Group Measure Data Graphs
Post-Acute Care Hospitals
o NSC-2 Pressure Ulcer Prevalence . Rehabilitation Hospitals Group Measure Data Graphs . Long-term Acute Care Hospitals Group Measure Data Graphs o NSC-3 Patient Falls . Rehabilitation Hospitals Group Measure Data Graphs . Long-term Acute Care Hospitals Group Measure Data Graphs o NSC-4 Falls with Injury . Rehabilitation Hospitals Group Measure Data Graphs . Long-term Acute Care Hospitals Group Measure Data Graphs
January 2020
Analysis of the Statistical Significance of Hospital Measure Rates
Because the measure rates for the hospitals are for a specific period of time, and because there is variability in performance over time because of chance and other factors, there is a degree of uncertainty about the extent to which a hospital’s measure rate may reflect its true underlying performance. Without taking this uncertainty into account, we cannot conclude that a hospital with a measure rate that is higher or lower than the group rate is truly performing at a worse or better rate than the group.
Statisticians use confidence intervals to account for this uncertainty. A confidence interval is a numeric range around the estimate represented by the hospital’s measure rate, calculated to provide a specified level of confidence that the interval includes the true underlying performance of the hospital. The confidence level chosen for this analysis, 95% confidence, means that, in repeated collection and analysis of similar data, 95% of the resulting confidence intervals will include the true rate. The use and interpretation of confidence intervals in the nursing-sensitive measures is illustrated below. For any hospital (A, B, C, or D), the measure rate represented by the square is accompanied by a confidence interval (horizontal line). When a hospital’s confidence interval does not intersect the group interval, represented by the vertical lines (hospitals A and D in the illustration), we can say that the difference between the hospital rate and the group rate is statistically significant and likely represents a true difference in performance. When the hospital’s interval completely crosses the group interval (hospitals B and C in the illustration), the difference is not statistically significant. (When a hospital’s interval extends only a small distance into the group interval, the difference may be statistically significant and additional calculation is required.)
The confidence level of 95% applies to the confidence interval for each individual hospital. In a group of 20 hospitals, one would expect, on average, that one confidence interval does not actually include the hospital’s true rate. Hospitals’ confidence intervals will vary in width because, among other factors, the measure rate is based on more or fewer observations (i.e., patient days).
Abt Associates Inc. advised MHA on the analytic approach and performed the statistical analysis.
January 2020 Hospitals will be found within the section for their bed-size group. Hospitals are listed alphabetically within bed-size groups below. Not all hospitals will have data for each unit-type. The data graphs are presented in order of hospital-bed size group, low to high. Acute Care Hospitals Less than 100 Beds 200 - 299 Beds Athol Hospital Berkshire Medical Center Baystate Franklin Medical Center Cape Cod Hospital Baystate Noble Hospital Good Samaritan Medical Center Baystate Wing Hospital Holy Family Hospital at Methuen Beth Israel Deaconess Hospital - Milton Mount Auburn Hospital Beth Israel Deaconess Hospital - Needham Newton-Wellesley Hospital Fairview Hospital North Shore Medical Center - Salem Hospital Falmouth Hospital Northeast Health System - Beverly Hospital Massachusetts Eye & Ear Norwood Hospital Nashoba Valley Medical Center Saint Vincent Hospital Northeast Health System - Addison Gilbert Hospital Signature Healthcare Brockton Hospital Southcoast Hospitals Group - Tobey Hospital Winchester Hospital UMass Memorial - Marlborough Hospital 300 - 399 Beds 100 - 199 Beds Lahey Hospital & Medical Center Anna Jaques Hospital Lowell General Hospital Beth Israel Deaconess Hospital - Plymouth Mercy Medical Center Brigham and Women's - Faulkner Hospital South