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Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
24-00588-19
Report Description

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Birmingham VA Health Care System.

This evaluation focused on five key content domains:
• Culture
• Environment of care
• Patient safety
• Primary care
• Veteran-centered safety net

The OIG issued four recommendations for improvement in two domains:
1. Environment of care
• Separation of clean and dirty equipment and supplies
• Clean and safe environment
• Communication with sensory-impaired veterans
2. Patient safety
• Identify opportunities for improvement, implement action plans, and evaluate actions for sustained improvement

Report Type
Inspection / Evaluation
Location

AL
United States

Number of Recommendations
4
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No

Open Recommendations

This report has 4 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
01 No $0 $0

The OIG recommends that Veterans Integrated Service Network leaders ensure facility staff separate clean and dirty equipment and supplies to prevent cross-contamination.

02 No $0 $0

The OIG recommends Veterans Integrated Service Network leaders ensure facility staff keep the environment clean and safe.

03 No $0 $0

The OIG recommends that executive leaders ensure front desk personnel are competent in communicating with sensory-impaired veterans.

04 No $0 $0

The OIG recommends that facility leaders consistently identify opportunities for improvement, ensure staff implement appropriate action plans, and evaluate actions for sustained improvement.

Department of Veterans Affairs OIG

United States