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Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Other Participating OIGs
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
22-03166-88
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 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

Report Type
Inspection / Evaluation
Location

MI
United States

Number of Recommendations
2
Questioned Costs
$0
Funds for Better Use
$0

Department of Veterans Affairs OIG

United States