Quality Report


Quality Report

South Texas Veterans Health Care System
HCO ID: 2871
7400 Merton Minter Boulevard
San Antonio, TX, 78229-4404
(210) 617-5300
http://www.southtexas.va.gov/
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
5/27/2021
Last Full Survey Date
5/26/2021
Last On-Site Survey Date
5/26/2021
Gold Seal
Home Care
Accreditation Decision
Effective Date
5/27/2021
Last Full Survey Date
5/26/2021
Last On-Site Survey Date
5/26/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
5/29/2021
Last Full Survey Date
5/28/2021
Last On-Site Survey Date
5/28/2021

Sites

Balcones Heights VA Outpatient Clinic
4522 Fredericksburg Rd. Suite A-10, A-88
San Antonio, TX, 78201

Available Services

  • Behavioral Health (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:

  • Mental Health Clinic
  • Podiatry
  • Primary Care
  • Women's Health Clinic

Kerrville Campus
3600 Memorial Boulevard
Kerrville, TX, 78028

Available Services

  • Anesthesia (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Perform Invasive Procedure (Outpatient )
  • Pharmacy, Clinical Consulting Services
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • Audiology
  • Dental Services
  • Medicine Services
  • Mental Health Clinic
  • Optometry
  • Pharmacy
  • Primary Care
  • SPS

North Bexar Outpatient Clinic
16109 Nacogdoches Suite 110
San Antonio, TX, 78247

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Primary Care
  • Women's Health Clinic

North Central Federal Clinic
17440 Henderson Pass
San Antonio, TX, 78232-1662

Available Services

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

Other Clinics/Practices Located at This Site:

  • Lab Services
  • Mental Health Clinic
  • Pharmacy
  • Primary Care
  • Radiology
  • Women's Health Clinic

Northwest Health Care Center
9939 State Hwy 151
San Antonio, TX, 78251

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Perform Invasive Procedure (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • Anesthesia Services
  • Dental Service
  • Laboratory Services
  • Med/Surg Specialty Clinic – Ortho, Dermatology, Medicine, Re
  • Mental Health Clinic
  • Ophthalmology
  • Outpatient Pharmacy
  • Physical Therapy
  • PM&R (Patient fitting for orthotics)
  • Primary Care
  • Prosthetics DME (patient to pick up equipment)
  • Sterile Processing Services
  • Surgery (Cataract & Glaucoma, occasional OMS Cases)

Northwest San Antonio CBOC (Clinovator)
7909 Fredericksburg STE. 100
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )

Shavano Park VA Outpatient Clinic
4350 Lockhill-Selma Rd Suite 200
San Antonio, TX, 78249

Available Services

  • Behavioral Health (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:

  • Primary Care
  • Women's Health

South Bexar VA Outpatient Clinic
4610 East Southcross Blvd Suite 100
San Antonio, TX, 78222

Available Services

  • Behavioral Health (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:

  • Laboratory Services
  • Primary Care
  • Stand Alone Mental Health Clinic
  • Women's Health

South Texas Veterans Health Care System
DBA: Audie L. Murphy Campus
7400 Merton Minter Boulevard
San Antonio, TX, 78229-4404

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 (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 (Non-detox - Adult )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • 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 )
  • Long Term Acute Care Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Medical Social Services
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pharmacy, Long Term Care
  • Pharmacy/Dispensary,General Services
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Skilled Nursing Services
  • Sleep Laboratory
  • Sleep Laboratory (Sleep Laboratory )
  • Speech Language Pathology
  • 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 )

South Texas Veterans Health Care System – Villa Serena
4455 Horizon Hill
San Antonio, TX, 78229

Available Services

  • Addiction Services
  • Addiction Services (Non-detox )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

STVHCS - Audiology Clinic
8410 Data Point Drive Suite 150 & 130
San Antonio, TX, 78299

Available Services

  • Outpatient Clinics (Outpatient )

STVHCS - BROS
8410 Data Point Drive, Suite 200 Rm: 258
San Antonio, TX, 78229

Available Services

  • Home Health, Non-Hospice Services
  • Occupational Therapy

STVHCS - HBPC - One Tech
7411 John Smith, Suite 1205
San Antonio, TX, 78229

Available Services

  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

STVHCS - Ophthalmology Clinic
8410 Data Point Drive, Suite 200
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

STVHCS - Outpatient Dental Clinic
8410 Datapoint Road, Suite 300
San Antonio, TX, 78229

Available Services

  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Dental Lab

STVHCS Mobile Mammography Unit
3600 Memorial Blvd
Kerrville, TX, 78028

Available Services

  • Outpatient Clinics (Outpatient )

STVHCS Polytrauma Transitional Rehabilitation Program (PTRP)
4949 Gus Eckert Road
San Antonio, TX, 78240

Available Services

  • Inpatient Unit (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )

STVHCS Radiation Oncology Service at Aurora Breast Center
Aurora Breast Center 9108 Floyd Curl Dr.
San Antonio, TX, 78240

Available Services

  • Outpatient Clinics (Outpatient )

STVHCS VA Compensated Work Therapy (CWT)
4201 Medical Drive Suite 260
San Antonio, TX, 78229

Available Services

  • Employment Services (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

VA Health Care For Homeless Veterans - HUDVASH -San Antonio
4201 Medical Drive, Suite 280
San Antonio, TX, 78229

Available Services

  • Outpatient Clinics (Outpatient )

Victoria VA Outpatient Clinic
1908 North Laurent Suite 150
Victoria, TX, 77901

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:

  • Laboratory Services
  • Mental Health Clinic
  • Primary Care

Cooperative Agreements

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 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.