This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Tomah VA Medical Center in Wisconsin. 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 five recommendations for improvement in three areas:1. Medical staff privileging• Ongoing Professional Practice Evaluations2. Environment of care• Environment of care inspections• VA police response times to panic alarm testing in the inpatient mental health unit3. Mental health• Monthly outreach activities• Monthly suicide-related data reporting to local mental health and quality management leaders
Tomah, WI
United States
