Combined Assessment Program Review of the VA Sierra Nevada Health Care System Reno, Nevada

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 71 employees. This review focused on seven operational activities. The system complied with selected standards in magnetic resonance imaging safety. We identified the discharge call program and provider dashboard as organizational strengths. We made recommendations for improvements in the following six activities: QM. Physician credentialing and privileging. Coordination of care. Environment of care. Medication management. Contracted/agency registered nurses.