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

Report Summary

Title: Combined Assessment Program Summary Report – Evaluation of Quality Management in Veterans Health Administration Facilities Fiscal Year 2013
Report Number: 13-00054-148 Download
Issue Date: 5/12/2014
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CAP Reviews
Release Type: Unrestricted

The purposes of the review were to determine whether Veterans Health Administration facilities had comprehensive, effective quality management programs designed to monitor patient care activities and coordinate improvement efforts and whether facility senior managers actively supported quality management efforts and appropriately responded to quality management results. OIG performed this review at 58 Veterans Health Administration medical facilities during Combined Assessment Program reviews performed across the country from October 1, 2012, through September 30, 2013. All 58 facilities had established QM programs and performed ongoing reviews and analyses of mandatory areas. OIG identified opportunities for improvement in the areas of peer review, utilization management, electronic health record scanning, review of resuscitation events, and blood usage review.