Date Issued
|
Report Number
14-02890-201
All Reports
Date Issued
|
Report Number
14-02890-195
Date Issued
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Report Number
14-02890-196
Date Issued
|
Report Number
16-00103-160
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 9/7/2016
We recommended that facility clinical managers consistently review Ongoing Professional Practice Evaluation data every 6 months and that facility managers monitor compliance.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 11/2/2016
We recommended that Infection ControlCommittee meeting minutes consistently reflect discussion of identified high-risk areas and include actions to address those areas.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 9/7/2016
We recommended that facility managers ensure completion of drug destructions at least quarterly.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 11/2/2016
We recommended that clinicians consistently document that patients are at high risk prior to placing flags in the electronic health records and that facility managers monitor compliance.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 11/2/2016
We recommended that clinicians include the identification of contact numbers of family or friends for support in Suicide Prevention Safety Plans and that facility managers monitor compliance.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 9/7/2016
We recommended that facility employees provide education and counseling about adverse consequences of heavy drinking to patients with positive alcohol screens and alcohol consumption above National Institute on Alcohol Abuse and Alcoholism guidelines.
Date Issued
|
Report Number
15-05160-161
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers monitor hand hygiene compliance at the Chinle VA Clinic.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 1/13/2017
We recommended that the managers develop and implement a policy/procedure for the life safety elements at the Chinle VA Clinic.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 10/21/2016
We recommended that managers develop and implement a policy that requires the Chinle VA Clinic staff to receive regular information on their responsibilities in emergency response operations.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 3/2/2017
We recommended that managers ensure that Chinle VA Clinic staff participate in emergency management exercises.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers ensure walls in patient care areas at the Chinle VA Clinic are repaired.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers ensure that the Chinle VA Clinic has functional and accessible hand hygiene facilities.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers at the Chinle VA Clinic ensure food and drink are not kept in refrigerators or freezers in patient care areas.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers control access to and from areas identified as security sensitive at the Chinle VA Clinic.
No. 9
to Veterans Health Administration (VHA)
Closure Date: 10/21/2016
We recommended that managers review the Chinle VA Clinic’s hazardous materials inventory twice within a 12-month period.
No. 10
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers equip examination room doors with electronic or manual locks at the Chinle VA Clinic.
No. 11
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers provide feminine hygiene products and disposal bins in women’s public restrooms at the Chinle VA Clinic.
No. 12
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that managers at the Chinle VA Clinic ensure the information technology server closet is maintained according to information technology safety and security standards.
No. 13
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that providers sign Home Telehealth assessments and treatment plans.
No. 14
to Veterans Health Administration (VHA)
Closure Date: 10/24/2016
We recommended that clinicians document the Home Telehealth enrollment process prior to the entry of monthly monitoring notes.
No. 15
to Veterans Health Administration (VHA)
Closure Date: 7/29/2016
We recommended that clinicians consistently notify patients of their laboratory results within 14 days as required by VHA policy.
No. 16
to Veterans Health Administration (VHA)
Closure Date: 2/12/2019
We recommended that acceptable providers perform and document suicide risk assessments for all patients with positive PTSD screens.
No. 17
to Veterans Health Administration (VHA)
Closure Date: 2/12/2019
We recommended that further diagnostic evaluations are offered to patients with positive PTSD screens.
No. 18
to Veterans Health Administration (VHA)
Closure Date: 3/2/2017
We recommended that providers complete diagnostic evaluations for patients with positive PTSD screens.
Date Issued
|
Report Number
14-02890-177
Date Issued
|
Report Number
14-02890-191
Date Issued
|
Report Number
14-02890-156
Date Issued
|
Report Number
14-02890-150
Date Issued
|
Report Number
14-02890-137
Date Issued
|
Report Number
14-02890-162
Date Issued
|
Report Number
14-02890-170
Date Issued
|
Report Number
14-02890-164
Date Issued
|
Report Number
14-02890-165
Date Issued
|
Report Number
14-02890-152
Date Issued
|
Report Number
14-02890-138
Date Issued
|
Report Number
14-02890-169
Date Issued
|
Report Number
14-02890-163
Date Issued
|
Report Number
14-02890-148
Date Issued
|
Report Number
14-02890-179