Change notes: Section C, cell W72 added to the formula in cell B80. SectionA. Pages 1 of 12 pages

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1 SectionA American Nurses Credentialing Center - Magnet Recognition Program - Demographic Form (Do not mark in grey areas. A red triangle in the upper right corner of a cell indicates there is a comment box.) General Information Health Care Organization name: Wellspan Health - York Hospital Health Care Organization address: 11 South George Street, York PA 1745 Health Care Organization telephone number: For U.S. applicants, type of health care organization or other Acute Care non-profit Community Teaching Hospital applicable designation for national and international applicants: Date CNO assumed this role at this facility: 1/5/11 Reporting Period Month Year to Month Date Year Reporting period used (beginning and ending date): July 1st 211 June 3th 212 For in-patient settings indicate the number of beds staffed: 543 For in-patient settings indicate the number of licensed beds: For in-patient settings, what is the average daily census for the reporting period? 452 What is the average length of stay for Medicare patients/residents/clients? 5.48 What is the case mix index for Medicare patients/residents/clients? 1.67 What is the length of stay for Medicare patients/residents/clients (case mix adjusted)? What is the average length of stay for all payors? 4.87 Form revision date: December 16, 21. You must use the most recent version of the DIF available when you begin data collection each year for submission of the form on your designation anniversary date. Change notes: Section C, cell W72 added to the formula in cell B8. What is the case mix index for all payors? 1.45 What is the average length of stay for all payors (case-mix adjusted)? 3.36 Pages 1 of 12 pages

2 SectionB Utilization of Organization Services Please "lump" similar units together. If you have a type of unit not included in these columns, please add the unit to the left of the "" column. Unit Designation Units Cardiac Number of units in each unit type: Number beds, staffed by unit (if applicable): Number of patient visits in ambulatory clinics OR's 22 Bays n/a 63 n/a n/a n/a n/a n/a n/a ,471 35,92 5,1 53,62 75,134 22,929-11, ,682 Optional for inpatient facilities: Number of visits to patient homes Number of procedures performed on inpatient units Number of telephone contacts to patients Number of patient contacts via letters/ s RN FTE/WTEs budgeted: Average number of RN FTE/WTEs actual: Average number of direct care RN FTE/WTEs with > 2 yrs experience in current specialty (and therefore eligible to sit for a certification exam). Total RN FTEs/WTEs working per diem or in float pools (not included in FTE/WTE numbers given above): Pages 2 of 12 pages

3 SectionB Utilization of Organization Services Please "lump" similar units together. If you have a type of unit not included in these columns, please add the unit to the left of the "" column. Unit Designation Units Cardiac Raw RN turnover rate: 6.3% 2.2% 6.7% 4.3% 3.3% 2.9% 3.3%.6%.% 9.5% 1.4% 4.9% 6.9%.% 3.2% 7.2%.% 6.9% 5.8% 4.7% LPN FTE/WTEs budgeted: Average number of LPN FTE/WTEs employed: LPN turnover rate: Unlicensed Assistive Personnel (UAP) FTE/WTEs budgeted: Average number of UAP FTE/WTEs employed: UAP turnover rate: Percentage of RN staff: 69.3% 72.% 71.4% 74.% 9.6% 91.7% 76.5% 91.1% 93.% 79.5% 85.6% 89.6% 6.6% 1.% 44.8% 72.6% 1.% 42.8% 96.8% 76.1% Percent of RN FTEs/WTEs assigned to direct patient care positions: Number of RN FTE/WTEs assigned to direct patient care positions: Vacancy Rate - RN: Vacancy Rate - LPN: Vacancy Rate - UAP: of Vacancy Rate: Indicate the number of RN FTEs/WTEs who resigned or were terminated from their positions during the reporting period as follows Pages 3 of 12 pages

4 SectionB Utilization of Organization Services Please "lump" similar units together. If you have a type of unit not included in these columns, please add the unit to the left of the "" column. Unit Designation Units Cardiac Resignations, controllable: Resignations, uncontrollable: Terminations by: Total number of RN FTEs/WTEs who resigned or were terminated from their positions during the reporting period Average monthly RN (or equivalent) FTEs/WTEs used from per diem staff: Average monthly RN (or equivalent) FTEs/WTEs used from contracted supplemental/temporary staffing agencies: Average number of RN FTE/WTEs recruited from international sources: Average length of employment (in years rounded to tenths) among RNs (or equivalent): Average nursing care hours/patient/resident/client day (HPPD): n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Pages 4 of 12 pages

