|Title:||Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, IN|
|VA Office:||Veterans Health Administration (VHA)
|Report Author:||Office of Healthcare Inspections
|Report Type:||Hotline Healthcare Inspection
The OIG evaluated allegations that staff at the Richard L. Roudebush VA Medical Center (facility) provided inadequate alcohol withdrawal management in the Emergency Department for a patient who died approximately two days after discharge, inadequately responded to the patient’s urgent care needs, and failed to provide posttraumatic stress disorder (PTSD) care. During the inspection, the OIG also identified concerns related to discharge care coordination, leaders’ failure to consider an institutional disclosure, and adequacy of primary care assessments and documentation regarding the patient’s alcohol use and safe transport.