Comprehensive Healthcare Inspection of Veterans Integrated Service Network 9: VA MidSouth Healthcare Network in Nashville, Tennessee

Report Information

Issue Date
Report Number
21-03313-96
VISN
9
State
Tennessee
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Major Management Challenges
Healthcare Services
Recommendations
3
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 leadership performance and oversight by Veterans Integrated Service Network 9: VA MidSouth Healthcare Network in Nashville, Tennessee. This evaluation focused on five key areas of clinical and administrative operations: • Leadership and organizational risks • Quality, safety, and value • Medical staff credentialing and privileging • Environment of care • Mental health (focusing on suicide prevention) The OIG issued three recommendations for improvement in the environment of care area: • Comprehensive Environment of Care compliance report • Comprehensive Environment of Care Compliance and Assessment Tool data • Emergency Management Committee’s annual review of the Veterans Integrated Service Network-wide strengths, weaknesses, priorities, and requirements for improvement

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

The Network Director evaluates and determines additional reasons for noncompliance and submits a Comprehensive Environment of Care compliance report to the Environment of Care Committee annually.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The Network Director evaluates and determines additional reasons for noncompliance and makes certain the Environment of Care Committee reviews Comprehensive Environment of Care Compliance and Assessment Tool data at least quarterly.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)

The Network Director evaluates and determines any additional reasons for noncompliance and ensures the Emergency Management Committee conducts an annual review of the Veterans Integrated Service Network-wide strengths, weaknesses, priorities, and requirements for improvement, and documents it in writing.