Nursing Care Quality Measures

Nursing Care Quality Reports

Average Daily Patient Census (ICUs*)

Quarter	Neuro ICU	CCU	CVICU	MICU A/B	MICU C	MICU East	NICU	SICU	TSICU
Jul-Sep 2025	7.12	8.64	9.79	9.92	6.47	6.83	11.01	5.87	6.20
Apr-Jun 2025	7.07	8.97	10.06	10.99	6.94	8.32	11.73	6.44	6.14
Jan-Mar 2025	7.26	8.40	9.59	11.73	7.03	8.43	11.69	6.62	6.83
Oct-Dec 2024	6.86	8.08	8.60	9.76	6.28	7.13	10.19	6.58	6.74
Jul-Sep 2024	7.27	7.29	9.64	11.89	6.98	8.09	13.63	6.80	6.42
Apr-Jun 2024	7.12	8.42	8.23	12.98	7.10	9.09	10.53	6.79	6.87
Jan-Mar 2024	7.47	7.99	8.60	12.66	6.88	9.64	11.93	7.00	7.21

Historical Data (2016-2023) — Avg. Daily Patient Census

2022-2023 Data

Quarter	Neuro ICU	CCU	CVICU	MICU A	MICU B	MICU C	MICU East	NICU	SICU	TSICU
Oct-Dec 2023	7.14	7.59	8.53	4.36	6.27	6.52	8.74	12.42	6.57	6.72
Jul-Sep 2023	7.42	7.87	9.36	4.20	6.47	6.69	7.98	11.30	6.70	6.91
Apr-Jun 2023	7.54	6.84	10.87	7.41	7.36		8.92	11.59	7.01	7.01
Jan-Mar 2023	7.35	6.90	10.65	7.43	7.37		9.65	12.69	6.77	7.10
Oct-Dec 2022	7.35	6.90	10.65	7.43	7.37		9.65	12.69	6.77	7.10
Jul-Sep 2022	7.49	6.66	10.64	7.34	7.48		9.50	12.51	7.14	7.43
Apr-Jun 2022	7.54	6.92	11.09	7.32	7.49		9.53	11.84	6.93	7.05
Jan-Mar 2022	7.38	7.27	12.13	7.57	7.62		9.63	11.23	7.26	7.67

2021 Data

Quarter	Neuro ICU	CCU	CVICU	MICU A	MICU B	MICU East	NICU	SICU	TSICU
Oct-Dec 2021	7.61	7.04	11.80	7.78	7.59	9.55	11.32	7.40	8.37
Jul-Sep 2021	6.93	6.63	11.16	7.49	7.40	9.48	12.08	7.01	7.99
Apr-Jun 2021	7.22	6.88	10.76	7.56	7.56	8.98	5.94	7.14	8.02
Jan-Mar 2021	7.16	6.98	12.00	7.49	7.57	9.19	6.30	7.23	7.76

2016-2020 Data

Quarter	MICU East	TSICU	CVICU	MICU B	CVICU	MICU A	CCU	Neuro ICU	NICU
Oct-Dec 2020	9.29	8.21	7.07	7.50	9.14	7.35	6.55	7.26	7.07
Jul-Sep 2020	8.85	7.66	6.84	7.25	9.49	7.15	6.33	6.92	12.99
Apr-Jun 2020	8.66	7.19	6.34	6.79	10.31	7.01	6.01	6.95	13.08
Jan-Mar 2020	8.71	7.54	6.79	7.33	9.73	7.11	6.30	7.12	12.61
Oct-Dec 2019	9.23	8.30	7.29	7.45	10.47	7.29	6.71	7.41	12.53
Jul-Sep 2019	9.59	8.35	7.23	7.33	10.35	7.5	6.77	7.57	14.56
Apr-Jun 2019	9.52	7.11	6.89	7.59	10.78	7.56	6.63	6.99	12.80
Jan Mar 2019	9.76	8.31	7.24	7.54	11.94	7.33	6.80	7.30	12.76
Oct-Dec 2018	9.40	8.30	7.28	7.42	10.98	7.25	6.85	7.40	12.29
Jul-Sep 2018	9.20	8.18	9.20	7.13	10.35	7.28	6.57	7.40	13.17
Apr-Jun 2018	9.44	7.62	7.04	7.44	11.84	7.36	6.84	7.11	14.04
Jan-Mar 2018	9.86	8.06	6.86	7.42	12.69	7.43	6.82	7.20	12.39
Oct - Dec 2017	10.00	8.24	7.32	7.50	11.51	7.43	7.22	7.26	12.45
Jul-Sep 2017	9.17	8.26	7.18	7.41	11.36	7.32	7.01	6.71	13.38
Apr-Jun 2017	9.55	8.08	7.00	7.41	10.42	7.42	6.99	7.01	13.19
Jan-Mar 2017	9.97	8.23	7.06	7.48	9.81	7.60	7.08	7.20	12.99
Oct-Dec 2016	9.57	8.30	6.92	7.57	10.57	7.46	6.99	6.93	11.47
Jul-Sep 2016	9.41	6.92	5.90	7.13	10.09	6.99	6.77	6.38	14.46
Apr-Jun 2016	9.22	7.75	12.26	7.27	11.35	7.09	6.81	N/A	16.0
Jan-Mar 2016	9.67	8.41	13.58	7.38	12.04	7.05	N/A	12.45	7.44

