Review of Community Based Outpatient Clinics and Other Outpatient Clinics of James A. Haley Veterans’ Hospital, Tampa, Florida

Report Information

Issue Date
Report Number
16-00007-206
VISN
State
Florida
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Recommendations
9
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General (OIG) conducted a review of the James A. Haley Veterans’ Hospital’s Community Based Outpatient Clinics (CBOCs) and other outpatient clinics to evaluate for safe, consistent, and high-quality health care. The review evaluated the clinics’ compliance with selected VHA requirements for home telehealth enrollment, outpatient lab results management, and post-traumatic stress disorder care. We also randomly selected the Forty Sixth Street South VA Mental Health and Eye Clinics, Tampa, FL, as a representative site and evaluated the environment of care on January 13, 2016. OIG noted opportunities for improvement and made nine recommendations in the following focused review areas: Home Telehealth Enrollment, Outpatient Lab Results Management, and Environment of Care.

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 that managers monitor hand hygiene compliance at the 46th Street VA Mental Health and Eye Clinics.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that the Facility Director ensures the development and implementation of a policy for the management of clinical and mental health emergencies at the 46th Street South VA Eye Clinic.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that the Facility Director ensures documentation of a Hazard Vulnerability Assessment to identify potential emergencies at the Forty Sixth Street South VA Mental Health Clinic.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinic managers ensure that sterile commercial supplies at the 46th Street South VA Eye Clinic are not expired.
No. 5
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinic managers review the Forty Sixth Street South VA Mental Health Clinic’s hazardous materials inventory twice within a 12-month period.
No. 6
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinic managers provide feminine hygiene disposal bins in women’s public restrooms at the 46th Street South VA Mental Health Clinic.
No. 7
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinic managers at the 46th Street South VA Mental Health and Eye Clinics ensure the information technology server closet is maintained according to information technology safety and security standards.
No. 8
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that providers sign Home Telehealth assessments and treatment plans.
No. 9
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinicians consistently notify patients of their laboratory results within the timeframe set by local policy.