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 Northern Indiana Health Care System, Fort Wayne, Indiana
Report Number: 14-00684-132 Download
Issue Date: 4/28/2014
City/State: Ft. Wayne, IN
Marion, IN
Fort Wayne, IN
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 48 employees. This review focused on seven operational activities. The facility complied with selected standards in the following three activities: (1) medication management, (2) coordination of care, and (3) nurse staffing. OIG made recommendations for improvement in the following four activities: (1) quality management, (2) environment of care, (3) pressure ulcer prevention and management, and (4) community living center resident independence and dignity.