Statistical Appendix
MHA/ONL PatientCareLink
Nursing-Sensitive Measure Report
Statistical Appendix
June 2021
June 2021
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
June 2021
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.
June 2021 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 Mount Auburn Hospital Baystate Wing Hospital Newton-Wellesley Hospital Beth Israel Deaconess Hospital - Milton Northeast Health System - Beverly Hospital Beth Israel Deaconess Hospital - Needham North Shore Medical Center - Salem Hospital Fairview Hospital Saint Vincent Hospital Falmouth Hospital Signature Healthcare Brockton Hospital Massachusetts Eye & Ear Winchester Hospital Northeast Health System - Addison Gilbert Hospital Southcoast Hospitals Group - Tobey Hospital 300 - 399 Beds UMass Memorial - Marlborough Hospital Lahey Hospital & Medical Center Lowell General Hospital 100 - 199 Beds Mercy Medical Center Anna Jaques Hospital South Shore Hospital Beth Israel Deaconess Hospital - Plymouth Southcoast Hospitals Group - Charlton Memorial Brigham and Women's - Faulkner Hospital Southcoast Hospitals Group - St. Luke's Hospital Cambridge Health Alliance - Cambridge Tufts Medical Center Cambridge Health Alliance - Everett Cooley Dickinson Hospital 500 or More Beds Emerson Hospital Baystate Medical Center Melrose Wakefield Hospital Beth Israel Deaconess Medical Center Harrington Memorial Hospital Boston Medical Center HealthAlliance-Clinton Hospitals Brigham and Women's Hospital Heywood Hospital Massachusetts General Hospital Holyoke Medical Center UMass Memorial Medical Center Lawrence General Hospital MetroWest Medical Center - Framingham Campus MetroWest Medical Center - Leonard Morse Campus Milford Regional Medical Center New England Baptist Hospital North Shore Medical Center - Union Hospital Sturdy Memorial Hospital
June 2021 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 Tewksbury Hospital The Center for Rehabilitation at Berkshire Medical Center Weldon Rehabilitation Hospital at Mercy Medical Center
Long-Term Acute Care Hospitals Hebrew Rehabilitation Center Spaulding Hospital for Continuing Medical Care Cambridge
June 2021
Acute Care Hospitals
June 2021
NSC-2 Pressure Ulcer Prevalence
March 2019 June 2019* September 2019 December 2019*
* Optional studies
June 2021 Adult Critical Care Units, Less than 100 beds
Falmouth Hospital
Southcoast Health - Tobey Hospital
Beth Israel Deaconess Hospital - Needham
Baystate Wing Hospital
Baystate Franklin Medical Center
Northeast Health System - Addison Gilbert Hospital
Marlborough Hospital
Fairview Hospital
Beth Israel Deaconess Hospital - Milton
0 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Critical Care Units, 100-199 beds
Emerson Hospital
Beth Israel Deaconess Hospital-Plymouth
Sturdy Memorial Hospital
Brigham & Women’s Faulkner Hospital
Harrington Memorial Hospital
Anna Jaques Hospital
Cambridge Health Alliance - Cambridge
Holyoke Medical Center
New England Baptist Hospital
Heywood Hospital
MetroWest Medical Center - Leonard Morse Campus
MetroWest Medical Center - Framingham Campus
HealthAlliance -Clinton Hospital
Cambridge Health Alliance - Everett
Melrose Wakefield Hospital
Cooley Dickinson Health Care
Milford Regional Medical Center
Lawrence General 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, 200-299 beds
Cape Cod Hospital
Winchester Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Saint Vincent Hospital
Northeast Health System - Beverly Hospital
Berkshire Medical Center
Signature Healthcare Brockton Hospital
Newton-Wellesley Hospital
Mount Auburn Hospital
0 0.00% 5.00% 10.00% 15.00% 20.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Critical Care Units, 300-399 beds
Southcoast Health - Charlton Memorial Hospital
Southcoast Health - St. Luke's Hospital
South Shore Hospital
Lowell General Hospital
Mercy Medical Center
Tufts Medical Center
Lahey Hospital & 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
Baystate Medical Center
UMass Memorial Medical Center
Massachusetts General Hospital
