Healthcare Facility Inspection of the VA Salt Lake City Healthcare System in Utah

Report Information

Issue Date
Report Number
26-00685-08
VISN
4
State
Utah
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Appointment Scheduling and Wait Times
Care Coordination
Clinical Care Services Operations
Community Care
Healthcare Infrastructure
Patient Safety
Staffing
Major Management Challenges
Healthcare Services
Leadership and Governance
Recommendations
1
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 Salt Lake City Healthcare System in Utah.

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

The OIG made one recommendation for VA to correct an identified issue in one domain: 
     •    Culture 
       o    Establish trust and culture of safety
 

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 Veterans Integrated Service Network Director takes action so that executive leaders establish trust and a culture of safety, in accordance with the Veterans Health Administration High Reliability Organization (HRO) Reference Guide.