Healthcare Facility Inspection of the VA Orlando Healthcare System in Florida

Report Information

Issue Date
Closure Date
Report Number
24-00585-246
VISN
8
State
Florida
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
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 Inspections program report describes the results of a focused evaluation of the care provided at the VA Orlando Healthcare System in Florida. This evaluation focused on five key content domains:
       •    Culture
       •    Environment of care
       •    Patient safety
       •    Primary care
       •    Veteran-centered safety net

The OIG issued two recommendations for improvement in two domains:
1.    Culture
       •    Reevaluate bed level capacity and submit bed change request
2.    Environment of care
       •    Secure pneumatic tube system

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)
Closure Date: 1/8/2025

The OIG recommended the Facility Director work with Veterans Integrated Service Network leaders to reevaluate the current bed level capacity and submit the bed change request as required.

No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
Closure Date: 1/8/2025

The OIG recommended the Facility Director ensures staff secure the pneumatic tube system to prevent unauthorized access to medications.