Quality Report


Quality Report

Southern Arizona VA Health Care System
HCO ID: 2636
3601 South Sixth Avenue
Tucson, AZ, 85723
(520) 792-1450
www.Tucson.VA.gov
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
3/24/2023
Last Full Survey Date
3/23/2023
Last On-Site Survey Date
3/23/2023
Gold Seal
Home Care
Accreditation Decision
Effective Date
3/23/2023
Last Full Survey Date
3/22/2023
Last On-Site Survey Date
3/22/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/25/2023
Last Full Survey Date
3/24/2023
Last On-Site Survey Date
3/24/2023

Sites

Casa Grande VA Outpatient Clinic
1876 East Sabin Drive, Building A
Casa Grande, AZ, 85122

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • Telehealth services

Green Valley VA Outpatient Clinic
380 W. Vista Hermosa, Suite 140
Green Valley, AZ, 85614

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:

  • Telehealth services

Rural Health Care Coordination Center
1179 East Cottonwood Lane, Suite 1,Casa Grande
Casa Grande, AZ, 85122

Available Services

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

Safford VA Outpatient Clinic
355 North 8th Avenue
Safford, AZ, 85546

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:

  • Telehealth services

Sierra Vista Rural Health Care Community Center
157 N Coronado Dr. Sierra Vista, AZ
Pearce, AZ, 85625

Available Services

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

Sierra Vista VA Outpatient Clinic
101 North Coronado Drive, Suite A
Sierra Vista, AZ, 85635

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • 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:

  • Telehealth services

Southern Arizona VA Health Care System
3601 South Sixth Avenue
Tucson, AZ, 85723

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 (Partial Hospitalization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • 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 )
  • Family Support (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 )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Occupational Therapy
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy, Clinical Consulting Services
  • Pharmacy/Dispensary,General Services
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Skilled Nursing Services
  • Sleep Laboratory
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • 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 )

Other Clinics/Practices Located at This Site:

  • Telehealth services

VA Northwest Tucson Clinic
3920 W Linda Vista Blvd
Tucson, AZ, 85742

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:

  • Telehealth services

VA Southeast Tucson Clinic
7395 South Houghton Road, Suite 129
Tucson, AZ, 85747

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:

  • Telehealth services

Yuma VA Outpatient Clinic
3111 South 4th Avenue
Yuma, AZ, 85364

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • General Laboratory Tests
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • Telehealth services

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.