*Reorganization of ICU beds occurred in June 2016 to accommodate a dedicated Neuro ICU.

Average Daily Nurse Census (ICUs)

Quarter	Neuro ICU	CCU	CVICU	MICU A/B	MICU C	MICU East	NICU	SICU	TSICU
Jul-Sep 2025	5.09	8.09	9.15	8.33	4.86	6.50	7.66	5.02	5.78
Apr-June 2025	4.85	8.79	9.43	8.52	4.92	6.71	7.27	4.95	5.48
Jan-Mar 2025	4.94	7.96	8.76	8.54	5.00	6.88	7.43	4.98	5.56
Oct-Dec 2024	4.86	7.73	8.55	8.64	5.09	6.37	7.22	5.38	5.78
Jul-Sep 2024	4.96	6.98	9.27	9.69	5.32	7.18	8.38	5.39	5.55
Apr-Jun 2024	5.16	8.07	8.38	10.76	9.01	7.91	8.27	5.62	6.16
Jan-Mar 2024	5.17	7.59	8.41	10.46	10.54	7.83	9.37	5.60	6.20

Historical Data (2016-2023) — Avg. Daily Nurse Census

2022-2023 Data

Quarter	Neuro ICU	CCU	CVICU	MICU A	MICU B	MICU C	MICU East	NICU	SICU	TSICU
Oct-Dec 2023	5.21	7.30	7.90	6.94	5.35	5.70	7.11	8.52	5.27	6.07
Jul-Sep 2023	5.21	7.21	8.79	6.81	5.14	5.84	6.87	8.62	5.30	6.00
Apr-Jun 2023	5.21	5.66	9.48	5.65	5.19		7.38	8.49	5.36	5.96
Jan-Mar 2023	5.17	5.53	8.66	5.41	5.27		7.46	11.73	5.24	5.89
Oct-Dec 2022	5.17	5.53	8.66	5.41	5.27		7.46	11.73	5.24	5.89
Jul-Sep 2022	5.21	5.42	8.72	5.47	5.18		7.54	8.27	5.34	6.08
Apr-Jun 2022	5.22	5.49	9.09	5.65	5.20		7.48	8.77	5.44	6.01
Jan-Mar 2022	5.25	5.72	10.10	5.67	5.31		8.24	7.90	5.55	6.19

2021 Data

Quarter	Neuro ICU	CCU	CVICU	MICU A	MICU B	MICU East	NICU	SICU	TSICU
Oct-Dec 2021	5.10	5.36	9.35	5.57	5.23	7.59	8.10	5.34	6.29
Jul-Sep 2021	5.00	5.22	9.44	5.48	5.09	7.41	7.86	5.27	6.17
Apr-Jun 2021	5.17	5.29	9.00	5.57	5.18	7.39	4.47	5.34	6.20
Jan-Mar 2021	5.07	5.21	10.06	5.81	5.22	7.87	6.55	5.47	6.31

