Breadcrumb

Combined Assessment Program Review of the VA Manila Outpatient Clinic, Manila, Philippines

Report Information

Issue Date
Report Number
16-00103-160
VISN
State
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Healthcare Inspections
Report Type
Comprehensive Healthcare Inspection Program
Recommendations
6
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General (OIG) conducted a review to evaluate selected health care facility operations, focusing on patient care quality and the environment of care. This review focused on 10 operational activities. The facility complied with selected standards in the following five activities: (1) continuity of care, (2) outpatient laboratory results management, (3) human immunodeficiency virus screening, (4) post-traumatic stress disorder screening, and (5) management of workplace violence. The facility’s reported accomplishments were continuity of care, the Veterans Advocacy Committee, the Going Green initiative, improved facility access, and electronic access to information and services. OIG made recommendations for improvement in the following five activities: (1) quality, safety, and value; (2) environment of care; (3) medication management – controlled substances inspection program; (4) suicide prevention program; and (5) alcohol use disorder 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 facility clinical managers consistently review Ongoing Professional Practice Evaluation data every 6 months and that facility managers monitor compliance.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that Infection ControlCommittee meeting minutes consistently reflect discussion of identified high-risk areas and include actions to address those areas.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that facility managers ensure completion of drug destructions at least quarterly.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinicians consistently document that patients are at high risk prior to placing flags in the electronic health records and that facility managers monitor compliance.
No. 5
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that clinicians include the identification of contact numbers of family or friends for support in Suicide Prevention Safety Plans and that facility managers monitor compliance.
No. 6
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
We recommended that facility employees provide education and counseling about adverse consequences of heavy drinking to patients with positive alcohol screens and alcohol consumption above National Institute on Alcohol Abuse and Alcoholism guidelines.