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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
22-00048-120
Report Description

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the VA Loma Linda Healthcare System, which includes the Jerry L. Pettis Memorial Veterans’ Hospital and multiple outpatient clinics in California. 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 five recommendations for improvement in three areas:1. Leadership and organizational risks• Sentinel events and institutional disclosures2. Quality, safety, and value• Adverse events3. Medical staff privileging• Focused Professional Practice Evaluation processes• Reprivileging reviews

Report Type
Review
Location

Blythe, CA
United States

Corona, CA
United States

Murrieta, CA
United States

Redlands, CA
United States

Loma Linda, CA
United States

Palm Desert, CA
United States

Victorville, CA
United States

Rancho Cucamonga, CA
United States

Number of Recommendations
3
Questioned Costs
$0
Funds for Better Use
$0

Department of Veterans Affairs OIG

United States