2016-2020 Data

Quarter	MICU East	TSICU	SICU	MICU B	CVICU	MICU A	CCU	Neuro ICU	NICU
Oct-Dec 2020	7.58	6.42	5.40	5.16	8.37	5.61	5.28	5.22	8.86
Jul-Sep 2020	7.20	6.02	5.24	5.17	8.71	5.53	5.22	5.05	10.04
Apr-Jun 2020	6.81	5.49	4.65	4.55	8.45	5.03	4.43	5.36	9.98
Jan-Mar 2020	7.24	6.16	5.40	5.33	9.02	5.74	5.20	5.14	9.46
Oct-Dec 2019	7.39	6.45	5.42	5.27	9.30	5.39	5.42	5.22	9.38
Jul-Sep 2019	7.55	6.47	5.34	5.18	8.88	5.41	5.37	5.21	9
Apr-Jun 2019	7.57	6.10	5.25	5.33	9.18	5.39	5.45	5.16	8.48
Jan-Mar 2019	7.54	6.57	5.32	5.31	9.48	5.33	5.49	5.28	8.62
Oct-Dec 2018	7.41	6.39	5.45	5.24	8.80	5.34	5.34	5.26	8.99
Jul-Sep 2018	7.31	6.44	5.39	5.29	8.61	5.37	5.31	5.14	9.63
Apr-Jun 2018	7.32	6.31	5.29	5.34	9.39	5.41	5.31	5.19	9.06
Jan-Mar 2018	7.66	6.47	5.30	5.30	9.83	5.36	5.41	5.24	9.33
Oct-Dec 2017	7.62	6.69	5.58	5.54	9.30	5.65	5.68	5.38	9.06
Jul-Sep 2017	7.34	6.64	5.86	5.60	9.49	5.62	5.58	5.20	8.22
Apr-Jun 2017	7.74	6.73	5.91	5.62	9.26	5.76	5.69	5.43	8.37
Jan-Mar 2017	7.93	6.81	6.00	5.69	8.98	5.81	5.75	5.48	8.28
Oct-Dec 2016	7.63	6.85	5.82	5.67	9.11	5.75	5.72	5.27	6.70
Jul-Sep 2016	7.41	6.26	5.40	5.61	8.78	5.65	5.52	5.22	7.84
Apr-Jun 2016	7.58	6.77	9.91	5.64	18.50	5.70	5.62	N/A	8.16
Jan-Mar 2016	7.75	7.00	18.54	5.59	18.39	5.81	5.72	N/A	7.15

Average Daily Nurse-Patient Staffing Ratio (ICUs)

Quarter	Neuro ICU	CCU	CVICU	MICU A/B	MICU C	MICU East	NICU	SICU	TSICU
Jul-Sep 2025	1:1.4	1:1.1	1:1.1	1:1.2	1:1.3	1:1.1	1:1.4	1:1.2	1:1.1
Apr-Jun 2025	1:1.5	1:1.0	1:1.1	1:1.3	1:1.4	1:1.2	1:1.6	1:1.3	1:1.1
Jan-Mar 2025	1:1.5	1:1.1	1:1.1	1:1.4	1:1.4	1:1.2	1:1.6	1:1.3	1:1.2
Oct-Dec 2024	1:1.4	1:1.0	1:1.0	1:1.1	1:1.2	1:1.1	1:1.4	1:1.2	1:1.2
Jul-Sep 2024	1:1.5	1:1.0	1:1.0	1:1.2	1:1.3	1:1.1	1:1.6	1:1.3	1:1.2
Apr-Jun 2024	1:1.4	1:1.0	1:1.0	1:1.2	1:0.8	1:1.3	1:1.3	1:1.2	1:1.1
Jan-Mar 2024	1:1.4	1:1.1	1:1.0	1:1.2	1:0.7	1:1.2	1:1.3	1:1.2	1:1.2

Historical Data (2016-2023) — Avg. Daily Nurse-Patient Staffing Ratio

2022-2023 Data

Quarter	Neuro ICU	CCU	CVICU	MICU A	MICU B	MICU C	MICU East	NICU	SICU	TSICU
Oct-Dec 2023	1:1.4	1:1.0	1:1.1	1:0.6	1:1.2	1:1.1	1:1.2	1:1.5	1:1.2	1:1.1
Jul-Sep 2023	1:1.4	1:1.1	1:1.1	1:0.6	1:1.3	1:1.1	1:1.2	1:1.3	1:1.3	1:1.2
Apr-Jun 2023	1:1.4	1:1.2	1:1.1	1:1.3	1:1.4		1:1.2	1:1.4	1:1.3	1:1.2
Jan-Mar 2023	1:1.4	1:1.2	1:1.2	1:1.4	1:1.4		1:1.3	1:1.1	1:1.3	1:1.2
Oct-Dec 2022	1:1.43	1:1.25	1:1.23	1:1.38	1:1.4		1:1.3	1:1.09	1:1.3	1:1.3
Jul-Sep 2022	1:1.44	1:1.24	1:1.23	1:1.35	1:1.45		1:1.27	1.51	1:1.34	1:1.23
Apr-Jun 2022	1:1.45	1:1.27	1:1.23	1:1.3	1:1.45		1:1.28	1.35	1:1.28	1:1.18
Jan-Mar 2022	1:1.41	1:1.28	1:1.21	1:1.34	1:1.44		1:1.17	1.42	1:1.31	1:1.24

