Date Issued
|
Report Number
13-00244-348
All Reports
Date Issued
|
Report Number
14-04493-198
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 10/19/2015
We recommended the Interim Veterans Integrated Service Network 16 Director review TalkStation data showing the time interpretations started and ended to ensure radiologists perform Teleradiology Reading Center interpretations during their non-duty hours.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 4/30/2015
We recommended the Interim Veterans Integrated Service Network 16 Director require the Central Arkansas Veterans Healthcare System to establish policy on an official tour of duty for weekends to ensure radiologists perform Teleradiology Reading Center interpretations during their non-duty hours.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 4/29/2016
We recommended the Interim Veterans Integrated Service Network 16 Director annually review the Teleradiology Reading Center agreement and certify that services are still needed, qualified individuals in the specialty are not available locally, and other business options have been considered for obtaining services.
Date Issued
|
Report Number
15-00032-226
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 4/5/2016
We recommended that the facility establish a committee to provide oversight of the safe patient handling program.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 12/16/2015
We recommended that facility managers ensure employees receive training on chemical labeling/safety data sheets.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 12/16/2015
We recommended that the facility store clean and dirty items separately and that facility managers monitor compliance.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 4/5/2016
We recommended that facility managers ensure personal protective equipment gowns, eye protection, and masks are available in various sizes in patient care areas and monitor compliance.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 12/16/2015
We recommended that facility managers ensure all designated critical care and community living center employees receive annual bloodborne pathogens training and monitor compliance.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 4/5/2016
We recommended that the facility conduct initial patient safety screenings prior to magnetic resonance imaging and that facility managers monitor compliance.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 4/5/2016
We recommended that Level 2 magnetic resonance imaging personnel conducting secondary patient safety screenings sign the forms prior to magnetic resonance imaging and that facility managers monitor compliance.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 4/5/2016
We recommended that radiologists and/or Level 2 magnetic resonance imaging personnel document resolution in patients' electronic health records of all identified magnetic resonance imaging contraindications prior to the scan and that facility managers monitor compliance.
No. 9
to Veterans Health Administration (VHA)
Closure Date: 12/16/2015
We recommended that the facility ensure all designated Level 1 ancillary staff receive annual level-specific magnetic resonance imaging safety training and that facility managers monitor compliance.
No. 10
to Veterans Health Administration (VHA)
Closure Date: 6/9/2016
We recommended that clinicians complete and document National Institutes of Health stroke scales for each stroke patient and that facility managers monitor compliance.
No. 11
to Veterans Health Administration (VHA)
Closure Date: 4/30/2015
We recommended that facility managers post stroke guidelines on the critical care and medical/surgical units.
No. 12
to Veterans Health Administration (VHA)
Closure Date: 9/8/2016
We recommended that clinicians provide printed stroke education to patients upon discharge and that facility managers monitor compliance.
No. 13
to Veterans Health Administration (VHA)
Closure Date: 12/16/2015
We recommended that the facility report to the Medical Executive Board the percent of eligible patients given tissue plasminogen activator, the percent of patients with stroke symptoms who had the stroke scale completed, and the percent of patients screened for difficulty swallowing before oral intake.
No. 14
to Veterans Health Administration (VHA)
Closure Date: 6/9/2016
We recommended that clinicians obtain cardiac markers, prothrombin time/international normalized ratio, and partial thromboplastin time while assessing patients presenting with stroke symptoms and that facility managers monitor compliance.
Date Issued
|
Report Number
14-02916-336
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 3/9/2016
We recommended the Interim Under Secretary for Health assign an accountable senior executive to prepare and document revised Patient-Centered Community Care price analyses and determine if VA will realize any cost savings during the future option years of the contracts.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 3/9/2016
We recommended the Interim Under Secretary for Health develop an action plan to address low PC3 contract utilization rates.
No. 3
to Acquisitions, Logistics, and Construction (OALC)
Closure Date: 9/9/2015
We recommended the Executive Director, Office of Acquisition, Logistics, and Construction ensure all required contract documents are maintained in the official Patient-Centered Community Care contract files in accordance with Federal Acquisition Regulation and hold the contracting officer accountable for ensuring complete and accurate information is maintained in the Electronic Contract Management System.
Date Issued
|
Report Number
15-00114-212
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 9/17/2015
We recommended that clinic staff consistently complete diagnostic assessments for patients with a positive alcohol screen.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 9/17/2015
We recommended that clinic staff consistently document the offer of further treatment to patients diagnosed with alcohol dependence.
No. 3
to Veterans Health Administration (VHA)
We recommended that clinicians provide human immunodeficiency virus testing as part of routine medical care for patients and that compliance is monitored.
Date Issued
|
Report Number
06-02927-314
Date Issued
|
Report Number
10-00480-313
Date Issued
|
Report Number
06-01764-323
Date Issued
|
Report Number
06-01390-322
Date Issued
|
Report Number
06-01144-315
Date Issued
|
Report Number
11-00014-317
Date Issued
|
Report Number
12-02149-319
Date Issued
|
Report Number
11-02538-318
Date Issued
|
Report Number
11-02865-316
Date Issued
|
Report Number
12-00206-320
Date Issued
|
Report Number
09-02208-327
Date Issued
|
Report Number
08-01333-329
Date Issued
|
Report Number
09-00068-328
Date Issued
|
Report Number
09-00775-330