Comprehensive Healthcare Inspection of the Jesse Brown VA Medical Center in Chicago, Illinois

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 Jesse Brown VA Medical Center, which includes multiple outpatient clinics in Illinois and Indiana. 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 eight recommendations for improvement in three areas:1. Quality, safety, and value• Peer review committee improvement actions 2. Environment of care• Environment of care inspections• Medical equipment maintenance per manufacturers’ recommendations• Medication access by approved individuals using the pneumatic tube system• Clean and orderly patient areas• Mental health inpatient unit: • Over-the-door alarm testing • Sally port entrance 3. Mental health• Comprehensive Suicide Risk Evaluation completion