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 St. Cloud VA Health Care System, which includes the St. Cloud VA Medical Center and multiple outpatient clinics in Minnesota. 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 two recommendations for improvement in two areas:
1. Leadership and Organizational Risks
• Institutional disclosures for sentinel events
2. Mental Health
• Suicide safety plans for patients with positive suicide risk screens
Date Issued:
Tuesday, September 19, 2023
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
22-02666-214
Location(s):
St. Cloud, MN
United StatesBrainerd, MN
United StatesAlexandria, MN
United StatesMontevideo, MN
United StatesType of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
2
Report updated under NDAA 5274:
No
View Document:
Attachment | Size |
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![]() | 1.93 MB |
Additional Details Link: