Durham VA Medical Center

The Durham VA Medical Center, located at 508 Fulton Street in Durham, NC, has been dedicated to improving the health of the men and women who have proudly served our nation since 1953. We offer a comprehensive range of inpatient and outpatient services, including specialized programs for women, minorities, and LGBTQ+ veterans. Our experienced healthcare teams are committed to providing patient-centered care, with services such as mental health care, addiction treatment, and weight management. We serve over 200,000 veterans in a 27-county area of central and eastern North Carolina, with additional services available at our community-based outpatient clinics. Manage your health online with services like prescription refills, secure messaging with your healthcare team, and online appointment scheduling.

Identifiers

Hospital Name Durham VA Medical Center
Facility ID 34012F

Location

Address 508 FULTON STREET
City/Town Durham
State NC
ZIP Code 27705
County/Parish DURHAM

Health System

Health System Department of Veterans Affairs
Health System Website Domain VA.gov
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 128
Health System Total Beds 73968
Health System Hospital Locations Alabama, Arkansas, Arizona, California, Colorado, Connecticut, NA, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, NA, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, West Virginia and Wyoming

Ownership & Characteristics

Hospital Type Acute Care - Veterans Administration
Hospital Ownership Veterans Health Administration
Ownership Details Department of Veterans Affairs
Emergency Services Yes

Alyshia Smith DNP, RN, NEA-BC

Medical Center Director

Dr. Alyshia Smith was appointed as the Medical Center Director on May 23, 2022. Dr. Alyshia Smith, North Carolina native and alumna of UNC School of Nursing, joined the Durham VA Health Care System as the Executive Director in May 2022. As the Executive Director, Dr. Smith provides executive leadership and strategic direction for this complex health care system that provides a full array of clinical services to nearly 80,000 Veterans over 12 sites of care and 27 counties in North Carolina. She has direct responsibility for a nearly $1.1 billion operating budget and over 3600 employees. The Durham VA has several major medical education affiliates with over 1700 trainees and an innovative and robust research program. Prior to joining the Durham VA Health Care System, Dr. Smith served as the Executive Director for the Phoenix VA Health Care System. Vietnam Veterans of America acknowledged Dr. Smith's leadership contributions in 2020 by awarding her the Vietnam Veterans of America Achievement Medal. In May 2022, she was recognized with a Red Jacket from Tuskegee Airmen, Archer-Ragsdale Arizona Chapter and inducted as an at-large member. Before Dr. Smith was appointed Executive Director of Phoenix VA Health Care System, she was their Associate Director of Patient Care Services. Her experience includes roles as Deputy Chief Nurse at the Washington DC VA Medical Center, and a 90-day assignment as the Acting Deputy Chief Nursing Officer for VA's national program office in Washington, DC. Before starting with VA in 2010, Dr. Smith made her way through the nursing leadership ranks at a not-for-profit, 900-bed academic and research center and one of the largest and busiest level 1 trauma hospitals in the greater Washington, D.C., metropolitan region. As a daughter and a niece of four Vietnam Veterans, service to others has been in Dr. Smith's family legacy, and from a young age, she knew that she wanted to carry on that tradition of service in her life.

Kimberly Bronson DNP, RN, PMHNP-BC

Associate Director for Patient Care Service/Chief Nurse Executive

NA

Kenneth C. Goldberg M.D.

Chief of Staff

NA

Peter Tillman

Chief Operating Officer, Associate Director

NA

Sarah Fredrickson MHA

Assistant Director, Lead Administrator Greenville HCC and Morehead City CBOC

NA

Yves-Marie Applewhite

Assistant Director

NA

Anna Rutherford MD

Deputy Chief of Staff

NA

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 469

Staffing & Personnel

FTE Employees on Payroll NA
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) NA
Inpatient Days (Title XIX) NA
Total Inpatient Days NA
Bed Count NA
Available Bed Days NA
Discharges (Title V) NA
Discharges (Title XVIII) NA
Discharges (Title XIX) NA
Total Discharges NA

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) NA
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) NA
Bed Count (Adults & Peds) NA
Available Bed Days (Adults & Peds) NA
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) NA
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) NA

Quality Summary

Care Quality Stengths High overall patient satisfaction.
Care Quality Concerns Hospital does not do a good job of treating conditions like heart attacks so that patients don't have to come back to the hospital.

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 69%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients Better Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) NA

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 24.6
Readmission Score Hospital Return Days for Heart Failure Patients -11.9
Readmission Score Hospital Return Days for Pneumonia Patients -15.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.4
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.2
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.9
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 14.9
Readmission Group Hospital Return Days for Heart Attack Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) Better Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin NA
Fiscal Year End NA

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense
Uncompensated Care Cost
Total Uncompensated Care

Operating Expenses ($ thousands)

Total Salaries
Overhead Expenses (Non-Salary)
Depreciation Expense
Total Operating Costs

Charges ($ thousands)

Inpatient Charges
Outpatient Charges
Total Patient Charges

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
Short-Term Investments
Notes Receivable
Accounts Receivable
Allowance for Doubtful Accounts
Inventory
Prepaid Expenses
Other Current Assets
Total Current Assets

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities

Balance Sheet – Equity ($ thousands)

General Fund Balance
Total Fund Balances
Total Liabilities & Equity

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue
Outpatient Revenue
Total Patient Revenue
Contractual Allowances & Discounts
Net Patient Revenue
Total Operating Expenses
Net Service Income
Other Income
Total Income
Other Expenses
Net Income

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No