CALNOC member hospitals meet the Centers for Medicare & Medicaid Services’ (CMS) Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU) program’s new requirement (July 2010) that hospitals participate in a registry for nursingsensitive quality metrics. CALNOC data have been used to examine the 2004 California mandated nurse staffing ratios,
and aggregated trends have been published to help nurses use benchmarks and clinical dashboards for expediting improvement in patient outcomes [29].