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Quality Report

Summary of Accreditation Quality Information
VA Eastern Kansas Health Care System
Org ID: 336123
2200 SW Gage
Topeka, KS  66622
(785)350-3111
www.med.va.gov
Accreditation Decision: Accredited
Decision Effective Date: July 02, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care 6/23/2010 6/23/2010  
Home Care 6/24/2010 6/24/2010  
Hospital 6/25/2010 6/25/2010  
Long Term Care 6/23/2010 6/23/2010  



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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
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
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 Attack Care See Detail
Not displayed.
3
Not displayed.
3
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
  • Hip Joint Replacement
 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
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.
*
 
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
Chanute CBOC
629 S. Plummer
Chanute, KS  66720
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Colmery O'Neil VA Medical Center(Main Site)  *
2200 SW Gage Blvd
Topeka, KS  66622
  • Addiction Care (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Day Programs - Adult)
    (Residential / Group Homes - Adult)
    (Non 24 Hour Care - Adult)
    (24-hour Acute Care/Crisis Stabilization - Adult)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Case Management (Non 24 Hour Care - Adult)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Electroconvulsive Therapy (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • Geriatric Psychiatric Unit
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, 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, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Long Term Care
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Neurology (Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Personal Care/Support Non-Hospice
  • Pharmacy/Dispensary,General Services
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Traumatic Brain Injury
  • Ultrasound (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Dwight D. Eisenhower VA Medical Center
4101 S. 4th St. Trafficway
Leavenworth, KS  66048
  • Addiction Care (Outpatient)
  • Audiology (Outpatient)
  • Behavioral Health (Day Programs - Adult)
    (Residential / Group Homes - Adult)
    (Non 24 Hour Care - Adult)
  • Case Management (Non 24 Hour Care - Adult)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • Geriatric Psychiatric Unit
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Home Health, Non-Hospice Services
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Long Term Care
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Neurology (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Personal Care/Support Non-Hospice
  • Pharmacy/Dispensary,General Services
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Traumatic Brain Injury
  • Ultrasound (Inpatient, Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient)
  • Wound Care (Inpatient, Outpatient)
Emporia CBOC
919 W. 12th Ave. Suite D
Emporia, KS  66801
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Fort Scott CBOC
902 Horton Street
Fort Scott, KS  66701
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Garnett CBOC
421 S. Maple
Garnett, KS  66032
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Holton CBOC
1110 Columbine Dr.
Holton, KS  66436
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Junction City CBOC
715 Southwind Drive
Junction City, KS  66441
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Kansas City CBOC
21 North 12th St. Suite 110
Kansas City, KS  66102
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Case Management (Non 24 Hour Care - Adult)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Lawrence CBOC
2200 Harvard Rd
Lawrence, KS  66044
  • Case Management (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Saint Joseph CBOC
1314 N 36th Street, Suite A
Saint Joseph, MO  64506
  • Case Management (Non 24 Hour Care - Adult)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Seneca CBOC
1600 Community Dr. Nemaha Valley Hosp.
Seneca, KS  66538
  • General Outpatient Services (Outpatient)

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