VA Inspector General Reports Include Tampa

VA mismanagement, malpractice detailed in reports 
Military Times
By Patricia Kime, Staff writer
May 17, 2015

More than 120 previously unpublished investigations by the Veterans Affairs Department's inspector general, dating as far back as 2006, reveal problems at VA medical centers nationwide ranging from medical malpractice and patient safety concerns to mismanagement, infighting and corruption.

VA Assistant Inspector General John Daigh posted the reports on the VA inspector general's website in April after receiving criticism that his office failed to disclose results of an investigation into the Tomah Wisconsin VA Medical Center charging that a psychiatrist prescribed dangerous amounts of painkillers and other medications to patients, resulting in at least one death.

Daigh told lawmakers he did not "hide" the results of the Tomah investigation and explained that he routinely closes investigations for a variety of reasons — either the facility under investigation has taken steps to correct the issue, a lawsuit has been filed over an incident, or, in the case of Tomah, allegations were not substantiated.

But lawmakers say procedures that allow VA facilities to fix themselves after being investigated by the department's inspector general make no sense.

Pointing to scandals that have plagued VA in the past year, ranging from off-the-books appointment wait lists to construction overruns totaling more than $1 billion to whistleblower intimidation and more, House and Senate lawmakers continue to question VA's commitment to transparency.

In Tampa, Florida, a physician at the James A. Haley Veterans Hospital was counseled for more than two years by supervisors for prescribing controlled substances at rates "significantly higher than his peers."

The inspector general found that efforts to mentor the doctor "did not result in changes to his prescribing practices." But because the hospital was proactive in counseling the physician, the IG recommended only that supervisors also notify the Professional Standards Board and closed the case.

"While there was potential for harm to patients, we didn't find any patients that were harmed," the IG office wrote in the report.

Other reports ranged from poor practices to misrepresentation of credentials to doctor errors.
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