Quality Report


Quality Report

Landstuhl Regional Medical Center
HCO ID: 4824
Am Kirchberg, Building #3792
APO, AE, 09180-3460
(4963) 719-4647000
https://landstuhl.tricare.mil/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
3/15/2023
Last Full Survey Date
3/14/2023
Last On-Site Survey Date
3/14/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/18/2023
Last Full Survey Date
3/17/2023
Last On-Site Survey Date
3/17/2023

Core Certification Programs

View Certification History
Gold Seal
Primary Care Medical Home - Hospital
Certification Decision
Effective Date
3/18/2023
Last Full Survey Date
3/17/2023
Last On-Site Survey Date
3/17/2023

Sites

Del Din Behavioral Health Clinic
Caserma Del Din, Building # 2
APO, AE, 09630

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )

Educational & Developmental Intervention Services-Belgium
SHAPE Clinic - Unit 21414 Box 3530
APO, AE, 09705

Available Services

  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )

Educational & Developmental Intervention Services-Landstuhl
Am Kirchberg, 3810 Landstuhl Campus
APO, AE, 09180

Available Services

  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )

Educational & Developmental Intervention Services-Vicenza
DBA: US Army Health Clinic Vicenza/EDIS
Viale Dalle Place 193-Casema Ederle 2310
APO, AE, 09630

Available Services

  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )

Educational & Developmental Intervention Services-Wiesbaden
221st BSB Attn:MCEUL _EDIS Box 48
APO, AE, 09096

Available Services

  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )

Kaiserslautern Elementary School Behavioral Health Office
DBA: Kaiserslautern Elementary School - Unit 3008
Vogelweh, Building 2007, Room 202
APO, AE, 09021

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Kaiserslautern High School Behavioral Health Office
DBA: Kaiserslautern High School - Unit 3010
Vogelweh, Building 2000, Room 117D
APO, AE, 09021

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Kaiserslautern Middle School Behavioral Health Office
DBA: Kaiserslautern Middle School - Unit 3011
Vogelweh, Building 2004, Room 116
APO, AE, 09021

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Landstuhl Regional Medical Center
Am Kirchberg, 3711 Healthcare Tower
APO, AE, 09180-3460

Available Services

  • Addiction Services
  • Addiction Services (Detox/Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Chemical Dependency (Detox/Non-detox - Adult )
  • CT Scanner (Imaging/Diagnostic Services )
  • 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 )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Nuclear Pharmacy (Inpatient )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

INTERNAL MEDICINE CLINIC

PEDIATRIC CLINIC

SHAPE Health Clinic
Avenue D'Oslo, Batiment 401
APO, AE, 09705

Available Services

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

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

US Army Health Clinic, Baumholder
Bldg 8740
APO, AE, 09034

Available Services

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

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

US Army Health Clinic, Kaiserslautern
Kleber Kaserne Bldg 3287
APO, AE, 09227

Available Services

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

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

US Army Health Clinic, NATO
Lange Eikstraat 86
APO, AE, 09724

Available Services

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

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

US Army Health Clinic, Vicenza
Viale Della Pace 193-Caserma Ederle 2310
Vicenza, 36100

Available Services

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

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

US Army Health Clinic, Wiesbaden
Bldg 1040 Wiesbaden/Erbeinheim
APO, AE, 09096

Available Services

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

Other Clinics/Practices Located at This Site
FAMILY MEDICINE CLINIC

Vogelweh Elementary School Behavioral Health Office
DBA: Vogelweh Elementary School - Unit 3009
Vogelweh, Building 1179, Room K5
APO, AE, 09021

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Wiesbaden Behavioral Health Clinic
Building 1041, Wiesbaden/Erbenheim
APO, AE, 09096

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - 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.

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
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.