Additional
Indicator Definitions

Key Performance Measures - 2/19/2009

National Comparison Data

Indicator 

Goal
(Annual National Avg.)

Patient Injury Rate

0.53

Nat. Avg.

(0.41)

0.42

0.33

0.00

0.17

Elopement Rate

0.19

Nat. Avg.

(0.21)

0.18

0.32

0.32

0.17

Medication Error Rate

2.92

Nat. Avg.

(2.27)

7.18

Prevalence of COPSD

50.52

Nat. Avg.

(38.09)

49.08

30 Day Re-admit Rate
(Discharge Cohort)

12.25

Nat. Avg.

(8.21)

12.64

Patient Seclusion and Restraint

Hours of Restraint Use

0.07

Nat. Avg.

(0.68)

0.01

0.11

0.17

0.07

% of Patients Restrained

0.69

Nat. Avg.

(3.96)

0.25

2.08

1.25

0.89

Hours of Seclusion Use

0.07

Nat. Avg.

(0.62)

0.31

0.12

0.14

0.13

% of Patients Secluded

0.69

Nat. Avg.

(2.50)

1.37

2.08

1.67

1.21

Patient Discharge Survey

+/-  5% CI Range

Patient Outcome

64.58

(72.99 – 79.52)

(76.25)

71.90

69.59

73.46

67.20

Patient Dignity

79.79

(75.36 – 82.08)

(78.72)

79.80

80.61

72.96

72.56

Patient Rights

63.29

(59.64 – 67.72)

(63.68)

60.10

55.65

50.42

60.23

Patient Participation

75.30

(66.63 – 76.51)

(71.57)

73.03

75.84

68.38

71.57

Hospital Environment

69.43

(62.46 – 72.16)

(67.31)

69.91

77.28

70.76

67.64