Portland VA Medical Center

Identifiers

Hospital Name	Portland VA Medical Center
Facility ID	38003F

Location

Address	3710 SW US VETERANS HOSPITAL
City/Town	Portland
State	OR
ZIP Code	97239
County/Parish	MULTNOMAH

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

Karla Azcuy MHA, FACHE

Acting Director, VA Portland health care

Ms. Karla Azcuy is the Acting Director of VA Portland Health Care System. Ms. Azcuy began her VA career in 2009 at the VISN 20 Network Office as an Administrative Resident in the Graduate Healthcare Administration Training Program (GHAPT). Upon completion, she transitioned to VA Portland HCS and has held multiple roles. Ms. Azcuy began her VA Portland career as a Staffing Human Resources Specialist until 2012. She spent more than five years with the Primary Care Division, serving as the Administrative Officer and then Administrative Director. In July 2017, Ms. Azcuy was appointed the Human Resources Officer. Ms. Azcuy previously served as the Acting Deputy Director in 2018 and Interim Director from April – October 2022, and appointed Acting Director in January 2025. Ms. Azcuy is a Fellow of the American College of Healthcare Executives (FACHE) and the Society for Human Resources Management (SHRM). Ms. Azcuy graduated from Veterans Integrated Service Network (VISN) 20 Leadership Development Institute in 2017 and the Health Care Leadership Development Program in 2021. She earned a Master’s in Health Administration from the University of North Florida in 2009 and a Bachelor’s of Science degree from Clemson University in 2004, with a focus in Health Sciences.

Brittany Palaniuk

Associate Director, VA Portland health care

Ms. Brittany Palaniuk was appointed Associate Director for VA Portland Health Care System on December 15, 2024. Ms. Palaniuk has been the interim Associate Director since July 2024. Before becoming Associate Director, Ms. Palaniuk served two years as the Senior Strategic Business Partner for the VISN 20 Human Resources Office. Prior to joining the HR Leadership team in VISN 20, Ms. Palaniuk served as a Recruitment and Placement Supervisor for the VISN 22 Network HR Office for two years. Brittany began her VA career at Portland VA HCS in 2008 as a program administrator in the Nursing Professional Services Office and pivoted her career to Human Resources in 2013 where she served as a HR Specialist in Recruitment and Placement. In 2016, she relocated to the San Diego VA HCS and served for two years as the Recruitment and Placement Supervisor for the HR Management Service. In 2019, she transitioned to the VISN 22 Network HR Office. Prior to her federal career, Brittany grew up in San Diego, Calif., and graduated from California State University, Long Beach with a BA in Political Science. After graduation, she moved to Portland, Oregon. The Associate Medical Center Director at the VA Portland HCS reports to the Medical Center Director and has the responsibility for Veterans Transportation Program, Employee Health Service, Nutrition and Food Service, Center for Development and Civic Engagement, Compensation and Pension, Office of Medical Practice Group and Office of Veteran Experience.

Sahana Misra MD

Chief of Staff, VA Portland health care

Dr. Sahana Misra was appointed as the VA Portland Health Care System (VAPORHCS) Chief of Staff (COS) in September 2018. Prior to her current appointment, Dr. Misra served as the Acting COS since September 2016; she was the VAPORHCS Mental Health Clinical Director from 2013 – 2016; the VAPORHCS Associate Chief of Psychiatry 2010 – 2013; and the Oregon Health & Science University (OHSU) Associate Psychiatry Residency Training Director 2001 – 2010. Following residency, she completed a Geriatric Psychiatry Fellowship at OHSU and began her VA career in 1998. Dr. Misra is board certified in Psychiatry and Geriatric Psychiatry. She was a VA Cooperative Studies Career Development Award recipient and has served as a principal investigator and co-investigator on several studies. Since joining VAPORHCS she has published 12 peer review articles, two review articles and three book chapters and has been an invited presenter at multiple national, regional and local lectures and conferences. Dr. Misra earned her Bachelor of Science degree in Honors Biology from the University of Illinois in Urbana-Champaign and her MD from Rush Medical College. She completed her Psychiatry Residency at Rush Presbyterian-St. Luke's Medical Center in Chicago, Illinois. In 2019, she was promoted to Professor in the OHSU Department of Psychiatry and was elected into the American College of Psychiatrists. Beyond VAPORHCS, Dr. Misra serves as OHSU's Associate Dean of Veterans Affairs. She completed the VHA Health Care Leadership Development Program (HCLDP) in 2017. Currently, Dr. Misra is a member of the National VA Chief of Staff Advisory Council and a member of the American College of Psychiatrists.

