The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. This inspection report evaluated three randomly selected vet centers throughout North Atlantic district 1 zone 4: Prince George’s County, Maryland; Fayetteville, North Carolina; and Chesapeake, Virginia.
This OIG inspection focused on four review areas: suicide prevention; consultation, supervision, and training; outreach; and environment of care. The suicide prevention review evaluated vet center staff participation on supporting VA medical facility mental health executive councils and documentation of contacts and outcomes in the high risk suicide flag SharePoint site, which resulted in one recommendation for the Prince George’s County Vet Center. The consultation, supervision, and training review evaluated external clinical consultation, monthly client record reviews, and completion of select trainings. This resulted in two recommendations related to external clinical consultation and training across all three vet centers inspected. The outreach review evaluated outreach plan completion, inclusion of strategic components, and tailoring of outreach activities to eligible individuals, which resulted in one recommendation across all three vet centers inspected. The environment of care review evaluated vet centers’ physical environment and general safety, resulting in five recommendations across all three vet centers inspected.
The Chief Readjustment Counseling Officer and District Director concurred with the OIG’s nine recommendations. District leaders reviewed requirements and developed plans for participation in VA mental health executive council, external clinical consultation, outreach plans, and emergency and crisis plans with vet center directors. Further, district leaders developed processes to ensure staff complete trainings, and fire extinguisher and automated external defibrillators are inspected and serviced as required.
