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Comprehensive Healthcare Inspection of the Columbia VA Health Care System in South Carolina

Submitting OIG: 
Department of Veterans Affairs OIG
Report Description: 
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Columbia VA Health Care System in South Carolina. This evaluation focused on five key operational areas: • Leadership and organizational risks • Quality, safety, and value • Medical staff privileging • Environment of care • Mental health (focusing on suicide prevention initiatives) The OIG issued four recommendations for improvement in two areas: 1. Environment of care • Responding to utility system disruptions • Safe and secure environment 2. Mental health • Comprehensive Suicide Risk Evaluations • Reporting suicidal behaviors
Date Issued: 
Thursday, January 25, 2024
Agency Reviewed / Investigated: 
Department of Veterans Affairs
Submitting OIG-Specific Report Number: 
23-00009-57
Location(s): 
Columbia, SC
United States
Type of Report: 
Inspection / Evaluation
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
4
Report updated under NDAA 5274: 
No
View Document: 
AttachmentSize
PDF icon vaoig-23-00009-57.pdf1.96 MB
Additional Details Link: 
https://www.vaoig.gov/sites/default/files/reports/2024-01/vaoig-23-00009-57.pdf

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
01 Open No
The Director ensures staff have written procedures for responding to utility system disruptions.
03 Open No
The Director ensures designated staff complete the Comprehensive Suicide Risk Evaluation the same calendar day, when logistically feasible and clinically appropriate, for all ambulatory care patients with a positive suicide risk screen.
04 Open No
The Director ensures clinical staff notify the suicide prevention team when patients report suicidal behaviors during the Comprehensive Suicide Risk Evaluation.
Displaying 3 of 3 Recommendations