Quality Report


Quality Report

John J. Pershing VA Medical Center
HCO ID: 2319
1500 North Westwood Boulevard
Poplar Bluff, MO, 63901
(573) 686-4151
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
6/16/2022
Last Full Survey Date
6/15/2022
Last On-Site Survey Date
6/15/2022
Gold Seal
Home Care
Accreditation Decision
Effective Date
6/18/2022
Last Full Survey Date
6/17/2022
Last On-Site Survey Date
6/17/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/28/2024
Last Full Survey Date
6/17/2022
Last On-Site Survey Date
2/27/2024

Sites

Community Based Outpatient Clinic
903 S. Kings Hwy
Sikeston, MO, 63801

Available Services

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

Community Based Outpatient Clinic
711 South Mount Auburn Rd
Cape Girardeau, MO, 63701

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Community Based Outpatient Clinic
1580 West Columbia
Farmington, MO, 63640

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Home Health, Non-Hospice Services
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Medical Social Services
  • Outpatient Clinics (Outpatient )
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Community Based Outpatient Clinic
2420 Lindwood,Suite 3
Paragould, AR, 72450

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Outpatient Clinics (Outpatient )
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Community Based Outpatient Clinic
1801 East State Route K
West Plains, MO, 65775

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Home Health, Non-Hospice Services
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Medical Social Services
  • Outpatient Clinics (Outpatient )
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Community Based Outpatient Clinic
300 Camp Road
Pocahontas, AR, 72455

Available Services

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

John J. Pershing VA Medical Center
1500 North Westwood Boulevard
Poplar Bluff, MO, 63901

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Hazardous Medication Compounding (Inpatient )
  • Home Health, Non-Hospice Services
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Inpatient Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical Social Services
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Physical Therapy
  • Skilled Nursing Services
  • Sterile Medication Compounding (Inpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Vocational Rehabilitation (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.

Behavioral Health Care and Human Services 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2024 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.