A health care system in the Hudson Valley has been ranked as one of the best in the entire country.

The Department of Veterans Affairs Hudson Valley Health Care System, in Montrose, earned a five-star rating for quality of care, rating 11th out of 128 VA medical centers across the country, according to a recent internal report.

The rating comes from of the latest quarterly Strategic Analytics for Improvement and Learning Value Model report created by the VA’s Office of Informatics and Analytics.

Only 10% percent of VA medical centers receive a five-star rating, which is updated quarterly.

“This five-star rating verifies what we’ve known all along; that VA Hudson Valley has excellent access and our quality of care is top-notch,” VA Hudson Valley Director Meg Caplan said in a statement. “While we still have more work to do for our Veterans in the Hudson Valley, we’re delighted to see this kind of acknowledgment from our Central Office. I’m proud of what employees, volunteers and everyone who contributes to our mission have done to make this possible.”

VA Hudson Valley is the only hospital in its regional network to receive a five-star honor this quarter. In the most recent quarter the VA Hudson Valley received a 4-star rating.

The last time VA Hudson Valley held the five-star distinction was October through December 2014.

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