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Home News Combined Assessment Program Summary Report Management of Test Results in Veterans Health Administration Facilitiesnr (9/7/2011)

Combined Assessment Program Summary Report Management of Test Results in Veterans Health Administration Facilities\n\r (9/7/2011)

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OIG evaluated the management of test results in Veterans Health Administration (VHA) facilities by determining whether facilities (1) complied with VHA policy and Joint Commission standards related to communicating critical clinical laboratory, radiology, and anatomic pathology test results; (2) periodically monitored communication of critical test results to evaluate effectiveness; (3) documented appropriate notification and follow-up actions in medical records when critical test results were generated; and (4) notified patients of normal test results. OIG also followed up on a previous report published in 2002. This review was conducted at 25 facilities during Combined Assessment Program reviews performed from October 1, 2010, through March 31, 2011. In response to OIG’s 2002 report, VHA provided system-wide guidance for management of test results and made significant improvements related to diagnostic clinician communication and documentation of critical results. OIG identified three areas where compliance with VHA requirements needed to improve and recommended that facilities’ written policies be comprehensive and define the processes for monitoring the effectiveness of communicating critical results to practitioners and patients, that ordering practitioners notify patients of all critical results within the defined timeframes, and that practitioners notify patients of normal results and that managers monitor compliance.





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