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, we provided fraud and integrity awareness training to 88 employees. The review covered eight operational activities. The system complied with selected standards in the following two activities (1) staffing and (2) survey of healthcare experiences of patients. We identified the telepharmacy program and QM program redesign as organizational strengths. We made recommendations for improvement in the QM program, environment of care, coordination of care, pharmacy operations, medication management, and emergency/urgent care operations.