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VA hospital in Marion, Indiana

VA Northern Indiana Healthcare System

5

of 5 CMS stars

Overall Hospital Quality Star Rating,

Also 5 in

CMS stars by year

  1. : not rated
  2. : not rated
  3. : 5 stars
  4. : 5 stars
VA hospitals with 5 stars
50 of 112 rated
All rated hospitals in Indiana with 5 stars
12 of 91 rated
CMS overall star rating by year

A chart of the figures in the table that follows.

CMS overall star rating for VA Northern Indiana Healthcare System, by year
YearCMS stars
Not rated
Not rated
5
5

Source: CMS Hospital General Information (dataset xubh-q36u), released ; CMS archived hospital files released , and .

VA hospitals with 5 stars, each year: : 36: 39: 55: 50

Key measures

Four measures CMS reports for most hospitals, beside the state and national figures CMS publishes for them.

Would definitely recommend the hospital
74%
Indiana 71%National 71%
VA patient survey, to (footnote 21)
Measure groups in this hospital's star rating, as CMS counts them
GroupMeasures usedBetterNo differentWorse
Deaths3030
Readmissions4220

"Better" and "worse" are CMS's comparison of each measure with the national value.

See this hospital on Medicare Care Compare

Patient survey

Answers from patients surveyed after a hospital stay; higher percentages are better. How to read VA patient survey scores.

Period for all rows: to . Indiana and national figures: CMS footnote 21. Bars run from 0 to 100%: this hospital, with a short tick for Indiana and a tall one for the nation.

VA Northern Indiana Healthcare System: Patient survey measures
MeasureThis hospitalIndianaNational
Patient survey summary star rating4 of 5Not comparedNot compared
Would definitely recommend the hospital74%71%71%
Rated the hospital 9 or 10 out of 1080%73%72%
Nurses always communicated well82%80%80%
Doctors always communicated well80%79%80%
Staff always explained medicines before giving them69%60%62%
Were given information about recovery at home91%87%86%
Room and bathroom were always clean80%73%74%
Area around the room was always quiet at night65%60%60%

Deaths

Risk-standardized death rates within 30 days of admission, by condition; lower is better, and CMS's current release does not say whether a difference from the national rate is meaningful. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no Indiana figure for these measures.

VA Northern Indiana Healthcare System: Deaths measures
MeasureThis hospitalNational
Deaths within 30 days, heart attack patientsNot available (footnote 1)11.9%
Deaths within 30 days, heart failure patients8.8%11.1%
Deaths within 30 days, pneumonia patients11.3%15.2%
Deaths within 30 days, COPD patients8.1%8.6%
Deaths within 30 days, all conditions (hospital-wide)Period: to 3.9%3.9%

Readmissions

Unplanned returns within 30 days of discharge, and hospital return days; lower is better, and CMS's current release does not publish a comparison for these rates. How to read death and readmission rates.

Period for all rows unless a row says otherwise: to . CMS publishes no Indiana figure for these measures.

VA Northern Indiana Healthcare System: Readmissions measures
MeasureThis hospitalNational
Readmitted within 30 days, heart attack patientsNot available (footnote 1)14.4%
Readmitted within 30 days, heart failure patients18.8%21.3%
Readmitted within 30 days, pneumonia patients17.2%17.3%
Readmitted within 30 days, COPD patients19.9%20%
Readmitted within 30 days after hip or knee replacementNot available (footnote 5)5.8%
Days back in the hospital within 30 days, heart attack patientsPeriod: to Not available (footnote 1)Not compared
Days back in the hospital within 30 days, heart failure patientsPeriod: to -74.9 days per 100 dischargesNot compared
Days back in the hospital within 30 days, pneumonia patientsPeriod: to -3.7 days per 100 dischargesNot compared

Emergency department

Median minutes in the emergency department and the share of patients who left before being seen; lower is better, and the national median shown is for emergency departments in the same CMS volume group. How to read emergency department times.

Period for all rows unless a row says otherwise: to . Indiana and national figures: CMS footnote 25.

VA Northern Indiana Healthcare System: Emergency department measures
MeasureThis hospitalIndianaNational
Median time in the emergency department before leaving, excluding transferred and mental health patientsNot available (footnote 5)145 minutes (footnote 26)123 minutes (footnote 26) low-volume EDs
Median emergency department time for mental health patientsNot available (footnote 5)231 minutes195 minutes low-volume EDs
Left the emergency department before being seenPeriod: to 1%2% (footnote 26)2% (footnote 26)

Timely and effective care

How often patients received recommended care, and the share of health care workers given a flu shot; higher is better. How the star rating works.

