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Comprehensive Healthcare Inspection of the VA Caribbean Healthcare System in San Juan, Puerto Rico

Report Information

Issue Date
Report Number
23-00100-55
VISN
8
State
Puerto Rico
Virgin Islands
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Report Topic
Clinical Care Services Operations
Medical Staff Privileging Credentialing
Mental Health
Patient Safety
Suicide Prevention
Major Management Challenges
Healthcare Services
Recommendations
0
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 quality of care delivered in the inpatient and outpatient settings of the VA Caribbean Healthcare System, which includes the San Juan VA Medical Center and multiple outpatient clinics in Puerto Rico and the US Virgin Islands. 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 did not issue recommendations for improvement related to the areas reviewed for this report.

Recommendations (0)