DDCT XML Import Documentation Version 1 9/27/2017

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1 DDCT XML Import Documentation Version 1 9/27/2017

2 Table of Contents Data Definitions... 3 Sample XML file... 6 List of Codes... 7 UnitType... 7 OwnershipType... 7 LocationType... 7 TeachingStatus... 7 OrganizationType... 7 Subspecialty... 8 Payer... 8 Certification... 8 Degree Question State... 24

3 Data Definitions Date Format All dates should be formatted as "YYYY-MM-DD". XML version Element The XML version element should be identical to the value in the current schema downloaded from <?xml version="1.0" encoding="utf-8"?> Report Element The Report element is the wrapper for the entire XML file and defines the file as a report to the DDCT system. Embedded in the Report element are the following attributes: xmlns:xsi xmln:xsd VersionStamp use the value listed in the current schema xmlns Organization Element The Organization element provides details about the organization. Each report must have one and only one organization element. Embedded in the Organization element are the following attributes: Attribute Required otes ame Y Max 200 characters Address Max 200 characters City Max 120 characters State See list of States below PostalCode Max 10 characters Country Phone Max 50 characters WebSite Max 500 characters OwnershipType See list of OwnershipTypes below LocationType See list of LocationTypes below TeachingStatus See list of TeachingStatus codes below OrganizationType See list of OrganizationTypes below OtherOrganizationType Max 100 characters Subspecialty Units Element The Units element lists all hospital units which are included in the report. Within the Units element are individual Unit elements, which have embedded in them the attributes for Unit Type and ame. See below for the list of valid Unit Type values. <Units> <Unit Type="A" ame="unit 1" /> <Unit Type="B" ame="unit 2" /> </Units> GeneralInformation Element The GeneralInformation element contains details which appear on the General Information page of the report. Embedded in the GeneralInformation element are the following attributes: Attribute Required Data Limitations Year Y Integer DueDate Y Date CMSProviderumber Max 20 characters AHAumber Max 20 characters CODate Y Date when CO started

4 employment COHighestursingDegree See list of Degrees below COHighestonursingDegree See list of Degrees below COHighestonursingDegreeSpecific Max 100 characters COationalCertification See list of Certifications below COAdvancedPracticeCertification See list of Certifications below StaffedBeds Y Integer LicensedBeds Y Integer AverageDailyCensus Y Decimal ExpectedPrimaryPayer Y See list of Payers below AverageLengthOfStayForMedicare Y Decimal CaseMixIndexForMedicare Y Decimal AverageLengthOfStayForMedicareCaseMixAdjusted Y Decimal AverageLengthOfStayForAllPayers Y Decimal CaseMixIndexForAllPayers Y Decimal AverageLengthOfStayForAllPayersCaseMixAdjusted Y Decimal umberofdirectcarers Y Integer PercentBSOfDirectCareRs Y Decimal CollectiveBargaining Y Boolean CollectiveBargainingSpecific Max 100 characters ContinuingEducationRequired Y Boolean AcceditedContinuingEducationProvider Y Boolean ApprovedContinuingEducationProvider Y Boolean CO Element Within the GeneralInformation element is the CO sub-element, which has embedded in it the following attributes, all of which are optional: ame (max 200 characters) (max 400 characters) Phone (max 50 characters) MPD Element Within the GeneralInformation element is the MPD sub-element, which has embedded in it the following attributes, all of which are optional: ame (max 200 characters) (max 400 characters) Phone (max 50 characters) ReportingPeriod Element Within the GeneralInformation element is the ReportingPeriod sub-element, which has embedded in it the following required attributes: Start (start date of reporting period) End (end date of reporting period) DemographicsMatrix Element The DemographicsMatrix element contains one "Answers" sub-element. All of the individual answer data points are contained within the Answers sub-element like so: <DemographicsMatrix> <Answers> <Answer../> <Answer../> </Answers> </DemographicsMatrix> Answer Element

5 Each Answer element has embedded in it the following attributes: Attribute Required Data Limitations Question Y See list of Questions below Certification Only for certain questions. See list of Certifications below Unitame Y ame must match one of the Unit ames included in the Unit element Value Y Decimal Questions with Certification Required For questions where a certification is required, Answer should be formatted: <Answer Question="XX" Certification="XX" Unitame="XX" Value="XX" /> Unique Answer values Answers must contain a unique combination of Question ID, Hospital Unit, and Certification (if applicable). For example, this will generate an error, because the same Question and Unitame are used on more than one Answer: <Answer Question="Q76" Unitame="Unit 1" Value="5.88" /> <Answer Question="Q76" Unitame="Unit 1" Value="6.5" />

