Publicly Reported Quality Measures
Quality Performance Measures
On this page, you will find hospital-wide publicly reported quality performance measures for Nursing Care, Infection Prevention, and Mortality and Readmissions.
Click on the links in the tables below for more information about each measure.
Nursing Care
Nursing care at BIDMC is dedicated to providing the highest quality of care and safety to our patients. We participate in PatientCareLink as part of this commitment. Through PatientCareLink, Massachusetts hospitals are working to reduce medical errors and promote a safe and supportive work environment, publicly report staffing plans that meet patients' needs, alleviate shortages of nurses and other caregivers, and work collaboratively with others to ensure access to safe, high-quality care for all.
ICU RN Patient Ratio 7/1/2021 - 9/30/2021
| ICU | Average Daily Patient Census1 | Average Daily Staff Nurse Census1 | Average Daily Staff Nurse-to-Patient Ratio1 |
|---|---|---|---|
| Medical Intensive Care Unit A | 7.49 | 5.48 | 1:1.4 |
| Coronary Care Unit (CCU) | 6.63 | 5.22 | 1:1.3 |
| Trauma/Surgical Intensive Care Unit (TSICU) | 7.99 | 6.17 | 1:1.3 |
| CVICU - Cardiac Vascular Intensive Care Unit | 11.16 | 9.44 | 1:1.2 |
| Medical Intensive Care Unit B | 7.40 | 5.09 | 1:1.5 |
| Medical/ Surgical Intensive Care Unit (MICU/SICU) | 9.48 | 7.41 | 1:1.3 |
| Neonatal Intensive Care Unit (NICU) | 12.08 | 7.86 | 1:1.5 |
| Surgical Intensive Care Unit (SICU) | 7.01 | 5.27 | 1:1.3 |
| Neuro ICU | 6.93 | 5.00 | 1:1.4 |
Hand Hygiene
| Hand Hygiene | BIDMC Performance1 Q2FY 18 | BIDMC Goal3 |
|---|---|---|
| Average Intensive Care Units' compliance A higher rate is better. | 91% | 90% |
| Average Non-Intensive Care Units' compliance A higher rate is better. | 89% | 90% |
Infection Prevention
| Ventilator Associated Pneumonia | BIDMC Performance Q3 FY 15* | BIDMC Goal3 |
|---|---|---|
| Preventing Ventilator Associated Pneumonia A higher rate is better. | 100% | 90% |
*Prevention of ventilator associated complications, including ventilator associated pneumonia (VAP), remains an important focus of our work in Critical Care, and we continue to perform VAP surveillance. However, given that our performance on the VAP prevention bundle was consistently above 97% over the last several years, we will no longer report this metric. Reporting of VAP bundle prevention compliance will be resumed in the event of increased incidence of VAP or other related concerns
Mortality & Readmissions
It is important for hospitals to monitor the number of patients who died or were readmitted within 30 days of being admitted to the hospital.
| Heart Attack Post Discharge Outcomes | BIDMC Performance1 7/13-6/16 | US National Performance4 7/13-6/16 |
|---|---|---|
| 30-day Mortality Rate A lower rate is better | 12.2% | 13.6% |
| 30-day Readmission Rate A lower rate is better | 16.9% | 16.3% |
| Heart Failure Post Discharge Outcomes | BIDMC Performance 1 7/13-6/16 | US National Performance4 7/13-6/16 |
|---|---|---|
| 30-day Mortality Rate A lower rate is better | 8.5% | 11.9% |
| 30-day Readmission Rate A lower rate is better | 22.3% | 21.6% |
| Pneumonia Post Discharge Outcomes | BIDMC Performance1 7/13-6/16 | US National Performance4 7/13-6/16 |
|---|---|---|
| 30-day Mortality Rate A lower rate is better | 14.8% | 15.9% |
| 30-day Readmission Rate A lower rate is better | 18.0% | 16.9% |
1Source of this data is from hospital administrative databases, and reflects data reported to regulatory agencies.
3This internal goal was established by BIDMC.
4The source of the comparison for these measures is Hospital Compare, Centers for Medicare & Medicaid Services. The data reported for this set of measures are drawn from a representative sample of patients.
Last updated: July 2021