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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
22-03164-106
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 VA Ann Arbor Healthcare System, which includes the Lieutenant Colonel Charles S. Kettles VA Medical Center and multiple outpatient clinics in Michigan and Ohio. 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 area of review regarding ensuring providers complete the Comprehensive Suicide Risk Evaluation on the same calendar day as a patient’s positive suicide risk screen in all ambulatory care settings.

Report Type
Inspection / Evaluation
Location

MI
United States

OH
United States

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

Department of Veterans Affairs OIG

United States