Quality Report


Quality Report

Edward Hines Jr. VA Hospital
HCO ID: 2690
5000 South 5th Avenue
Hines, IL, 60141-5000
(708) 202-8387
www.va.gov/hines-health-care/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
3/18/2021
Last Full Survey Date
2/13/2024
Last On-Site Survey Date
2/13/2024
Gold Seal
Home Care
Accreditation Decision
Effective Date
3/20/2021
Last Full Survey Date
2/16/2024
Last On-Site Survey Date
2/16/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
8/26/2022
Last Full Survey Date
2/16/2024
Last On-Site Survey Date
2/16/2024

Sites

Aurora Veterans Clinic
161 S. Lincolnway suite 120
North Aurora, IL, 60542

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )
  • Single Specialty Practitioner (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Edward Hines Jr. VA Hospital
5000 s 5th Avenue
Hines, IL, 60141

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 (Group Home(s) - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Coronary Care Unit (Inpatient )
  • 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 )
  • Hematology/Oncology Unit (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 )
  • 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 )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • 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 )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Hoffman Estates Veterans Clinic
4885 Hoffman Boulevard
Hoffman Estates, IL, 60169

Available Services

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

Joliet Veterans Primary Care Clinic
1201 Eagle Street
Joliet, IL, 60435

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Eating Disorders
  • Eating Disorders (Outpatient - Adult )
  • Eating Disorders (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 )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Kankakee VA Outpatient Clinic
581 William Latham Drive, Suite 301
Bourbonnais, IL, 60914

Available Services

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

LaSalle Veterans Clinic
44461 N Progress Village
Peru, IL, 61354

Available Services

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

Oak Lawn Community Based Outpatient Clinic
10201 S. Cicero Avenue
Oak Lawn, IL, 60453

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Eating Disorders
  • Eating Disorders (Outpatient - Adult )
  • Eating Disorders (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.

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
Hospital 2022 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.