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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
Components
Veterans Health Administration
Report Number
23-00108-149
Report Description

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 Louis A. Johnson VA Medical Center, which includes multiple outpatient clinics in West Virginia. 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 six recommendations for improvement in three areas:1. Medical staff privileging• Professional Practice Evaluation reviews and recommendations2. Environment of care• Safe and clean patient care areas• Mental health inpatient unit: • Panic alarm testing • Maintaining a safe environment• Safe environment for mental health patients in the Emergency Department3. Mental health• Comprehensive Suicide Risk Evaluation completion

Report Type
Inspection / Evaluation
Location

WV
United States

Number of Recommendations
4
Questioned Costs
$0
Funds for Better Use
$0

Department of Veterans Affairs OIG

United States