JCIPatientSafety.orgHospital Quality Directory

Acute Care - Veterans Administration · Veterans Health Administration

Birmingham VA Medical Center

4 / 5

At a glance

Birmingham VA Medical Center carries a 4-star CMS overall rating — above the national norm.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.255Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2590Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.387Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.208Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.229Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4295Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.663Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.819Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.8Same as national129
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients12.3Same as national56
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.7Same as national213
Death rate for heart failure patients8.4Better than national514
Death rate for pneumonia patients13.5Same as national280
Death rate for stroke patientsNot available
Pressure ulcer rate0.16Same as national3906
Death rate among surgical inpatients with serious treatable complications157.82Same as national45
Iatrogenic pneumothorax rate0.17Same as national6779
In-hospital fall-associated fracture rate0.25Same as national7017
Postoperative hemorrhage or hematoma rate2.39Same as national1409
Postoperative acute kidney injury requiring dialysis rate1.39Same as national727
Postoperative respiratory failure rate5.74Same as national827
Perioperative pulmonary embolism or deep vein thrombosis rate3.06Same as national1387
Postoperative sepsis rate6.33Same as national795
Postoperative wound dehiscence rate1.94Same as national229
Abdominopelvic accidental puncture or laceration rate1.08Same as national1107
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients15.2Not available64
Hospital return days for heart failure patients-17.7Not available660
Hospital return days for pneumonia patients6.2Not available298
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national2650
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national64
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national235
Heart failure (HF) 30-Day Readmission Rate19.4Same as national660
Rate of readmission after hip/knee replacement4.8Same as national121
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national298

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4703
Doctor communication - star rating4703
Communication about medicines - star rating4703
Discharge information - star rating4703
Cleanliness - star rating3703
Quietness - star rating4703
Overall hospital rating - star rating4703
Recommend hospital - star rating4703
Summary star rating4703

Frequently asked questions

How is Birmingham VA Medical Center rated?
Birmingham VA Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Birmingham VA Medical Center have emergency services?
Yes. Birmingham VA Medical Center operates a 24/7 emergency department.
Where is Birmingham VA Medical Center located?
Birmingham VA Medical Center is located at 700 South 19th Street, Birmingham, AL 35233.
What type of hospital is Birmingham VA Medical Center?
Birmingham VA Medical Center is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

Report an issue with this page