6 Sample XML file <?xml version="1.0" encoding="utf-8"?> <Report xmlns:xsi=" xmlns:xsd=" VersionStamp="334F42A92C3504A3725E024FC86608E29A2D6A72" xmlns=" <Organization ame="test Org ame" Address="123 Main St" City="Anytown" PostalCode="12345" Phone=" " WebSite=" OwnershipType="onProfit" LocationType="Urban" TeachingStatus="onTeaching" OrganizationType="AcuteCare" Subspecialty="Oncology" /> <Units> <Unit Type="A" ame="unit 1" /> <Unit Type="B" ame="unit 2" /> </Units> <GeneralInformation Year="2018" DueDate=" T00:00:00" CMSProviderumber="99999" AHAumber="99999" CODate=" " COHighestonursingDegreeSpecific="" StaffedBeds="555" LicensedBeds="592" AverageDailyCensus="453" ExpectedPrimaryPayer="Medicare" AverageLengthOfStayForMedicare="5.4" CaseMixIndexForMedicare="2.11" AverageLengthOfStayForMedicareCaseMixAdjusted="2.55" AverageLengthOfStayForAllPayers="5.1" CaseMixIndexForAllPayers="2.02" AverageLengthOfStayForAllPayersCaseMixAdjusted="2.52" umberofdirectcarers="0" PercentBSOfDirectCareRs="0" CollectiveBargaining="false" CollectiveBargainingSpecific="" ContinuingEducationRequired="false" AcceditedContinuingEducationProvider="false" ApprovedContinuingEducationProvider="false"> <CO ame="jane Doe" ="" Phone="" /> <MPD ame="john Doe" ="" Phone="" /> <ReportingPeriod Start=" " End=" " /> </GeneralInformation> <DemographicsMatrix> <Answers> <Answer Question="Q1" Unitame="Unit 1" Value="28" /> <Answer Question="Q199" Certification = "C1" Unitame="Unit 1" Value="1" /> <Answer Question="Q76" Unitame="Unit 1" Value="5.88" /> <Answer Question="Q32" Unitame="Unit 1" Value="0.04" /> <Answer Question="Q85" Certification = "C1" Unitame="Unit 1" Value="10.33" /> <Answer Question="Q12" Unitame="Unit 1" Value="0" /> <Answer Question="Q55" Certification = "C2" Unitame="Unit 1" Value="0.5" /> <Answer Question="Q43" Unitame="Unit 1" Value="1" /> <Answer Question="Q1" Unitame="Unit 2" Value="26" /> <Answer Question="Q199" Certification = "C3" Unitame="Unit 2" Value="1" /> <Answer Question="Q76" Unitame="Unit 2" Value="3.08" /> <Answer Question="Q78" Unitame="Unit 2" Value="26.66" /> <Answer Question="Q35" Unitame="Unit 2" Value="6.41" /> <Answer Question="Q85" Certification = "C1" Unitame="Unit 2" Value="6.16" /> <Answer Question="Q12" Unitame="Unit 2" Value="0" /> <Answer Question="Q55" Certification = "C2" Unitame="Unit 2" Value="0.6" /> <Answer Question="Q40" Unitame="Unit 2" Value="2.8" /> </Answers> </DemographicsMatrix> </Report>

7 List of Codes UnitType Value A B C D E F G H I J K L M O P Q R S T U V W X AA Y BB OwnershipType Value Profit onprofit Government LocationType Value Rural Urban TeachingStatus Value Teaching onteaching OrganizationType Value AcuteCare AcutePsychiatric AmbulatoryOutpatient CriticalAccess LongtermCareInpatient Description Medical Surgical Med-Surg Step Down Critical Care Labor & Delivery Ante/Post Partum ICU Pediatrics PICU Operating Room Psychiatric Rehabilitation Ambulatory Emergency Department Specialty Practice Oncology PACU Same Day Procedures Acuity Adaptable Pre-Operative LDRP Home Care Hospice Long Term Care All Others Centralized Function Description Profit ot for Profit Government Description Rural Urban Description Teaching on-teaching Description Acute Care - Adult Acute Psychiatric Ambulatory/Outpatient Critical Access Longterm Care Inpatient

8 PediatricAcuteCare Other Subspecialty Value Cardiac Oncology Pediatric Psychiatric Pulmonary Rehabilitation Payer Value Medicare Medicaid PrivateInsurance HMO Other Certification Value C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 C11 C12 C13 C14 C16 C17 C18 C19 C20 C21 C22 C23 C24 C25 C26 C27 C28 C29 C30 C31 C32 C33 C34 C35 C36 Pediatric Acute Care Other Description Cardiology Oncology Pediatric Psychiatric Pulmonary Rehabilitation Description Medicare Medicaid Private Insurance HMO/PPO Other Description Certified Brain Injury Specialist Trainer Dietetic Technician, Registered Registered Dietician Physician Assistant Certified Addictions Registered urse Certified Chemical Dependency Counselor Credentialed member, American Academy of Medical Administrators Adult urse Practitioner - AAPCP Family urse Practitioner - AAPCP Gerontological urse Practitioner Certified Professional Coder-Hospital Adult Acute Care urse Practitioner Cardiac Medicine (Subspecialty) Certification Cardiac Surgery (Subspecialty) Certification Certified urse Manager and Leader Acute/Critical Care Clinical urse Specialist (Adult, eonatal, Pediatric) Critical Care Registered urse EXPIRED (Adult, eonatal, and Pediatric Acute) Critical Care R with Cardiac Medicine Subspecialty Critical Care R with Cardiac Surgery Subspecialty Progressive Care ursing (Adult) Progressive Care Certified urse with Cardiac Medicine Subspecialty Certified Heart Failure urse Certified urse Life Care Planner Certified Specialist in Poison Information Certified Gastrointestinal Registered urse Certified Occupational Health urse Certified Occupational Health urse, Case Management Certified Occupational Health urse, Safety Manager Certified Occupational Health urse, Safety Manager with CM Certified Occupational Health urse-specialist Certified Clinical Transplant Coordinator Certified Clinical Transplant urse Certified Procurement Transplant Coordinator Certified Transplant Preservationist Cardiovascular (Cath Lab, Intervention IF RCIS-certified)

