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Accreditation Quality Report
 > Summary of Accreditation Quality Information
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 > Accreditation National Patient Safety Goals
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Quality Report

Summary of Accreditation Quality Information
VA Medical Center
Org ID: 7945
700 19th Street South
Birmingham, AL  35233
(205)933-8101
www.va.gov
Accreditation Decision: Accredited
Decision Effective Date: October 20, 2007
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Behavioral Health Care 10/19/2007 10/19/2007  
Home Care 10/19/2007 10/19/2007  
Hospital 10/19/2007 10/19/2007  


Other Accredited Programs / Services
Laboratory  -  Accredited by College of American Pathologists


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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
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.
*
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
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.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2009 -
Dec  2009
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
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 above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel 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.
  • Coronary Artery Bypass Graft
 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
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Knee Replacement
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
 
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
Anniston Community Based Outpatient Clinic
Hwy 78 E / 96 ALI Way Creekside South
Oxford, AL  36203
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Bill Nichols State Veterans Home
1784 Elkahatchee Road
Alexander City, AL  35010
  • Pharmacy, Clinical Consulting Services
  • Pharmacy, Long Term Care
Birmingham VA Medical Center  *
700 Nineteenth Street, South
Birmingham, AL  35233
  • Addiction Care (Outpatient)
  • Alcohol & Drug Rehabilitation (Outpatient)
  • Allergy (Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Inpatient, Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Dialysis (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • 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)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Outpatient)
  • Nephrology (Inpatient, Outpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Obstetrics (Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pharmacy/Dispensary,General Services
  • Plastic Surgery (Inpatient, Outpatient)
  • Podiatry (Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Outpatient)
  • Rehabilitation and Physical Medicine (Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient, Outpatient)
Childersburg Community Based Outpatient Clinic
1519 Avenue Northwest
Childersburg, AL  35044
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Floyd E.
2701 Meridian State
Huntsville, AL  35811
  • Pharmacy, Clinical Consulting Services
  • Pharmacy, Long Term Care
Gadsden Community Based Outpatient Clinic
206 Rescia Av.
Rainbow City, AL  35906
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Home Based Primary Care
807 20th Street, South
Birmingham, AL  35233
  • Home Health, Non-Hospice Services
  • Personal Care/Support Non-Hospice
  • Pharmacy/Dispensary,General Services
Huntsville Community Based Outpatient Clinic
301 Governor's Drive SW
Huntsville, AL  35801
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Jasper Community Based Outpatient Clinic
3400 Highway 78 East Suite 215
Jasper, AL  35501
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Madison Decatur Community Based Clinic
8075 Madison Blvd. Suite 101
Madison, AL  35758
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
Shoals Community Based Outpatient Clinic
422 DD Cox Boulevard
Sheffield, AL  35660
  • Behavioral Health (Non 24 Hour Care - Adult)
  • General Outpatient Services (Outpatient)
TR House
1301 Carraway Blvd.
Birmingham, AL  35234
  • Chemical Dependency (Transitional Living - Adult)
WF Green State Veterans Home
300 Faulkner Drive
Bay Minette, AL  36507
  • Pharmacy, Clinical Consulting Services
  • Pharmacy, Long Term Care

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