Deficiencies in Select Community Care Consult (Stat) Processes During the COVID-19 Pandemic   [open pdf - 1MB]

From the Executive Summary: "The VA [Department of Veterans Affairs] Office of the Inspector General (OIG) conducted a national review of select community care consults (stat community care consults) that were generated during a 103-day period at the outset of the COVID-19 [coronavirus disease 2019] pandemic to evaluate consult processes. Patient involvement in care urgency disagreements and reporting of adverse events in community care were also reviewed. When the OIG identified deficiencies in processes, electronic health records (EHRs) of the patients at issue were further examined for potential negative outcomes. [...] In this report, the OIG addressed two components of the stat community care consult process-- the clinical aspect and the administrative aspect. To review the clinical aspect, the OIG evaluated whether care was rendered within 24 hours. For the administrative aspect, the OIG evaluated whether the status of stat community care consults was changed to complete within 24 hours. Facility processes were assessed through EHR reviews and survey responses."

Report Number:
Department of Veterans Affairs, Office of the Inspector General, National Review Report No. 20-03437-26
Public Domain
Retrieved From:
Oversight.gov: https://www.oversight.gov/
Media Type:
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