Combined Assessment Program Review of the VA Maryland Health Care System Baltimore, Maryland

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 601 employees. The review covered eight operational activities and one follow-up review area from the previous CAP review. The system complied with selected standards in the following four activities: (1) contracted/agency registered nurses, (2) medication management, (3) patient satisfaction, and (4) suicide prevention. We identified pressure ulcer/wound care management as an organizational strength. We made recommendations for improvement in the following four activities and follow-up review area: QM. Emergency/urgent care operations. Environment of care. Coordination of care. Breast cancer management.