Submitting OIG:
Report Description:
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Boise VA Medical Center and multiple outpatient clinics in Idaho and Oregon. 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 four recommendations for improvement in two areas:
1. Environment of care
• Inpatient Psychiatry Unit panic and over-the-door alarm testing
2. Mental health
• Monthly reporting of suicide-related events to mental health leaders and quality management staff
• Comprehensive Suicide Risk Evaluation completion
Date Issued:
Tuesday, April 16, 2024
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
23-00116-148
Component, if applicable:
Veterans Health Administration
Location(s):
ID
United StatesOR
United StatesType of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
4
Report updated under NDAA 5274:
No
View Document:
Attachment | Size |
---|---|
VAOIG-23-00116-148.pdf | 1.27 MB |
Additional Details Link: