Equipment and Supply Mismanagement at the Hampton VA Medical Center, Virginia

The VA Office of Inspector General (OIG) conducted this review in response to a confidential hotline complaint alleging mismanagement of equipment and supplies that resulted in wasted funds and canceled operating room procedures at the Hampton VA Medical Center in Virginia. There were six allegations that included unused equipment left in an unmarked storage room and a warehouse. They also stated there was no inventory system to track operating room supplies and that the staff ordered too many supplies, spent excessively on overnight delivery charges, and that some operations were canceled because supplies were unavailable. According to the complaint, these deficiencies were addressed in earlier quality control reviews, but never addressed by facility leaders. The OIG did not substantiate that operating room procedures were canceled, nor that thousands of dollars were spent weekly to have supplies delivered overnight. However, about $1.8 million worth of equipment had sat for an undetermined amount of time in an unmarked second floor storage room and a warehouse basement without being properly inventoried. Facility staff were found to have ordered too many supplies, leading to overstocking and waste. The OIG partially substantiated the allegation that the facility did not have an effective, reliable inventory system in place to track or order operating room supplies. There were deficiencies, such as cluttered and overstocked operating room storage areas and inventory missing proper barcode labels, that had not been effectively addressed since they were identified in May 2017 and May 2018 quality control reviews. The OIG made several recommendations to the facility director for improving inventory management, including having a plan to ensure adequate staffing and implementing a process to address and correct deficiencies identified during quality control reviews in a timely manner.