Comprehensive Healthcare Inspection of the White River Junction VA Medical Center in Vermont

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the White River Junction VA Medical Center and associated outpatient clinics in New Hampshire and Vermont. 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 five recommendations for improvement in three areas:1. Quality, safety, and value• Patient safety analyses2. Medical staff privileging• Focused Professional Practice Evaluations• Ongoing Professional Practice Evaluations3. Mental health• Suicide-related event reporting• Comprehensive Suicide Risk Evaluation completion