Overview

Address
2300 RAMSEY STREET, FAYETTEVILLE, NC 28301
Phone
(910) 488-2120
Hospital Type
VA Hospital
Ownership
Veterans Health Administration
Emergency Services
No
3 /5
CMS Overall Rating
p30
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 3 of 7 measures reported
3
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 1 of 8 measures reported
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 4 of 11 measures reported
1
3
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 5 of 12 measures reported
5 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
Hybrid_HWM
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD 7.30 No Different Than the National Rate 170
MORT_30_HF 8.30 No Different Than the National Rate 231
MORT_30_PN 13.80 No Different Than the National Rate 148
MORT_30_STK
PSI_03 0.41 No Different Than the National Rate 1,587
PSI_04
PSI_06 0.20 No Different Than the National Rate 2,574
PSI_08 0.26 No Different Than the National Rate 2,649
PSI_09 2.30 No Different Than the National Rate 60
PSI_10 Number of Cases Too Small
PSI_11 Number of Cases Too Small
PSI_12 3.47 No Different Than the National Rate 63
PSI_13
PSI_14 Number of Cases Too Small
PSI_15 1.05 No Different Than the National Rate 159
PSI_90 0.93 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 86%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 3%
H_COMP_1_U_P: Nurses "usually" communicated well 11%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 5
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 89%
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 8%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 82%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 14%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 81%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 3%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 16%
H_COMP_2_A_P: Doctors "always" communicated well 85%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4%
H_COMP_2_U_P: Doctors "usually" communicated well 11%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 90%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 7%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 83%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 13%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 79%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 5%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 16%
H_COMP_5_A_P: Staff "always" explained 73%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 14%
H_COMP_5_U_P: Staff "usually" explained 13%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 4
H_MED_FOR_A_P: Staff "always" explained new medications 81%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 10%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 61%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 23%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 16%
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 13%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 87%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 10%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 90%
H_CLEAN_HSP_A_P: Room was "always" clean 76%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8%
H_CLEAN_HSP_U_P: Room was "usually" clean 16%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
H_QUIET_HSP_A_P: "Always" quiet at night 74%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 3%
H_QUIET_HSP_U_P: "Usually" quiet at night 23%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 5
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 6%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 19%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 75%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 4%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 69%
H_RECMND_PY: "YES", patients would probably recommend the hospital 27%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 4

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
HAI_1_CIUPPER
HAI_1_DOPC 232.000
HAI_1_ELIGCASES 0.179
HAI_1_NUMERATOR 0.000
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC 625.000
HAI_2_ELIGCASES 0.406
HAI_2_NUMERATOR 0.000
HAI_2_SIR
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 Number of Cases Too Small
EDAC_30_HF -47.70 Fewer Days Than Average per 100 Discharges
EDAC_30_PN -9.20 Average Days per 100 Discharges
Hybrid_HWR 13.90 No Different Than the National Rate
OP_32
OP_35_ADM
OP_35_ED
OP_36
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD 18.40 No Different Than the National Rate
READM_30_HF 16.40 Better Than the National Rate
READM_30_HIP_KNEE
READM_30_PN 14.40 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.

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Show 38 rows
Source Metric Value National Median Pctl. Raw key
General Information Address 2300 RAMSEY STREET Address
General Information City/Town FAYETTEVILLE City/Town
General Information Count of Facility MORT Measures 3 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 4 Count of Facility READM Measures
General Information Count of Facility Safety Measures 1 Count of Facility Safety Measures
General Information Count of Facility TE Measures 5 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 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 3 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 1 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish CUMBERLAND County/Parish
General Information Emergency Services No Emergency Services
General Information Facility ID 34013F Facility ID
General Information Facility Name FAYETTEVILLE NC VA MEDICAL CENTER Facility Name
General Information Hospital overall rating 3 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 NC State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (910) 488-2120 Telephone Number
General Information ZIP Code 28301 ZIP Code
Methodology

Full methodology →