Date Issued
|
Report Number
14-02890-404
All Reports
Date Issued
|
Report Number
14-02890-407
Date Issued
|
Report Number
14-02967-83
Date Issued
|
Report Number
14-02890-416
Date Issued
|
Report Number
14-02890-87
Date Issued
|
Report Number
14-02890-122aaa
Date Issued
|
Report Number
14-02890-411
Date Issued
|
Report Number
14-02890-352
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 12/20/2016
We recommended the Director, Ralph H. Johnson VAMC, initiate an additional clinical review regarding the patient identified in this report, and take action as appropriate.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 12/20/2016
We recommended the Director, Ralph H. Johnson VAMC, ensure that consults that were not acted on within 7 days can be tracked and managed in accordance with national policy.
Date Issued
|
Report Number
15-02278-415
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 11/13/2017
We recommended the Veterans Integrated Service Network 4 Director ensure the VA Pittsburgh Healthcare System conduct annual reviews to ensure its resident meal plans are appropriate and supported by adequate documentation.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 7/24/2017
We recommended the Veterans Integrated Service Network 4 Director ensure the VA Pittsburgh Healthcare System evaluate purchasing meals internally from the Veterans Canteen Service as an alternative to commercial sources.
Date Issued
|
Report Number
15-04247-111
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 9/20/2017
We recommended that the Under Secretary for Health implement procedures to ensure that facilities comply with Veterans Health Administration Directive 1031 requirements, including the completion of annual evaluations, designation of provider and pharmacy champions, staff education, and the provision of adequate dedicated staffing and resources.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 7/10/2017
We recommended that the Under Secretary for Health require that Veterans Health Administration facilities track and generate clinical outcome reports on antibiotic use.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 12/15/2016
We recommended that the Under Secretary for Health consider implementing standardized tools and definitions for antimicrobial stewardship data and a uniform reporting system to permit analysis of comparable information over time.
Date Issued
|
Report Number
15-01879-109
Date Issued
|
Report Number
14-03434-102
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
We recommended that the Acting System Director ensure that Mental Health Service reviews daily psychiatric patient care activity and determine if productivity is consistent with work relative value unit-based productivity and meets reasonable expectations for number of patients treated.
No. 2
to Veterans Health Administration (VHA)
We recommended that the Acting System Director ensure that staff psychiatrists’ scheduling grids are consistent with expected patient care activity.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 10/26/2017
We recommended that the Acting System Director ensure that processes be strengthened to review and rectify psychiatry staff’s Current Procedural Terminology coding errors.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 6/3/2017
We recommended that the Acting System Director ensure that processes be strengthened for timely response to mental health clinic group treatment patient referrals.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 6/3/2017
We recommended that the Acting System Director ensure that mental health staff adequately assess and document treatment needs and follow-up arrangements for unscheduled (walk-in) patients.
No. 6
to Veterans Health Administration (VHA)
We recommended that the Acting System Director ensure that facsimile machine numbers provided to referral sources are functional and appropriately located for timely response.
No. 7
to Veterans Health Administration (VHA)
We recommended that the Acting System Director strengthen the Compensation and Pension evaluation documentation processes to enhance accuracy of information.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 7/12/2017
We recommended that the Acting System Director ensure that processes be strengthened to include patients in treatment planning when they are transferred to another clinic.
No. 9
to Veterans Health Administration (VHA)
Closure Date: 6/3/2017
We recommended that the Acting System Director ensure that peer reviews are inclusive of all relevant clinicians and timely and that managers take appropriate follow-up actions, if indicated.
Date Issued
|
Report Number
16-00790-417
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Information and Technology (OIT)
Closure Date: 11/9/2020
We recommended the Assistant Secretary for Information and Technology implement a policy to ensure cost-effective utilization of information technology equipment, installed software, and services and ensure coordination of acquisitions with affected VA organizations. This will help ensure VA’s operating framework and organizational needs are considered prior to acquisitions.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 7,200,000.00
Date Issued
|
Report Number
14-02890-405
Date Issued
|
Report Number
14-02890-400
Date Issued
|
Report Number
11-00084-69
Date Issued
|
Report Number
10-02328-460
Date Issued
|
Report Number
10-02858-463