9 C37 Cardiovascular (CCU/CVICU and Cath lab) C38 Cardiovascular (Ed, telemetry, & stepdown) C39 Cardiovascular Educator C40 Cardiovascular urse Practitioner C41 Cardiovascular urse Specialist C42 Certified in Cardiovascular Perfusion C43 Certified Managed Care urse C44 Certified euroscience Registered urse C45 Certified Ambulatory Perianesthesia urse C46 Certified Post Anesthesia urse C47 Certified Healthcare Quality Management C48 Certified Wound Associate C49 Certified Wound Specialist C50 Accredited Case Manager C51 Certified Forensic urse C52 Certified Assisted Living Administrators C53 Certified ursing Home Administrators C54 Certified Healthcare Executive C55 Certified Personal Trainer; Exercise Specialist; Clinical Exercise Specialist; Health/Fitness Instructor; Registered Clinical Exercise Physiologist C56 Certified Corrections urse C57 Advanced Health & Fitness Specialist C58 Group Fitness Instructor Certification C59 Lifestyle & Weight Management Consultant C60 Personal Trainer Certification C61 Advanced Holistic urse Board Certified C62 Holistic Baccalaureate urse, Board Certified C63 Holistic urse Board Certified C64 Certified Materials & Resource Professional C65 Certified Professional in Healthcare Risk Management C66 Legal urse Consultant Certified C67 Certified Renal Lithotripsy Specialist C68 Certified urse Midwife C69 Adult urse Practitioner - ACC C70 Adult Psychiatric & Mental Health Clinical urse Specialist C71 Adult Psychiatric & Mental Health urse Practitioner C72 Advanced Diabetes Management for Clinical urse Specialist & urse Practitioner C73 Advanced Public Health urse (Public/Community Health Clinical urse Specialist - PHCS-BC prior to 2008) C74 Ambulatory Care ursing C75 Cardiac Rehabilitation urse C76 Cardiac/Vascular urse C77 Case Management urse C78 Certified General ursing Practice C79 urse Executive (Certified urse Administration - CA,BC prior to 2008) C80 urse Executive, Advanced (Certified urse Administration - CAA,BC prior to 2008) C81 Clinical urse Specialist Child & Adolescent C82 College Health urse C83 Gerontological Clinical urse Specialist C84 Gerontological urse C85 Gerontological urse Practitioner - ACC C86 High Risk Perinatal C87 Home Health urse C88 Informatics urse C89 Maternal Child ursing C90 Medical-Surgical Registered urse

10 C91 C92 C93 C94 C96 C97 C98 C99 C100 C101 C102 C103 C104 C105 C106 C107 C108 C109 C110 C111 C112 C113 C114 C115 C116 C117 C118 C119 C120 C121 C122 C123 C124 C125 C126 C127 C128 C129 C130 C131 C132 C133 C134 C135 C136 C137 C138 C139 C140 C141 C142 C143 C144 C145 C146 C147 Pain Management urse Pediatric urse Pediatric urse Practitioner Perinatal urse Psychiatric & Mental Health urse School urse School urse Practitioner Acute Care urse Practitioner - ACC Adult Clinical urse Specialist Clinical urse Specialist in Home Health ursing Clinical urse Specialist Public Community Health Clinical urse Specialist, Core Community Health urse Family urse Practitioner - ACC Family Psychiatric & Mental Health urse Practitioner Pediatric Clinical urse Specialist Certified in Executive ursing Practice Certified urse Manager and Leader Registered Diagnostic Cardiac Sonographer Registered Diagnostic Medical Sonographer Registered Vascular Technologist Registered Radiology Assistant Hemapheresis Practitioner Certification Certified Bariatric urse Quality Auditor Six Sigma Black Belt Certified Anesthesia Technician Certified Anesthesia Technologist Certified in Thanatology: Death, Dying and Bereavement Certification Specialist in Healthcare Accreditation Certified Clinical Documentation Specialist Clinical Research Associate Certified Clinical Research Coordinator Critical Care Paramedic - Certified Flight Paramedic - Certified Certified Alcohol & Drug Counselor Certified Administrator Surgery Center Certified Emergency urse Certified Flight Registered urse Certified Pediatric Emergency urse Certified Transport Emergency urse Home Care Clinical Specialist - OASIS Home Care Coding Specialist - Diagnosis Certified Hemodialysis urse Certified Peritoneal Dialysis urse Certified Cardiographic Technician Registered Cardiac Electrophysiology Specialist Registered Cardiac Sonographer Registered Cardiovascular Invasive Specialist Registered Vascular Specialist Evidence-Based Design Accreditation and Certification Healthcare Accreditation Certification Program Certified Urologic Clinical urse Specialist Certified Urologic urse Practitioner Certified Urology Registered urse Certified in Infection Control

