Comprehensive Healthcare Inspection of the Tomah VA Medical Center in Wisconsin

Report Information

Issue Date
Report Number
22-04132-48
VISN
12
State
Wisconsin
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Report Topic
Medical Staff Privileging Credentialing
Mental Health
Suicide Prevention
VA Police
Major Management Challenges
Healthcare Services
Recommendations
5
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Tomah VA Medical Center in Wisconsin. 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 five recommendations for improvement in three areas:

1.    Medical staff privileging

•    Ongoing Professional Practice Evaluations

2.    Environment of care

•    Environment of care inspections

•    VA police response times to panic alarm testing in the inpatient mental health unit

3.    Mental health

•    Monthly outreach activities

•    Monthly suicide-related data reporting to local mental health and quality management leaders