Quality Report


Quality Report

Brooke Army Medical Center
HCO ID: 9038
3551 Roger Brooke Drive
Fort Sam Houston, TX, 78234-4504
(210) 916-4100
https://bamc.tricare.mil/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
10/5/2021
Last Full Survey Date
10/4/2021
Last On-Site Survey Date
10/4/2021
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/31/2023
Last Full Survey Date
10/8/2021
Last On-Site Survey Date
3/19/2024

Core Certification Programs

View Certification History
Gold Seal
Primary Care Medical Home - Hospital
Certification Decision
Effective Date
10/31/2023
Last Full Survey Date
10/8/2021
Last On-Site Survey Date
3/19/2024

Sites

Army Wellness Center JBSA Fort Sam Houston
2490 Stanley Road, Building 367
Jbsa Ft Sam Houston, TX, 78234

Available Services

  • Outpatient Clinics (Outpatient )

Brooke Army Medical Center
3551 Roger Brooke Drive
Jbsa Ft Sam Houston, TX, 78234-4504

Available Services

  • Allergen Extract (Inpatient )
  • 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 )
  • Brachytherapy (Imaging/Diagnostic Services )
  • Burn Unit (Inpatient )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Case Management (Non 24 Hour Care - Adult )
  • Chemical Dependency (Residential Care - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Family Support (Non 24 Hour Care )
  • 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 (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine 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 )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic 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 )

Other Clinics/Practices Located at This Site
Internal Medicine

Pediatrics

Center For the Intrepid
3851 Roger Brooke Drive, Bldg 3636
Jbsa Ft Sam Houston, TX, 78234-4504

Available Services

  • Outpatient Clinics (Outpatient )

Corpus Christi Army Depot Occupational Health Clinic
308 Crecy Street
Corpus Christi, TX, 78419

Available Services

  • Outpatient Clinics (Outpatient )

CPT Jennifer Moreno Clinic
3100 Schofield Road
Jbsa Ft Sam Houston, TX, 78234

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

Other Clinics/Practices Located at This Site
Family Medicine Services

Adolescent Medicine (PCMH)

Ft Sam Houston Elementary School
4351 Nursery Rd
Jbsa Ft Sam Houston, TX, 78234

Available Services

  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Developmental Disabilities - Programs / Services (Non 24 Hour Care - Child/Youth )
  • Family Support (Non 24 Hour Care )

Hyperbaric Medicine Facility
3551 Roger Brooke Drive Building 3649
Jbsa Ft Sam Houston, TX, 78234

Available Services

  • Outpatient Clinics (Outpatient )

Intensive Outpatient Program (IOP)
3551 Roger Brooke Drive
Jbsa Ft Sam Houston, TX, 78234

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 )
  • Case Management (Non 24 Hour Care - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Community Integration (Non 24 Hour Care )

JBSA-FSH Child Development Center
2530 Funston Rd
Jbsa Ft Sam Houston, TX, 78234

Available Services

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

McWethy Troop Medical Clinic
3051 Garden Ave
Jbsa Ft Sam Houston, TX, 78234

Available Services

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

Robert G. Cole Middle/High School
4001 Winans Road
San Antonio, TX, 78234

Available Services

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

Other Clinics/Practices Located at This Site:

  • School Behavior Health Program

Schertz Medical Home
17115 IH-35 South, Suite 123
Schertz, TX, 78154

Available Services

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

Soldier Recovery Unit PT/OT Clinic
3551 Roger Brooke Drive, Building 3646
Jbsa Ft Sam Houston, TX, 78234

Available Services

  • Outpatient Clinics (Outpatient )

Soldier Recovery Unit Social Work Services
3551 Roger Brooke Drive, Building 3641
Jbsa Ft Sam Houston, TX, 78234

Available Services

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

Soldiers in Training Physical Therapy Clinic
3265 Koehler Road
Jbsa Ft Sam Houston, TX, 78234

Available Services

  • Outpatient Clinics (Outpatient )

Taylor Burk Health Clinic
Building 5000, Camp Bullis
San Antonio, TX, 78257

Available Services

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

Westover Medical Home
10010 Rogers Crossing
San Antonio, TX, 78251

Available Services

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

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.

Behavioral Health Care and Human Services 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 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.