This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Charles George VA Medical Center, which includes multiple outpatient clinics in North Carolina. 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 five recommendations for improvement in three areas:1. Quality, safety, and value• Sentinel event investigation start dates• Root cause analyses2. Medical staff privileging• Consolidation of credentialing and privileging activities• Credentialing and Privileging Manager reports directly to Chief of Staff3. Mental health• Comprehensive Suicide Risk Evaluation completion
NC
United States
