Recommendations
638
| ID | Report Number | Report Title | Type | |
|---|---|---|---|---|
| 12-03753-121 | Healthcare Inspection – Issues at a VA Mid South Healthcare Network Dental Clinic | Hotline Healthcare Inspection | ||
1 We recommend that the System Director ensure that dental clinic staff have adequate knowledge regarding periodontal disease.
Closure Date:
2 We recommend that the System Director ensure treatment plans are developed, revised, followed, and documented.
Closure Date:
3 We recommend that the System Director develop and implement a plan to improve communication and professional interaction among dental clinic staff.
Closure Date:
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| 12-03851-117 | Community Based Outpatient Clinic Reviews at Marion VA Medical Center, Marion, IL | Comprehensive Healthcare Inspection Program | ||
1 We recommended that the parent Facility Director ensures that each CBOC is assigned a WH Liaison and that the WH Liaison collaborates with the Women Veterans Program Manager.
Closure Date:
2 We recommended that managers ensure that clinicians screen patients for tetanus vaccinations.
Closure Date:
3 We recommended that managers ensure that clinicians administer tetanus vaccinations when indicated.
Closure Date:
4 We recommended that managers ensure that clinicians document all required tetanus and pneumococcal vaccination administration elements and that compliance is monitored.
Closure Date:
5 We recommended that the service chiefs' documentation in VetPro reflects documents reviewed and the rationale for re-privileging at the Farmington and West Plains CBOCs.
Closure Date:
6 We recommended that the PSB grants LIPs setting-specific privileges that are consistent with the services provided at the Farmington and West Plains CBOCs.
Closure Date:
7 We recommended that signage is installed at the West Plains CBOC to clearly identify the location of fire extinguishers.
Closure Date:
8 We recommended that fire safety inspections are conducted annually at the West Plains CBOC.
Closure Date:
9 We recommended that processes are strengthened to ensure patient privacy is maintained during examination at the Farmington CBOC.
Closure Date:
10 We recommended that managers ensure that AEDs are checked daily at the West Plains CBOC, as required by facility policy.
Closure Date:
| ||||
| 12-03477-118 | Inspection of Veterans Service Center Cheyenne, Wyoming | Review | ||
| 12-03851-102 | Community Based Outpatient Clinic Reviews at John J. Pershing VA Medical Center, Poplar Bluff, MO | Comprehensive Healthcare Inspection Program | ||
| 12-03854-114 | Community Based Outpatient Clinic Reviews at Iowa City VA Health Care System, Iowa City, IA | Comprehensive Healthcare Inspection Program | ||
1 We recommended that managers ensure that patients with cervical cancer screening results are notified of results within the defined timeframe and that notification is documented in the EHR.
Closure Date:
2 We recommended that managers ensure that clinicians administer pneumococcal vaccinations when indicated.
Closure Date:
3 We recommended that managers ensure that clinicians document all required pneumococcal and tetanus vaccination administration elements and that compliance is monitored.
Closure Date:
4 We recommended that the FPPE review for the Cedar Rapids CBOC providers is included in the Clinical Executive Board meeting minutes.
Closure Date:
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| 12-03852-109 | Community Based Outpatient Clinic Reviews at Spokane VA Medical Center, Spokane, WA | Comprehensive Healthcare Inspection Program | ||
| 12-03850-112 | Community Based Outpatient Clinic Reviews at Charles George VA Medical Center, Asheville, NC | Comprehensive Healthcare Inspection Program | ||
1 We recommended that managers ensure that clinicians document all required tetanus vaccination administration elements and that compliance is monitored.
Closure Date:
| ||||
| 12-03852-110 | Community Based Outpatient Clinic Reviews at Alaska VA Healthcare System, Anchorage, AK | Comprehensive Healthcare Inspection Program | ||
1 We recommended that managers ensure that clinicians administer pneumococcal vaccinations when indicated.
Closure Date:
2 We recommended that managers ensure that clinicians document all required tetanus and pneumococcal vaccination administration elements and that compliance is monitored.
Closure Date:
3 We recommended that fire and life safety inspections are conducted annually at the Kenai and Mat-Su CBOCs.
Closure Date:
| ||||
| 12-03850-106 | Community Based Outpatient Clinic Reviews at Salem VA Medical Center, Salem, VA | Comprehensive Healthcare Inspection Program | ||
| 12-01556-108 | Healthcare Inspection – Alleged Quality of Care Issues and Communication Lapses, Washington DC VA Medical Center, Washington, DC | Hotline Healthcare Inspection | ||
1 We recommended that the Medical Center Director consult with Regional Counsel regarding possible institutional disclosure to the patient's family for whom quality of care concerns were identified.
Closure Date:
2 We recommended that the Medical Center Director take action to improve oversight of PA practice activities in the urology clinic.
Closure Date:
3 We recommended that the Medical Center Director conduct a peer review of the care identified in this report.
Closure Date:
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11259