OIG Seal
Department of Veterans Affairs, Office of Inspector General
Michael J. Missal, Inspector General

Report Summary

Title: Healthcare Inspection – Alleged Clinical and Administrative Issues, VA Loma Linda Healthcare System, Loma Linda, CA
Report Number: 12-01758-40 Download
Issue Date: 11/19/2012
City/State: Loma Linda, CA
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: Healthcare Inspections
Release Type: Unrestricted

The VA Office of Inspector General Office of Healthcare Inspections conducted an evaluation to determine the validity of allegations related to Behavioral Medicine Service (BMS) staffing, workload management, patient evaluations, and supervision at the VA Loma Linda Healthcare System (the facility) in Loma Linda, CA. We substantiated that the facility needed more psychiatrists, psychologists, and social workers to meet the increased mental health (MH) workload demands. We did not substantiate that patient evaluations were inadequate or that the social workers’ schedules were not kept full. We could not confirm or refute that workload rules were not applied fairly. We determined that supervision for the social work staff was adequate and that unlicensed social work staff had appropriate supervision. We found that MH patients did not consistently receive timely evaluations. We concluded that the Chief, BMS, provided adequate supervision and oversight. However, we determined that the facility needs to establish a MH Executive Council (MHEC). We recommended that MH patients receive timely care and that a MHEC be established as required by VHA.