Quality Report


Quality Report

Oscar G. Johnson VA Medical Center
HCO ID: 2529
325 East H Street
Iron Mountain, MI, 49801
(906) 774-3300
www.ironmountain.va.gov
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
1/19/2024
Last Full Survey Date
1/18/2024
Last On-Site Survey Date
1/18/2024
Gold Seal
Home Care
Accreditation Decision
Effective Date
1/19/2024
Last Full Survey Date
1/18/2024
Last On-Site Survey Date
1/18/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
1/20/2024
Last Full Survey Date
1/19/2024
Last On-Site Survey Date
1/19/2024

Sites

Gladstone Community Based Outpatient Clinic
2001 Minneapolis Ave
Gladstone, MI, 49837

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 )

Hancock Clinic
787 Market Street Suites 9 & 10
Hancock, MI, 49930-1495

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 )

Ironwood Community Based Outpatient Clinic
629 West Cloverland Drive Suite 1
Ironwood, MI, 49938

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 )

Manistique Outreach Clinic
813 East Lakeshore Drive
Manistique, MI, 49854

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 )

Marquette Community Based Outpatient Clinic
1414 West Fair Avenue Suite 285
Marquette, MI, 49855

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Employment Services (Non 24 Hour Care )
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Menominee Clinic
1110 Tenth Avenue Suite 101
Menominee, MI, 49858

Available Services

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

Oscar G. Johnson VA Medical Center
325 East H Street
Iron Mountain, MI, 49801

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • CT Scanner (Imaging/Diagnostic Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • 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
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary,General Services
  • 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 )
  • Urology (Surgical Services )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Rhinelander Clinic
639 West Kemp St.
Rhinelander, WI, 54501

Available Services

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

Other Clinics/Practices Located at This Site:

  • Physical Therapy

Sault Ste. Marie Clinic
3440 I-75 Business Spur
Sault Sainte Marie, MI, 49783

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