Submitting OIG:
Report Description:
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Black Hills Health Care System, which includes the Fort Meade and Hot Springs VA Medical Centers and multiple outpatient clinics in Nebraska, North Dakota, South Dakota, and Wyoming. This evaluation focused on five key operational areas:
• Leadership and organizational risks
• Quality, safety, and value
• Medical staff privileging
• Environment of care
• Mental health (suicide prevention initiatives)
The OIG issued four recommendations for improvement in three areas:
1. Medical staff privileging
• Completion of Ongoing Professional Practice Evaluations
• Review of Ongoing Professional Practice Evaluation data and documents
2. Environment of care
• Completion of environment of care inspections
3. Mental health
• Completion of Comprehensive Suicide Risk Evaluations
Date Issued:
Tuesday, March 26, 2024
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
23-00097-113
Component, if applicable:
Veterans Health Administration
Location(s):
NE
United StatesND
United StatesSD
United StatesWY
United StatesType of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
4
Report updated under NDAA 5274:
No
View Document:
Attachment | Size |
---|---|
vaoig-23-00097-113.pdf | 1.58 MB |
Additional Details Link: