Report Summary

Title: Combined Assessment Program Review of the Tennessee Valley Healthcare System, Nashville, Tennessee
Report Number: 12-02185-288
Issue Date: 9/27/2012
City/State: Nashville, TN
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 operations, focusing on patient care administration and quality management (QM). During the review, OIG provided crime awareness briefings to 159 employees. This review focused on 10 operational activities. The facility complied with selected standards in the following five activities: (1) colorectal cancer screening, (2) coordination of care,
(3) medication management, (4) mental health treatment continuity, and (5) polytrauma. The facility’s reported accomplishment was recognition through two U.S. Department of Health and Human Services awards for improvements in infection rates in the medical intensive care unit at the Nashville campus. OIG made recommendations for improvement in the following five activities: (1) environment of care, (2) moderate sedation, (3) QM, (4) point-of-care testing, and (5) nurse staffing.