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What is CALNOC?

The Collaborative Alliance for Nursing Outcomes (CALNOC) is the nation’s first registry dedicated to nursing sensitive measures at the unit level. It is a self-sustaining non-profit public benefit corporation with over 15 years experience in advancing the safety and quality of patient care. CALNOC is the measure developer for the NQF Pressure Ulcer and Restraint Use prevalence measure for acute care.

What are nursing sensitive measures?

These are indicators, which are sensitive to the input of Nursing Care and reflect structure, process and outcomes.

What are the Units, Structures, Process and Outcomes that you measure?

Unit Level Data

• Adult Acute Care – Critical Care, Step Down, Medical, Surgical, Med/Surgical Combined
• Pediatrics
• Post Acute (SNF, Distinct Part)
• Acute Rehabilitation
• Emergency Department *
• Child & Maternal Care *

Structural Measures

• Hours of Nursing Care per Patient Days
• Skill Mix**
• Percent Contracted Hours
• Ratios**
• Voluntary Turnover
• RN Characteristics – Education, Experience, Years of Service
• Unit Rate of Admissions, Discharges and Transfers

Process Measures

• Falls & Hospital Acquired Pressure Ulcers
• Medication Administration Accuracy Safe Practices
• PICC Line Insertion Practices

Outcome Measures

• Hospital Acquired Pressure Ulcer by Stage
• Fall Rate and Injury Fall Rates
• Restraint Prevalence Rate
• Central Line-Associated Blood Stream Infections in PICC Lines
• Medication Administration Accuracy Nurse Safe Practices Finding and Error Rates

How large is the registry?

The CALNOC NSI Registry is comprised of hundreds hospitals and ambulatory units representing more than 1600 patient units, over 48 million patient days, over 137K falls and over 340K patients evaluated for pressure ulcer and restraint use over a 20+ years


How secure is my data?

With CALNOC your data is secure. CALNOC partners with MegaPath a mission critical vendor for the hosting of the Registry and Managed Services. In addition to providing industry leading SLA’s, MegaPath’s tier 1 hosting environment ensures quality access, redundant services and continuity services to ensure your data is available and operational when you need it.

How often do I need to submit data?

Data is submitted to CALNOC on a quarterly basis for prevalence trends and reports. However, hospitals can submit their data anytime during the course of the year.

Do I need special technical training or knowledge to upload my data?

All you need is a strong attention to detail, and a good working knowledge of Excel in order to upload your data. CALNOC’s industry leading QUIC upload program not only walks you through the submission process but will also identify where information is missing or needs correction. This frees up your resources to work on the business needs of your hospital.

What about your reports?

The CALNOC Reporting System offers hospitals extensive flexibility in report selection including Unit, Unit Type, and Facility Level Reports. Date ranges for CALNOC reports are selected without restriction to specific quarters or maximum number of quarters. You decide which period and how long you want to trend your results! In addition participating CALNOC hospitals can compare their performance against Magnet Hospitals or by State or University Hospitals or even compare their System with like ones. CALNOC trend, staffing effectiveness, and control limit trend graphs, based on user-specified dates, report levels, and variables allows for hospital analysts to create customized facility dashboards.

How effective is participating in the CALNOC Registry?

Participating CALNOC hospitals reduced their Hospital Acquired Pressure Ulcer (HAPU) rates from 10% to 2.8% with half of our hospitals achieving 0%! According to the American Society of Actuaries, Pressure Ulcers are the most frequent medical error and most preventable. They further cite the average cost of treating HAPU as $10,288 per incident. CALNOC meets Regulatory Compliance and Accreditation requirements – CALNOC is a recognized registry for the Centers for Medicare and Medicaid Services and Joint Commission. In addition, CALNOC has been approved for Magnet Qualification.



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