All Reports
Date Issued
|
Report Number
09-02125-457
Date Issued
|
Report Number
10-03822-468
Date Issued
|
Report Number
11-04285-16
Date Issued
|
Report Number
11-00210-05
Date Issued
|
Report Number
11-00210-06
Date Issued
|
Report Number
12-02448-63
Date Issued
|
Report Number
12-02525-41
Date Issued
|
Report Number
11-00198-03
Date Issued
|
Report Number
16-01484-82
Date Issued
|
Report Number
15-04651-81
Date Issued
|
Report Number
16-03330-91
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to General Counsel (OGC)
We recommend that VA’s General Counsel confer with the Office of Human Resources to determine the appropriate administrative action to take, if any, against Mr. Burch.
No. 2
to General Counsel (OGC)
Closure Date: 11/2/2017
We recommend that VA’s General Counsel conduct a review of the CFBNP Steering Committee charter, membership, and activities, to determine whether members of the committee have engaged in a conflict of interest, or created the appearance of one, through the members’ association with non-Governmental Organizations, as defined in VA Directive 0008, or otherwise, and take the appropriate corrective action.
No. 3
to General Counsel (OGC)
Closure Date: 1/3/2017
We recommend that VA’s General Counsel extend the “covered positions” requirement for filing of Confidential Financial Disclosure Reports under 5 C.F.R. § 2634.904(a) to all attorneys employed by VA.
Date Issued
|
Report Number
14-02890-413
Date Issued
|
Report Number
15-05180-75
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
We recommended that the Facility Director implement strategies to enhance communication and coordination across clinical areas for patients with High Risk for Suicide Patient Record Flags.
Date Issued
|
Report Number
14-02890-72
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 9/29/2017
We recommended the VA Desert Pacific Healthcare Network Director review the training records of all SAVAHCS schedulers to ensure their training is compliant with Veterans Health Administration scheduling policy.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 9/29/2017
We recommended the VA Desert Pacific Healthcare Network Director ensure that SAVAHCS schedulers comply with current VHA policy regarding scheduling policies and practices.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 9/29/2017
We recommended the VA Desert Pacific Healthcare Network Director perform an administrative investigation to determine who directed former Business Service Line officials to create and use training materials that did not comply with VA scheduling policy and take appropriate disciplinary action for any individuals involved.
Date Issued
|
Report Number
14-02890-353
Date Issued
|
Report Number
14-02890-412
Date Issued
|
Report Number
15-05255-422
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 11/2/2016
We recommended the Under Secretary for Health ensure the Consolidated Mail Outpatient Pharmacies¿ Logistics Officer and Director or Associate Director review all inventory adjustments and approve adjustment documentation monthly as required by CMOP Inventory Management and Control national policy.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 11/2/2016
We recommended the Under Secretary for Health ensures Consolidated Mail Outpatient Pharmacy National Office implements a mechanism to validate self-reported data to ensure the reliability of its core quality metrics.
Date Issued
|
Report Number
14-04898-290
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 10/12/2016
We recommended that the Veterans Integrated Service Network Director conduct a quality review of the imaging study interpretations completed during the time of the unsigned Memorandum of Understanding referenced in this report.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 10/12/2016
We recommended that the System Director strengthen processes to ensure the Radiology Services is fully integrated into the system's formal peer review program.