Combined Assessment Program Review of the West Texas VA Health Care System, Big Spring, Texas

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 117 employees. The review covered eight operational activities. The system complied with selected standards in the following three activities: (1) coordination of care, (2) staffing, and (3) survey of healthcare experiences of patients. We made recommendations for improvement in the following five activities: (1) QM, (2) medication management, (3) environment of care, (4) pharmacy operations and controlled substances inspections, and (5) emergency/urgent care operations.