Brigham and Women's Hospital
Boston Medical Center
Beth Israel Deaconess Medical Center
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, Less than 100 beds
Baystate Noble Hospital
0 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, 100-199 beds
Holyoke Medical Center
Milford Regional Medical Center
MetroWest Medical Center - Framingham Campus
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 Step-Down Units, 200-299 beds
Northeast Health System - Beverly Hospital
Cape Cod Hospital
Signature Healthcare Brockton Hospital
Mount Auburn Hospital
Saint Vincent Hospital
Berkshire Medical Center
0 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Step-Down Units, 300-399 beds
Southcoast Health - Charlton Memorial Hospital
Mercy Medical Center
Southcoast Health - St. Luke's Hospital
Lowell General Hospital
Tufts Medical Center
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 Step-Down Units, More than 500 beds
Baystate Medical Center
Beth Israel Deaconess Medical Center
UMass Memorial Medical Center
Boston Medical Center
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 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
Lawrence General Hospital
Melrose Wakefield Hospital
MetroWest Medical Center - Framingham Campus
Milford Regional 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, 200-299 beds
Saint Vincent Hospital
Winchester Hospital
Newton-Wellesley Hospital
Northeast Health System - Beverly Hospital
North Shore Medical Center (NSMC) - Salem 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
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Tufts Medical Center
Southcoast Health - Charlton Memorial Hospital
0 0.00% 0.50% 1.00% 1.50% 2.00% 2.50% 3.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical Units, More than 500 beds
Boston Medical Center
Massachusetts General Hospital
Beth Israel Deaconess Medical Center
UMass Memorial Medical Center
Brigham and Women's Hospital
Baystate 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% 7.00% 8.00% 9.00% 10.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Surgical Units, 100-199 beds
Brigham & Women’s Faulkner Hospital
Cooley Dickinson Health Care
Melrose Wakefield Hospital
New England Baptist Hospital
Milford Regional Medical Center
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 Surgical Units, 200-299 beds
Northeast Health System - Beverly Hospital
Winchester Hospital
Saint Vincent Hospital
Mount Auburn Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Newton-Wellesley 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 - Charlton Memorial Hospital
Southcoast Health - St. Luke's Hospital
Tufts Medical Center
South Shore 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 Surgical Units, More than 500 beds
Massachusetts General Hospital
UMass Memorial Medical Center
Baystate Medical Center
Brigham and Women's Hospital
Boston Medical Center
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-Surgical Units, Less than 100 beds
Beth Israel Deaconess Hospital - Needham
Baystate Franklin Medical Center
Massachusetts Eye and Ear
Fairview Hospital
Athol Hospital
Baystate Wing Hospital
Marlborough Hospital
Southcoast Health - Tobey Hospital
Beth Israel Deaconess Hospital - Milton
Falmouth Hospital
Baystate Noble Hospital
0 0.00% 5.00% 10.00% 15.00% 20.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, 100-199 beds
Anna Jaques Hospital
HealthAlliance -Clinton Hospital
Emerson Hospital
Cambridge Health Alliance - Everett
Heywood Hospital
Brigham & Women’s Faulkner Hospital
MetroWest Medical Center - Leonard Morse Campus
New England Baptist Hospital
Holyoke Medical Center
North Shore Medical Center (NSMC) - Union Hospital
Sturdy Memorial Hospital
Beth Israel Deaconess Hospital-Plymouth
Melrose Wakefield Hospital
Lawrence General Hospital
Cambridge Health Alliance - Cambridge
Harrington Memorial Hospital
Cooley Dickinson Health Care
Milford Regional Medical Center
MetroWest Medical Center - Framingham Campus 0 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% Percent of Patients with Hospital Acquired Pressure Ulcers Adult Medical-Surgical Units, 200-299 beds
