Healthcare Facility Inspection of the VA St. Louis Healthcare System in Missouri

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