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Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Other Participating OIGs
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
23-00011-73
Report Description

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Samuel S. Stratton VA Medical Center and associated outpatient clinics in New York. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives)The OIG issued 10 recommendations for improvement in the following topic areas:• Medical Staff Privileging1. Service-specific criteria2. Equivalent specialized training and similar privileges• Environment of care1. Inspection scheduling, completion, and documentation2. Police response times to panic alarm testing3. Installation and testing of over-the-door alarms for sleeping room doors in the mental health inpatient unit4. Safe environment in the mental health inpatient unit5. Patient care areas safe and clean• Mental health1. Comprehensive Suicide Risk Evaluation completion after positive suicide risk screen2. Suicide prevention outreach activities

Report Type
Inspection / Evaluation
Location

NY
United States

Number of Recommendations
5
Questioned Costs
$0
Funds for Better Use
$0

Open Recommendations

This report has 2 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
05 No $0 $0

The Executive Medical Center Director ensures appropriate personnel install over-the-door alarms for sleeping room doors in the mental health inpatient unit.

07 No $0 $0

The Executive Medical Center Director ensures staff maintain a safe environment in the mental health inpatient unit.

Department of Veterans Affairs OIG

United States