Quality Report


Quality Report

Atlanta VA Health Care System
HCO ID: 4615
1670 Clairmont Road
Decatur, GA, 30033
(404) 728-7601
www.atlanta.va.gov
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
5/27/2022
Last Full Survey Date
5/26/2022
Last On-Site Survey Date
5/26/2022
Gold Seal
Home Care
Accreditation Decision
Effective Date
5/28/2022
Last Full Survey Date
5/27/2022
Last On-Site Survey Date
5/27/2022
Gold Seal
Hospital
Accreditation Decision
Effective Date
2/22/2023
Last Full Survey Date
5/27/2022
Last On-Site Survey Date
2/21/2023

Sites

Atlanta VA Clinic (508QF)
250 North Arcadia Avenue
Decatur, GA, 30030-2115

Available Services

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

Other Clinics/Practices Located at This Site:

  • Dental, Derm, Pain, Sleep, Mohs
  • GMH, PCMHI
  • Primary Care

Blairsville VA Clinic (508GJ)
1294 Highway 515 East, Suite 100
Blairsville, GA, 30512-8599

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:

  • GMH, PCMHI
  • Primary Care

Cobb County VA Multi-Specialty Clinic (508GQ)
1263 Cobb Parkway North
Marietta, GA, 30062-2421

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Home Health, Non-Hospice Services
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Medical Social Services
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Physical Therapy
  • Skilled Nursing Services

Other Clinics/Practices Located at This Site:

  • ALVC, MHICM, PRRC
  • Audiology/Speech, Dental, Ophthalmology, PT/OT
  • PC

Covington VA Clinic (508GN)
10155 Eagle Drive
Covington, GA, 30014-3805

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:

  • GMH, PCMHI
  • Primary Care

Fort McPherson (508GA)
1701 Hardee Avenue SW
Atlanta, GA, 30310-5110

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Residential Care - Adult )
  • 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 )
  • Employment Services (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Detox/Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Vocational Rehabilitation (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • DRRTP, SATP, GMH, PCMHI
  • HCHV
  • Primary Care

Gwinnett County VA Clinic (508QE)
1970 Riverside Parkway
Lawrenceville, GA, 30043-5937

Available Services

  • Behavioral Health (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 )

Other Clinics/Practices Located at This Site:

  • GMH, PCMHI, MHICM
  • Primary Care

Henderson Mill VA Clinic (508QC)
2296 Henderson Mill Rd., Suite 306A
Atlanta, GA, 30345-2739

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 )
  • 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 Annex (PRRC, TRP)

Joseph Maxwell Cleland Atlanta VA Medical Center (508)
1670 Clairmont Road
Decatur, GA, 30033-4004

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Brachytherapy (Imaging/Diagnostic Services )
  • 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 (Detox/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 )
  • 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 )
  • Skilled Nursing Services
  • Sleep Laboratory
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Detox/Non-detox - Adult )
  • 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 )

Other Clinics/Practices Located at This Site:

  • GMH, PCMHI, Acute, SATP, Gero/Neuro Psych
  • Home Care
  • MHICM
  • Primary Care, Gold, Purple

Lawrenceville VA Clinic (508GH)
455 Philip Blvd, Suite 200
Lawrenceville, GA, 30046-8766

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:

  • GMH, PCMHI, TRP

Mental Health Residential Rehabilitation Treatment (Female)
5065 Rockbridge Road
Stone Mountain, GA, 30088

Available Services

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

Mental Health Residential Rehabilitation Treatment (Male)
4231 Redan Road
Stone Mountain, GA, 30083

Available Services

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

Newnan VA Clinic (508GI)
39-A Oak Hill Court
Newnan, GA, 30265-2392

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:

  • GMH, PCMHI
  • Primary Care

North Dekalb County VA Clinic (508QI)_R&D
3101 Clairmont Road
Atlanta, GA, 30329-1044

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Research and Development

Northeast Cobb County VA Clinic (508GO)
2217 Roswell Road, Suite 114
Marietta, GA, 30062-2957

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:

  • PCMHI
  • Primary Care

Oakwood VA Clinic (508GE)
4175 Tanners Creek Drive
Flowery Branch, GA, 30542-2816

Available Services

  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Outpatient Clinics (Outpatient )
  • Physical Therapy
  • Skilled Nursing Services

Other Clinics/Practices Located at This Site:

  • ALVC
  • GMH, PCMHI, SATP
  • Primary Care

Pickens County VA Clinic (508GM)
934 East Church Street
Jasper, GA, 30143-1926

Available Services

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

Other Clinics/Practices Located at This Site:

  • GMH, PCMH
  • Primary Care

Pike County VA Clinic (508GS)
9528 US Highway 19
Zebulon, GA, 30295-3189

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Home Health, Non-Hospice Services
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Medical Social Services
  • Occupational Therapy
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Physical Therapy
  • Skilled Nursing Services

Other Clinics/Practices Located at This Site:

  • MHICM

Rome VA Clinic (508GL)
30 Chateau Drive SE
Rome, GA, 30161-7201

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:

  • GMH, PCMHI
  • Primary Care

South Cobb County VA Clinic (508GP)
2400 Herodian Way Southeast, Suite 300
Smyrna, GA, 30080-8581

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • In-Home Behavioral Health Services (Non 24 Hour Care - Adult )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Addiction Services (Non 24 Hour Care - Adult )
  • Technology-Based Addiction Services (Detox/Non-detox - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

South Fulton County VA Clinic (508QH)
1800 Phoenix Boulevard, Building 100, Suite 120
Atlanta, GA, 30349-6055

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • In-Home Behavioral Health Services (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:

  • MHICM

Stockbridge VA Clinic (508GG)
175 Medical Boulevard
Stockbridge, GA, 30281-5083

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:

  • GMH, PCMHI
  • Primary Care

Trinka Davis Veterans Village (508GK)
180 Martin Drive
Carrollton, GA, 30117-2425

Available Services

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

Other Clinics/Practices Located at This Site:

  • GMH, PCMHI

Tucker VA Clinic (508QJ)
2309 Parklake Drive, NE, North Lake
Atlanta, GA, 30345-2914

Available Services

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

Other Clinics/Practices Located at This Site:

  • Eye Clinic, ALVC

West Cobb County VA Clinic (508GF)
333 Midway Road
Marietta, GA, 30064

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:

  • PCMHI

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 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 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.