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Report File
Title Full
Healthcare Facility Inspection of the South Texas Veterans Health Care System in San Antonio
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
25-00192-15
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 South Texas Veterans Health Care System in San Antonio. 

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

The OIG issued two recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Patient care area cleanliness and clean storage areas free of dirty items and equipment
   2.    Patient safety
     •    Service-level workflows for the communication of test results

Report Type
Inspection / Evaluation
Location

San Antonio, TX
United States

Number of Recommendations
2
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
01 No $0 $0

The Associate Director for Operations ensures staff keep patient care areas clean and clean storage areas free of dirty items and equipment.

02 No $0 $0

The Chief of Staff ensures the facility has workflows for all services to identify team members’ roles in the test result communication process.

Department of Veterans Affairs OIG

United States