| Text of Recommendation | The Director evaluates and determines the reasons for noncompliance and makes certain that leaders accurately identify and report adverse events as sentinel events when criteria are met. |
|---|---|
| Recommendation Number | 01 |
| Recommendation Status | Closed |
| Significant Recommendation | No |
| Recommendation Questioned Costs | $0 |
| Recommendation Funds for Better Use | $0 |
| Submitting OIG | |
|---|---|
| Report Title | Comprehensive Healthcare Inspection of the VA Western New York Healthcare System in Buffalo |
| Report Submitting OIG-Specific Report Number | 21-00290-116 |
| Report Date Issued | Wednesday, April 6, 2022 |
| Report Agency Reviewed / Investigated | |
| Report Questioned Costs | $0 |
| Report Funds for Better Use | $0 |