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

Report Summary

Title: Combined Assessment Program Review of the VA Salt Lake City Health Care System, Salt Lake City, Utah
Report Number: 13-03655-84 Download
Issue Date: 2/25/2014
City/State: Salt Lake City, UT
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 543 employees. This review focused on six operational activities. The facility’s reported accomplishments were transitional housing for homeless veterans, a nurse residency program, and health care equity leader status. OIG made recommendations for improvement in all six of the following activities: (1) quality management, (2) environment of care, (3) medication management, (4) coordination of care, (5) nurse staffing, and (6) pressure ulcer prevention and management.