Shore Hospital Cambridge Health Alliance - Cambridge Southcoast Hospitals Group - Charlton Memorial Cambridge Health Alliance - Everett Southcoast Hospitals Group - St. Luke's Hospital Carney Hospital St. Elizabeth's Medical Center Cooley Dickinson Hospital Tufts Medical Center Emerson Hospital Melrose Wakefield Hospital 500 or More Beds Harrington Memorial Hospital Baystate Medical Center HealthAlliance-Clinton Hospitals Beth Israel Deaconess Medical Center Heywood Hospital Boston Medical Center Holy Family Hospital at Haverhill Brigham and Women's Hospital Holyoke Medical Center Massachusetts General Hospital Lawrence General Hospital UMass Memorial Medical Center MetroWest Medical Center - Framingham Campus MetroWest Medical Center - Leonard Morse Campus Milford Regional Medical Center Morton Hospital & Medical Center New England Baptist Hospital North Shore Medical Center - Union Hospital Saint Anne's Hospital Sturdy Memorial Hospital
January 2020 Hospitals will be found within the section for their hospital type. Hospitals are listed alphabetically within hospital type below. Not all hospitals will have data for each unit-type. Post Acute hospital data graphs follow the acute care hospital data graphs in this document. Post Acute Hospitals
Rehabilitation Hospitals Bronson Rehabilitation Center at Baystate Noble Hospital Encompass Health Rehabilitation of Braintree Encompass Health Rehabilitation of New England Encompass Health Rehabilitation of Western MA Fairlawn Rehabilitation Hospital Southeast Rehabilitation Hospital at Southcoast Hospitals Group - Charlton Hospital Spaulding Rehabilitation Hospital Boston Spaulding Rehabilitation Hospital Cape Cod The Center for Rehabilitation at Berkshire Medical Center Weldon Rehabilitation Hospital at Mercy Medical Center
Long-Term Acute Care Hospitals Hebrew Rehabilitation Center New England Sinai Hospital Spaulding Hospital for Continuing Medical Care Cambridge Tewksbury Hospital
January 2020
Acute Care Hospitals
January 2020
NSC-2 Pressure Ulcer Prevalence
June 2018* September 2018 December 2018* March 2019
* Optional studies
January 2020 Adult Critical Care Units, Less than 100 beds
Falmouth Hospital
Beth Israel Deaconess Hospital - Needham
Baystate Wing Hospital
Nashoba Valley Medical Center
Baystate Franklin Medical Center
Baystate Noble Hospital
Northeast Health System - Addison Gilbert Hospital
Southcoast Health - Tobey Hospital
Beth Israel Deaconess Hospital - Milton
Fairview Hospital
Marlborough Hospital
0 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Critical Care Units, 100-199 beds
Emerson Hospital
MetroWest Medical Center - Framingham Campus
Sturdy Memorial Hospital
Brigham & Women’s Faulkner Hospital
Milford Regional Medical Center
HealthAlliance -Clinton Hospital
Anna Jaques Hospital
Holyoke Medical Center
New England Baptist Hospital
Saint Anne's Hospital
North Shore Medical Center (NSMC) - Union Hospital
MetroWest Medical Center - Leonard Morse Campus
Heywood Hospital
Morton Hospital and Medical Center
Holy Family Hospital at Haverhill
Harrington Memorial Hospital
Beth Israel Deaconess Hospital-Plymouth
Cambridge Health Alliance - Cambridge
Melrose Wakefield Hospital
Cambridge Health Alliance - Everett
Carney Hospital
Lawrence General Hospital
Cooley Dickinson Health Care 0 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 45.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Critical Care Units, 200-299 beds
Cape Cod Hospital
Good Samaritan Medical Center
Northeast Health System - Beverly Hospital
Berkshire Medical Center
Holy Family Hospital at Methuen
Mount Auburn Hospital
Saint Vincent Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Newton-Wellesley Hospital
Signature Healthcare Brockton Hospital
Winchester Hospital
Norwood Hospital
0 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Critical Care Units, 300-399 beds
St. Elizabeth's Medical Center
Lowell General Hospital
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Lahey Hospital & Medical Center
Southcoast Health - Charlton Memorial Hospital
Mercy Medical Center
Tufts Medical Center
0 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Critical Care Units, More than 500 beds
UMass Memorial Medical Center
