This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Sheridan VA Health Care System in Wyoming.
This evaluation focused on five key content domains:
• Culture
• Environment of care
• Patient safety
• Primary care
• Veteran-centered safety net
The OIG issued three recommendations for improvement in two domains:
1. Environment of care
• Facility navigation tools for sensory-impaired veterans
2. Patient safety
• Patient test result communication effectiveness
• Service-specific workflows for test result communications