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 Eastern Kansas Health Care System, which includes the Colmery-O’Neil VA Medical Center (Topeka), Dwight D. Eisenhower VA Medical Center (Leavenworth), and multiple outpatient clinics in Kansas and Missouri. 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 three recommendations for improvement in the Environment of Care area of review:
• Walls in good repair
• Panic and over-the-door alarm testing in the inpatient mental health unit
Date Issued:
Thursday, April 25, 2024
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
23-00102-150
Location(s):
Topeka, KS
United StatesType of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
3
Report updated under NDAA 5274:
No
View Document:
| Attachment | Size |
|---|---|
 vaoig-23-00102-150.pdf | 2.06 MB |
Additional Details Link: