Coauthored by Catima Potter, Senior Analyst
Nurses play a huge and significant role in ensuring a safe, reliable, and high-quality care environment for patients. How well your organization standardizes nursing best practices impacts both the patient experience and the employee experience. Initially launched by the American Nurses Association (ANA) in 1998 and now a Press Ganey solution, the National Database of Nursing Quality Indicators® (NDNQI®) is the only—as well as the oldest and largest—comprehensive nurse-sensitive indicators platform that collects and analyzes nursing data, so nursing units can assess their impact on clinical quality and patient outcomes.
NDNQI is a proven nursing quality improvement tool used to monitor and benchmark nurse-sensitive patient outcomes and RN workforce engagement measures in acute and ambulatory care. Let’s dive into the basics and how you can get started.
What is the National Database of Nursing Quality Indicators (NDNQI)?
NDNQI is the leading nursing quality indicators database that contains unit-level information about 600+ measures relevant to nursing performance, patient and workforce experience, and health outcomes.
The data is derived from a combination of administrative documentation and medical records.
What is the purpose of NDNQI?
All information reported to NDNQI is available for NDNQI users to review and benchmark performance against other participating NDNQI facilities. This enables nursing leaders to better understand how their nursing units stack up against competitors—providing valuable insights to provide better care, improve nursing quality, and achieve ANCC Magnet® recognition.
Do all hospitals participate in NDNQI?
Most Magnet-recognized facilities use NDNQI. Participating in the NDNQI lets you benchmark your organization’s performance against more than 2,000 facilities. With 250+ nursing quality indicators at your fingertips, you can also view how your units stack up across departments and demographics. Press Ganey’s NDNQI solution makes all of this data easily accessible through intuitive dashboards and navigation tools.
How does the NDNQI get its information?
NDNQI site coordinators at participating organizations oversee data collection and submission. In return, they’re given monthly and quarterly reports specific to their data with corresponding benchmarks.
Healthcare systems have the option of system reports. Starting in Q2 2023, system reporting will let users submit data for multiple facilities in a single data file, reducing the data submission burden. Reporting analytics give system executives a clear view not only of data aggregated to the system level, but also a view of each individual facility’s performance compared within their healthcare system and peers nationally. Data export capabilities let system users incorporate calculated NDNQI measures into system analytics tools and dashboards.
What are some of NDNQI’s nursing-sensitive indicators?
To comprehensively and accurately assess nursing performance at facilities in a standardized way, the NDNQI database categorizes information into three main indicator groups: structure, process, and outcome.
Structure indicators include:
- Nurse turnover
- Patient volume and flow
- Patient contacts
- RN education/specialty certification
- Staffing and skill mix
- Workforce characteristics
Process indicators include:
- Advance care planning
- Body mass index (BMI) screening and follow-up
- Care coordination
- Depression screening and follow-up
- Diabetes care
- Hypertension screening and follow-up
- Pain impairing function
- Patient falls
- Pressure injuries
- Pediatric pain assessment/intervention/reassessment (AIR) cycle
- Suicide risk screening and follow-up
And outcome indicators include:
- Assaults by psychiatric patients
- Assaults on nursing personnel
- Catheter-associated urinary tract infections (CAUTI)
- Central line catheter-associated blood stream infections (CLABSI)
- Multidrug-resistant organisms (MDRO) (such as C. difficile infections and MRSA infections)
- Pain impairing function
- Patient falls
- Pediatric peripheral intravenous infiltrations
- Perioperative clinical measure set (PCMS) (patient burns, surgical errors, unplanned postoperative transfers/admissions)
- Pressure injuries
- Ventilator-associated events (VAE)
- Ventilator-associated pneumonia (VAP)
How does NDNQI help nursing units with pressure injury prevention?
NDNQI boasts a four-part training program to understand how to identify, treat, and prevent pressure injuries. The NDNQI equips nurses with the right data to measure success and understand industry benchmarks.
What information can healthcare facilities view as NDNQI users?
By using NDNQI, participating facilities can view more than 10 comparison groups, including teaching status, staffed bed size, Census division, state, metropolitan area, and ANCC Magnet status, among others. With Press Ganey’s NDNQI solution, you can better segment your healthcare data to dig deeper into the details—and pinpoint exactly where your systems can improve.
How does NDNQI support patient experience and safety?
Since several of NDNQI’s indicators involve patient experience data—like patient volume, care coordination, and patient harm/safety events—participating organizations get a better understanding on how to deliver safer, more effective care. And easy-to-use dashboards let facility and unit leaders assess exactly what needs improvement, breaking down data by demographic, facility, and more, so every patient gets the care they deserve, every time.
How does NDNQI support the nurse experience?
With up-to-date patient experience and safety metrics, nurses know they’re providing safe care and improving patient outcomes. NDNQI also contains information on employee experience indicators like job satisfaction, workforce characteristics, and nurse turnover rates. These insights can give hospital leaders a front-row view of what it’s like to be a nurse at the facility they run—helping decision-makers stay ahead of potential nurse turnover and understand what needs to change to retain key nursing talent.
How can my organization get started with NDNQI?
If your facility’s leaders would like to use the Press Ganey NDNQI, connect with one of our experts. They can take you through the platform and set your facility up with the leading tools to measure quality, safety, experience, and more.
Press Ganey also offers continuous patient experience insights through flexible outreach options, industry-leading expertise, and compliance management to assist participating sites in adhering to data collection requirements.
The Press Ganey NDNQI is a valuable database for understanding how your nursing practices stack up to the competition—and how your RNs experience their work environment. To get the most out of this program and unlock new levels of data, it’s critical to understand the basics of NDNQI, how to get started, and why partnering with Press Ganey will accelerate improvement.
Reach out to our team to learn how your organization can harness the power of Press Ganey’s NDNQI.