Date Issued
|
Report Number
16-00581-239
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 10/5/2017
We recommended that facility clinical managers review Ongoing Professional Practice Evaluation data every 6 months and that facility managers monitor compliance
No. 2
to Veterans Health Administration (VHA)
Closure Date: 3/30/2018
We recommended that Physician Utilization Management Advisors consistently document their decisions in the National Utilization Management Integration database and that facility managers monitor compliance.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 1/8/2018
We recommended that facility managers ensure floors in patient care areas are clean and monitor compliance.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 1/8/2018
We recommended that facility managers ensure sharps containers stored for pick-up are secured and monitor compliance.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 3/30/2018
We recommended that for patients transferred out of the facility, providers consistently include documentation of patient or surrogate informed consent in transfer documentation and that facility managers monitor compliance.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 10/5/2017
We recommended that facility managers ensure transfer notes written by acceptable designees contain a staff/attending physician countersignature and monitor compliance.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 3/30/2018
We recommended that for patients transferred out of the facility, sending nurses document transfer assessments/notes and that facility managers monitor compliance.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 10/5/2017
We recommended that for patients transferred out of the facility, providers document sending or communicating to the accepting facility available history, observations, signs, symptoms, and preliminary diagnoses and that facility managers monitor compliance.
No. 9
to Veterans Health Administration (VHA)
Closure Date: 10/5/2017
We recommended that facility managers ensure the Community Nursing Home Oversight Committee includes representation by all required clinical disciplines.
No. 10
to Veterans Health Administration (VHA)
Closure Date: 10/5/2017
We recommended that facility managers ensure the Community Nursing Home Review Team completes required annual reviews and monitor compliance.
No. 11
to Veterans Health Administration (VHA)
Closure Date: 1/8/2018
We recommended that facility clinical managers ensure clinicians inform patients about the Patient Record Flags and the right to request to amend/appeal Patient Record Flag placement and ensure Chief of Staff or designee approval of Orders of Behavioral Restriction.
No. 12
to Veterans Health Administration (VHA)
Closure Date: 3/30/2018
We recommended that facility managers ensure all employees receive Level 1 Prevention and Management of Disruptive Behavior training and additional training as required for their assigned risk area within 90 days of hire and that the training is documented in employee training records.