Healthcare Facility Inspection of the VA Hampton Healthcare System in Virginia

Report Information

Issue Date
Report Number
24-00603-86
VISN
6
State
North Carolina
Virginia
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Patient Care Services Operations
Patient Safety
Staffing
Supplies and Equipment
Major Management Challenges
Healthcare Services
Recommendations
6
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Hampton Healthcare System in Virginia. 

This evaluation focused on five key content domains:
   •    Culture
   •    Environment of care
   •    Patient safety
   •    Primary care
   •    Veteran-centered safety net

The OIG issued six recommendations for improvement in three domains:
 1.    Environment of care
   •    Accessible parking space access aisles and pavement markings
   •    Crosswalk visibility and pedestrian safety
   •    Doorway safety
   •    Hand hygiene supplies
 2.    Patient safety
   •    Communication of test results
 3.    Veteran-centered safety net
   •    Social work positions

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 OIG recommends the Director evaluates accessible parking spaces at the circle of the main entrance and ensures access aisles have visible pavement markings and remain available for use.

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

The OIG recommends facility leaders improve crosswalk visibility and monitor pedestrian safety at the crosswalks until completion.

No. 3
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The OIG recommends facility leaders improve doorway safety at the main entrance.

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

The OIG recommends the Director ensures staff have adequate hand hygiene supplies in or near soiled utility rooms that contain biohazardous materials.

No. 5
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The OIG recommends facility leaders ensure the facility policy for communication of test results and service-level workflows comply with VHA requirements, and staff implement processes to monitor patient notification of test results.

No. 6
Open Recommendation Image, Square
to Veterans Health Administration (VHA)

The OIG recommends facility leaders increase hiring efforts for the vacant social work positions in the Housing and Urban Development–Veterans Affairs Supportive Housing program, and in the interim, provide staff to support program enrollment.