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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
Report Number
22-02666-214
Report Description

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 St. Cloud VA Health Care System, which includes the St. Cloud VA Medical Center and multiple outpatient clinics in Minnesota. 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 two recommendations for improvement in two areas:1. Leadership and Organizational Risks• Institutional disclosures for sentinel events2. Mental Health• Suicide safety plans for patients with positive suicide risk screens

Report Type
Inspection / Evaluation
Location

Brainerd, MN
United States

St. Cloud, MN
United States

Alexandria, MN
United States

Montevideo, MN
United States

Number of Recommendations
2
Questioned Costs
$0
Funds for Better Use
$0

Department of Veterans Affairs OIG

United States