Nursing Care Quality at NQF

Please take a few minutes to complete the following survey.  This information will be compiled for the purposes of understanding the use of the NQF-endorsed consensus standards for nursing-sensitive care.

I.  Contact Information
Please provide the following information or select the option that best applies:

1. Name 

2. Title  

3. What title category best fits you/the work you do?

Senior leader1
Supervisor/manager2
Staff/data collector3
Other

4. Street Address, City, State, Zip Code

5. Telephone  

6. Fax 

7. Email  

II.  Hospital Information
Please provide the following information about your institution or select the option that best applies:

8. Name  

9. Website(if applicable)  

10. Is your hospital/organization affiliated with a larger system?

No
Yes, Please name/identify the system.

11. Geographic Location

Urban4
Suburban5
Rural6

12. Size

25 beds or less
Between 26 and 75 beds
Between 76 and 125 beds
Between 126 and 199 beds
Between 200 and 299 beds
Between 300 and 500 beds
Between 501 and 1000 beds
Greater than 1001 beds

13. Service Type

Critical Access Hospital7
Community hospital
Tertiary hospital8
Specialty hospital9
Other.  Please specify:  

14. Ownership

Not-for-profit (select the one that best applies)

Government (e.g., federal, state, or county)
Military
Other not-for-profit (e.g., religious)

For profit/investor owned

15. Teaching Status

Teaching10
Non-teaching

16. Please indicate whether you are willing to have your contact information and your hospital’s contact information posted on the NQF web site so that other hospitals could contact you about your responses to this survey.

Yes
No

III.  NQF-endorsed™ Nursing-sensitive Consensus Standards
Please check the box that best applies or, where instructed, provide additional information in the space provided.

17. Are you aware that NQF has endorsed 15 measures (NQF-endorsed consensus standards) that quantify the contribution of nurses in acute care hospitals to patient safety and healthcare outcomes?

Yes
No

18. Have you implemented any of the NQF-endorsed nursing-sensitive measures?  How far along are you with adoption/implementation?

No adoption
Started to adopt, but are no longer implementing11 (Skip to question #22)
Early user12  (Skip to question #24)
Intermediate user13  (Skip to question #24)
Experienced user14 (Skip to question #24)
Don’t know (Skip to question #24)

19. If you have not implemented the NQF-endorsed measures, are you planning to implement any of them in the future?

Yes
No (Skip to question #22)
Don’t know (Skip to question #22)

20. Please indicate when (month and year) you plan to implement the NQF-endorsed measures.

21. Which of the 15 NQF-endorsed measures do you plan to implement? (Skip to question #27)

22. If you have not implemented any of the 15 NQF-endorsed measures OR started implementation of one or more but are no longer implementing, please provide the primary reason why you are not currently using them.

Limitations of the measures (e.g., address only adult inpatients)
Insufficient staff, nursing
Insufficient staff, other
Resistance from staff
Insufficient/inconsistent institutional leadership for initiative
Insufficient resources (e.g., hardware/software, etc.) to maintain data collection/reporting effort
Insufficient expertise among the staff to conduct the necessary data analyses
Barriers to training and/or inservice education to support effort
Don’t know
Other  (please explain)

23. What one piece of information would you need to convince you that implementing the NQF-endorsed measures would benefit you, your hospital, or the patients you serve? (Answer this item and skip to question #29)

IV. Adoption/Implementation
Please select the option that best applies or, where instructed, provide additional information in the space provided.

24. How many of the NQF-endorsed measures have you implemented?

One measure
Some measures.  How many?
All 15 measures (full set)
Don't know

25. Do you receive regular feedback (e.g., performance graph, dashboard, report card) regarding your performance on one or more of the NQF-endorsed measures you have implemented?

Yes
No
Don't know

26. What is your primary approach to gathering the data needed to generate/construct the NQF-endorsed measures?

Pencil and paper
Existing information technology (IT) system 
Electronic health record (EHR)
Mixed methodology (e.g., some combination of pencil/paper, information technology, and electronic health record)
Don’t know

27. What is the primary motivation for your implementation/use of the NQF-endorsed measures?

Mandatory/required15
Voluntary16
Don’t know

28. What is the primary purpose for implementing the NQF-endorsed measures?

Quality improvement
Public reporting
Pay for performance
Don’t know

29. Does your hospital participate in other national or state nursing performance measurement initiatives?

Yes
No  (Skip to question #31)
Don’t know (Skip to question #31)

30. If you answer “yes” to question #29 please list the nursing sensitive indicators your hospital has implemented. (e.g., NDNQI, AHRQ Patient Safety Indicators, CalNOC)?

31. Would you be willing to be interviewed for a study NQF is currently conducting to further understand the experience of implementing its endorsed measures?

Yes
No 

 

Thank you for your time and contribution.

1An organization’s senior management consisting of the head of the organization and direct reports.

2The person who supervises the staff who are directly responsible for the collection, analysis, and reporting of performance measures for the organization.

3The person directly responsible for the data collection, analysis, and reporting of performance measures.

4Consists of a large central place and adjacent densely settled census blocks that together have a total population of at least 2,500 for urban clusters, or at least 50,000 for urbanized areas

5Residential area bordering an urban area

6Territory, population and housing units not classified as urban or suburban

7Located in a rural area not easily served by other hospitals and with not more than 25 acute care inpatient beds for providing inpatient care for a period that does not exceed 96 hours per patient as defined by the Social Security Act 1820(c)(2)

8Major hospital that has a full complement of services and/or special consultative care

9Hospital dedicated to a particular subspecialty

10 Must satisfy at least one of the following criteria: Residency training approved by Accreditation Council for Graduate Medical Education (ACGME); Medical school affiliation reported to American Medical Association (AMA); Internship approved by American Osteopathic Association (AOA); or Residency approved by AOA

11Began implementation, but stopped data collection, analysis, and/or reporting.

12Planning phases and/or beginning to assemble data elements for data collection and analysis.

13Currently collecting data elements but in early stages of analysis and/or reporting of some measures.

14 Currently collecting data elements and generating reports on all measures.  One or more cycles of improvement may have been applied.

15 For most NQF-endorsed measures you have implemented, you had no decision making authority in determining whether you implemented them (e.g., mandated by federal/state/local policy, health plan or employer/purchaser, or higher-ranking entity).

16 For the majority of NQF-endorsed measures, implementation by your institution is considered elective (e.g., volunteered for a study, pilot, initiative).

Source Definition

Urban -U.S. Census Bureau. -  Last accessed April 24, 2006.

Suburban - Last accessed May 30, 2006.

Rural - Definition by the U.S. Census Bureau. - Last accessed April 24, 2006.

Critical Access Hospital - Definition under the Social Security Act 1820(c)(2).  Last accessed May 4, 2006.

Primary, secondary, tertiary care hospital - Definition by the Philippines Department of Health; November 2004. - Last accessed July 18, 2006.

Teaching— Definition provided by the Association of American Medical Colleges (AAMC) and American Hospital Association (AHA).

Senior leader - Definition by the Baldrige National Quality Program, Health Care Criteria for Performance Excellence.  - Last accessed April 24, 2006.