Winchester Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Signature Healthcare Brockton Hospital
Cape Cod Hospital
Mount Auburn Hospital
Northeast Health System - Beverly Hospital
Saint Vincent Hospital
Berkshire 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, 300-399 beds
Mercy Medical Center
Lahey Hospital & Medical Center
Southcoast Health - St. Luke's Hospital
Lowell General 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-Surgical Units, More than 500 beds
Baystate Medical Center
Massachusetts General Hospital
Boston Medical Center
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
NSC-3 Patient Falls
Jan 2019 – Dec 2019
June 2021 Adult Critical Care Units, Less than 100 beds
Beth Israel Deaconess Hospital - Needham
Baystate Franklin Medical Center
Northeast Health System - Addison Gilbert Hospital
Fairview Hospital
Baystate Wing Hospital
Baystate Noble Hospital
Falmouth Hospital
Marlborough Hospital
Beth Israel Deaconess Hospital - Milton
Southcoast Health - Tobey Hospital
0 0.00 5.00 10.00 15.00 20.00 25.00 Patient Falls per 1000 Patient Days Adult Critical Care Units, 100-199 beds
Heywood Hospital
MetroWest Medical Center - Leonard Morse Campus
New England Baptist Hospital
Lawrence General Hospital
Brigham & Women’s Faulkner Hospital
Melrose Wakefield Hospital
Sturdy Memorial Hospital
Beth Israel Deaconess Hospital-Plymouth
Emerson Hospital
Holyoke Medical Center
Cooley Dickinson Health Care
MetroWest Medical Center - Framingham Campus
Harrington Memorial Hospital
Milford Regional Medical Center
Anna Jaques Hospital
Cambridge Health Alliance - Everett
Cambridge Health Alliance - Cambridge
HealthAlliance -Clinton Hospital
0 0.00 2.00 4.00 6.00 8.00 10.00 Patient Falls per 1000 Patient Days Adult Critical Care Units, 200-299 beds
Newton-Wellesley Hospital
Saint Vincent Hospital
Cape Cod Hospital
Northeast Health System - Beverly Hospital
Signature Healthcare Brockton Hospital
Berkshire Medical Center
Winchester 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 Critical Care Units, 300-399 beds
Lahey Hospital & Medical Center
Tufts Medical Center
Lowell General Hospital
Mercy Medical Center
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Southcoast Health - Charlton Memorial Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 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
UMass Memorial Medical Center
Boston Medical Center
Beth Israel Deaconess Medical Center
0 0.00 0.50 1.00 1.50 2.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, Less than 100 beds
Massachusetts Eye and Ear
Baystate Noble Hospital
0 0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, 100-199 beds
Cooley Dickinson Health Care
Milford Regional Medical Center
Holyoke Medical Center
MetroWest Medical Center - Framingham Campus
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 Step-Down Units, 200-299 beds
Berkshire Medical Center
Cape Cod Hospital
Saint Vincent Hospital
Signature Healthcare Brockton Hospital
Northeast Health System - Beverly Hospital
Mount Auburn Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, 300-399 beds
Southcoast Health - St. Luke's Hospital
Lowell General Hospital
Mercy Medical Center
Southcoast Health - Charlton Memorial Hospital
Tufts Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 Patient Falls per 1000 Patient Days Adult Step-Down Units, More than 500 beds
Baystate Medical Center
UMass Memorial Medical Center
Boston Medical Center
Beth Israel Deaconess Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 Patient Falls per 1000 Patient Days 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 Patient Falls per 1000 Patient Days Adult Medical Units, 100-199 beds
Milford Regional Medical Center
Melrose Wakefield Hospital
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 6.00 Patient Falls per 1000 Patient Days Adult Medical Units, 200-299 beds
North Shore Medical Center (NSMC) - Salem Hospital
Newton-Wellesley Hospital
