Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
25-00189-199
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 Texas Valley Coastal Bend Healthcare System in Harlingen.
This evaluation focused on five key content domains:
• Culture
• Environment of care
• Patient safety
• Primary care
• Veteran-centered safety net
The OIG issued three recommendations for VA to correct identified deficiencies in two domains:
1. Environment of care
• Toxic exposure screenings
2. Patient safety
• Service-level workflows for test result communication
• Peer Review Committee meeting attendance
Report Type
Inspection / Evaluation
Location
TX
United States
Number of Recommendations
3
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No
