Suggested Citation:"Appendix D: Data on NIH Clinical Center." National Academies of Sciences, Engineering, and Medicine. 2019. Managing the NIH Bethesda Campus Capital Assets for Success in a Highly Competitive Global Biomedical Research Environment. Washington, DC: The National Academies Press. doi: 10.17226/25483.
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D
Data on NIH Clinical Center
TABLE D.1 Inpatient Census and Length of Stay and Nurse Staffing in the Clinical Center
| Available Beds | FY2016 ADC | FY2016 Nurse Staffing | FY2016 ALOS | FY2017 ADC | FY2017 Nurse Staffing | FY2017 ALOS | FY2018 Projected ADCa | FY2018 Nurse Staffing | FY2018 ALOS | |
|---|---|---|---|---|---|---|---|---|---|---|
| 1NW: Pediatrics | 18 | 10.2 | 28.0 | 7.7 | 9.3 | 32.1 | 8.1 | 9.0 | 38.5 | 7.9 |
| 1SE: Alcohol/Behav. Health | 10 | 7.7 | 13.1 | 19.4 | 7.8 | 15.2 | 18.6 | 6.5 | 14.1 | 25.3 |
| 1SW: Ped. Behav. Health | 4 | 2.3 | 11.6 | 48.8 | 1.7 | 11.4 | 42.7 | 3.1 | 11.4 | 53.7 |
| 3NE: Hem.-Onc. Transplant | 24 | 22.0 | 54.4 | 16.8 | 17.5 | 70.6 | 16.9 | 15.7 | 57.2 | 14.5 |
| 3NW: Adult Oncology | 26 | 18.5 | 53.1 | 6.4 | 18.1 | 48.5 | 6.5 | 19.4 | 52.0 | 7.0 |
| 3SEN: Adult Oncology | 10 | 4.7 | 16.0 | 7.8 | 4.4 | 17.4 | 7.5 | 5.3 | 19.9 | 8.6 |
| 3SW: ICU | 14 | 6.0 | 34.7 | 36.0 | 5.4 | 34.7 | 40.5 | 5.5 | 34.7 | 27.6 |
| 5NES: Special Clinical Studies | 3 | 1.3 | 10.0 | 7.3 | 0.7 | 10.0 | 5.4 | 0.9 | 10.0 | 6.2 |
| 5NW: General Medicine | 27 | 12.9 | 26.4 | 4.1 | 10.5 | 25.8 | 4.2 | 11.0 | 22.9 | 4.4 |
| 5SE: Medicine—Telemetry | 26 | 17.2 | 40.0 | 7.9 | 14.9 | 40.7 | 8.1 | 15.0 | 35.6 | 7.3 |
| 5SWN: Metabolic | 5 | 3.9 | 10.0 | 5.5 | 2.2 | 10.0 | 4.6 | 3.2 | 10.0 | 4.1 |
| 7SE: Adult Behav. Health | 20 | 11.9 | 27.7 | 58.6 | 10.8 | 26.4 | 69.7 | 12.8 | 27.9 | 98.1 |
| 7SWN: Neurology/Sleep Lab | 12 | 8.2 | 15.5 | 7.3 | 8.0 | 21.1 | 6.6 | 6.7 | 22.8 | 8.1 |
| 7SWS: Metabolic | 1 | 0.1 | 5.0 | 0.0 | 0.2 | 5.0 | 4.7 | 0.4 | 5.9 | 3.0 |
| TOTAL | 200 | 126.7 | 345.5 | 8.7 | 111.5 | 368.9 | 8.8 | 114.4 | 362.9 | 8.7 |
a FY 2018 projected based on data from October 1 through April 23.
^Staffing is based on census and acuity.
NOTE: ADC, average daily census; ALOS, average length of stay; FY, fiscal year.
Suggested Citation:"Appendix D: Data on NIH Clinical Center." National Academies of Sciences, Engineering, and Medicine. 2019. Managing the NIH Bethesda Campus Capital Assets for Success in a Highly Competitive Global Biomedical Research Environment. Washington, DC: The National Academies Press. doi: 10.17226/25483.