2021 Data

Quarter	Neuro ICU	CCU	CVICU	MICU A	MICU B	MICU East	NICU	SICU	TSICU
Oct-Dec 2021	1:1.5	1:1.32	1:1.27	1:1.4	1:1.46	1:1.26	1:1.4	1:1.39	1:1.33
Jul-Sep 2021	1:1.39	1:1.28	1:1.19	1:1.37	1:1.46	1:1.28	1:1.54	1:1.34	1:1.3
Apr-Jun 2021	1:1.4	1:1.3	1:1.2	1:1.4	1:1.5	1:1.2	1:1.3	1:1.3	1:1.3
Jan-Mar 2021	1:1.4	1:1.3	1:1.2	1:1.3	1:1.4	1:1.2	1:1.0	1:1.3	1:1.2

2016-2020 Data

Quarter	MICU East	TSICU	SICU	MICU B	CVICU	MICU A	CCU	Neuro ICU	NICU
Oct-Dec 2020	1:1.2	1:1.3	1:1.3	1:1.5	1:1.1	1:1.3	1:1.2	1:1.4	1:0.8
Jul-Sep 2020	1:1.2	1:1.3	1:1.3	1:1.4	1:1.1	1:1.3	1:1.2	1:1.4	1:1.3
Apr-Jun 2020	1:1.3	1:1.3	1:1.4	1:1.5	1:1.2	1:1.4	1:1.4	1:1.3	1:1.3
Jan-Mar 2020	1:1.2	1:1.2	1:1.3	1:1.4	1:1.1	1:1.2	1:1.2	1:1.4	1:1.3
Oct-Dec 2019	1:1.2	1:1.3	1:1.3	1:1.4	1:1.1	1:1.4	1:1.2	1:1.4	1:1.3
Jul-Sep 2019	1:1.3	1:1.3	1:1.4	1:1.4	1:1.2	1:1.4	1:1.3	1:1.5	1:1.6
Apr-Jun 2019	1:1.3	1:1.2	1:1.3	1:1.4	1:1.2	1:1.4	1:1.2	1:1.4	1:1.5
Jan-Mar 2019	1:1.3	1:1.3	1:1.4	1:1.4	1:1.3	1:1.4	1:1.2	1:1.4	1:1.5
Oct-Dec 2018	1:1.3	1:1.3	1:1.3	1:1.4	1:1.2	1:1.4	1:1.3	1:1.4	1:1.4
Jul-Sep 2018	1:1.3	1:1.3	1:1.3	1:1.3	1:1.2	1:1.4	1:1.2	1:1.4	1:1.4
Apr-Jun 2018	1:1.3	1:1.2	1:1.3	1:1.4	1:1.3	1:1.4	1:1.3	1:1.4	1:1.6
Jan-Mar 2018	1:1.3	1:1.2	1:1.3	1:1.4	1:1.3	1:1.4	1:1.3	1:1.4	1:1.3
Jul-Sep 2017	1:1.3	1:1.2	1:1.2	1:1.3	1:1.2	1:1.3	1:1.3	1:1.3	1:1.6
Apr-Jun 2017	1:1.2	1:1.2	1:1.2	1:1.3	1:1.1	1:1.3	1:1.2	1:1.3	1:1.6
Jan-Mar 2017	1:1.3	1:1.2	1:1.2	1:1.3	1:1.1	1:1.3	1:1.2	1:1.3	1:1.6
Oct-Dec 2016	1:1.3	1:1.2	1:1.2	1:1.3	1:1.2	1:1.3	1:1.2	1:1.3	1:1.7
Jul-Sep 2016	1:1.3	1:1.1	1:1.1	1:1.3	1:1.1	1:1.2	1:1.2	1:1.2	1:1.8
Apr-Jun 2016	1:1.2	1:1.1	1:1.2	1:1.3	1:0.6	1:1.2	1:1.2	N/A	1:1.9
Jan-Mar 2016	1:1.2	1:1.2	1:0.7	1:1.3	1:0.7	1:1.3	1:1.2	N/A	1:1.7

Hand Hygiene

What are we measuring?

Why is this important?

What is our recent performance trend?

Hand Hygiene Compliance Chart

*There are no benchmarks for Hand Hygiene. The current internal goal is 90% due to potential inaccuracies in the measurement system.

Note that different hospitals measure hand hygiene performance differently, so that rates may not be directly comparable. BIDMC's hand hygiene performance rate is calculated by observing staffs' usage of soap and water or hand sanitizer before and after patient contact. While some individual units have achieved or surpassed goal in each period, there are enough outliers that we have not met our overall goal. Hand hygiene performance continues to show some improvement in all patient care units, most significantly in the intensive care units, but we won't be satisfied until we reach our goal in all units.

What are we doing to improve our performance?

Other Publicly Reported Measures

Page last updated: August 2025