Healthcare Facility Inspection of the VA Indiana Healthcare System in Indianapolis

Report Information

Issue Date
Report Number
25-00207-36
VISN
10
State
Indiana
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Clinical Care Services Operations
Maintenance and Construction
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 Indiana Healthcare System in Indianapolis. 

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
     •    Maintain clean environment of care and prevent repeat findings
   2.    Patient safety
     •    Review laboratory scheduling practice change and minimize effect on clinic efficiency

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 Assistant Director ensures staff maintain a consistently clean environment throughout the facility to prevent repeat environment of care findings.

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

Executive leaders review the change in laboratory scheduling practices and minimize its effect on clinic efficiency.