Healthcare Facility Inspection of the VA El Paso Healthcare System in Texas

Report Information

Issue Date
Report Number
25-00193-155
VISN
17
State
Texas
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 El Paso Healthcare System in Texas.

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

The OIG made two recommendations for VA to correct identified issues in two domains:

1. Environment of care 
     •    Clean and safe environment

2. Primary care 
     •    Secondary toxic exposure screenings
 

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)

Executive leaders ensure staff maintain a clean and safe environment.

No. 2
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The Medical Center Director ensures providers complete secondary toxic exposure screenings within 30 days.