Combined Assessment Program Review of the VA San Diego Healthcare System, San Diego, California

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 236 employees. This review focused on eight operational activities. The facility complied with selected standards in the following three activities: (1) coordination of care, (2) medication management, and (3) psychosocial rehabilitation and recovery centers. The facility’s reported accomplishments were Joint Commission recognition, a nursing award for excellence, and an improved wait time for compensation and pension examinations. OIG made recommendations for improvement in the following five activities: (1) moderate sedation, (2) QM, (3) environment of care, (4) colorectal cancer screening, and (5) polytrauma.