Comprehensive Healthcare Inspection of the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, Pennsylvania

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Corporal Michael J. Crescenz VA Medical Center and associated outpatient clinics in Pennsylvania and New Jersey. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (emergency department and urgent care center suicide prevention initiatives)The OIG issued nine recommendations for improvement in three areas:1. Quality, Safety, and Value• Root cause analysis for patient safety events with a safety assessment code score of 32. Medical Staff Privileging• Ongoing Professional Practice Evaluationso Service-specific criteriao Reprivileging based on datao Results reviewed and documented by Medical Executive Board when making reprivileging recommendations• Focused Professional Practice Evaluation results reported to the Medical Executive Board3. Environment of Care• Inspections at the required frequency• Clean and safe environment• Safe environment in the inpatient mental health unit• Access to medication and supply rooms