Combined Assessment Program Review of the Miami VA Healthcare System Miami, Florida

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 312 system employees. The review covered seven operational activities. The system complied with selected standards in pharmacy operations and patient satisfaction. For discharge instructions, the system took corrective action while we were onsite; therefore, we made no recommendations for this activity. We identified two activities as organizational strengths, electronic medical record business rules and prosthetic modular foot design and development. We made recommendations for improvement in the following activities: QM – Improve the coordination of system-wide performance improvement activities and evaluate and disclose adverse events in accordance with Veterans Health Administration policy. Environment of Care– Require nursing staff to increase patient monitoring on the locked mental health unit and assure the security of confidential patient information.