James H. Quillen VA Medical Center

Located at the corner of Lamont Street and Veterans Way in Mountain Home, TN, the James H. Quillen VA Medical Center is dedicated to serving our nation's Veterans with comprehensive and advanced healthcare. Since 1903, we have been committed to improving the health and well-being of over 170,000 Veterans across a 41-county area. Our medical center provides a wide range of services, including primary care, specialized treatments, and long-term care options such as our Community Living Center and Domiciliary. As a teaching hospital, we integrate state-of-the-art technology, education, and research to deliver the highest quality care to our Veterans.

Identifiers

Hospital Name James H. Quillen VA Medical Center
Facility ID 44016F

Location

Address CORNER OF LAMONT STREET AND VETERANS WAY
City/Town Mountain Home
State TN
ZIP Code 37684
County/Parish WASHINGTON

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

Martina Malek

Interim Medical Center Director

Effective September 20, 2024, Martina Malek, FACHE, will serve as the Interim Medical Center Director of the James H. Quillen VA Medical Center (JHQVAMC). Martina Malek, FACHE, is the Deputy Director, Customer Experience Tools & Implementation (CX T&I) in the Veterans Experience Office (VEO). Prior to joining the VEO team, Ms. Malek was the Associate Director/Chief Experience Officer of the Minneapolis VAHCS and the VISN 23 Chief Experience Officer. She has held various roles in the VA to include Interim Medical Center Director at St. Cloud VAHCS; Director of the Health Administration Service (HAS) in Minneapolis; and Director of the Prosthetic Treatment Center where she began her VA career as a purchasing agent. She is the daughter of a career Army soldier, a lifelong Army brat, and recently, became an Army Mom. Ms. Malek is a Fellow of the American College of Healthcare Executives (FACHE), a graduate of the Senior Executive Assessment Program (SEAP), and VA's Healthcare Leadership Development Program (HCLDP), as well as a certified VA Mentor. She holds a Master of Nonprofit and Public Administration degree and a Bachelor of Science in Business Administration.

Adam Seneker

Acting Associate Director of Operations

NA

Harold Dillon

Chief of Staff

Dr. Harold Dillon was appointed chief of staff at James H. Quillen VA Medical Center (JHQVAMC) on March 1, 2023. Dillon began his VA career in 2008 as a staff ophthalmologist, here. Prior to his appointment as chief of staff, he served in positions as the chief of surgery and most recently as chief of quality management. He also served as deputy chief of staff and chief of staff at the Rocky Mountain Regional VA Medical Center in Aurora, Colo., from 2016-2019. Dr. Dillon received his B.S. degree in biology from East Tennessee State University in Johnson City, Tenn., and is a 1993 graduate of the James H. Quillen College of Medicine in Johnson City, Tenn. He is an Air Force Veteran having completed residency training in ophthalmology with the Air Force in San Antonio, Texas, along with multiple Air Force assignments including service as a pilot physician.

Angela Hope Ledford

Interim Associate Director, Patient Care Services

NA

Angela May

Deputy Chief of Staff

NA

Daren Giancola

Assistant Medical Center Director

Mr. Giancola was appointed as the Assistant Medical Center Director of the James H. Quillen Veterans Affairs Medical Center (JHQVAMC) in Mountain Home, Tennessee, on September 10, 2023. Mr. Giancola brings over 15 years of VA knowledge, experience, and leadership to this position. He is currently focused on further enhancing the high-quality care delivered to our Veterans and support of our staff by providing oversight of the Integrity Compliance Office, Privacy Office, Research Compliance Office, Public Affairs Office, Veteran Experience Office, Patient Advocacy Office, and the Center for Development and Civic Engagement. Mr. Giancola's background and accomplishments include extensive experience working in several VA departments from the front line to Service Chief in levels 1a, 1c, and 2 facilities. He joined the VA as a frontline Program Support Assistant in 2009 at the Louis Stokes VA Medical Center in Cleveland, Ohio. He was later appointed as the Supervisory Program Specialist over the Compensation & Pension Department and the Integrated Disability Evaluation System. Mr. Giancola then joined Network Contracting Office 10 as a Program Analyst in 2015. From 2017 to 2020, he served as the Ambulatory Care Operations Director – Group Practice Manager for the Wilkes-Barre VA Medical Center in Pennsylvania before joining the JHQVAMC as Chief of the Business Office overseeing approximately 350 employees. Mr. Giancola earned his Bachelor of Science degree in physiology and neuroscience from the University of California San Diego in 2008, and his Master of Business Administration from Cleveland State University in 2012 while attending Cleveland State University as part of the Health Care Leadership Development Program and a fellow of the Partnership for Public Service – Excellence in Government program. One of his passions is the development of talent through education and mentoring. He currently serves as preceptor for bachelors- and masters-level students who are studying public health or health administration at a local university and sits on their Health Services Management & Policy Professional Advisory Committee. He was a coach for the Veterans Integrated Service Network 9 Leadership Development Program in 2023 and is currently part of the team creating a leadership development program for the JHQVAMC.

Sean Glasgow

Chief Quality Management

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 515

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 Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the quiet atmosphere of the hospital. Hospital does a good job at treating conditions like heart failure so that patients don't have to come back to the hospital.
Care Quality Concerns

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 88%

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 Better 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 -4.9
Readmission Score Hospital Return Days for Heart Failure Patients -26.4
Readmission Score Hospital Return Days for Pneumonia Patients 6.3
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 13.3
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 17.7
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.7
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Fewer Days Than Average 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) No Different 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