11 C148 C149 C150 C151 C152 C153 C154 C155 C156 C157 C158 C159 C160 C161 C162 C163 C164 C165 C166 C167 C168 C169 C170 C171 C172 C173 C174 C175 C176 C177 C178 C179 C180 C181 C182 C183 C184 C185 C186 C187 C188 C189 C190 C191 C192 C193 C194 C195 C196 C197 C198 C199 C200 C201 C202 C203 Certified Medical Audit Specialist Certified Disability Management Specialist Certified Case Manager Clinical urse Leader Certified urse Operating Room Certified Registered urse First Assistant Certified Health Care Compliance Certified in Healthcare Research Compliance Certified Registered urse Anesthetist Dermatology Certified urse Practitioner Dermatology urse Certified Developmental Disabilities ursing Certification Sexual Assault urse Examiner - Adult Sexual Assault urse Examiner - Pediatric Advanced Practice urse in Genetics Clinical Genetic urse Certified Professional in Healthcare Information and Management Systems AIDS Certified Registered urse Global Professional in Human Resources Professional in Human Resources Senior Professional in Human Resources Certified Registered urse Infusion Certified Healthcare Emergency Professionals Certified Cardiac Device Specialist Certified EP Specialist International Board Certified Lactation Consultant Certifiied Addictions Registered urse - Advance Practice Lamaze Certified Childbirth Educator Certified Professional in Healthcare Management Certified Medical-Surgical Registered urse MS urse Care Manager Certified Wound Care Certified Certified Health Care Recruiter Certified Home/Hospice Care Executive Master Addiction Counselor ational Certified Addictions Counselor Certified Director of ursing in Long Term Care Certified Professional in Healthcare Quality Certified Asthma Educator Certified Athletic Trainer Advance Certified Hospice and Palliative urse Certified Hospice and Palliative urse Certified Hospice and Palliative Pediatric urse ational Certified Counselor Certified Respiratory Therapist Registered Respiratory Therapist ational Certified School urse Certification in Hyperbaric Technology Certified Hyperbaric Registered urse Certified utrition Support Clinician Certified utrition Support urse Certified Surgical First Assistant Certified Surgical Technologist Certified Anticoagulation Care Provider Certified Diabetes Educator

12 C204 C205 C206 C207 C208 C209 C210 C211 C212 C213 C214 C215 C216 C217 C218 C219 C220 C221 C222 C223 C224 C225 C226 C227 C228 C229 C230 C231 C232 C233 C234 C235 C236 C237 C238 C239 C240 C241 C242 C243 C244 C245 C246 C247 C248 C249 C250 C251 C252 C253 C254 C255 C256 C257 C258 C259 Inpatient Obstetric ursing Low Risk eonatal ursing Maternal ewborn ursing eonatal Intensive Care ursing eonatal urse Practitioner eonatal Pediatric Transport Reproductive Endocrinology/Infertility urse Telephone ursing Practice Women's Health Care urse Practitioner Certified Registered urse Ophthalmology Certified Otorhinolaryngology urse Certified Health Education Specialist Certified Correctional Health Professional Certified Breast Patient avigator - Cancer Certified Breast Patient avigator - Imaging Clinical Breast Examiner Certified urse Educator Certified Hematopoetic Transport Coordinator ational Registry ofemergency Medical Technicians-First Responder ational Registry ofemergency Medical Technicians-Intermediate ational Registry ofemergency Medical Technicians-Paramedic ational Registry of Emergency Medical Technicians-Basic ( Med Tech ) ( EMT ) Certified Clinical Hemodialysis Technician Certified Dialysis urse Certified ephology urse - urse Practitioner Certified ephrology urse Obstetric, Gynecologic, and eonatal ursing Advanced Oncology Certified Clinical urse Specialist Advanced Oncology Certified urse Advanced Oncology Certified urse Practitioner Certified Breast Care urse Certified Pediatric Hematology Oncology urse Certified Pediatric Oncology urse Oncology Certified urse Orthopaedic urse Practitioner - Certified Orthopedic Clinical urse Specialist - Certified Orthopedic urse Certified Certificate for OASIS Specialist - Clinical Certified Pediatric Emergency urse Certified Pediatric urse Certified Pediatric urse Practitioner - Acute Care Certified Pediatric urse Practitioner - Primary Care Certified Plastic Surgery urse Certified Medical Office Manager Certified Breastfeeding Counselor Certified Childbirth Educator Certified Infant Massage Instructor/Educator Certified Labor Support Doula Certified Prenatal/Postnatal Fitness Instructor Certified Institutional Review Board (IRB) Professional Certified Radiology urse Certified Rehabilitation Registered urse Certified Clinical Research Professional Certified Transcultural urse - Basic Vascular Access-Board Certified Certified Continence Care urse