Winchester Hospital
Saint Vincent Hospital
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
Tufts Medical Center
Southcoast Health - St. Luke's Hospital
South Shore 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 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 2.50 3.00 3.50 Patient Falls per 1000 Patient Days Adult Surgical Units, 100-199 beds
New England Baptist Hospital
Cooley Dickinson Health Care
Milford Regional Medical Center
Melrose Wakefield Hospital
Brigham & Women’s Faulkner Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 Patient Falls per 1000 Patient Days Adult Surgical Units, 200-299 beds
North Shore Medical Center (NSMC) - Salem Hospital
Newton-Wellesley Hospital
Northeast Health System - Beverly Hospital
Saint Vincent Hospital
Winchester 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
Southcoast Health - Charlton Memorial Hospital
Tufts Medical Center
South Shore 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
Massachusetts General Hospital
Baystate Medical Center
Brigham and Women's Hospital
Boston 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-Surgical Units, Less than 100 beds
Massachusetts Eye and Ear
Beth Israel Deaconess Hospital - Needham
Baystate Franklin Medical Center
Athol Hospital
Beth Israel Deaconess Hospital - Milton
Baystate Wing Hospital
Fairview Hospital
Falmouth Hospital
Marlborough Hospital
Baystate Noble Hospital
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
New England Baptist Hospital
Holyoke Medical Center
MetroWest Medical Center - Leonard Morse Campus
Milford Regional Medical Center
Emerson Hospital
Sturdy Memorial Hospital
Cambridge Health Alliance - Cambridge
Cooley Dickinson Health Care
Lawrence General Hospital
Anna Jaques Hospital
Melrose Wakefield Hospital
HealthAlliance -Clinton Hospital
Harrington Memorial Hospital
North Shore Medical Center (NSMC) - Union Hospital
Cambridge Health Alliance - Everett
Brigham & Women’s Faulkner Hospital
MetroWest Medical Center - Framingham Campus
Beth Israel Deaconess Hospital-Plymouth
Heywood 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 Medical-Surgical Units, 200-299 beds
Winchester Hospital
Northeast Health System - Beverly Hospital
Cape Cod Hospital
Signature Healthcare Brockton Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Berkshire Medical Center
Mount Auburn Hospital
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
Lowell General Hospital
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Mercy Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 Patient Falls per 1000 Patient Days Adult Medical-Surgical Units, More than 500 beds
Massachusetts General Hospital
Boston Medical Center
Beth Israel Deaconess Medical Center
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 Patient Falls per 1000 Patient Days
NSC-4 Falls with Injury
Jan 2019 – Dec 2019
June 2021 Adult Critical Care Units, Less than 100 beds
Falmouth Hospital
Beth Israel Deaconess Hospital - Needham
Beth Israel Deaconess Hospital - Milton
Southcoast Health - Tobey Hospital
Baystate Franklin Medical Center
Northeast Health System - Addison Gilbert Hospital
Fairview Hospital
Baystate Wing Hospital
Baystate Noble Hospital
Marlborough Hospital
0 0.00 5.00 10.00 15.00 20.00 25.00 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, 100-199 beds
Beth Israel Deaconess Hospital-Plymouth
Lawrence General Hospital
HealthAlliance -Clinton Hospital
Sturdy Memorial Hospital
Emerson Hospital
Melrose Wakefield Hospital
Anna Jaques Hospital
Cooley Dickinson Health Care
Brigham & Women's - Faulkner Hospital
Heywood Hospital
MetroWest Medical Center - Leonard Morse Campus
New England Baptist Hospital
MetroWest Medical Center - Framingham Campus
Milford Regional Medical Center
Cambridge Health Alliance - Everett
Harrington Memorial Hospital
Holyoke Medical Center
Cambridge Health Alliance - Cambridge
0 0.00 1.00 2.00 3.00 4.00 5.00 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, 200-299 beds
Cape Cod Hospital
Signature Healthcare Brockton Hospital
