Staffing Ratios


Our take: New Jersey’s healthcare community is committed to delivering high-quality, high-value healthcare to the people of New Jersey, and that commitment is paying dividends in high rankings in national quality reports and healthcare cost savings. We value the expertise of our nurses and other clinical professionals and believe they are best positioned to ensure safe and efficient staffing environments, rather than using rigid ratios set by government.

The American Nurses Association does not support rigid ratios. It advocates for “a legislative model in which nurses are empowered to create staffing plans specific to each unit. This approach aids in establishing staffing levels that are flexible and account for changes, including intensity of patients’ needs, the number of admissions, discharges and transfers during a shift, level of experience of nursing staff, layout of the unit, and availability of resources (ancillary staff, technology, etc.)” Read more.

New Jersey’s history of nursing excellence
  • New Jersey has the highest percentage of Magnet-designated hospitals in the nation. This designation from the American Nurses Credentialing Center recognizes hospitals that have taken specific actions to create an optimal environment for their nurses to provide high-quality patient care, built on autonomy and the professional expertise and experience of the nursing team. Learn more about the Magnet program and view the growing list of New Jersey’s Magnet hospitals.
New Jersey’s success in healthcare quality
  • New Jersey hospitals working collaboratively under the nationwide Partnership for Patients initiative have achieved double-digit reductions in infection rates, medication errors, patient falls, pressure ulcers and other harms. Over a five-year period, hospitals and their nursing teams have averted more than 77,000 cases of patient harm with accompanying healthcare cost savings of $641 million. Read the report.
  • New Jersey consistently ranks in the top third nationally in patient safety under the Leapfrog Hospital Safety Score.
  • New Jersey hospitals have reached 100 percent compliance on half of the quality measures reported in the N.J. Department of Health’s Hospital Performance Report and performs higher than the national average on the remaining measures. See the data.
New Jersey’s record of empowered nurses
  • The Organization of Nurse Leaders of New Jersey works collaboratively with NJHA to provide education, mentoring and leadership development to New Jersey nurses and engage nurses in healthcare innovation. Learn more about this work.
  • NJHA’s Hospital Improvement Innovation Network is designated by the federal Centers for Medicare and Medicaid Services to lead New Jersey hospitals in quality improvement activities. Its collaborative model engages nurses, physicians and other clinicians in sharing data and best practices to improve patient care. See the HIIN’s initiatives.