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

Report Summary

Title: Combined Assessment Program Review of the VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
Report Number: 12-03746-161 Download
Issue Date: 5/2/2013
City/State: Pittsburgh, PA
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: CAP Reviews
Release Type: Unrestricted

The purpose of the review was to evaluate selected health care facility operations, focusing on patient care quality and the environment of care. During the review, OIG provided crime awareness briefings to 160 employees. This review focused on eight operational activities. The facility complied with selected standards in the following three activities: (1) medication management – controlled substances inspections, (2) nurse staffing, and (3) preventable pulmonary embolism. The facility’s reported accomplishments were an Interdisciplinary Medical Perioperative Assessment Consultation and Treatment Service and a full-home simulation training program in the community living center. OIG made recommendations for improvement in the following five activities: (1) quality management, (2) environment of care, (3) coordination of care – hospice and palliative care, (4) long-term home oxygen therapy, and (5) construction safety.