Federal Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Ralph H. Johnson VA Medical Center and associated outpatient clinics in Georgia and South Carolina. 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 the following topic areas:1. Quality, safety, and value• Root cause analysis for patient safety events2. Medical staff privileging• Equivalent specialized training and similar privileges3. Environment of care• Inspection deficiency tracking• Police response times to panic alarm testing4. Mental health• Reporting of suicide-related events

We found a subcontractor falsified documentation regarding clearing production platforms, causing the lessee to provide these documents to BSEE.

This report contains information about recommendations from the OIG's audits, evaluations, reviews, and other reports that the OIG had not closed as of the specified date because it had not determined that the Department of Justice (DOJ) or a non-DOJ federal agency had fully implemented them. The list omits information that DOJ determined to be limited official use or classified, and therefore unsuitable for public release. The status of each recommendation was accurate as of the specified date and is subject to change. Specifically, a recommendation identified as not closed as of the specified date may subsequently have been closed.