Combined Assessment Program Review of theWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin

The VA Office of Inspector General (OIG) conducted a review 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 70 employees. This review focused on nine operational activities. The facility complied with selected standards in the following eight activities: (1) quality management, (2) medication management, (3) coordination of care, (4) computed tomography radiation monitoring, (5) advance directives, (6) surgical complexity, (7) emergency airway management, and (8) Mental Health Residential Rehabilitation Treatment Program. The facility’s reported accomplishment was achieving American Nurses Credentialing Center Magnet recognition. OIG made a recommendation for improvement in the environment of care activity.