Healthcare Inspection Re-Evaluation of the Quality Management Program at the Marion VA Medical Center Marion, Illinois

The purposes of the evaluation were to determine whether the facility had a comprehensive, effective quality management (QM) program designed to monitor patient care activities and whether the facility was in compliance with selected components of provider credentialing and privileging (C&P). We found that current senior leaders have implemented and supported a comprehensive QM program and that the selected C&P processes reviewed were in current compliance. The results of this re-evaluation indicated substantial improvement in the QM and selected C&P areas cited for noncompliance in evaluations conducted by the Office of Inspector General in 2008 and 2009. The Veterans Integrated Service Network 15 Director concurred with our conclusions. We made no recommendations.