Combined Assessment Program Review of the Fargo VA Health Care System, Fargo, North Dakota

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. This review focused on seven operational activities. The facility complied with selected standards in the following three activities: (1) quality, safety, and value; (2) environment of care; and (3) computed tomography radiation monitoring. The facility’s reported accomplishments were the implementation of the GetWell Network and a transformative nursing initiative incorporating a holistic nursing scope of practice. OIG made recommendations for improvement in the following four activities: (1) medication management; (2) coordination of care; (3) advance directives; and (4) suicide prevention program.