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 Pittsburgh Healthcare System, which includes the H. John Heinz III and Pittsburgh VA Medical Centers, one outpatient clinic in Ohio, and multiple outpatient clinics in Pennsylvania. 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 did not issue recommendations for improvement related to the areas reviewed for this report.
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