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Quality Report

Summary of Accreditation Quality Information
VA Medical Center
Org ID: 2869
2401 West Main Street
Marion, IL  62959
(618)997-5311
www.va.gov

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 9/1/2007 8/31/2007 8/31/2007  
Hospital
Accredited 9/1/2007 8/31/2007 11/17/2009  
Long Term Care
Accredited 9/1/2007 8/31/2007 1/26/2010  
Pathology and Clinical Laboratory
Accredited 8/5/2009 8/4/2009 8/4/2009  



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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
Home Care
2007 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
2010 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
Not displayed.
3
Not displayed.
3
  • Blood Vessel Surgery
 See Detail
Not displayed.
3
Not displayed.
3
  • Colon/Large Intestine Surgery
 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
2010 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.
*
Pathology and Clinical Laboratory
2009 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
Behavioral Medicine Annex
720 Sycamore Street
Evansville, IN  47713
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Behavioral Medicine Annex, VAMC Marion, IL
1301 Enterprise Way, Suite 68
Marion, IL  62959
  • Behavioral Health (Non 24 Hour Care - Adult)
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
  • Vocational Rehabilitation (Non 24 Hour Care - Adult)
Eastern Kentucky Veterans Center
200 Veterans Drive
Hazard, KY  41701
  • Pharmacy, Long Term Care
Effingham Community Based Outpatient Clinic
1901 S. 4th Street, Suite 21
Effingham, IL  62401
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Evansville Outpatient Clinic
500 East Walnut
Evansville, IN  47713
  • Alzheimers Disease (Outpatient)
  • Amyotrophic Lateral Sclerosis (Outpatient)
  • Arthritis (Outpatient)
  • Asthma (Outpatient)
  • Asthma, Pediatrics (Outpatient)
  • Atrial Fibrillation (Outpatient)
  • Benign prostatic hyperplasia (BPH) (Outpatient)
  • Breast Cancer (Outpatient)
  • Carotid Stenosis (Outpatient)
  • Cellulitis (Outpatient)
  • Cervical Spine Treatment (Outpatient)
  • Chronic Kidney Disease (Outpatient)
  • Chronic Obstructive Pulmonary Disease (Outpatient)
  • Coagulopathy Treatment (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Coronary Artery Disease (Outpatient)
  • Crohn's Disease (Outpatient)
  • Diabetes Mellitus (Outpatient)
  • Emphysema (Outpatient)
  • Gastroesophageal Reflux Disease (Outpatient)
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
  • Health and Wellness (Outpatient)
  • Health Social Work (Outpatient)
  • Heart Failure (Outpatient)
  • HIV Clinic (Outpatient)
  • Hyperlipidemia (Outpatient)
  • Hypertension (Outpatient)
  • Irritable Bowel Syndrome (Outpatient)
  • Ischemic Heart Disease (Outpatient)
  • Liver Diseases (Outpatient)
  • Lung Cancer (Outpatient)
  • Morbid Obesity (Outpatient)
  • Parkinsons Disease (Outpatient)
  • Pelvic Inflammatory Disease (Outpatient)
  • Pneumonia (Outpatient)
  • Prostate Cancer (Outpatient)
  • Tobacco Treatment / Cessation (Outpatient)
  • Toxicology
  • Ulcerative Colitis (Outpatient)
  • Vascular Disease (Outpatient)
  • Weight Loss (Outpatient)
  • Women's Health (Outpatient)
Hanson Outpatient Clinic
926 Veterans Drive
Hanson, KY  42413
  • General Outpatient Services (Outpatient)
Illinois State Veterans Home
792 N. Main
Anna, IL  62906
  • Pharmacy, Clinical Consulting Services
  • Pharmacy, Long Term Care
Mayfield Community Based Outpatient Clinic
1253 Paris Road, Suite A
Mayfield, KY  42066
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Home Health, Non-Hospice Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Mount Vernon Community Based Outpatient Clinic
4105 N. Water Tower Place
Mount Vernon, IL  62864
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Owensboro Community Based Outpatient Clinic
3400 New Hartford Road
Owensboro, KY  42301
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Paducah Community Based Outpatient Clinic
2620 Perkins Creek Drive
Paducah, KY  42001
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Primary Care Annex
3403 Heartland Street
Marion, IL  62959
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Home Health, Non-Hospice Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Thompson-Hood Veterans Center
100 Veterans Drive
Wilmore, KY  40390
  • Pharmacy, Long Term Care
VA Medical Center  *
