Comprehensive Healthcare Inspection of the James A. Haley Veterans’ Hospital in Tampa, Florida

Report Information

Issue Date
Report Number
23-00010-84
VISN
8
State
Florida
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Report Topic
Patient Safety
Suicide Prevention
Major Management Challenges
Healthcare Services
Recommendations
4
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the James A. Haley Veterans’ Hospital in Tampa and associated outpatient clinics in Florida. This evaluation focused on five key operational areas:
•    Leadership and organizational risks
•    Quality, safety, and value
•    Medical staff privileging
•    Environment of care
•    Mental health (suicide prevention initiatives)

The OIG issued four recommendations for improvement in the following topic areas:
•    Environment of care
1.    Patient care areas clean and orderly
2.    Separate storage of clean and dirty equipment and supplies
3.    Placement of examination tables

•    Mental health
1.    Monthly reporting of suicide-related events

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The Associate Director ensures staff keep areas used by patients clean and orderly.

No. 2
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The Associate Director ensures staff store clean and dirty equipment and supplies separately.

No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)

The Associate Director ensures staff place all examination tables with the foot facing away from the door.

No. 4
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The Director ensures the Suicide Prevention Coordinator reports suicide-related events monthly to mental health leaders and quality management staff.