13 C260 C261 C262 C263 C264 C271 C272 C273 C274 C275 C276 C277 C278 C279 C280 C281 C282 C283 C284 C287 C288 C289 C290 C291 C297 C298 C299 C300 C301 C302 C303 C304 C306 C307 C312 C313 C314 C316 C317 C318 C319 C320 C321 C322 C323 C324 C325 C326 C327 C328 C329 C330 C331 C332 C333 C334 Certified Foot Care urse (new) Certified Ostomy Care urse Certified Wound Care urse Certified Wound Ostomy urse Certified Wound, Ostomy, Continence urse Tele-ICU Acute/Critical Care ursing (Adult) Health and Wellness urse Coach Board Certified urse Coach Board Certified Certified Professional in Learning and Performance Certified Professional in Patient Safety Diplomate Acupuncture Diplomate Asian Bodywork Therapy Diplomate Chinese Herbology Diplomate Oriental Medicine Adult-Gerontology Primary Care urse Practitioner Adult-Gerontology Acute Care urse Practitioner Advanced Public Health ursing Child & Adolescent Clinical urse Specialist ursing Professional Development Certified in Perinatal Loss Care Certified Stroke Registered urse eurovascular urse (R) Advanced eurovascular Practitioner Master Certified Health Education Specialist Electronic Fetal Monitoring Certification in Transcultural ursing - Advanced Clinical Documentation Improvement Professional Bone Marrow Transplant Certified urse Certified Coding Associate Certified Coding Specialist Certified Wound Ostomy Continence urse Advance Practice Adult-Gerontology Clinical urse Specialist (wellness through acute care) Certified Healthcare Simulation Educator Certified Joint Commission Professional Certified in Cardiovascular ursing (C)anada Certified in Community Health ursing (C)anada Certified urse in Critical Care (C)anada Emergency urse Certified (C)anada Certified in Gastroenterology ursing (C)anada Gerontological urse Certified (C)anada Certified in Hospice Palliative Care ursing (C)anada Certified in Medical-Surgical ursing (C)anada Certified in ephrology (C)anada Certified in euroscience ursing (C)anada Certified in Occupational Health ursing (C)anada Certified in Oncology ursing (C)anada Orthopaedic ursing Certified (C)anada PeriAnesthesia urse Certified (C)anada Perinatal urse Certified (C)anada Certified in Perioperative ursing (C)anada Certified in Psychiatric and Mental Health ursing (C)anada Certified in Rehabilitation ursing (C)anada Certified Enterostomal Therapy urse (C)anada Certified Diabetes Educator Certification Certified Brain Injury Specialist R-Coder

14 C335 C336 C337 C338 C339 C340 C341 C342 C343 C344 C345 C346 C347 C348 C349 C350 C351 C352 C353 C354 C355 C356 C357 C358 C359 C360 C361 C362 C363 C364 C365 C366 Degree Value Bachelor Master PhDInursing DoctorateOfursingScience DoctorateOfursingPractice EdD PhD Diploma Associate Advanced Certified Hyperbaric Registered urse Certified Hyperbaric Registered urse Clinician Certified Vascular urse Certified Safe Patient Handling Professional Pediatric Primary Care Mental Health Specialist Certified Aesthetic urse Specialist Qualified Professional Case Manager Acute/Critical Care ursing (Adult) Acute/Critical Care ursing (eonatal) Acute/Critical Care ursing (Pediatric) eonatal Clinical urse Specialist (wellness through acute care) Pediatric Clinical urse Specialist (wellness through acute care) Acute Care urse Practitioner (Adult - Gerontology) Acute Critical Care Knowledge Professional (Adult) Acute Critical Care Knowledge Professional (eonatal) Acute Critical Care Knowledge Professional (Pediatric) Pediatric Primary Care urse Practitioner Certified Medical Practice Executive Certified Surgical Services Manager Credential Certified Cardiac Rehabilitation Professional Advanced Forensic ursing Emergency urse Practitioner Faith Community ursing Advanced Genetics ursing Advance Certified Hospice and Palliative urse Certified Hospice and Palliative urse Certified Hospice and Palliative Pediatric urse Certified in Perinatal Loss Care Adult-Gerontology Primary Care urse Practitioner Advanced Practice Holistic urse, Board Certified Certified in Care Coordination and Transition Management Adult-Gerontology Clinical urse Specialist-Board Certified Description Bachelor Master Doctor of Philosophy in ursing Doctor of ursing Science Doctor of ursing Practice Doctor of Education Doctor of Philosophy Diploma Associate Question Value Description Certification Required? Q1 Utilization of Organization Services: umber of Staffed Beds - The number of beds that the organization staffs at any given time to receive an expected patient population. Utilization of Organization Services: umber of Visits to Ambulatory Clinics - The variety of data elements Q2 collected by various systems makes inclusion and exclusion criteria unrealistic. Organizations report the data available to them. These visits include visits by inpatients as well as outpatients. Q3 Utilization of Organization Services: umber of Home Visits Scheduled - Include home care visits. This question is optional for inpatient organizations. Q4 Utilization of Organization Services: umber of Procedures Performed - Workload performed by ambulatory staff in clinics or on bedded units, e.g. wound care performed in a same day surgery unit. Include procedures

