Skip to main content
Report File
Date Issued
Submitting OIG
Department of Veterans Affairs OIG
Agencies Reviewed/Investigated
Department of Veterans Affairs
Components
Veterans Health Administration
Report Number
24-00603-86
Report Description

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Hampton Healthcare System in Virginia. 

This evaluation focused on five key content domains:
   •    Culture
   •    Environment of care
   •    Patient safety
   •    Primary care
   •    Veteran-centered safety net

The OIG issued six recommendations for improvement in three domains:
 1.    Environment of care
   •    Accessible parking space access aisles and pavement markings
   •    Crosswalk visibility and pedestrian safety
   •    Doorway safety
   •    Hand hygiene supplies
 2.    Patient safety
   •    Communication of test results
 3.    Veteran-centered safety net
   •    Social work positions

Report Type
Inspection / Evaluation
Agency Wide
Yes
Number of Recommendations
6
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No

Open Recommendations

This report has 6 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
01 No $0 $0

The OIG recommends the Director evaluates accessible parking spaces at the circle of the main entrance and ensures access aisles have visible pavement markings and remain available for use.

02 No $0 $0

The OIG recommends facility leaders improve crosswalk visibility and monitor pedestrian safety at the crosswalks until completion.

03 No $0 $0

The OIG recommends facility leaders improve doorway safety at the main entrance.

04 No $0 $0

The OIG recommends the Director ensures staff have adequate hand hygiene supplies in or near soiled utility rooms that contain biohazardous materials.

05 No $0 $0

The OIG recommends facility leaders ensure the facility policy for communication of test results and service-level workflows comply with VHA requirements, and staff implement processes to monitor patient notification of test results.

06 No $0 $0

The OIG recommends facility leaders increase hiring efforts for the vacant social work positions in the Housing and Urban Development"Veterans Affairs Supportive Housing program, and in the interim, provide staff to support program enrollment.

Department of Veterans Affairs OIG

United States