Report Summary

Title: Healthcare Inspection – Alleged Access Delays and Surgery Service Concerns, VA Roseburg Healthcare System, Roseburg, Oregon
Report Number: 15-00506-535 Download
Issue Date: 10/1/2015
City/State: Roseburg, OR
VA Office: Veterans Health Administration (VHA)
Report Author: Office of Healthcare Inspections
Report Type: Healthcare Inspection
Release Type: Unrestricted

At the request of Representative Peter DeFazio, OIG conducted an evaluation of the VA Roseburg Healthcare System (system), Roseburg, OR, in response to allegations regarding access delays and surgery service quality of care concerns. We substantiated access delays in some surgery and gastrointestinal service areas; however, system leadership and clinical program managers knew of the delays, implemented action plans to reduce wait times, and recorded the number of patients waiting per Veterans Health Administration (VHA) policy. We did not substantiate the allegation that a surgeon with questionable competence was performing colonoscopies. The surgeon was detailed to another VA facility where three board certified surgeons and one board certified gastroenterologist observed the surgeon during 16 endoscopy procedures and concluded the surgeon’s competency met or exceeded standards. We did not substantiate the allegation that surgeons were unable to maintain surgical skills. According to multiple providers at the system and Veterans Integrated Service Network level, surgeons could be detailed to other facilities to perform procedures not normally done at the system in order to maintain their surgical skills. We did not substantiate the allegation that surgeries are performed inappropriately without intensive care unit back-up. All surgical cases were monitored to ensure procedures were performed within the capabilities of the system’s designated complexity level. We made no recommendations.