[ { "WaitTimes": [ { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "AUDIOLOGY", "EstablishedPatients": "20.4", "NewPatients": "67.6", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "CARDIOLOGY", "EstablishedPatients": "22.1", "NewPatients": "61.5", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "ENDOCRINOLOGY", "EstablishedPatients": "15.3", "NewPatients": "89.4", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "GASTROENTEROLOGY", "EstablishedPatients": "37.1", "NewPatients": "79.1", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "MENTAL HEALTH GROUP", "EstablishedPatients": "0.6", "NewPatients": "N/A", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "MENTAL HEALTH INDIVIDUAL", "EstablishedPatients": "10.5", "NewPatients": "9.9", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "NEUROLOGY", "EstablishedPatients": "45.0", "NewPatients": "58.7", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "OB/GYN", "EstablishedPatients": "15.1", "NewPatients": "54.7", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "OCCUPATIONAL THERAPY", "EstablishedPatients": "25.4", "NewPatients": "71.2", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "ONCOLOGY", "EstablishedPatients": "6.0", "NewPatients": "54.8", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "OPHTHALMOLOGY", "EstablishedPatients": "2.6", "NewPatients": "74.6", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "ORTHOPEDICS", "EstablishedPatients": "9.3", "NewPatients": "36.1", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "PAIN MEDICINE", "EstablishedPatients": "55.1", "NewPatients": "N/A", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "PHYSICAL THERAPY", "EstablishedPatients": "11.8", "NewPatients": "42.8", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "PODIATRY", "EstablishedPatients": "34.3", "NewPatients": "53.0", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "PRIMARY CARE", "EstablishedPatients": "10.8", "NewPatients": "48.8", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "PRIMARY CARE – MENTAL HEALTH INTEGRATED CARE", "EstablishedPatients": "0.4", "NewPatients": "6.3", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "PULMONOLOGY", "EstablishedPatients": "25.2", "NewPatients": "47.8", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "SUBSTANCE USE DISORDER GROUP", "EstablishedPatients": "0.5", "NewPatients": "16.5", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "SUBSTANCE USE DISORDER INDIVIDUAL", "EstablishedPatients": "2.0", "NewPatients": "0.0", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "UROLOGY", "EstablishedPatients": "27.6", "NewPatients": "82.2", "DataSource": "VistA" }, { "FacilityId": "508", "ReportDate": "2026-03-14T00:00:00", "AppointmentType": "WOMEN\u0027S HEALTH", "EstablishedPatients": "10.0", "NewPatients": "N/A", "DataSource": "VistA" } ], "Satisfaction": [ { "ReportDate": "2025-02-04T09:17:00", "AppointmentType": "Primary Care (Urgent needs)", "Score": 0.00, "FacilityId": "508", "DatasourceUpdateDate": "02/04/2025" }, { "ReportDate": "2025-02-04T09:17:00", "AppointmentType": "Primary Care (Routine)", "Score": 79.00, "FacilityId": "508", "DatasourceUpdateDate": "02/04/2025" }, { "ReportDate": "2025-02-04T09:17:00", "AppointmentType": "Specialty Care (Routine)", "Score": 73.00, "FacilityId": "508", "DatasourceUpdateDate": "02/04/2025" }, { "ReportDate": "2025-02-04T09:17:00", "AppointmentType": "Specialty Care (Urgent needs)", "Score": 66.00, "FacilityId": "508", "DatasourceUpdateDate": "02/04/2025" } ], "MissionActDomains": [ { "DomainID": 1, "Domain": "Effective Care", "Description": "Providing services based on scientific knowledge of what is likely to benefit Veterans.", "Categories": [ { "CategoryID": 1, "CategoryName": "Diabetes Care", "DomainID": 1, "Measures": [ { "MeasureID": 10, "Name": "Poor Blood Glucose Control Among Diabetics", "Direction": "Lower is better", "VAHospitalResults": "17.40 %", "CommunityBenchmark": "33.40 %", "VAVsCommunity": "BETTER", "CategoryID": 