Quality Report


Quality Report

El Paso VA Health Care System
HCO ID: 24
5001 N Piedras Street
El Paso, TX, 79930-4210
(915) 564-7910
http://www.elpaso.va.gov/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Ambulatory Care
Accreditation Decision
Effective Date
4/15/2021
Last Full Survey Date
2/22/2024
Last On-Site Survey Date
2/22/2024
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
4/16/2021
Last Full Survey Date
2/23/2024
Last On-Site Survey Date
2/23/2024
Gold Seal
Home Care
Accreditation Decision
Effective Date
4/16/2021
Last Full Survey Date
2/22/2024
Last On-Site Survey Date
2/22/2024

Sites

El Paso Northeast VA Clinic
5229 Sanders Ave
El Paso, TX, 79924

Available Services

  • Audiology (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • General Practice (Outpatient )
  • Internal Medicine (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • Pharmacy/Dispensary, General (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )

El Paso South Central VA Clinic
350 Revere St.
El Paso, TX, 79905

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

El Paso VA Building 117
117 Pershing Road
Fort Bliss, TX, 79916

Available Services

  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Skilled Nursing Services

El Paso VA Eastside Community Based Outpatient Clinic (CBOC)
2400 Trawood Drive, Suite 200
El Paso, TX, 79936-4122

Available Services

  • Audiology (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Dermatology (Outpatient )
  • General Practice (Outpatient )
  • Gynecology (Outpatient )
  • Internal Medicine (Outpatient )
  • Orthotics/ Prosthetics (Outpatient )
  • Other Medical/Dental Services (Outpatient )
  • Pharmacy/Dispensary, General (Outpatient )
  • Physical Medicine and Rehabilitation (Outpatient )
  • Pulmonary Medicine (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )

El Paso VA Health Care Center
5001 North Piedras St.
El Paso, TX, 79930-4210

Available Services

  • Anesthesia Practice (Outpatient )
  • Audiology (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Cardiology (Outpatient )
  • Computed Tomography (CT) (Outpatient )
  • Computed Tomography Angiography (CTA) (Outpatient )
  • Dentistry (Outpatient )
  • Diagnostic Imaging (Outpatient )
  • Echocardiography (Outpatient )
  • Employment Services (Non 24 Hour Care )
  • Endoscopy (Outpatient )
  • Gastroenterology (Outpatient )
  • Gastroenterology Procedures (Outpatient )
  • General Practice (Outpatient )
  • General Surgery (Outpatient )
  • Gynecology (Outpatient )
  • Hematology/Blood Treatment (Outpatient )
  • Internal Medicine (Outpatient )
  • Interventional Radiology (Outpatient )
  • Magnetic Resonance Angiography (MRA) (Outpatient )
  • Magnetic Resonance Imaging (Outpatient )
  • Neurology (Outpatient )
  • Oncology/Cancer Care (Outpatient )
  • Ophthalmology/Eye Surgery (Outpatient )
  • Optometry/Eye Care (Outpatient )
  • Orthopedic Medicine (Outpatient )
  • Orthopedic Surgery (Outpatient )
  • Orthotics/ Prosthetics (Outpatient )
  • Pain Management (Outpatient )
  • Pain Management - Trigger Point Injections (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary, General (Outpatient )
  • Physical Medicine and Rehabilitation (Outpatient )
  • Podiatric Surgery / Foot Surgery (Outpatient )
  • Podiatry (Outpatient )
  • Pulmonary Medicine (Outpatient )
  • Sleep Studies (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )
  • Ultrasound (Outpatient )
  • Urology (Outpatient )
  • Urology Procedures (Outpatient )
  • X-ray (Outpatient )

El Paso VA Sleep Center
1250B E Cliff Drive
El Paso, TX, 79902-4823

Available Services

  • Home Base Sleep Testing (Outpatient )
  • Pulmonary Medicine (Outpatient )
  • Sleep Studies (Outpatient )

El Paso VA Westside Community Based Outpatient Clinic (CBOC)
1870 Northwestern Drive
El Paso, TX, 79912

Available Services

  • Audiology (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • General Practice (Outpatient )
  • Gynecology (Outpatient )
  • Internal Medicine (Outpatient )
  • Orthotics/ Prosthetics (Outpatient )
  • Physical Medicine and Rehabilitation (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )

Las Cruces VA Community Based Outpatient Clinic (CBOC)
3401 Del Rey Blvd.
Las Cruces, NM, 88012-8041

Available Services

  • Audiology (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Employment Services (Non 24 Hour Care )
  • General Practice (Outpatient )
  • Gynecology (Outpatient )
  • Internal Medicine (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Telehealth (Outpatient )
  • Telehealth - Non-Surgical (Outpatient )

Organization Commentary

Mr. Froylan Garza, Executive Director/CEO

For more information about our organization please visit our website: https://www.elpaso.va.gov/

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.

Ambulatory Care 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2021 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.