Period for all rows unless a row says otherwise: to . Bars run from 0 to 100%: this hospital, with a short tick for Indiana and a tall one for the nation.

VA Northern Indiana Healthcare System: Timely and effective care measures
MeasureThis hospitalIndianaNational
Severe sepsis and septic shock care that met every stepPeriod: to Not available (footnote 1)60% (footnotes 25, 26)65% (footnotes 25, 26)
Health care workers given a flu vaccinationPeriod: to 74%82%78%
Appropriate follow-up interval after a normal screening colonoscopy, average risk patients100%94% (footnotes 25, 26)93% (footnotes 25, 26)
Emergency department patients with stroke symptoms given brain scan results within 45 minutes of arrivalPeriod: to Not available (footnote 5)71% (footnote 25)69% (footnote 25)
Ischemic stroke patients discharged on an antithromboticNot available (footnote 1)Not comparedNot compared
Patients given blood clot prevention92%Not comparedNot compared
Intensive care patients given blood clot prevention93%Not comparedNot compared

Behavioral health

Treatment offered for alcohol, drug and tobacco use, and hours of physical restraint and seclusion; CMS leaves VA hospitals out of the state and national averages for these measures, so none is shown. How this site reads these measures.

Period for all rows: to . CMS publishes no Indiana or national figure for these measures.

VA Northern Indiana Healthcare System: Behavioral health measures
MeasureThis hospital
Alcohol use brief intervention provided or offered91% (footnotes 2, 20)
Alcohol or drug use disorder treatment provided or offered at discharge94% (footnotes 2, 20)
Tobacco use treatment provided or offered at discharge96% (footnotes 2, 20)
Hours of physical restraint use0.25 hours per 1,000 patient hours (footnote 20)
Hours of seclusion0 hours per 1,000 patient hours (footnote 20)

What CMS does not report here

CMS's current files have no values for this hospital in: infections, complications. CMS gives its reason for a missing value in the footnotes below.

CMS notes for this facility

CMS attaches footnotes to a hospital's star rating or to its measures, whether or not it reports a value. Each is CMS's own sentence, quoted once; the markers beside figures on this page link here.

  • CMS footnote 1: The number of cases/patients is too few to report. CMS attached it to measures in: deaths, readmissions, timely and effective care.
  • CMS footnote 2: Data submitted were based on a sample of cases/patients. CMS attached it to measures in: behavioral health.
  • CMS footnote 5: Results are not available for this reporting period. CMS attached it to measures in: infections, complications, readmissions, emergency department, timely and effective care.
  • CMS footnote 20: State and national averages do not include Veterans Health Administration (VHA) hospital data. CMS attached it to measures in: behavioral health.
  • CMS footnote 21: Patient survey results for Veterans Health Administration (VHA) hospitals do not represent official HCAHPS results and are not included in state and national averages. This page prints it beside the figures it describes.
  • CMS footnote 25: State and national averages include Veterans Health Administration (VHA) hospital data. CMS attached it to the state and national figures for measures in: emergency department, timely and effective care.
  • CMS footnote 26: State and national averages include Department of Defense (DoD) hospital data. CMS attached it to the state and national figures for measures in: emergency department, timely and effective care.

Other VA hospitals in Indiana

CMS's star rating for each of the other VA hospitals in Indiana, and the three years before, by name. All VA hospitals in Indiana.

Sources

Every figure on this page comes from the CMS Provider Data Catalog. Released by CMS on : Hospital General Information; Patient survey (HCAHPS) - Hospital; Patient survey (HCAHPS) - State; Patient survey (HCAHPS) - National; Veterans Health Administration Timely and Effective Care Data; Veterans Health Administration Behavioral Health Data; Timely and Effective Care - National; Timely and Effective Care - State; Footnote Crosswalk. Released by CMS on : Complications and Deaths - Hospital; Complications and Deaths - National; Unplanned Hospital Visits - Hospital; Unplanned Hospital Visits - National. Earlier star ratings come from CMS's archived hospital files, released , and . The dataset ids and how this site reads each file are on the methodology page. CMS's own page for this hospital is on Care Compare.

These ratings describe measured past performance. They are not medical advice. For questions about your own care, talk with your VA care team or the hospital's patient advocate.

Name in CMS files
VA N. INDIANA HEALTHCARE SYSTEM
Emergency department volume group (CMS)
Low
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