1, "Interval": "Quarterly", "Notes": [ { "MeasureID": 10, "Note": "Poor blood glucose control amongst diabetics (Hemoglobin A1c)." }, { "MeasureID": 10, "Note": "This measure applies to patients ages 17 to 75 who have a diagnosis of diabetes." }, { "MeasureID": 10, "Note": "HbA1c is an important indicator of glycemic control. Lowering HbA1c levels helps reduce the risk of cataracts, heart failure, and kidney disease." }, { "MeasureID": 10, "Note": "Lower percentages (scores) are better, indicating less patients are not being actively treated for this condition." } ] }, { "MeasureID": 11, "Name": "Comprehensive Diabetes Care - Blood Pressure Control", "Direction": "Higher is better", "VAHospitalResults": "78.10 %", "CommunityBenchmark": "55.80 %", "VAVsCommunity": "BETTER", "CategoryID": 1, "Interval": "Quarterly", "Notes": [ { "MeasureID": 11, "Note": "Comprehensive diabetes care - blood pressure control." }, { "MeasureID": 11, "Note": "This measure applies to patients ages 17 to 75 who have a diagnosis of diabetes." }, { "MeasureID": 11, "Note": "High blood pressure is more likely to strike persons with diabetes and left untreated can lead to heart disease and stroke." }, { "MeasureID": 11, "Note": "Higher percentages (scores) are better, indicating more patients are being actively treated for this condition." } ] }, { "MeasureID": 33, "Name": "Diabetes Patients Receiving Statin Therapy", "Direction": "Higher is better", "VAHospitalResults": "79.90 %", "CommunityBenchmark": "62.10 %", "VAVsCommunity": "BETTER", "CategoryID": 1, "Interval": "Quarterly", "Notes": [ { "MeasureID": 33, "Note": "Diabetes patients receiving statin (medication) therapy." }, { "MeasureID": 33, "Note": "This measure applies to patients ages 40 to 75 who have a diagnosis of diabetes." }, { "MeasureID": 33, "Note": "Persons with diabetes are more likely to have high cholesterol. Statin medications can help lower cholesterol and decrease the risk of heart disease." }, { "MeasureID": 33, "Note": "Higher percentages (scores) are better, indicating more patients are being actively treated for this condition." } ] } ] }, { "CategoryID": 2, "CategoryName": "General Primary Care and Preventive Services", "DomainID": 1, "Measures": [ { "MeasureID": 19, "Name": "Flu Shots for Adults Ages 19-65", "Direction": "Higher is better", "VAHospitalResults": "28.00 %", "CommunityBenchmark": "17.80 %", "VAVsCommunity": "BETTER", "CategoryID": 2, "Interval": "Quarterly", "Notes": [ { "MeasureID": 19, "Note": "Flu shots for adults ages 19-65." }, { "MeasureID": 19, "Note": "This measure applies to patients ages 19-65." }, { "MeasureID": 19, "Note": "Annual influenza vaccination is associated with reduced mortality, morbidity, and adverse cardiovascular events resulting from influenza." }, { "MeasureID": 19, "Note": "Higher percentages (scores) are better, indicating more patients are receiving vaccinations." }, { "MeasureID": 19, "Note": "For this influenza-related measure data are posted and the community comparison is made in the 3rd and 4th Quarter of each Fiscal Year (June-September)." } ] }, { "MeasureID": 22, "Name": "Colorectal Cancer Screening", "Direction": "Higher is better", "VAHospitalResults": "71.20 %", "CommunityBenchmark": "61.50 %", "VAVsCommunity": "BETTER", "CategoryID": 2, "Interval": "Quarterly", "Notes": [ { "MeasureID": 22, "Note": "Colorectal cancer screening." }, { "MeasureID": 22, "Note": "This measure applies to patients ages 45 to 75." }, { "MeasureID": 22, "Note": "Screening of the colon can find precancerous polyps to be removed before they turn into cancer, and can help identify cancer early when treatment works best." }, { "MeasureID": 22, "Note": "Higher percentages (scores) are better, indicating more patients are being actively screened." } ] }, { "MeasureID": 30, "Name": "Non-recommended PSA-based Screening in Older Men (Prostate Screening)", "Direction": "Lower is better", "VAHospitalResults": "26.70 %", "CommunityBenchmark": "34.10 %", "VAVsCommunity": "BETTER", "CategoryID": 