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 Kansas City VA Medical Center, which includes multiple outpatient clinics in Kansas and Missouri. 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. Leadership and organizational risks• Institutional disclosures for sentinel events2. Environment of care• Environment of care inspections• Electrical receptacles covered with metal plates in the Inpatient Mental Health Unit3. Mental health• Comprehensive Suicide Risk Evaluation completion• Suicide behaviors reported to suicide prevention team
Kansas City, MO
United States
