Quality Report


Quality Report

VA North Texas Health Care System
HCO ID: 258430
4500 South Lancaster Road
Dallas, TX, 75216
(214) 857-0513
http://www.northtexas.va.gov/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
5/21/2021
Last Full Survey Date
3/15/2024
Last On-Site Survey Date
3/15/2024
Gold Seal
Home Care
Accreditation Decision
Effective Date
5/20/2021
Last Full Survey Date
3/15/2024
Last On-Site Survey Date
3/15/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
5/22/2021
Last Full Survey Date
3/15/2024
Last On-Site Survey Date
3/15/2024

Sites

Decatur CBOC
408 Park West Court
Decatur, TX, 76234

Available Services

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

Denton CBOC
2223 Colorado Blvd
Denton, TX, 76205

Available Services

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

Fort Worth Homeless Veterans Program
101 New York Ave
Fort Worth, TX, 76104

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 )
  • Employment Services (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Fort Worth VA Outpatient Clinic
2201 Southeast Loop 820
Fort Worth, TX, 76119

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Employment Services (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary,General Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Fort Worth Veteran's Industries
101 New York Ave
Fort Worth, TX, 76104

Available Services

  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Garland VA Medical Center
2300 Marie Curie Boulevard
Garland, TX, 75042

Available Services

  • Outpatient Clinics (Outpatient )

Granbury CBOC
1210 Paluxy Medical Circle
Granbury, TX, 76048

Available Services

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

Other Clinics/Practices Located at This Site:

  • 1

Grand Prairie VA Outpatient Clinic
2737 Sherman Street
Grand Prairie, TX, 75051

Available Services

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

Greenville VA Clinic
8325 Jack Finney Boulevard
Greenville, TX, 75402

Available Services

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

Plano CBOC
3804 W 15th Street Suite 175
Plano, TX, 75075

Available Services

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

Other Clinics/Practices Located at This Site:

  • Plano CBOC

Polk Street Outpatient Clinic
4243 S. Polk Street
Dallas, TX, 75224

Available Services

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

Other Clinics/Practices Located at This Site:

  • None

Sam Rayburn Memorial Veterans Center
1201 East Ninth Street
Bonham, TX, 75418

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Transitional Living - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Residential Care - Adult )
  • Behavioral Health (Group Home(s) - Adult )
  • Behavioral Health (Supervised - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Home Health, Non-Hospice Services
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary,General Services
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Sherman CBOC
1715 Texoma Parkway
Sherman, TX, 75090

Available Services

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

The Bridge-Homeless Assistance Center
1818 Corsicana
Dallas, TX, 75201

Available Services

  • Other

Tyler Centennial VA Clinic
428 Centennial Parkway
Tyler, TX, 75703

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Pharmacy/Dispensary,General Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA North Texas Health Care System
4500 South Lancaster Road
Dallas, TX, 75216

Available Services

  • Behavioral Health (Day Programs - 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 )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Employment Services (Non 24 Hour Care )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Hazardous Medication Compounding (Inpatient )
  • 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 )
  • Medical Social Services
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Occupational Therapy
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary,General Services
  • Physical Therapy
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Skilled Nursing Services
  • Sleep Laboratory
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

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 2017 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.