White River Junction VA Medical Center

Identifiers

Hospital Name	White River Junction VA Medical Center
Facility ID	47001F

Location

Address	163 VETERANS DRIVE
City/Town	White River Junction
State	VT
ZIP Code	5009
County/Parish	WINDSOR

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

Brett D. Rusch, MD

Director

Appointed as the new director of the White River Junction VA Medical Center (WRJVAMC). Oversees the delivery of healthcare to approximately 26,000 veterans throughout Vermont and the four contiguous counties of New Hampshire. Also serves as an ex officio member of Geisel's Board of Advisors. An assistant professor of psychiatry at the Geisel School of Medicine. Joined the VA in 2015 as the Chief of Mental Health and Behavioral Science Service and was appointed Chief of Staff in December 2016. Received a Bachelor's Degree in Psychology from the University of Wisconsin and completed medical school and a psychiatry residency at the University of Wisconsin School of Medicine and Public Health (UWSMPH). Prior to joining White River Junction VA Medical Center in 2015, served as Director of Inpatient and Intensive Outpatient Mental Health Services at the William S. Middleton Memorial Veterans Hospital in Madison, WI, and as an Assistant Professor of Psychiatry at the UWSMPH. Experienced educator and received the UWSMPH Department of Psychiatry's Award for Excellence in Resident Education for three consecutive academic years bridging 2012-2015.

Daniel O'Rourke, MD

Chief of Staff

Started his VA career at White River Junction in 1996 as a cardiologist and was named the Chief of Cardiology in 2004. Played a major role as Acting Chief of Staff at the White River Junction VA while leadership recruited a permanent Director. Has extensive experience in clinical care, research and health care administration. Graduated as valedictorian from Siena College. Earned his MD with magna cum laude honors at SUNY Upstate Medical University in Syracuse, NY. Completed internal medicine training at the University of Pittsburgh, where he was recognized with the outstanding teaching award. Completed his cardiology fellowship at Dartmouth-Hitchcock Medical Center in 1996. Followed by a master's degree in healthcare research from The Dartmouth Institute for Health Policy and Clinical Practice in 1997. Also earned a master's degree in education from Xavier University in 2017. Board certified in internal medicine, cardiovascular disease and nuclear cardiology. Associate Professor of Medicine at the Geisel School of Medicine at Dartmouth.

Robert Scott, MD PhD

Chief of the Department of Mental Health & Behavioral Sciences

Board certified in General Adult Psychiatry. Served at the White River Junction VA healthcare system in a variety of roles since joining the medical staff in 2016. Previously served as the Site Director of the Residency Program and Medical Director of Inpatient Psychiatry. In 2018, was promoted to the Medical Director for the Department of Psychiatry and in February 2020, advanced to the role of Acting Chief of MH & BSS. Received his medical degree from Quillien College of Medicine. Completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center in Lebanon, NH. Has a strong interest in education and integrating teaching into clinical care. Assistant Professor of Psychiatry at Geisel School of Medicine.

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	174

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. The hospital is average in every measured mortality rate Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
Care Quality Concerns

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. The hospital is average in every measured mortality rate Hospital does a good job at treating conditions like pneumonia 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	84%

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
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	No Different 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
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	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	13.7
Readmission Score Hospital Return Days for Pneumonia Patients	-26
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	Not Available
Readmission Score Rate of Readmission for CABG	Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	18.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	19.2
Readmission Score Rate of Readmission After Hip/Knee Replacement	4.7
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	15.8
Readmission Group Hospital Return Days for Heart Attack Patients	Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients	Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients	Fewer Days Than Average 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	Number of Cases Too Small
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
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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)
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Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
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Balance Sheet – Fixed Assets ($ thousands)

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Land Improvements Value
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Leasehold Improvements
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Balance Sheet – Other Assets ($ thousands)

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Balance Sheet – Current Liabilities ($ thousands)

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Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
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Total Liabilities

Balance Sheet – Equity ($ thousands)

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Total Fund Balances
Total Liabilities & Equity

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
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Revenue & Income Statement ($ thousands)

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Ratios & Program Revenues ($ thousands)

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EHR Information

EHR	VistA/CPRS
EHR Version	VistA/CPRS
EHR is Changing	No

ERP Information

ERP	Unknown
ERP Version	NA
EHR is Changing	No