This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Miami VA Healthcare System, which includes the Bruce W. Carter VA Medical Center and multiple outpatient clinics in Florida.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 two recommendations for improvement in two areas:1. Quality, safety, and value• Peer reviews for unanticipated deaths within 24 hours of admission2. Medical staff privileging• Completion of Ongoing Professional Practice Evaluations for licensed independent practitioners
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
23-00007-45
Report Description
Report Type
Review
Agency Wide
Yes
Number of Recommendations
0
Questioned Costs
$0
Funds for Better Use
$0
