Comprehensive Healthcare Inspection of Veterans Integrated Service Network 21: VA Sierra Pacific Network in Pleasant Hill, California

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network 21: VA Sierra Pacific Network in Pleasant Hill, California. This evaluation focused on five key areas of clinical and administrative operations: • Leadership and organizational risks • Quality, safety, and value • Medical staff credentialing and privileging • Environment of care • Mental health (focusing on suicide prevention) The OIG did not issue recommendations for improvement related to the areas reviewed for this report.