15 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 performed by other nursing areas/departments such as wound care, diabetic education, etc. This question is optional for inpatient organizations. Utilization of Organization Services: umber of Phone Contacts - These include follow-up calls, triage, appointment reminders, etc. made by nursing personnel. This question is optional for inpatient organizations. Utilization of Organization Services: umber of Letter\ Contacts - These include appointment reminders, results of studies/labwork, etc. made by nursing personnel. This question is optional for inpatient organizations. Clinical urses (other than APs): FTEs Budgeted - The number of full time equivalents/whole time equivalents (European) the organization anticipated needing during the year.it is the hiring goal.if there are trends related to opening or closing beds, etc.this should be annotated in the notes section. Clinical urses (other than APs): FTEs Actual - The actual FTEs is the FTEs of staff available to fill the budgeted positions. It can include both full-time and part-time positions. Provide the average of FTEs for the year. If a strong trend has occurred during the year, the value more representative of the unit. It is not the worked hours. If there are trends related to opening or closing beds, etc. this should be annotated in the notes section. Calculate one FTE as equivalent to 2080 hours per year. Clinical urses (other than APs): FTEs Greater Than 2 Years Experience in Current Specialty - This is used as the denominator for the calculation of the certification rate for direct care nurses.limiting the pool to those who are typically eligible to sit for a certification examination focuses on the success of the organization s program(s) for supporting professional certification.the certification rate is then not diluted by successful programs for recruiting novice nurses. Clinical urses (other than APs): FTEs Float Pools\Perdiem - These FTEs are not included in the actual employed numbers. Clinical urses (other than APs): Turnover Rate - This is a raw rate.this allows direct comparison of organizations by avoiding the variability of calculation by Human Resource departments.it is calculated as the number of FTEs that resigned, retired, expired or were terminated divided by the number of FTEs actual during the same period.per diem (those that float to numerous units), agency, supplemental, and travelers are not included.turnover within an organization or within organizations that apply as a system is not included in this calculation. Licensed Practical/Vocational urse: FTEs Budgeted - The number of full time equivalents/whole time equivalents (European) the organization anticipated needing during the year.it is the hiring goal.if there are trends related to opening or closing beds, etc.this should be annotated in the notes section. Licensed Practical/Vocational urse: FTEs Actual - The actual FTEs is the number that is of staff to fill the budgeted positions. It can include both full-time and part-time positions. Provide the average of FTEs for the year. If a strong trend has occurred during the year, the value more representative of the unit. It is not the worked hours. If there are trends related to opening or closing beds, etc. this should be annotated in the notes section. Calculate one FTE as equivalent to 2080 hours per year. Licensed Practical/Vocational urse: FTEs Departed - The following are included: 1) A resignation of an FTE that results from an issue or environmental feature or trait that is under the control of the employer. Examples of controllable resignation would be those occurring as a result of pay status, ability to advance, perceived lack of respect, or job injuries covered. 2) A resignation of an FTE that does not result from an issue or environmental feature or trait that is under the control of the employer. Examples of uncontrollable resignations would be those occurring as a result of the nurse s spouse s relocation, a family illness, or retirement secondary to age. 3) Cessation of employment effected by the organization, irrespective of the preference of the employee. Licensed Practical/Vocational urse: Turnover Rate - This is a raw rate.this allows direct comparison of organizations by avoiding the variability of calculation by Human Resource departments.it is calculated as the number of FTEs that resigned, retired, expired or were terminated divided by the number of FTEs actual during the same period.per diem (those that float to numerous units), agency, supplemental, and travelers are not included.turnover within an organization or within organizations that apply as a system is not included in this calculation. Unlicensed Assistive Personnel: FTEs Budgeted - The number of full time equivalents/whole time equivalents (European) the organization anticipated needing during the year.it is the hiring goal.if there are trends related to opening or closing beds, etc.this should be annotated in the notes section. Unlicensed Assistive Personnel: FTEs Actual - The actual FTEs is the number that is of staff to fill the budgeted positions. It can include both full-time and part-time positions. Provide the average of FTEs for the year. If a strong trend has occurred during the year, the value more representative of the unit. It is not the worked hours. If there are trends related to opening or closing beds, etc. this should be annotated in the

