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 Veterans Health Care System of the Ozarks, which includes the Fayetteville VA Medical Center and multiple outpatient clinics in Arkansas, Missouri, and Oklahoma. 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 four areas:1. Leadership and Organizational Risks• Institutional disclosures for sentinel events2. Medical Staff Privileging• Service-specific criteria in Ongoing Professional Practice Evaluations3. Environment of Care• Contaminated, damaged, expired, or recalled medical supplies• Notices in treatment areas subject to photography or video recording4. Mental Health• Safety plans for patients discharged from the Emergency Department with a positive suicide risk screen
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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| Department of Veterans Affairs | Comprehensive Healthcare Inspection of the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas | Inspection / Evaluation |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Integrated Services on Health and Development Organization in Ethiopia Under Multiple Awards, January 1 to December 31, 2022 | Other |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Beza Posterity Development Organization in Ethiopia Under Multiple Awards, January 1 to December 31, 2022 | Other |
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| U.S. Agency for International Development | Performance Audit of Incurred Costs for SoCha, LLC for Fiscal Year Ended December 31, 2020 | Other |
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| U.S. International Development Finance Corporation | DFC OIG Semiannual Report to Congress April 1, 2023 - September 30, 2023 | Semiannual Report | Agency-Wide | View Report | |
| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Transcultural Psychosocial Organization in Uganda Under Multiple Awards, January 1 to December 31, 2022 | Other |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Heartland Alliance Ltd/Gte in Nigeria Under Multiple Awards, January 1 to December 31, 2022 | Other |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Ajuda de Desenvolvimento de Povo para Povo in Mozambique Under Multiple Awards, January 1 to December 31, 2022 | Other |
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| Federal Labor Relations Authority | Audit of the Federal Labor Relations Authority’s Financial Statements for Fiscal Year 2023 | Audit | Agency-Wide | View Report | |
| Federal Labor Relations Authority | AU-C 265 Management Letter | Audit | Agency-Wide | View Report | |