All Reports
Date Issued
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Report Number
12-01872-258
Date Issued
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Report Number
12-01235-132
Date Issued
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Report Number
11-01406-247
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 2/15/2013
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that each CBOC has a Women’s Health Liaison who collaborates with the parent facility’s Women Veterans Program Manager on women’s health issues.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 6/27/2013
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that all breast imaging and mammography results are linked to the appropriate radiology mammogram or breast study order.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 6/27/2013
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers Ensure that each medical center has a local policy for STFB consults.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 1/15/2014
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers Ensure that practitioners document a justification for the use of STFB care in the medical record, specifically at urban CBOCs.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 1/15/2014
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers Ensure there is documentation in the medical record that the patient received written notification STFB consult approval, specifically at urban CBOCs.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 5/21/2013
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that each CBOC has a plan that defines how MH emergencies that require a higher level of care are addressed.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 5/14/2013
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure patient care staff members at CBOCs have ongoing competency assessments validated for identified core competencies.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 8/16/2012
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that auditory privacy is maintained during the check-in process.
No. 9
to Veterans Health Administration (VHA)
Closure Date: 8/16/2012
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that all PII is secured and protected.
No. 10
to Veterans Health Administration (VHA)
Closure Date: 1/13/2015
We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers network space vulnerabilities in accordance with VA policy.
No. 11
to Veterans Health Administration (VHA)
Closure Date: 6/27/2013
We recommended that the Under Secretary for Health, in conjunction with the VISN and facility senior managers review the invoice validation process to consider creating a standardized billable roster report to improve oversight and accuracy of billable patient lists, thereby reducing man hours currently performing those duties and potential overpayments.
No. 12
to Veterans Health Administration (VHA)
Closure Date: 8/16/2012
We recommended that the Under Secretary for Health, in conjunction with the VISN and facility senior managers strengthen the oversight of the contract acquisition process to ensure that adequate planning occurs and that proper approvals are documented in the contract management system [eCMS] in accordance with VHA Directives.
No. 13
to Veterans Health Administration (VHA)
Closure Date: 2/27/2013
We recommended that the Under Secretary for Health, in conjunction with the VISN and facility senior managers ensure that MH services for contract CBOCs are addressed in a separate contract or within the primary care contract.
Date Issued
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Report Number
11-04090-253
Date Issued
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Report Number
12-02618-252
Date Issued
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Report Number
12-01875-249
Date Issued
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Report Number
12-01874-245
Date Issued
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Report Number
12-01543-243
Date Issued
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Report Number
12-02274-244
Date Issued
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Report Number
12-00244-241
Date Issued
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Report Number
12-00319-240
Date Issued
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Report Number
12-01876-239
Date Issued
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Report Number
12-00572-237
Date Issued
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Report Number
11-02433-220
Date Issued
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Report Number
12-01336-235
Date Issued
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Report Number
12-00882-232
Date Issued
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Report Number
12-00240-236
Date Issued
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Report Number
12-01760-230
Date Issued
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Report Number
12-00002-199