Berkshire Medical Center
Newton-Wellesley Hospital
Winchester Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Northeast Health System - Beverly Hospital
Saint Vincent Hospital
Mount Auburn Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, 300-399 beds
Lahey Hospital & Medical Center
Tufts Medical Center
Southcoast Health - St. Luke's Hospital
Lowell General Hospital
South Shore Hospital
Southcoast Health - Charlton Memorial Hospital
Mercy Medical Center
0 0.00 0.50 1.00 1.50 2.00 Falls with Injury per 1000 Patient-Days Adult Critical Care Units, More than 500 beds
Beth Israel Deaconess Medical Center
Massachusetts General Hospital
Boston Medical Center
Brigham and Women's Hospital
Baystate Medical Center
UMass Memorial 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 Falls with Injury per 1000 Patient-Days Adult Step-Down Units, 100-199 beds
MetroWest Medical Center - Framingham Campus
Cooley Dickinson Health Care
Milford Regional Medical Center
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
Cape Cod Hospital
Saint Vincent Hospital
Signature Healthcare Brockton Hospital
Berkshire Medical Center
Northeast Health System - Beverly Hospital
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
Southcoast Health - St. Luke's Hospital
Tufts Medical Center
Southcoast Health - Charlton Memorial Hospital
Mercy Medical Center
Lowell General 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 Step-Down Units, More than 500 beds
Boston Medical Center
Baystate Medical Center
Beth Israel Deaconess 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 0.50 1.00 1.50 2.00 2.50 Falls with Injury per 1000 Patient-Days Adult Medical Units, 100-199 beds
MetroWest Medical Center - Framingham Campus
Melrose Wakefield Hospital
Milford Regional Medical Center
Lawrence General Hospital
Brigham & Women's - Faulkner 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, 200-299 beds
Saint Vincent Hospital
Newton-Wellesley Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Northeast Health System - Beverly Hospital
Winchester Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 1.20 Falls with Injury per 1000 Patient-Days Adult Medical Units, 300-399 beds
Tufts Medical Center
Southcoast Health - St. Luke's Hospital
South Shore Hospital
Southcoast Health - Charlton Memorial 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, More than 500 beds
Massachusetts General Hospital
Boston Medical Center
Baystate Medical Center
Beth Israel Deaconess 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 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 1.40 Falls with Injury per 1000 Patient-Days Adult Surgical Units, 100-199 beds
Melrose Wakefield Hospital
New England Baptist Hospital
Cooley Dickinson Health Care
Milford Regional Medical Center
Brigham & Women's - Faulkner Hospital
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 Falls with Injury per 1000 Patient-Days Adult Surgical Units, 200-299 beds
Saint Vincent Hospital
Northeast Health System - Beverly Hospital
Newton-Wellesley Hospital
Winchester Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Mount Auburn Hospital
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 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 0.20 0.40 0.60 0.80 1.00 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 1.20 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, Less than 100 beds
Baystate Franklin Medical Center
Baystate Noble Hospital
Massachusetts Eye and Ear
Beth Israel Deaconess Hospital - Milton
Athol Hospital
Baystate Wing Hospital
Falmouth Hospital
Beth Israel Deaconess Hospital - Needham
Southcoast Health - Tobey Hospital
Marlborough Hospital
Fairview 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 Medical-Surgical Units, 100-199 beds
North Shore Medical Center (NSMC) - Union Hospital
Cambridge Health Alliance - Cambridge
Heywood Hospital
MetroWest Medical Center - Leonard Morse Campus
Melrose Wakefield Hospital
Holyoke Medical Center
New England Baptist Hospital
MetroWest Medical Center - Framingham Campus