Massachusetts General Hospital
Brigham and Women's Hospital
Baystate Medical Center
Boston Medical Center
Beth Israel Deaconess Medical Center
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, Less than 100 beds
Baystate Noble Hospital
Massachusetts Eye and Ear
0 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, 100-199 beds
Holyoke Medical Center
MetroWest Medical Center - Framingham Campus
Milford Regional Medical Center
Cooley Dickinson Health Care
0 0.00% 5.00% 10.00% 15.00% 20.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, 200-299 beds
Signature Healthcare Brockton Hospital
Northeast Health System - Beverly Hospital
Mount Auburn Hospital
Cape Cod Hospital
Saint Vincent Hospital
Berkshire Medical Center
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, 300-399 beds
St. Elizabeth's Medical Center
Tufts Medical Center
Southcoast Health - Charlton Memorial Hospital
Mercy Medical Center
Southcoast Health - St. Luke's Hospital
Lowell General Hospital
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, More than 500 beds
UMass Memorial Medical Center
Baystate Medical Center
Boston Medical Center
Beth Israel Deaconess Medical Center
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical Units, Less than 100 beds
Northeast Health System - Addison Gilbert Hospital
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical Units, 100-199 beds
Brigham & Women’s Faulkner Hospital
MetroWest Medical Center - Framingham Campus
Melrose Wakefield Hospital
Milford Regional Medical Center
Lawrence General Hospital
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical Units, 200-299 beds
Northeast Health System - Beverly Hospital
Saint Vincent Hospital
Good Samaritan Medical Center
Holy Family Hospital at Methuen
Winchester Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Norwood Hospital
Newton-Wellesley Hospital
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00% 10.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical Units, 300-399 beds
Tufts Medical Center
St. Elizabeth's Medical Center
Southcoast Health - St. Luke's Hospital
Southcoast Health - Charlton Memorial Hospital
South Shore Hospital
0 0.00% 0.50% 1.00% 1.50% 2.00% 2.50% 3.00% 3.50% 4.00% 4.50% 5.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical Units, More than 500 beds
Boston Medical Center
Baystate Medical Center
Massachusetts General Hospital
UMass Memorial Medical Center
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
0 0.00% 0.50% 1.00% 1.50% 2.00% 2.50% 3.00% 3.50% 4.00% 4.50% 5.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Surgical Units, Less than 100 beds
Southcoast Health - Tobey Hospital
Falmouth Hospital
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Surgical Units, 100-199 beds
Brigham & Women’s Faulkner Hospital
Saint Anne's Hospital
Melrose Wakefield Hospital
Cooley Dickinson Health Care
New England Baptist Hospital
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Surgical Units, 200-299 beds
Northeast Health System - Beverly Hospital
Mount Auburn Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Winchester Hospital
Holy Family Hospital at Methuen
Newton-Wellesley Hospital
Saint Vincent Hospital
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Surgical Units, 300-399 beds
Southcoast Health - St. Luke's Hospital
Southcoast Health - Charlton Memorial Hospital
Tufts Medical Center
South Shore Hospital
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Surgical Units, More than 500 beds
Baystate Medical Center
Massachusetts General Hospital
Brigham and Women's Hospital
UMass Memorial Medical Center
Boston Medical Center
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00% 10.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, Less than 100 beds
Falmouth Hospital
Beth Israel Deaconess Hospital - Needham
Baystate Franklin Medical Center
Baystate Noble Hospital
Nashoba Valley Medical Center
Massachusetts Eye and Ear
Fairview Hospital
Athol Hospital
Baystate Wing Hospital
Marlborough Hospital
Beth Israel Deaconess Hospital - Milton
Southcoast Health - Tobey Hospital
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, 100-199 beds
Sturdy Memorial Hospital
Saint Anne's Hospital
MetroWest Medical Center - Framingham Campus
