Combined Assessment Program Review of the Bay Pines VA Healthcare System, Bay Pines, Florida

The purpose of the review was to evaluate selected operations, focusing on patient care administration and quality management (QM). During the review, OIG provided crime awareness briefings to 212 employees. This review focused on eleven operational activities. The facility complied with selected standards in the following four activities: (1) colorectal cancer screening, (2) coordination of care, (3) medication management, and (4) point-of-care testing. The facility’s reported accomplishments were computerized resuscitative event documentation, time out initiatives, and a reduction in the facility’s carbon footprint. OIG made recommendations for improvement in the following seven activities: (1) environment of care, (2) moderate sedation, (3) mental health treatment continuity, (4) polytrauma, (5) QM, (6) nurse staffing, and (7) follow-up on respirator fit testing.