The Office of Inspector General (OIG) initiated an inspection to assess allegations of deficient practices within the Sterile Processing Service (SPS) at the Edward Hines, Jr. VA Hospital (facility) in Hines, Illinois, as well as the alleged failure of SPS leaders to provide adequate oversight, quality control, education, and training to SPS staff. The OIG did not substantiate that dirty instruments were sent to the operating room, that endoscopes were not being cleaned properly, that loaner trays were not reprocessed appropriately, or that SPS standard operating procedures were chaotic and incomplete. The OIG found no reported deficiencies in reprocessing of reusable medical equipment for operating room use during the period of the inspection. The OIG also assessed the status of facility action plans from April 2021, which addressed prior SPS deficiencies, and found that the facility had implemented and sustained process improvement actions. The OIG did not substantiate that SPS leaders failed to provide adequate oversight, quality control, education, and training to SPS staff or that SPS leaders and education and training staff lacked appropriate knowledge to provide staff training. SPS leaders and education and training staff implemented relevant training plans and assessed staff competencies in accordance with VHA policy. SPS leaders conducted oversight of staff competencies per VHA policy.Although the OIG noted instability within SPS leadership positions, facility leaders worked with Veterans Integrated Service Network (VISN) subject matter experts to ensure continuity of leadership when vacancies existed. The OIG learned of challenges related to workplace culture within SPS, which may have factored into unsubstantiated negative perceptions of service leadership.The OIG determined that both the VISN and facility leaders maintained adequate oversight, identifying and taking actions in response to concerns, and providing support for quality improvement efforts within SPS at the facility.
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Veterans Affairs | Improvements in Sterile Processing Service and Leadership Oversight at the Edward Hines, Jr. VA Hospital in Hines, Illinois | Inspection / Evaluation | Agency-Wide | View Report | |
Department of Homeland Security | CBP Complied with Facial Recognition Policies to Identify International Travelers at Airports | Audit | Agency-Wide | View Report | |
Department of Homeland Security | DHS Could Do More to Address the Threats of Domestic Terrorism | Audit | Agency-Wide | View Report | |
Internal Revenue Service | Fingerprinting and Employment Eligibility Verification Delays Due to the COVID-19 Pandemic May Increase Taxpayer Data Exposure Risks | Audit | Agency-Wide | View Report | |
Federal Deposit Insurance Corporation | DOJ Press Release: Woodford County Man Sentenced to 42 Months for Fraudulently Obtaining COVID Relief Loans | Investigation |
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View Report | |
Federal Deposit Insurance Corporation | DOJ Press Release: Brother-Sister Duo Indicted for Laundering More Than $42 Million of Drug Proceeds Through 22 Shell Corporations | Investigation |
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View Report | |
U.S. Postal Service | Coronavirus Aid, Relief, and Economic Security (CARES) Act Funding | Audit | Agency-Wide | View Report | |
Department of Commerce | The BAS Program Needs to Increase Attention to Business Process Reengineering and Improve Program Management Practices | Audit | Agency-Wide | View Report | |
Department of Justice | Findings of Misconduct by a then Special Agent in Charge and two Assistant Special Agents in Charge for Engaging in Favoritism in the Workplace, Multiple Violations of Hiring Policies, and Related Misconduct | Investigation | Agency-Wide | View Report | |
Department of Justice | Audit of the Department's Cyber Supply Chain Risk Management Efforts | Audit | Agency-Wide | View Report | |