Melrose Wakefield Hospital
HealthAlliance -Clinton Hospital
Emerson Hospital
Heywood Hospital
Brigham & Women’s Faulkner Hospital
Morton Hospital and Medical Center
New England Baptist Hospital
MetroWest Medical Center - Leonard Morse Campus
Holyoke Medical Center
North Shore Medical Center (NSMC) - Union Hospital
Milford Regional Medical Center
Holy Family Hospital at Haverhill
Anna Jaques Hospital
Carney Hospital
Cambridge Health Alliance - Cambridge
Cooley Dickinson Health Care
Beth Israel Deaconess Hospital-Plymouth
Cambridge Health Alliance - Everett
Harrington Memorial Hospital
Lawrence General Hospital 0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, 200-299 beds
Good Samaritan Medical Center
North Shore Medical Center (NSMC) - Salem Hospital
Norwood Hospital
Northeast Health System - Beverly Hospital
Holy Family Hospital at Methuen
Winchester Hospital
Signature Healthcare Brockton Hospital
Mount Auburn Hospital
Cape Cod Hospital
Berkshire Medical Center
Saint Vincent Hospital
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, 300-399 beds
St. Elizabeth's Medical Center
Lahey Hospital & Medical Center
Mercy Medical Center
Lowell General Hospital
Southcoast Health - Charlton Memorial Hospital
South Shore Hospital
Southcoast Health - St. Luke's Hospital
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, More than 500 beds
Boston Medical Center
Baystate Medical Center
Massachusetts General Hospital
Brigham and Women's Hospital
UMass Memorial Medical Center
Beth Israel Deaconess Medical Center
0 0.00% 0.50% 1.00% 1.50% 2.00% 2.50% 3.00% 3.50% 4.00% Percent of Patients with Hospital Acquired Pressure Ulcers
NSC-3 Patient Falls
Apr 2018 – Mar 2019
January 2020 Adult Critical Care Units, Less than 100 beds
Falmouth Hospital
Beth Israel Deaconess Hospital - Needham
Baystate Franklin Medical Center
Baystate Noble Hospital
Marlborough Hospital
Baystate Wing Hospital
Beth Israel Deaconess Hospital - Milton
Northeast Health System - Addison Gilbert Hospital
Nashoba Valley Medical Center
Southcoast Health - Tobey Hospital
Fairview Hospital
0 0.00 2.00 4.00 6.00 8.00 10.00 12.00 Patient Falls per 1000 Patient Days Adult Critical Care Units, 100-199 beds
Morton Hospital and Medical Center
HealthAlliance -Clinton Hospital
Cambridge Health Alliance - Everett
Harrington Memorial Hospital
Brigham & Women’s Faulkner Hospital
MetroWest Medical Center - Leonard Morse Campus
Holy Family Hospital at Haverhill
Cooley Dickinson Health Care
Lawrence General Hospital
Beth Israel Deaconess Hospital-Plymouth
Sturdy Memorial Hospital
Milford Regional Medical Center
Melrose Wakefield Hospital
Anna Jaques Hospital
Emerson Hospital
Carney Hospital
Cambridge Health Alliance - Cambridge
Heywood Hospital
MetroWest Medical Center - Framingham Campus
Saint Anne's Hospital
New England Baptist Hospital
Holyoke Medical Center 0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 Patient Falls per 1000 Patient Days Adult Critical Care Units, 200-299 beds
Northeast Health System - Beverly Hospital
Berkshire Medical Center
Cape Cod Hospital
Newton-Wellesley Hospital
Signature Healthcare Brockton Hospital
Saint Vincent Hospital
Mount Auburn Hospital
Norwood Hospital
Good Samaritan Medical Center
North Shore Medical Center (NSMC) - Salem Hospital
Holy Family Hospital at Methuen
Winchester Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Critical Care Units, 300-399 beds
Lowell General Hospital
Mercy Medical Center
Tufts Medical Center
Lahey Hospital & Medical Center
St. Elizabeth's Medical Center
South Shore Hospital
Southcoast Health - Charlton Memorial Hospital
Southcoast Health - St. Luke's Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 Patient Falls per 1000 Patient Days Adult Critical Care Units, More than 500 beds
Brigham and Women's Hospital
Baystate Medical Center
Massachusetts General Hospital
Boston Medical Center
Beth Israel Deaconess Medical Center
UMass Memorial Medical Center
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 Patient Falls per 1000 Patient Days Adult Step-Down Units, Less than 100 beds
Massachusetts Eye and Ear
Baystate Noble Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, 100-199 beds
Milford Regional Medical Center
