Healthcare Inspection Quality of Care Issues at a VA Healthcare System

The purpose of the inspection was to determine the validity of an anonymous allegation that “a number of patients” died while under the care of a board certified surgeon. We concluded that that the system took appropriate actions to ensure patient safety and to review the provider’s quality of care prior to and during Office of Inspector General’s review of the allegations. We also recommended that Regional Counsel review all pertinent documentation and actions taken by the system and determine whether the system had a legal obligation to report the provider to the NPDB and/or the appropriate state licensing boards.