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 Phoenix VA Health Care System, which includes the Carl T. Hayden VA Medical Center and multiple outpatient clinics in Arizona. 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 six recommendations for improvement in four areas:1. Leadership and organizational risks• Institutional disclosures2. Quality, safety, and value• Peer review committee recommendations for improvement actions• Review of peer review committee’s summary analysis3. Medical staff privileging• Professional practice evaluations4. Environment of care• Inspections• Video recording
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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| Department of Veterans Affairs | Comprehensive Healthcare Inspection of the Phoenix VA Health Care System in Arizona | Inspection / Evaluation |
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| Department of Justice | Recommendations Issued by the Office of the Inspector General that were Not Closed as of May 31, 2023 | Other | Agency-Wide | View Report | |
| U.S. Postal Service | Flats Cost Coverage | Audit | Agency-Wide | View Report | |
| Department of Health & Human Services | Part D Plans Generally Include Drugs Commonly Used Dual-Eligible Enrollees: 2023 | Inspection / Evaluation | Agency-Wide | View Report | |
| Environmental Protection Agency | Report: EPA's 2018 BEACH Act Report to Congress Does Not Fully Meet Statutory Requirements | Inspection / Evaluation | Agency-Wide | View Report | |
| Department of Justice | Audit of the Office of Justice Programs Victim Assistance Funds Subawarded by the Georgia Criminal Justice Coordinating Council to Women Moving On, Inc., Decatur, Georgia | Audit |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Deutsche Welthungerhilfe e. V. in Multiple Countries under Multiple Awards for the Year Ended December 31, 2019 | Other |
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| Department of Justice | Audit of the Office of Justice Programs Victim Compensation Grants Awarded to the Office of Kansas Attorney General, Topeka, Kansas | Audit |
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| Department of the Interior | U.S. Fish and Wildlife Service Grants Awarded to the State of New Hampshire, Fish and Game Department, From July 1, 2018, Through June 30, 2020, Under the Wildlife and Sport Fish Restoration Program | Audit |
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| Department of State | Inspection of the Bureau of Information Resource Management’s Mobile and Remote Access Division | Inspection / Evaluation | Agency-Wide | View Report | |