Healthcare Facility Inspection of the VA Shreveport Healthcare System in Louisiana

Report Information

Issue Date
Report Number
26-00057-170
VISN
4
State
Louisiana
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Appointment Scheduling and Wait Times
Care Coordination
Community Care
Healthcare Infrastructure
Patient Safety
Staffing
Major Management Challenges
Healthcare Services
Recommendations
2
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

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 Shreveport Healthcare System in Louisiana.

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

The OIG made two recommendations for VA to correct identified issues in one domain: 
     •    Patient safety 
      o    Service-level workflows for the communication of test results 
      o    Performance measure data for the communication of test results
 

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The Chief of Staff and Associate Director for Patient Care Services take appropriate actions to develop written service-level workflows that describe team members’ roles in the process of communicating test results, per Veterans Health Administration Directive 1088(1), Communicating Test Results to Providers and Patients.

No. 2
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The Chief of Staff and Associate Director for Patient Care Services review performance measure data for test result communications and take corrective action when they identify noncompliance with communicating abnormal test results within seven days, per Veterans Health Administration Directive 1088(1), Communicating Test Results to Providers and Patients.