Recommendations
1229
| ID | Report Number | Report Title | Type | |
|---|---|---|---|---|
| 16-03807-223 | Combined Assessment Program Summary Report – Evaluation of Compounded Sterile Product Practices in Veterans Health Administration Facilities | Comprehensive Healthcare Inspection Program | ||
| 15-04681-228 | Healthcare Inspection – Consult Management Concerns, VA Greater Los Angeles Healthcare System, Los Angeles, California | Hotline Healthcare Inspection | ||
| 16-02094-219 | Healthcare Inspection—Environment of Care and Other Quality Concerns, Cincinnati VA Medical Center, Cincinnati, Ohio | Hotline Healthcare Inspection | ||
| 15-01325-205 | Healthcare Inspection – Community Nursing Home Program Safety Concerns, VA Northern California Healthcare System, Mather, California | Hotline Healthcare Inspection | ||
| 16-00571-207 | Clinical Assessment Program Review of the Lebanon VA Medical Center, Lebanon, Pennsylvania | Comprehensive Healthcare Inspection Program | ||
| 16-00354-201 | Healthcare Inspection – Follow-Up Review of Management of Mental Health Consults and Other Access to Care Concerns, VA Maine Healthcare System, Augusta, Maine | Hotline Healthcare Inspection | ||
| 16-00564-170 | Clinical Assessment Program Review of the VA Central Iowa Health Care System, Des Moines, Iowa | Comprehensive Healthcare Inspection Program | ||
| 16-00565-154 | Clinical Assessment Program Review of the Orlando VA Medical Center, Orlando, Florida | Comprehensive Healthcare Inspection Program | ||
| 17-02644-202 | Interim Summary Report - Healthcare Inspection - Patient Safety Concerns at the Washington DC VA Medical Center, Washington, DC | Hotline Healthcare Inspection | ||
1 We recommended the Under Secretary for Health take immediate action to ensure that necessary supplies and equipment are available in patient care areas at the Washington DC, VA Medical Center.
Closure Date:
2 We recommended the Under Secretary for Health take immediate action to implement an effective inventory management system throughout the Washington DC, VA Medical Center.
Closure Date:
3 We recommended the Under Secretary for Health take immediate action to ensure that current stock at the Washington DC, VA Medical Center does not include recalled equipment or supplies.
Closure Date:
4 We recommended the Under Secretary for Health take all appropriate steps to ensure that the environmental integrity of the sterile satellite storage areas complies with VA policy.
Closure Date:
5 We recommended the Under Secretary for Health take immediate action to create an inventory and establish accountability over the equipment and supplies in the off-site warehouse.
Closure Date:
6 We recommended the Under Secretary for Health take all appropriate steps to ensure that the Washington DC, VA Medical Center and Veterans Integrated Service Network arrange the orderly movement of goods and supplies from the warehouse that minimizes losses to the Government.
Closure Date:
7 We recommended the Under Secretary for Health deploy additional logistics staff with in-depth Generic Inventory Package experience to the Washington DC, VA Medical Center until reasonable assurances can be provided that existing logistics staff can maintain an effective inventory management system.
Closure Date:
8 We recommended the Under Secretary for Health expedite hiring of permanent positions at the Washington DC, VA Medical Center, to include the Associate VA Medical Center Director, the Nurse Executive, the Chief of Logistics, Assistant Chief of Logistics, and supply technicians.
Closure Date:
| ||||
| 15-00223-196 | Healthcare Inspection – Peer Review for Quality Management Concerns, Huntington VA Medical Center, Huntington, West Virginia | Hotline Healthcare Inspection | ||
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