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 Northern Arizona VA Health Care System, which includes the Bob Stump VA Medical Center in Prescott and multiple outpatient clinics in Arizona. 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 six recommendations for improvement in two areas:1. Medical staff privileging• Focused and Ongoing Professional Practice Evaluation processes2. Environment of care• Damaged or compromised sterile supplies• Safe and clean environment and clinical areas in good repair• Notices in areas subject to photography or video recording
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