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
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Veterans Affairs | Comprehensive Healthcare Inspection of the White River Junction VA Medical Center in Vermont | Inspection / Evaluation |
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Federal Communications Commission | FY19 and FY20 Performance Audit of Universal Service Fund (USF), Rural Healthcare (RHC), Telecommunication Program at Mt. Rogers Community Services | Audit |
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Federal Communications Commission | FY19 and FY20 Performance Audit of Universal Service Fund (USF), Rural Healthcare (RHC), Telecommunication Program at New River Valley Community Services (NRVCS) | Audit |
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U.S. Agency for International Development | Audit of the Schedule of Expenditures of USAID Award Managed by Ein Dor Museum Under Cooperative Agreement 72029418CA00003, Youth United Against Racism Program in West Bank and Gaza, January 1 to December 31, 2022 | Other |
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Department of Justice | Audit of the Federal Bureau of Investigation’s Information Security Management Program Pursuant to the Federal Information Security Modernization Act of 2014, Fiscal Year 2023 | Audit | Agency-Wide | View Report | |
U.S. Agency for International Development | Audit of the Schedule of Expenditures of USAID Award Managed by Hand in Hand: Center for Jewish - Arab Education in Israel Under Cooperative Agreement 72029418CA00005, Mainstreaming Shared Society in West Bank and Gaza, January 1 to December 31, 2022 | Other |
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U.S. Agency for International Development | Financial Audit of the Education and Coexistence Project in El Salvador Managed by Fundacin Empresarial Para El Desarrollo Educativo (FEPADE), Cooperative Agreement No. 72051918CA00003, January 1 to December 31, 2022 | Other |
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U.S. Agency for International Development | Performance Audit of Blumont Engineering Solutions, Inc. of Incurred Costs Claimed for the Fiscal Years Ended December 31, 2020 and 2018 | Other |
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U.S. Postal Service | Contract Trucking Safety and Compliance | Audit | Agency-Wide | View Report | |
Environmental Protection Agency | Perspectives on Capacity: Managing Drinking Water State Revolving Fund Infrastructure Investment and Jobs Act Funding | Inspection / Evaluation | Agency-Wide | View Report | |