OIG Seal
Department of Veterans Affairs, Office of Inspector General
Michael J. Missal, Inspector General

Report Summary

Title: Combined Assessment Program Review of the North Florida/South Georgia Veterans Health System, Gainesville, Florida
Report Number: 12-04190-89 Download
Issue Date: 1/17/2013
City/State: Gainesville, FL
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CAP Reviews
Release Type: Unrestricted

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 442 employees. This review focused on seven operational activities and one follow-up review area from the previous Combined Assessment Program review. The facility complied with selected standards in the following three activities: (1) environment of care, (2) medication management – controlled substances inspections, and (3) nurse staffing. The facility’s reported accomplishments were hospice and palliative care education and imaging advances. OIG made recommendations for improvement in the following five activities and the follow-up review area: (1) quality management, (2) coordination of care – hospice and palliative care, (3) long-term home oxygen therapy, (4) preventable pulmonary embolism, and (5) follow-up on environment of care issue.