Healthcare Facility Inspection of the VA Marion Healthcare System in Illinois

Report Information

Issue Date
Report Number
26-00049-163
VISN
4
State
Illinois
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Healthcare Facility Inspection
Report Topic
Appointment Scheduling and Wait Times
Care Coordination
Community Care
Healthcare Infrastructure
Patient Safety
Staffing
Supplies and Equipment
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) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Marion Healthcare System in Illinois.

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

The OIG made two recommendations for VA to correct identified issues in one domain: 
     •    Patient safety 
       o    Facility policy for the communication of test results 
       o    Service-level workflows for the communication of test results
 

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 Director updates the facility policy for communicating test results in accordance with Veterans Health Administration Directive 1088(1), Communicating Test Results to Providers and Patients.

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

The Chief of Staff and Associate Director for Patient Care Services develop service-level written workflows in accordance with Veterans Health Administration Directive 1088(1), Communicating Test Results to Providers and Patients.