Tip Sheet Instructions & Tip Sheet 1 Statutory Requirements 2013 Minnesota Laws Chapter 51 HF588 directs the Department of Health (MDH) to conduct a study of the correlation between nurse staffing levels and patient outcomes at Minnesota hospitals. MDH will be securely collecting data under its authority in Minn. Stat. 62J.301 to 62J.42 to fulfill obligations set forth by the 2013 Minnesota law. 2 Classifications of Data The statutes above maintain the data classifications established by the Minnesota Data Practices Act, with some exceptions. Under this act, data on institutions, unless otherwise defined, is considered non-public. If hospitals chose to report disaggregated nurse data, the data would be considered private data on individuals. In each case, MDH will apply rigorous safeguards of the data in transit and in rest. 3 Additional Formatting a b c Tips throughout the formset are highlighted in YELLOW. Many hyperlinks also appear throughout the formset for ease of navigation. All items in the form are REQUIRED. 4 Questions on Completing the Form If you have any questions, please contact the Minnesota Department of Health (MDH) before you begin. e-mail MDH 651-201-3541 5 6 7 8 9 Calendar Year 2013 Data Data are required for each day of calendar year 2013. Unit Categories Data must be submitted specific to care unit categories. Unit category includes the following eight aggregated inpatient units, based on designations developed by the Labor Management Institute and used by MHA in 2014 nurse staffing plans and reports. Only the unit categories listed are required (critical care, step-down, and general medical/surgical). Providing De-identified Nurse Data Staffing data can be reported rolled-up to the nurse license type (as shown in tabs) or, if preferred, in unaggregated form, at a de-identified nurse level. Nurse License Types Staffing data must be reported for specific categories of nonmanagerial care staff: Registered nurse (RN), licensed practical nurse (LPN), and unlicensed assistive personnel (UAP) which includes: nurse aides, patient care technicians, and patient care assistants who perform non-managerial direct patient care. Nursing Care Hours Consistent with submission requirement for MHA's 2014 nurse staffing plan and reports, data is limited to time spent by nurse care team member delivering direct patient care. Nurse managers should be included if they work 50% on patient care. Float staff hours worked should be included if they spend 50% in a unit category. Contract/agency staff hours are required to be included. 10 Patient Census and Observation Hours Page 1
The number of patients for each 24 hour period are required, as well as the number of observation hours for each unit category. Patient census can be drawn from midnight census data tracking. 11 Deadline and Limited Extension Data must be submited to MDH as indicated by September 1, 2014. A request for a limited extension may be submitted in writing (e-mail is acceptable) two weeks before the due date and must include a reason for the needed extension. e-mail MDH 12 Submitting Completed Information Completed data files may only be submitted via MDH's secure web submission application, which can be accessed at: https://apps.health.state.mn.us/mdh_upload/ Instructions can be found in the Upload Partner Guide (PDF: 80KB/2pgs). 1. To use the upload portion, File Upload Page. 2. Type in the cryptic word from the image displayed 3. Enter the email address to whom you wish to receive files as: 4. Enter a small, simple explanation of the file uploaded. These comments will appear in the email notification of the uploaded file to help the receiver identify the context of the upload. 5. Enter your email address. This sender email address will appear in the email notification of an uploaded file and will also be an identifying feature of the file in the download portion of the application. 6. Select a file from your local computer by clicking the Browse button. Multiple files can be sent by selecting them one at a time and adding them to the Web list. 7. Click Continue. Page 2
