Federal Reports

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 VA Pacific Islands Health Care System, which includes the Spark M. Matsunaga VA Medical Center in Honolulu and outpatient clinics in Hawaii, Lanai, Maui, Molokai, American Samoa, Guam, and Saipan (Commonwealth of the Northern Mariana Islands).This evaluation focused on four key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of careThe OIG issued four recommendations for improvement in two areas:1. Medical Staff Privileging• Ongoing Professional Practice Evaluations o Equivalent specialized training and similar privileges o Service-specific criteria o Continuation of privileges based on results2. Environment of Care• Inpatient mental health unit environmental safety requirements

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network (VISN) 4: VA Healthcare in Pittsburgh, Pennsylvania.This evaluation focused on five key areas of clinical and administrative operations:• Leadership and organizational risks• Quality, safety, and value• Medical staff credentialing and privileging• Environment of care• Mental health (focusing on suicide prevention)The OIG issued two recommendations for improvement in two areas:• Medical Staff Credentialing and Privileging o Credentials files review and appointment recommendations for physicians with a history of licensure action• Environment of Care o Annual Comprehensive Environment of Care compliance report submission to the Environment of Care Committee

Interim Report: Audit of the Effectsthe Main Street Lending Program’sLoan Losses Have on Treasury’sInvestment in the Program