16 notes section. Calculate one FTE as equivalent to 2080 hours per year. Unlicensed Assistive Personnel: FTEs Departed - The following are included: 1) A resignation of an FTE that results from an issue or environmental feature or trait that is under the control of the employer. Examples of controllable resignation would be those occurring as a result of pay status, ability to advance, perceived Q18 lack of respect, or job injuries covered. 2) A resignation of an FTE that does not result from an issue or environmental feature or trait that is under the control of the employer. Examples of uncontrollable resignations would be those occurring as a result of the nurse s spouse s relocation, a family illness, or retirement secondary to age. 3) Cessation of employment effected by the organization, irrespective of the preference of the employee. Unlicensed Assistive Personnel: Turnover Rate - This is a raw rate. This allows direct comparison of organizations by avoiding the variability of calculation by Human Resource departments.it is calculated as Q19 the number of FTEs that resigned, retired, expired or were terminated divided by the number of FTEs actual during the same period.per diem (those that float to numerous units), agency, supplemental, and travelers are not included.turnover within an organization or within organizations that apply as a system is not included in this calculation. Q20 Clinical urses (other than APs): R Percentage of R-LP-UAP FTEs - Definition: R FTE/WTEs employed divided by (LP FTE/WTEs + UAP FTE/WTEs d + R FTEs employed). Q23 Clinical urses (other than APs): Vacancy Rate - The Vacancy Rate is calculated: 1 minus (FTE/WTEs actual divided by the FTE/WTEs budgeted). Q24 Licensed Practical/Vocational urse: Vacancy Rate - The Vacancy Rate is calculated: 1 minus (FTE/WTEs actual divided by the FTE/WTEs budgeted). Q25 Unlicensed Assistive Personnel: Vacancy Rate - The Vacancy Rate is calculated: 1 minus (FTE/WTEs actual divided by the FTE/WTEs budgeted). Clinical urses (other than APs): FTEs Resign Controllable - A resignationof an FTE that results from an issue Q27 or environmental feature or trait that is under the control of the employer.examples of controllable resignation would be those occurring as a result of pay status, ability to advance, perceived lack of respect, or job injuries covered. Clinical urses (other than APs): FTEs Resign Uncontrollable - A resignation of an FTE that does not result Q28 from an issue or environmental feature or trait that is under the control of the employer.examples of uncontrollable resignations would be those occurring as a result of the nurse s spouse s relocation, a family illness, or retirement secondary to age. Q29 Clinical urses (other than APs): FTEs Terminated - Cessation of employment effected by the organization, irrespective of the preference of the employee. Q30 Clinical urses (other than APs): FTEs Total Departed Q32 Clinical urses (other than APs): Contract\Agency FTEs - Travelers would be included as well. Q33 Clinical urses (other than APs): FTEs Recruited from International Sources - Rs actively recruited for employment are reflected here.employed foreign nurse graduates are not reflected here. Q34 Clinical urses (other than APs): Length of Employment - Enter the average longevity with the current organization. Clinical urses (other than APs): HPPD - These are direct hours of R nursing care that are patient related, including nursing activities that occur away from the patient (e.g. care coordination, documentation time, Q35 treatment planning).this category does not include indirect hours, non-productive time, or all paid hours (e.g. vacation, sick time, orientation, education leave).it also does OT include committee time if the staff person is replaced by another direct care giver.the formula is:(total number of direct R nursing care hours)/(patient/resident/client census for the same period) Advanced Practice - urse Practitioners: FTEs Associate Degree ursing - Enter the highest degree earned by Q36 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Practitioners: FTEs Diploma ursing - Enter the highest degree earned by each Q37 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Practitioners: FTEs Bachelors ursing - Enter the highest degree earned by each Q38 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Practitioners: FTEs Certificate Only - Enter the highest degree earned by each Q39 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q40 Advanced Practice - urse Practitioners: FTEs Masters ursing - Enter the highest degree earned by each

17 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Practitioners: FTEs PhD in ursing - Enter the highest degree earned by each Q41 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Practitioners: FTEs Doctorate of ursing Science - Enter the highest degree earned Q42 by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Practitioners: FTEs Doctorate of ursing Practice - Enter the highest degree Q43 earned by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q44 Advanced Practice - urse Practitioners: FTEs Total Q45 Advanced Practice - urse Practitioners: FTEs ational Certification Y Advanced Practice - Clinical urse Specialists: FTEs Associate Degree ursing - Enter the highest degree Q46 earned by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs Diploma ursing - Enter the highest degree earned by Q47 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs Bachelors ursing - Enter the highest degree earned by Q48 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs Certificate Only - Enter the highest degree earned by each Q49 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs Masters ursing - Enter the highest degree earned by Q50 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs PhD in ursing - Enter the highest degree earned by each Q51 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs Doctorate of ursing Science - Enter the highest degree Q52 earned by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - Clinical urse Specialists: FTEs Doctorate of ursing Practice - Enter the highest degree Q53 earned by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q54 Advanced Practice - Clinical urse Specialists: FTEs Total Q55 Advanced Practice - Clinical urse Specialists: FTEs ational Certification Y Advanced Practice - urse Anesthetist: FTEs Associate Degreeursing - Enter the highest degree earned by Q56 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Anesthetist: FTEs Diploma ursing - Enter the highest degree earned by each Q57 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Anesthetist: FTEs Bachelors ursing - Enter the highest degree earned by each Q58 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Anesthetist: FTEs Certificate Only - Enter the highest degree earned by each Q59 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Anesthetist: FTEs Masters ursing - Enter the highest degree earned by each Q60 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q61 Advanced Practice - urse Anesthetist: FTEs PhD in ursing - Enter the highest degree earned by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree,

