Healthcare Facility Inspection of the VA Chillicothe Healthcare System in Ohio

Report Information

Issue Date
Report Number
24-00550-32
VISN
10
State
Ohio
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Patient Care Services Operations
Patient Safety
Major Management Challenges
Healthcare Services
Recommendations
2
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Chillicothe Healthcare System in Ohio. 

This evaluation focused on five key content domains:
   •    Culture
   •    Environment of care
   •    Patient safety
   •    Primary care
   •    Veteran-centered safety net
 

The OIG issued two recommendations for improvement in two domains:
1.    Environment of care
   •    Procedures for cleaning equipment and monitoring separation of clean and dirty storage items
2.    Primary care
   •    Leaders incorporate feedback from staff and include them in process improvement projects

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The OIG recommends facility leaders ensure staff understand procedures for cleaning equipment and continue to monitor the physical separation of clean and dirty items in storage spaces.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 6/16/2025

The OIG recommends that primary care leaders incorporate feedback from primary care staff and include them in process improvement projects.