Recommendations
2062
| ID | Report Number | Report Title | Type | |
|---|---|---|---|---|
| 21-03101-73 | VHA Can Improve Controls Over Its Use of Supplemental Funds | Audit | ||
1 Assess the iFAMS configuration to determine whether integration with the payroll subsystems can be accomplished to resolve some of the payroll-related issues that require the need for expenditure transfers.
Closure Date:
2 Establish guidance that outlines the type of documentation required to support the amounts identified in the manual journal vouchers when processing expenditure transfers.
Closure Date:
3 Require medical facility staff have documented authority, through proper delegation, to make purchases.
Closure Date:
4 Verify that medical facility staff segregate duties so that the same person is not both authorizing and receiving goods and services.
Closure Date:
5 Make certain the purchase card holder is not the requestor or approver for the purchase.
Closure Date:
6 Ensure contracting officer’s representatives know and understand their duties and responsibilities for the certification and payment of invoices.
Closure Date:
7 Check vendors’ compliance with contract terms to include the comparison of invoiced amounts with the contract line-item unit costs.esponse to the pandemic and develop appropriate action plans to integrate oversight roles, responsibilities, and clear guidance into the use of supplemental funds.
Closure Date:
8 Ensure that medical facility staff track the receipt of goods to make certain they are the correct quantity.
Closure Date:
9 Conduct an assessment of lessons learned from the emergency response to the pandemic and develop appropriate action plans to integrate oversight roles, responsibilities, and clear guidance into the use of supplemental funds.
Closure Date:
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| 22-00041-105 | Comprehensive Healthcare Inspection of the Central Texas Veterans Health Care System in Temple | Comprehensive Healthcare Inspection Program | ||
1 The Executive Director evaluates and determines any additional reasons fornoncompliance and ensures leaders conduct institutional disclosures for allapplicable sentinel events.
Closure Date:
2 The Chief of Staff evaluates and determines any additional reasons fornoncompliance and ensures service chiefs complete Ongoing Professional PracticeEvaluations.
Closure Date:
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| 22-02188-109 | Mental Health Emergency Response Documentation Inaccuracy, and Policy and Practice Inconsistencies at the VA San Diego Healthcare System in California | Hotline Healthcare Inspection | ||
1 The VA San Diego Healthcare System Director ensures the accuracy of code green documentation.
Closure Date:
2 The VA San Diego Healthcare System Director evaluates the VA San Diego Healthcare System Memorandum 116A-06, “Code Green/Code Yellow,” and aligns definitions, requirements, and responsibilities with purpose and practice, and monitors compliance.
Closure Date:
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| 22-00540-107 | Issues Related to an Administrative Investigation Board at the VA Black Hills Health Care System in Fort Meade and Hot Springs, South Dakota | Hotline Healthcare Inspection | ||
1 The VA Black Hills Health Care System Director continues to monitor and track the identified action plan through to completion.
Closure Date:
2 The VA Black Hills Health Care System Director reviews the evidence and independently determines if the state licensing board should be notified.
Closure Date:
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| 22-00514-108 | Failure of Leaders to Respond to Reports of Sexual Harassment at the VA Black Hills Health Care System in Fort Meade and Hot Springs, South Dakota | Hotline Healthcare Inspection | ||
1 The VA Black Hills Health Care System Director reviews the sexual harassment policy to ensure that leaders and supervisors can identify, thoroughly investigate, and respond to sexual harassment allegations.
Closure Date:
2 The VA Black Hills Health Care System Director reviews the actions of the Compensated Work Therapy and Transitional Residence program manager related to the identified patient’s case and takes action as needed.
Closure Date:
3 The VA Black Hills Health Care System Director ensures that facility policy addresses the safety and rights of patients who are both VA employees and participants in the Transitional Residence program.
Closure Date:
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| 22-00047-106 | Comprehensive Healthcare Inspection of the VA Long Beach Healthcare System in California | Comprehensive Healthcare Inspection Program | ||
1 The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures service chiefs define Focused Professional Practice Evaluation criteria in advance using objective criteria accepted by the practitioner.
Closure Date:
2 The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain the Medical Executive Council reviews and evaluates licensed independent practitioners’ reprivileging requests and documents the review in the meeting minutes.
Closure Date:
3 The Deputy Director evaluates and determines any additional reasons for noncompliance and ensures managers keep furnishings and equipment safe and in good repair.
Closure Date:
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| 21-02805-102 | Review of Access to Telehealth and Provider Experience in VHA Prior to and During the COVID-19 Pandemic | National Healthcare Review | ||
1 The Under Secretary for Health evaluates provider knowledge and utilization of VA Video Connect technology, including resources such as the Digital Divide Consult, Connected Devices Support Program, and VVC Now and takes action as indicated.
Closure Date:
2 The Under Secretary for Health evaluates availability of clinical and administrative support to providers initiating and completing VA Video Connect encounters and clarifies expectations and requirements to ensure access to virtual care emulates in-person encounters.
Closure Date:
3 The Under Secretary for Health ensures education of providers and support staff regarding VA Video Connect scheduling processes.
Closure Date:
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| 22-02067-82 | The Medical Disability Examination Office Needs to Better Monitor Mileage Requirements for Contract Exams | Review | ||
1 Implement a process to monitor and demonstrate progress to assess vendors’ compliance with contractual mileage and travel reimbursement requirements.
Closure Date:
2 Collaborate with vendors to ensure portals include proper documentation of express consent.
Closure Date:
3 Collaborate with vendors to ensure mileage reimbursement information is available in vendor portals.
Closure Date:
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| 21-03313-96 | Comprehensive Healthcare Inspection of Veterans Integrated Service Network 9: VA MidSouth Healthcare Network in Nashville, Tennessee | Comprehensive Healthcare Inspection Program | ||
1 The Network Director evaluates and determines additional reasons for noncompliance and submits a Comprehensive Environment of Care compliance report to the Environment of Care Committee annually.
Closure Date:
2 The Network Director evaluates and determines additional reasons for noncompliance and makes certain the Environment of Care Committee reviews Comprehensive Environment of Care Compliance and Assessment Tool data at least quarterly.
Closure Date:
3 The Network Director evaluates and determines any additional reasons for noncompliance and ensures the Emergency Management Committee conducts an annual review of the Veterans Integrated Service Network-wide strengths, weaknesses, priorities, and requirements for improvement, and documents it in writing.
Closure Date:
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| 22-02604-74 | Audie L. Murphy Memorial Veterans’ Hospital Missed Opportunities to Distribute Excess Ventilators during the COVID-19 Pandemic | Review | ||
1 Document a methodology for determining the number of ventilators required by the Audie L. Murphy Memorial Veterans’ Hospital to fulfill its mission and provide care during routine and emergency operations.
Closure Date:
2 Determine whether the remaining ventilators are required to support the hospital’s mission. If excess ventilators are identified, perform procedures to turn them in for reassignment, reutilization, or disposal in accordance with VA Handbook 7002.
Closure Date:
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14943