2, "Interval": "Quarterly", "Notes": [ { "MeasureID": 30, "Note": "Non-recommended PSA-based screening in older men (prostate screening)." }, { "MeasureID": 30, "Note": "This measure applies to male patients age 70 or older who were screened unnecessarily for prostate cancer." }, { "MeasureID": 30, "Note": "Men of this age group are less likely to benefit from early detection of this type of cancer. Complications from biopsies and unnecessary treatment may constitute significant harms." }, { "MeasureID": 30, "Note": "Lower percentages (scores) are better, indicating more patients of this age group are not being unnecessarily screened." } ] }, { "MeasureID": 31, "Name": "Smoking and Tobacco Cessation - Advise Smokers to Quit", "Direction": "Higher is better", "VAHospitalResults": "87.20 %", "CommunityBenchmark": "73.50 %", "VAVsCommunity": "BETTER", "CategoryID": 2, "Interval": "Quarterly", "Notes": [ { "MeasureID": 31, "Note": "Healthcare provider advising patients who use tobacco to quit smoking." }, { "MeasureID": 31, "Note": "This measure applies to patients who identify as current users of tobacco." }, { "MeasureID": 31, "Note": "Smoking/tobacco cessation reduces the risk for many adverse health effects, including cardiovascular disease, cancer, and chronic obstructive pulmonary disease (COPD)." }, { "MeasureID": 31, "Note": "Higher percentages (scores) are better, indicating more patients are being actively treated for this condition." } ] } ] }, { "CategoryID": 3, "CategoryName": "Heart Health", "DomainID": 1, "Measures": [ { "MeasureID": 14, "Name": "Adequate Control of High Blood Pressure", "Direction": "Higher is better", "VAHospitalResults": "75.60 %", "CommunityBenchmark": "60.20 %", "VAVsCommunity": "BETTER", "CategoryID": 3, "Interval": "Quarterly", "Notes": [ { "MeasureID": 14, "Note": "Controlling high blood pressure (blood pressure less than 140/90)." }, { "MeasureID": 14, "Note": "This measure applies to patients ages 18 to 85." }, { "MeasureID": 14, "Note": "High blood pressure is a major risk factor for heart disease and stroke." }, { "MeasureID": 14, "Note": "Higher percentages (scores) are better, indicating more patients are being actively treated for this condition." } ] }, { "MeasureID": 32, "Name": "Cardiovascular Disease Patients Receiving Statin Therapy", "Direction": "Higher is better", "VAHospitalResults": "88.50 %", "CommunityBenchmark": "80.00 %", "VAVsCommunity": "BETTER", "CategoryID": 3, "Interval": "Quarterly", "Notes": [ { "MeasureID": 32, "Note": "Cardiovascular disease patients receiving statin therapy." }, { "MeasureID": 32, "Note": "This measure applies to patients ages 21 to 75 who have a diagnosis of cardiovascular disease." }, { "MeasureID": 32, "Note": "Statin medications can help lower cholesterol and decrease the risk of heart attack and stroke for patients with cardiovascular disease." }, { "MeasureID": 32, "Note": "Higher percentages (scores) are better, indicating more patients are being actively treated for this condition." } ] } ] }, { "CategoryID": 5, "CategoryName": "Inpatient Effective Care", "DomainID": 1, "Measures": [ { "MeasureID": 5, "Name": "Death rate for Chronic Obstructive Pulmonary Disease", "Direction": "Lower is better", "VAHospitalResults": "5.40", "CommunityBenchmark": "8.80", "VAVsCommunity": "BETTER", "CategoryID": 5, "Interval": "Annual", "Notes": [ { "MeasureID": 5, "Note": "The death rates show whether patients died within 30 days of surgery or being hospitalized for a specific condition." }, { "MeasureID": 5, "Note": "Death rates provide information about important aspects of hospital care that affect patients’ outcomes – like prevention of and response to complications, emphasis on patient safety, and the timeliness of care." } ] }, { "MeasureID": 6, "Name": "Death rate for Heart Attack", "Direction": "Lower is better", "VAHospitalResults": "12.00", "CommunityBenchmark": "12.20", "VAVsCommunity": "SAME", "CategoryID": 5, "Interval": "Annual", "Notes": [ { "MeasureID": 6, "Note": "The