The U.S. Department of Veterans Affairs announced that VA hospitals outperformed non-VA hospitals in two major independent, nationwide reviews for patient satisfaction and care quality:

– – Patient Satisfaction Survey: VA outperformed non-VA hospitals in the most recent Centers for Medicare & Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Systems star ratings, with 79% of VA facilities receiving a summary star rating of 4 or 5 stars compared to 40% of non-VA hospitals. This represents the ninth consecutive quarter in which VA facilities have outperformed non-VA counterparts.
– – Hospital Quality Ratings: In this year’s CMS Overall Hospital Quality Star Ratings, more than 58% of VA hospitals included received 4- or 5-star ratings compared to 40% of non-VA hospitals. This is only the second year VA hospitals have been included in this review, and VA has outperformed non-VA health care in both years.

These findings come at a time when Veteran trust in VA outpatient care has reached an all-time record high of 92%, based on a survey of more than 440,000 Veterans. Additionally, these findings are consistent with a recent systematic review that found that VA health care is consistently as good as – or better than – non-VA health care.

The new quality assessment reviewed – in a report by Military.com – of U.S. hospitals by the Centers for Medicare and Medicaid Services said that despite the drop in overall scores from last year, VA Under Secretary for Health Dr. Shereef Elnahal told reporters that the ratings were “great news” for veterans and the VA employees who treat them.

This year, 35 VA hospitals earned a five-star quality rating, one more than last year, and 15 of the 35 also earned five stars on CMS’ patient survey ratings. “Veterans [are] able to see how VA hospitals are comparing to other options they may have in the civilian sector,” Elnahal said. “[If] they have Medicare or private health insurance, they can get care at both options. What this will allow is for them to compare, including — if they qualify for community care, as supported by VA — choices in the civilian sector.”

The new star ratings, which can be found on the Care Compare website, mark the second year the VA was included in the database by CMS, a federal agency within the Department of Health and Human Services. The agency gave star ratings to 109 VA facilities, with the remaining VA hospitals or medical centers not being rated, either because they don’t meet qualification thresholds or the level of metrics needed to assess them. In addition to the 35 VA hospitals that earned five stars, 27 earned four stars, 23 earned three stars, 14 earned two stars and 10 earned one star — up from nine last year but with fluctuations on the one-star list.

The facilities receiving the lowest ratings were the VA Southern Arizona Health Care System in Tucson; Bay Pines VA Health Care System and West Palm Beach VA Medical Center in Florida; Overton Brooks VA Medical Center in Shreveport, Louisiana; VA New Jersey Health Care System; Syracuse VA Medical Center and VA New York Harbor Health Care System in New York; VA Pittsburgh Health Care System; Providence VA Medical Center in Rhode Island; and VA Caribbean Health Care System in San Juan, Puerto Rico.

New to the one-star list were the VA medical centers in Tucson, New Jersey, Syracuse and New York Harbor Health Care. Those that received one star on last year’s list but have since increased their ratings include the James J. Peters VA Medical Center in The Bronx, New York; New Mexico VA Health Care System in Albuquerque; and the Memphis VA Medical Center, Tennessee, all of which are now two-star facilities.

In Southern California, VA San Diego Healthcare System received five stars, while the remainder were all three stars. In Northern California Palo Alto VA Medical Center, VA N California Healthcare System in Mather, were also rated five starts, with two others rated at three.

A one-star rating signifies that the facilities performed well below the average for specific measurements, such as death rates for patients with heart failure, surgical complications and pneumonia; readmission rates for certain ailments; hospital-acquired infections; patient satisfaction; and more.

The data for this year’s star ratings was collected between July 2019 and March 2023, according to the VA.

Among the criticisms of the rankings from advocacy groups and industry associations such as the American Association for Physician Leadership, is that they don’t take into account the socioeconomic status of patients or the surrounding community, which may not have access to routine health care and have worse health outcomes for acute and chronic conditions.