This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient settings of the Lexington VA Health Care System and associated outpatient clinics in Kentucky. 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 prevention initiatives)
The OIG issued 10 recommendations for improvement in four areas:
1. Quality, safety, and value
• Peer review improvement actions
2. Medical staff privileging
• Focused and Ongoing Professional Practice Evaluations
3. Environment of care
• Local naloxone policy
• Product expiration dates
• Furnishing safety and condition
• Suicide risk abatement plans
4. Mental health
• Suicide risk screening
The report can be found online here.