New problems have emerged at the troubled VA Medical Center in Marion, Illinois. This has prompted Veterans Affairs Secretary Eric Shinseki to order a “top-to-bottom” review of the facility. Senator Durbin and other Illinois lawmakers met with the VA secretary after a report this week found ongoing problems at the facility, where nine patients died in surgery in six months ending in March 2007. This is a mortality level more than four times the expected rate. Durbin blamed the nine deaths on “medical malpractice” and called the newly disclosed problems “appalling” and “inexcusable.” The Marion VA’s interim director has been replaced and more personnel changes are scheduled. The new report identified problems in four areas: quality management; physician credentialing and privileging; medication management and environment of care. The final problem area relates to infection control standards and cleanliness of the hospital. The 30-page report identified that two physicians performed procedures for which they lacked privileges. Additionally there was a failure to screen deaths within 30 days of surgical procedure. To read more about the failing hospital, please click the link.