This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient settings of the Lexington VA Health Care System and associated outpatient clinics in Kentucky. 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 prevention initiatives)The OIG issued 10 recommendations for improvement in four areas:1. Quality, safety, and value• Peer review improvement actions2. Medical staff privileging• Focused and Ongoing Professional Practice Evaluations3. Environment of care• Local naloxone policy• Product expiration dates• Furnishing safety and condition• Suicide risk abatement plans4. Mental health• Suicide risk screening
Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Other Participating OIGs
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Report Number
21-03308-24
Report Description
Report Type
Inspection / Evaluation
Agency Wide
Yes
Number of Recommendations
8
Questioned Costs
$0
Funds for Better Use
$0
Open Recommendations
This report has 1 open recommendations.
| Recommendation Number | Significant Recommendation | Recommended Questioned Costs | Recommended Funds for Better Use | Additional Details | |
|---|---|---|---|---|---|
| 05 | Yes | $0 | $0 | ||
| The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain that the Medical Executive Committee’s decision to recommend continuation of privileges is based on Ongoing Professional Practice Evaluation results. | |||||