Lawrence General Hospital
Sturdy Memorial Hospital
Milford Regional Medical Center
Emerson Hospital
Cooley Dickinson Health Care
Anna Jaques Hospital
Brigham & Women's - Faulkner Hospital
Cambridge Health Alliance - Everett
Beth Israel Deaconess Hospital-Plymouth
Harrington Memorial Hospital
HealthAlliance -Clinton Hospital 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 Medical-Surgical Units, 200-299 beds
Northeast Health System - Beverly Hospital
Winchester Hospital
Signature Healthcare Brockton Hospital
Cape Cod Hospital
Saint Vincent Hospital
North Shore Medical Center (NSMC) - Salem Hospital
Mount Auburn Hospital
Berkshire Medical Center
0 0.00 0.50 1.00 1.50 2.00 2.50 Falls with Injury per 1000 Patient-Days Adult Medical-Surgical Units, 300-399 beds
Lahey Hospital & Medical Center
Lowell General Hospital
South Shore Hospital
Southcoast Health - St. Luke's Hospital
Mercy Medical Center
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-Surgical Units, More than 500 beds
Boston Medical Center
Massachusetts General Hospital
Beth Israel Deaconess Medical Center
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 1.20 1.40 1.60 Falls with Injury per 1000 Patient-Days
Post-Acute Care Hospitals
June 2021
NSC-2 Pressure Ulcer Prevalence
March 2019 June 2019* September 2019 December 2019*
* Optional studies
June 2021 Rehabilitation Hospitals, Rehabilitation Unit
Spaulding Rehabilitation Hospital Cape Cod
Encompass Health Rehabilitation Hospital of Braintree
Southcoast Health - Charlton Memorial Hospital
Mercy Medical Center
Berkshire Medical Center
Baystate Noble Hospital
Fairlawn Rehabilitation Hospital
Encompass Health Rehabilitation Hospital of Western
Spaulding Rehabilitation Hospital Boston
Encompass Health Rehabilitation Hospital of New England
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 Long-Term Acute Care Hospital, Long-Term Care Unit
Hebrew Rehabilitation 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 Long-Term Acute Care Hospital, Medical Unit
Tewksbury Hospital
Spaulding Hospital for Continuing Medical Care Cambridge
0 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% Percent of Patients with Hospital Acquired Pressure Ulcers
NSC-3 Patient Falls
Jan 2019 – Dec 2019
June 2021 Rehabilitation Hospitals, Rehabilitation Unit
Spaulding Rehabilitation Hospital Cape Cod
Berkshire Medical Center
Southcoast Health - Charlton Memorial Hospital
Spaulding Rehabilitation Hospital Boston
Encompass Health Rehabilitation Hospital of Western
Mercy Medical Center
Baystate Noble Hospital
Fairlawn Rehabilitation Hospital
Encompass Health Rehabilitation Hospital of New
Encompass Health Rehabilitation Hospital of Braintree
0 0.00 2.00 4.00 6.00 8.00 10.00 12.00 Patient Falls per 1000 Patient Days Long-Term Acute Care Hospital, Long-Term Care Unit
Hebrew Rehabilitation Center
0 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 4.00 Patient Falls per 1000 Patient Days Long-Term Acute Care Hospital, Medical Unit
Spaulding Hospital for Continuing Medical Care
Tewksbury Hospital
0 0.00 1.00 2.00 3.00 4.00 5.00 6.00 Patient Falls per 1000 Patient Days
NSC-4 Falls with Injury
Jan 2019 – Dec 2019
June 2021 Rehabilitation Hospitals, Rehabilitation Unit
Encompass Health Rehabilitation Hospital of Braintree
Encompass Health Rehabilitation Hospital of Western
Fairlawn Rehabilitation Hospital
Baystate Noble Hospital
Spaulding Rehabilitation Hospital Boston
Berkshire Medical Center
Spaulding Rehabilitation Hospital Cape Cod
Mercy Medical Center
Encompass Health Rehabilitation Hospital of New
Southcoast Health - Charlton Memorial Hospital
0 0.00 0.50 1.00 1.50 2.00 Falls with Injury per 1000 Patient-Days Long-Term Acute Care Hospital, Long-Term Care Unit
Hebrew Rehabilitation Center
0 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 Falls with Injury per 1000 Patient-Days Long-Term Acute Care Hospital, Medical Unit
Spaulding Hospital for Continuing Medical Care
Tewksbury Hospital
0 0.00 0.20 0.40 0.60 0.80 1.00 Falls with Injury per 1000 Patient-Days