2401 West Main Street
Marion, IL  62959
  • Acute Coronary Syndrome (Inpatient, Outpatient)
  • Acute Myocardial Infarction (Inpatient, Outpatient)
  • Addiction Care (Outpatient)
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Alzheimers Disease (Outpatient)
  • Amyotrophic Lateral Sclerosis (Inpatient, Outpatient)
  • Anxiety/panic disorders (Outpatient)
  • Arthritis (Inpatient, Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Attention Deficit Disorder (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Benign prostatic hyperplasia (BPH) (Inpatient, Outpatient)
  • Bipolar disorder (Outpatient)
  • Breast Cancer (Outpatient)
  • Cancer Center/Oncology (Outpatient)
  • Cardiac Catheterization Lab (Outpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Carotid Stenosis (Outpatient)
  • Cellulitis (Inpatient, Outpatient)
  • Cervical Spine Treatment (Outpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Coagulopathy Treatment (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Depression (Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Eating Disorders (Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient, Outpatient)
  • End Stage Renal Disease (Outpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Family Practice (Outpatient)
  • Gastroenterology (Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Outpatient)
  • Health and Wellness (Inpatient, Outpatient)
  • Health Social Work (Outpatient)
  • Heart Failure (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Outpatient)
  • Hepatitis B/C (Inpatient, Outpatient)
  • HIV Clinic (Outpatient)
  • HIV/AIDS (Inpatient, Outpatient)
  • Hyperlipidemia (Outpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infertility (Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Intermediate Care
  • Internal Medicine (Inpatient, Outpatient)
  • Irritable Bowel Syndrome (Outpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Leukemia (Inpatient, Outpatient)
  • Liver Diseases (Inpatient, Outpatient)
  • Long Term Care
  • Low Back Pain (Outpatient)
  • Lung Cancer (Outpatient)
  • Magnetic Resonance Imaging (Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Outpatient)
  • Migraine Headache (Inpatient, Outpatient)
  • Morbid Obesity (Outpatient)
  • Multiple Sclerosis (Outpatient)
  • Nephrology (Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nutrition Programs (Inpatient, Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Outpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Orthopedic Surgery (Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatic Cancer (Outpatient)
  • Pancreatitis (Inpatient, Outpatient)
  • Parkinsons Disease (Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pelvic Inflammatory Disease (Outpatient)
  • Perimenopause (Outpatient)
  • Peripheral Vascular Disease (Outpatient)
  • Pharmacy/Dispensary,General Services
  • Pneumonia (Inpatient, Outpatient)
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prostate Cancer (Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Outpatient)
  • Rehabilitation Services
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient, Outpatient)
  • Respite Care (Inpatient)
  • Rheumatology (Outpatient)
  • Schizophrenia (Outpatient)
  • Self Injury (Outpatient)
  • Sexually Transmitted Disease (Outpatient)
  • Skilled Nursing Facility (Inpatient)
  • Sleeping Disorder (Outpatient)
  • Spine Care (Outpatient)
  • Stroke Rehabilitation (Outpatient)
  • Systemic Lupus Erythematosis (Outpatient)
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
  • Telemetry (Inpatient)
  • Thoracic Spine (Outpatient)
  • Tobacco Treatment / Cessation (Outpatient)
  • Trauma (Outpatient)
  • Tuberculosis (Inpatient, Outpatient)
  • Ulcerative Colitis (Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Disease (Inpatient, Outpatient)
  • Vascular Surgery (Outpatient)
  • Vocational Rehabilitation (Non 24 Hour Care - Adult)
  • Weight Loss (Outpatient)
  • Women's Health (Outpatient)
  • Wound Care (Inpatient, Outpatient)
Vincennes Indiana Community Based Outpatient Clinic
1813 Willow Street, Suite 6A
Vincennes, IN  47591
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
  • Home Health, Non-Hospice Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult)
Western Kentucky Veterans Center
926 Veterans Drive
Hanson, KY  42413
  • Pharmacy, Clinical Consulting Services
  • Pharmacy, Long Term Care

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