VA Health Care: Actions Needed to Ensure Provider Qualifications and Competence, Statement of Sharon M. Silas, Director Health Care, Testimony Before the Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives [open pdf - 535KB]
From the Highlights: "Nearly 165,000 licensed health care providers, such as physicians and nurses, provide care in VHA's [Veterans Health Administration] VA [Department of Veterans Affairs] medical centers and outpatient facilities. Medical center staff must determine whether to hire and retain health care providers by reviewing and verifying information about their qualifications and practice history. [...] Medical center staff must also investigate any concerns that arise about the clinical care their providers deliver. Depending on the findings from these reviews, medical centers may take an adverse privileging action against a provider. [...] This testimony is primarily based on GAO's [Government Accountability Office] 2019 and 2017 reports on VHA processes for reviewing and reporting quality and safety concerns about VA providers. It addresses VA medical centers' implementation and VHA's oversight of (1) reviews of adverse information about providers in the NPDB [National Practitioner Data Bank]; (2) reviews of providers' clinical care after concerns are raised; and (3) reporting of providers to the NPDB and state licensing boards."
Government Accountability Office: https://www.gao.gov/