Combined Assessment Program Review of the VA Black Hills Health Care System, Fort Meade, South Dakota

The purpose of the review was to evaluate selected operations, focusing on patient care administration and quality management (QM). During the review, OIG provided crime awareness briefings to 101 employees. This review focused on seven operational activities. The facility complied with selected standards in the medication management activity. The facility’s reported accomplishment was the establishment of multiple community partnerships to meet the needs of homeless veterans. OIG made recommendations for improvement in the following six activities: (1) QM, (2) environment of care, (3) colorectal cancer screening, (4) coordination of care, (5) polytrauma, and (6) moderate sedation.