Healthcare Facility Inspection of the VA Atlanta Healthcare System in Decatur, Georgia

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Atlanta Healthcare System in Decatur, Georgia. 

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

The OIG issued seven recommendations for improvement in five domains:
   1.    Culture
     •    Infrastructure issues
     •    Unanswered veteran phone calls
   2.    Environment of care
     •    Parking garage emergency call boxes
   3.    Patient safety
     •    Local test result policies and memorandums
     •    Institutional disclosures for adverse events
   4.    Primary care
     •    Panel sizes and access to care
   5.    Veteran-centered safety net
     •    Medical clearances for veterans in the Compensated Work Therapy program