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Report File
Title Full
Healthcare Facility Inspection of the VA St. Louis Healthcare System in Missouri
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Report Number
24-00600-136
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 St. Louis Healthcare System in Missouri. 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 two domains:
1.    Environment of care
•    Supply storage locations and expired supplies
•    Video laryngoscope supplies
•    Safe and clean patient care areas
•    Preventive maintenance for biomedical equipment
2.    Patient safety
•    Service-level workflows and processes to monitor patient test result communications

Report Type
Inspection / Evaluation
Agency Wide
Yes
Number of Recommendations
5
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No
Additional Details
https://www.vaoig.gov/reports/healthcare-facility-inspection/healthcare-facilit…
External Entity
24-00600-136
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 Yes $0 $0

The OIG recommends facility leaders determine appropriate supply storage locations, and for any supplies stored outside these defined locations, implement a process to ensure staff identify and remove expired supplies.

02 Yes $0 $0

The OIG recommends facility leaders ensure video laryngoscope supplies are readily available and not expired.

03 Yes $0 $0

The OIG recommends the Director ensures staff keep patient care areas clean and safe.

04 Yes $0 $0

The OIG recommends the Director ensures staff complete required preventive maintenance for biomedical equipment.

05 Yes $0 $0

The OIG recommends facility leaders develop service-level workflows and processes to monitor communication of test results to patients.

Department of Veterans Affairs OIG

United States