Cooley Dickinson Health Care
Holyoke Medical Center
MetroWest Medical Center - Framingham Campus
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, 200-299 beds
Cape Cod Hospital
Saint Vincent Hospital
Signature Healthcare Brockton Hospital
Berkshire Medical Center
Mount Auburn Hospital
Northeast Health System - Beverly Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 Patient Falls per 1000 Patient Days Adult Step-Down Units, 300-399 beds
Lowell General Hospital
St. Elizabeth's Medical Center
Mercy Medical Center
Tufts Medical Center
Southcoast Health - St. Luke's Hospital
Southcoast Health - Charlton Memorial Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, More than 500 beds
Baystate Medical Center
Boston Medical Center
Beth Israel Deaconess Medical Center
UMass Memorial Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 Patient Falls per 1000 Patient Days Adult Medical Units, Less than 100 beds
Northeast Health System - Addison Gilbert Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 Patient Falls per 1000 Patient Days Adult Medical Units, 100-199 beds
Melrose Wakefield Hospital
Milford Regional Medical Center
Brigham & Women’s Faulkner Hospital
Lawrence General Hospital
MetroWest Medical Center - Framingham Campus
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Medical Units, 200-299 beds
Norwood Hospital
Winchester Hospital
Saint Vincent Hospital
Newton-Wellesley Hospital
Good Samaritan Medical Center
North Shore Medical Center (NSMC) - Salem Hospital
Holy Family Hospital at Methuen
Northeast Health System - Beverly Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Medical Units, 300-399 beds
Southcoast Health - St. Luke's Hospital
South Shore Hospital
Tufts Medical Center
Southcoast Health - Charlton Memorial Hospital
St. Elizabeth's Medical Center
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 Patient Falls per 1000 Patient Days Adult Medical Units, More than 500 beds
Baystate Medical Center
Brigham and Women's Hospital
Boston Medical Center
Massachusetts General Hospital
UMass Memorial Medical Center
Beth Israel Deaconess Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 Patient Falls per 1000 Patient Days Adult Surgical Units, Less than 100 beds
Southcoast Health - Tobey Hospital
Falmouth Hospital
0 0.00 0.50 1.00 1.50 2.00 Patient Falls per 1000 Patient Days Adult Surgical Units, 100-199 beds
New England Baptist Hospital
Cooley Dickinson Health Care
Melrose Wakefield Hospital
Brigham & Women’s Faulkner Hospital
Saint Anne's Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 Patient Falls per 1000 Patient Days Adult Surgical Units, 200-299 beds
Winchester Hospital
Northeast Health System - Beverly Hospital
Holy Family Hospital at Methuen
Saint Vincent Hospital
Newton-Wellesley Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Mount Auburn Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Surgical Units, 300-399 beds
South Shore Hospital
Tufts Medical Center
Southcoast Health - Charlton Memorial Hospital
Southcoast Health - St. Luke's Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Surgical Units, More than 500 beds
Boston Medical Center
Massachusetts General Hospital
Baystate Medical Center
Brigham and Women's Hospital
UMass Memorial Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 Patient Falls per 1000 Patient Days Adult Medical-Surgical Units, Less than 100 beds
Massachusetts Eye and Ear
Beth Israel Deaconess Hospital - Needham
Baystate Franklin Medical Center
Falmouth Hospital
Beth Israel Deaconess Hospital - Milton
Baystate Noble Hospital
Fairview Hospital
Athol Hospital
Baystate Wing Hospital
Marlborough Hospital
Nashoba Valley Medical Center
Southcoast Health - Tobey Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 Patient Falls per 1000 Patient Days Adult Medical-Surgical Units, 100-199 beds
Holyoke Medical Center
New England Baptist Hospital
Milford Regional Medical Center
Cooley Dickinson Health Care
MetroWest Medical Center - Leonard Morse Campus
Sturdy Memorial Hospital
North Shore Medical Center (NSMC) - Union Hospital
MetroWest Medical Center - Framingham Campus
Brigham & Women’s Faulkner Hospital
Anna Jaques Hospital
Melrose Wakefield Hospital
Lawrence General Hospital