18 Advanced Practice - urse Anesthetist: FTEs Doctorate of ursing Science - Enter the highest degree earned Q62 by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Anesthetist: FTEs Doctorate of ursing Practice - Enter the highest degree earned Q63 by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q64 Advanced Practice - urse Anesthetist: FTEs Total Q65 Advanced Practice - urse Anesthetist: FTEs ational Certification Y Advanced Practice - urse Midwife: FTEs Associate Degree ursing - Enter the highest degree earned by Q66 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs Diploma ursing - Enter the highest degree earned by each Q67 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs Bachelors ursing - Enter the highest degree earned by each Q68 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs Certificate Only - Enter the highest degree earned by each Q69 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs Masters ursing - Enter the highest degree earned by each Q70 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs PhD in ursing - Enter the highest degree earned by each Q71 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs Doctorate of ursing Science - Enter the highest degree earned by Q72 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Advanced Practice - urse Midwife: FTEs Doctorate of ursing Practice - Enter the highest degree earned by Q73 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q74 Advanced Practice - urse Midwife: FTEs Total Q75 Advanced Practice - urse Midwife: FTEs ational Certification Y Clinical urses (other than APs): FTEs Associate Degree ursing - Enter the highest degree earned by each Q76 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Clinical urses (other than APs): FTEs Diploma ursing - Enter the highest degree earned by each Q77 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Clinical urses (other than APs): FTEs Bachelors ursing - Enter the highest degree earned by each Q78 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Clinical urses (other than APs): FTEs Masters ursing - Enter the highest degree earned by each Q80 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Clinical urses (other than APs): FTEs PhD in ursing - Enter the highest degree earned by each full/partial Q81 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Clinical urses (other than APs): FTEs Doctorate of ursing Science - Enter the highest degree earned by Q82 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Clinical urses (other than APs): FTEs Doctorate of ursing Practice - Enter the highest degree earned by Q83 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q85 Clinical urses (other than APs): FTEs ational Certification Y Q87 Specialists - Clinical urse Leaders: FTEs Associate Degree ursing - Enter the highest degree earned by each

19 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Clinical urse Leaders: FTEs Diploma ursing - Enter the highest degree earned by each Q88 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Clinical urse Leaders: FTEs Bachelors ursing - Enter the highest degree earned by each Q89 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Clinical urse Leaders: FTEs Certificate Only - Enter the highest degree earned by each Q90 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Clinical urse Leaders: FTEs Masters ursing - Enter the highest degree earned by each Q91 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Clinical urse Leaders: FTEs PhD in ursing - Enter the highest degree earned by each full/partial Q92 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - Clinical urse Leaders: FTEs Doctorate of ursing Science - Enter the highest degree earned by Q93 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Clinical urse Leaders: FTEs Doctorate of ursing Practice - Enter the highest degree earned by Q94 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q95 Specialists - Clinical urse Leaders: FTEs Total Q96 Specialists - Clinical urse Leaders: FTEs ational Certification Y Specialists - urse Educators: FTEs Associate Degree ursing - Enter the highest degree earned by each Q97 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - urse Educators: FTEs Diploma ursing - Enter the highest degree earned by each full/partial Q98 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Educators: FTEs Bachelors ursing - Enter the highest degree earned by each full/partial Q99 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Educators: FTEs Certificate Only - Enter the highest degree earned by each full/partial FTE. Q100 If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Educators: FTEs Masters ursing - Enter the highest degree earned by each full/partial Q101 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Educators: FTEs PhD in ursing - Enter the highest degree earned by each full/partial FTE. Q102 If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Educators: FTEs Doctorate of ursing Science - Enter the highest degree earned by each Q103 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - urse Educators: FTEs Doctorate of ursing Practice - Enter the highest degree earned by each Q104 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q105 Specialists - urse Educators: FTEs Total Q106 Specialists - urse Educators: FTEs ational Certification Y Specialists - urse Researchers: FTEs Associate Degree ursing - Enter the highest degree earned by each Q107 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q108 Specialists - urse Researchers: FTEs Diploma ursing - Enter the highest degree earned by each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree.

20 Q109 Specialists - urse Researchers: FTEs Bachelors ursing Specialists - urse Researchers: FTEs Certificate Only - Enter the highest degree earned by each full/partial Q110 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Researchers: FTEs Masters ursing - Enter the highest degree earned by each full/partial Q111 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Researchers: FTEs PhD in ursing - Enter the highest degree earned by each full/partial Q112 FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, enter the nursing degree. Specialists - urse Researchers: FTEs Doctorate of ursing Science - Enter the highest degree earned by each Q113 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - urse Researchers: FTEs Doctorate of ursing Practice - Enter the highest degree earned by each Q114 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q115 Specialists - urse Researchers: FTEs Total Q116 Specialists - urse Researchers: FTEs ational Certification Y Specialists - Quality/Risk Managers: FTEs Associate Degree ursing - Enter the highest degree earned by each Q117 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs Diploma ursing - Enter the highest degree earned by each Q118 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs Bachelors ursing - Enter the highest degree earned by each Q119 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs Certificate Only - Enter the highest degree earned by each Q120 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs Masters ursing - Enter the highest degree earned by each Q121 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs PhD in ursing - Enter the highest degree earned by each Q122 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs Doctorate of ursing Science - Enter the highest degree earned by Q123 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Quality/Risk Managers: FTEs Doctorate of ursing Practice - Enter the highest degree earned by Q124 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q125 Specialists - Quality/Risk Managers: FTEs Total Q126 Specialists - Quality/Risk Managers: FTEs ational Certification Y Specialists - Infection Control urses: FTEs Associate Degree ursing - Enter the highest degree earned by Q127 each full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Infection Control urses: FTEs Diploma ursing - Enter the highest degree earned by each Q128 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Infection Control urses: FTEs Bachelors ursing - Enter the highest degree earned by each Q129 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Specialists - Infection Control urses: FTEs Certificate Only - Enter the highest degree earned by each Q130 full/partial FTE. If two degrees are held at the same level (i.e. masters), and one of them is a nursing degree, Q131 Specialists - Infection Control urses: FTEs Masters ursing - Enter the highest degree earned by each

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