Quality Report


Quality Report

Inova Health Care Services

DBA: Inova Loudoun Hospital
HCO ID: 6347
44045 Riverside Parkway
Leesburg, VA, 20176
(703) 858-6000
www.inova.org/inova_loudoun_hospital/index.jsp
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
12/15/2023
Last Full Survey Date
9/15/2023
Last On-Site Survey Date
12/14/2023

Advanced Certification Programs

View Certification History
Gold Seal
Acute Stroke Ready Hospital
Certification Decision
Effective Date
10/20/2023
Last Full Survey Date
10/19/2023
Last On-Site Survey Date
10/19/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
10/18/2023
Last Full Survey Date
10/17/2023
Last On-Site Survey Date
10/17/2023

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
3/1/2023
Last Full Survey Date
2/28/2023
Last On-Site Survey Date
2/28/2023
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
3/1/2023
Last Full Survey Date
2/28/2023
Last On-Site Survey Date
2/28/2023
Gold Seal
Spine Surgery
Certification Decision
Effective Date
3/2/2023
Last Full Survey Date
3/1/2023
Last On-Site Survey Date
3/1/2023

Sites

Inova Health Care Services
DBA: Inova Loudoun Hospital Schar Heart and Vascular
44035 Riverside Parkway- suite 120
Leesburg, VA, 20176

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Inova Health Care Services
DBA: Inova Loudoun Hospital Antenatal Testing Center
44055 Riverside Parkway- Suite 104
Leesburg, VA, 20176

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Inova Health Care Services
DBA: Inova Loudoun Hospital Cardiovascular Diagnostic Services
44035 Riverside Parkway- suite 330-340
Leesburg, VA, 20176

Available Services

  • Single Specialty Practitioner (Outpatient )

Inova Health Care Services
DBA: Inova Loudoun Hospital Wound Center (includes Hyperbaric Oxygen Therapy Services)
44055 Riverside Parkway- suite 150
Leesburg, VA, 20176

Available Services

  • Outpatient Clinics (Outpatient )

Inova Health Care Services
DBA: Inova Loudoun Hospital- Main Campus
44045 Riverside Parkway
Leesburg, VA, 20176

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • 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 )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • 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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Cardiology (Outpatient - Child/Youth )
  • Pediatric Emergency Medicine (Inpatient - Child/Youth )
  • Pediatric Emergency Medicine (Outpatient - Child/Youth )
  • Pediatric Gastroenterology (Inpatient - Child/Youth )
  • Pediatric Gastroenterology (Outpatient - Child/Youth )
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Pediatric Otolaryngology (Inpatient - Child/Youth )
  • Pediatric Otolaryngology (Outpatient - Child/Youth )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center
  • Spine Surgery

Inova Health Care Services
DBA: Inova Behavioral Health Comprehensive Addiction Treatment Services
19C Fort Evans Road NE
Leesburg, VA, 20176

Available Services

  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Family Support (Non 24 Hour Care )

Inova Health Care Services
DBA: Inova Loudoun Hospital Specialty Rehabilitation Center
44035 Riverside Parkway- suite 500 A, B and C
Leesburg, VA, 20176

Available Services

  • Single Specialty Practitioner (Outpatient )

Inova Health Care Services
DBA: Inova Loudoun Hospital Radiation Oncology
44035 Riverside Parkway- suite 100
Leesburg, VA, 20176

Available Services

  • Single Specialty Practitioner (Outpatient )

Inova Health Care Services - Ashburn HealthPlex
DBA: Ashburn HealthPlex
22505 Landmark Court, Ashburn VA
Ashburn, VA, 20148

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )

Certification Programs

  • Acute Stroke Ready Hospital

Other Clinics/Practices Located at This Site:

  • Outpatient Lab and Outpatient Diagnostic Imaging

Inova Health Care Services - Cornwall Campus
DBA: Cornwall Campus
224 Cornwall Street, NW
Leesburg, VA, 20176

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (24-hour Acute Care/Crisis Stabilization - Adult )
  • Chemical Dependency (Detox - Adult )
  • Chemical Dependency (Non-detox - Adult )

Certification Programs

  • Acute Stroke Ready Hospital

Other Clinics/Practices Located at This Site:

  • Loudoun Adult Medical and Psychiatric Services
  • Outpatient Lab and Outpatient Diagnostic Imaging

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 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Hospital-Based Inpatient Psychiatric Services National Comparison: nd 2 Statewide Comparison: nd 2
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.