ratio of predicted 30-day mortality (death within 30 days of hospital admission) to expected 30-day mortality for patients with a primary diagnosis of acute myocardial infarction (heart attack), multiplied by the national VA unadjusted 30-day mortality rate for these patients." } ] }, { "MeasureID": 7, "Name": "Death rate for Congestive Heart Failure", "Direction": "Lower is better", "VAHospitalResults": "5.60", "CommunityBenchmark": "11.60", "VAVsCommunity": "BETTER", "CategoryID": 5, "Interval": "Annual", "Notes": [ { "MeasureID": 7, "Note": "The death rates show whether patients died within 30 days of surgery or being hospitalized for a specific condition." }, { "MeasureID": 7, "Note": "Death rates provide information about important aspects of hospital care that affect patients’ outcomes – like prevention of and response to complications, emphasis on patient safety, and the timeliness of care." } ] }, { "MeasureID": 8, "Name": "Death rate for Pneumonia", "Direction": "Lower is better", "VAHospitalResults": "8.50", "CommunityBenchmark": "16.20", "VAVsCommunity": "BETTER", "CategoryID": 5, "Interval": "Annual", "Notes": [ { "MeasureID": 8, "Note": "The ratio of predicted 30-day mortality (death within 30 days of hospital admission) to expected 30-day mortality for patients with a primary diagnosis of pneumonia (including aspiration pneumonia) or a principal diagnosis of sepsis (not including severe sepsis) with a secondary diagnosis of pneumonia (including aspiration pneumonia) coded as present on admission and no secondary diagnosis of severe sepsis coded as present on admission, multiplied by the national VA unadjusted 30-day mortality rate for these patients." } ] } ] }, { "CategoryID": 6, "CategoryName": "Mental Health Care", "DomainID": 1, "Measures": [ { "MeasureID": 12, "Name": "Follow-Up After Hospitalization For Mental Illness 30 days (Total)", "Direction": "Higher is better", "VAHospitalResults": "95.60 %", "CommunityBenchmark": "65.30 %", "VAVsCommunity": "BETTER", "CategoryID": 6, "Interval": "Quarterly", "Notes": [ { "MeasureID": 12, "Note": "Follow up after hospitalization for mental illness. Follow up within 30 days post discharge." }, { "MeasureID": 12, "Note": "Percentage of inpatient discharges for a diagnosis of mental illness or intentional self-harm where the patients are discharged with at least one follow-up visit with a mental health provider within 30 days post discharge." }, { "MeasureID": 12, "Note": "In 2019, nearly one in five adults aged 18 and older in the U.S. had a diagnosed mental health disorder. Despite this, individuals hospitalized for mental health disorders often do not receive adequate follow-up care. Providing follow-up care to patients after psychiatric hospitalization can improve patient outcomes, decrease the likelihood of re-hospitalization and the overall cost of outpatient care. (Reference: NCQA.org)." } ] }, { "MeasureID": 13, "Name": "Follow-Up After Hospitalization For Mental Illness 7 days (Total)", "Direction": "Higher is better", "VAHospitalResults": "87.00 %", "CommunityBenchmark": "41.40 %", "VAVsCommunity": "BETTER", "CategoryID": 6, "Interval": "Quarterly", "Notes": [ { "MeasureID": 13, "Note": "Follow up after hospitalization for mental illness. Follow up within 7 days post discharge." }, { "MeasureID": 13, "Note": "Percentage of inpatient discharges for a diagnosis of mental illness or intentional self-harm where the patients are discharged with at least one follow-up visit with a mental health provider within 7 days post discharge." }, { "MeasureID": 13, "Note": "In 2019, nearly one in five adults aged 18 and older in the U.S. had a diagnosed mental health disorder. Despite this, individuals hospitalized for mental health disorders often do not receive adequate follow-up care. Providing follow-up care to patients after psychiatric hospitalization can improve patient outcomes, decrease the likelihood of re-hospitalization and the overall cost of outpatient care. (Reference: NCQA.org)." } ] } ] }, { "CategoryID": 