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 outpatient settings of the Aleda E. Lutz VA Medical Center, which includes multiple outpatient clinics in Michigan. 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. Quality, safety, and value• Root cause analyses2. Medical staff privileging• Ongoing Professional Practice Evaluation data• Equivalent specialized training and similar privileges3. Mental health• Comprehensive Suicide Risk Evaluation completion
MI
United States