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Review of Alleged Mismanagement of Medical Supplies at the VA Medical Center, East Orange, New Jersey

Report Information

Issue Date
Report Number
15-01927-375
VISN
State
New Jersey
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Audits and Evaluations
Report Type
Audit
Recommendations
5
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
We evaluated the merits of allegations that Logistics Service at the East Orange VA Medical Center (VAMC) purchased excess medical supplies resulting in mismanagement of government resources and that a Logistics Service employee was misusing official time by leaving early every Friday. We substantiated the allegation that Medical Supply Distribution Section (MSDS) staff at the East Orange VAMC purchased medical supplies that were beyond normal stock levels. Veterans Health Administration (VHA) policy defines normal stock level as the maximum amount of an item that should be maintained in stock. During an inspection of primary storage areas at the medical center, we identified about 2,900 excess medical supply items valued at approximately $48,100. We reviewed inventory reports to determine whether additional excess medical supplies existed. However, we determined that the inventory reports were inaccurate, and as a result, we could not determine the extent of excess medical supplies at the East Orange VAMC. These inventory issues occurred because Logistics Service and MSDS management did not effectively monitor the staffs’ management of the facility’s medical supply inventories. Additionally, when they did identify inventory discrepancies, logistics staff did not determine why discrepancies were occurring. Without such action, East Orange VAMC cannot implement corrective actions to account for its physical inventories or increase the accuracy of the information in their inventory system. We did not substantiate the time and attendance allegation. We recommended the Interim Director of the Veterans Integrated Service Network 3 ensure the VA New Jersey Health Care System take steps to improve medical supply inventory controls to minimize purchases of excess medical supplies.

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)
We recommended the Interim Director of Veterans Integrated Service Network 3 ensure the VA New Jersey Health Care System purchases and maintains medical supplies at normal stock levels.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Interim Director of Veterans Integrated Service Network 3 ensure the VA New Jersey Health Care System conducts a 100 percent wall-to-wall inventory of all Medical Supply Distribution Section inventory storage areas and document results.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Interim Director of Veterans Integrated Service Network 3 ensure the VA New Jersey Health Care System uses the results of the wall-to-wall inventory to assess the accuracy of the Integrated Funds Distribution, Control Point Activity, Accounting and Procurement system, and makes adjustments as deemed appropriate.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Interim Director of Veterans Integrated Service Network 3 ensure the VA New Jersey Health Care System obtains and mandates the use of one model of barcode scanner to track and maintain medical supply inventory.
No. 5
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended the Interim Director of Veterans Integrated Service Network 3 ensure the VA New Jersey Health Care System implements measures to determine reasons discrepancies are occurring in inventories and takes appropriate corrective action before technicians manually adjust the Integrated Funds Distribution, Control Point Activity, Accounting and Procurement system.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 48,100.00