Beth Israel Deaconess Hospital-Plymouth
Morton Hospital and Medical Center
Emerson Hospital
Harrington Memorial Hospital
HealthAlliance -Clinton Hospital
Cambridge Health Alliance - Cambridge
Cambridge Health Alliance - Everett
Saint Anne's Hospital
Holy Family Hospital at Haverhill
Heywood Hospital
Carney Hospital 0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 Patient Falls per 1000 Patient Days Adult Medical-Surgical Units, 200-299 beds
Winchester Hospital
Northeast Health System - Beverly Hospital
Cape Cod Hospital
Norwood Hospital
Signature Healthcare Brockton Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Berkshire Medical Center
Mount Auburn Hospital
Holy Family Hospital at Methuen
Good Samaritan Medical Center
Saint Vincent Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Medical-Surgical Units, 300-399 beds
Lahey Hospital & Medical Center
St. Elizabeth's Medical Center
Mercy Medical Center
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Lowell General Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 Patient Falls per 1000 Patient Days Adult Medical-Surgical Units, More than 500 beds
Boston Medical Center
Baystate Medical Center
UMass Memorial Medical Center
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
Massachusetts General Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days
NSC-4 Falls with Injury
Apr 2018 – Mar 2019
January 2020 Adult Critical Care Units, Less than 100 beds
Falmouth Hospital
Marlborough Hospital
Beth Israel Deaconess Hospital - Milton
Southcoast Health - Tobey Hospital
Beth Israel Deaconess Hospital - Needham
Baystate Wing Hospital
Nashoba Valley Medical Center
Baystate Franklin Medical Center
Northeast Health System - Addison Gilbert Hospital
Baystate Noble Hospital
Fairview Hospital
0 0.00 2.00 4.00 6.00 8.00 10.00 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, 100-199 beds
Beth Israel Deaconess Hospital-Plymouth
HealthAlliance -Clinton Hospital
Sturdy Memorial Hospital
MetroWest Medical Center - Framingham Campus
Emerson Hospital
Carney Hospital
Melrose Wakefield Hospital
Anna Jaques Hospital
Morton Hospital and Medical Center
Cambridge Health Alliance - Everett
Harrington Memorial Hospital
Brigham & Women’s Faulkner Hospital
MetroWest Medical Center - Leonard Morse Campus
Cambridge Health Alliance - Cambridge
Heywood Hospital
Holy Family Hospital at Haverhill
New England Baptist Hospital
Saint Anne's Hospital
Cooley Dickinson Health Care
Lawrence General Hospital
Holyoke Medical Center
Milford Regional Medical Center 0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, 200-299 beds
Cape Cod Hospital
Saint Vincent Hospital
Signature Healthcare Brockton Hospital
Mount Auburn Hospital
Northeast Health System - Beverly Hospital
Berkshire Medical Center
Newton-Wellesley Hospital
Norwood Hospital
Good Samaritan Medical Center
Holy Family Hospital at Methuen
North Shore Medical Center (NSMC) - Salem Hospital
Winchester Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, 300-399 beds
Lahey Hospital & Medical Center
Tufts Medical Center
St. Elizabeth's Medical Center
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Southcoast Health - Charlton Memorial Hospital
Lowell General Hospital
Mercy Medical Center
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, More than 500 beds
Massachusetts General Hospital
Beth Israel Deaconess Medical Center
Brigham and Women's Hospital
Baystate Medical Center
UMass Memorial Medical Center
Boston Medical Center
0 0.00 0.10 0.20 0.30 0.40 0.50 0.60 Falls with Injury per 1000 Patient-Days Adult Step-Down Units, Less than 100 beds
Baystate Noble Hospital
Massachusetts Eye and Ear
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 Falls with Injury per 1000 Patient-Days Adult Step-Down Units, 100-199 beds
Milford Regional Medical Center
Cooley Dickinson Health Care
MetroWest Medical Center - Framingham Campus
Holyoke Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 Falls with Injury per 1000 Patient-Days Adult Step-Down Units, 200-299 beds
Signature Healthcare Brockton Hospital
Northeast Health System - Beverly Hospital
Saint Vincent Hospital
Cape Cod Hospital
Berkshire Medical Center
Mount Auburn Hospital
