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Old 10-27-2017, 07:25 AM
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Arrow New VA hospital rankings: The worst still the worst

New VA hospital rankings: The worst still the worst
By DONOVAN SLACK | USA Today | Published: October 26, 2017
RE: https://www.stripes.com/news/veteran...worst-1.494631

WASHINGTON (Tribune News Service) — Many of the worst VA hospitals in the country last year remain among the worst this year, according to internal rankings released Wednesday by the Department of Veterans Affairs.

Nearly a dozen of the medical centers who received one out of five stars in quality ratings this year received the same low score in 2016.

They include three veterans’ hospitals in Tennessee — in Nashville, Murfreesboro, and Memphis, where threats to patient safety have skyrocketed in recent years. Also among them is the Phoenix VA, where veterans died waiting for care touching off a national scandal in 2014.

Two hospitals in Texas — in El Paso and Big Spring — and two in California — in Loma Linda and Fresno — also made the list of two-time, one-star facilities.

At the same time two hospitals managed to shake their one-star status. Facilities in Detroit and Fayetteville, N.C., improved to two-star VA hospitals.

The VA regularly scores 146 of its medical centers based on dozens of quality factors, including death and infection rates, instances of avoidable complications and wait times. The agency uses a five-star scale with one being the worst and five being the best.

Medical Facility Ratings:

Medical facility - Performance rating - (top score is 5)

Change from 2016

Albany 3 Improved
Albuquerque 1 Improved
Alexandria 3 Stayed the same
Altoona 3 Stayed the same
Amarillo 3 Greatly improved
Anchorage 3 Greatly improved
Ann Arbor 4 Stayed the same
Asheville 5 Improved
Atlanta 2 Greatly improved
Augusta 2 Greatly improved
Baltimore 2 Stayed the same
Bath 4 Greatly improved
Battle Creek 3 Greatly improved
Bay Pines 3 Greatly improved
Beckley 3 Greatly improved
Bedford 5 Stayed the same
Big Spring 2 Greatly improved
Birmingham 3 Greatly improved
Boise 5 Improved
Boston 5 Greatly improved
Bronx 3 Greatly improved
Brooklyn 3 Greatly improved
Buffalo 3 Greatly improved
Butler 5 Stayed the same
Canandaigua 4 Greatly improved
Central Iowa 3 Greatly improved
Charleston 4 Greatly improved
Cheyenne 4 Greatly improved
Chicago 3 Greatly improved
Chillicothe 3 Greatly improved
Cincinnati 4 Improved
Clarksburg 4 Greatly improved
Cleveland 5 Greatly improved
Coatesville 5 Stayed the same
Columbia MO 3 Improved
Columbia SC 3 Greatly improved
Columbus 4 Stayed the same
Connecticut 4 Improved
Dallas 1 Greatly improved
Danville 3 Greatly improved
Dayton 3 Stayed the same
Denver 2 Greatly improved
Detroit 1 Stayed the same
Dublin 2 Stayed the same
Durham 3 Greatly improved
East Orange 3 Greatly improved
El Paso 1 Declined
Erie 5 Stayed the same
Fargo 4 Declined
Fayetteville AR 5 Greatly improved
Fayetteville NC 2 Greatly improved
Fort Meade 5 Stayed the same
Fort Wayne 3 Improved
Fresno 2 Greatly improved
Gainesville 3 Greatly improved
Grand Junction 3 Stayed the same
Gulf Coast HCS 2 Stayed the same
Hampton 2 Greatly improved
Harlingen 2 Greatly improved
Hines 3 Improved
Honolulu 2 Greatly improved
Hot Springs 5 Declined
Houston 4 Greatly improved
Hudson Valley 5 Greatly improved
Huntington 4 Greatly improved
Indianapolis 3 Improved
Iowa City 3 Greatly improved
Iron Mountain 3 Greatly improved
Jackson 2 Stayed the same
Kansas City 3 Greatly improved
Lake City 2 Greatly improved
Las Vegas 2 Improved
Leavenworth 3 Improved
Lebanon 4 Stayed the same
Lexington 4 Greatly improved
Little Rock 3 Greatly improved
Loma Linda 2 Greatly improved
Long Beach 3 Greatly improved
Los Angeles 1 Greatly improved
Louisville 3 Greatly improved
Madison 4 Greatly improved
Manchester 4 Improved
Marion IL 2 Greatly improved
Martinsburg 3 Greatly improved
Memphis 1 Greatly improved
Miami 3 Greatly improved
Milwaukee 3 Improved
Minneapolis 5 Greatly improved
Montana 2 Improved
Montgomery 2 Greatly improved
Mountain Home 4 Greatly improved
Murfreesboro 1 Improved
Muskogee 3 Greatly improved
Nashville 1 Stayed the same
New Orleans 3 Greatly improved
New York 4 Greatly improved
North Chicago 3 Improved
Northampton 5 Greatly improved
Northport 4 Greatly improved
Oklahoma City 3 Greatly improved
Omaha 3 Stayed the same
Orlando 4 Greatly improved
Palo Alto 3 Improved
Perry Point 2 Greatly improved
Philadelphia 3 Greatly improved
Phoenix 1 Greatly improved
Pittsburgh 5 Greatly improved
Poplar Bluff 4 Improved
Portland 2 Greatly improved
Prescott 2 Greatly improved
Providence 4 Greatly improved
Puget Sound 2 Improved
Reno 2 Greatly improved
Richmond 4 Greatly improved
Roseburg 2 Greatly improved
Sacramento 3 Greatly improved
Saginaw 5 Improved
Salem 4 Greatly improved
Salisbury 4 Greatly improved
Salt Lake City 4 Improved
San Antonio 3 Improved
San Diego 3 Declined
San Francisco 3 Greatly improved
San Juan 3 Greatly improved
Sheridan 4 Stayed the same
Shreveport 2 Greatly improved
Sioux Falls 4 Improved
Spokane 2 Greatly improved
St Cloud 5 Greatly improved
St Louis 2 Greatly improved
Syracuse 3 Improved
Tampa 3 Greatly improved
Temple 2 Greatly improved
Togus 2 Greatly improved
Tomah 3 Declined
Topeka 4 Stayed the same
Tucson 2 Improved
Tuscaloosa 4 Improved
Walla Walla 3 Greatly improved
Washington 3 Greatly improved
West Palm 2 Greatly improved
White City 1 Greatly improved
White River 3 Improved
Wichita 4 Greatly improved
Wilkes Barre 3 Improved
Wilmington 2 Improved

The rankings compare VA hospitals against each other but the number of one-star hospitals is not constant. Medical centers in that bracket can be elevated to two stars based on quality-of-care factors.

The agency did not start releasing the ratings until USA TODAY obtained and published them for the first time last December. The VA then committed to posting them annually.

VA Secretary David Shulkin, who took over in February, has said he is committed to making the VA “the most transparent organization in government.”

"Secretary Shulkin has been clear that transparency is a crucial component of our efforts to reform the department," VA Press Secretary Curt Cashour said Wednesday. "That’s why we’re posting these important end-of-year ratings, which document improvements at 64% of rated VA medical centers."
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Boats

O Almighty Lord God, who neither slumberest nor sleepest; Protect and assist, we beseech thee, all those who at home or abroad, by land, by sea, or in the air, are serving this country, that they, being armed with thy defence, may be preserved evermore in all perils; and being filled with wisdom and girded with strength, may do their duty to thy honour and glory; through Jesus Christ our Lord. Amen.

"IN GOD WE TRUST"
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