Collaborative Alliance for Nursing Outcomes

Collaborative Alliance for Nursing Outcomes

Leveraging Enhanced Quality-of-Care Data To Improve Outcomes

Background & Goal

The imperative for quality patient care has never been stronger. With nursing sensitive indicators and HCAHPS measures directly tied to reimbursement, in the midst of health care system reformation and transformation, the impact of nursing processes and outcomes have a direct effect on increasingly sensitive bottom lines for hospitals.

The Collaborative Alliance for Nursing Outcomes is leading the quest for global patient care excellence. Through participation in CALNOC’s nursing sensitive benchmarking registry, hospitals have consistently been able to translate their nursing quality data into actionable information to guide decisions for providing and improving patient care.

Center Description

The Collaborative Alliance for Nursing Outcomes (CALNOC) is a national non-profit corporation who has been on the forefront of providing research, information and services on nurse sensitive indicators since 1996 to its member hospitals. CALNOC contributed to the development of the National Quality Forum (NQF) nurse sensitive metrics and is the measure developer for the NQF Pressure Ulcer and Restraint Use prevalence measures for acute care. CALNOC’s data registry has aggregated over 51 quarters of data, representing more than 1,741 patient units, over 64.5 million patient days, including 183,698 patient falls, and 534,345 patients evaluated for pressure ulcers and restraint use. CALNOC’s unique web-based reporting dashboard combines staffing variables overlaid with nurse sensitive patient care process and outcome indicators at the unit level to allow hospitals to aggregate and compare their data across units, divisions and, rolling it up to the hospital level, to benchmark with other like-sized institutions, systems, geographic regions, Magnet, and other relevant group designations. Using the CALNOC’s customized reporting tools, staffing and other costs are lowered while patient care quality and safety are improved.

Evidence of Success

For More Information Contact:

Nancy Donaldson, DNS, RN, FAAN 

Diane Storer Brown, PhD, RN, FNAHQ, FAAN

Strategic Leader, Hospital Accreditation Programs
Kaiser Permanente Northern California Region

  • Hospitals participating in the CALNOC data registry reported dramatic reductions in their Hospital Acquired Pressure Ulcer (HAPU) rates from 10% to 2.8% over the course of their benchmarking participation resulting in over $10M in savings.
  • Half of CALNOC’s participating hospitals have achieved the Zero Target Objective in HAPU prevalence rates.
  • CALNOC’s Medication Administration Accuracy Measure adoption is growing and research related to this innovative measure has confirmed the link between key safe practices and error reduction during medication administration.
  • The CALNOC Team has sustained its ongoing and innovative research, publications and global collaboration for over 16 years.