9, "CategoryName": "Women\u0027s Health", "DomainID": 1, "Measures": [ { "MeasureID": 20, "Name": "Screening for Breast Cancer", "Direction": "Higher is better", "VAHospitalResults": "84.10 %", "CommunityBenchmark": "73.30 %", "VAVsCommunity": "BETTER", "CategoryID": 9, "Interval": "Quarterly", "Notes": [ { "MeasureID": 20, "Note": "Breast cancer screening for women ages 50-74." }, { "MeasureID": 20, "Note": "This measure applies to female patients ages 50 to 74 or older who were screened for breast cancer." }, { "MeasureID": 20, "Note": "For most women mammograms are the best way to find breast cancer early, often before it is big enough to feel or cause symptoms." }, { "MeasureID": 20, "Note": "Higher percentages (scores) are better, indicating more patients are being actively screened." } ] }, { "MeasureID": 21, "Name": "Screening for Cervical Cancer", "Direction": "Higher is better", "VAHospitalResults": "75.20 %", "CommunityBenchmark": "71.30 %", "VAVsCommunity": "BETTER", "CategoryID": 9, "Interval": "Quarterly", "Notes": [ { "MeasureID": 21, "Note": "Cervical cancer screening for women ages 21-64." }, { "MeasureID": 21, "Note": "This measure applies to female patients ages 21 – 64." }, { "MeasureID": 21, "Note": "The goal of cervical cancer screening is to find precancerous cell changes. Screening can detect cancer early, when treatment can be the most successful." }, { "MeasureID": 21, "Note": "Higher percentages (scores) are better, indicating more patients are being actively screened." } ] } ] } ] }, { "DomainID": 2, "Domain": "Safe Care", "Description": "Avoiding harm to Veterans from care intended to help them.", "Categories": [ { "CategoryID": 4, "CategoryName": "Infections", "DomainID": 2, "Measures": [ { "MeasureID": 3, "Name": "Catheter-associated urinary tract infection", "Direction": "Lower is better", "VAHospitalResults": "1.590", "CommunityBenchmark": "1.752", "VAVsCommunity": "BETTER", "CategoryID": 4, "Interval": "Quarterly", "Notes": [ { "MeasureID": 3, "Note": "Urinary tract infections from the insertion of catheters are one of the most common healthcare associated infections. CAUTI (catheter associated urinary tract infection) has been associated with increased morbidity, mortality, hospital costs, and lengths of stay. Surveillance is aimed at identifying risk to the patient that is the result of device use." }, { "MeasureID": 3, "Note": "A catheter is a drainage tube inserted into a patient\u0027s bladder through the urethra and left in place to collect urine. When not put in correctly, kept clean, or when left in place for long periods of time, catheters can become an easy way for germs to enter the body and cause serious infections in the urinary tract. These infections are called CAUTIs. They may be preventable when healthcare providers use infection control steps recommended by the CDC." }, { "MeasureID": 3, "Note": "This measure compares the number of CAUTIs in certain locations in a hospital to a national benchmark." }, { "MeasureID": 3, "Note": "Lower numbers are better. A score of zero (0)—meaning no CAUTIs—is best." } ] }, { "MeasureID": 4, "Name": "Central line-associated bloodstream infection", "Direction": "Lower is better", "VAHospitalResults": "0.670", "CommunityBenchmark": "1.958", "VAVsCommunity": "BETTER", "CategoryID": 4, "Interval": "Quarterly", "Notes": [ { "MeasureID": 4, "Note": "Central line associated bloodstream infections (CLABSI) are associated with increased mortality and added costs. CLABSI can be prevented if recommended practices are followed. Surveillance is aimed at identifying risk to the patient that is the result of device use." }, { "MeasureID": 4, "Note": "A central line is a narrow tube inserted into a large blood vessel to give important medical treatment. When inserted incorrectly or not kept clean, central lines can become an easy way for germs to enter the body and cause serious infections in the blood. These infections are called CLABSIs. CLABSIs may be preventable when