Combined Assessment Program Review of the VA Central Iowa Health Care System, Des Moines, Iowa

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 48 employees. This review focused on eight operational activities. The facility complied with selected standards in the following two activities (1) enteral nutrition safety and (2) medication management. The facility’s reported accomplishment was increased hiring of veterans and employees with disabilities. OIG made recommendations for improvement in the following six activities: (1) QM, (2) physician credentialing and privileging, (3) registered nurse competencies, (4) management of workplace violence, (5) environment of care, and (6) coordination of care.