This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (focusing on suicide prevention initiatives)The OIG issued six recommendations for improvement in two areas:1. Environment of care• Clean and safe patient areas• Well-maintained medical center• Medication access• Temperature- and humidity-controlled storage rooms2. Mental health• Comprehensive Suicide Risk Evaluations• Notification of suicidal behaviors
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Veterans Affairs | Comprehensive Healthcare Inspection of the Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin | Review |
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U.S. Agency for International Development | Audit of the Schedule of Expenditures for All-Ukrainian Network of People Living With HIV/AIDS-100 Percent Life, January 1 to December 31, 2022 | Other |
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U.S. Agency for International Development | Recipient Contracted Audit Report of GOAL for the Year Ended December 31, 2021 | Other |
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Department of Health & Human Services | NIH Generally Implemented System Controls Over the Sequence Read Archive But Some Improvements Needed | Audit |
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Board of Governors of the Federal Reserve System | Material Loss Review of Heartland Tri-State Bank | Inspection / Evaluation | Agency-Wide | View Report | |
Department of Defense | Evaluation of the DoD's Implementation of the NATO Policy on Preventing and Responding to Sexual Exploitation and Abuse | Inspection / Evaluation | Agency-Wide | View Report | |
Department of Veterans Affairs | Comprehensive Healthcare Inspection of the Ralph H. Johnson VA Medical Center in Charleston, South Carolina | Review |
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Department of the Interior | Summary: Offshore Company Falsified Site Clearance Certification | Investigation | Agency-Wide | View Report | |
U.S. Agency for International Development | Closeout Financial Audit of Inclusion Program in Vietnam Managed by the Center for Community Health Research and Development Under Cooperative Agreement 72044020CA00003, January 1, 2022, to March 15, 2023 | Other |
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Department of Justice | Audit of the Office of Justice Programs Victim Assistance Grants Awarded to the Guam Office of the Attorney General, Tamuning, Guam | Audit |
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