5 SectionC EDUCATIONAL PREPARATION OF NURSES IN LEADERSHIP POSITIONS Chief NursingOfficer (Place an "1" The certification pertains to nursing subspecialty (e.g. critical care, orthopaedics, medical-surgical, administration, informatics) but not to a technique (e.g. ACLS, PALS, NRP). (one) after the highest degree and certification): Master/Graduate degree, non 1 nursing Bachelor degree, nursing 1 Master/Graduate degree, nursing Doctorate degree (earned) Certified by a nationally recognized certifying/credentialing organization, if applicable Certified for advanced practice by a nationally recognized certifying organization, if applicable 1 Diploma (3 year post-secondary):.% Associate degree (2 year postsecondary): Bachelor/university degree, nonnursing: 1 2.8%.% Bachelor/university degree, nursing: % Master/Graduate degree, non-nursing: % #REF!.% #REF!.% #REF!.% #REF! % #REF! % #REF! % Master/Graduate degree, nursing: % Doctorate degree (earned): % Certified by nationally recognized certifying body, if applicable: Certified for advanced practice, if applicable: Specify type of degree: MASTERS OF PUBLIC MANAGEMENT, Carnegie Mellon University, Pittsbugh PA Specify type of degree: Specify type of certification: NEA-BC Specify type of certification: BSN, Slippery Rock University, PA For each position category, please enter the number of FTEs/WTEs of nurses for each level of educational preparation (use the highest level of educational preparation of each nurse administrator: Nurse Executives/Supervisors 6 1 Nurse Manager/Ward Manager/ Team Leader Total # of FTEs: Percentages % 1 2.8% Pages 5 of 12 pages

6 SectionC Unit Designation Advance Practice RN Nurse Practitioners Specify number of FTEs/WTEs in each specialty: APRN Acute Care APRN Acute Care/ (Adult) APRN Acute Care/ (Neonatal) APRN Acute Care/ (Pediatric) APRN Advanced Diabetic Management APRN Adult APRN Family APRN Gerontology. APRN Neonatal. APRN Nephrology. APRN Occupational Health. APRN Pediatric. APRN Palliative Care APRN Psychiaritc and Mental Health. APRN Psychiaritc and Mental Health (Child/Adolescent) APRN Psychiatric and Mental Health (Family) APRN Public Health. APRN School. APRN Women's Health Care APRN Other:. Master/Graduate degree, nursing: Doctorate degree:. Certification by nationally recognized certifying body: Total # of FTEs: Pages 6 of 12 pages

7 SectionC Clinical Nurse Specialists CNS Acute Care/ (Adult) CNS Acute Care/ (Neonatal) CNS Acute Care/ (Pediatric) CNS Community Health. CNS Gerontology. CNS Home Health. CNS -/Adult Health. CNS Pediatric CNS Palliative Care/Hospice. CNS Psychiatric and Mental Health (Adult) CNS Psychiaritc and Mental Health (Child/Adolescent) CNS Other Master/Graduate degree, nursing: Doctorate degree:. Certification by nationally recognized certifying body: Nurse Anesthetists Total # of FTEs: Certificate only:. Master/Graduate degree, nursing: Nurse Midwives, if applicable Doctorate degree: Total # of FTEs: Certificate only:. Master/Graduate degree, nursing: Doctorate degree:. Certification by nationally recognized certifying body: Total # of FTEs: Grand Total Nurse Leaders with Graduate Degrees Total Nurse Leaders with National Certification % Percent of All Nurse Leaders with Graduate Degrees Number of Nurse Leaders Certified as APN % Percent of Nurse Leaders with National Certification Percent of Nurse Leaders Certified as APN 59.8%.. Pages 7 of 12 pages

8 SectionC Others: Clinical Nurse Leaders: Master/Graduate degree, nursing: Doctorate degree: Certification by nationally recognized certifying body: Total # of FTEs: Educators by unit: #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! Direct Care Nurse National Certification: Indicate by unit the number of RN FTEs/WTEs who provide direct patient care or perform other nonleadership/management rolesand are certified as specialist by a nationally or internationally recognized certifying organization. Place nondirect care, non-leader nurses in "V" "All Other". Indicate by unit the percentage of RN FTEs/WTEs who provide direct patient care or perform other nonleadership/management roles and are certified as specialist by a nationally or internationally recognized certifying organization. Place non-direct care, non-leader nurses in "V" "All Other" % 28.8% 64.3% 34.6% 52.2% 33.3% 3.7% 74.8% 43.9% 59.7% 142.% 72.6% 51.5% 18.2% 56.% 8.1% 71.5% 46.5% 17.4% 49.7% Pages 8 of 12 pages