0 0.00 0.50 1.00 1.50 2.00 Falls with Injury per 1000 Patient-Days Adult Step-Down Units, 300-399 beds
Lowell General Hospital
Tufts Medical Center
St. Elizabeth's Medical Center
Mercy Medical Center
Southcoast Health - St. Luke's Hospital
Southcoast Health - Charlton Memorial Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 1.80 Falls with Injury per 1000 Patient-Days Adult Step-Down Units, More than 500 beds
Beth Israel Deaconess Medical Center
Baystate Medical Center
Boston Medical Center
UMass Memorial Medical Center
0 0.00 0.50 1.00 1.50 2.00 Falls with Injury per 1000 Patient-Days Adult Medical Units, Less than 100 beds
Northeast Health System - Addison Gilbert Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 Falls with Injury per 1000 Patient-Days Adult Medical Units, 100-199 beds
Melrose Wakefield Hospital
MetroWest Medical Center - Framingham Campus
Lawrence General Hospital
Brigham & Women’s Faulkner Hospital
Milford Regional Medical Center
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 Falls with Injury per 1000 Patient-Days Adult Medical Units, 200-299 beds
Northeast Health System - Beverly Hospital
Norwood Hospital
Saint Vincent Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Good Samaritan Medical Center
Winchester Hospital
Holy Family Hospital at Methuen
Newton-Wellesley Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 Falls with Injury per 1000 Patient-Days Adult Medical Units, 300-399 beds
South Shore Hospital
Tufts Medical Center
Southcoast Health - St. Luke's Hospital
St. Elizabeth's Medical Center
Southcoast Health - Charlton Memorial Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 Falls with Injury per 1000 Patient-Days Adult Medical Units, More than 500 beds
Beth Israel Deaconess Medical Center
Baystate Medical Center
Boston Medical Center
Massachusetts General Hospital
Brigham and Women's Hospital
UMass Memorial Medical Center
0 0.00 0.20 0.40 0.60 0.80 1.00 Falls with Injury per 1000 Patient-Days Adult Surgical Units, Less than 100 beds
Southcoast Health - Tobey Hospital
Falmouth Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 Falls with Injury per 1000 Patient-Days Adult Surgical Units, 100-199 beds
Melrose Wakefield Hospital
Cooley Dickinson Health Care
New England Baptist Hospital
Saint Anne's Hospital
Brigham & Women’s Faulkner Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 Falls with Injury per 1000 Patient-Days Adult Surgical Units, 200-299 beds
Saint Vincent Hospital
Holy Family Hospital at Methuen
Northeast Health System - Beverly Hospital
Winchester Hospital
Newton-Wellesley Hospital
Mount Auburn Hospital
North Shore Medical Center (NSMC) - Salem Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 Falls with Injury per 1000 Patient-Days Adult Surgical Units, 300-399 beds
Southcoast Health - Charlton Memorial Hospital
Southcoast Health - St. Luke's Hospital
South Shore Hospital
Tufts Medical Center
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 Falls with Injury per 1000 Patient-Days Adult Surgical Units, More than 500 beds
Boston Medical Center
Massachusetts General Hospital
Baystate Medical Center
Brigham and Women's Hospital
UMass Memorial Medical Center
0 0.00 0.20 0.40 0.60 0.80 1.00 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, Less than 100 beds
Fairview Hospital
Baystate Franklin Medical Center
Beth Israel Deaconess Hospital - Milton
Beth Israel Deaconess Hospital - Needham
Massachusetts Eye and Ear
Baystate Noble Hospital
Athol Hospital
Baystate Wing Hospital
Nashoba Valley Medical Center
Falmouth Hospital
Marlborough Hospital
Southcoast Health - Tobey Hospital
0 0.00 0.50 1.00 1.50 2.00 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, 100-199 beds
North Shore Medical Center (NSMC) - Union Hospital
Anna Jaques Hospital
MetroWest Medical Center - Leonard Morse Campus
Cooley Dickinson Health Care
Holyoke Medical Center
Melrose Wakefield Hospital
Cambridge Health Alliance - Cambridge
Milford Regional Medical Center
Beth Israel Deaconess Hospital-Plymouth
Morton Hospital and Medical Center
Sturdy Memorial Hospital
Emerson Hospital
New England Baptist Hospital
MetroWest Medical Center - Framingham Campus
Harrington Memorial Hospital
Brigham & Women’s Faulkner Hospital