Hospital Contact Information Hospital Identification HCCIS ID NPI Hospital Name Address P.O. Box City Zip Code County Facility Phone # Facility Fax # Administrator's Name Administrator's Title This is the unique ID assigned to your facility for the HCCIS data collection. Please click on the HCCIS ID link, select your ID from the list, and enter it here. Please provide the National Provider Identifier for the acute care facility of the hospital Administrator's e-mail address Hospital's Website CFO's Name System Affiliation: Name of system(s), e.g., Allina, Contact Information Preparer Name of person completing this form Address (if different than Hospital) City (if different than Hospital) State (if different than Hospital) Title E-mail Direct Phone# Fax# Zip Code (If different than Hospital) County (if different than Hospital) Courtesy Contact 1 Courtesy Contact 1 Name Address (if different than Hospital) City (if different than Hospital) State (if different than Hospital) Title E-mail Direct Phone# Fax# Zip Code (If different than Hospital) County (if different than Hospital) Courtesy Contact 2(Optional) Courtesy Contact 2 Name Address (if different than Hospital) City (if different than Hospital) State (if different than Hospital) Title E-mail Direct Phone# Fax# Zip Code (If different than Hospital) County (if different than Hospital) http://www.health.state.mn.us/healtheconomics Page 3
MDH Nurse Study Hospital Data for Calendar Year 2013 CRITICAL CARE Please enter daily nusing hours, patient census and observation hours. DATE RN_HOURS LPN_HOURS UAP_HOURS CENSUS OBS_HOURS 1/1/2013 1/2/2013 1/3/2013 1/4/2013 1/5/2013 1/6/2013 1/7/2013 1/8/2013 1/9/2013 1/10/2013 1/11/2013 1/12/2013 1/13/2013 1/14/2013 1/15/2013 1/16/2013 1/17/2013 1/18/2013 1/19/2013 1/20/2013 1/21/2013 1/22/2013 1/23/2013 1/24/2013 1/25/2013 1/26/2013 1/27/2013 1/28/2013 1/29/2013 1/30/2013 1/31/2013 Page 4
MDH Nurse Study Hospital Data for Calendar Year 2013 STEP DOWN Please enter daily nusing hours, patient census and observation hours. DATE RN_HOURS LPN_HOURS UAP_HOURS CENSUS OBS_HOURS 1/1/2013 1/2/2013 1/3/2013 1/4/2013 1/5/2013 1/6/2013 1/7/2013 1/8/2013 1/9/2013 1/10/2013 1/11/2013 1/12/2013 1/13/2013 1/14/2013 1/15/2013 1/16/2013 1/17/2013 1/18/2013 1/19/2013 1/20/2013 1/21/2013 1/22/2013 1/23/2013 1/24/2013 1/25/2013 1/26/2013 1/27/2013 1/28/2013 1/29/2013 1/30/2013 1/31/2013 Page 5
MDH Nurse Study Hospital Data for Calendar Year 2013 GEN MED-SURG Please enter daily nusing hours, patient census and observation hours. DATE RN_HOURS LPN_HOURS UAP_HOURS CENSUS OBS_HOURS 1/1/2013 1/2/2013 1/3/2013 1/4/2013 1/5/2013 1/6/2013 1/7/2013 1/8/2013 1/9/2013 1/10/2013 1/11/2013 1/12/2013 1/13/2013 1/14/2013 1/15/2013 1/16/2013 1/17/2013 1/18/2013 1/19/2013 1/20/2013 1/21/2013 1/22/2013 1/23/2013 1/24/2013 1/25/2013 1/26/2013 1/27/2013 1/28/2013 1/29/2013 1/30/2013 1/31/2013 Page 6
Unit Categories Go back to Tip Sheet MDH NURSE STUDY DATA COLLECTION INPATIENT UNIT CATEGORIES Only critical care, step-down and general medical/surgical unit categories should be included. Other unit categories are listed below the solid line. Unit Category Unit Type LMI Code Unit Type Definition Bone Marrow Transplant BMT Adults requiring intensive care during and after bone marrow procedure. Burn Unit BURN All levels of burn/wound care requiring intensive care. Coronary Care CCU Adult intensive care providing observation, care and treatment to patients with acute cardiac problems (e.g., acute myocardial infarction, unstable angina or recovery from post interventional CRITICAL CARE procedures). Cardio- CVICU Adult cardiovascular surgical procedures requiring intensive care. Vascular ICU Critical Care ICU Adults requiring intensive care - medical/surgical. (M/S) Neuro ICU NEU/ICU Adults requiring intensive care for Neuro-surgical procedures or trauma. Trauma ICU TICU Adults requiring intensive care from penetrating / blunt trauma. Go to critical care Transplant TRANSP Adult patients with heart or multiple organ transplant acute care. tab STEP DOWN Special Care - Adult SPC Adult patients requiring intermediate care - ventilators 