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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
23-00106-94
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 Central Alabama Veterans Health Care System, which includes the Central Alabama VA Medical Center-Montgomery, Central Alabama VA Medical Center-Tuskegee, and multiple outpatient clinics in Alabama and Georgia. 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 two recommendations for improvement in the mental health area of review:• Comprehensive Suicide Risk Evaluation completion• Suicide-related event reporting

Report Type
Inspection / Evaluation
Location

Montgomery, AL
United States

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

Open Recommendations

This report has 3 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
01 Yes $0 $0

The Chief of Staff ensures providers complete the Comprehensive Suicide Risk Evaluation following a patient’s positive suicide risk screen.

02 Yes $0 $0

The Chief of Staff ensures the Suicide Prevention Coordinator reports suicide related events monthly to mental health leaders and quality management staff.

01 Yes $0 $0

The Chief of Staff ensures providers complete the Comprehensive Suicide Risk Evaluation following a patient’s positive suicide risk screen.

Department of Veterans Affairs OIG

United States