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 inpatient and outpatient settings of the Harry S. Truman Memorial Veterans’ Hospital, which includes multiple outpatient clinics in Missouri. 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 seven recommendations for improvement in three areas:1. Medical staff privileging• Ongoing Professional Practice Evaluationo Completiono Service-specific criteria• Professional practice evaluation data2. Environment of care• Mental health inpatient unit over-the-door alarm testing3. Mental health• Comprehensive Suicide Risk Evaluation completion• Suicide prevention outreach activities• Reporting suicide behaviors to the suicide prevention team
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Veterans Affairs | Comprehensive Healthcare Inspection of the Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri | Inspection / Evaluation |
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Pension Benefit Guaranty Corporation | Evaluation of PBGC’s Fiscal Year 2023 Compliance with the Payment Integrity Information Act of 2019 | Inspection / Evaluation | Agency-Wide | View Report | |
National Aeronautics and Space Administration | NASA's Readiness for the Artemis II Crewed Mission to Lunar Orbit | Audit | Agency-Wide | View Report | |
International Trade Commission | Semiannual Report to Congress, October 1, 2023 - March 31, 2024 | Semiannual Report | Agency-Wide | View Report | |
Department of Commerce | Semiannual Report to Congress | Semiannual Report | Agency-Wide | View Report | |
National Labor Relations Board | Semiannual Report October 1, 2023 - March 31, 2024 | Semiannual Report | Agency-Wide | View Report | |
Equal Employment Opportunity Commission | Semiannual Report to the US Congress Spring 2024 | Semiannual Report | Agency-Wide | View Report | |
Architect of the Capitol | Semiannual Report to Congress (SAR 24-1) | Semiannual Report | Agency-Wide | View Report | |
U.S. Agency for International Development | Financial Audit of Premiere Urgence Internationale Under Multiple Awards for the Fiscal Year Ended December 31, 2022 | Other |
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U.S. Agency for International Development | Financial Audit of Norwegian People's Aid Under Award AID-FFP-G-17-00036 for the Year Ended December 31, 2018 | Other |
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