Submitting OIG:
Report Description:
This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Michael E. DeBakey VA Medical Center in Houston and multiple outpatient clinics in Texas. This evaluation focused on five key operational areas:
• Leadership and organizational risks
• Quality, safety, and value
• Medical staff privileging
• Environment of care
• Mental health (emergency department and urgent care center suicide prevention initiatives)
The OIG issued three recommendations for improvement in three areas:
1. Leadership and Organizational Risks
• Institutional disclosures for sentinel events
2. Medical Staff Privileging
• Ongoing Professional Practice Evaluations by providers with equivalent training and similar privileges
3. Environment of Care
• Furnishings and equipment safe and in good repair
Date Issued:
Friday, September 22, 2023
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
22-00238-213
Component, if applicable:
Veterans Health Administration
Location(s):
Houston, TX
United StatesBeaumont, TX
United StatesLufkin, TX
United StatesConroe, TX
United StatesGalveston, TX
United StatesKaty, TX
United StatesHumble, TX
United StatesLake Jackson, TX
United StatesRichmond, TX
United StatesSugar Land, TX
United StatesTexas City, TX
United StatesTomball, TX
United StatesType of Report:
Review
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
3
Report updated under NDAA 5274:
No
View Document:
Attachment | Size |
---|---|
VAOIG-22-00238-213.pdf | 1.42 MB |
Additional Details Link: