This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (focusing on suicide prevention initiatives)The OIG issued six recommendations for improvement in two areas:1. Environment of care• Clean and safe patient areas• Well-maintained medical center• Medication access• Temperature- and humidity-controlled storage rooms2. Mental health• Comprehensive Suicide Risk Evaluations• Notification of suicidal behaviors
WI
United States
