Quality Report


Quality Report

VA Boston Healthcare System
HCO ID: 302978
1400 VFW Parkway
West Roxbury, MA, 02132
(508) 583-4500
www.boston.va.gov
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
6/12/2021
Last Full Survey Date
6/11/2021
Last On-Site Survey Date
6/11/2021
Gold Seal
Home Care
Accreditation Decision
Effective Date
6/12/2021
Last Full Survey Date
6/11/2021
Last On-Site Survey Date
6/11/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
6/12/2021
Last Full Survey Date
6/11/2021
Last On-Site Survey Date
6/11/2021

Sites

VA Boston Health Care System Boston Outpatient Clinic
251 Causeway Street
Boston, MA, 02114

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA Boston Health Care System Brockton Campus
940 Belmont Street
Brockton, MA, 02301

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Transitional Living - 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 )
  • Behavioral Health (Supervised - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (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
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Medical Social Services
  • Non-Sterile Medication Compounding
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Pharmacy/Dispensary,General Services
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

VA Boston Health Care System Framingham Outpatient Clinic
61 Lincoln Street, Suite 112
Framingham, MA, 01702

Available Services

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

VA Boston Health Care System Jamaica Plain Campus
150 South Huntington Avenue
Jamaica Plain, MA, 02130

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • Dialysis (Outpatient )
  • Employment Services (Non 24 Hour Care )
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Non-Sterile Medication Compounding
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Pharmacy/Dispensary,General Services
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

VA Boston Health Care System Lowell Outpatient Clinic
130 Marshall Road
Lowell, MA, 01850

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Physical Therapy
  • Skilled Nursing Services
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

VA Boston Health Care System West Roxbury Campus
1400 VFW Parkway
West Roxbury, MA, 02132

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • 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 )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Non-Sterile Medication Compounding
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pharmacy/Dispensary,General Services
  • 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 )
  • 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 )

VA Boston Healthcare System Bedford Enclave
200 Springs Road
Bedford, MA, 01730

Available Services

  • Outpatient Clinics (Outpatient )

VA Boston Healthcare System Plymouth Outpatient Clinic
116 Long Pond Road, Suites 4 and 5
Plymouth, MA, 02360

Available Services

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

VA Boston Heathcare System Community Based Outpatient Clinic
110 West Squatum Street
Quincy, MA, 02171

Available Services

  • Outpatient Clinics (Outpatient )

Veterans Industry Transitional Residence
25 Litchfield Street
Brighton, MA, 02135

Available Services

  • Behavioral Health (Transitional Living - Adult )
  • Behavioral Health (Supervised - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )

Veterans Industry Transitional Residence
15 Woodside Avenue
Boston, MA, 02130

Available Services

  • Behavioral Health (Transitional Living - Adult )
  • Behavioral Health (Supervised - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )

Women's Transitional Residence
34 Boynton Street
Jamaica Plain, MA, 02130

Available Services

  • Behavioral Health (Transitional Living - Adult )
  • Behavioral Health (Supervised - Adult )
  • Community Integration (Non 24 Hour Care )
  • Employment Services (Non 24 Hour Care )

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 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.