Dallas VA Medical Center - HealthLuminate

Identifiers

Hospital Name	Dallas VA Medical Center
Facility ID	45066F

Location

Address	4500 S. LANCASTER ROAD
City/Town	Dallas
State	TX
ZIP Code	75216
County/Parish	DALLAS

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

Jason Cave, J.D.

Executive Medical Center Director, VA North Texas Health Care System

Mr. Jason Cave was appointed Executive Medical Center Director for VA North Texas Health Care System, Veterans Integrated Service Network (VISN) 17, Dallas, Texas, on Feb 12, 2023. [3, 10] As the executive medical center director of the nation's second-largest VA health care system, Mr. Cave oversees health care services for almost 206,000 enrolled Veterans in 38 Texas counties and two southern Oklahoma counties, with an operating budget of $1.8 billion and 6,600 employees. [3, 7] Mr. Cave has held key leadership positions within the Department of Veterans Affairs (VA) since he joined in 2011 as a Presidential Management Fellow. [3, 7] He has served VA Medical Centers of all complexity levels across three different VISNs and VA Central Office. [3] Additionally, he has performed in various capacities, including health systems specialist, financial manager, general attorney, public affairs officer, and emergency manager. [3] Before his appointment, Mr. Cave detailed as the interim medical center director for VA South Texas Health Care System, VISN 17, San Antonio, Texas, from June 2022 to January 2023. [3] Mr. Cave graduated from VISN 4's Leadership Development Institute Class in 2013, VA's Leadership VA Class in 2016, and VHA's Health Care Leadership Development Program class in 2019. [3, 7] He holds an undergraduate degree in accounting from the University of New Mexico and a Juris Doctor from the University of Akron School of Law in Akron, Ohio, including certificates in trial advocacy and dispute resolution. [3, 7]

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	771

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	Average 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	62%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
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	Better 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	47.5
Readmission Score Hospital Return Days for Heart Failure Patients	5
Readmission Score Hospital Return Days for Pneumonia Patients	-0.2
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	15.9
Readmission Score Rate of Readmission for CABG	Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	21.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	20.1
Readmission Score Rate of Readmission After Hip/Knee Replacement	Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	13.9
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	16.3
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	Worse 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	Number of Cases Too Small
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	No

ERP Information

ERP	Unknown
ERP Version	NA
EHR is Changing	No