healthcare providers use infection control steps recommended by the CDC." }, { "MeasureID": 4, "Note": "This measure compares the number of CLABSIs in certain locations in a hospital to a national benchmark." }, { "MeasureID": 4, "Note": "Lower numbers are better. A score of zero (0)—meaning no CLABSIs—is best." } ] } ] }, { "CategoryID": 7, "CategoryName": "Patient Safety Indicators", "DomainID": 2, "Measures": [ { "MeasureID": 1, "Name": "Accidental cuts and tears requiring a corrective procedure after abdominal or pelvic surgery", "Direction": "Lower is better", "VAHospitalResults": "1.10", "CommunityBenchmark": "1.06", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 1, "Note": "The PSIs are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 1, "Note": "Accidental punctures or lacerations (secondary diagnosis) during a procedure of the abdomen or pelvis per 1,000 discharges for patients ages 18 years and older that require a second abdominopelvic procedure one or more days after the index procedure." }, { "MeasureID": 1, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 9, "Name": "Death rate among surgical patients with serious treatable complications", "Direction": "Lower is better", "VAHospitalResults": "185.17", "CommunityBenchmark": "173.30", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 9, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 9, "Note": "This measure is used to assess the number of deaths per 1,000 patients having developed specified complications of care during hospitalization." }, { "MeasureID": 9, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 15, "Name": "Broken hip from a fall in the hospital", "Direction": "Lower is better", "VAHospitalResults": "0.27", "CommunityBenchmark": "0.27", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 15, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 15, "Note": "In hospital fall with hip fracture (secondary diagnosis) per 1,000 discharges for patients ages 18 years and older." }, { "MeasureID": 15, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 16, "Name": "Collapsed lung that results from medical treatment", "Direction": "Lower is better", "VAHospitalResults": "0.22", "CommunityBenchmark": "0.21", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 16, "Note": "The PSIs are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 16, "Note": "Collapsed lung due to medical treatment." }, { "MeasureID": 16, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 23, "Name": "Blood clots in the lung or a large leg vein after surgery", "Direction": "Lower is better", "VAHospitalResults": "4.17", "CommunityBenchmark": "3.52", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 23, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 23, "Note": "Perioperative pulmonary embolism or deep vein thrombosis rate." }, { "MeasureID": 23, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 24, "Name": "Kidney failure requiring dialysis after surgery", "Direction": "Lower is better", "VAHospitalResults": "1.45", "CommunityBenchmark": "1.67", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 24, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 24, "Note": "Post-Operative Acute Kidney Injury Requiring Dialysis Rate." }, { "MeasureID": 24, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 25, "Name": "Bleeding or blood clots requiring a procedure after surgery", "Direction": "Lower is better", "VAHospitalResults": "2.31", "CommunityBenchmark": "2.34", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 25, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 25, "Note": "Hemorrhage rate." }, { "MeasureID": 25, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 26, "Name": "Respiratory failure after surgery", "Direction": "Lower is better", "VAHospitalResults": "14.52", "CommunityBenchmark": "9.42", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 26, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 26, "Note": "Postoperative Respiratory Failure