Quality Report


Quality Report

Womack Army Medical Center
HCO ID: 6498
2817 Rock Merritt Avenue
Fort Liberty, NC, 28310
(910) 907-6000
https://womack.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
12/21/2023
Last Full Survey Date
3/17/2023
Last On-Site Survey Date
12/20/2023

Core Certification Programs

View Certification History
Gold Seal
Primary Care Medical Home - Hospital
Certification Decision
Effective Date
12/21/2023
Last Full Survey Date
3/17/2023
Last On-Site Survey Date
12/20/2023

Sites

Army Wellness Center
DBA: Army Wellness Center
901 Stiner Road
Fort Liberty, NC, 28310

Available Services

  • Outpatient Clinics (Outpatient )

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

Available Services

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

Other Clinics/Practices Located at This Site
Byars Health Clinic

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

Available Services

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

Other Clinics/Practices Located at This Site
Clark Health Clinic

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

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Case Management (Non 24 Hour Care - Adult )
  • Case Management (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
  • Poole Elementary School
  • Shughart Elementary School
  • Shughart Middle School

East Liberty Embedded Behavioral Health Clinic
Bldg. M-4234 Goldberg St
Fort Liberty, NC, 28310

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )

Fayetteville Rehabilitation Center
4101 Raeford Rd Suite 100B
Fayetteville, NC, 28304-3359

Available Services

  • Outpatient Clinics (Outpatient )

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

Available Services

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

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

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Community Integration (Non 24 Hour Care )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Trauma Resolution Intensive Outpatient Program
  • Traumatic Brain Injury Clinic

Joel Health Clinic
Bldg. M-4861, Logistics Street
Fort Liberty, NC, 28310

Available Services

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

Other Clinics/Practices Located at This Site:

  • Exceptional Development Intervention Services (EDIS)
  • Exeption Family Member Program (EFMP)
  • Joel Pediatric Center of Excellence

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

Available Services

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

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

Available Services

  • Outpatient Clinics (Outpatient )

Pope Army Airfield Military and Family Support Center
DBA: 43rd MDS Behavioral Health Clinic
829 Stiner Road, Bldg 430
Pope Army Airfield, NC, 28308

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Family Support (Non 24 Hour Care )

Preventive Medicine Services
Hamilton Street (Bldg. 1-2539)
Fort Liberty, 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 Drive
Fort Liberty, NC, 28310

Available Services

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

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 Liberty, NC, 28310

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Physical Exams Clinic

Sunny Point Occupational Health Clinic
6280 Sunny Point Road, Bldg. 25
Southport, NC, 28461

Available Services

  • Outpatient Clinics (Outpatient )

West Liberty Embedded Behavioral Health Clinic
Bldg. D-3145, 3986 Mederet St.
Fort Liberty, NC, 28310

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Case Management (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non 24 Hour Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )

Womack Army Medical Center
2817 Rock Merritt Avenue
Fort Liberty, NC, 28310

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Eating Disorders
  • Eating Disorders (Outpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • 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 )
  • 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 )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • 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 )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • 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
Family Residence Medicine Clinic

Womack Health and Support Center (WHSC)
2817 Rock Merritt Avenue (Bldg. 4-3219)
Fort Liberty, NC, 28310

Available Services

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

Other Clinics/Practices Located at This Site:

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

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.