This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of VHA facilities’ selected medical staff privileging program requirements. The report describes related findings from healthcare inspections performed at 36 VHA medical facilities from November 4, 2019, through September 21, 2020. Each inspection involved interviews with facility leaders and staff and reviews of clinical and administrative processes. The OIG reviewers evaluated meeting minutes and other relevant documents.The OIG found general compliance with many of the selected requirements. However, the OIG identified weaknesses with focused professional practice evaluation criteria, reprivileging decision processes, ongoing professional practice evaluations, processes for recommending continuing privileges, timely completion of and required signatures for provider exit review forms, and state licensing board reporting.The OIG issued six recommendations, including three repeat recommendations related to:• minimum specialty criteria for focused professional evaluations,• inclusion of service-specific criteria in ongoing professional practice evaluations, and• use of professional practice evaluation results in executive committee recommendations to continue licensed independent practitioners’ privileges.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Veterans Affairs | Comprehensive Healthcare Inspection Summary Report: Evaluation of Medical Staff Privileging in Veterans Health Administration Facilities, Fiscal Year 2020 | Review | Agency-Wide | View Report | |
| Internal Revenue Service | The IRS Primarily Uses Lien Foreclosures When Pursuing Principal Residences, Which Do Not Provide the Same Legal Protections as the Seizure Process | Audit | Agency-Wide | View Report | |
| Architect of the Capitol | Effects of COVID-19 and the Events of January 6 Have Increased the Cannon House Office Building Renewal Project’s Contracts by $5.6 Million and Further Increases are Expected | Audit |
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View Report | |
| Appalachian Regional Commission | Tusculum College | Audit |
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View Report | |
| U.S. Agency for International Development | Financial and Closeout Audit of Multiple USAID Awards in India Managed by Karnataka Health Promotion Trust in India, April 1, 2020, to March 31, 2021 | Other |
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View Report | |
| U.S. Agency for International Development | Follow-Up Performance Audit on Mendez England & Associates Accounting System Administration | Other |
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View Report | |
| Department of State | Information Report: Systemic Deficiencies Related to the Department of State’s Fuel Management From FY 2016 to FY 2020 | Other | Agency-Wide | View Report | |
| Nuclear Regulatory Commission | Event Inquiry into the Nuclear Regulatory Commission’s Oversight of the Auxiliary Feedwater System at Diablo Canyon Nuclear Power Plant | Investigation | Agency-Wide | View Report | |
| U.S. Postal Service | Efficiency of Operations at the Columbus OH, Processing and Distribution Center | Audit | Agency-Wide | View Report | |
| Department of the Treasury | CONTRACT AUDIT: Audit of the Bureau of Engraving & Printing’s eFiling System | Audit | Agency-Wide | View Report | |