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Source Id
324

Care Concerns and the Impact of COVID-19 on a Patient at the Fayetteville VA Coastal Health Care System in North Carolina

2021
21-01304-275
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Fayetteville VA Coastal Health Care System in North Carolina to assess concerns related to the quality, coordination, and timeliness of care, and the impact of COVID-19 on a patient with unintentional weight loss who...

Clinically Appropriate Anemia Care and Timing of a Colonoscopy Procedure for a Patient at the VA Caribbean Healthcare System in San Juan, Puerto Rico

2021
21-01334-269
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the facility to assess concerns about the diagnosis and treatment of anemia and coordination of a colonoscopy for a patient who subsequently died.The patient had iron-deficiency anemia. The OIG found the primary care...

Comprehensive Healthcare Inspection of the VA Boston Healthcare System in Massachusetts

2021
21-00261-266
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Boston Healthcare System and multiple outpatient clinics in Massachusetts. The inspection covers...

Comprehensive Healthcare Inspection of the North Florida/South Georgia Veterans Health System in Gainesville, Florida

2021
21-00269-268
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the North Florida/South Georgia Veterans Health System, which includes the Malcom Randall VA Medical...

Comprehensive Healthcare Inspection of the West Palm Beach VA Medical Center in Florida

2021
21-00272-283
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the West Palm Beach VA Medical Center. The inspection covered key clinical and administrative processes...

Better Oversight of Prosthetic Spending Needed to Reduce Unreasonable Prices Paid to Vendors

2021
20-01802-234
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

To enable veterans to function at their highest level, VA provides medically prescribed prosthetic and rehabilitative items and services to eligible recipients. In fiscal year 2019, such items—artificial limbs, shoes, shoe inserts, and compression garments—accounted for about $318.8 million, or...

Comprehensive Healthcare Inspection of the VA Maine Healthcare System in Augusta

2021
21-00257-252
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Maine Healthcare System. The inspection covered key clinical and administrative processes that...

Deficiencies in Mental Health Care and Facility Response to a Patient’s Suicide, VA Portland Health Care System in Oregon and Treatment Program Referral Processes at the VA Palo Alto Health Care System in California

2021
21-00271-258
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate a patient’s mental health care at the VA Portland Health Care System (facility) including care coordination, administrative actions following the patient’s death, and non-VA community care procedures. The OIG also...

Comprehensive Healthcare Inspection Summary Report: Evaluation of High-Risk Processes in Veterans Health Administration Facilities, Fiscal Year 2020

2021
21-01509-264
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of Veterans Health Administration facilities’ reusable medical equipment (RME) programs. This evaluation focused on facility Sterile Processing Services (SPS) processes for...

Facility Leaders Provided Oversight of a Physician in Fellowship Training at VA Sierra Nevada Health Care System in Reno

2021
21-02070-265
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection to assess the oversight and performance of a physician in fellowship training (subject physician) at the VA Sierra Nevada Health Care System in Reno (facility).In early 2021, Canadian authorities arrested the subject physician for the...

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