Overview

Address
800 ZORN AVENUE, LOUISVILLE, KY 40206
Phone
(502) 287-4000
Hospital Type
VA Hospital
Ownership
Veterans Health Administration
Emergency Services
Yes
5 /5
CMS Overall Rating
p89
VA Hospital — Department of Veterans Affairs medical center. Federally operated — does not participate in Medicare payment programs but voluntarily reports some quality data.

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 4 of 7 measures reported
1
3
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 4 of 8 measures reported
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 6 of 11 measures reported
1
5
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 4 of 12 measures reported
4 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 2.80 No Different Than the National Rate 80
Hybrid_HWM
MORT_30_AMI 10.70 No Different Than the National Rate 79
MORT_30_CABG
MORT_30_COPD 5.80 Better Than the National Rate 312
MORT_30_HF 7.10 Better Than the National Rate 440
MORT_30_PN 13.50 No Different Than the National Rate 403
MORT_30_STK
PSI_03 0.42 No Different Than the National Rate 4,561
PSI_04 Number of Cases Too Small
PSI_06 0.23 No Different Than the National Rate 6,659
PSI_08 0.30 No Different Than the National Rate 7,098
PSI_09 1.88 No Different Than the National Rate 644
PSI_10 1.99 No Different Than the National Rate 285
PSI_11 12.40 No Different Than the National Rate 269
PSI_12 2.87 No Different Than the National Rate 625
PSI_13 5.94 No Different Than the National Rate 272
PSI_14 1.62 No Different Than the National Rate 175
PSI_15 0.92 No Different Than the National Rate 945
PSI_90 1.02 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 78%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5%
H_COMP_1_U_P: Nurses "usually" communicated well 17%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 85%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 12%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 78%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 17%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 71%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 24%
H_COMP_2_A_P: Doctors "always" communicated well 77%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 18%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 84%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 78%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 71%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 23%
H_COMP_5_A_P: Staff "always" explained 62%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24%
H_COMP_5_U_P: Staff "usually" explained 14%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 76%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 15%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 46%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 39%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 15%
H_COMP_6_N_P: No, staff "did not" give patients this information 11%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 89%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 10%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 90%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 13%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87%
H_CLEAN_HSP_A_P: Room was "always" clean 64%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 11%
H_CLEAN_HSP_U_P: Room was "usually" clean 25%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 51%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 17%
H_QUIET_HSP_U_P: "Usually" quiet at night 32%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 9%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 21%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 70%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 8%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 74%
H_RECMND_PY: "YES", patients would probably recommend the hospital 18%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER N/A No Different than National Benchmark
HAI_1_CIUPPER 1.049 No Different than National Benchmark
HAI_1_DOPC 3123.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.856 No Different than National Benchmark
HAI_1_NUMERATOR 0.000 No Different than National Benchmark
HAI_1_SIR 0.000 No Different than National Benchmark
HAI_2_CILOWER 0.241 No Different than National Benchmark
HAI_2_CIUPPER 2.574 No Different than National Benchmark
HAI_2_DOPC 3997.000 No Different than National Benchmark
HAI_2_ELIGCASES 3.172 No Different than National Benchmark
HAI_2_NUMERATOR 3.000 No Different than National Benchmark
HAI_2_SIR 0.946 No Different than National Benchmark
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC
HAI_3_ELIGCASES
HAI_3_NUMERATOR
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC
HAI_5_ELIGCASES
HAI_5_NUMERATOR
HAI_5_SIR
HAI_6_CILOWER
HAI_6_CIUPPER
HAI_6_DOPC
HAI_6_ELIGCASES
HAI_6_NUMERATOR
HAI_6_SIR

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 34.20 More Days Than Average per 100 Discharges
EDAC_30_HF -17.20 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 8.50 Average Days per 100 Discharges
Hybrid_HWR 15.70 No Different Than the National Rate
OP_32
OP_35_ADM
OP_35_ED
OP_36
READM_30_AMI 13.80 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 18.00 No Different Than the National Rate
READM_30_HF 18.60 No Different Than the National Rate
READM_30_HIP_KNEE 4.70 No Different Than the National Rate
READM_30_PN 15.40 No Different Than the National Rate

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

Download CSV

Show 38 rows
Source Metric Value National Median Pctl. Raw key
General Information Address 800 ZORN AVENUE Address
General Information City/Town LOUISVILLE City/Town
General Information Count of Facility MORT Measures 4 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 6 Count of Facility READM Measures
General Information Count of Facility Safety Measures 4 Count of Facility Safety Measures
General Information Count of Facility TE Measures 4 Count of Facility TE Measures
General Information Count of MORT Measures Better 1 Count of MORT Measures Better
General Information Count of MORT Measures No Different 3 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 1 Count of READM Measures Better
General Information Count of READM Measures No Different 5 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish JEFFERSON County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 18006F Facility ID
General Information Facility Name LOUISVILLE VA MEDICAL CENTER Facility Name
General Information Hospital overall rating 5 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Veterans Health Administration Hospital Ownership
General Information Hospital Type Acute Care - Veterans Administration Hospital Type
General Information Meets criteria for birthing friendly designation Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State KY State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (502) 287-4000 Telephone Number
General Information ZIP Code 40206 ZIP Code
Methodology

Full methodology →