1:3 ratio. Go to step-down tab Step Down SD Adult post intensive care. Telemetry TELE Adult requiring telemetry monitoring post procedures and surgery. Bariatric Surgery BARI Adults requiring non-intensive or intermediate Bariatric Surgical care. Cardiac Care CARD Adults requiring non-intensive or intermediate cardiac care without monitoring. Diabetic DIAB Adults requiring non-intensive or intermediate diabetic care Geriatric GERI Frail elderly adults requiring non-intensive or intermediate medical/surgical care Hospice/ Palliative PALL Adults requiring non-intensive or intermediate oncology treatments & care in a hospice or palliative environment. Medical MED Adults requiring non-intensive or intermediate care for medical diagnosis. Med/Surg M/S Adults requiring non-intensive or intermediate care for medical/surgical diagnoses. Medical/ Telemetry MED/TELE Blended unit of adult medical patients and Adults requiring monitoring and non-intensive or intermediate care. Neurology/Ne uro-surg NEURO Adults requiring non-intensive or intermediate care for neurological and neuro-surgical diagnoses. Oncology ONCOL Adults requiring non-intensive or intermediate care for oncology GEN MED/SURG diagnoses and treatments. Oncology with ONCOL/TE Adults requiring monitoring but non-intensive or intermediate care Tele L E for oncology diagnoses and treatments. Orthopedics ORTH Adults requiring non-intensive or intermediate care for orthopedic/joint diagnoses. Respiratory RESP Adult pulmonary patients with treatments. Surgical Nursing Unit SURG Adults requiring non-intensive or intermediate post surgical care.
GEN MED/SURG Unit Categories Go back to Tip Sheet MDH NURSE STUDY DATA COLLECTION INPATIENT UNIT CATEGORIES Only critical care, step-down and general medical/surgical unit categories should be included. Other unit categories are listed below the solid line. Unit Category Unit Type LMI Code Unit Type Definition Surgical SURG/TELEAdults requiring monitoring and non-intensive or intermediate post Telemetry surgical care. Operating OR Patients that require surgical intervention. Room Anesthesia ANES Anesthesiologist and support/on call staff. Anesthesia ANES/PO Patient assessment/prior to surgery. Pre-Op Post PACU Recovery of patients from surgical procedures and anesthesia. Anesthesia Post PACU/DIS Recover of patients who are discharged (same day center Anesthesia/ surgery). Discharge Go to general medical/surgical tab OBGYN/PEDS Same Day Surgery or Ambulatory Surgery SDS Limited inpatient surgical cases to be admitted/ discharged in same day. Also known as Ambulatory Surgery. Ambulatory AMB/PO Pre-operative preparation of surgical case. Pre-Op Gynecology GYN Women post gynecological surgery. Ante-partum AP Mother's requiring intense monitoring Post Partum PP Mother's post delivery Mother/Baby PP/NRSY Mother's post delivery with infant Labor/Del LD Mother's in various stages of delivery Labor/Del/Re covery Labor/Del/ Rec/PP Labor/Del/ Rec/PP/Nrsy Newborn Nursery (Level I) Nursery Level II Neonatal ICU Level III LDR LDRP LDRPN NBN SPC/N NICU Mother's in various stages of delivery with recovery time Mother's in various stages of delivery with recovery time and post partum. Mother's in various stages of delivery with recovery time, post partum care & newborn nursery; Mother and infant (one room/birthing-center concept) Healthy newborn (birth to 28 days) infants requiring general medical care. Infants > 28 days requiring monitoring but not intensive care Infants requiring intensive care and monitoring Pediatrics PEDS Children needing general medical/ surgical care Pediatrics ICU PICU Children requiring intensive medical/surgical care. RN ratios usually 1:1-1:2. Pediatric PEDS/ONC Children needing care for oncology-related diagnoses. Oncology BEHAV. HEALTH Adolesc Psych ADOL/PSY Young adults a juvenile between the onset of puberty and maturity (e.g. 6-19 or 21 based on state statutes) requiring mental health Chemical Dependency Treatment CDEP treatment. A dedicated unit treating inpatients requiring non-intensive or intermediate Chemical Dependency Treatment/Therapies.
