This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the W.G. (Bill) Hefner VA Medical Center in Salisbury, North Carolina.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 four recommendations for improvement in the mental health area of review:• Comprehensive Suicide Risk Evaluationo Completion following positive suicide screeno Suicide prevention team notified of suicidal or self-directed violent behaviors in previous 12 months• Full-time suicide prevention coordinator appointed for community-based outpatient clinics that serve 10,000 veterans annually• Suicide-related events reported monthly to mental health leaders and quality management staff
Salisbury, NC
United States
