Combined Assessment Program Review of the VA Ann Arbor Healthcare System, Ann Arbor, Michigan

The VA Office of Inspector General (OIG) conducted a review to evaluate selected health care facility operations, focusing on patient care quality and the environment of care. During the review, OIG provided crime awareness briefings to 120 employees. This review focused on eight operational activities. The facility complied with selected standards in the environment of care activity. The facility’s reported accomplishments were the Planetree model of patient care and veteran-centered care principles and receipt of the VA National Center for Patient Safety Gold Cornerstone Award. OIG made recommendations for improvement in the following seven activities: (1) quality management, (2), medication management (3) coordination of care, (4) magnetic resonance imaging safety, (5) acute ischemic stroke care, (6) surgical complexity, and (7) emergency airway management.