Rate." }, { "MeasureID": 26, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 27, "Name": "Blood stream infection after surgery", "Direction": "Lower is better", "VAHospitalResults": "5.17", "CommunityBenchmark": "5.27", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 27, "Note": "The patient safety indicators (PSIs) are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 27, "Note": "Postoperative sepsis rate." }, { "MeasureID": 27, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 28, "Name": "A wound that splits open after surgery on the abdomen or pelvis", "Direction": "Lower is better", "VAHospitalResults": "1.57", "CommunityBenchmark": "1.77", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": [ { "MeasureID": 28, "Note": "The PSIs are a set of indicators providing information on potential in-hospital complications and adverse events following surgeries and procedures." }, { "MeasureID": 28, "Note": "Postoperative reclosures of the abdominal wall per 1,000 abdominopelvic surgery discharges for patients ages 18 years and older." }, { "MeasureID": 28, "Note": "The rates are risk adjusted to account for differences in patient characteristics across hospitals they are comparing. The rate for each PSI is calculated by dividing the actual number of outcomes at each hospital by the number of eligible discharges for that measure at each hospital, multiplied by 1,000. These are never events so lower is better." } ] }, { "MeasureID": 29, "Name": "Pressure ulcer rate (pressure injury)", "Direction": "Lower is better", "VAHospitalResults": "0.83", "CommunityBenchmark": "0.63", "VAVsCommunity": "SAME", "CategoryID": 7, "Interval": "Annual", "Notes": null } ] } ] }, { "DomainID": 3, "Domain": "Veteran-Centered Care", "Description": "Veterans’ experience with care at the facility. Veteran-centered care is guided by Veteran and caregiver preferences, needs, and values.", "Categories": [ { "CategoryID": 8, "CategoryName": "Veteran Centered Care", "DomainID": 3, "Measures": [ { "MeasureID": 2, "Name": "Care Coordination", "Direction": "Higher is better", "VAHospitalResults": "54.00 %", "CommunityBenchmark": "61.00 %", "VAVsCommunity": "WORSE", "CategoryID": 8, "Interval": "Quarterly", "Notes": [ { "MeasureID": 2, "Note": "The percentage of surveyed primary care patients who respond that providers \u0022Always\u0022 know important medical history information, follow up after routine labs and imaging, and discussed prescription medication use." }, { "MeasureID": 2, "Note": "Systems and processes that promote care coordination facilitate the ability of providers to remain up to date on their patients care. Efficient care coordination can lower the administrative burden of providers so that they can focus on delivering care to the patient." } ] }, { "MeasureID": 17, "Name": "Overall Rating of Hospital", "Direction": "Higher is better", "VAHospitalResults": "65.00 %", "CommunityBenchmark": "71.00 %", "VAVsCommunity": "SAME", "CategoryID": 8, "Interval": "Quarterly", "Notes": [ { "MeasureID": 17, "Note": "The percentage of recently discharged patients who gave their hospital a rating of 9 or 10, with 0 being the worst and 10 being the best hospital possible." }, { "MeasureID": 17, "Note": "This global measure of hospital experience provides an overall assessment of how patients experienced or perceived key aspects of their care." } ] }, { "MeasureID": 18, "Name": "Overall Rating of Provider", "Direction": "Higher is better", "VAHospitalResults": "67.00 %", "CommunityBenchmark": "74.00 %", "VAVsCommunity": "WORSE", "CategoryID": 8, "Interval": "Quarterly", "Notes": [ { "MeasureID": 18, "Note": "The percentage of surveyed primary care patients who gave their provider a rating of 9 or 10, with 0 being the worst and 10 being the best provider possible." }, { "MeasureID": 18, "Note": "This global measure of provider experience provides an overall assessment of how patients experienced or perceived key aspects of their care." } ] } ] } ] } ], "OutPatientScore": "87.2" } ]