Quality Report


Quality Report

Womack Army Medical Center
HCO ID: 6498
2817 Reilly Road
Fort Bragg, NC, 28310
(910) 907-6000
www.wamc.amedd.army.mil
Summary of Quality Information

Accreditation Programs

Gold Seal
Behavioral Health Care
Accreditation Decision
Effective Date
3/15/2017
Last Full Survey Date
3/14/2017
Last On-Site Survey Date
3/14/2017
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/18/2017
Last Full Survey Date
3/17/2017
Last On-Site Survey Date
3/17/2017

Core Certification Programs

Gold Seal
Certification Decision
Effective Date
5/17/2017
Last Full Survey Date
3/17/2017
Last On-Site Survey Date
3/17/2017

Sites

3 SFG Embedded Behavioral Health
BLDG E-1733 Panama Way
Fort Bragg, NC, 28310

Available Services

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

Army Wellness Center
Bldg. 2-2015, Jackson Street
Fort Bragg, NC, 28310

Available Services

  • Outpatient Clinics (Outpatient )

Army Wellness Center
Bldg. C-7417, All American Way
Fort Bragg, NC, 28310

Available Services

  • Outpatient Clinics (Outpatient )

Byars Health Clinic
2864 Woodruff Street
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Certification Programs

  • Primary Care Medical Home - Hospital

Other Clinics/Practices Located at This Site
Byars Health Clinic

Other Clinics/Practices Located at This Site:

  • Child and Family Behavioral Health Services

Clark Health Clinic
Bldg. 5-4257, Bastogne St.
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Certification Programs

  • Primary Care Medical Home - Hospital

Other Clinics/Practices Located at This Site
Clark Health Clinic

Other Clinics/Practices Located at This Site:

  • Child and Family Behavioral Health Services
  • Substance Use Disorder Clinical Care

DoD Education Activity Mid-Atlantic School District
DBA: Fort Bragg Schools
PO Box 70089
Fort Bragg, NC, 28307

Available Services

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

Other Clinics/Practices Located at This Site:

  • Albritton Elementary School
  • Bowley Elementary School
  • Devers Elementary School
  • Gordon Elementary School
  • Irwin Intermediate School
  • Shughart Elementary School
  • Shughart Middle School

East Bragg Embedded Behavioral Health Clinic
Bldg. M-4234 Golderg St
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial - Adult )
  • Employment Services (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Behavioral Health Intensive Outpatient Program

Fayetteville Medical Home
2350 Bentridge Lane
Fayetteville, NC, 28314

Available Services

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

Certification Programs

  • Primary Care Medical Home - Hospital

Hope Mills Medical Home
3351 Southpeak Drive, Suite 100
Fayetteville, NC, 28306

Available Services

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

Certification Programs

  • Primary Care Medical Home - Hospital

Inteprid Spirit Center
3908 Long Street (Bldg. 3-4303)
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial - Adult )
  • Employment Services (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Trauma Resolution Intensive Outpatient Program

Joel Health Clinic
Bldg. M-4861, Logistics Avenue
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Certification Programs

  • Primary Care Medical Home - Hospital

Other Clinics/Practices Located at This Site:

  • Child and Family Behavioral Health Service

Linden Oaks Medical Home
55 Centennial Parkway
Cameron, NC, 28326

Available Services

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

Certification Programs

  • Primary Care Medical Home - Hospital

Medical One Stop - Soldier Support Center
Bldg. 301-1745 Normandy Drive
Fort Bragg, NC, 28310

Available Services

  • Outpatient Clinics (Outpatient )

Preventive Medicine Services
Hamilton Street (Bldg. 1-2539)
Fort Bragg, NC, 28307-5000

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Army Hearing Program
  • Epidemiological Disease Control
  • Immunizations
  • Occupation Health
  • Public Health Nurse

Robinson Health Clinic
Bldg. C-1722, Tagatay Street
Fort Bragg, NC, 28310

Available Services

  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Employment Services (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Certification Programs

  • Primary Care Medical Home - Hospital

Other Clinics/Practices Located at This Site:

  • Embedded Behavioral Health Clinic
  • Substance Use Disorder Clinical Care

Soldier Readiness Center
383 Maynard Street (Bldg. 307)
Fort Bragg, NC, 28310

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Physical Exams Clinic

Sunny Point Occupational Health Clinic
597th USA TTG-Sunny Point
Southport, NC, 28461

Available Services

  • Outpatient Clinics (Outpatient )

Traumatic Brain Injury Clinic (located in Intrepid Spirit)
3908 Long Street (Bldg. 3-4303
Fort Bragg, NC, 28310

Available Services

  • Case Management (Non 24 Hour Care - Adult )
  • Employment Services (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )

West Bragg Embedded Behavioral Health Clinic
Bldg. D-3145, Mederet St.
Fort Bragg, NC, 28310

Available Services

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

WHSC Embedded Behavioral Health Clinic
2817 Reilly Road (Bldg. 4-3219)
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Mental Health
  • Mental Health (Non 24 Hour Care - Child/Youth )
  • Technology-Based Addiction Services (Non 24 Hour Care )
  • Technology-Based Addiction Services (Non-detox )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )

Other Clinics/Practices Located at This Site:

  • Family Advocacy Program (FAP)
  • Multi-Discipline Behavioral Health
  • Substance Use Disorder Clinical Care

Womack Army Medical Center
2817 Reilly Road
Fort Bragg, NC, 28310

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Developmental Disabilities - Programs / Services (Day Programs - Child/Youth )
  • Developmental Disabilities - Programs / Services (Partial - Child/Youth )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Eating Disorders
  • Eating Disorders (Outpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Employment Services (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • In-Home Behavioral Health Services (Non 24 Hour Care - Child/Youth )
  • 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 )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Cardiology (Inpatient - Child/Youth )
  • Pediatric Cardiology (Outpatient - Child/Youth )
  • Pediatric Dentistry (Inpatient - Child/Youth )
  • Pediatric Dentistry (Outpatient - Child/Youth )
  • Pediatric Emergency Medicine (Inpatient - Child/Youth )
  • Pediatric Emergency Medicine (Outpatient - Child/Youth )
  • Pediatric Endocrinology (Outpatient - Child/Youth )
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Pediatric General Surgery (Outpatient - Child/Youth )
  • Pediatric Nephrology (Outpatient - 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 )
  • Sleep Laboratory (Sleep Laboratory )
  • 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

  • Primary Care Medical Home - Hospital

Other Clinics/Practices Located at This Site
Family Residence Medicine Clinic

Other Clinics/Practices Located at This Site:

  • Early Educational and Developmental Intervention Service

Special Quality Awards

   Due to our commitment to accurate data reporting, The Joint Commission is suspending the practice of updating Special Quality Awards until
  further notice
  • 2015 ACS National Surgical Quality Improvement Program

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is above the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is below 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.

The Joint Commission only reports measures endorsed by the National Quality Forum.
* 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 2017 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care 2017 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: April 2016 - March 2017
Emergency Department National Comparison: nd 2 Statewide Comparison: nd 2
Immunization 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

The Joint Commission only reports measures endorsed by the National Quality Forum.
* State results are not calculated for the National Patient Safety Goals.