Comprehensive Healthcare Inspection of the Royal C. Johnson Veterans' Memorial Hospital in Sioux Falls, South Dakota

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Royal C. Johnson Veterans’ Memorial Hospital in Sioux Falls and multiple outpatient clinics in Iowa and South Dakota. This evaluation focused on five key operational areas: • Leadership and organizational risks • Quality, safety, and value • Medical staff privileging • Environment of care • Mental health (focusing on suicide prevention initiatives) The OIG issued one recommendation for improvement in the mental health review area regarding completing Comprehensive Suicide Risk Evaluations.