Report Summary

Title: Combined Assessment Program Review of the VA Southern Nevada Healthcare System, Las Vegas, Nevada
Report Number: 13-00888-203
Issue Date: 5/30/2013
City/State: Las Vegas, NV
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CAP Reviews
Release Type: Unrestricted
Summary: The purpose of the review was to evaluate selected health care facility operations, focusing on patient care quality and the environment of care. During the review, OIG provided crime awareness briefings to 230 employees. This review focused on seven operational activities. The facility complied with selected standards in the following two activities (1) environment of care and (2) long-term home oxygen therapy. The facility’s reported accomplishments were the new facility and clinic activation, the secure messaging program, and patient-centered care initiatives at the new facility. OIG made recommendations for improvement in the following five activities: (1) quality management, (2) medication management – controlled substances inspections, (3) coordination of care – hospice and palliative care, (4) nurse staffing, and (5) preventable pulmonary embolism.