Submitting OIG:
Report Description:
The Office of Inspector General (OIG) Care in the Community healthcare inspection program examines clinical and administrative processes associated with providing quality outpatient healthcare to veterans. This report provides a focused evaluation of Veterans Integrated Service Network (VISN) 15 and its oversight of the quality of care delivered in community-based outpatient clinics (CBOCs) and through its community care referrals to non-VA providers. Although it is difficult to measure the value of well-delivered and coordinated care between VA and non-VA providers, the findings in this report may help VISN leaders identify vulnerable areas of community care that, if properly addressed, should improve healthcare quality for veterans.
The OIG reviewed care coordination: congestive heart failure management; primary care and mental health (diagnostic evaluations following positive screenings for depression or alcohol misuse); quality of care (home dialysis care); and women’s health (mammography care and communication of results). The OIG issued three recommendations for improvement in one area, quality of care:
• Ensuring an end-stage renal disease provider sees patients in the home dialysis program at least monthly, as evidenced by a progress note in the medical record by the responsible independent renal practitioner
• Performing initial and annual home visits for patients accepted into the VISN 15 home dialysis program
• Monitoring the quality of home dialysis contracted clinical services for patients receiving non-VA home dialysis services
Date Issued:
Tuesday, November 1, 2022
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
21-01821-08
Component, if applicable:
Veterans Health Administration
Location(s):
Warrensburg, MO
United StatesDodge City, KS
United StatesHays, KS
United StatesParsons, KS
United StatesHutchinson, KS
United StatesJefferson City, MO
United StatesBelton, MO
United StatesPaola, KS
United StatesNevada, MO
United StatesKirksville, MO
United StatesWaynesville, MO
United StatesSt. Joseph, MO
United StatesKansas City, KS
United StatesJunction City, KS
United StatesLawrence, KS
United StatesFort Scott, KS
United StatesSalina, KS
United StatesMexico, MO
United StatesSt. James, MO
United StatesSedalia, MO
United StatesExcelsior Springs, MO
United StatesMarshfield, MO
United StatesPlatte City, MO
United StatesKansas City, MO
United StatesShiloh, IL
United StatesFlorissant, MO
United StatesO'Fallon, MO
United StatesWest Plains, MO
United StatesParagould, AR
United StatesCape Girardeau, MO
United StatesFarmington, MO
United StatesMount Vernon, IL
United StatesMount Vernon, IL
United StatesPaducah, KY
United StatesEffingham, IL
United StatesOwensboro, KY
United StatesVincennes, IN
United StatesMayfield, KY
United StatesWashington, MO
United StatesCarbondale, IL
United StatesHarrisburg, IL
United StatesSikeston, MO
United StatesPocahontas, AR
United StatesSt. Louis, MO
United StatesMarion, IL
United StatesCamdenton, MO
United StatesType of Report:
Inspection / Evaluation
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
3
View Document:
Attachment | Size |
---|---|
VAOIG-21-01821-08.pdf | 5.4 MB |
Additional Details Link: