Breadcrumb

Community Based Outpatient Clinic Reviews at VA Pacific Islands Health Care System, Honolulu, HI

Report Information

Issue Date
Report Number
13-00026-223
VISN
State
American Samoa
Guam
Hawaii
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Recommendations
4
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General reviewed the VA Pacific Islands Health Care System’s six Community Based Outpatient Clinics (CBOCs) during the week of March 18, 2013. The purpose of the review was to assess whether the CBOCs provide veterans with consistent and safe high-quality health care. The review covered the clinical care components of women’s health cervical cancer screening and tetanus and pneumococcal vaccinations. We also randomly selected the Guam CBOC, Agana Heights, GU, and the Hilo, HI, CBOC for site visits and evaluated credentialing and privileging, environment of care, and emergency management processes. OIG noted opportunities for improvement and made a total of four recommendations to the Veterans Integrated Service Network (VISN) and facility managers.

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 recommend that VISN and Facility Directors, in conjunction with the respective CBOC managers, should take appropriate actions to ensure that clinicians screen patients for tetanus vaccinations.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommend that VISN and Facility Directors, in conjunction with the respective CBOC managers, should take appropriate actions to ensure that clinicians administer pneumococcal vaccinations when indicated.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommend that VISN and Facility Directors, in conjunction with the respective CBOC managers, should take appropriate actions to ensure that clinicians document all required tetanus and pneumococcal vaccination administration elements and that compliance is monitored.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommend that VISN and Facility Directors, in conjunction with the respective CBOC managers, should take appropriate actions to ensure that a hazard assessment is conducted at the Hilo CBOC to determine if an emergency eyewash station is warranted.