This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the outpatient settings of the Aleda E. Lutz VA Medical Center, which includes multiple outpatient clinics in Michigan. 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 three areas:1. Quality, safety, and value• Root cause analyses2. Medical staff privileging• Ongoing Professional Practice Evaluation data• Equivalent specialized training and similar privileges3. Mental health• Comprehensive Suicide Risk Evaluation completion
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Veterans Affairs | Comprehensive Healthcare Inspection of the Aleda E. Lutz VA Medical Center in Saginaw, Michigan | Inspection / Evaluation |
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Government Publishing Office | Investigative Summary: Facebook Scam Investigation | Investigation | Agency-Wide | View Report | |
U.S. Agency for International Development | Financial Audit of the Sustainable HIV Knowledge Management Project in Nicaragua, Managed by Centro Para la Educacin y Prevencin del SIDA, Cooperative Agreement 72052419CA00001, January 1 to December 31, 2022 | Other |
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U.S. Agency for International Development | Close-out Examination of Hapoel Katamon's Compliance with the Terms and Conditions of Fixed Amount Award 72029420FA00001, Katamon Striking for Equality in Jerusalem Program in West Bank and Gaza, January 1 to December 29, 2022 | Other |
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U.S. Agency for International Development | Financial Audit of Project Inclusion Program in Vietnam Managed by Center for Creative Initiatives in Health and Population, Cooperative Agreement 72044020CA00004, January 1 to December 31, 2022 | Other |
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U.S. Agency for International Development | Operation Enduring Sentinel Lead Inspector General Quarterly Report to Congress October 1, 2023-December 31, 2023 | Other | Agency-Wide | View Report | |
Committee for Purchase From People Who Are Blind or Severely Disabled (AbilityOne Program) | FY24 Audit of the U.S. AbilityOne Commission’s Information Security Program | Other | Agency-Wide | View Report | |
Department of Justice | Audit of the Federal Bureau of Investigation’s Pocatello Data Center Pursuant to the Federal Information Security Modernization Act of 2014, Fiscal Year 2023 | Audit | Agency-Wide | View Report | |
Department of Justice | Audit of the Federal Bureau of Investigation’s National Data Exchange and Javelin Systems Pursuant to the Federal Information Security Modernization Act of 2014, Fiscal Year 2023 | Audit | Agency-Wide | View Report | |
National Aeronautics and Space Administration | Audit of the Mars Sample Return Program | Audit | Agency-Wide | View Report | |