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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
23-00006-03
Report Description

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Royal C. Johnson Veterans’ Memorial Hospital in Sioux Falls and multiple outpatient clinics in Iowa and South Dakota. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (focusing on suicide prevention initiatives)The OIG issued one recommendation for improvement in the mental health review area regarding completing Comprehensive Suicide Risk Evaluations.

Report Type
Review
Location

Wagner, SD
United States

Aberdeen, SD
United States

Watertown, SD
United States

Sioux Falls, SD
United States

Spirit Lake, IA
United States

Dakota Dunes, SD
United States

Number of Recommendations
1
Questioned Costs
$0
Funds for Better Use
$0

Department of Veterans Affairs OIG

United States