Cambridge Health Alliance - Everett
Carney Hospital
Saint Anne's Hospital
HealthAlliance -Clinton Hospital
Lawrence General Hospital
Holy Family Hospital at Haverhill
Heywood Hospital 0 0.00 0.50 1.00 1.50 2.00 2.50 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, 200-299 beds
Winchester Hospital
Signature Healthcare Brockton Hospital
Northeast Health System - Beverly Hospital
Cape Cod Hospital
Norwood Hospital
Holy Family Hospital at Methuen
Saint Vincent Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Good Samaritan Medical Center
Berkshire Medical Center
Mount Auburn Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, 300-399 beds
St. Elizabeth's Medical Center
Lahey Hospital & Medical Center
Mercy Medical Center
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Lowell General Hospital
0 0.00 0.50 1.00 1.50 2.00 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, More than 500 beds
Boston Medical Center
Baystate Medical Center
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
UMass Memorial Medical Center
Massachusetts General Hospital
0 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 Falls with Injury per 1000 Patient-Days
Post-Acute Care Hospitals
January 2020
NSC-2 Pressure Ulcer Prevalence
June 2018* September 2018 December 2018* March 2019
* Optional studies
January 2020 Rehabilitation Hospitals, Rehabilitation Unit
Encompass Health Rehabilitation Hospital of Braintree
Encompass Health Rehabilitation Hospital of Western MA
Southcoast Health - Charlton Memorial Hospital
Berkshire Medical Center
Baystate Noble Hospital
Encompass Health Rehabilitation Hospital of New England
Fairlawn Rehabilitation Hospital
Spaulding Rehabilitation Hospital Cape Cod
Mercy Medical Center
Spaulding Rehabilitation Hospital Boston
0 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% Percent of Patients with Hospital Acquired Pressure Ulcers Long-Term Acute Care Hospital, Long-Term Care Unit
Hebrew Rehabilitation Center
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00% Percent of Patients with Hospital Acquired Pressure Ulcers Long-Term Acute Care Hospital, Medical Unit
Tewksbury Hospital
New England Sinai Hospital
Spaulding Hospital for Continuing Medical Care Cambridge
0 0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00% Percent of Patients with Hospital Acquired Pressure Ulcers
NSC-3 Patient Falls
Apr 2018 – Mar 2019
January 2020 Rehabilitation Hospitals, Rehabilitation Unit
Spaulding Rehabilitation Hospital Cape Cod
Spaulding Rehabilitation Hospital Boston
Mercy Medical Center
Berkshire Medical Center
Baystate Noble Hospital
Encompass Health Rehabilitation Hospital of Western MA
Southcoast Health - Charlton Memorial Hospital
Fairlawn Rehabilitation Hospital
Encompass Health Rehabilitation Hospital of New England
Encompass Health Rehabilitation Hospital of Braintree
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 Patient Falls per 1000 Patient Days Long-Term Acute Care Hospital, Long-Term Care Unit
Hebrew Rehabilitation Center
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Long-Term Acute Care Hospital, Medical Unit
New England Sinai Hospital
Spaulding Hospital for Continuing Medical Care Cambridge
Tewksbury Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days
NSC-4 Falls with Injury
Apr 2018 – Mar 2019
January 2020 Rehabilitation Hospitals, Rehabilitation Unit
Berkshire Medical Center
Encompass Health Rehabilitation Hospital of Braintree
Encompass Health Rehabilitation Hospital of Western MA
Spaulding Rehabilitation Hospital Boston
Baystate Noble Hospital
Spaulding Rehabilitation Hospital Cape Cod
Mercy Medical Center
Encompass Health Rehabilitation Hospital of New England
Fairlawn Rehabilitation Hospital
Southcoast Health - Charlton Memorial Hospital
0 0 0.5 1 1.5 2 Falls with Injury per 1000 Patient-Days Long-Term Acute Care Hospital, Long-Term Care Unit
Hebrew Rehabilitation Center
0 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 Falls with Injury per 1000 Patient-Days Long-Term Acute Care Hospital, Medical Unit
New England Sinai Hospital
Tewksbury Hospital
Spaulding Hospital for Continuing Medical Care Cambridge
0 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Falls with Injury per 1000 Patient-Days