Report Summary

Title: Healthcare Inspection–Follow-Up Review of Quality of Care and Other Issues, Grand Junction VA Medical Center, Grand Junction, Colorado
Report Number: 12-00206-23
Issue Date: 10/26/2012
City/State: Grand Junction, CO
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: Healthcare Inspections
Release Type: Unrestricted
Summary: The VA Office of Inspector General Office of Healthcare Inspections conducted a review in follow-up of a report published May 14, 2012, Oversight Review of Quality of Care and Other Issues at the Grand Junction VA Medical Center, Grand Junction, Colorado (OIG Report number 12-00206-180). The purpose was to determine whether adverse conditions have been resolved and whether OIG’s recommendations were implemented. We conducted a site visit to the Grand Junction VA Medical Center (facility) during the week of August 6–9, 2012, interviewed key staff members, and evaluated current processes and documentation. We found appropriate oversight by Veterans Integrated Service Network 19. The facility was providing surgical care in accordance with its standard complexity designation and had implemented plans to address deficiencies in peri-operative care. The facility had also taken appropriate action to address the inconsistent availability of surgeons for consultations, deficiencies in quality management procedures, and incomplete medical record documentation. We made no recommendations.