his Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Veterans Integrated Service Network 22: VA Desert Pacific Healthcare Network in Long Beach, California. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff credentialing and privileging• Environment of care• Mental health (suicide prevention) The OIG issued two recommendations for improvement in the following topic areas:1. Quality, safety, and value• Peer review summary data2. Medical staff credentialing and privileging• Credentials files and appointment process for physicians with potentially disqualifying licensure actions
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