Comprehensive Healthcare Inspection of Veterans Integrated Service Network 22: VA Desert Pacific Healthcare Network in Long Beach, California

Report Information

Issue Date
Report Number
22-00057-54
VISN
22
State
Arizona
California
Colorado
New Mexico
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Report Topic
Medical Staff Privileging Credentialing
Patient Safety
Major Management Challenges
Healthcare Services
Recommendations
2
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 Veterans Integrated Service Network 22: VA Desert Pacific Healthcare Network in Long Beach, California. This evaluation focused on five key operational areas:

•             Leadership and organizational risks

•             Quality, safety, and value

•             Medical staff credentialing and privileging

•             Environment of care

•             Mental health (suicide prevention)

 

The OIG issued two recommendations for improvement in the following topic areas:

1.            Quality, safety, and value

•             Peer review summary data

2.            Medical staff credentialing and privileging

•            Credentials files and appointment process for physicians with potentially disqualifying licensure actions

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

The Network Director determines the reasons for noncompliance and ensures the Patient Safety Officer collects, analyzes, and acts on peer review summary data.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)

The Chief Medical Officer determines any additional reasons for noncompliance and reviews the credentials file and makes a recommendation on continuing the appointment process for physicians with a potentially disqualifying licensure action.