Comprehensive Healthcare Inspection of the Central Texas Veterans Health Care System in Temple

Report Information

Issue Date
Report Number
22-00041-105
VISN
17
State
Texas
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Report Topic
Medical Staff Privileging Credentialing
Major Management Challenges
Healthcare Services
Leadership and Governance
Recommendations
2
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Central Texas Veterans Health Care System, which includes the Olin E. Teague Veterans’ Center in Temple, the Doris Miller VA Medical Center in Waco, and multiple outpatient clinics in central Texas. This evaluation focused on five key operational areas: • Leadership and organizational risks • Quality, safety, and value • Medical staff privileging • Environment of care • Mental health (emergency department and urgent care center prevention initiatives) The OIG issued two recommendations for improvement in two areas: 1. Leadership and organizational risks • Institutional disclosures 2. Medical staff privileging • Ongoing Professional Practice Evaluations

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 Executive Director evaluates and determines any additional reasons fornoncompliance and ensures leaders conduct institutional disclosures for allapplicable sentinel events.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)

The Chief of Staff evaluates and determines any additional reasons fornoncompliance and ensures service chiefs complete Ongoing Professional PracticeEvaluations.