VA Southern Nevada Healthcare System

Identifiers

Hospital Name	VA Southern Nevada Healthcare System
Facility ID	29004F

Location

Address	6900 NORTH PECOS ROAD
City/Town	N. Las Vegas
State	NV
ZIP Code	89086
County/Parish	CLARK

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

Michael L. Kiefer

Acting Executive Director

MHA, FACHE. Acting Executive Director VA Southern Nevada health care.

Kristan Murray

Deputy Director

MHA, FACHE Deputy Director of Southern Nevada Health Care. Served as Associate Director.

Dr. Ramu Komanduri

Chief of Staff

MD. Chief of Staff for the local VA Healthcare System.

Dr. Desiree Crawford

Associate Director Patient Care Services/Nurse Executive

DHEd. Associate Director Patient Care Services/Nurse Executive (ADPCS).

Linda Rankin

Deputy Nurse Executive

MSN, MBA, MJ, BS, RN.

Jesse Diaz

Acting Associate Director/Assistant Director

MBA. Acting Assistant Director.

Melissa Palmer

Deputy Chief of Staff

MBA, MD.

Antoinette Pretto-Sparkuhl

Executive Quality, Safety and Value Officer

MBA, MHA, RN. Acting Associate Director.

Charles Ramey

Communications and Customer Experience Executive

MBA.

William J. Caron

Medical Center Director

A member of the Senior Executive Service, is Director of the Department of Veterans Affairs' Southern Nevada Healthcare System. Responsible for a $749 million annual operating budget and the overall operations of a VA Medical Center, four large Primary Care Clinics; a Community Resource and Referral Center; a Veterans Recovery Center; a Community Based Outpatient Clinic in Pahrump, Nev.; and a Rural Outreach Clinic in Laughlin, Nev. Provides delivery of health care to more than 63,000 Veterans and ensures outpatient and inpatient services are available to more than 146,700 Veterans residing in an official catchment area of Clark, Lincoln and Nye counties. A U.S. Air Force Veteran, began his medical career as a physical therapist at Barksdale Air Force Base, La., in 1993. Prior to his current appointment, served as the Director of the Southern Arizona VA Health Care System in Tucson, Ariz. Previously served as Associate Director of the VA Southern Nevada Healthcare System and Associate Director at the Oscar G. Johnson VA Medical Center in Iron Mountain, Mich. Also served in several leadership roles during a 14-year private sector career, where he managed multiple clinical services. Has a Master's Degree in Health Care Administration from the California College of Health Sciences, Salt Lake City, Utah, and a Bachelor's Degree in Physical Therapy from the University of New England, Biddeford, Maine. Also board certified in Healthcare Management as a Fellow of the American College of Healthcare Executives and a VA Certified Mentor.

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	100

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. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. 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	82%

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
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	-9.7
Readmission Score Hospital Return Days for Pneumonia Patients	-23.5
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
Readmission Score Rate of Readmission for CABG	Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	17.5
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	18.8
Readmission Score Rate of Readmission After Hip/Knee Replacement	4.1
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	13.7
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	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	VistA/CPRS
EHR Version	VistA/CPRS
EHR is Changing	Yes--In Process of Replacing

ERP Information

ERP	Unknown
ERP Version	NA
EHR is Changing	Yes--In Process of Replacing