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Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
24-00611-82
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 Memphis Healthcare System in Tennessee. 

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

The OIG issued five recommendations for improvement in one domain:
  1.    Environment of care
   •    Crosswalk visibility and pedestrian safety
   •    Doorway and emergency exit safety
   •    Braille signs and auditory cues
   •    Toxic exposure screening completion

Report Type
Inspection / Evaluation
Location

AR
United States

KY
United States

MS
United States

TN
United States

Number of Recommendations
5
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 5 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 improve crosswalk visibility and monitor pedestrian safety between the parking garage and bed tower entrance until completion.

02 No $0 $0

The OIG recommends facility leaders improve doorway safety at the bed tower entrance by placing sensors on the two power-assisted doors, reactivating the revolving door, and monitoring doorway safety until completion.

03 No $0 $0

The OIG recommends the Director ensures staff monitor the emergency exit near the laboratory to make sure the door remains unlocked and operational.

04 No $0 $0

The OIG recommends the Director assesses the facilitys tactile signs (braille) and auditory cues and implements a plan to address the deficient areas.

05 No $0 $0

The OIG recommends facility leaders evaluate the toxic exposure screening process and implement a plan to ensure staff complete the screenings.

Department of Veterans Affairs OIG

United States