David Kagen

Deputy Chief of Staff, VA Portland health care

Dr. David Kagen was appointed as the Deputy Chief of Staff for VA Portland Health Care System (VAPORHCS) in February 2020. After completing his internal medicine residency at Oregon Health & Science University (OHSU), Dr. Kagen began his career at VAPORHCS in 2004 as a staff hospitalist. He became Section Chief for Hospital Medicine in 2007, a position he held until his appointment in 2015 as Deputy Clinical Director for the Division of Hospital & Specialty Medicine (DHSM). Dr. Kagen served as the Interim Deputy Chief of Staff beginning in October 2016. Dr. Kagen received his Bachelor of Science degree from Duke University in 1996 and earned his MD from the University of Maryland in 2000. He holds an appointment as Associate Professor of Medicine at OHSU. David Kagen also played a role in convening a decontamination workgroup during the COVID-19 pandemic.

Clare O'Geary

Deputy Director for Patient Care Services, Chief Nursing Officer, VA Portland health care

Dr. Clare O'Geary, DNP, was appointed as the VA Portland Health Care Deputy Director, Patient Care Services on June 6, 2021. Her previous position was the VA Portland Associate Chief Nurse Executive, Hospital and Specialty Medicine which she held since May 2018. O'Geary earned her Associate Degree in Nursing from Fresno City College; her BSN and MSN from University of California, San Francisco; and her Doctor of Nursing Practice from Augusta University. She is certified at the Nurse Executive-Advanced level by the American Nurse Credentialing Center (ANCC) and as a Clinical Nurse Leader by the American Association of Colleges of Nursing (AACN). She is a Fellow of the American College of Healthcare Executives (FACHE). Other VA experience includes Deputy Nurse Executive at the Charlie Norwood VA Medical Center in Augusta, GA (2011-2018); Chief Nurse Primary Care at the Oklahoma City VA Medical Center (2007-2011); Associate Chief Nursing Service, Education at the Oklahoma City VA Medical Center (1997-2007); and several Nurse Manager positions at the Oklahoma City VA Medical Center (1995-1997). Prior to joining VA, Dr. O'Geary worked 13 years in the private healthcare sector at California Pacific Medical Center in San Francisco and Fresno Community Hospital. She also was a member of the faculty at College of San Mateo and San Francisco State University.

Jessica Flanary

Deputy Chief Nurse Executive, VA Portland health care

Jessica Flanary is the Deputy Chief Nurse Executive at the VA Portland Health Care System. Jessica Flanary graduated from William Jewell College in Liberty, MO with her BSN, the University of Kansas Medical Center in Kansas City, KS with her MSN in Organizational Leadership, and Augusta University with her DNP-Nurse Executive. She began her career at the Kansas City VA Medical Center in 2005 as a student nurse tech and then worked in critical care as registered nurse until she became the nurse manager in 2014. In 2018, she accepted the position of the Nursing Recruitment and Retention Specialist while maintaining her certifications in critical care and nursing professional development. In partnership with human resources, she ensured the Kansas City VA had the best time to hire in the VISN and work diligently to decrease the vacancy rate for nursing by 4%. In 2020, Jessica accepted a detail role into the Associate Chief Nurse for Inpatient and Emergency Department Services position, which became permanent in 2021 after assisting during the height of the pandemic in the Midwest. Jessica has a passion for safe and fair labor practices and solving problems with a team approach. She is looking forward to the further advancement of nursing practice and high reliability at the VA Portland Health Care System and reestablishing the professional identity of nursing in light of the workforce shortages across the nation. In addition to exploring the Portland area, Jessica enjoys spending time with her three daughters and 'COVID' puppy. She is a lifelong Kansas City Chiefs fan, foodie, and an outdoor lover.

David Wood

Interim Medical Center Director

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	540

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 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	76%

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	Worse 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	Worse 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	3.8
Readmission Score Hospital Return Days for Heart Failure Patients	-2.3
Readmission Score Hospital Return Days for Pneumonia Patients	7.3
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	13.4
Readmission Score Rate of Readmission for CABG	Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	17.4
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	19.7
Readmission Score Rate of Readmission After Hip/Knee Replacement	3.6
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	12.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	15.7
Readmission Group Hospital Return Days for Heart Attack Patients	Average Days 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	No

ERP Information

ERP	Unknown
ERP Version	NA
EHR is Changing	No