9 SectionC Specify below the types of certifications and indicate the number of RNs FTEs/WTEs with each type of certification. ABN ACHPN 1. 1 ADDICT. RN AHP ANCC APRN.6.6 ATCN CAPA CBN CCRN CCRN-CMC CCRN-CSC CDE CDN (Dialysis) CEN CGRN CHPN.9.9 CLNC.9.9 CNN CNOR CNS-BC CMSRN CPAN CPN CRNI CRNP CRTT CVRN CWCN CWOCN IBCLC INP. OB MEDSURG NCC NIC OCN ONC PCCN PCE PHRN PMHN PMHCNS-BC. PMHNP-BC. PNP. PMC RCIS RN-C RN -BC RNC-LRN. RNC-MNN RNC-OB SANE WCC CMC. : Units Pages 9 of 12 pages

10 SectionC Please indicate by unit the number of RN FTEs/WTEs providing direct patient care that have this as his or her highest NURSING degree. Place non-direct care, non-leader nurses in "V" "All Other". Associate degree (2 year postsecondary): Diploma (3 year post-secondary): Bachelor/University degree, nursing: Master/Graduate degree, nursing: Doctorate degree (earned): Is continuing education mandatory for Yes No 32.6% % of Direct Care Nurses who have ADNs re-licensure/registration in your state X 12.5% % of Direct Care Nurses who have diplomas or for international applicants your Is your organization an Accredited Provider of continuing education? X 52.8% % of Direct Care Nurses who have BSNs Is your organization an Approved Provider of continuing education? X 2.% % of Direct Care Nurses who have MSNs COLLECTIVE BARGAINING.% % of Direct Care Nurses who have doctorates in nursing Is the nursing staff organized for Yes No collective bargaining by a union? (Place an "X" under Yes or No.) X If yes, indicate the name of the collective bargaining unit: Pages 1 of 12 pages

11 Unit Names by Unit Type List the name(s) of the units included in each unit type below the column heading. North 3A T-3 n/a 7 South 5 South Open Heart ICU (OHICU) Labor & Delivery Ante/Post Partum L&D T-4 Mty / Newborn 3 SW n/a OR / OHS Team Woman's Infusion Ctr. (WIC) 3 East / 3 Main No. / 3 Main Cardiac Rehab Out-Pt Specialty Practice Dialysis - Home Unit ED ET Nursing Central Resource Team (CRT) Pre-Hosp Admit Service (PHAS) 4 Main North 6 Out-Pt. Infusion T-2 Coronary Care Unit Main Services (CCU) 5 Main North AH Radiation 4 South Trauma ICU West (TSICU) 6 South ICU (MSICU) Transitional ICU (MTCU) Transitional ICU (STCU) Lactation RNs Cath Lab & EP Lab (Hrt Ctr.) Out-Pt BHS Edgar Sq. Dialysis - St. Charles Way ETCU Preventive Cardiology Short Stay Unit (SSU) Dialysis - 4East Diabetes Self Mgmt. Wound Care Center Dialysis - Littles-town (WCC) / Hanover Pain Center Non-Invasive Cardiology Testing Unit (CST) Imaging RNs Vascular Unit GI Lab IV Team Pages 11 of 12 pages

12 OrgDem Number of beds licensed (if applicable): Number of beds staffed (if different from above) Number of visits (if applicable): Number of RN FTEs: Skill Mix: Percentage of RNs who provide direct care who are certified: (When calculating be sure to exclude those RNs with less than 2 years experience in their specialty) Percentage of RNs serving in leadership positions who are certified: Percentage of RNs who provide direct care with ADN as the highest nursing degree: Percentage of RNs who provide direct care with Diploma as the highest nursing degree: Percentage of RNs who provide direct care with BSN as the highest nursing degree: Percentage of RNs who provide direct care with MSN as the highest nursing degree: Percentage of RNs who provide direct care with nursing doctorate as the highest nursing degree: Percentage of RNs who serve in leadership positions with ADN as the highest degree: Percentage of RNs who serve in leadership positions with Diploma as the highest degree: Percentage of RNs who serve in leadership positions with BSN as the highest nursing degree: Percentage of RNs who serve in leadership positions with bachelors/university degree, non-nursing Percentage of RNs who serve in leadership positions with MSN as the highest degree: Percentage of RNs who serve in leadership positions with masters/university degree, non-nursing Percentage of RNs who serve in leadership positions with a doctoral degree RN turnover rate: RN vacancy rate: 572 Section A, cell B Section A, cell B11 268,682 Section B, cell W6 998 Section B, cell W % Section B, cell W % Section C, cell W9 9.8% Section C, cell C8 32.6% Section C, cell P % Section C, cell P % Section C, cell P % Section C, cell P113.3% Section C, cell P % Section C, cell N14.% Section C, cell N13 5.% Section C, cell N16.% Section C, cell N % Section C, cell N % Section C, cell N % Section C, cell N % Section B, cell W % Section B, cell W27 Pages 12 of 12 pages