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Accreditation Quality Report
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Quality Report

Summary of Accreditation Quality Information
VA Medical Center
Org ID: 2470
1601 Kirkwood Highway
Wilmington, DE  19805
(302)994-2511
va.gov
Accreditation Decision: Accredited
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care 5/9/2008 5/9/2008  
Home Care 5/9/2008 5/9/2008  
Hospital 5/9/2008 5/9/2008  
Long Term Care 5/9/2008 5/9/2008  



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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number of patients is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Behavioral Health Care
2008 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Home Care
2008 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2008 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2009 -
Dec  2009
Heart Failure Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Blood Vessel Surgery
 See Detail
Not displayed.
3
Not displayed.
3
  • Colon/Large Intestine Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Hip Joint Replacement
 See Detail
Not displayed.
3
Not displayed.
3
  • Hysterectomy
 See Detail
Not displayed.
3
Not displayed.
3
  • Knee Replacement
 See Detail
Not displayed.
3
Not displayed.
3
SCIP – Venous Thromboembolism (VTE) See Detail
   
Long Term Care
2008 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Cape May VA Outpatient Clinic
USGC / Tracen, 1Munro Ave
Cape May, NJ  08204
  • General Outpatient Services (Outpatient)
Dover VA Outpatient Clinic - Creek Stone
1198 Governors Avenue, Suite 201
Dover, DE  19901
  • General Outpatient Services (Outpatient)
Georgetown VA Outpatient Clinic
15 Georgetown Plaza
Georgetown, DE  19947
  • General Outpatient Services (Outpatient)
VA Medical Center  *
1601 Kirkwood Highway
Wilmington, DE  19805
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Case Management (Non 24 Hour Care - Adult)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Outpatient)
  • Hematology/Blood Treatment (Outpatient)
  • Home Health, Non-Hospice Services
  • Imaging/Radiology (Inpatient, Outpatient)
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Intermediate Care
  • Internal Medicine (Inpatient, Outpatient)
  • Long Term Care
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Outpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pharmacy/Dispensary,General Services
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Rehabilitation Services
  • Respiratory Care (Ventilator) (Inpatient)
  • Respite Care
  • Rheumatology (Outpatient)
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient)
  • Vocational Rehabilitation (Non 24 Hour Care - Adult)
  • Wound Care (Inpatient, Outpatient)
VA Ventnor Outreach Health Screening Clinic-Troy Building
Ventnor Professional Campus 6601 Ventnor Ave, Suite 406
Ventnor, NJ  08406
  • General Outpatient Services (Outpatient)
VA Vineland Outpatient Clinic
1051 West Sherman Ave. Bldg 3, Unit B
Vineland, NJ  08360
  • General Outpatient Services (Outpatient)

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