Skip to main content
Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
24-00610-164
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 VA Connecticut Healthcare System in West Haven. 

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 three domains:
  1.    Culture
     •    Unanswered phone calls from veterans
  2.    Environment of care
     •    Performance improvement plans and outcome measures for environment of care trends
     •    Preventive maintenance for beds and stretchers
  3.    Primary care
     •    Veterans Integrated Service Network call center

Report Type
Inspection / Evaluation
Location

West Haven, CT
United States

Number of Recommendations
4
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No
External Link
https://www.vaoig.gov/reports/healthcare-facility-inspection/healthcare-facilit…

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 facility leaders develop and implement a plan to address veterans’ unanswered phone calls.

02 No $0 $0

The OIG recommends the Associate Director ensures staff identify environment of care trends and establish performance improvement plans with outcome measures to address them.

03 No $0 $0

The OIG recommends the Associate Director ensures the manufacturer satisfies contractual requirements to perform preventive maintenance for beds and stretchers and documents the service.

04 No $0 $0

The OIG recommends the Veterans Integrated Service Network Director works with facility and primary care leaders to address the network call center’s effect on primary care team efficiency and workload and reduce the risk of adverse patient safety events.

Department of Veterans Affairs OIG

United States