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TABLE D.2 Outpatient Activity and Nurse Staffing
| Census Location | FY 2016 Visits | FY 2016 Nursing Staff | FY 2017 Visits | FY 2017 Nursing Staff | FY 2018 Projected Visitsa | FY 2018 Nursing Staff |
|---|---|---|---|---|---|---|
| 1NWDH: Pediatrics | 2,514 | 4.4 | 2,253 | 6.4 | 1,981 | 7.7 |
| 3SEDH: Oncology | 10,136 | 21.7 | 9,444 | 22.7 | 10,125 | 26.7 |
| 5SWDH: Oncology | 6,281 | 14.8 | 5,173 | 13.8 | 6,303 | 16.4 |
| Day Hospital Subtotal | 18,931 | 40.9 | 16,870 | 42.9 | 18,409 | 50.8 |
| 1HALC: Alcohol | 1,678 | 2.0 | 1,222 | 3.0 | 1,639 | 2.5 |
| 1HPED: Pediatrics | 6,482 | 7.6 | 5,743 | 8.1 | 5,477 | 12.0 |
| OP1SW: Peds Behav. Health | 0 | n/a | 0 | n/a | 79 | —c |
| OP03: Oncology and Oral Surgery | 6,710 | 7.0 | 6,082 | 7.0 | 5,564 | 8.6 |
| OP04: Behavioral Health | 3,172 | 9.3 | 3,933 | 9.3 | 3,990 | 11.1 |
| OP05: ENT, Neurology | 5,870 | 6.0 | 4,817 | 6.0 | 5,219 | 8.0 |
| OP05SWN: Metabolic | 513 | — | 483 | — | 803 | —d |
| OP05VC: Vaccine Evaluation | 1,362 | 1.0 | 2,724 | — | 2,848 | —e |
| OP06: Virtual Testing | 220 | — | 148 | — | 88 | —f |
| OP07: Cardiology and Hem./Onc. | 5,688 | 5.5 | 5,279 | 5.5 | 4,384 | 6.7 |
| OP07SWS: Metabolic | 582 | — | 739 | — | 909 | —g |
| OP08: Infectious Diseases | 5,208 | 11.8 | 4,959 | 10.8 | 5,255 | 16.0 |
| OP09: Med./Surg. Specialties | 9,010 | 9.3 | 8,480 | 7.6 | 8,458 | 11.0 |
| OP10: Ophthalmology | 6,149 | 7.0 | 5,731 | 6.0 | 5,541 | 8.0 |
| OP11: Allergy and Infectious Diseases, and Genetic Eye Disease | 4,858 | 11.3 | 4,208 | 11.3 | 3,566 | 13.5 |
| OP12: Medical Oncology | 10,126 | 9.0 | 9,149 | 9.5 | 10,685 | 11.6 |
| OP13: Derm. and Med. Onc. | 4,065 | 3.0 | 4,061 | 3.6 | 3,616 | 4.0 |
| OPDEN: Dental | 3,645 | 1.0 | 3,512 | 2.0 | 2,773 | 3.0 |
| OPRAD: Radiology | 5,879 | 3.0 | 4,189 | 2.6 | 4,656 | 2.6 |
| Clinic Subtotal | 81,217 | 93.8 | 75,459 | 92.3 | 75,550 | 118.6 |
| TOTAL | 100,148 | 135 | 92,329 | 135 | 93,959 | 169 |
a FY 2018 projected based on data from October 1 through April 23.
b Staffing is based on patient activity, acuity, and a move toward a primary care model.
c OP1SW: Peds Behav. Health staffing numbers included in inpatient staffing.
d OP05SWN: Metabolic staffing included in 5SWN inpatient staffing numbers, as patients are seen on this unit.
e OP05VC: One patient care tech was provided by the CC in FY 2016; except for that one instance, all Vaccine Evaluation staffing is provided by NIAID.
f OP06: Virtual Testing staffing is provided by the institutes.
g OP07SWS: Metabolic staffing included in 7SWS inpatient staffing numbers, as patients are seen on this unit.
Suggested Citation:"Appendix D: Data on NIH Clinical Center." National Academies of Sciences, Engineering, and Medicine. 2019. Managing the NIH Bethesda Campus Capital Assets for Success in a Highly Competitive Global Biomedical Research Environment. Washington, DC: The National Academies Press. doi: 10.17226/25483.
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Suggested Citation:"Appendix D: Data on NIH Clinical Center." National Academies of Sciences, Engineering, and Medicine. 2019. Managing the NIH Bethesda Campus Capital Assets for Success in a Highly Competitive Global Biomedical Research Environment. Washington, DC: The National Academies Press. doi: 10.17226/25483.
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