Combined Assessment Program Review of the Edith Nourse Rogers Memorial Veterans Hospital Bedford, Massachusetts

The purpose of the review was to evaluate selected operations, focusing on patient care administration and quality management (QM). During the review, we provided fraud and integrity awareness training to 63 employees. The review covered eight operational activities. The hospital complied with selected standards in the following three activities: (1) pharmacy operations, (2) staffing, and (3) survey of healthcare experiences of patients. We identified improved colonoscopy timeliness, transitional beds for homeless veterans, and a computerized police response system as organizational strengths. We made recommendations for improvement in the following five activities: QM Program. Medication Management. Coordination of care. Environment of care. Emergency/urgent care operations.