Overview

Address
10701 EAST BLVD, CLEVELAND, OH 44106
Phone
(216) 791-3800
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 5 of 7 measures reported
1
4
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
1
3
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 6 of 12 measures reported
6 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 137
Hybrid_HWM
MORT_30_AMI 11.70 No Different Than the National Rate 92
MORT_30_CABG
MORT_30_COPD 7.00 No Different Than the National Rate 338
MORT_30_HF 8.70 Better Than the National Rate 629
MORT_30_PN 12.40 Better Than the National Rate 314
MORT_30_STK
PSI_03 0.37 No Different Than the National Rate 8,730
PSI_04 200.24 No Different Than the National Rate 54
PSI_06 0.19 No Different Than the National Rate 11,586
PSI_08 0.23 No Different Than the National Rate 12,498
PSI_09 2.41 No Different Than the National Rate 1,839
PSI_10 1.17 No Different Than the National Rate 849
PSI_11 12.21 No Different Than the National Rate 813
PSI_12 3.18 No Different Than the National Rate 2,123
PSI_13 6.52 No Different Than the National Rate 807
PSI_14 2.02 No Different Than the National Rate 474
PSI_15 1.19 No Different Than the National Rate 1,725
PSI_90 1.00 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 83%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 3%
H_COMP_1_U_P: Nurses "usually" communicated well 14%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 4
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 90%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 1%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 79%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 17%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 77%
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 20%
H_COMP_2_A_P: Doctors "always" communicated well 82%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 3%
H_COMP_2_U_P: Doctors "usually" communicated well 15%
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 88%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 10%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 79%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 76%
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 19%
H_COMP_5_A_P: Staff "always" explained 74%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 13%
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 85%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 6%
H_MED_FOR_U_P: Staff "usually" explained new medications 9%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 60%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 21%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 19%
H_COMP_6_N_P: No, staff "did not" give patients this information 12%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 88%
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 14%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86%
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 72%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9%
H_CLEAN_HSP_U_P: Room was "usually" clean 19%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 3
H_QUIET_HSP_A_P: "Always" quiet at night 53%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9%
H_QUIET_HSP_U_P: "Usually" quiet at night 38%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 5%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 18%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 77%
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 75%
H_RECMND_PY: "YES", patients would probably recommend the hospital 21%
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 0.056 No Different than National Benchmark
HAI_1_CIUPPER 1.110 No Different than National Benchmark
HAI_1_DOPC 4949.000 No Different than National Benchmark
HAI_1_ELIGCASES 5.952 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.336 No Different than National Benchmark
HAI_2_CILOWER 0.285 No Different than National Benchmark
HAI_2_CIUPPER 1.462 No Different than National Benchmark
HAI_2_DOPC 6094.000 No Different than National Benchmark
HAI_2_ELIGCASES 8.538 No Different than National Benchmark
HAI_2_NUMERATOR 6.000 No Different than National Benchmark
HAI_2_SIR 0.703 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 62.10 More Days Than Average per 100 Discharges
EDAC_30_HF 5.40 Average Days per 100 Discharges
EDAC_30_PN -3.60 Average Days per 100 Discharges
Hybrid_HWR 15.30 No Different Than the National Rate
OP_32
OP_35_ADM
OP_35_ED
OP_36
READM_30_AMI 14.90 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 18.20 No Different Than the National Rate
READM_30_HF 20.00 No Different Than the National Rate
READM_30_HIP_KNEE 5.00 No Different Than the National Rate
READM_30_PN 15.60 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 10701 EAST BLVD Address
General Information City/Town CLEVELAND City/Town
General Information Count of Facility MORT Measures 5 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 6 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 4 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 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 3 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish CUYAHOGA County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 36001F Facility ID
General Information Facility Name LOUIS STOKES CLEVELAND 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 OH State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (216) 791-3800 Telephone Number
General Information ZIP Code 44106 ZIP Code
Methodology

Full methodology →