Report Summary

The VA Office of Inspector General (OIG) conducted a review 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 187 employees. This review focused on seven operational activities and a follow-up review area from the previous Combined Assessment Program review. The facility complied with selected standards in the computed tomography radiation monitoring activity. The facility’s reported accomplishments were the Food Pantry Program and a partnership with the Social Security Administration. OIG made recommendations for improvement in the following seven activities, which includes the follow-up review area: (1) quality, safety, and value; (2) environment of care; (3) medication management; (4) coordination of care; (5) advance directives; (6) suicide prevention program; and (7) follow-up on quality management.