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Comprehensive Healthcare Inspection of Veterans Integrated Service Network 9: VA MidSouth Healthcare Network in Nashville, Tennessee

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 leadership performance and oversight by Veterans Integrated Service Network 9: VA MidSouth Healthcare Network in Nashville, Tennessee. This evaluation focused on five key areas of clinical and administrative operations: • Leadership and organizational risks • Quality, safety, and value • Medical staff credentialing and privileging • Environment of care • Mental health (focusing on suicide prevention) The OIG issued three recommendations for improvement in the environment of care area: • Comprehensive Environment of Care compliance report • Comprehensive Environment of Care Compliance and Assessment Tool data • Emergency Management Committee’s annual review of the Veterans Integrated Service Network-wide strengths, weaknesses, priorities, and requirements for improvement
Date Issued: 
Wednesday, April 19, 2023
Agency Reviewed / Investigated: 
Department of Veterans Affairs
Submitting OIG-Specific Report Number: 
21-03313-96
Component, if applicable: 
Veterans Health Administration
Location(s): 
Nashville, TN
United States
Type of Report: 
Inspection / Evaluation
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
3
View Document: 
AttachmentSize
PDF icon Final-Report-VAOIG-21-03313-96.pdf1.89 MB
Additional Details Link: 
https://www.va.gov/oig/pubs/VAOIG-21-03313-96.pdf

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
01 Open No
The Network Director evaluates and determines additional reasons for noncompliance and submits a Comprehensive Environment of Care compliance report to the Environment of Care Committee annually.
02 Open No
The Network Director evaluates and determines additional reasons for noncompliance and makes certain the Environment of Care Committee reviews Comprehensive Environment of Care Compliance and Assessment Tool data at least quarterly.
03 Open No
The Network Director evaluates and determines any additional reasons for noncompliance and ensures the Emergency Management Committee conducts an annual review of the Veterans Integrated Service Network-wide strengths, weaknesses, priorities, and requirements for improvement, and documents it in writing.
Displaying 3 of 3 Recommendations