Submitting OIG:
Report Description:
This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the VA Loma Linda Healthcare System, which includes the Jerry L. Pettis Memorial Veterans’ Hospital and multiple outpatient clinics in California. 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. Leadership and organizational risks
• Sentinel events and institutional disclosures
2. Quality, safety, and value
• Adverse events
3. Medical staff privileging
• Focused Professional Practice Evaluation processes
• Reprivileging reviews
Date Issued:
Wednesday, May 24, 2023
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
22-00048-120
Component, if applicable:
Veterans Health Administration
Location(s):
Loma Linda, CA
United StatesBlythe, CA
United StatesCorona, CA
United StatesRedlands, CA
United StatesMurrieta, CA
United StatesPalm Desert, CA
United StatesRancho Cucamonga, CA
United StatesVictorville, CA
United StatesType of Report:
Review
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
5
View Document:
Attachment | Size |
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![]() | 3.74 MB |
Additional Details Link: