Recommendations
1011
| ID | Report Number | Report Title | Type | |
|---|---|---|---|---|
| 14-03531-402 | Healthcare Inspection – Alleged Delayed Mental Health Treatment and Other Care Issues, Kansas City VA Medical Center, Kansas City, MO | Hotline Healthcare Inspection | ||
| 15-00154-500 | Review of Community Based Outpatient Clinics and Other Outpatient Clinics of VA Maine Healthcare System, Augusta, Maine | Comprehensive Healthcare Inspection Program | ||
| 15-03063-511 | OIG Determination of Veterans Health Administration’s Occupational Staffing Shortages | National Healthcare Review | ||
| 15-00158-499 | Review of Community Based Outpatient Clinics and Other Outpatient Clinics of Durham VA Medical Center, Durham, North Carolina | Comprehensive Healthcare Inspection Program | ||
1 We recommended that managers ensure that review of the hazardous materials inventory occurs twice within a 12-month period at the Raleigh II CBOC.
2 We recommended that the staff at the Raleigh II CBOC participate in scheduled emergency management training and exercises.
3 We recommended that clinic staff provide education and counseling for patients with positive alcohol screens and alcohol consumption above National Institute on Alcohol Abuse and Alcoholism limits.
4 We recommended that clinic staff consistently document the offer of further treatment to patients diagnosed with alcohol dependence.
5 We recommended that managers ensure that patients with excessive persistent alcohol use receive brief treatment or are evaluated by a specialty provider within 2 weeks of the screening.
6 We recommended that Clinic Registered Nurse Care Managers receive motivational interviewing and health coaching training within 12 months of appointment to Patient Aligned Care Teams.
7 We recommended that providers and clinical associates in the outpatient clinics receive health coaching training within 12 months of appointment to Patient Aligned Care Teams.
8 We recommended that clinicians consistently notify patients of their laboratory results within 14 days as required by local policy.
| ||||
| 15-02397-494 | Review of VHA’s Alleged Mishandling of Ophthalmology Consults at the Oklahoma City VAMC | Audit | ||
| 15-00606-495 | Combined Assessment Program Review of the Battle Creek VA Medical Center, Battle Creek, Michigan | Comprehensive Healthcare Inspection Program | ||
| 15-01381-437 | Inspection of VA Regional Office Phoenix, Arizona | Audit | ||
1 We recommended the Phoenix VA Regional Office Director conduct a review of the 325 temporary 100 percent disability evaluations remaining from their inspection universe as of December 17, 2014, and take appropriate action.
Closure Date:
2 We recommended the Phoenix VA Regional Office Director ensure frequent refresher training for processing higher levels of special monthly compensation and ancillary benefits claims.
Closure Date:
3 We recommended the Phoenix VA Regional Office Director implement a written plan to ensure oversight and prioritization of benefits reduction cases and related hearings.
Closure Date:
| ||||
| 15-00156-490 | Review of Community Based Outpatient Clinics and Other Outpatient Clinics of San Francisco VA Health Care System, San Francisco, California | Comprehensive Healthcare Inspection Program | ||
| 13-03922-453 | Audit of Fiduciary Program Controls Addressing Beneficiary Fund Misuse | Audit | ||
| 15-00452-411 | Inspection of VA Regional Office, Winston-Salem, North Carolina | Audit | ||
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