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Source Id
324

Facility Leaders’ Response to Level 2 and Level 3 Pathology Reading Errors at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas

2021
21-01677-259
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

In follow-up to the VA Office of Inspector General (OIG) report, Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas, the OIG conducted a healthcare inspection to evaluate progress in responding to pathology reading errors identified during a look...

Comprehensive Healthcare Inspection of Veterans Integrated Service Network 19: VA Rocky Mountain Network in Glendale, Colorado

2021
21-00233-257
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 leadership performance and oversight by Veterans Integrated Service Network (VISN) 19: VA Rocky Mountain Network in Glendale, Colorado, covering leadership and...

Financial Efficiency Review of the Southeast Louisiana Veterans Health Care System in New Orleans

2021
20-00971-235
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA OIG assessed the Southeast Louisiana Veterans Health Care System’s oversight and stewardship of funds for fiscal year 2019 and identified opportunities to improve cost efficiency.The review focused on four areas:I. Use of the Medical/Surgical Prime Vendor Next Generation program. VA maintains...

Comprehensive Healthcare Inspection of the Cheyenne VA Medical Center in Wyoming

2021
21-00245-256
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 Cheyenne VA medical center. The inspection covered key clinical and administrative processes that...

Comprehensive Healthcare Inspection of the Manchester VA Medical Center in New Hampshire

2021
21-00262-247
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 outpatient settings of the Manchester VA Medical Center. The inspection covered key clinical and administrative processes that are...

Comprehensive Healthcare Inspection of the White River Junction VA Medical Center in Vermont

2021
21-00258-230
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 White River Junction VA Medical Center, which includes outpatient clinics in New Hampshire and...

Deficiencies in Administrative Actions for a Patient’s Inpatient Mental Health Unit and Community Living Center Admissions at the Tuscaloosa VA Medical Center in Alabama

2021
20-02907-254
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations that staff at the facility denied a patient’s discharge requests and did not ensure the patient’s access to a patient advocate. The inspection also evaluated OIG-identified concerns related to Inpatient...

Summary of Fiscal Year 2020 Preaward Reviews of Healthcare Resource Proposals from Affiliates

2021
21-00044-219
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG reviewed 31 proposals for sole source healthcare provider contracts in fiscal year 2020 and provided information that VA contracting officers could use to help negotiate fair and reasonable prices. These contracts allow VA to fill, at a fixed price, positions for which it is unable to hire...

Excess Purchase of Surgical Supplies and Improper Purchase Card Transactions at the New Orleans VA Medical Center in Louisiana

2021
20-00395-224
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) evaluated an August 2019 hotline complaint alleging mismanagement of supplies, equipment, and operating rooms while activating the New Orleans VA Medical Center in Louisiana.The OIG substantiated that the medical center purchased about $1.85 million in excess...

Comprehensive Healthcare Inspection of the VA Central Western Massachusetts Healthcare System in Leeds

2021
21-00263-246
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 Central Western Massachusetts Healthcare System in Leeds, which includes multiple outpatient...

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