Date Issued
|
Report Number
11-01295-232
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 4/17/2012
We recommended that processes be strengthened to ensure that QM data is consistently analyzed and that corrective actions are evaluated for effectiveness.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 9/30/2012
We recommended that the designated UM Ad-Hoc Committee reviews UM data and that the facility approves the case exemptions for Physician UM Advisor review.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 1/4/2012
We recommended that PR data summaries include all required elements and that the PRC monitor closure of issues identified or referred for follow-up to other venues.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 9/30/2012
We recommended that ongoing FPPE be completed within the defined 12-month period and that monitoring data be maintained in the physicians¿ profiles.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 9/30/2012
We recommended that adequate competency data be maintained in all physicians' profiles.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 3/20/2012
We recommended that processes be strengthened to ensure that all violent incidents involving patients are discussed at the DBC.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 1/4/2012
We recommended that annual bloodborne pathogens training and N95 respirator fit testing be completed and that compliance be monitored.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 1/4/2012
We recommended that processes be strengthened to ensure that all components of written AD notification are provided to patients and that notification is documented in the medical record.