Submitting OIG:
Report Description:
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Central Arkansas Veterans Healthcare System, which includes the John L. McClellan Memorial Veterans’ Hospital (Little Rock), Eugene J. Towbin Healthcare Center (North Little Rock), and multiple outpatient clinics in Arkansas. This evaluation focused on five key operational areas:
• Leadership and organizational risks
• Quality, safety, and value
• Medical staff privileging
• Environment of care
• Mental health (emergency department and urgent care center suicide prevention initiatives)
The OIG issued five recommendations for improvement in three areas:
1. Quality, Safety, and Value
• Root cause analysis
2. Medical Staff Privileging
• Defined time frames for Focused Professional Practice Evaluations
3. Mental Health
• Comprehensive Suicide Risk Evaluations
• Suicide safety plans
• Follow-up for patients at risk for suicide
Date Issued:
Friday, September 29, 2023
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
22-00076-222
Location(s):
Little Rock, AR
United StatesConway, AR
United StatesEl Dorado, AR
United StatesNorth Little Rock, AR
United StatesHot Springs, AR
United StatesMena, AR
United StatesMountain Home, AR
United StatesPine Bluff, AR
United StatesRussellville, AR
United StatesSearcy, AR
United StatesType of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
5
Report updated under NDAA 5274:
No
View Document:
Attachment | Size |
---|---|
VAOIG-22-00076-222.pdf | 3.7 MB |
Additional Details Link: