Healthcare Facility Inspection of the VA Loma Linda Healthcare System in California

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 Loma Linda Healthcare System in California. 

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

The OIG issued eight recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Community living center dementia unit shower room safety
     •    Emergency Department patient privacy assessment
     •    Eyewash station cleanliness and function
   2.    Patient safety
     •    Test result communication policy
     •    Service-level workflows
     •    VHA policy change processes
     •    Test result communication performance metrics
     •    Quality and Patient Safety Council meeting attendance