Unit BEHAV. HEALTH Categories Go back to Tip Sheet MDH NURSE STUDY DATA COLLECTION INPATIENT UNIT CATEGORIES Only critical care, step-down and general medical/surgical unit categories should be included. Other unit categories are listed below the solid line. Unit Category Unit Type LMI Code Unit Type Definition Mental MH Adults (Age 20+) requiring non-intensive or intermediate mental Health/ Psych health assessment and treatment. Mental Health/ Geriatric Mental Health/ High Security MH/GERI MH/HS Geriatric adults (relating to senior citizens) requiring non-intensive or intermediate mental health assessment and treatment. Adults (Age 20+) requiring intensive or intermediate mental health assessment and treatment. Rehabilitation REHAB Adults requiring daily therapies and assistance for rehabilitation. SNF/REHAB Skilled Nursing Long Term Acute Care SNF LTAC Adult requiring treatments, monitoring post-acute care. Adult patients requiring long-term specialized acute care for medically complex patients who are critically ill; have multi-system complications and/or failures requiring hospitalization, averaging a length of stay of 25 days or more. (e.g., respiratory or ventilatordependent conditions or other complex medical conditions requiring aggressive and continuous acute care services. OTHER Acute Dialysis A/DIALY A dedicated unit treating inpatients requiring dialysis during hospitalization. Cath Lab CATH A dedicated unit treating inpatient cardiac patients receiving cardiac treatments and non-evasive treatments. Endoscopy ENDO A dedicated unit treating inpatients receiving endoscopy procedures. Infusion Center Neuro- Diagnostic Lab Non-Invasive INFUS/IP ND/LAB NILAB A dedicated unit treating inpatients with infusion procedures or treatments. Typically, infusion therapy means that a drug is administered intravenously, but the term also may refer to situations where drugs are provided through other non-oral routes, such as intramuscular injections and epidural routes. A dedicated unit treating inpatients with neuro-diagnostic and EEG studies as ordered by physicians. A dedicated unit treating inpatients providing non-invasive lab procedures. Lab Source: Adapted from the Labor Management Institute's 2013 Perspectives on Staffing & Scheduling Survey of Hours Benchmark Report
Nurse Study Data Form Hospital List HCCIS ID NPI Hospital Name City 100 1346258100 Mayo Clinic Health System - Albert Lea Albert Lea 34 1164424305 Douglas County Hospital Alexandria 150 1659390706 Mayo Clinic Health System-Austin Austin 102 1801870191 Sanford Bemidji Medical Center Bemidji 142 1568415974 St. Joseph's Medical Center Brainerd 42 1245217520 Fairview Ridges Hospital Burnsville 13 1568427383 Cambridge Medical Center Cambridge 84 1316904287 Mercy Hospital Coon Rapids 90 1033153895 SMDC Medical Center Duluth 143 1801835970 St. Luke's Hospital Duluth 148 1457393035 St. Mary's Medical Center Duluth 44 1699752915 Fairview Southdale Hospital Edina 39 1821066499 Mayo Clinic Health System - Fairmont Fairmont 71 1093713372 Lake Region Healthcare Corporation Fergus Falls 164 1083672950 Unity Hospital Fridley 64 1669426631 Grand Itasca Clinic and Hospital Grand Rapids 85 1356321699 Fairview University Medical Center - Mesabi Hibbing 63 1154302487 Mayo Clinic Health System - Mankato Mankato 191 1225272552 Maple Grove Hospital Maple Grove 180 1447218482 St. John's Hospital Maplewood 2 1760446256 Abbott Northwestern Hospital Minneapolis 59 1407897309 Hennepin County Medical Center Minneapolis 185 1013994359 University of Minnesota Medical Center - Fairview Minneapolis 103 1851344907 North Memorial Medical Center Robbinsdale 120 1649246828 Mayo Clinic Methodist Hospital Rochester 145 1841266194 Saint Marys Hospital Rochester 135 1578520045 St. Francis Regional Medical Center Shakopee 132 1043269798 St. Cloud Hospital St. Cloud 86 1649220724 Park Nicollet Methodist Hospital St. Louis Park 151 1629006457 Regions Hospital St. Paul 141 1134186273 St. Joseph's Hospital St. Paul 163 1457319485 United Hospital St. Paul 74 1538138003 Lakeview Memorial Hospital Stillwater 167 1083617120 Virginia Regional Medical Center Virginia 168 1275608457 Ridgeview Medical Center Waconia 118 1619064193 Rice Memorial Hospital Willmar 27 1295789352 Winona Health Services Winona 187 1356309322 Woodwinds Health Campus Woodbury 186 1083692941 Fairview Lakes Regional Medical Center Wyoming Page 10