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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
22-00238-213
Report Description

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Michael E. DeBakey VA Medical Center in Houston and multiple outpatient clinics in Texas. 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 suicide prevention initiatives)The OIG issued three recommendations for improvement in three areas:1. Leadership and Organizational Risks• Institutional disclosures for sentinel events2. Medical Staff Privileging• Ongoing Professional Practice Evaluations by providers with equivalent training and similar privileges3. Environment of Care• Furnishings and equipment safe and in good repair

Report Type
Review
Location

Katy, TX
United States

Conroe, TX
United States

Humble, TX
United States

Lufkin, TX
United States

Houston, TX
United States

Tomball, TX
United States

Beaumont, TX
United States

Richmond, TX
United States

Galveston, TX
United States

Sugar Land, TX
United States

Texas City, TX
United States

Lake Jackson, TX
United States

Number of Recommendations
3
Questioned Costs
$0
Funds for Better Use
$0

Department of Veterans Affairs OIG

United States