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Inspector General Open Recommendations

11/19/2020 - Department of Veterans Affairs Deficiencies in Ambulatory Care Center and Emergency Department Processes at the VA Loma Linda Healthcare System in California [Report Details] Inspection / Evaluation - CA, US Open Recommendations

11/19/2020 - Department of Veterans Affairs Enhanced Strategy Needed to Reduce Disability Exam Inventory Due to the Pandemic and Errors Related to Canceled Exams [Report Details] Review - Agency-Wide Open Recommendations

11/18/2020 - U.S. Agency for International Development Financial Audit of the Global Development Alliance with FUNADEH Program in Honduras Managed by the National Foundation for the Development of Honduras, Cooperative Agreement AID-522-A-15-00002, January 01 to December 31, 2018 [Report Details] Other - HN Open Recommendations

11/18/2020 - U.S. Agency for International Development Agreed-Upon Procedures Review of USAID Resources Managed by Chemonics International in Liberia Under Multiple Awards, January 1, 2017, to March 31, 2019 [Report Details] Other - LR Open Recommendations

11/18/2020 - Department of Veterans Affairs Comprehensive Healthcare Inspection of the Atlanta VA Health Care System in Decatur, Georgia [Report Details] Review - GA, US Open Recommendations

01
The System Director evaluates and determines any additional reasons for noncompliance and ensures the Quality, Safety, and Value Committee consistently reviews and integrates aggregated quality, safety, and value data.
02
The System Director evaluates and determines any additional reasons for noncompliance and ensures improvement actions recommended by the Quality, Safety, and Value Committee are fully implemented and improvement changes are monitored.
03
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures that final peer reviews are completed within 120 calendar days from the date it is determined a peer review is required and, if necessary, extensions are approved in writing by the System Director.
04
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures that clinical managers consistently implement improvement actions recommended from peer review activities.
05
The System Director determines the reasons for noncompliance and ensures that root cause analyses include all required review elements.
07
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures clinical managers define in advance, communicate, and document expectations for focused professional practice evaluations in practitioners’ profiles.
08
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures service chiefs complete and document focused professional practice evaluation results in licensed independent practitioners’ profiles.
10
The Chief of Staff determines the reasons for noncompliance and makes certain that service chiefs’ determinations to continue privileges are based in part on results of ongoing professional practice evaluation activities.
11
The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain that the Executive Committee of the Medical Staff’s decisions to recommend continuation of privileges are based on focused and ongoing professional practice evaluation results and documents its decision in the meeting minutes.
12
The System Director evaluates and determines any additional reasons for noncompliance and makes certain that provider exit review forms are completed within seven calendar days of licensed healthcare practitioners’ departure from the healthcare system.
13
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures that providers complete an aberrant behavior risk assessment that includes psychological disease and aberrant drug-related behaviors on all patients prior to initiating long-term opioid therapy.

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