Combined Assessment Program Review of the West Texas VA Health Care System, Big Spring, Texas

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 63 employees. This review focused on seven operational activities. The facility complied with selected standards in the following two activities (1) coordination of care and (2) management of workplace violence. OIG made recommendations for improvement in the following five activities: (1) QM, (2) enteral nutrition safety, (3) environment of care, (4) physician credentialing and privileging, and (5) registered nurse competencies.