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

Report Summary

Title: Combined Assessment Program Review of the Southern Arizona VA Health Care System, Tucson, Arizona
Report Number: 14-00305-123 Download
Issue Date: 4/14/2014
City/State: Tucson, AZ
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 299 employees. This review focused on seven operational activities. The facility’s reported accomplishment was outpatient phlebotomy wait times. OIG made recommendations for improvement in all seven of the following activities: (1) quality management, (2) environment of care, (3) medication management, (4) coordination of care, (5) nurse staffing, (6) pressure ulcer prevention and management, and (7) community living center resident independence and dignity.