Quality Report


Quality Report

Lebanon VA Medical Center
HCO ID: 2282
1700 South Lincoln Avenue
Lebanon, PA, 17042
(717) 272-6621
http://vaww.lebanon.va.gov/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
7/13/2023
Last Full Survey Date
7/12/2023
Last On-Site Survey Date
7/12/2023
Gold Seal
Home Care
Accreditation Decision
Effective Date
7/13/2023
Last Full Survey Date
7/12/2023
Last On-Site Survey Date
7/12/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
7/15/2023
Last Full Survey Date
7/14/2023
Last On-Site Survey Date
7/14/2023

Sites

Lebanon VA Medical Center
1700 South Lincoln Ave
Lebanon, PA, 17042

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Transitional Living - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Residential Care - Adult )
  • Behavioral Health (Group Home(s) - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Behavioral Health (Supervised - Adult )
  • Blood Glucose Monitors (mail order)
  • Blood Glucose Monitors (non-mail order)
  • Canes and Crutches
  • Clinical Respiratory
  • Commodes
  • Community Integration (Non 24 Hour Care )
  • Contracture Treatment: Dynamic Splint
  • CT Scanner (Imaging/Diagnostic Services )
  • Durable Medical Equipment
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Employment Services (Non 24 Hour Care )
  • Enteral Equipment and/or Supplies
  • Enteral Nutrients
  • Family Support (Non 24 Hour Care )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Heat/Cold Applications
  • Home Health, Non-Hospice Services
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Occupational Therapy
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary,General Services
  • Physical Medicine and Rehabilitation
  • Physical Therapy
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Power Operated Vehicles (or scooters)
  • Seat Lift Mechanisms
  • Skilled Nursing Services
  • Speech Generating Device
  • Supplies
  • Support Surfaces for Beds (New)
  • Surgical Dressings
  • Surgical ICU (Intensive Care Unit )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Teleradiology (Imaging/Diagnostic Services )
  • Tens Units
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )
  • Walkers, Canes and Crutches
  • Wheelchair Seating / Cushions
  • Wheelchairs - Manual Non-Custom
  • Wheelchairs-Complex Rehabilitative Manual
  • Wheelchairs-Complex Rehabilitiative Manual Related Accessories
  • Wheelchairs-Standard Manual Related Accessories and Repairs

Schuylkill County VA Clinic
DBA: Schuylkill County Outpatient Clinic
1410 Laurel Boulevard, Suite 2
Pottsville, PA, 17901

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA Community Based Outpatient Clinic
DBA: Reading Outpatient Clinic
2762 Century Boulevard
Wyomissing, PA, 19610

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA Community Based Outpatient Clinic
DBA: Lancaster County Outpatient Clinic
212 Willow Valley Lakes Drive, Suite 208
Willow Street, PA, 17584

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA Community Based Outpatient Clinic
DBA: Cumberland County Outpatient Clinic
5070 Ritter Road
Mechanicsburg, PA, 17055

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA Community Based Outpatient Clinic
DBA: York Outpatient Clinic
2251 Eastern Boulevard
York, PA, 17402

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number 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.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number 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.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.